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Administration and Policy in Mental Health and Mental Health Services Research

18-04-2024 | Anxiety | Original Article

The Content of Usual Clinical Care for Youth with Primary Anxiety Problems

Authors: Bryce D. McLeod, Stephanie Violante, Erica Ross, Alexys Weihl, Navneet Kaur, Michael A. Southam-Gerow, Heather A. Jones, John R. Weisz, Bruce F. Chorpita

Published in: Administration and Policy in Mental Health and Mental Health Services Research

Abstract

The current study was designed to describe usual clinical care for youth with primary anxiety problems in community mental health centers. The observer-rated Therapy Process Observational Coding System for Child Psychotherapy – Revised Strategies scale (TPOCS-RS), designed to assess therapeutic techniques from five theory-based domains, was used to code sessions (N = 403) from the usual clinical care group of two randomized effectiveness trials: (a) Youth Anxiety Study (YAS) with 21 youth (M age = 10.44 years, SD = 1.91; 49.2% Latinx; 46.6%, 53.4% male) and 16 clinicians (77.5% female; 43.8% White), and (b) Child STEPS Multisite Trial with 17 youth (M age = 10.00 years, SD = 1.87; 58.8% male; 41.2% White) and 13 clinicians (M age = 40.00 years; SD = 9.18; 76.9% female; 61.5% White). The average number of TPOCS-RS items observed per treatment session was more than 10, and multiple techniques were used together in each session. All TPOCS-RS items were observed at least once throughout a clinical case, and most items reoccurred (i.e., observed in two or more sessions). The dosage of TPOCS-RS in all items was below 5 on a 7-point scale. In conclusion, clinicians in both usual care samples used a wide range of techniques from several theory-based domains at a low to medium dose. However, the type and dosage of the techniques used did vary across the two samples.

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Title: The Content of Usual Clinical Care for Youth with Primary Anxiety Problems
Authors: Bryce D. McLeod
Stephanie Violante
Erica Ross
Alexys Weihl
Navneet Kaur
Michael A. Southam-Gerow
Heather A. Jones
John R. Weisz
Bruce F. Chorpita
Publication date: 18-04-2024
Publisher: Springer US
Keyword: Anxiety
Published in: Administration and Policy in Mental Health and Mental Health Services Research
Print ISSN: 0894-587X
Electronic ISSN: 1573-3289
DOI: https://doi.org/10.1007/s10488-024-01378-y

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