Skip to main content
Erschienen in:

22.10.2016 | Original Article

Factor Analysis of Therapist-Identified Treatment Targets in Community-Based Children’s Mental Health

verfasst von: Allison R. Love, Izumi Okado, Trina E. Orimoto, Charles W. Mueller

Erschienen in: Administration and Policy in Mental Health and Mental Health Services Research | Ausgabe 1/2018

Einloggen, um Zugang zu erhalten

Abstract

The present study used exploratory and confirmatory factor analyses to identify underlying latent factors affecting variation in community therapists’ endorsement of treatment targets. As part of a statewide practice management program, therapist completed monthly reports of treatment targets (up to 10 per month) for a sample of youth (n = 790) receiving intensive in-home therapy. Nearly 75 % of youth were diagnosed with multiple co-occurring disorders. Five factors emerged: Disinhibition, Societal Rules Evasion, Social Engagement Deficits, Emotional Distress, and Management of Biodevelopmental Outcomes. Using logistic regression, primary diagnosis predicted therapist selection of Disinhibition and Emotional Distress targets. Client age predicted endorsement of Societal Rules Evasion targets. Practice-to-research implications are discussed.
Fußnoten
1
This study is an additional analysis of data previously used to examine treatment target endorsement rates and outcomes (Love et al. 2014).
 
2
WRMR is recommended as an alternative for standardized root mean square residual for categorical data with n-sizes of 250 or greater (Yu 2002).
 
