NDLI: Evidence-based youth psychotherapy in the mental health ecosystem.

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Evidence-based youth psychotherapy in the mental health ecosystem.

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Evidence-based youth psychotherapy in the mental health ecosystem.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Weisz, John R. Ugueto, Ana M. Cheron, Daniel M. Herren, Jenny
Description	Country affiliation: United States Author Affiliation: Weisz JR ( Department of Psychology, Harvard University, Cambridge, MA 02138, USA. jrw@wjh.harvard.edu)
Abstract	Five decades of randomized trials research have produced dozens of evidence-based psychotherapies (EBPs) for youths. The EBPs produce respectable effects in traditional efficacy trials, but the effects shrink markedly when EBPs are tested in practice contexts with clinically referred youths and compared to usual clinical care. We considered why this might be the case. We examined relevant research literature and drew examples from our own research in practice settings. One reason for the falloff in EBP effects may be that so little youth treatment research has been done in the context of everyday practice. Researchers may have missed opportunities to learn how to make EBPs work well in the actual youth mental health ecosystem, in which so many real-world factors are at play that cannot be controlled experimentally. We sketch components and characteristics of that ecosystem, including clinically referred youths, their caregivers and families, the practitioners who provide their care, the organizations within which care is provided, the network of youth service systems (e.g., child welfare, education), and the policy context (e.g., reimbursement regulations and incentives). We suggest six strategies for future research on EBPs within the youth mental health ecosystem, including reliance on the deployment-focused model of development and testing, testing the mettle of current EBPs in everyday practice contexts, using the heuristic potential of usual care, testing restructured and integrative adaptations of EBPs, studying the use of treatment response feedback to guide clinical care, and testing models of the relation between policy change and EBP implementation.
File Format	HTM / HTML
ISSN	15374416
Issue Number	2
Volume Number	42
e-ISSN	15374424
Journal	Journal of Clinical Child & Adolescent Psychology
Language	English
Publisher	Taylor & Francis
Publisher Date	2013-01-01
Publisher Place	Great Britain (UK)
Access Restriction	One Nation One Subscription (ONOS)
Subject Keyword	Discipline Psychology Discipline Pediatrics Adolescent Health Services Mental Health Services Psychotherapy Adolescent Evidence-based Practice Humans Journal Article Research Support, N.i.h., Extramural Research Support, Non-u.s. Gov't
Content Type	Text
Resource Type	Article
Subject	Developmental and Educational Psychology Clinical Psychology

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