Erschienen in:
05.03.2016
Overlapping and Non-overlapping Practices in Usual and Evidence-Based Care for Youth Anxiety
verfasst von:
Charmaine Higa-McMillan, PhD, Amelia Kotte, PhD, David Jackson, PhD, Eric L. Daleiden, PhD
Erschienen in:
The Journal of Behavioral Health Services & Research
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Ausgabe 4/2017
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Abstract
This study compared consistencies and discrepancies in usual care with practices derived from the evidence-base (PDEB) for youth anxiety in a public mental health system. Youth-level factors (diagnosis, functional impairment) as predictors of the discrepancies were also examined. Psychosocial and service data from 2485 youth with an anxiety disorder and/or receiving services for an anxiety treatment target were extracted. Therapists (N = 616) identified the treatment targets and practices youth received. Although many PDEB for youth anxiety were used by therapists in this sample, Exposure was only used in 15% of cases. Practices not consistent with youth anxiety treatment were also reported and included: PDEB for other conditions, practices common to all therapies, and practices that are not consistent with evidence-based care. Age and diagnosis predicted the delivery of PDEB for youth anxiety. Usual care incorporated many components of evidence-based care but was more diffuse and less focused on well-supported practices.