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Improving the Mental Health of Children in Child Welfare Through the Implementation of Evidence-Based Parenting Interventions

Administration and Policy in Mental Health and Mental Health Services Research Aims and scope Submit manuscript

Abstract

Any comprehensive approach to children’s mental health should consider services systems such as Child Welfare that provide services to children with high rates of emotional and behavioral disorders. This paper will review what is known about efficacious parent-focused interventions that can improve the lives of children in Child Welfare and explore possible reasons why such interventions are rarely used by Child Welfare agencies. Data from a pilot study suggest key features for increasing the implementation of efficacious practices to improve children’s mental health.

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References

  • Aarons, G. A., & Palinkas, L. A. (2007). Implementation of evidence-based practice in child welfare: Service provider perspectives. Administration and Policy in Mental Health and Mental Health Services Research, 34(4), 411–419.

    Article  PubMed  Google Scholar 

  • Adams, P. (1994). Marketing social change: The case of family preservation. Children and Youth Services Review, 16(5/6), 417–431.

    Article  Google Scholar 

  • Bagner, D. M., & Eyberg, S. M. (2007). Parent–child interaction therapy for disruptive behavior in children with mental retardation: A randomized controlled trial. Journal of Clinical Child and Adolescent Psychology, 36(3), 418–429.

    PubMed  Google Scholar 

  • Barth, R. P., Landsverk, J., Chamberlain, P., Reid, J. B., Rolls, J. A., Hurlburt, M. S., et al. (2005). Parent-training programs in child welfare services: Planning for a more evidence-based approach to serving biological parents. Research on Social Work Practice, 15, 353–371.

    Article  Google Scholar 

  • Baydar, N., Reid, M. J., & Webster-Stratton, C. (2003). The role of mental health factors and program engagement in the effectiveness of a preventive parenting program for Head Start mothers. Child Development, 74(5), 1433–1453.

    Article  PubMed  Google Scholar 

  • Berwick, D. M. (2003). Disseminating innovations in health care. JAMA, 289(15), 1969–1975.

    Article  PubMed  Google Scholar 

  • Bor, W., Sanders, M. R., & Markie-Dadds, C. (2002). The effects of the Triple P-positive parenting program on preschool children with co-occurring disruptive behavior and attentional/hyperactive difficulties. Journal of Abnormal Child Psychology, 30(6), 571–587.

    Article  PubMed  Google Scholar 

  • Brestan, E. V., & Eyberg, S. M. (1998). Effective psychosocial treatments of conduct-disordered children and adolescents: 29 years, 82 studies, and 5, 272 kids. Journal of Clinical Child Psychology, 27(2), 180–189.

    Article  CAS  PubMed  Google Scholar 

  • Brown, J. D., & Bednar, L. M. (2006). Foster parent perceptions of placement breakdown. Children and Youth Services Review, 28, 1497–1511.

    Article  Google Scholar 

  • Chadwick Center. (2004). Closing the quality chasm in child abuse treatment: Identifying and disseminating best practices. The findings of the Kauffman best practices project to help children heal from child abuse. San Diego, CA: Children’s Hospital-San Diego, Chadwich Center for Children and Families.

    Google Scholar 

  • Chaffin, M., & Friedrich, B. (2004). Evidence-based treatments in child abuse and neglect. Children and Youth Services Review, 26, 1097–1113.

    Article  Google Scholar 

  • Chaffin, M., Silovsky, J. F., Funderburk, B., Valle, L. A., Brestan, E. V., Balachova, T., et al. (2004). Parent–child interaction therapy with physically abusive parents: Efficacy for reducing future abuse reports. Journal of Consulting and Clinical Psychology, 72(3), 500–510.

    Article  PubMed  Google Scholar 

  • Chamberlain, P., Brown, C. H., Saldana, L., Reid, J., Wang, W., Marsenich, L., et al. (2008a). Engaging and recruiting counties in an experiment on implementing evidence-based practice in California. Administration and Policy in Mental Health and Mental Health Services Research, 35(4), 250–260.

    Article  PubMed  Google Scholar 

  • Chamberlain, P., Leve, L. D., & DeGarmo, D. S. (2007). Multidimensional treatment foster care for girls in the juvenile justice system: 2-Year follow-up of a randomized clinical trial. Journal of Consulting and Clinical Psychology, 75, 187–193.

