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MATCHing Treatment to the School Context: School-Based Implementation of Transdiagnostic, Modular Psychotherapy

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Handbook of School Mental Health

Part of the book series: Issues in Clinical Child Psychology ((ICCP))

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Abstract

Schools are a primary provider of mental health services, and school-based treatment unquestionably increases access to care for many young people. However, the increased access is combined with certain implementation challenges that must be addressed for the successful application of evidence-based treatments (EBTs). In this chapter, we describe our implementation of a transdiagnostic, modular treatment, called Modular Approach to Therapy for Children with Anxiety, Depression, Traumatic Stress or Conduct Problems (MATCH), which was designed for flexibility and personalization—attributes that may be helpful in addressing some of the challenges of school-based care. We describe both opportunities and challenges we have encountered when implementing MATCH in schools, and we note several lessons learned during the project that may help inform future efforts to implement transdiagnostic, modular treatments in schools.

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References

  • Atkins, M. S., Hoagwood, K. E., Kutash, K., & Seidman, E. (2010). Toward the integration of education and mental health in schools. Administration and Policy in Mental Health and Mental Health Services Research, 37(1–2), 40–47.

    Article  PubMed  Google Scholar 

  • Beidas, R. S., Edmunds, J. E., Marcus, S. C., & Kendall, P. C. (2012). Training and consultation to promote implementation of an empirically supported treatment: A randomized trial. Psychiatric Services, 63(7), 660–665. https://doi.org/10.1176/appi.ps.201100401

    Article  PubMed  Google Scholar 

  • Bruns, E. J., Duong, M. T., Lyon, A. R., Pullmann, M. D., Cook, C. R., Cheney, D., & McCauley, E. (2016). Fostering SMART partnerships to develop an effective continuum of behavioral health services and supports in schools. American Journal of Orthopsychiatry, 86(2), 156–170.

    Article  PubMed  Google Scholar 

  • Chorpita, B. F., & Weisz, J. R. (2009). Modular approach to therapy for children with anxiety, depression, trauma, or conduct problems (MATCH-ADTC). PracticeWise, LLC.

    Google Scholar 

  • Chorpita, B. F., Daleiden, E. L., & Weisz, J. R. (2005). Modularity in the design and application of therapeutic interventions. Applied and Preventive Psychology, 11(3), 141–156. https://doi.org/10.1016/j.appsy.2005.05.002

    Article  Google Scholar 

  • Chorpita, B. F., Weisz, J. R., Daleiden, E. L., Schoenwald, S. K., Palinkas, L. A., Miranda, J., Higa-McMillan, C. K., Nakamura, B. J., Austin, A. A., Borntrager, C. F., Ward, A., Wells, K. C., Gibbons, R. D., & Research Network on Youth Mental Health. (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(6), 999–1009. https://doi.org/10.1037/a0034200

    Article  PubMed  Google Scholar 

  • Chorpita, B. F., Daleiden, E. L., Park, A. L., Ward, A. M., Levy, M. C., Cromley, T., Chiu, A. W., Letamendi, A. M., Tsai, K. H., & Krull, J. L. (2017). Child STEPs in California: A cluster randomized effectiveness trial comparing modular treatment with community implemented treatment for youth with anxiety, depression, conduct problems, or traumatic stress. Journal of Consulting and Clinical Psychology, 85(1), 13–25. https://doi.org/10.1037/ccp0000133

    Article  PubMed  Google Scholar 

  • Corteselli, K. A., Hollinsaid, N. L., Harmon, S. L., Bonadio, F. T., Weisz, J. R., Westine, M., & Price, M. (2020). School counselor perspectives on implementing a modular treatment for youth. Evidence-Based Practice in Child and Adolescent Mental Health, 5(3), 271–287. https://doi.org/10.1080/23794925.2020.1765434

    Article  Google Scholar 

  • Deighton, J., Lereya, S., Casey, P., Patalay, P., Humphrey, N., & Wolpert, M. (2019). Prevalence of mental health problems in schools: Poverty and other risk factors among 28 000 adolescents in England. British Journal of Psychiatry, 215(3), 565–567. https://doi.org/10.1192/bjp.2019.19

    Article  Google Scholar 

  • Eiraldi, R., Wolk, C. B., Locke, J., & Beidas, R. (2015). Clearing hurdles: The challenges of implementation of mental health evidence-based practices in under resourced schools. Advances in School Mental Health Promotion, 8(3), 124–140.

