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Therapists’ Attitudes Towards Psychotherapeutic Strategies in Community-Based Psychotherapy with Children with Disruptive Behavior Problems

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Abstract

Little is known about what individual treatment strategies therapists providing usual care psychotherapy consider the most valuable to their practice. The Therapeutic Strategies Survey (TSS) assesses therapists’ attitudes about the value of 27 individual treatment strategies in their practice with children with disruptive behavior problems in community-based outpatient psychotherapy. Findings indicate that therapists from multiple professional disciplines highly value many individual psychotherapeutic strategies, and consider strategies common to a majority of evidence-based practices (EBPs) for this population at least as important as strategies not emphasized in EBPs. Implications for developing therapist training and implementation of EBPs are discussed.

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References

  • Aarons, G. A. (2004). Mental health provider attitudes toward adoption of evidence-based practice: The Evidence-Based Practice Attitude Scale (EBPAS). Mental Health Services Research, 6(2), 61–74. doi:10.1023/B:MHSR.0000024351.12294.65.

    Article  PubMed  Google Scholar 

  • Aarons, G. A., McDonald, E. J., Sheehan, A. K., & Walrath-Greene, C. M. (2007). Confirmatory factor analysis of the Evidence-Based Practice Attitude Scale in a geographically diverse sample of community mental health providers. Administration and Policy in Mental Health and Mental Health Services Research, 34(5), 465–469. doi:10.1007/s10488-007-0127-x.

    Article  PubMed  Google Scholar 

  • Addis, M. E., & Krasnow, A. D. (2000). A national survey of practicing psychologists’ attitudes toward psychotherapy treatment manuals. Journal of Consulting and Clinical Psychology, 68(2), 331–339. doi:10.1037/0022-006X.68.2.331.

    Article  PubMed  CAS  Google Scholar 

  • Baumann, B. L., Kolko, D. J., Collins, K., & Herschell, A. D. (2006). Understanding practitioners’ characteristics and perspectives prior to the dissemination of an evidence-based intervention. Child Abuse and Neglect, 30(7), 771–787. doi:10.1016/j.chiabu.2006.01.002.

    Article  PubMed  Google Scholar 

  • Bickman, L. (2000). The most dangerous and difficult question in mental health services research. Mental Health Services Research, 2(2), 71–72. doi:10.1023/A:1010100119789.

    Article  Google Scholar 

  • Casper, E. S. (2007). The theory of planned behavior applied to continuing education for mental health professionals. Psychiatric Services (Washington, D.C.), 58(10), 1324–1329. doi:10.1176/appi.ps.58.10.1324.

    Google Scholar 

  • DeVellis, R. F. (2003). Scale development: Theory and applications (2nd ed.). Newbury Park: CA: Sage.

    Google Scholar 

  • Essock, S. M., Goldman, H. H., Van Tosh, L., Anthony, W. A., Appell, C., Bond, G., et al. (2003). Evidence-based practices: Setting the context and responding to concerns. The Psychiatric Clinics of North America, 26, 919–938. doi:10.1016/S0193-953X(03)00069-8.

    Article  PubMed  Google Scholar 

  • Eyberg, S. M., Schuhmann, E. M., & Rey, J. (1998). Child and adolescent psychotherapy research: Developmental issues. Journal of Abnormal Child Psychology, 26(1), 71–82. doi:10.1023/A:1022686823936.

    Article  PubMed  CAS  Google Scholar 

  • Garland, A. F., Hawley, K. M., Brookman-Frazee, L., & Hurlburt, M. S. (2008). Identifying common elements of evidence-based psychosocial treatments for children’s disruptive behavior problems. Journal of the American Academy of Child and Adolescent Psychiatry, 47(5), 505–514. doi:10.1097/CHI.0b013e31816765c2.

    Article  PubMed  Google Scholar 

  • Garland, A. F., Hough, R., McCabe, K., Yeh, M., Wood, P., & Aarons, G. (2001). Prevalence of psychiatric disorders for youths in public sectors of care. Journal of the American Academy of Child and Adolescent Psychiatry, 40, 409–418. doi:10.1097/00004583-200104000-00009.

    Article  PubMed  CAS  Google Scholar 

  • Garland, A. F., Hurlburt, M. S., & Hawley, K. M. (2006a). Examining psychotherapy processes in a services research context. Clinical Psychology: Science and Practice, 13, 30–46. doi:10.1111/j.1468-2850.2006.00004.x.

    Article  Google Scholar 

  • Garland, A. F., Plemmons, D., & Koontz, L. (2006b). Research-practice partnerships in mental health: Lessons from participants. Administration and Policy in Mental Health and Mental Health Services Research, 33, 517–528. doi:10.1007/s10488-006-0062-2.

    Article  PubMed  Google Scholar 

  • Glisson, C., Landsverk, J., Schoenwald, S., Kelleher, K., Hoagwood, K. E., Mayberg, S., et al. (2008). Assessing the organizational social context (OSC) of mental health services: Implications for research and practice. Administration and Policy in Mental Health and Mental Health Services Research, 35(1–2), 98–113. doi:10.1007/s10488-007-0148-5.