    Article  PubMed  Google Scholar 

  • Chamberlain, P., Price, J., Leve, L. D., Laurent, H., Landsverk, J. A., & Reid, J. B. (2008b). Prevention of behavior problems for children in foster care: Outcomes and mediation effects. Prevention Science, 9, 17–27.

    Article  PubMed  Google Scholar 

  • Chamberlain, P., Price, J. M., Reid, J. B., Landsverk, J., Fisher, P. A., & Stoolmiller, M. (2006). Who disrupts from placement in foster and kinship care? Child Abuse and Neglect, 30, 409–424.

    Article  PubMed  Google Scholar 

  • Chamberlain, P., & Reid, J. B. (1991). Using a specialized foster care treatment model for children and adolescents leaving the state mental hospital. Journal of Community Psychology, 19, 266–276.

    Article  Google Scholar 

  • Chamberlain, P., & Reid, J. B. (1994). Differences in risk factors and adjustment for male and female delinquents in Treatment Foster Care. Journal of Child and Family Studies, 3(1), 23–39.

    Article  Google Scholar 

  • Committee on Quality of Health Care in America, Institute of Medicine (2001). Crossing the quality chasm: A new health system for the 21st century. Washington, DC: The National Academies Home.

  • Damanpour, F. (1991). Organizational innovation: A meta-analysis of effects of determinants and moderators. Academy of Management Journal, 34(3), 555–590.

    Article  Google Scholar 

  • Davies, H. T. O., & Nutley, S. M. (2008). Learning more about how research-based knowledge gets used: Guidance in the development of new empirical research. New York, NY: William T. Grant Foundation.

    Google Scholar 

  • de Graaf, I., Speetjens, P., Smit, F., de Wolff, M., & Tavecchio, L. (2008). Effectiveness of the Triple P positive parenting program on behavioral problems in children: A meta-analysis. Behavior Modification, 32(5), 714–735.

    Article  PubMed  Google Scholar 

  • DePanfilis, D., & Dubowitz, H. (2005). Family connections: A program for preventing child neglect. Child Maltreatment, 10, 108–123.

    Article  PubMed  Google Scholar 

  • Eddy, J. M., & Chamberlain, P. (2000). Family management and deviant peer association as mediators of the impact of treatment condition on youth antisocial behavior. Journal of Consulting and Clinical Psychology, 5(68), 857–863.

    Article  Google Scholar 

  • Edwards, A., & Lutzker, J. R. (2008). Iterations of the SafeCare model: An evidence-based child maltreatment prevention program. Behavior Modification, 32(5), 736–737.

    Article  PubMed  Google Scholar 

  • Ferlie, E. B., & Shortell, S. M. (2001). Improving the quality of healthcare in the United Kingdom and the United States: A framework for change. Milbank Quarterly, 79, 281–315.

    Article  CAS  PubMed  Google Scholar 

  • Fiester, L. (2008). The story of family to family. The Annie E. Casey Foundation. www.aecf.org. Accessed 4/10/2009.

  • Fisher, P. A., Chamberlain, P., & Leve, L. D. (2009). Improving the lives of foster children through evidenced-based interventions. Vulnerable Children and Youth Studies, 4(2), 122–127.

    Article  PubMed  Google Scholar 

  • Frambach, R., & Schillewaert, N. (2002). Organizational innovation adoption: A multi-level framework of determinants and opportunities for future research. Journal of Business Research, 55, 163–176.

    Article  Google Scholar 

  • Gabbay, J., & le May, A. (2004). Evidence based guidelines or collectively constructed “mindlines?” Ethnographic study of knowledge management in primary care. BMJ, 329(7473), 1013.

    Article  PubMed  Google Scholar 

  • Ganju, V. (2003). Implementation of evidence-based practices in state mental health systems: Implications for research and effectiveness studies. Schizophrenia Bulletin, 29(1), 125–131.

    PubMed  Google Scholar 

  • Gardner, F., Burton, J., & Klimes, I. (2006). Randomised controlled trial of a parenting intervention in the voluntary sector for reducing child conduct problems: Outcomes and mechanisms of change. Journal of Child Psychology and Psychiatry, 47(11), 1123–1132.

