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Administration and Policy in Mental Health and Mental Health Services Research

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01-09-2017 | Original Article

Statewide Implementation of Parenting with Love and Limits Among Youth with Co-Existing Internalizing and Externalizing Functional Impairments Reduces Return to Service Rates and Treatment Costs

Authors: Emma M. Sterrett-Hong, Eli Karam, Lynn Kiaer

Published in: Administration and Policy in Mental Health and Mental Health Services Research | Issue 5/2017

Abstract

Many community mental health (CMH) systems contain inefficiencies, contributing to unmet need for services among youth. Using a quasi-experimental research design, we examined the implementation of an adapted structural-strategic family intervention, Parenting with Love and Limits, in a state CMH system to increase efficiency of services to youth with co-existing internalizing and externalizing functional impairments (PLL n = 296; Treatment-As-Usual n = 296; 54% male; 81% Caucasian). Youth receiving PLL experienced shorter treatment durations and returned to CMH services at significantly lower rates than youth receiving treatment-as-usual. They also demonstrated significant decreases in internalizing and externalizing symptoms over time. Findings lay the foundation for further examination of the role of an adapted structural-strategic family treatment in increasing the efficiency of CMH systems.

Idaho changed databases in the summer of 2011. Prior to that, return to services was measured by payment data; afterwards return to services was measured by new program enrollments. It is possible that, under the earlier system, a youth who was receiving multiple types of treatment concurrently might have been charged with a return to service due to a periodic payment made for ongoing treatment. Under the new system there are almost no children who are enrolled in multiple treatments at once, so the impact of this discrepancy is expected to be very low.

Achenbach, T. M. & Rescorla, L. A. (2001). Manual for the ASEBA school-age forms & profiles. Burlington, VT: University of Vermont, Research Center for Children, Youth, & Families.

Achenbach, T. M., Rescorla, L. A., & Ivanova, M. Y. (2012). International epidemiology of child and adolescent psychopathology I: Diagnoses, dimensions, and conceptual issues. Journal of the American Academy of Child & Adolescent Psychiatry, 51, 1261–1272. doi:10.1016/j.jaac.2012.09.010.CrossRef

Anderson, N. J., Nuwirth, S. J., Lenardson, J. D. & Hartley, D. (2013). Rural children experience different rates of mental health diagnosis and treatment. Retrieved August 31, 2015, from http://muskie.usm.maine.edu/Publications/MRHRC/Rural-Children-Mental-Health_PolicyBrief.pdf.

Angold, A., Costello, E. J., & Erkanli, A. (1999). Comorbidity. Journal of Child Psychology and Psychiatry, 40, 57–87.CrossRefPubMed

Barker, E. D., Oliver, B. R., & Maughan, B. (2010). Co-occurring problems of early onset persistent, childhood limited, and adolescent onset conduct problem youth. Journal of Child Psychology and Psychiatry, 51, 1217–1226. doi:10.1111/j.1469-7610.2010.02240.x.CrossRefPubMed

Barkley, R. A., & Robin, S. L. (2014). Defiant teen’s: A clinician’s manual for assessment and family intervention. New York: Guilford.

Barwick, M. A., Urajnik, D. J., & Moore, J. E. (2014). Training and maintaining system-wise reliability in outcome management. Journal of Child and Family Studies, 23, 85–94. doi:10.1007/s10826-012.9694-x.CrossRefPubMed

Bates, M. P., Furlong, M. J., & Green, J. G. (2006). Are CAFAS subscales and item weights valid? A preliminary investigation of the Child and adolescent functional assessment scale. Administration and Policy in Mental Health & Mental Health Services Research, 33, 682–695. doi:10.1007/s10488-006-0052-4.CrossRef

Bearman, S. K., & Weisz, J. R. (2015). Review: Comprehensive treatments for youth comorbidity-evidence-guided approaches to a complicated problem. Child and Adolescent Mental Health, 20, 131–141. doi:10.1111/camh.12092.CrossRefPubMedPubMedCentral

Bellamy, J. L., Goapalan, G., & Traube, D. (2010). A national study of the impact of outpatient mental health services for children in long-term foster care. Clinical Child Psychology and Psychiatry, 15, 467–479. doi:10.1177/1359104510377720.

