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The Journal of Behavioral Health Services & Research
Published in: The Journal of Behavioral Health Services & Research 4/2017

01-10-2017

Overlapping and Non-overlapping Practices in Usual and Evidence-Based Care for Youth Anxiety

Authors: Charmaine Higa-McMillan, PhD, Amelia Kotte, PhD, David Jackson, PhD, Eric L. Daleiden, PhD

Published in: The Journal of Behavioral Health Services & Research | Issue 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.
Appendix
Available only for authorised users
Footnotes
1
The treatment target of traumatic stress was not included in this analysis as it was the primary focus of a different study by Borntrager and colleagues.4 Similarly, diagnoses of post-traumatic stress disorder were also excluded from this study.
 
2
The practice profile for youth with a primary anxiety disorder only was nearly exactly the same as the profile for the broader anxiety sample so only the practice profile for the broad sample is presented. The practice profile by primary anxiety only is available upon request.
 
3
This list includes practices showing up in 10% or more of level 2 treatments.
Child and Adolescent Mental Health Division. (2008). Service Provider Monthly Treatment and Progress Summary.
Chorpita BF, Daleiden EL. Results from the 2007 Biennial Report: Effective Psychosocial Interventions for Youth with Behavioral and Emotional Needs. Honolulu, Hawai’i Department of Health, Child and Adolescent Mental Health Division, 2007.
 
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Metadata
Title
Overlapping and Non-overlapping Practices in Usual and Evidence-Based Care for Youth Anxiety
Authors
Charmaine Higa-McMillan, PhD
Amelia Kotte, PhD
David Jackson, PhD
Eric L. Daleiden, PhD
Publication date
01-10-2017
Publisher
Springer US
Published in
The Journal of Behavioral Health Services & Research / Issue 4/2017
Print ISSN: 1094-3412
Electronic ISSN: 2168-6793
DOI
https://doi.org/10.1007/s11414-016-9502-2

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