Skip to main content
Log in

Service Use Findings from the Child STEPs Effectiveness Trial: Additional Support for Modular Designs

  • Original Report
  • Published:
Administration and Policy in Mental Health and Mental Health Services Research Aims and scope Submit manuscript

Abstract

This study expands upon the Chorpita et al. (J Consult Clin Psychol 81:999–1009, 2013) findings by examining the impact of treatment protocol on youths’ service utilization up to 2 years after starting an episode of: standard manualized treatment (Standard); modular treatment (Modular); or usual care (UC). Results showed that youths who received Modular accessed fewer service settings at their one-year follow-up relative to youths who received Standard or UC. Findings suggest that modular treatment may offer an advantage over standardized treatment manuals and UC in terms of sustained clinical benefits, and highlight the importance of treatment design considerations for service systems.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  • Barkley, R. A. (1997). Defiant children: A provider’s manual for assessment and parent training (2nd ed.). New York, NY: Guilford Press.

    Google Scholar 

  • Chorpita, B. F., & Daleiden, E. L. (2009). Mapping evidence-based treatments for children and adolescents: Application of the distillation and matching model to 615 treatments from 322 randomized trials. Journal of Consulting and Clinical Psychology, 77, 566–579. doi:10.1037/a0014565.

    Article  PubMed  Google Scholar 

  • Chorpita, B. F., & Daleiden, E. L. (2014). Structuring the collaboration of science and service in pursuit of a shared vision. Journal of Clinical Child & Adolescent Psychology, 43, 323–338. doi:10.1080/15374416.2013.828297.

    Article  Google Scholar 

  • Chorpita, B. F., Daleiden, E. L., & Weisz, J. R. (2005). Identifying and selecting the common elements of evidence based interventions: A distillation and matching model. Mental Health Services Research, 7, 5–20. doi:10.1007/s11020-005-1962-6.

    Article  PubMed  Google Scholar 

  • Chorpita, B. F., Korathu-Larson, P., Knowles, L., & Guan, K. (2014). Emergent life events and their impact on service delivery: Should we expect the unexpected? Professional Psychology: Research and Practice, 45, 387–393.

    Article  Google Scholar 

  • Chorpita, B. F., & Weisz, J. R. (2005). Modular approach to therapy for children with anxiety, depression, or conduct problems. Honolulu, HI: University of Hawaii at Manoa; Boston, MA: Judge Baker Children’s Center; Harvard Medical School.

  • Chorpita, B. F., Weisz, J. R., Daleiden, E. L., Schoenwald, S. K., Palinkas, L. A., Miranda, J., et al. (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, 999–1009. doi:10.1037/a0034200.

    Article  PubMed  Google Scholar 

  • Daleiden, E. L., Chorpita, B. F., Donkervoet, C., Arensdorf, A. M., & Brogan, M. (2006). Getting better at getting them better: Health outcomes and evidence-based practice within a system of care. Journal of the American Academy of Child & Adolescent Psychiatry, 45, 749–756. doi:10.1097/01.chi.0000215154.07142.63.

    Article  Google Scholar 

  • 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, 60–66. doi:10.1176/appi.ps.54.1.60.

    Article  PubMed  Google Scholar 

  • Garland, A., Brookman-Frazee, L., Hurlburt, M., Accurso, E., Zoffness, R., Haine-Schlagel, R., & Ganger, W. (2010). Mental health care for children with disruptive behavior problems: A view inside therapists’ offices. Psychiatric Services, 61, 788–795. doi:10.1176/appi.ps.61.8.788.

    Article  PubMed  PubMed Central  Google Scholar 

  • Hoagwood, K., Horwitz, S., Stiffman, A., Weisz, J., Bean, D., Rae, D., et al. (2000). Concordance between parent reports of children’s mental health services and service records: The services assessment for children and adolescents (SACA). Journal of Child and Family Studies, 9, 315–331. doi:10.1023/A:1026492423273.

    Article  Google Scholar 

  • Horwitz, S. M., Hoagwood, K., Stiffman, A. R., Summerfeld, T., Weisz, J. R., Costello, E. J., et al. (2001). Reliability of the services assessment for children and adolescents. Psychiatric Services, 52, 1088–1094. doi:10.1176/appi.ps.52.8.1088.

    Article  PubMed  CAS  Google Scholar 

  • Kendall, P. C., Kane, M., Howard, B., & Siqueland, L. (1990). Cognitive-behavioral treatment of anxious children. Ardmore, PA: Workbook Publishing.