Bertram, R. M., Blase, K. A., & Fixsen, D. L. (2015). Improving programs and outcomes: Implementation frameworks and organization change. Research on Social Work Practice, 25, 477–487. doi:10.1177/1049731514537687.

Bilek, E. L., & Ehrenreich-May, J. (2013). An open trial investigation of a tansdiagnostic group treatment for children with anxiety and depressive symptoms. Behavior Therapy, 43, 887–897. doi:10.1016/j.beth.2012.04.007.CrossRef

Billings, J., & Mijanovich, T. (2007). Improving the management of care for high-cost medicaid patients. Health Affairs, 26, 1643–1654.CrossRefPubMed

Borrelli, B., Sepinwall, D., Ernst, D., Bellg, A. J., Czajkowski, S. Breger, R. … Orwig, D. (2005). A new tool to assess treatment fidelity and evaluation of treatment fidelity across 10 years of health behavior research. Journal of Consulting and Clinical Psychology, 73, 852–860. doi:10.1037/0022-006X.73.5.852.CrossRefPubMed

Bullis, J. R., Sauer-Zavala, S., Bentley, K. H., Thompson-Hollands, J., Carl, J. R., & Barlow, D. H. (2015). The unified protocol for transdiagnostic treatment of emotional disorders: Preliminary exploration of effectiveness for group delivery. Behavior Modification, 39, 295–321.CrossRefPubMed

Centers for Disease Control and Prevention (CDC). (2013). Mental health surveillance among children-United States, 2005–2011. Morbidity and Mortality Weekly Report (MMWR), 17, 2013. Retrieved April 29, 2015, from http://www.cdc.gov/mmwr/preview/mmwrhtml/su6202a1.htm?s_cid=su6202a1_w.

Chase, R. M., & Eyberg, S. M. (2008). Clinical presentation and treatment outcome for children with comorbid externalizing and internalizing symptoms. Anxiety Disorders, 22, 273–282. doi:10.1016/j.anxdis.2007.03.006.CrossRef

Children’s Defense Fund. (2010). Mental health fact sheet. Retrieved September 22, 2015, from http://www.childrensdefense.org/library/data/mental-health-factsheet.pdf.

Chorpita, B. F., Weisz, J. R., Daleiden, E. L., Schoenwald, S. K., Palinkas, L. A., Miranda, J. … Gibbons, R. D. (2013). Long-term outcomes for the Child STEPs randomized effectiveness trial: A comparison of modular and standard treatment designs with usual care. Journal of Consulting and Clinical Psychology, 81, 999–109. doi:10.1037/a0034200.CrossRefPubMed

Chu, B. C., Crocco, S. T., Esseling, P., Areizaga, M. J., Lindner, A. M., & Skriner, L. C. (2016). Transdiagnostic group behavioral activation and exposure therapy for youth anxiety and depression: Initial randomized controlled trial. Behaviour Research and Therapy, 76, 65–75. doi:10.1016/j.brat.2015.11.005.CrossRefPubMed

Cicchetti, D. V. (1994). Guidelines, criteria, and rules of thumb for evaluating normed and standardized assessment instrumetns in psychology. Psychological Assessment, 6, 284–290. doi:10.1037/1040-3590.6.4.284

Copeland, W. E., Shanahan, L., Erkanli, A., Costello, E. J., & Angold, A. (2013). Indirect comorbidity in childhood and adolescence. Frontiers in Psychiatry, 4. doi:10.3389/fpsyt.2013.00144.

