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Practices Derived from the Evidence Base for Depression Predict Disruptive Behavior Progress in Adolescent Community Mental Health Care

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Abstract

Disruptive behavior problems develop along multiple causal pathways and are associated with a wide variety of co-occurring problems, including mood disorders. In usual care, effective treatment practices for youth disruptive behavior might differ from what the efficacy research suggests, given treatment setting and population demographic differences. The current study examined whether practices derived from the evidence base for disruptive behavior and/or depressed mood predicted progress on disruptive behavior problems in an adolescent usual care sample. Monthly clinical data, including therapeutic practices, treatment targets, and progress on selected treatment targets, for 1210 youth ages 13–17 who received intensive in-home services and were treated for disruptive behavior problems were examined utilizing multilevel modeling techniques. Practices derived from the evidence base for only depressed mood and practices derived from both disruptive behavior and depressed mood literatures predicted disruptive behavior progress, while practices derived from only the disruptive behavior evidence-based literature did not. All five practice elements exclusive to depressed mood treatment predicted positive disruptive behavior progress, while two of eleven disruptive behavior practices and four of seven practices derived from both problem areas predicted positive progress. Findings held when other predictors were included as covariates, including youth age and functional impairment. Although directionality remains unclear and further research is vital, usual care settings might present barriers to disruptive behavior treatment as prescribed by the evidence base, and youth-focused treatments based on depressed mood treatments merit further examination as a potentially promising route to effective treatment in such settings.

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References

  • Baker-Ericzén, M. J., Hurlburt, M. S., Brookman-Frazee, L., Jenkins, M. M., & Hough, R. L. (2010). Comparing child, parent, and family characteristics in usual care and empirically supported treatment research samples for children with disruptive behavior disorders. Journal of Emotional and Behavioral Disorders, 18(2), 82–99.

    Google Scholar 

  • Barlow, D. H., Farchione, T. J., Sauer-Zavala, S., Latin, H. M., Ellard, K. K., Bullis, J. R., et al. (2017). Unified protocol for transdiagnostic treatment of emotional disorders: Therapist guide. Oxford: Oxford University Press.

    Google Scholar 

  • Beauchaine, T. P., Hinshaw, S. P., & Pang, K. L. (2010). Comorbidity of attention-deficit/hyperactivity disorder and early-onset conduct disorder: Biological, environmental, and developmental mechanisms. Clinical Psychology: Science and Practice, 17(4), 327–336.

    Google Scholar 

  • Borntrager, C. F., Chorpita, B. F., Orimoto, T., Love, A., & Mueller, C. W. (2013). Validity of clinician’s self-reported practice elements on the monthly treatment and progress summary. Journal of Behavioral Health Services and Research, 42(3), 367–382.

    Google Scholar 

  • Boylan, K., Vaillancourt, T., & Szatmari, P. (2012). Linking oppositional behavior trajectories to the development of depressive symptoms in childhood. Child Psychiatry & Human Development, 43, 484–497.

    Google Scholar 

  • Bradshaw, C. P., Buckley, J. A., & Ialongo, N. S. (2008). School-based service utilization among urban children with early onset educational and mental health problems: The squeaky wheel phenomenon. School Psychology Quarterly, 23, 169–186.

    Google Scholar 

  • Brookman-Frazee, L., Garland, A. F., Taylor, R., & Zoffness, R. (2009). Therapists’ attitudes towards psychotherapeutic strategies in community-based psychotherapy with children with disruptive behavior problems. Administration and Policy in Mental Health and Mental Health Services Research, 36, 1–12.

    PubMed  Google Scholar 

  • Brookman-Frazee, L., Haine, R. A., Baker-Ericzén, M., Zoffness, R., & Garland, A. F. (2010). Factors associated with use of evidence-based practice strategies in usual care youth psychotherapy. Administration and Policy in Mental Health and Mental Health Services Research, 37(3), 254–269.

    PubMed  Google Scholar 

  • Burke, J. D., Loeber, R., Lahey, B. B., & Rathouz, P. J. (2005). Developmental transitions among affective and behavioral disorders in adolescent boys. Journal of Child Psychology and Psychiatry, 46(11), 1200–1210.

    PubMed  Google Scholar 

  • Burke, J. D., Rowe, R., & Boylan, K. (2014). Functional outcomes of child and adolescent oppositional defiant disorder symptoms in young adult men. Journal of Child Psychology and Psychiatry, 55(3), 264–272.

    PubMed  Google Scholar 

  • Chambless, D. L., & Ollendick, T. H. (2001). Empirically supported psychological interventions: Controversies and evidence. Annual Review of Psychology, 52, 685–716.

