ERIC Number: EJ1433040
Record Type: Journal
Publication Date: 2022-Nov
Pages: 19
Abstractor: As Provided
ISBN: N/A
ISSN: ISSN-0894-587X
EISSN: EISSN-1573-3289
Available Date: N/A
How Do Treatment Protocols Affect the Use of Engagement Practices in Youth Mental Health Services?
Eleanor G. Wu; Kimberly D. Becker; Rachel E. Kim; Jonathan I. Martinez; Jennifer M. Gamarra; Bruce F. Chorpita
Administration and Policy in Mental Health and Mental Health Services Research, v49 n6 p943-961 2022
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. 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. In sessions guided by a protocol, most observed engagement practices were accounted for by the guiding protocol (p < 0.001), rather than protocols in training history or unspecified sources (p < 0.001). In sessions not guided by a protocol, most observed practices were accounted for by training history (p < 0.001). Practice frequency and extensiveness was generally greater when a protocol guided the session. 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.
Descriptors: Mental Health, Health Services, Evidence Based Practice, Mental Disorders, Youth, Allied Health Personnel, Information Sources, Delivery Systems, Training, Participation
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Publication Type: Journal Articles; Reports - Research
Education Level: N/A
Audience: N/A
Language: English
Sponsor: N/A
Authoring Institution: N/A
Grant or Contract Numbers: N/A
Author Affiliations: N/A