    Article  PubMed  Google Scholar 

  • Hogue, A., Liddle, H. A., & Rowe, C. (1996). Treatment adherence process research in family therapy: A rationale and some practical guidelines. Psychotherapy, 33, 332–345. doi:10.1037/0033-3204.33.2.332.

    Google Scholar 

  • Jensen, J. P., Bergin, A. E., & Greaves, D. W. (1990). The meaning of eclecticism: New survey and analysis of components. Professional Psychology, Research and Practice, 21, 124–130. doi:10.1037/0735-7028.21.2.124.

    Article  Google Scholar 

  • Kazdin, A. E., Siegel, T. C., & Bass, D. (1990). Drawing on clinical practice to inform research on child and adolescent psychotherapy: Survey of practitioners. Professional Psychology, Research and Practice, 21, 189–198. doi:10.1037/0735-7028.21.3.189.

    Article  Google Scholar 

  • Koocher, G. P., & Pedulla, B. M. (1977). Current practices in child psychotherapy. Professional Psychology, 8, 275–287. doi:10.1037/0735-7028.8.3.275.

    Article  Google Scholar 

  • Loeber, R. (1990). Development and risk factors of juvenile antisocial behavior and delinquency. Clinical Psychology Review, 10, 1–41. doi:10.1016/0272-7358(90)90105-J.

    Article  Google Scholar 

  • Mcleod, B. D. (2005). The therapy process observational coding system for child psychotherapy: Development and application. Unpublished doctoral dissertation, University of California, Los Angeles.

  • National Advisory Mental Health Council. (2001). Blueprint for change: Research on child and adolescent mental health. A report by the National Advisory Mental Health Council’s Workgroup on Child and Adolescent Mental Health Intervention Development and Deployment. Bethesda, MD: National Institutes of Health/National Institute of Mental Health.

  • Nelson, T. D., Steele, R. G., & Mize, J. A. (2006). Practitioner attitudes toward evidence-based practice: Themes and challenges. Administration and Policy In Mental Health, 33(3), 398–409. doi:10.1007/s10488-006-0044-4.

    Article  PubMed  Google Scholar 

  • Norcross, J. C., Hedges, M., & Castle, P. H. (2002). Psychologists conducting psychotherapy in 2001: A study of the Division 29 membership. Psychotherapy: Theory/Research/Practice/Training, 39(1), 97–102.

    Google Scholar 

  • Perkins, M. B., Jensen, P. S., Jaccard, J., Gollwitzer, P., Oettingen, G., Pappadopulos, E., et al. (2007). Applying theory-driven approaches to understanding and modifying clinicians’ behavior: What do we know? Psychiatric Services (Washington, D.C.), 58(3), 342–348. doi:10.1176/appi.ps.58.3.342.

    Google Scholar 

  • Rubin, A., & Parrish, D. (2007). Views of evidence-based practice among faculty in master of social work programs: A national survey. Research on Social Work Practice, 17, 110–122. doi:10.1177/1049731506293059.

    Article  Google Scholar 

  • Sheehan, A. K., Walrath-Greene, C., Fisher, S., Crossbear, S., & Walker, J. (2007). Evidence-based practice knowledge, use, and factors that influence decisions: Results from an evidence-based practice survey of providers in American Indian/Alaska Native communities. American Indian and Alaska Native Mental Health Research, 14(2), 29–48.

    PubMed  Google Scholar 

  • Shirk, S. R. (2004). Dissemination of youth ESTs: Ready for prime time? Clinical Psychology: Science and Practice, 11(3), 308–312. doi:10.1093/clipsy/bph086.

    Article  Google Scholar 

  • Stewart, R. E., & Chambless, D. L. (2007). Does psychotherapy research inform treatment decisions in private practice? Journal of Clinical Psychology, 63(3), 267–281. doi:10.1002/jclp.20347.

    Article  PubMed  Google Scholar 

  • Van Someren, V. (1998). Changing clinical practice in the light of the evidence: Two contrasting stories from perinatology. In A. Haines & A. Donald (Eds.), Getting research into practice (pp. 143–151). London: BMJ Books.

    Google Scholar 

  • Weersing, V. R., Weisz, J. R., & Donenberg, G. R. (2002). Development of the therapy procedures checklist: A therapist-report measure of technique use in child and adolescent treatment. Journal of Clinical Child and Adolescent Psychology, 31(2), 168–180.

    PubMed  Google Scholar 

  • Weisz, J. R., Chu, B. C., & Polo, A. J. (2004). Treatment dissemination and evidence-based practice: Strengthening intervention through clinician-researcher collaboration. Clinical Psychology: Science and Practice, 11(3), 300–307. doi:10.1093/clipsy/bph085.

    Article  Google Scholar 

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

    Article  PubMed  Google Scholar 

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Acknowledgements

This study was supported by National Institute of Mental Health grants R01-MH-66070 and K23-MH-077584.

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Correspondence to Lauren Brookman-Frazee.

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Brookman-Frazee, L., Garland, A.F., Taylor, R. et al. Therapists’ Attitudes Towards Psychotherapeutic Strategies in Community-Based Psychotherapy with Children with Disruptive Behavior Problems. Adm Policy Ment Health 36, 1–12 (2009). https://doi.org/10.1007/s10488-008-0195-6

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  • DOI: https://doi.org/10.1007/s10488-008-0195-6

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