Miya L Barnett1, Anna S Lau2, Teresa Lind3, Blanche Wright2, Nicole A Stadnick3, Debbie Innes-Gomberg4, Keri Pesanti4, Lauren Brookman-Frazee3. 1. Department of Counseling, Clinical, & School Psychology, University of California, Santa Barbara. 2. Department of Psychology, University of California , Los Angeles. 3. Department of Psychiatry, University of California, San Diego and Child and Adolescent Services Research Center. 4. Los Angeles County Department of Mental Health.
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.
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.
Authors: Ann F Garland; Lauren Brookman-Frazee; Michael S Hurlburt; Erin C Accurso; Rachel J Zoffness; Rachel Haine-Schlagel; William Ganger Journal: Psychiatr Serv Date: 2010-08 Impact factor: 3.084
Authors: Joyce H L Lui; Lauren Brookman-Frazee; Alejandro L Vázquez; Julia R Cox; Debbie Innes-Gomberg; Kara Taguchi; Keri Pesanti; Anna S Lau Journal: Adm Policy Ment Health Date: 2021-11-27
Authors: Miya L Barnett; Lauren Brookman-Frazee; Stephanie H Yu; Teresa Lind; Joyce H L Lui; Susan Timmer; Deanna Boys; Anthony Urquiza; Debbie Innes-Gomberg; Daphne Quick-Abdullah; Anna S Lau Journal: Evid Based Pract Child Adolesc Ment Health Date: 2021-01-08