Objective: A randomized trial assessed the effectiveness of a 2-level strategy for implementing evidence-based mental health treatments for delinquent youth. Method: A 2 x 2 design encompassing 14 rural Appalachian counties included 2 factors: (a) the random assignment of delinquent youth within each county to a multisystemic therapy (MST) program…

Nineteen staff and clients in a Native American healing lodge were interviewed regarding the therapeutic approach used to address the legacy of Native American historical trauma. On the basis of thematic content analysis of interviews, 4 components of healing discourse emerged. First, clients were understood by their counselors to carry pain,…

Examined relationship between source of payment, divided into self-payers versus third party plus self-payers, and three therapy process variables for 404 admissions to a community mental health center. Overall analyses found that source of payment was significantly related to number of client contacts and length of stay. (Author)

Investigates whether or not children of alcoholic parents suffer adverse emotional consequences and whether or not Alateen is beneficial to such children. Adolescents with an alcoholic parent who were not members of Alateen had significantly higher scores on the negative scales of the Profile of Mood States. (Author)

Investigated the effectiveness of a modeling therapy designed to be sensitive to Hispanic culture using cuentos (folktales) from Puerto Rican culture to present models of adaptive behavior and folktales tailored to bridge Puerto Ricans' bicultural conflict. Cuento therapy significantly reduced children's trait anxiety relative to traditional…

To help a community toward self-help, adult high school students were trained to work with families selected for having problem children in schools or being under stress. The training was based on a communication model. Evaluation of project and community-wide measures applicable for future efforts are discussed. (Author)

Investigated services received, length of treatment, and outcomes of thousands of Asian-American, African-American, Mexican-American, and White clients using outpatient community mental health services. Asian Americans and Mexican Americans underutilized services. African Americans overutilized services and exhibited less positive outcomes.…

Principal-component factor analyses were performed on patient input (demographic and pretherapy expectations), therapist input (demographic), and patient perspective therapy process variables that significantly differentiated early dropout from nondropout outpatients at two community mental health centers. (Author)

Two evaluation procedures were evaluated in terms of their impact upon client attrition in a community mental health center. The behavioral analysis report, an innovative evaluation procedure, led to more treatment contacts than a traditional evaluation method. Possible effective elements within the behavioral analysis report are discussed.…