Literatur
Zurück zum Zitat Accurso, E. C., Garland, A. F., Haine-Schlagel, R., Brookman-Frazee, L., & Baker-Ericzen, M. J. (2015). Factors contributing to reduce caregiver strain in a publically funded child mental health system. Journal of Emotional and Behavioral Disorders, 23(3), 131–143. doi:10.1177/1063426614532948. Accurso, E. C., Garland, A. F., Haine-Schlagel, R., Brookman-Frazee, L., & Baker-Ericzen, M. J. (2015). Factors contributing to reduce caregiver strain in a publically funded child mental health system. Journal of Emotional and Behavioral Disorders, 23(3), 131–143. doi:10.​1177/​1063426614532948​.
Zurück zum Zitat American Psychiatric Association (APA). (2013). Diagnostic and statistical manual of mental disorders: DSM-5. Washington, D.C: American Psychiatric Association.CrossRef American Psychiatric Association (APA). (2013). Diagnostic and statistical manual of mental disorders: DSM-5. Washington, D.C: American Psychiatric Association.CrossRef
Zurück zum Zitat Bird, H. R., Gould, M. S., & Staghezza, B. M. (1993). Patterns of diagnostic comorbidity in a community sample of children aged 9 through 16 years. Journal of the American Academy of Child & Adolescent Psychiatry, 32(2), 361–368. doi:10.1097/00004583-199303000-00018.CrossRef Bird, H. R., Gould, M. S., & Staghezza, B. M. (1993). Patterns of diagnostic comorbidity in a community sample of children aged 9 through 16 years. Journal of the American Academy of Child & Adolescent Psychiatry, 32(2), 361–368. doi:10.​1097/​00004583-199303000-00018.CrossRef
Zurück zum Zitat Borntrager, C. F., Chorpita, B. F., Orimoto, T., Love, A., & Mueller, C. W. (2015). Validity of clinician’s self-reported practice elements on the monthly treatment and progress summary. Journal of Behavioral Health Services & Research, 42(3), 367–382. doi:10.1007/s11414-013-9363-x. Borntrager, C. F., Chorpita, B. F., Orimoto, T., Love, A., & Mueller, C. W. (2015). Validity of clinician’s self-reported practice elements on the monthly treatment and progress summary. Journal of Behavioral Health Services & Research, 42(3), 367–382. doi:10.​1007/​s11414-013-9363-x.  
Zurück zum Zitat Brookman-Frazee, L., Haine, R. A., Baker-Ericzen, M., Zoffness, R., & Garland, A. F. (2010). Factors associated with use of evidence-based practice strategies in usual care youth psychotherapy. Administration and Policy in Mental Health and Mental Health Services Research, 37, 254–269. doi:10.1007/s10488-009-0244-9.CrossRefPubMed Brookman-Frazee, L., Haine, R. A., Baker-Ericzen, M., Zoffness, R., & Garland, A. F. (2010). Factors associated with use of evidence-based practice strategies in usual care youth psychotherapy. Administration and Policy in Mental Health and Mental Health Services Research, 37, 254–269. doi:10.​1007/​s10488-009-0244-9.CrossRefPubMed
Zurück zum Zitat Brown, T. A. (2006). Confirmatory factor analysis for applied research. New York: Guilford Press. Brown, T. A. (2006). Confirmatory factor analysis for applied research. New York: Guilford Press.
Zurück zum Zitat Child and Adolescent Mental Health Division (2008). Instructions and codebook for provider monthly treatment and progress summary. Honolulu, HI: Department of Health Child and Adolescent Mental Health Division. Child and Adolescent Mental Health Division (2008). Instructions and codebook for provider monthly treatment and progress summary. Honolulu, HI: Department of Health Child and Adolescent Mental Health Division.
Zurück zum Zitat Chorpita, B. F., & Donkervoet, C. (2004). Implementation of the Felix Consent Decree in Hawaii: The impact of policy and practice development efforts on service delivery. In R. G. Steele & M. C. Roberts (Eds.), Handbook of mental health services for children, adolescents, and families (pp. 317–332). New York: Kluwer. Chorpita, B. F., & Donkervoet, C. (2004). Implementation of the Felix Consent Decree in Hawaii: The impact of policy and practice development efforts on service delivery. In R. G. Steele & M. C. Roberts (Eds.), Handbook of mental health services for children, adolescents, and families (pp. 317–332). New York: Kluwer.
Zurück zum Zitat Chorpita, B. F., Yim, L. M., Donkervoet, J. C., Arensdorf, A. M., Amundsen, M. J., … Morelli, P. (2002). Toward large-scale implementation of empirically supported treatments for children: A review and observations by the Hawaii Empirical Basis to Services Task Force. Clinical Psychology: Science and Practice, 9(2), 165–190. doi:10.1111/j.1468-2850.2002.tb00504.x. Chorpita, B. F., Yim, L. M., Donkervoet, J. C., Arensdorf, A. M., Amundsen, M. J., … Morelli, P. (2002). Toward large-scale implementation of empirically supported treatments for children: A review and observations by the Hawaii Empirical Basis to Services Task Force. Clinical Psychology: Science and Practice, 9(2), 165–190. doi:10.​1111/​j.​1468-2850.​2002.​tb00504.​x.