    Article  PubMed  PubMed Central  Google Scholar 

  • Evans, S. W., & Weist, M. D. (2004). Implementing empirically supported treatments in the schools: What are we asking? Clinical Child and Family Psychology Review, 7(4), 263–267. https://doi.org/10.1007/s10567-004-6090-0

    Article  PubMed  Google Scholar 

  • Farmer, E. M., 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. https://doi.org/10.1176/appi.ps.54.1.60

    Article  PubMed  Google Scholar 

  • Fazel, M., Hoagwood, K., Stephan, S., & Ford, T. (2014). Mental health interventions in schools in high-income countries. Lancet Psychiatry, 1(5), 377–387. https://doi.org/10.1016/S2215-0366(14)70312-8

    Article  PubMed  PubMed Central  Google Scholar 

  • Graczyk, P. A., Domitrovich, C. E., & Zins, J. E. (2003). Facilitating the implementation of evidence-based prevention and mental health promotion efforts in schools. In M. D. Weist, S. W. Evans, & N. A. Lever (Eds.), Handbook of school mental health advancing practice and research. Issues in clinical child psychology. Springer. https://doi.org/10.1007/978-0-387-73313-5_21

    Chapter  Google Scholar 

  • Green, J. G., McLaughlin, K. A., AlegrĂ­a, M., Costello, E. J., Gruber, M. J., Hoagwood, K., Leaf, P. J., Olin, S., Sampson, N. A., & Kessler, R. C. (2013). School mental health resources and adolescent mental health service use. Journal of the American Academy of Child and Adolescent Psychiatry, 52(5), 501–510. https://doi.org/10.1016/j.jaac.2013.03.002

    Article  PubMed  PubMed Central  Google Scholar 

  • Harmon, S. L., Price, M. A., Corteselli, K. A., Lee, E. H., Metz, K., Bonadio, F. T., Hersh, J., Marchette, L. K., RodrĂ­guez, G. M., Raftery-Helmer, J., Thomassin, K., Bearman, S. K., Jensen-Doss, A., Evans, S. C., & Weisz, J. R. (2021). Evaluating a modular approach to therapy for children with anxiety, depression, trauma or conduct problems (MATCH-ADTC) in school-based mental health care: Study protocol for a randomized controlled trial. Frontiers in Psychology. https://doi.org/10.3389/fpsyg.2021.639493

  • Kataoka, S., Stein, B. D., Nadeem, E., & Wong, M. (2007). Who gets care? Mental health service use following a school-based suicide prevention program. Journal of the American Academy of Child & Adolescent Psychiatry, 46(10), 1341–1348. https://doi.org/10.1097/chi.0b013e31813761fd

    Article  Google Scholar 

  • Langley, A. K., Nadeem, E., Kataoka, S. H., Stein, B. D., & Jaycox, L. H. (2010). Evidence-based mental health programs in schools: Barriers and facilitators of successful implementation. School Mental Health, 2, 105–113. https://doi.org/10.1007/s12310-010-9038-1

    Article  PubMed  PubMed Central  Google Scholar 

  • Lyon, A. R., Charlesworth-Attie, S., Vander Stoep, A., & McCauley, E. (2011). Modular psychotherapy for youth with internalizing problems: Implementation with therapists in school-based health centers. School Psychology Review, 40(4), 569–581.

    Article  Google Scholar 

  • Lyon, A. R., Ludwig, K., Romano, E., Koltracht, J., Vander Stoep, A., & McCauley, E. (2014). Using modular psychotherapy in school mental health: Provider perspectives on intervention-setting fit. Journal of Clinical Child & Adolescent Psychology, 43(6), 890–901. https://doi.org/10.1080/15374416.2013.843460

    Article  Google Scholar 

  • Lyon, A. R., Munson, S. A., Renn, B. N., Atkins, D. C., Pullmann, M. D., Friedman, E., & Areán, P. A. (2019). Use of human-centered design to improve implementation of evidence-based psychotherapies in low-resource communities: Protocol for studies applying a framework to assess usability. JMIR Research Protocols, 8(10), e14990. https://doi.org/10.2196/14990

    Article  PubMed  PubMed Central  Google Scholar 

  • Lyon, A. R., Koerner, K., & Chung, J. (2020). Usability evaluation for evidence-based psychosocial interventions (USE-EBPI): A methodology for assessing complex intervention implementability. Implementation Research and Practice, 1. https://doi.org/10.1177/2633489520932924

  • Mellin, E. A., & Weist, M. D. (2011). Exploring school mental health collaboration in an urban community: A social capital perspective. School Mental Health, 3(2), 81–92.

