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

Alayna L Park; Katherine H Tsai; Karen Guan; Michael E J Reding; Bruce F Chorpita; John R Weisz; Research Network on Youth Mental Health

doi:10.1007/s10488-015-0625-1

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

Adm Policy Ment Health. 2016 Jan;43(1):135-40. doi: 10.1007/s10488-015-0625-1.

Authors

Alayna L Park¹, Katherine H Tsai², Karen Guan³, Michael E J Reding⁴, Bruce F Chorpita⁵, John R Weisz⁶; Research Network on Youth Mental Health

Collaborators

Research Network on Youth Mental Health:
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, John R Weisz

Affiliations

¹ Department of Psychology, University of California, Los Angeles, 1285 Franz Hall, Box 951563, Los Angeles, CA, 90095, USA. alaynapark@ucla.edu.
² Department of Psychology, University of California, Los Angeles, 1285 Franz Hall, Box 951563, Los Angeles, CA, 90095, USA. katsai@ucla.edu.
³ Department of Psychology, University of California, Los Angeles, 1285 Franz Hall, Box 951563, Los Angeles, CA, 90095, USA. kguan10@gmail.com.
⁴ Department of Psychology, University of California, Los Angeles, 1285 Franz Hall, Box 951563, Los Angeles, CA, 90095, USA. mreding@ucla.edu.
⁵ Department of Psychology, University of California, Los Angeles, 1285 Franz Hall, Box 951563, Los Angeles, CA, 90095, USA. chorpita@ucla.edu.
⁶ Department of Psychology, Harvard University, William James Hall, 33 Kirkland Street, Cambridge, MA, 02138, USA. jrw@wjh.harvard.edu.

PMID: 25583271
DOI: 10.1007/s10488-015-0625-1

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.

Keywords: Community mental health; Implementation; Randomized trial; Service use.

Publication types

Randomized Controlled Trial
Research Support, Non-U.S. Gov't

MeSH terms

Ambulatory Care / statistics & numerical data*
Child
Community Mental Health Services / statistics & numerical data*
Evidence-Based Practice*
Female
Hospitalization / statistics & numerical data*
Humans
Male
Mental Disorders / therapy*
Psychotherapy / methods*
School Health Services / statistics & numerical data*