Zurück zum Zitat Daleiden, E. L., & Chorpita, B. F. (2005). From data to wisdom: Quality improvement strategies supporting large-scale implementation of evidence-based services. Child and Adolescent Psychiatric Clinics of North America, 14(2), 329–349. doi:10.1016/j.chc.2004.11.002.CrossRefPubMed Daleiden, E. L., & Chorpita, B. F. (2005). From data to wisdom: Quality improvement strategies supporting large-scale implementation of evidence-based services. Child and Adolescent Psychiatric Clinics of North America, 14(2), 329–349. doi:10.​1016/​j.​chc.​2004.​11.​002.CrossRefPubMed
Zurück zum Zitat Daleiden, E. L., Chorpita, B. F., Donkervoet, C., Arensdorf, A. M., & Brogan, M. (2006). Getting better at getting them better: Health outcomes and evidence-based practice within a system of care. Journal of the American Academy of Child and Adolescent Psychiatry, 45(6), 749–456. doi:10.1097/01.chi/0000215154.07142.63.CrossRefPubMed Daleiden, E. L., Chorpita, B. F., Donkervoet, C., Arensdorf, A. M., & Brogan, M. (2006). Getting better at getting them better: Health outcomes and evidence-based practice within a system of care. Journal of the American Academy of Child and Adolescent Psychiatry, 45(6), 749–456. doi:10.​1097/​01.​chi/​0000215154.​07142.​63.CrossRefPubMed
Zurück zum Zitat Daleiden, E. L., Lee, J., & Tolman, R. (2004). Annual evaluation report: Fiscal year 2004. Honolulu, HI: Hawai’i Department of Health Child and Adolescent Mental Health Division. Daleiden, E. L., Lee, J., & Tolman, R. (2004). Annual evaluation report: Fiscal year 2004. Honolulu, HI: Hawai’i Department of Health Child and Adolescent Mental Health Division.
Zurück zum Zitat Garland, A. F., Hough, R., McCabe, K., Yeh, M., Wood, P., & Aarons, G. (2001). Prevalence of psychiatric disorders for youths in public sectors of care. Journal of the American Academy of Child and Adolescent Psychiatry, 40, 409–418. doi:10.1097/00004583-200104000-00009.CrossRefPubMed Garland, A. F., Hough, R., McCabe, K., Yeh, M., Wood, P., & Aarons, G. (2001). Prevalence of psychiatric disorders for youths in public sectors of care. Journal of the American Academy of Child and Adolescent Psychiatry, 40, 409–418. doi:10.​1097/​00004583-200104000-00009.CrossRefPubMed
Zurück zum Zitat Higa-McMillan, C., Powell, C. K. K., Daleiden, E., & Mueller, C. (2011). Pursuing an evidence-based culture through contextualized feedback: Aligning youth outcomes and provider practices. Professional Psychology: Research and Practice, 42, 137–144. doi:10.1037/a0022139.CrossRef Higa-McMillan, C., Powell, C. K. K., Daleiden, E., & Mueller, C. (2011). Pursuing an evidence-based culture through contextualized feedback: Aligning youth outcomes and provider practices. Professional Psychology: Research and Practice, 42, 137–144. doi:10.​1037/​a0022139.CrossRef
Zurück zum Zitat Hoagwood, K., & Kolko, D. J. (2009). Introduction to the special section on practice contexts: A glimpse into the nether world of public mental health services for children and families. Administration and Policy in Mental Health and Mental Health Services Research, 36(1), 35–36. doi:10.1007/s10488-008-0201-z. Hoagwood, K., & Kolko, D. J. (2009). Introduction to the special section on practice contexts: A glimpse into the nether world of public mental health services for children and families. Administration and Policy in Mental Health and Mental Health Services Research, 36(1), 35–36. doi:10.​1007/​s10488-008-0201-z.
Zurück zum Zitat Hodges, K. (1998). Child and adolescent functional assessment scale (CAFAS). Ann Arbor, MI: Functional Assessment Systems. Hodges, K. (1998). Child and adolescent functional assessment scale (CAFAS). Ann Arbor, MI: Functional Assessment Systems.
Zurück zum Zitat Hu, L. T., & Bentler, P. M. (1999). Cutoff criteria for fit indexes in covariance structure analysis: Conventional criteria versus new alternatives. Structural Equation Modeling: A Multidisciplinary Journal, 6(1), 1–55. doi:10.1080/10705519909540118.CrossRef Hu, L. T., & Bentler, P. M. (1999). Cutoff criteria for fit indexes in covariance structure analysis: Conventional criteria versus new alternatives. Structural Equation Modeling: A Multidisciplinary Journal, 6(1), 1–55. doi:10.​1080/​1070551990954011​8.CrossRef
Zurück zum Zitat IBM Corp. (2013). IBM SPSS Statistics for Macintosh, Version 22.0. Armonk, NY: IBM Corp. IBM Corp. (2013). IBM SPSS Statistics for Macintosh, Version 22.0. Armonk, NY: IBM Corp.
Zurück zum Zitat Jackson, D. L., Gillaspy, J. A. Jr., & Purc-Stephenson, R. (2000). Reporting practices in confirmatory factor analysis: An overview and some recommendations. Psychological Methods, 14(1), 6–23. doi:10.1037/a0014694.CrossRef Jackson, D. L., Gillaspy, J. A. Jr., & Purc-Stephenson, R. (2000). Reporting practices in confirmatory factor analysis: An overview and some recommendations. Psychological Methods, 14(1), 6–23. doi:10.​1037/​a0014694.CrossRef