Crawley, S. A., Kendall, P. C., Benjamin, C. L., Brodman, D. M., Wei, C., Beidas, R. S. … Mauro, C. (2013). Brief cognitive-behavioral therapy for anxious youth: Feasibility and initial outcomes. Cognitive and Behavioral Practice, 20, 123–133. doi:10.1016/j.cbpra.2012.07.003.CrossRef

Cummings, J. R., Wen, H., Ko, M., & Druss, B. G. (2014). Geography and the Medicaid mental health care infrastructure: Implications for health care reform. JAMA Psychiatry, 70, 1084–1090. doi:10.1001/jamapsychiatry.3013.377.CrossRef

David-Ferdon, C., & Kaslow, N. J. (2008). Evidence-based psychosocial treatments for child and adolescent depression. Journal of Clinical Child & Adolescent Psychology, 37, 62–104. doi:10.1080/1537441070181765.CrossRef

de Olivera, C. A., Cheng, J., Vigod, S., Rehm, J., & Kurdyak, P. (2016). Patient with high mental health costs incur over 30 percent more costs than other high-cost patients. Health Affairs, 35, 36–43. doi:10.1377/hlthaff.2015.0278.CrossRef

Diamond, G. S., Reis, B. F., Diamond, G. M., Siqueland, L., & Isaacs, L. (2002). Attachment-based family therapy for depressed adolescents: A treatment development study. Journal of the American Academy of Child and Adolescent Psychiatry, 41, 1190–1196.CrossRefPubMed

Diamond, G. S., Wintersteen, M. B., Brown, G. K., Diamond, G. M., Gallop, R., Shelef, K., & Levy, S. (2010). Attachment-based family therapy for adolescents with suicidal ideation: A randomized controlled trial. Journal of the American Academy of Child & Adolescent Psychiatry, 49, 122–131.

Eberhardt, M. S., Ingram, D. D., & Makuc, D. M. (2001). Urban and rural health chartbook: Health United States 2001. Hyattsville, MD: National Center for Health Statistics.

Eyberg, S. M., Nelson, M. M., & Boggs, S. R. (2008). Evidence-based psychosocial treatments for children and adolescents with disruptive behavior. Journal of Clinical Child and Adolescent Psychology, 37, 215–237. doi:10.1080/15374410701820117.CrossRefPubMed

Fitch, D., & Grogan-Kaylor, A. (2012). Using agency data for evidence-based programming: A university-agency collaboration. Evaluation and Program Planning, 35, 105–112. doi:10.1016/j.evalprogplan.2011.08.004.CrossRefPubMed

Forgatch, M. S., Patterson, G. R., & Gewirtz, A. H. (2013). Looking forward: The promise of widespread implementation of parent training programs. Perspectives on Psychological Science, 8, 682–694. doi:10.1177/1745691613503478.CrossRefPubMedPubMedCentral

Francis, S. E., Ebesutani, C., & Chorpita, B. (2012). Differences in levels of functional impairment and rates of serious emotional disturbance between youth with internalizing and externalizing disorders when using the CAFAS or GAF to assess functional impairment. Journal of Emotional and Behavioral Disorders, 20, 226–240. doi:10.1177/1063426610387607.CrossRef

Garbacz, L. L., Brown, D. M., Spee, G. A., Polo, A. J., & Budd, K. S. (2014). Establishing treatment fidelity in evidence-based parent training programs for externalizing disorders in children and adolescents. Clinical Child and Family Psychology Review, 17, 230–247. doi:10.1007/s10567-014-0166-2.CrossRefPubMed

Gardner, B. C., Burr, B. K., & Wiedower, S. E. (2006). Reconceptualizing strategic family therapy: Insights from a dynamic systems perspective. Contemporary Family Therapy, 28, 339–352. doi:10.1007/210591-006-9007-x.CrossRef

Garland, A. F., Bickman, L., & Chorpita, B. F. (2010). Change what? Identifying quality improvement targets by invesigating usual mental health care. Administration and Policy in Mental Health, 37, 15–26. doi:10.1007/s10488-010-0279-y.

