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Administration and Policy in Mental Health and Mental Health Services Research

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01-05-2013 | Original Paper

Building a Consumer Base for Trauma-Focused Cognitive Behavioral Therapy in a State System of Care

Authors: Damion J. Grasso, Charles Webb, Andrew Cohen, Ilana Berman

Published in: Administration and Policy in Mental Health and Mental Health Services Research | Issue 3/2013

Abstract

This paper documents the scope and limitations of an outreach effort to build a consumer base for Trauma-focused cognitive behavioral therapy in a state public mental health system for children. Three key aspects are discussed: the fostering of an informed referral network, the development of screening and identification services, and the engagement of families. Referral, screening and engagement are each examined against the backdrop of existing literature on implementation and dissemination. Each aspect of the implementation plan is described in detail—as are the barriers encountered and lessons learned during the course of execution. We provide several recommendations to assist other efforts to implement Evidence-Based Treatments into state systems of care.

Aarons, G. A., & Palinkas, L. A. (2007). Implementation of evidence-based practice in child welfare: service provider perspectives. Administration and Policy in Mental Health and Mental Health Services Research, 34(4), 411–419.PubMedCrossRef

Aarons, G. A., Hurlburt, M., & Horwitz, S. M. (2011). Advancing a conceptual model of evidence-based practice implementation in public service sectors. [Research Support, N.I.H., Extramural]. Administration and Policy in Mental Health, 38(1), 4-23. doi:10.1007/s10488-010-0327-7.PubMedCrossRef

Abram, K. M., Teplin, L. A., Charles, D. R., Longworth, S. L., McClelland, G. M., & Dulcan, M. K. (2004). Posttraumatic stress disorder and trauma in youth in juvenile detention. Archives of General Psychiatry, 61(4), 403–410.PubMedCrossRef

Ackerman, P. T., Newton, J. E. O., McPherson, W. B., Jones, J. G., & Dykman, R. A. (1998). Prevalence of post traumatic stress disorder and other psychiatric diagnoses in three groups of abused children (sexual, physical, and both). Child Abuse and Neglect, 22(8), 759–774.PubMedCrossRef

Adam, B. S., Everett, B. L., & O’Neal, E. (1992). PTSD in physically and sexually abused psychiatrically hospitalized children. Child Psychiatry and Human Development, 23(1), 3–8.PubMedCrossRef

Bannon, W. M., Jr., & McKay, M. M. (2005). Are barriers to service and parental preference match for service related to urban child mental health service use? Families in Society, 86(1), 30–34.

Beck, A. T., Ward, C. H., Mendelson, M., Mock, J. E., & Erbaugh, J. K. (1962). Reliability of psychiatric diagnoses: a study of consistency of clinical judgements and ratings. American Journal of Psychiatry, 119, 351–357.PubMed

Bryant, R. A., Moulds, M. L., Mastrodomenico, J., Hopwood, S., Felmingham, K., & Nixon, R. D. V. (2007). Who drops out of treatment for post-traumatic stress disorder? Clinical Psychologist, 11(1), 13–15.CrossRef

Burns, B. J., Farmer, E. M. Z., Angold, A., Costello, E. J., & Behar, L. (1996). A randomized trial of case management for youths with serious emotional disturbance. Journal of Clinical Child Psychology, 25, 476–486.CrossRef

Busch, A. L., & Lieberman, A. F. (2007). Attachment and Trauma : An integrated approach to treating young children exposed to family violence. In D. Oppenheim (Ed.), Attachment Theory in Clinical Work With Children: Bridging the Gap Between Research and Practice (pp. 139–171). New York: Guilford Press.

Carpenter, G. L., & Stacks, A. M. (2009). Developmental effects of exposure to intimate partner violence in early childhood: a review of the literature. Children and Youth Services Review, 31, 831–839.CrossRef

Chaffin, M., & Friedrich, B. (2004). Evidence-based treatments in child abuse and neglect. Children and Youth Services Review, 26(11), 1097–1113.CrossRef

Child Welfare League of America. (2002). Child welfare workforce. Research Roundup, 9, 1–7.