Zurück zum Zitat Kelley, S. D., de Andrade, A. R. V., Sheffer, E., & Bickman, L. (2010). Exploring the black box: Measuring youth treatment process and progress in usual care. Administration and Policy in Mental Health and Mental Health Services Research, 37(3), 287–300. doi:10.1007/s10488-010-0298-8.CrossRefPubMed Kelley, S. D., de Andrade, A. R. V., Sheffer, E., & Bickman, L. (2010). Exploring the black box: Measuring youth treatment process and progress in usual care. Administration and Policy in Mental Health and Mental Health Services Research, 37(3), 287–300. doi:10.​1007/​s10488-010-0298-8.CrossRefPubMed
Zurück zum Zitat Kessler, R. C., Avenevoli, S., Costello, E. J., Georgiades, K., Green, J. G., Gruber, M. J., … Merikangas, K. R. (2012). Prevalence, persistence, and sociodemographic correlates of DSM-IV disorders in the National Comorbidity Survey Replication Adolescent Supplement. Archives of General Psychiatry, 69(4), 372–380. doi:10.1001/archgenpsychiatry.2011.160.CrossRefPubMed Kessler, R. C., Avenevoli, S., Costello, E. J., Georgiades, K., Green, J. G., Gruber, M. J., … Merikangas, K. R. (2012). Prevalence, persistence, and sociodemographic correlates of DSM-IV disorders in the National Comorbidity Survey Replication Adolescent Supplement. Archives of General Psychiatry, 69(4), 372–380. doi:10.​1001/​archgenpsychiatr​y.​2011.​160.CrossRefPubMed
Zurück zum Zitat Kiresuk, T. J., & Sherman, M. R. E. (1968). Goal attainment scaling: A general method for evaluating comprehensive community mental health programs. Community Mental Health Journal, 4(6), 443–453. doi:10.1007/BF01530764.CrossRefPubMed Kiresuk, T. J., & Sherman, M. R. E. (1968). Goal attainment scaling: A general method for evaluating comprehensive community mental health programs. Community Mental Health Journal, 4(6), 443–453. doi:10.​1007/​BF01530764.CrossRefPubMed
Zurück zum Zitat Kolko, D. J., Dorn, L. D., Bukstein, O. G., Pardini, D., Holden, E. A., & Hart, J. (2009). Community vs. clinic-based modular treatment of children with early-onset ODD or CD: A clinical trial with 3-year follow-up. Journal of Abnormal Child Psychology, 37(5), 591–609. doi:10.1007/s10802-009-9303-7.CrossRefPubMedPubMedCentral Kolko, D. J., Dorn, L. D., Bukstein, O. G., Pardini, D., Holden, E. A., & Hart, J. (2009). Community vs. clinic-based modular treatment of children with early-onset ODD or CD: A clinical trial with 3-year follow-up. Journal of Abnormal Child Psychology, 37(5), 591–609. doi:10.​1007/​s10802-009-9303-7.CrossRefPubMedPubMedCentral
Zurück zum Zitat Lewinsohn, P. M., Rohde, P., Seeley, J. R., & Baldwin, C. L. (2001). Gender differences in suicide attempts from adolescence to young adulthood. Journal of the American Academy of Child & Adolescent Psychiatry, 40(4), 427–434. doi:10.1097/00004583-200104000-00011.CrossRef Lewinsohn, P. M., Rohde, P., Seeley, J. R., & Baldwin, C. L. (2001). Gender differences in suicide attempts from adolescence to young adulthood. Journal of the American Academy of Child & Adolescent Psychiatry, 40(4), 427–434. doi:10.​1097/​00004583-200104000-00011.CrossRef
Zurück zum Zitat Loeber, R., Burke, J. D., Lahey, B. B., Winters, A., & Zera, M. (2000). Oppositional defiant and conduct disorder: A review of the past 10 years, part I. Journal of American Academy of Child & Adolescent Psychiatry, 39(12), 1468–1484. doi:10.1097/00004583-200012000-00007.CrossRef Loeber, R., Burke, J. D., Lahey, B. B., Winters, A., & Zera, M. (2000). Oppositional defiant and conduct disorder: A review of the past 10 years, part I. Journal of American Academy of Child & Adolescent Psychiatry, 39(12), 1468–1484. doi:10.​1097/​00004583-200012000-00007.CrossRef
Zurück zum Zitat Love, A. R., Mueller, C. W., Tolman, R. T., & Powell, A. K. (2014). Frequency, level, and rate of improvement for treatment targets in a children’s mental health community-based intensive in-home therapeutic setting. Administration and Policy in Mental Health and Mental Health Services Research, 41(4), 421–433. doi:10.1007/s10488-013-0480-x.CrossRefPubMed Love, A. R., Mueller, C. W., Tolman, R. T., & Powell, A. K. (2014). Frequency, level, and rate of improvement for treatment targets in a children’s mental health community-based intensive in-home therapeutic setting. Administration and Policy in Mental Health and Mental Health Services Research, 41(4), 421–433. doi:10.​1007/​s10488-013-0480-x.CrossRefPubMed
Zurück zum Zitat Matsunaga, M. (2010). How to factor-analyze your data right: Do’s, don’ts, and how-to’s. International Journal of Psychological Research, 3(1), 97–110.CrossRef Matsunaga, M. (2010). How to factor-analyze your data right: Do’s, don’ts, and how-to’s. International Journal of Psychological Research, 3(1), 97–110.CrossRef
