How Do Treatment Protocols Affect the Use of Engagement Practices in Youth Mental Health Services?

Wu, EG (通讯作者),Univ South Carolina, Barnwell Coll, Dept Psychol, 1512 Pendleton St,Suite 220, Columbia, SC 29208 USA.
2022-11
Purpose Treatment engagement poses challenges for youth mental health providers. With the expansion of evidence-based treatments (EBTs), providers face complex decisions regarding how to engage youth and families using available information sources. This study investigated how EBT protocols are associated with the selection and delivery of engagement practices. Method Twenty engagement practices were coded in a sample of digital recordings of early treatment sessions (N = 193) from the Child STEPs in California study, a randomized trial testing modular treatment and community-implemented treatment for youth mental health problems. Data were collected on which protocols mental health providers reportedly used to guide their sessions and the protocols in which they had received training. We examined which information sources (i.e., the guiding protocol, other protocols in training history, unspecified source) were associated with observed engagement practices. Results In sessions guided by a protocol, most observed engagement practices were accounted for by the guiding protocol (p < .001), rather than protocols in training history or unspecified sources (p < .001). In sessions not guided by a protocol, most observed practices were accounted for by training history (p < .001). Practice frequency and extensiveness was generally greater when a protocol guided the session. Conclusions Inclusion in protocols is associated with the selection and delivery of engagement practices, but this strategy might be insufficient for supporting the use of the full range of engagement practices supported by evidence. Supports are needed that leverage the engagement evidence base to ensure that selected practices empirically fit the engagement needs of youth and families.
ADMINISTRATION AND POLICY IN MENTAL HEALTH AND MENTAL HEALTH SERVICES RESEARCH
卷号:49|期号:6|页码:943-961
ISSN:0894-587X|收录类别:SSCI
语种
英语
来源机构
University of South Carolina System; University of South Carolina Columbia; Harvard University; Judge Baker's Children's Center; California State University System; California State University Northridge; University of California System; University of California Los Angeles
被引频次(WOS)
0
被引频次(其他)
0
180天使用计数
1
2013以来使用计数
1
EISSN
1573-3289
出版年
2022-11
DOI
10.1007/s10488-022-01210-5
学科领域
循证公共卫生
关键词
Treatment engagement Community mental health services Evidence-based practice Clinical practice patterns Clinical decision making
WOS学科分类
Health Policy & Services Public, Environmental & Occupational Health