Chorpita, B. F., Bernstein, A., & Daleiden, E. L. (2008). Driving with roadmaps and dashboards: using information resources to structure the decision models in service organizations. Adminstration and Policy in Mental Health and Mental Health Services Research. Special Issue: Improving mental health services, 35(1–2), 114–123.

Cohen, J. A., Deblinger, E., Mannarino, A. P., & Steer, R. A. (2004). A multisite, randomized controlled trial for children with sexual abuse-related PTSD symptoms. Journal of the American Academy of Child and Adolescent Psychiatry, 43(4), 393–402.PubMedCrossRef

Cohen, J. A., & Mannarino, A. P. (1997). A treatment study for sexually abused preschool children: outcome during a one-year follow-up. Journal of the American Academy of Child and Adolescent Psychiatry, 36(9), 1228–1235.PubMedCrossRef

Cohen, J. A., & Mannarino, A. P. (1998). Interventions for sexually abused children: initial treatment outcome findings. Child Maltreatment: Journal of the American Professional Society on the Abuse of Children, 3(1), 17–26.CrossRef

Copeland, W. E., Keeler, G., Angold, A., & Costello, E. J. (2007). Traumatic events and posttraumatic stress in childhood. Archives of General Psychiatry, 64, 577–584.PubMedCrossRef

Craine, L. S., Henson, C. E., Colliver, J. A., & MacLean, D. G. (1988). Prevalence of a history of sexual abuse among female psychiatric patients in a state hospital system. Hospital & Community Psychiatry, 39(3), 300–304.

Cuffe, S. P., Addy, C. L., Garrison, C. Z., Waller, J. L., Jackson, K. L., McKeown, R. E., et al. (1998). Prevalence of PTSD in a community sample of older adolescents. Journal of the American Academy of Child and Adolescent Psychiatry, 37(2), 147–154.PubMedCrossRef

Daly, M. E., Rasmussen, N. H., Agerter, D. C., & Cha, S. S. (2006). Assessment and diagnosis of attention-deficit/hyperactivity disorder by family physicians. Minnesota Medicine, 89(3), 40–43.

Davidson, J. R. T., & Smith, R. D. (1990). Traumatic experiences in psychiatric outpatients. Journal of Traumatic Stress, 3, 459–475.CrossRef

Deblinger, E., Steer, R. A., & Lippmann, J. (1999). Two-year follow-up study of cognitive behavioral therapy for sexually abused children suffering post-traumatic stress symptoms. Child Abuse and Neglect, 23(12), 1371–1378.PubMedCrossRef

Drake, R. E., Becker, D. R., Goldman, H. H., & Martinez, R. A. (2006). Best practices: The Johnson and Johnson––Dartmouth Community Mental Health Program: disseminating evidence-based practice. Psychiatric Services, 57, 302–304.PubMedCrossRef

Dubner, A. E., & Motta, R. W. (1999). Sexually and physically abused foster care children and posttraumatic stress disorder. Journal of Consulting and Clinical Psychology, 67(3), 367–373.PubMedCrossRef

Dyregrov, A., & Yule, W. (2006). A review of PTSD in children. Child and Adolescent Mental Health, 11(4), 176–184.CrossRef

Evans, G. W. (2004). The environment of childhood poverty. American Psychologist, 59(2), 77–92.PubMedCrossRef

Famularo, R., Fenton, T., Kinscherff, R., & Augustyn, M. (1996). Psychiatric comorbidity in childhood posttraumatic stress disorder. Child Abuse and Neglect, 20(10), 953–961.PubMedCrossRef

Farmer, E. M. Z., Burns, B. J., Phillips, S. D., Angold, A., & Costello, E. J. (2003). Pathways into and through mental health services for children and adolescents. Psychiatric Services, 54(1), 60–66.PubMedCrossRef

Feiring, C., Taska, L., & Chen, K. (2002). Trying to understand why horrible things happen: attribution, shame, and symptom development following sexual abuse. Child Maltreatment, 7(1), 25–39.CrossRef