    Google Scholar 

  • Pellerin, K. A., Costa, N. M., Weems, C. F., & Dalton, R. F. (2010). An examination of treatment completers and non-completers at a child and adolescent community mental health clinic. Community Mental Health Journal, 46, 273–281. doi:10.1007/s10597-009-9285-5.

    Article  PubMed  Google Scholar 

  • Southam-Gerow, M. A., Chorpita, B. F., Miller, L. M., & Gleacher, A. A. (2008). Are children with anxiety disorders self-referred to a university clinic like those from the public mental health system? Administration and Policy in Mental Health and Mental Health Services Research, 35, 168–180. doi:10.1007/s10488-007-0154-7.

    Article  PubMed  Google Scholar 

  • Southam-Gerow, M., Weisz, J. R., Chu, B. C., McLeod, B. D., Gordis, E. B., & Connor-Smith, J. (2010). Does cognitive behavioral therapy for youth anxiety outperform usual care in community clinics? An initial effectiveness test. Journal of the American Academy of Child & Adolescent Psychiatry, 49, 1043–1052. doi:10.1016/j.jaac.2010.06.009.

    Article  Google Scholar 

  • Stiffman, A. R., Horwitz, S. M., Hoagwood, K., Compton, W., Cottler, L., Bean, D. L., et al. (2000). The service assessment for children and adolescents (SACA): Adult and child reports. Journal of the American Academy of Child and Adolescent Psychiatry, 39, 1032–1039. doi:10.1097/00004583-20000080000-00019.

    Article  PubMed  CAS  Google Scholar 

  • Weisz, J. R., Chorpita, B. F., Palinkas, L. A., Schoenwald, S. K., Miranda, J., Bearman, S. K., et al. (2012). Testing standard and modular designs for psychotherapy treating depression, anxiety, and conduct problems in youth: A randomized effectiveness trial. Archives of General Psychiatry, 69, 274–282. doi:10.1001/archgenpsychiatry.2011.147.

    Article  PubMed  Google Scholar 

  • Weisz, J. R., & Gray, J. S. (2008). Evidence-based psychotherapy for children and adolescents: Data from the present and a model for the future. Child and Adolescent Mental Health, 13, 54–65. doi:10.1111/j.1475-3588.2007.00475.x.

    Article  Google Scholar 

  • Weisz, J. R., Jensen-Doss, A., & Hawley, K. M. (2006a). Evidence-based youth psychotherapies versus usual clinical care: A meta-analysis of direct comparisons. American Psychologist, 61, 671–689. doi:10.1037/0003-066X.61.7.671.

    Article  PubMed  Google Scholar 

  • Weisz, J. R., McCarty, C. A., & Valeri, S. M. (2006b). 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.

    Article  PubMed  PubMed Central  Google Scholar 

  • Weisz, J. R., Moore, P. S., Southam-Gerow, M. A., Weersing, V. R., Valeri, S. M., & McCarty, C. A. (2005). Provider’s manual PASCET: Primary and secondary control enhancement training program (3rd ed.). Los Angeles, CA: University of California.

    Google Scholar 

Download references

Acknowledgments

The study was supported grants to Drs. Weisz and Chorpita by the John D. and Catherine T. MacArthur Foundation, who did not shape the design or conduct of the study; collection, management, analysis, or interpretation of the data, or the preparation, review, or approval of the article. The Modular Approach to Treatment of Children with Anxiety, Depression, or Conduct Problems (MATCH) manual used in this study was precursor to a revised and expanded version for which Drs. Chorpita and Weisz receive income.

Author information

Authors and Affiliations

Authors

Consortia

Corresponding author

Correspondence to Alayna L. Park.

Additional information

During the time of this study, the Research Network on Youth Mental Health included Bruce F. Chorpita, Ann Garland, Robert Gibbons, Charles Glisson, Evelyn Polk Green, Kimberly Hoagwood, Kelly Kelleher, John Landsverk, Stephen Mayberg, Jeanne Miranda, Lawrence A. Palinkas, Sonja K. Schoenwald, and John R. Weisz (Network Director).

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Park, A.L., Tsai, K.H., Guan, K. et al. Service Use Findings from the Child STEPs Effectiveness Trial: Additional Support for Modular Designs. Adm Policy Ment Health 43, 135–140 (2016). https://doi.org/10.1007/s10488-015-0625-1

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10488-015-0625-1

Keywords

Navigation