Zurück zum Zitat Milette-Winfree, M., Mueller, C. W., Hee, P. J., & Runland, A. (2014). Therapists target externalizing problems over internalizing problems when treating comorbid youth. Poster accepted for presentation at the Forty-Eighth Annual Convention of the Association for Behavioral and Cognitive Therapies, Philadelphia, PA. Milette-Winfree, M., Mueller, C. W., Hee, P. J., & Runland, A. (2014). Therapists target externalizing problems over internalizing problems when treating comorbid youth. Poster accepted for presentation at the Forty-Eighth Annual Convention of the Association for Behavioral and Cognitive Therapies, Philadelphia, PA.
Zurück zum Zitat Mueller, C., Tolman, R., Higa-McMillan, C. K., & Daleiden, E. (2010). Longitudinal predictors of youth functional improvement in a public mental health system. Journal of Behavioral Health Services and Research, 37, 350–362. doi:10.1007/s11414-009-9172-4.CrossRefPubMed Mueller, C., Tolman, R., Higa-McMillan, C. K., & Daleiden, E. (2010). Longitudinal predictors of youth functional improvement in a public mental health system. Journal of Behavioral Health Services and Research, 37, 350–362. doi:10.​1007/​s11414-009-9172-4.CrossRefPubMed
Zurück zum Zitat Muthén, B., Du Toit, S. H., & Spisic, D. (1997). Robust inference using weighted least squares and quadratic estimating equations in latent variable modeling with categorical and continuous outcomes. Psychometrika, 75, 1–45. Muthén, B., Du Toit, S. H., & Spisic, D. (1997). Robust inference using weighted least squares and quadratic estimating equations in latent variable modeling with categorical and continuous outcomes. Psychometrika, 75, 1–45.
Zurück zum Zitat Muthén, L. K., & Muthén, B. O. (2011). Mplus user’s guide (6th edn.). Los Angeles, CA: Muthén & Muthén. Muthén, L. K., & Muthén, B. O. (2011). Mplus user’s guide (6th edn.). Los Angeles, CA: Muthén & Muthén.
Zurück zum Zitat Nakamura, B. J., Daleiden, E. L., & Mueller, C. W. (2007). Validity of treatment target progress ratings as indicators of youth improvement. Journal of Child and Family Studies, 16(5), 729–741. doi:10.1007/s10826-006-9119-9.CrossRef Nakamura, B. J., Daleiden, E. L., & Mueller, C. W. (2007). Validity of treatment target progress ratings as indicators of youth improvement. Journal of Child and Family Studies, 16(5), 729–741. doi:10.​1007/​s10826-006-9119-9.CrossRef
Zurück zum Zitat Nelson, T. D., & Steele, R. G. (2007). Predictors of practitioner self-reported use of evidence-based practices: Practitioner training, clinical setting, and attitudes toward research. Administration and Policy in Mental Health and Mental Health Research Services, 34, 319–330. doi:10.1007/s10488-006-0111-x.CrossRef Nelson, T. D., & Steele, R. G. (2007). Predictors of practitioner self-reported use of evidence-based practices: Practitioner training, clinical setting, and attitudes toward research. Administration and Policy in Mental Health and Mental Health Research Services, 34, 319–330. doi:10.​1007/​s10488-006-0111-x.CrossRef
Zurück zum Zitat Nock, M. K., Green, J. G., Hwang, I., McLaughlin, K. A., Sampson, N. A., Zaslavsky, A. M., & Kessler, R. C. (2013). Prevalence, correlates, and treatment of lifetime suicidal behavior among adolescents: Results from the National Comorbidity Survey Replication Adolescent Supplement. JAMA Psychiatry, 70(3), 300–310. doi:10.1001/2013.jamapsychiatry.55.CrossRefPubMed Nock, M. K., Green, J. G., Hwang, I., McLaughlin, K. A., Sampson, N. A., Zaslavsky, A. M., & Kessler, R. C. (2013). Prevalence, correlates, and treatment of lifetime suicidal behavior among adolescents: Results from the National Comorbidity Survey Replication Adolescent Supplement. JAMA Psychiatry, 70(3), 300–310. doi:10.​1001/​2013.​jamapsychiatry.​55.CrossRefPubMed
Zurück zum Zitat Norcross, J. C., Karpiak, C. P., & Lister, K. M. (2005). What’s an integrationist? A study of self-identified integrative and (occasionally) eclectic psychologists. Journal of Clinical Psychology, 61, 1587–1594. doi:10.1002/jclp.20203.CrossRefPubMed Norcross, J. C., Karpiak, C. P., & Lister, K. M. (2005). What’s an integrationist? A study of self-identified integrative and (occasionally) eclectic psychologists. Journal of Clinical Psychology, 61, 1587–1594. doi:10.​1002/​jclp.​20203.CrossRefPubMed
Zurück zum Zitat Nunnally, J. C. (1978). Psychometric theory (2nd edn.). New York: McGraw Hill. Nunnally, J. C. (1978). Psychometric theory (2nd edn.). New York: McGraw Hill.
Zurück zum Zitat Orimoto, T. E., Mueller, C. W., Hayashi, K., & Nakamura, B. J. (2014). Community-based treatment for youth with co-and multimorbid disruptive behavior disorders. Administration and Policy in Mental Health and Mental Health Services Research, 41(2), 262–275. doi:10.1007/s10488-012-0464-2.CrossRefPubMed Orimoto, T. E., Mueller, C. W., Hayashi, K., & Nakamura, B. J. (2014). Community-based treatment for youth with co-and multimorbid disruptive behavior disorders. Administration and Policy in Mental Health and Mental Health Services Research, 41(2), 262–275. doi:10.​1007/​s10488-012-0464-2.CrossRefPubMed