    Article  PubMed  Google Scholar 

  • Gelfand, D. M., & Teti, D. M. (1990). The effects of maternal depression on children. Clinical Psychology Review, 10, 329–353.

    Article  Google Scholar 

  • Gershater-Molko, R. M., Lutzker, J. R., & Wesch, D. (2002). Project SafeCare: Improving health, safety, and parenting skills in families reported for, and at-risk for child maltreatment. Journal of Family Violence, 18(6), 377–386.

    Article  Google Scholar 

  • Girvin, H., DePanfilis, D., & Daining, C. (2007). Predicting program completion among families enrolled in a child neglect prevention intervention. Research on Social Work Practice, 17(6), 674–685.

    Article  Google Scholar 

  • Glisson, C., Dukes, D., & Green, P. (2006). The effects of the ARC organizational intervention on caseworker turnover, climate, and culture in children’s service systems. Child Abuse and Neglect, 30(8), 855–880.

    Article  PubMed  Google Scholar 

  • Glisson, C., & Hemmelgarn, A. (1998). The effects of organizational climate and interorganizational coordination on the quality and outcomes of children’s service systems. Child Abuse and Neglect, 22(5), 401–421.

    Article  CAS  PubMed  Google Scholar 

  • Glisson, C., & James, L. R. (2002). The cross-level effects of culture and climate in human service teams. Journal of Organizational Behavior, 23, 767–794.

    Article  Google Scholar 

  • Glisson, C., & Schoenwald, S. K. (2005). The ARC organizational and community intervention strategy for implementing evidence-based children’s mental health treatments. Mental Health Services Research, 7(4), 243–259.

    Article  PubMed  Google Scholar 

  • Greenhalgh, T., Robert, G., Macfarlane, F., Bate, P., & Kyriakidou, O. (2004). Diffusion of innovations in service organizations: Systematic review and recommendations. Milbank Quarterly, 82(4), 581–629.

    Article  PubMed  Google Scholar 

  • Grol, R. (2001). Successes and failures in the implementation of evidence-based guidelines for clinical practice. Medical Care, 39(8 Suppl 2), II46–II54.

    CAS  PubMed  Google Scholar 

  • Grol, R. P., Bosch, M. C., Hulscher, M. E., Eccles, M. P., & Wensing, M. (2007). Planning and studying improvement in patient care: The use of theoretical perspectives. The Milbank Quarterly, 85(1), 93–138.

    Article  PubMed  Google Scholar 

  • Gross, D., Fogg, L., Webster-Stratton, C., Garvey, C., Julion, W., & Grady, J. (2003). Parent training of toddlers in day care in low-income urban communities. Journal of Consulting and Clinical Psychology, 71(2), 261–278.

    Article  PubMed  Google Scholar 

  • Hecht, D. B., Silovsky, J. F., Chaffin, M., & Lutzker, J. R. (2008). SafeCare: An evidence-based approach to prevent child neglect. The APSAC Advisor, 20(1), 14–17.

    Google Scholar 

  • Hemsley-Brown, J., & Sharp, C. (2003). The use of research to improve professional practice: A systematic review of the literature. Oxford Review of Education, 29(4), 449–470.

    Article  Google Scholar 

  • Hoagwood, K. (2003). The policy context for child and adolescent mental health services: Implications for systems reform and basic science development. Annals of the New York Academy of Sciences, 1008, 140–148.

    Article  PubMed  Google Scholar 

  • Holland, P., & Gorey, K. M. (2004). Historical, developmental, and behavioral factors associated with foster care challenges. Child and Adolescent Social Work Journal, 21, 117–135.

    Article  Google Scholar 

  • Hurlburt, M. S., Barth, R. P., Leslie, L. K., Landsverk, J., & McRae, J. (2007). Building on strengths: Current status and opportunities for improvement of parent training for families in child welfare. In R. Haskins, F. Wulczyn, & M. B. Webb (Eds.), Child protection: Using research to improve policy and practice (pp. 81–106). Washington DC: Brookings Institution Press.

    Google Scholar 

  • Institute for the Advancement of Social Work Research. (2007). Partnerships to integrate evidence-based mental health practices into social work education and research. Report from April 12, 2007 symposium. http://www.iaswresearch.org. Accessed 3/27/2009.