Ford, J. D. (1978). Therapeutic relationship in behavior therapy: an empirical analysis. Journal of Consulting and Clinical Psychology, 46(6), 1302–1314. doi:10.1037/0022-006x.46.6.1302.CrossRef

Franklin, C. L., Sheeran, T., & Zimmerman, M. (2002). Screening for trauma histories, posttraumatic stress disorder (PTSD) and subthreshold PTSD in psychiatric outcomes. Psychological Assessments, 14(4), 467–471.CrossRef

Garcia, J. A., & Weisz, J. R. (2002). When youth mental health care stops: therapeutic relationship problems and other reasons for ending youth outpatient treatment. Journal of Consulting and Clinical Psychology, 70, 439–443.PubMedCrossRef

Gardner, W., Kelleher, K. J., Pajer, K. A., & Campo, J. V. (2003). Primary care clinicians’ use of standardized tools to assess child psychosocial problems. Ambulatory Pediatrics, 3(4), 191–195.PubMedCrossRef

Gold, S. N. (2008). The relevance of trauma to general clinical practice. Psychological Trauma: Theory, Research, Practice, and Policy, S(1), 114–124.

Grasso, D. J., Lipschitz, D. S., Guyer, A. E., Houshyar, S., Douglas-Palumberi, H., Billingslea, E., et al. (2009). PTSD: the missed diagnosis. Child Welfare, 88(4), 157–176.PubMed

Grisso, T., & Barnum, R. (2001). The Massachusetts Youth Screening Instrument: Second version (MAYSI-2). Worcester, MA: University of Massachusetts Medical School.

Horvath, A. O., & Luborsky, L. (1993). The role of the therapeutic alliance in psychotherapy. Journal of Consulting and Clinical Psychology, 61(4), 561–573.PubMedCrossRef

Kazdin, A. E. (2007). Mediators and mechanisms of change in psychotherapy research. Annual Review of Clinical Psychology, 3, 1–27.PubMedCrossRef

Kazdin, A. E., & Kendall, P. C. (1998). Current progress and future plans for developing effective treatments: comments and perspectives. Journal of Clinical Child Psychology. Special Issue: Empirically supported psychosocial interventions for children, 27(2), 217–226.

King, N. J., Tonge, B. J., Mullen, P., Myerson, N., Heyne, D., Rollings, S., et al. (2000). Treating sexually abused children with posttraumatic stress symptoms: a randomized clinical trial. Journal of the American Academy of Child and Adolescent Psychiatry, 39(11), 1347–1355.PubMedCrossRef

Kiser, L. J., Heston, J., Millsap, P. A., & Pruitt, D. B. (1991). Physical and sexual abuse in childhood: relationship with post-traumatic stress disorder. Journal of the American Academy of Child and Adolescent Psychiatry, 30(5), 776–783.PubMed

Kolko, D. J., Herschell, A. D., Costello, A. H., & Kolko, R. P. (2009). Child welfare recommendations to improve mental health services for children who have experienced abuse and neglect: a national perspective. Administration and Policy in Mental Health and Mental Health Services Research, 36(1), 50–62.PubMedCrossRef

Kolko, D. J., Hurlburt, M. S., Zhang, J., Barth, R. P., Leslie, L. K., & Burns, B. J. (2010). Posttraumatic stress symptoms in children and adolescents referred for child welfare investigation. Child Maltreatment, 15(1), 48–63.

Koltek, M., Wilkes, T. C. R., & Atkinson, M. (1998). The prevalence of posttraumatic stress disorder in an adolescent inpatient unit. Canadian Journal of Psychiatry, 43, 64–68.