Zurück zum Zitat Starin, A. C., Atkins, M. S., Wehrmann, K. C., Mehta, T., Hesson-McInnis, M. S., Marinez-Lora, A., & Mehlinger, R. (2014). Moving science into state child and adolescent mental health systems: Illinois evidence-informed practice initiative. Journal of Clinical Child & Adolescent Psychology, 43(2), 169–178. doi:10.1080/15374416.2013.848772.CrossRef Starin, A. C., Atkins, M. S., Wehrmann, K. C., Mehta, T., Hesson-McInnis, M. S., Marinez-Lora, A., & Mehlinger, R. (2014). Moving science into state child and adolescent mental health systems: Illinois evidence-informed practice initiative. Journal of Clinical Child & Adolescent Psychology, 43(2), 169–178. doi:10.​1080/​15374416.​2013.​848772.CrossRef
Zurück zum Zitat Tabachnick, B. G. & Fidell, L. S. (2001). Using Multivariate Statistics (4th edn.). Needham Heights, MA: Allyn and Bacon. Tabachnick, B. G. & Fidell, L. S. (2001). Using Multivariate Statistics (4th edn.). Needham Heights, MA: Allyn and Bacon.
Zurück zum Zitat Trask, E. V., & Garland, A. F. (2012). Are children improving? Results from outcome measurement in a large mental health system. Administration and Policy in Mental Health and Mental Health Services Research, 39, 210–220. doi:10.1007/s10488-011-0353-0.CrossRefPubMed Trask, E. V., & Garland, A. F. (2012). Are children improving? Results from outcome measurement in a large mental health system. Administration and Policy in Mental Health and Mental Health Services Research, 39, 210–220. doi:10.​1007/​s10488-011-0353-0.CrossRefPubMed
Zurück zum Zitat Vaughan, E. L., Feinn, R., Bernard, S., Brereton, M., & Kaufman, J. S. (2013). Relationships between child emotional and behavioral symptoms and caregiver strain and parenting stress. Journal of Family Issues, 34(4), 534–556. doi:10.1177/0192513X12440949.CrossRefPubMed Vaughan, E. L., Feinn, R., Bernard, S., Brereton, M., & Kaufman, J. S. (2013). Relationships between child emotional and behavioral symptoms and caregiver strain and parenting stress. Journal of Family Issues, 34(4), 534–556. doi:10.​1177/​0192513X12440949​.CrossRefPubMed
Zurück zum Zitat Weersing, R. V., Weisz, J. R., & Donenberg, G. R. (2002). Development of the Therapy Procedures Checklist: A therapist-report measure of technique use in child and adolescent treatment. Journal of Clinical Child Psychology, 31, 168–180. doi:10.1207/153744202753604458.CrossRef Weersing, R. V., Weisz, J. R., & Donenberg, G. R. (2002). Development of the Therapy Procedures Checklist: A therapist-report measure of technique use in child and adolescent treatment. Journal of Clinical Child Psychology, 31, 168–180. doi:10.​1207/​1537442027536044​58.CrossRef
Zurück zum Zitat Weisz, J. R., Chorpita, B. F., Frye, A., Ng, M. Y., Lau, N., … The Research Network on Youth Mental Health (2011). Youth top problems: Using idiographic, consumer-guided assessment to identify treatment needs and to track change during psychotherapy. Journal of Consulting and Clinical Psychology, 79(3), 369–380. doi:10.1037/a0023307.CrossRefPubMed Weisz, J. R., Chorpita, B. F., Frye, A., Ng, M. Y., Lau, N., … The Research Network on Youth Mental Health (2011). Youth top problems: Using idiographic, consumer-guided assessment to identify treatment needs and to track change during psychotherapy. Journal of Consulting and Clinical Psychology, 79(3), 369–380. doi:10.​1037/​a0023307.CrossRefPubMed
Zurück zum Zitat Weisz, J. R., Chorpita, B. F., Palinkas, L. A., Schoenwald, S. K., Miranda, J., Bearman, S. K., … Gray, J. (2012). Testing standard and modular designs for psychotherapy treating depression, anxiety, and conduct problems in youth: A randomized effectiveness trial. Archives of General Psychiatry, 69(3), 274–282. doi:10.1001/archgenpsychiatry.2011.147. Weisz, J. R., Chorpita, B. F., Palinkas, L. A., Schoenwald, S. K., Miranda, J., Bearman, S. K., … Gray, J. (2012). Testing standard and modular designs for psychotherapy treating depression, anxiety, and conduct problems in youth: A randomized effectiveness trial. Archives of General Psychiatry, 69(3), 274–282. doi:10.​1001/​archgenpsychiatr​y.​2011.​147.
Metadaten
Titel
Factor Analysis of Therapist-Identified Treatment Targets in Community-Based Children’s Mental Health
verfasst von
Allison R. Love
Izumi Okado
Trina E. Orimoto
Charles W. Mueller
Publikationsdatum
22.10.2016
Verlag
Springer US
Erschienen in
Administration and Policy in Mental Health and Mental Health Services Research / Ausgabe 1/2018
Print ISSN: 0894-587X
Elektronische ISSN: 1573-3289
DOI
https://doi.org/10.1007/s10488-016-0770-1