    Article  Google Scholar 

  • Merry, S. N., Hopkins, S., Lucassen, M. F. G., et al. (2020). Effect of clinician training in the modular approach to therapy for children vs usual care on clinical outcomes and use of empirically supported treatments: A randomized clinical trial. JAMA Network Open, 3(8), e2011799. https://doi.org/10.1001/jamanetworkopen.2020.11799

    Article  PubMed  PubMed Central  Google Scholar 

  • Ng, M. Y., & Weisz, J. R. (2016). Building a science of personalized intervention for youth mental health. Journal of Child Psychology and Psychiatry, and Allied Disciplines, 57(3), 216–236. https://doi.org/10.1111/jcpp.12470

    Article  PubMed  Google Scholar 

  • Park, A. L., Moskowitz, A. L., & Chorpita, B. F. (2018). Community-based providers’ selection of practices for children with comorbid mental health problems. Journal of Clinical Child and Adolescent Psychology, 47(5), 796–807.

    Article  PubMed  Google Scholar 

  • Powell, B. J., Patel, S. V., Haley, A. D., Haines, E. R., Knocke, K. E., Chandler, S., Katz, C. C., Seifert, H. P., Ake, G., Amaya-Jackson, L., & Aarons, G. A. (2020). Determinants of implementing evidence-based trauma-focused interventions for children and youth: A systematic review. Administration and Policy in Mental Health and Mental Health Services Research, 47(5), 705–719. https://doi.org/10.1007/s10488-019-01003-3

    Article  PubMed  Google Scholar 

  • Strein, W., Hoagwood, K., & Cohn, A. (2003). School psychology: A public health perspective. I. Prevention, populations, and systems change. Journal of School Psychology, 41(1), 23–38. https://doi.org/10.1016/S0022-4405(02)00142-5

    Article  Google Scholar 

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

    Article  PubMed  Google Scholar 

  • Weisz, J. R., Chorpita, B. F., Palinkas, L. A., 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(3), 274–282. https://doi.org/10.1001/archgenpsychiatry.2011.147

    Article  PubMed  Google Scholar 

  • Weisz, J. R., Kuppens, S., Eckshtain, D., Ugueto, A. M., Hawley, K. M., & Jensen-Doss, A. (2013). Performance of evidence-based youth psychotherapies compared with usual clinical care: A multilevel meta-analysis. JAMA Psychiatry, 70(7), 750–761. https://doi.org/10.1001/jamapsychiatry.2013.1176

    Article  PubMed  Google Scholar 

  • Weisz, J. R., Krumholz, L. S., Santucci, L., Thomassin, K., & Ng, M. Y. (2015). Shrinking the gap between research and practice: Tailoring and testing youth psychotherapies in clinical care contexts. Annual Review of Clinical Psychology, 11, 139–163. https://doi.org/10.1146/annurev-clinpsy-032814-112820

    Article  PubMed  Google Scholar 

  • Weisz, J. R., Kuppens, S., Ng, M. Y., Eckshtain, D., Ugueto, A. M., Vaughn-Coaxum, R., et al. (2017). What five decades of research tells us about the effects of youth psychological therapy: A multilevel meta-analysis and implications for science and practice. American Psychologist, 72, 79–117. https://doi.org/10.1037/a0040360

    Article  PubMed  Google Scholar 

  • Weisz, J. R., Bearman, S. K., Ugueto, A. M., Herren, J. A., Evans, S. C., Cheron, D. M., Alleyne, A. R., Weissman, A. S., Tweed, J. L., Pollack, A. A., Langer, D. A., Southam-Gerow, M. A., Wells, K. C., & Jensen-Doss, A. (2020). Testing robustness of child steps effects with children and adolescents: A randomized controlled effectiveness trial. Journal of Clinical Child and Adolescent Psychology, 49(6), 883–896. https://doi.org/10.1080/15374416.2019.1655757

    Article  PubMed  Google Scholar 

  • Yohannan, J., & Carlson, J. S. (2019). A systematic review of school-based interventions and their outcomes for youth exposed to traumatic events. Psychology in the Schools, 56(3), 447–464. https://doi.org/10.1002/pits.22202

    Article  Google Scholar 

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Correspondence to Sherelle Harmon .

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Harmon, S., Price, M., Wei, M., Weisz, J. (2023). MATCHing Treatment to the School Context: School-Based Implementation of Transdiagnostic, Modular Psychotherapy. In: Evans, S.W., Owens, J.S., Bradshaw, C.P., Weist, M.D. (eds) Handbook of School Mental Health. Issues in Clinical Child Psychology. Springer, Cham. https://doi.org/10.1007/978-3-031-20006-9_32

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