  • Jenson, J. M. (2007). Evidence-based practice and the reform of social work education: A response to Gambrill and Howard and Allen-Meares. Research on Social Work Practice, 17(5), 569–573.

    Article  Google Scholar 

  • Kazdin, A. E., & Wassell, G. (2000). Therapeutic changes in children, parents, and families resulting from Treatment of children with conduct problems. Journal of the American Academy of Child & Adolescent Psychiatry, 39, 414–420.

    Article  CAS  Google Scholar 

  • Kerker, B. D., & Dore, M. M. (2006). Mental health needs and treatment of foster youth: Barriers and opportunities. American Journal of Orthopsychiatry, 76(1), 138–147.

    Article  PubMed  Google Scholar 

  • Kessler, R. C., Pecora, P. J., Williams, J., Hiripi, E., O’Brien, K., English, D., et al. (2008). Effects of enhanced foster care on the long-term physical and mental health of foster care alumni. Archives of General Psychiatry, 65, 625–633.

    Article  PubMed  Google Scholar 

  • Klein, K. J., & Sorra, J. S. (1996). The challenge of innovation implementation. Academy of Management Review, 21, 1055–1080.

    Article  Google Scholar 

  • Kortenkamp, K., & Ehrle, J. (2002). The well-being of children involved with the child welfare system: New Federalism: National Survey of America’s Families, (B-43). Retrieved from http://www.urban.org/url.cfm?ID=310413.

  • Landsverk, J., & Garland, A. (1999). Foster care and pathways to mental health services. In P. Curtis & G. Dale (Eds.), The foster care crisis: Translating research into practice and policy (pp. 193–210). Lincoln, NE: University of Nebraska Press.

    Google Scholar 

  • Laub, J. H., & Sampson, R. J. (1988). Unraveling families and delinquency: A reanalysis of the Gluecks’ data. Criminology, 26(3), 355–379.

    Article  Google Scholar 

  • Leslie, L. K., Hurlburt, M. S., Janksverk, J., Rolls, J. A., Wood, P. A., & Kelleher, K. J. (2003). Comprehensive assessments for children entering foster care: A national perspective. Pediatrics, 112, 134–142.

    Article  PubMed  Google Scholar 

  • Leve, L. D., & Chamberlain, P. (2004). Female juvenile offenders: Defining an early-onset pathway for delinquency. Journal of Child and Family Studies, 13, 439–452.

    Article  Google Scholar 

  • Loeber, R., & Dishion, T. J. (1983). Early predictors of male delinquency: A review. Psychological Bulletin, 94(1), 68–99.

    Article  CAS  PubMed  Google Scholar 

  • Lutzker, J. R. (1984). Project 12-ways: Treating child abuse and neglect from an ecobehavioral perspective. In R. F. Daniel & R. A. Polster (Eds.), Parent training: Foundations of research and practice (pp. 260–297). New York: The Guilford Press.

    Google Scholar 

  • Moore, K. J., Osgood, W. D., Larzelere, R. E., & Chamberlain, P. (1994). Use of pooled time series in the study of naturally occurring clinical events and problem behavior in a foster care setting. Journal of Consulting and Clinical Psychology, 62, 718–728.

    Article  CAS  PubMed  Google Scholar 

  • Morawska, A., & Sanders, M. R. (2006). Self-administered behavioral family intervention for parents of toddlers: Part I. Efficacy. Journal of Consulting and Clinical Psychology, 74(1), 10–19.

    Article  PubMed  Google Scholar 

  • National Association of Public Child Welfare Administrators. (2005). Guide for child welfare administrators on evidence based practice. http://www.aphsa.org. Accessed 3/27/2009.

  • Nixon, R. D., Sweeney, L., Erickson, D. B., & Touyz, S. W. (2004). Parent–child interaction therapy: One- and two-year follow-up of standard and abbreviated treatments for oppositional preschoolers. Journal of Abnormal Child Psychology, 32(3), 263–271.

    Article  PubMed  Google Scholar 

  • Palinkas, L., & Aarons, G. A. (2010). A view from the top: Executive and management challenges in a statewide implementation of an evidence-based practice to reduce child neglect. International Journal of Child Health and Human Development (in press).