Garland, A. F., Haine-Schlagel, R., Brookman-Frazee, L., Baker-Ericzen, M., Trask, E., & Fawley-King, K. (2013). Improving community-based mental health care for children: Translating knowledge into action. Administration and Policy in Mental Health, 40, 6–22. doi:10.1007/s10488-012-0450-8.CrossRefPubMedPubMedCentral

Greenbereg, L. S., Ford, C. L., Alden, L. S., & Johnson, S. M. (1993). In-session change in emotionally-focused therapy. Journal of Consulting and Clinical Psychology, 61, 78–84. doi:10.1037/0022-006X.61.1.78.CrossRef

Haley, J. (1976). Problem solving therapy. San Francisco: Jossey-Bass.

Haley, J. (1987). Problem-solving therapy, 2nd ed. San Francisco, CA: Jossey-Bass.

Have, T., Normand, S. T., Marcus, S., Brown, C. H., Lavori, P. & Duan, N. (2008). Intent-to-treat vs. non-intent-to-treat analyses under treatment non-adherence in mental health randomized trials. Psychiatric Annals, 38, 772–783.CrossRefPubMedPubMedCentral

Heflinger, C. A., & Hoffman, C. (2009). Double whammy? Rural youth with serious emotional disturbance and the transition to adulthood. The Journal of Rural Health, 25, 399–406. doi:10.1111/j.1748-0361.2009.00251.x.CrossRefPubMed

Henggeler, S. W., & Sheidow, A. J. (2012). Empirically supported family-based treatments for conduct disorder and delinquency in adolescents. Journal of Marital and Family Therapy, 38(1), 30–58.CrossRefPubMed

Hoagwood, K. E., Olin, S. S., Horwitz, S., McKay, M., Cleek, A., Gleacher, A. … Hogan, M. (2014). Scaling up evidence-based practices for children and families in New York State: Toward evidence-based policies on implementation for state mental health systems. Journal of Clinical Child & Adolescent Psychology, 43, 145–157. doi:10.1080/15374416.2013.869749.CrossRef

Hodges, K. (1997). CAFAS manual for training coordinators, clinical administrators, and data managers. Ann Arbor, MI: Author.

Hodges, K., Doucette-Gates, A., & Liao, Q. (1999). The relationship between the child and adolescent functional assessment scale (CAFAS) and indicators of functioning. Journal of Child and Family Studies, 8, 109–122.CrossRef

Hodges, K., & Wong, M. M. (1996). Psychometric characteristics of a multidimensional measure to assess impairment: The child and adolescent functional assessment scale. Journal of Child and Family Studies, 5, 445–467.CrossRef

Hodges, K., & Wotring, J. (2000). Client typology based on functioning across domains using the CAFAS: Implications for service planning. The Journal of Behavioral Health Servivcers & Research, 27, 257–270. doi:10.1007/BF02291738.CrossRef

Hodges, K., Xue, Y., & Wotring, J. (2004). Use of the CAFAS to evaluate outcome for youths with severe emotional disturbance served by public mental health. Journal of Child and Family Studies, 13, 325–339. doi:10.1023/B:JCFS.0000022038.62940.a3.CrossRef

Horigian, V. E., Feaster, D. J., Robbins, M. S., Brincks, A. M., Ucha, J., Rohrbaugh, M. J. … Szapocznik, J. (2015). A cross-sectional assessment of the long term effects of brief strategic family therapy for adolescent substance use. The American Journal on Addictions, 24, 637–645. doi:10.1111/ajad.12278.CrossRefPubMed

Hughes, J. L., & Asarnow, J. R. (2011). Family treatment strategies in adolescent depression. Psychiatric Annals, 41, 235–239. doi:10.3928/00485713-20110325-07.CrossRef

Hyde, P. S. (2013). Report to congress on the nation’s substance abuse and mental health workforce issues. Retrieved September 18, 2015, from https://store.samhsa.gov/shin/content/PEP13-RTC-BHWORK/PEP13-RTC-BHWORK.pdf.

Justice Research Center. (2009). Parenting with Love and limits (PLL) research evaluation: 2009–2010 Outcomes. Report to the Idaho Department of Health and Welfare Division of Behavioral Health.