Neu im Fachgebiet Psychiatrie

„Wir wollen die Bedeutung von Gen- und Umwelteinflüssen besser verstehen“

Eine Mutation in einem einzelnen Gen kann bei Mäusen eine Art Bipolarstörung auslösen. PD Dr. Jan Deussing vom Max-Planck-Institut für Psychiatrie in München sieht in solchen Tiermodellen eine Möglichkeit, den Ursachen der Erkrankung auf den Grund zu gehen.

Suizidassistenz erhöht Suizidzahlen: Aktuelle Ergebnisse der geplanten S3-Leitlinie

Erstmals wird in Deutschland eine S3-Leitlinie zum Thema Suizidalität erarbeitet. Ziel ist es, die Versorgung in suizidalen Krisen durch einheitliche Standards zu verbessern. Erste Ergebnisse der bisherigen Leitlinienarbeit wurden auf dem DGPPN-Kongress vorgestellt.

Einer von sieben Frauen macht die Menopause sehr zu schaffen

Von mäßigen bis schweren vasomotorischen Beschwerden sind 14,7% der Frauen in der Postmenopause betroffen. Das haben kanadische Forscherinnen in einer Subgruppenanalyse der WARM-Studie herausgefunden.

Depressive Senioren fahren besonders riskant

Beim Autofahren machen ältere Depressive häufiger eine Vollbremsung, gehen öfter zu schnell in Kurven und halten sich seltener an Tempolimits als Senioren ohne Depression. Offenbar scheint eine Depression eine riskante Fahrweise im Alter zu verstärken.

Update Psychiatrie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.