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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
Kendall, P. C., Kane, M., Howard, B., & Siqueland, L. (1990). Cognitive-behavioral treatment of anxious children. Ardmore, PA: Workbook Publishing.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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
Consortia
Corresponding author
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
About this article
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
Published:
Issue Date:
DOI: https://doi.org/10.1007/s10488-015-0625-1