Karam, E., Sterrett, E., & Kiaer, L. (in press). The integration of family and group therapy as an alternative to juvenile incarceration: A quasi-experimental evaluation using Parenting with Love and Limits (PLL). Family Process.

Knapp, M., McCrone, P., Fombonne, E., Beecham, J., & Wostear, G. (2002). The Maudsley long-term follow-up of child and adolescent depression: 3. Impact of comorbid conduct disorder on service use and costs in adulthood. British Journal of Psychiatry, 180, 19–23.CrossRefPubMed

Krueger, R. F., Caspi, A., Moffitt, T. E., & Silva, P. A. (1998). The structure and stability of common mental disorders (DSM-III-R): A longitudinal-epidemiological study. Journal of Abnormal Psychology, 107, 216–227.CrossRefPubMed

Lagomasino, I., Zatzick, D. F., & Chambers, D. A. (2010). Efficiency in mental health practice and research. General Hospital Psychiatry, 32, 477–483. doi:10.1016/j.genhosppsych.2010.06.005.

Manteuffel, B., Stephens, R., & Santiago, R. (2002). Overview of the national evaluation of the comprehensive community mental health services for children and their families program and summary of current findings. Children’s Services: Social Policy, Research, and Practice, 5, 3–20.CrossRef

McGuire, J. F., Piacentini, J., Lewin, A. B., Brennan, E. A., Murphy, T. A., & Storch, E. A. (2015). A meta-analysis of cognitive behavior therapy and medication for child obsessive–compulsive disorder: Moderators of treatment efficacy, response, and remission. Depression and Anxiety, 32, 580–593. doi:10.1002/da.22389.CrossRefPubMedPubMedCentral

McKay, M., Gonzales, J., Stone, S., Ryland, D., & Kohner, K. (1995). Multiple family therapy groups: A responsive intervention model for inner-city families. Social Work With Groups, 18, 77.CrossRef

McMahon, R. J., & Forehand, R. L. (2005). Helping the noncompliant child, 2nd edition: Family-based treatment for oppositional behavior. New York, NY: Guilford Press.

Mental Health America (2015). Parity or disparity: The state of mental health in America. Retrieved August 20, 2015, from http://www.mentalhealthamerica.net/sites/default/files/Parity%20or%20Disparity%202015%20Report.pdf.

Merikangas, K. R., He, J., Brody, D., Fisher, P. W., Bourdon, K., & Koretz, D. S. (2010). Prevalence and treatment of mental disorders among US children in the 2001–2004 NHANES. doi:10.1542/peds.2008-2598.

Messer, S. B., & Wampold, B. E. (2002). Let’s face facts: Common factors are more potent than specific therapy ingredients. Clinical Psychology: Science and Practice, 9, 21–25.

Minuchin, S. (1974). Families and family therapy. Cambridge, MA: Harvard University Press.

Miranda, J., Azocar, F., & Burnam, M. A. (2010). Assessment of evidence-based psychotherapy practices in usual care: Challenges, promising approaches, and future directions. Administration and Policy in Mental Health and Mental Health Services Research, 37, 205–207.CrossRefPubMed

Morbidity and Mortality Weekly Report. (2013). Mental health surveillance among children-United States, 2005–2011.

Mufson, L., Weissman, M. M., Moreau, D., & Garfinkel, R. (1999). Efficacy of interpersonal psychotherapy for depressed adolescents. Archives of General Psychiatry, 56, 573–579.CrossRefPubMed

Nakamura, B., Ebesutani, C., Bernstein, A., & Chorpita, B. F. (2009). A psychometric analysis of the Child Behavior Checklist DSM-Oriented Scales. Journal of Psychopathology and Behavioral Assessment, 31, 178–189. doi:10.1007/s10862-008-9119-8.

National Alliance on Mental Illness (2011). State mental health cuts: A national crisis. Retrieved September 18, 2015, from https://www2.nami.org/ContentManagement/ContentDisplay.cfm?ContentFileID=125018.

National Alliance on Mental Illness (2014). State mental health legislation 2014: Trends, themes and effective practices. Retrieved September 18, 2015, from https://www.nami.org/legreport2014.

