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

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 se...

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Published in:The journal of behavioral health services & research 2017-10, Vol.44 (4), p.684-694
Main Authors: Higa-McMillan, Charmaine, Kotte, Amelia, Jackson, David, Daleiden, Eric L.
Format: Article
Language:English
Subjects:
Adolescent
Adult
Anxiety
Anxiety disorders
Anxiety Disorders - diagnosis
Anxiety Disorders - therapy
Attention Deficit and Disruptive Behavior Disorders - therapy
Care
Child
Child, Preschool
Community and Environmental Psychology
Community Mental Health Services
Discrepancies
Evidence based
Evidence-Based Practice - methods
Evidence-Based Practice - statistics & numerical data
Female
Functional impairment
Hawaii
Health Informatics
Health Promotion and Disease Prevention
Health Psychology
Humans
Male
Medical diagnosis
Medicine
Medicine & Public Health
Mental disorders
Mental health services
Psychiatry
Psychology, Adolescent - methods
Psychology, Child - methods
Psychosocial factors
Public Health
Regression Analysis
Therapists
Young Adult
Youth
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creator Higa-McMillan, Charmaine
Kotte, Amelia
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Daleiden, Eric L.
description 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.
doi_str_mv 10.1007/s11414-016-9502-2
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Usual care incorporated many components of evidence-based care but was more diffuse and less focused on well-supported practices.</description><identifier>ISSN: 1094-3412</identifier><identifier>EISSN: 1556-3308</identifier><identifier>DOI: 10.1007/s11414-016-9502-2</identifier><identifier>PMID: 26945583</identifier><language>eng</language><publisher>New York: Springer US</publisher><subject>Adolescent ; Adult ; Anxiety ; Anxiety disorders ; Anxiety Disorders - diagnosis ; Anxiety Disorders - therapy ; Attention Deficit and Disruptive Behavior Disorders - therapy ; Care ; Child ; Child, Preschool ; Community and Environmental Psychology ; Community Mental Health Services ; Discrepancies ; Evidence based ; Evidence-Based Practice - methods ; Evidence-Based Practice - statistics &amp; numerical data ; Female ; Functional impairment ; Hawaii ; Health Informatics ; Health Promotion and Disease Prevention ; Health Psychology ; Humans ; Male ; Medical diagnosis ; Medicine ; Medicine &amp; Public Health ; Mental disorders ; Mental health services ; Psychiatry ; Psychology, Adolescent - methods ; Psychology, Child - methods ; Psychosocial factors ; Public Health ; Regression Analysis ; Therapists ; Young Adult ; Youth</subject><ispartof>The journal of behavioral health services &amp; research, 2017-10, Vol.44 (4), p.684-694</ispartof><rights>National Council for Behavioral Health 2016</rights><rights>The Journal of Behavioral Health Services &amp; Research is a copyright of Springer, 2017.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c372t-3c791908cd4c5d1d092e9981ff589e5aa1a8b51ff80be937ac05de22c8eeaf1c3</citedby><cites>FETCH-LOGICAL-c372t-3c791908cd4c5d1d092e9981ff589e5aa1a8b51ff80be937ac05de22c8eeaf1c3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.proquest.com/docview/1947780357?pq-origsite=primo$$EHTML$$P50$$Gproquest$$H</linktohtml><link.rule.ids>314,780,784,11688,12846,21376,21394,21395,27344,27924,27925,30999,33611,33612,33769,33770,33774,34530,34531,36060,36061,43733,43814,44115,44363</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/26945583$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Higa-McMillan, Charmaine</creatorcontrib><creatorcontrib>Kotte, Amelia</creatorcontrib><creatorcontrib>Jackson, David</creatorcontrib><creatorcontrib>Daleiden, Eric L.</creatorcontrib><title>Overlapping and Non-overlapping Practices in Usual and Evidence-Based Care for Youth Anxiety</title><title>The journal of behavioral health services &amp; research</title><addtitle>J Behav Health Serv Res</addtitle><addtitle>J Behav Health Serv Res</addtitle><description>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. 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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. 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ispartof The journal of behavioral health services & research, 2017-10, Vol.44 (4), p.684-694
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subjects Adolescent
Adult
Anxiety
Anxiety disorders
Anxiety Disorders - diagnosis
Anxiety Disorders - therapy
Attention Deficit and Disruptive Behavior Disorders - therapy
Care
Child
Child, Preschool
Community and Environmental Psychology
Community Mental Health Services
Discrepancies
Evidence based
Evidence-Based Practice - methods
Evidence-Based Practice - statistics & numerical data
Female
Functional impairment
Hawaii
Health Informatics
Health Promotion and Disease Prevention
Health Psychology
Humans
Male
Medical diagnosis
Medicine
Medicine & Public Health
Mental disorders
Mental health services
Psychiatry
Psychology, Adolescent - methods
Psychology, Child - methods
Psychosocial factors
Public Health
Regression Analysis
Therapists
Young Adult
Youth
title Overlapping and Non-overlapping Practices in Usual and Evidence-Based Care for Youth Anxiety
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