    CAS  PubMed  Google Scholar 

  • Child and Adolescent Mental Health Division, Hawai’i Department of Health Child and Adolescent Mental Health Division. (2005). Service provider monthly treatment and progress summary. Honolulu, HI: Hawaii Department of Health, Child and Adolescent Mental Health Division.

    Google Scholar 

  • Child and Adolescent Mental Health Division, Hawai’i Department of Health Child and Adolescent Mental Health Division. (2008). Instructions and codebook for provider monthly treatment and progress summary. Honolulu, HI: Hawai’i Department of Health Child and Adolescent Mental Health Division.

    Google Scholar 

  • Child and Adolescent Mental Health Division, Hawai’i Department of Health Child and Adolescent Mental Health Division. (2012). Child and adolescent mental health performance standards. Retrieved from https://health.hawaii.gov/camhd

  • Cho, E., Wood, P., Taylor, E., Hausman, E., Andrews, J., & Hawley, K. (2019). Evidence-based treatment strategies in youth mental health services: Results from a National Survey of Providers. Administration and Policy in Mental Health and Mental Health Services Research, 46(1), 71–81.

    PubMed  Google Scholar 

  • Chorpita, B. F., Daleiden, E. L., Ebesutani, C., Young, J., Becker, K. D., & Nakamura, B. J. (2011). Evidence-based treatments for children and adolescents: An updated review of indicators of efficacy and effectiveness. Clinical Psychology: Science and Practice, 18(2), 154–172.

    Google Scholar 

  • Chorpita, B. F., Daleiden, E. L., & Weisz, J. R. (2005a). Identifying and selecting the common elements of evidence based interventions: A distillation and matching model. Mental Health Services Research, 7(1), 5–20.

    PubMed  Google Scholar 

  • Chorpita, B. F., Daleiden, E. L., & Weisz, J. R. (2005b). Modularity in the design and application of therapeutic interventions. Applied and Preventive Psychology, 11(3), 141–156.

    Google Scholar 

  • Copeland, W. E., Miller-Johnson, S., Keeler, G., Angold, A., & Costello, E. J. (2007). Childhood psychiatric disorders and young adult crime: A prospective, population-based study. American Journal of Psychiatry, 164(11), 1668–1675.

    Google Scholar 

  • Copeland, W. E., Shanahan, L., Costello, E. J., & Angold, A. (2009). Childhood and adolescent psychiatric disorders as predictors of young adult disorders. Archives of General Psychiatry, 66(7), 764–772.

    PubMed  PubMed Central  Google Scholar 

  • Daleiden, E., Lee, J., & Tolman, R. (2004). Annual evaluation report: Fiscal year 2004. Honolulu, HI: Hawaii Department of Health.

    Google Scholar 

  • David-Ferdon, C., & Kaslow, N. J. (2008). Evidence-based psychosocial treatments for child and adolescent depression. Journal of Clinical Child & Adolescent Psychology, 37(1), 62–104.

    Google Scholar 

  • Eyberg, S. M., Nelson, M. M., & Boggs, S. R. (2008). Evidence-based psychosocial treatments for children and adolescents with disruptive behavior. Journal of Clinical Child & Adolescent Psychology, 37(1), 215–237.

    Google Scholar 

  • Foster, E. M., Jones, D. E., & The Conduct Problems Prevention Research Group. (2005). The high costs of aggression: Public expenditures resulting from conduct disorder. American Journal of Public Health, 95(10), 1767–1772.

    PubMed  PubMed Central  Google Scholar 

  • Frick, P. J. (1998). Conduct problems. In T. H. Ollendick & M. Hersen (Eds.), Handbook of child psychopathology (pp. 213–237). New York: Plenum Press.

    Google Scholar 

  • Garland, A. F., Bickman, L., & Chorpita, B. F. (2010). Change what? Identifying quality improvement targets by investigating usual mental health care. Administration and Policy in Mental Health and Mental Health Services Research, 37(1–2), 15–26.

    PubMed  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 & Adolescent Psychiatry, 47(5), 505–514.

    Google Scholar 

  • Garland, A. F., Hough, R. L., McCabe, K. M., Yeh, M., Wood, P. A., & Aarons, G. A. (2001). Prevalence of psychiatric disorders in youths across five sectors of care. Journal of the American Academy of Child & Adolescent Psychiatry, 40(4), 409–418.

    CAS  Google Scholar 

  • Gopalan, G., Goldstein, L., Klingenstein, K., Sicher, C., Blake, C., & McKay, M. (2010). Engaging families into child mental health treatment: Updates and special considerations. Journal of the Canadian Academy of Child and Adolescent Psychiatry, 19(3), 182–196.