Laraque, D., Boscarino, J. A., Battista, A., Fleischmann, A., Casalino, M., Hu, Y., et al. (2004). Reactions and needs of tristate-area pediatricians after the events of September 11th: implications for children’s mental health services. Pediatrics, 113(5), 1357–1366.PubMedCrossRef

Leder, M. R., Emans, S. J., Hafler, J. P., & Rappaport, L. A. (1999). Addressing sexual abuse in the primary care setting. Pediatrics, 104(2), 270–275.PubMedCrossRef

Leslie, K. L., Weckerly, J., Plemmons, D., Landsverk, J., & Eastman, S. (2004). Implementing the American academy of pediatrics attention-deficit/hyperactivity disorder diagnostic guidelines in primary care settings. Pediatrics, 114(1), 129–140.PubMedCrossRef

Linning, L. M., & Kearney, C. A. (2004). Post-traumatic stress disorder in maltreated youth: a study of diagnostic comorbidity and child factors. Journal of Interpersonal Violence, 19(10), 1087–1101.PubMedCrossRef

Magnabosco, J. L. (2006). Innovations in mental health services implementation: a report on state-level data from the U.S. Evidence-Based Practices Project. Implementation Science, 30, 1–13.

Maiter, S., Palmer, S., & Manji, S. (2006). Strengthening social worker-client relationships in child protective services addressing power imbalances and ‘ruptured’ relationships. Qualitative Social Work: Research and Practice, 5(2), 167–186.CrossRef

Markenson, D., Tunik, M., Cooper, A., Olson, L., Cook, L., Matza-Haughton, H., et al. (2007). A national assessment of knowledge, attitudes, and confidence of prehospital providers in the assessment and management of child maltreatment. Pediatrics, 119(1), 103–108.CrossRef

McKay, M. M., & Bannon, W. M., Jr. (2004). Engaging families in child mental health services. Child and Adolescent Psychiatric Clinics of North America. Special Issue: Evidence-Based Practice, Part I: Research Update, 13(4), 905–921.

McKay, M. M., Hibbert, R., Hoagwood, K., Rodriguez, J., Murray, L., Legerski, J., et al. (2004). Integrating evidence-based engagement interventions into “real world” child mental health settings. Brief Treat Crisis Interven, 4(2), 177–186.CrossRef

Nunno, M. (2006). The effects of the ARC organizational intervention on caseworker turnover, climate, and culture in children’s services systems. Child Abuse and Neglect, 30(8), 849–854.CrossRef

Palinkas, L. A., Schoenwald, S. K., Hoagwood, K., Landsverk, J., Chorpita, B., & Weisz, J. R. (2008). The macarthur research network on youth mental health an ethnographic study of implementation of evidence-based treatments in child mental health: First steps. Psychiatric Services, 59(7), 738–746. doi:10.1176/appi.ps.59.7.738.PubMedCrossRef

Pynoos, R., Rodriguez, N., Steinberg, A., Stuber, M., & Frederick, C. (1998). UCLA PTSD Index for DSM IV Abbreviated Version. Los Angeles: UCLA Trauma Psychiatry Service.

Rosen, G. M., & Lilienfeld, S. O. (2008). Posttraumatic stress disorder: An empirical evaluation of core assumptions. Clinical Psychology Review, 28(5), 837–868.PubMedCrossRef

Rosenheck, R. A. (2001). Organizational process: A missing link between research and practice. Psychiatric Services, 52, 1607–1612.PubMedCrossRef

Ruggiero, K., McLeer, S. V., & Dixon, J. F. (2000). Sexual abuse characteristics associated with survivor psychopathology. Child Abuse and Neglect, 24(7), 951–964.PubMedCrossRef

Scott, M. J., & Sembi, S. (2002). Unreliable assessment in civil litigation. The Psychologist, 15(2), 80–81.

