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Caregiver Attendance as a Quality Indicator in the Implementation of Multiple Evidence-Based Practices for Children.
In: Journal of clinical child and adolescent psychology : the official journal for the Society of Clinical Child and Adolescent Psychology, American Psychological Association, Division 53, vol 49, iss 6 (2020)
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2
Promoting Equity and Resilience: Wellness Navigators’ Role in Addressing Adverse Childhood Experiences
In: Clin Pract Pediatr Psychol (2020)
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3
Trauma-Responsive Care in a Pediatric Setting: Feasibility and Acceptability of Adverse Childhood Experiences (ACEs) Screening
In: Am J Community Psychol (2019)
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4
Caregiver Attendance as a Quality Indicator in the Implementation of Multiple Evidence-Based Practices for Children
In: J Clin Child Adolesc Psychol (2019)
Abstract: OBJECTIVE: This study investigated a quality indicator for children’s mental health, caregiver attendance in youth psychotherapy sessions, within a system-driven implementation of multiple evidence-based practices (EBPs) in children’s community mental health services. METHOD: Administrative claims from nine fiscal years were analyzed to characterize and predict caregiver attendance. Data included characteristics of therapists (n = 8,626), youth clients (n = 134,368), sessions (e.g., individual, family), and the EBP delivered. Clients were primarily Latinx (63%), male (54%) and mean age was 11; they presented with a range of mental health problems. Three-level mixed models were conducted to examine the association between therapist, youth, service, EBP characteristics and caregiver attendance. RESULTS: Caregivers attended, on average, 46.0% of sessions per client for the full sample and 59.6% of sessions for clients who were clinically indicated, based on age and presenting problem, to receive caregiver-focused treatment. Following initial EBP implementation, the proportion of caregiver attendance in sessions increased over time. Caregivers attended a higher proportion of youth psychotherapy sessions when clients were younger, had an externalizing disorder, were non-Hispanic White, and were male. Further, higher proportions of caregiver attendance occurred when services were delivered in a clinic setting (compared with school and other settings), by bilingual therapists, and the EBP prescribed caregiver attendance in all sessions. CONCLUSIONS: Overall, the patterns of caregiver attendance appear consistent with evidence-informed practice parameters of client presenting problem and age. Yet, several improvement targets emerged such as client racial/ethnic background and service setting. Potential reasons for these disparities are discussed.
Keyword: Article
URL: http://www.ncbi.nlm.nih.gov/pubmed/31799862
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7269837/
https://doi.org/10.1080/15374416.2019.1683851
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