  • Patterson, G. R. (2005). The next generation of PMTO models. The Behavior Therapist, 28, 25–32.

    Google Scholar 

  • Plant, K. M., & Sanders, M. R. (2007). Predictors of care-giver stress in families of preschool-aged children with developmental disabilities. Journal of Intellectual Disability Research, 51(2), 109–124.

    Article  CAS  PubMed  Google Scholar 

  • Prinz, R. J., Sanders, M. R., Shapiro, C. J., Whitaker, D. J., & Lutzker, J. R. (2009). Population-based prevention of child maltreatment: The U.S. Triple P system population trial. Prevention Science, 10(1), 1–12.

    Article  PubMed  Google Scholar 

  • Raghavan, R., Inkelas, M., Franke, T., & Halfon, N. (2007). Administrative barriers to the adoption of high-quality mental health services for children in foster care: A national study. Administration and Policy in Mental Health and Mental Health Services Research, 34(3), 191–201.

    Article  PubMed  Google Scholar 

  • Reid, M., Webster-Stratton, C., Baydar, N., & Webster-Stratton, C. (2004). Halting the development of conduct problems in head start children: The effects of parent training. [References]. Journal of Clinical Child & Adolescent Psychology, 33(2), 279–291.

    Article  Google Scholar 

  • Reid, M. J., Webster-Stratton, C., & Beauchaine, T. P. (2001). Parent training in head start: A comparison of program response among African American, Asian American, Caucasian, and Hispanic mothers. Prevention Science, 2(4), 209–227.

    Article  CAS  PubMed  Google Scholar 

  • Rogers, E. M. (2003). Diffusion of innovation (5th ed.). New York: Free Press.

    Google Scholar 

  • Ruff, H. A., Blank, S., & Barnett, H. L. (1990). Early intervention in the context of foster care. Developmental and Behavioral Pediatrics, 11, 265–268.

    Article  CAS  Google Scholar 

  • Sanders, M. R. (1999). Triple P-positive parenting program: Towards an empirically validated multilevel parenting and family support strategy for the prevention of behavior and emotional problems in children. Clinical Child and Family Psychology Review, 2(2), 71–90.

    Article  CAS  PubMed  Google Scholar 

  • Sanders, M. R. (2008). Triple P-positive parenting program as a public health approach to strengthening parenting. Journal of Family Psychology, 22(4), 506–517.

    Article  PubMed  Google Scholar 

  • Sanders, M. R., Markie-Dadds, C., Rinaldis, M., Firman, D., & Baig, N. (2007). Using household survey data to inform policy decisions regarding the delivery of evidence-based parenting interventions. Child: Care Health and Development, 33(6), 768–783.

    Article  CAS  Google Scholar 

  • Sanders, M. R., Markie-Dadds, C., Tully, L., & Bor, W. (2000). The Triple P-positive parenting program: A comparison of enhanced, standard, and self directed behavioural family intervention for parents of children with early conduct problems. Journal of Consulting and Clinical Psychology, 69, 624–640.

    Article  Google Scholar 

  • Sanders, M. R., Markie-Dadds, C., Turner, K. M. T., & Ralph, A. (2004). Using the Triple P system of intervention to prevent behavioural problems in children and adolescents. In P. Barrett & T. Ollendick (Eds.), Handbook of interventions that work with children and adolescents: Prevention and treatment (pp. 489–516). Chichester, West Sussex: Wiley.

    Chapter  Google Scholar 

  • Sanders, M. R., & McFarland, M. L. (2000). The treatment of depressed mothers with disruptive children: A controlled evaluation of cognitive behavioral family intervention. Behavior Therapy, 31(1), 89–112.

    Article  Google Scholar 

  • Sanders, M. R., Turner, K. M. T., & Markie-Dadds, C. (2002). The development and dissemination of the Triple P-positive parenting program: A multi-level, evidence-based system of parenting and family support. Prevention Science, 31, 173–198.

    Article  Google Scholar 

  • Schoenwald, S. K., Chapman, J. E., Kelleher, K., Hoagwood, K. E., Landsverk, J., Stevens, J., et al. (2008a). A survey of the infrastructure for children’s mental health services: Implications for the implementation of empirically supported treatments (ESTs). Administration and Policy in Mental Health and Mental Health Services Research, 35(1–2), 84–97.