National Council for Behavioral Health (2015). Excellence in Mental Health Act: Why is it important to apply? Retrieved September 29, 2015, from http://www.thenationalcouncil.org/capitol-connector/2015/06/excellence-mental-health-act-important-apply/.

National Institute of Mental Health. (2001). Blueprint for change: Research on child and adolescent mental health. Rockville, MD: U.S. Department of Health and Human Services, Administration, Center for Mental Health Services, National Institutes of health, National Institute of Mental Health.

Nichols, M. P. (2012) Family therapy: Concepts and methods (10th ed.). Upper Saddle River, NJ: Prentice Hall.

Nobile, M., Cataldo, G. M., Marino, C., & Molteni, M. (2003). Diagnosis and treatment of dysthymia in children and adolescents. CNS drugs, 17, 927–946.CrossRefPubMed

Novins, D. K., Green, A. E., Legha, R. K., & Aarons, G. A. (2013). Dissemination and implementation of evidence-based practices for child and adolescent mental health: A systematic review. Journal of the American Academyof Child & Adolescent Psychiatry, 52, 1009–1025. doi:10.1016/j.jaac.201.07.012.CrossRef

Peterson, S., Williams, I. C., Hauenstein, E. J., Rovnyak, V., & Merwin, E. (2009). Race and ethnicity and rural mental health treatment. Journal of Health Care for the Poor and Underserved, 20, 662–677.CrossRef

Pires, S. A., & Stroul, B. A. (2013). Making Medicaid work for children in child welfare: Examples from the field. Hamilton, NJ: Center for Health Care Strategies.

Riosa, P. B., McArthur, B. A., & Preyde, M. (2011). Effectiveness of psychosocial intervention for children and adolescents with comorbid problems: A systematic review. Child and Adolescent Mental Health, 16, 177–185. doi:10.1111/j.1475-3588.2011.00609.x.CrossRef

Rosenblatt, A., & Rosenblatt, J. (2000). Demographic, clinical, and functional characteristics of youth enrolled in six California systems of care. Journal of Child and Family Studies, 9, 51–66. doi:10.1023/A:1009459615496.CrossRef

Rubin, D. B., & Thomas, N. (2000). Combining propensity score matching with additional adjustments for prognostic covariates. Journal of the American Statistical Association, 95, 573–585. doi:10.1080/01621459.2000.10474233.

Santisteban, D. A., Coatsworth, J. D., Perez-Vidal, A., Mitrani, V., Jean-Gilles, M., & Szapocznik, J. (1997). Brief structural/strategic family therapy with African American and Hispanic high-risk youth. Journal of Community Psychology, 25, 453–471.CrossRef

Santisteban, D. A., Suarez-Morales, L., Robbins, M. S., & Szapocznik, J. (2006). Brief strategic family therapy: Lessons learned in efficacy research and challenges to blending research and practice. Family Process, 45, 259–271. doi:10.111/j.1545-5300.2006.00094.x.CrossRefPubMedPubMedCentral

Sells, S. P. (1998). Treating the tough adolescent: A step-by-step, family-based guide. New York: Guilford Press.

Sells, S. P. (2000). Parenting your out-of-control teenager. New York: St. Martin’s Press.

Sells, S. P. & Souder, E. (2016). Psychometrics of the video supervision manual checklist of therapist fidelity to parenting with love and limits. Unpublished manuscript.

Sells, S. P., Smith, T. E., Rodman, J., & Reynolds, L. R. (2003). Reducing adolescent substance abuse and delinquency: Pilot researh of a family-oriented psychoeducation curriculum. Journal of Child and Adolescent Substance Abuse, 15, 105–115. doi:10.1300/J029v15n04_06

Sells, S. P., Smith, T. E., & Sprenkle, D. H. (1995). Integrating quantitative and qualitative methods: A research model. Family Process, 34, 199–218.CrossRefPubMed

Sells, S. P., Winokur-Early, K., & Smith, T. E. (2011). Reducing adolescent oppositional and conduct disorders: An experimental design using parenting with love and limits. Professional Issues in Criminal Justice, 6, 9–30.