Seligman, M. E. (1995). The effectiveness of psychotherapy. American Psychologist, 50, 67–92.CrossRef

Shear, M. K., Greeno, C., Kang, J., Ludewig, D., Frank, E., & Swartz, H. A. (2000). Diagnosis of nonpsychotic patients in community clinics. American Journal of Psychiatry, 157, 581–587.PubMedCrossRef

Snell-Johns, J., Mendez, J. L., & Smith, B. H. (2004). Evidence-based solutions for overcoming access barriers, decreasing attrition, and promoting change with underserved families. Journal of Family Psychology, 18(1), 19–35.PubMedCrossRef

Steinberg, A. M., Brymer, M. J., Decker, K., & Pynoos, R. S. (2004). The University of California at Los Angeles post-traumatic stress disorder reaction index. Current Psychiatry Reports, 6, 96–100.PubMedCrossRef

Steiner, H., Garcia, I. G., & Matthews, Z. (1997). Posttraumatic stress disorder in incarcerated juvenile delinquents. Journal of the American Academy of Child and Adolescent Psychiatry, 36(3), 357–365.PubMedCrossRef

Strauss, J. L., Hayes, A. M., Johnson, S. L., Newman, C. F., Brown, G. K., Barber, J. P., et al. (2006). Early alliance, alliance ruptures, and symptom change in a nonrandomized trial of cognitive therapy for avoidant and obsessive-compulsive personality disorders. Journal of Consulting and Clinical Psychology, 74(2), 337–345.PubMedCrossRef

Szapocznik, J., Perez-Vidal, A., Brickman, A. L., Foote, F. H., Santisteban, D., Hervis, O., et al. (1988). Engaging adolescent drug abusers and their families in treatment: a strategic structural systems approach. Journal of Consulting and Clinical Psychology, 56(4), 552–557.PubMedCrossRef

Van Hook, S., Harris, S. K., Brooks, T., Carey, P., Kossack, R., Kulig, J., et al. (2007). The ‘Six T’s’: barriers to screening teens for substance abuse in primary care. Journal of Adolescent Health, 40(5), 455–461.

Wasserman, G. A., McReynolds, L. S., Lucas, C. P., Fisher, P., & Santos, L. (2002). The voice DISC-IV with incarcerated male youths: prevalence of disorder. Journal of the American Academy of Child and Adolescent Psychiatry, 41(3), 314–321.PubMedCrossRef

Watt, B. D., & Dadds, M. R. (2007). Facilitating treatment attendance in child and adolescent mental health services: a community study. Clinical Child Psychology and Psychiatry, 12(1), 105–116.PubMedCrossRef

Wolfe, D. A., Sas, L., & Wekerle, C. (1994). Factors associated with the development of posttraumatic stress disorder among child victims of sexual abuse. Child Abuse and Neglect, 18(1), 37–50.PubMedCrossRef

Wren, F., Bridge, J., & Birmaher, B. (2004). Screening for childhood anxiety symptoms in primary care: integrating child and parent reports. Journal of the American Academy of Child and Adolescent Psychiatry, 11(43), 1234–1242.

Wright, R. J., Wright, R. O., Farnan, L., & Isaac, N. E. (1999). Response to child abuse in the pediatric emergency department: need for continued education. Pediatric Emergency Care, 15(6), 376–382.PubMedCrossRef

Xenitidis, K., & Campbell, C. (2008). Post-traumatic stress disorder’s future. The British Journal of Psychiatry, 192, 394–395.

Zimmerman, M., & Mattia, J. I. (1999). Is posttraumatic stress disorder under diagnosed in routine clinical settings? Journal of Nervous and Mental Disease, 187(7), 420–428.PubMedCrossRef

Zuckerbrot, R. A., & Jensen, P. S. (2006). Improving recognition of adolescent depression in primary care. Archive of Pediatric and Adolescent Medicine, 160, 694–704.CrossRef

Title: Building a Consumer Base for Trauma-Focused Cognitive Behavioral Therapy in a State System of Care
Authors: Damion J. Grasso
Charles Webb
Andrew Cohen
Ilana Berman
Publication date: 01-05-2013
Publisher: Springer US
Published in: Administration and Policy in Mental Health and Mental Health Services Research / Issue 3/2013
Print ISSN: 0894-587X
Electronic ISSN: 1573-3289
DOI: https://doi.org/10.1007/s10488-012-0410-3

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Building a Consumer Base for Trauma-Focused Cognitive Behavioral Therapy in a State System of Care

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