    Article  PubMed  Google Scholar 

  • Schoenwald, S. K., Kelleher, K., Weisz, J. R., & Research Network on Youth Mental Health. (2008b). Building bridges to evidence-based practice: The MacArthur foundation child system and treatment enhancement projects (Child STEPs). Administration and Policy in Mental Health and Mental Health Services Research, 35(1–2), 66–72.

    Article  PubMed  Google Scholar 

  • Schuhmann, E. M., Foote, R. C., Eyberg, S. M., Boggs, S. R., & Algina, J. (1998). Efficacy of parent-child interaction therapy: Interim report of a randomized trial with short-term maintenance. Journal of Clinical Child Psychology, 27(1), 34–45.

    Article  CAS  PubMed  Google Scholar 

  • Simpson, D. D. (2002). A conceptual framework for transferring research to practice. Journal of Substance Abuse Treatment, 22(4), 171–182.

    Article  PubMed  Google Scholar 

  • The California Evidence-Based Clearinghouse for Child Welfare (CEBC). (2009). http://www.cachildwelfareclearinghouse.org. Accessed 3/27/2009.

  • Thomas, R., & Zimmer-Gembeck, M. (2007). Behavioral outcomes of parent–child interaction therapy and Triple P—positive parenting program: A review and meta-analysis. Journal of Abnormal Child Psychology, 35(3), 475–495.

    Article  PubMed  Google Scholar 

  • Torrey, W. C., Finnerty, M., Evans, A., & Wyzik, P. (2003). Strategies for leading the implementation of evidence-based practices. Psychiatric Clinics of North America, 26(4), 883–897, viii–ix.

    Google Scholar 

  • Torrey, W. C., Lynde, D. W., & Gorman, P. (2005). Promoting the implementation of practices that are supported by research: The national implementing evidence-based practices projects. Child and Adolescent Clinics of North America, 14, 297–306.

    Article  Google Scholar 

  • Turner, K. M. T., & Sanders, M. R. (2006). Help when it’s needed first: A controlled evaluation of brief, preventive behavioral family intervention in a primary care setting. Behavior Therapy, 37(2), 131–142.

    Article  PubMed  Google Scholar 

  • U.S. Department of Health and Human Services. (2009). Trends in foster care and adoption—FY 2002–FY 2007. Retrieved April 3, 2009, from http://www.acf.hhs.gov/programs/cb/stats_research/afcars/trends_02-07.pdf.

  • Webster-Stratton, C., & Reid, M. J. (2003). Treating conduct problems and strengthening social emotional competence in young children (ages 4–8 years): The Dina Dinosaur treatment program. Journal of Emotional and Behavioral Disorders, 11(3), 130–143.

    Article  Google Scholar 

  • Webster-Stratton, C., Reid, M. J., & Hammond, M. (2004). Treating children with early-onset conduct problems: Intervention outcomes for parent, child, and teacher training. Journal of Clinical Child and Adolescent Psychology, 33, 105–124.

    Article  PubMed  Google Scholar 

  • Weissman, M. M., Verdeli, H., Gameroff, M. J., Bledsoe, S. E., Betts, K., Mufson, L., et al. (2006). National survey of psychotherapy training in psychiatry, psychology, and social work. Archives of General Psychiatry, 63(8), 925–934.

    Article  PubMed  Google Scholar 

  • Yoo, J., Brooks, D., & Patti, R. (2007). Organizational constructs as predictors of effectiveness in child welfare interventions. Child Welfare, 86(1), 53–78.

    PubMed  Google Scholar 

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Acknowledgments

This work was supported by funding from the NIMH (P30-MH74678-01A2; PI: Landsverk). The findings and conclusions are those of the authors and do not necessarily reflect those of the Agency for Healthcare Research and Quality.

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Correspondence to Sarah McCue Horwitz.

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Horwitz, S.M., Chamberlain, P., Landsverk, J. et al. Improving the Mental Health of Children in Child Welfare Through the Implementation of Evidence-Based Parenting Interventions. Adm Policy Ment Health 37, 27–39 (2010). https://doi.org/10.1007/s10488-010-0274-3

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