Shadish, W. R. (2013). Propensity score analysis: Promise, reality, and irrational exuberance. Journal of Experimental Criminology, 9, 129–144.CrossRef

Soni, A. (2009). The five most costly children’s conditions, 2006: Estimates for the U.S.civilian noninstitutionalized children, ages 0–17 [Statistical Brief #242). Rockville, MD: Agency for Healthcare Research and Quality. Retrieved August 31, 2015 from http://meps.ahrq.gov/mepsweb/data_files/publications/st242/stat242.pdf.

Souder, E. (2011). Parenting with love and limits model fidelity policy and procedures manual. Mansfield, OH.

Souder, E., & Sells, S. (2016). Supervision and fidelity measurement model in parenting with love and limits. Unpublished manuscript.

Stavrianopoulos, K., Faller, G., & Furrow, J. L. (2014). Emotionaly focused family therapy: Facilitating change within a family system. Journal of Couple & Relationship Therapy, 13, 25–43. doi:10.1080/15332691.2014.865976.CrossRef

Substance Abuse and Mental Health Services Administration. (2011). Identifying mental health and substance use problems of children and adolescents: A guide for childserving organizations. Rockville, MD: HHS Publication (No. SMA 12–4670)

Szapocznik, J., & Williiams, R. A. (2000). Brief strategic family therapy: Twenty-five years of interplay among theory, research and practice in adolescent behavior problems and drug abuse. Clinical Child and Family Psychology Review, 3, 117–134.CrossRefPubMedPubMedCentral

Tolan, P. H. (1989). Guidelines and pitfalls: Applying structural-strategic approaches in a multiple level perspective. Journal of Psychotherapy & the Family, 6, 151–156.CrossRef

U.S. Census. (2014). State and county quickfacts: Idaho. Retrieved October 15, 2015, from http://quickfacts.census.gov/qfd/states/16000.html.

Warren, J. S., Nelson, P. L., Mondragon, S. A., Baldwin, S. A., & Burlingame, G. M. (2010). Youth psychotherapy change tranjectories and outcomes in usual care: Community mental health versus managed care settings. Journal of Consulting and Clinical Psychology, 78, 144–155. doi:10.1037/a0018544.CrossRefPubMed

Weersing, V. R., Rozenman, M. S., Maher-Bridge, M., & Campo, J. V. (2012). Anxiety, depression, and somatic distress: Developing a transdiagnostic internalizing toolbox for pediatric practice. Cognitive and Behavioral Practice, 19, 68–82.CrossRefPubMedPubMedCentral

Weisz, J. R., McCarty, C. A., & Valeri, S. M. (2006). Effects of psychotherapy for depression in children and adolescents: A meta-analysis. Psychological Bulletin, 132, 132–149. doi:10.1037/0033-2909.132.1.132.CrossRefPubMedPubMedCentral

Winokur-Early, K. W., Chapman, S. F. & Hand, G. A. (2013). Family-focused juvenile reentry services: A quasi-experimental design evaluation of recidivism outcomes. Journal of Juvenile Justice, 2, 1–22.

Title: Statewide Implementation of Parenting with Love and Limits Among Youth with Co-Existing Internalizing and Externalizing Functional Impairments Reduces Return to Service Rates and Treatment Costs
Authors: Emma M. Sterrett-Hong
Eli Karam
Lynn Kiaer
Publication date: 01-09-2017
Publisher: Springer US
Published in: Administration and Policy in Mental Health and Mental Health Services Research / Issue 5/2017
Print ISSN: 0894-587X
Electronic ISSN: 1573-3289
DOI: https://doi.org/10.1007/s10488-016-0788-4

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Statewide Implementation of Parenting with Love and Limits Among Youth with Co-Existing Internalizing and Externalizing Functional Impairments Reduces Return to Service Rates and Treatment Costs

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At a glance: The ONWARDS insulin icodec trials

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