    PubMed  PubMed Central  Google Scholar 

  • Greco, L. A., & Eifert, G. H. (2004). Treating parent-adolescent conflict: Is acceptance the missing link for an integrative family therapy? Cognitive and Behavioral Practice, 11(3), 305–314.

    Google Scholar 

  • Heck, R. H., Thomas, S. L., & Tabata, L. N. (2013). Multilevel and longitudinal modeling with IBM SPSS: Quantitative methodology series (2nd ed.). New York, NY: Routledge.

    Google Scholar 

  • Henggeler, S. W., & Sheidow, A. J. (2012). Empirically supported family-based treatments for conduct disorder and delinquency in adolescents. Journal of Marital and Family Therapy, 38(1), 30–58.

    PubMed  Google Scholar 

  • Higa-McMillan, C. K., Nakamura, B. J., Morris, A., Jackson, D. S., & Slavin, L. (2014). Predictors of use of evidence-based practices for children and adolescents in usual care. Administration and Policy in Mental Health and Mental Health Services Research, 42(4), 373–383.

    Google Scholar 

  • Hinshaw, S. P., & Lee, S. S. (2003). Conduct and oppositional defiant disorders. In E. J. Mash & R. A. Barkley (Eds.), Child Psychopathology (pp. 144–198). New York: The Guilford Press.

    Google Scholar 

  • Hodges, K. (2000). Child and adolescent functional assessment Scale. Ypsilanti, MI: Eastern Michigan University.

    Google Scholar 

  • Hodges, K., & Gust, J. (1995). Measures of impairment for children and adolescents. The Journal of Behavioral Health Services and Research, 22(4), 403–413.

    CAS  Google Scholar 

  • Hodges, K., & Wong, M. M. (1996). Psychometric characteristics of a multidimensional measure to assess impairment: The Child and Adolescent Functional Assessment Scale. Journal of Child and Family Studies, 5(4), 445–467.

    Google Scholar 

  • Hollon, S. D., & Ponniah, K. (2010). A review of empirically supported psychological therapies for mood disorders in adults. Depression and Anxiety, 27(10), 891–932.

    PubMed  PubMed Central  Google Scholar 

  • Hurlburt, M. S., Garland, A. F., Nguyen, K., & Brookman-Frazee, L. (2010). Child and family therapy process: Concordance of therapist and observational perspectives. Administration and Policy in Mental Health and Mental Health Services Research, 37(3), 230–244.

    PubMed  Google Scholar 

  • Jackson, D. S., Keir, S. S., Sender, M., & Mueller, C. W. (2017). Reliable change and outcome trajectories across levels of care in a mental health system for youth. Administration and Policy in Mental Health and Mental Health Services Research, 44(1), 141–154.

    PubMed  Google Scholar 

  • Johnston, C., & Ohan, J. L. (1999). Externalizing disorders. In W. K. Silverman & T. H. Ollendick (Eds.), Developmental issues in the clinical treatment of children (pp. 279–294). Needham Heights, MA: Allyn & Bacon.

    Google Scholar 

  • Kaminski, J. W., & Claussen, A. H. (2017). Evidence base update for psychosocial treatments for disruptive behaviors in children. Journal of Clinical Child & Adolescent Psychology, 46(4), 477–499.

    Google Scholar 

  • Kazdin, A. E. (1997). Conduct disorder across the life-span. In S. S. Luthar, J. A. Burack, D. Cicchetti, & J. R. Weisz (Eds.), Developmental psychopathology: Perspectives on adjustment, risk, and disorder (pp. 248–272). Cambridge, UK: Cambridge University Press.

    Google Scholar 

  • Kazdin, A. E. (2015). Treatment as usual and routine care in research and clinical practice. Clinical Psychology Review, 42, 168–178.

    PubMed  Google Scholar 

  • Liu, J. (2004). Childhood externalizing behavior: Theory and implications. Journal of Child and Adolescent Psychiatric Nursing, 17(3), 93–103.

    PubMed  PubMed Central  Google Scholar 

  • Loeber, R., Burke, J. D., & Pardini, D. A. (2009). Development and etiology of disruptive and delinquent behavior. Annual Review of Clinical Psychology, 5, 291–310.

    PubMed  Google Scholar 

  • Loeber, R., & Hay, D. (1997). Key issues in the development of aggression and violence from childhood to early adulthood. Annual Review of Psychology, 48, 371–410.

    CAS  PubMed  Google Scholar 

  • Love, A. R., Mueller, C. W., