Toward Enough of the Best for All: Research to Transform the Efficacy, Quality, and Reach of Mental Health Care for Youth

Pringle, Beverly; Chambers, David A.; Wang, Philip S.

doi:10.1007/s10488-010-0266-3

Cited by 7 publications

(10 citation statements)

References 13 publications

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“…This research supports previous suggestions that point to the need to implement services with a variety of provider-types, including peers and paraprofessionals (Pringle et al 2010). These paraprofessionals, some of whom may act as models, may play a key role in the uptake of knowledge, skills, and therapeutic support, provided by professionals.…”

Section: Intervention Strategy Considerationssupporting

confidence: 90%

Clinical Social Work Practice with Former System Youth with Mental Health Needs: Perspective of Those in Need

Munson

Lox²

2012

Clin Soc Work J

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The purpose of this study is to describe the types of programs and mental health services former system youth with mental health histories would be inclined to engage in to manage their mental health difficulties, along with the factors that might hinder them from engaging in these services. A series of closed and open-ended questions on potential programs and services were asked, as part of a larger study. Participants were former system youth; specifically 18-30 year olds who were diagnosed with a mood disorder and were involved with public mental health and social services (e.g., public welfare, child welfare, juvenile justice) during childhood.Responses to the open-ended questions were categorized and percentages are reported from the yes/no items. Eighty-three percent and 76% reported that they would be enticed to come to a support group and panel discussion on mood disorders, respectively, while only 46% reported that they would attend a family support group. Talking with others who have had similar experiences, material possessions and creative expression were the most common responses regarding what would entice them to get involved. Further, peer disrespect, transportation, and daycare were common barriers to potential participation. As the field continues to build knowledge on system-wide strategies to improve agency-based mental health care for transitioning youth and young adults, new evidence-based approaches may benefit from listening to the specific needs, preferences, and suggestions of these youth themselves.

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Section: Intervention Strategy Considerationssupporting

confidence: 90%

Clinical Social Work Practice with Former System Youth with Mental Health Needs: Perspective of Those in Need

Munson

Lox²

2012

Clin Soc Work J

View full text Add to dashboard Cite

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“…Second, we plan to accomplish two goals in a single trial [84]. We will describe ‘usual care’ supervision for CBS trained in EBT, including EBT content and strategies, which to date has not been done.…”

Section: Discussionmentioning

confidence: 99%

“…According to Pringle et al [84], ‘implementation studies too often neglect the potential contributions of emerging technologies to help integrate effective practices within care systems.’ Given innovation at multiple levels, we expect that the proposed study will considerably advance the field in the area of implementation of EBT and offer viable options for improving care for children and adolescents.…”

Section: Discussionmentioning

confidence: 99%

Improving practice in community-based settings: a randomized trial of supervision – study protocol

et al. 2013

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BackgroundEvidence-based treatments for child mental health problems are not consistently available in public mental health settings. Expanding availability requires workforce training. However, research has demonstrated that training alone is not sufficient for changing provider behavior, suggesting that ongoing intervention-specific supervision or consultation is required. Supervision is notably under-investigated, particularly as provided in public mental health. The degree to which supervision in this setting includes ‘gold standard’ supervision elements from efficacy trials (e.g., session review, model fidelity, outcome monitoring, skill-building) is unknown. The current federally-funded investigation leverages the Washington State Trauma-focused Cognitive Behavioral Therapy Initiative to describe usual supervision practices and test the impact of systematic implementation of gold standard supervision strategies on treatment fidelity and clinical outcomes.Methods/DesignThe study has two phases. We will conduct an initial descriptive study (Phase I) of supervision practices within public mental health in Washington State followed by a randomized controlled trial of gold standard supervision strategies (Phase II), with randomization at the clinician level (i.e., supervisors provide both conditions). Study participants will be 35 supervisors and 130 clinicians in community mental health centers. We will enroll one child per clinician in Phase I (N = 130) and three children per clinician in Phase II (N = 390). We use a multi-level mixed within- and between-subjects longitudinal design. Audio recordings of supervision and therapy sessions will be collected and coded throughout both phases. Child outcome data will be collected at the beginning of treatment and at three and six months into treatment.DiscussionThis study will provide insight into how supervisors can optimally support clinicians delivering evidence-based treatments. Phase I will provide descriptive information, currently unavailable in the literature, about commonly used supervision strategies in community mental health. The Phase II randomized controlled trial of gold standard supervision strategies is, to our knowledge, the first experimental study of gold standard supervision strategies in community mental health and will yield needed information about how to leverage supervision to improve clinician fidelity and client outcomes.Trial registrationClinicalTrials.gov NCT01800266

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“…During the planning phase, Site 1 built upon their existing collaboration with a well-established community mental health agency that included five com- these findings validate the national call for partnered research and demonstration projects to further refine the development and implementation of integrated care models for children receiving care in "real world" treatment settings. 10,14,[16][17][18][19][20][21] To address this knowledge gap, we describe a partnered formative evaluation approach to develop and evaluate two integrated care models that serve predominantly poor, racial/ethnic minority children at high risk for trauma exposure. Given the dynamism of the implementation of mental health care interventions 20 Integrated Care Models for Children -Zima et al munity-based mental health centers.…”

Section: Sitementioning

confidence: 99%

Development and Evaluation of Two Integrated Care Models for Children Using a Partnered Formative Evaluation Approach

Zima¹,

McCreary

Kenan

et al. 2018

Ethn Dis

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Across three formative evaluation stages, the foundation, clinic, and academic partners continued to reach beyond their respective traditional roles of project oversight, clinical service, and research as adjustments were collectively made to accommodate barriers and unanticipated events. Together, an innovative shared data collection approach was developed that extends partnered research to include data collection being led by the clinic partners and supported by the technical resources of a university-based research center.

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Toward Enough of the Best for All: Research to Transform the Efficacy, Quality, and Reach of Mental Health Care for Youth

Cited by 7 publications

References 13 publications

Clinical Social Work Practice with Former System Youth with Mental Health Needs: Perspective of Those in Need

Clinical Social Work Practice with Former System Youth with Mental Health Needs: Perspective of Those in Need

Improving practice in community-based settings: a randomized trial of supervision – study protocol

Development and Evaluation of Two Integrated Care Models for Children Using a Partnered Formative Evaluation Approach

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