Predicting Youth Improvement in Community-Based Residential Settings with Practices Derived from the Evidence-Base

The current investigation conducted descriptive analyses on key variables in community-based residential (CBR) settings and investigated the extent to which disruptive youth between the ages of 13 and 17 years improved based on therapists’ reported alignment with using practices derived from the evi...

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Bibliographic Details
Published in:Administration and policy in mental health and mental health services research 2019-07, Vol.46 (4), p.458-473
Main Authors: Izmirian, Sonia C., Chang, Jaime P., Nakamura, Brad J.
Format: Article
Language:English
Subjects:
Adolescent
Child & adolescent psychiatry
Clinical outcomes
Clinical Psychology
Cognition & reasoning
Community Mental Health Services
Evidence-Based Practice
Female
Forecasting
Health Administration
Health Informatics
Health services
Humans
Male
Medicine
Medicine & Public Health
Mental health
Mental health care
Original Article
Outcome Assessment, Health Care
Problem Behavior - psychology
Psychiatry
Public Health
Therapists
Therapy
Youth
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Summary:The current investigation conducted descriptive analyses on key variables in community-based residential (CBR) settings and investigated the extent to which disruptive youth between the ages of 13 and 17 years improved based on therapists’ reported alignment with using practices derived from the evidence-base (PDEBs). Results from both the descriptive analyses and multilevel modeling suggested that therapists are using practices that both do and do not align with the evidence-base for disruptive youth. In addition, both PDEBs and practices with minimal evidence-support predicted or marginally predicted final average progress rating for these youth. Findings are discussed as they relate to the importance of continued exploration of treatment outcomes for CBR youth.
ISSN:0894-587X
1573-3289
DOI:10.1007/s10488-019-00925-2