Innovations in the psychosocial treatment of youth with anxiety disorders: implications for a stepped care approach

Ollendick, Thomas H.; Öst, Lars‐Göran; Farrell, Lara J.

doi:10.1136/eb-2018-102892

Cited by 21 publications

(16 citation statements)

References 32 publications

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“…This would be the Acute, Intensive, and Brief Episodic patterns in our sample, for whom the clinical characteristics at intake did not differ markedly. In stepped-care models [83], children first receive a low-intensity treatment (e.g., self-help CBT via internet) and if this treatment is not effective, more intensive and/or additional treatments are added (e.g., CBT delivered in-person, medication; [84, 85]).…”

Section: Discussionmentioning

confidence: 99%

Predicting patterns of service utilization within children’s mental health agencies

Reid

Stewart

Barwick

et al. 2019

BMC Health Serv Res

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BackgroundSome children with mental health (MH) problems have been found to receive ongoing care, either continuously or episodically. We sought to replicate patterns of MH service use over extended time periods, and test predictors of these patterns.MethodsLatent class analyses were applied to 4 years of visit data from five MH agencies and nearly 6000 children, 4- to 13-years-old at their first visit.ResultsFive patterns of service use were identified, replicating previous findings. Overall, 14% of cases had two or more episodes of care and 23% were involved for more than 2 years. Most children (53%) were seen for just a few visits within a few months. Two patterns represented cases with two or more episodes of care spanning multiple years. In the two remaining patterns, children tended to have just one episode of care, but the number of sessions and length of involvement varied. Using discriminant function analyses, we were able to predict with just over 50% accuracy children’s pattern of service use. Severe externalizing behaviors, high impairment, and high family burden predicted service use patterns with long durations of involvement and frequent visits.ConclusionsOptimal treatment approaches for children seen for repeated episodes of care or for care lasting multiple years need to be developed. Children with the highest level of need (severe pathology, impairment, and burden) are probably best served by providing high intensity services at the start of care.

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Section: Discussionmentioning

confidence: 99%

Predicting patterns of service utilization within children’s mental health agencies

Reid

Stewart

Barwick

et al. 2019

BMC Health Serv Res

View full text Add to dashboard Cite

show abstract

“…This baseline period was used to assess the stability of children’s fear over time. Baseline data, when combined with replication, has been found useful in gaining preliminary information during the initial development of novel treatments (Barlow et al, 1984 ; Lewis et al, 2015 ; Ollendick et al, 2018 ). A multiple baseline was the design of choice because it controls for the primary weakness (i.e., threat to validity) associated with changes related to using just one time phase.…”

Section: Methodsmentioning

confidence: 99%

“…Collectively these studies demonstrate that bibliotherapy for children is likely more effective when supplemented with therapist-parent contact. Furthermore, bibliotherapy may be ideal for families who cannot receive standard services (i.e., due to lack of access, financial concerns, or time constraints) and may function as a low-intensity intervention in a stepped care approach to treatment (Ollendick et al, 2018 ).…”

Section: Introductionmentioning

confidence: 99%

Bibliotherapy for Specific Phobias of Dogs in Young Children: A Pilot Study

Radtke

Muskett

Coffman³

et al. 2022

J Child Fam Stud

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Bibliotherapy, particularly when supplemented with therapist contact, has emerged as an effective treatment for anxiety symptoms in children. However, its effectiveness in treating specific phobias in young children has been explored in only one study which targeted nighttime fears. The current study tested a novel bibliotherapy for fears of dogs in four to seven-year-old children. The therapy was conducted over four weeks and was supplemented with brief, weekly videoconference calls with a therapist. A non-concurrent multiple baseline design was used to evaluate the effectiveness of this treatment in a sample of seven children between four and seven years of age. Significant reductions in specific phobia diagnostic severity, parent and child fear ratings, and child avoidance during a behavioral approach task were all observed. Additionally, treatment adherence, retention, and satisfaction were all high. Future research is needed to replicate the findings in larger, more heterogeneous samples and to explore possible predictive variables; however, this study provides initial support for bibliotherapy as a non-intensive, first-line intervention for specific phobias in young children.

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“…In sum, we do not endorse abandoning weekly therapy; rather we submit that it cannot ethically remain the “norm” or the sole format for the delivery of evidence-based treatments. Evidence supports the use of brief, intensive and concentrated treatments; they can be more efficient than longer treatments, more cost-effective, and more accessible (Ollendick et al 2018a ; b ). To some extent, psychological treatment provision is already being overhauled by the COVID-19 pandemic, including rapid normalization and expansion of telehealth and digital interventions.…”

Section: Recommendations and Conclusionmentioning

confidence: 99%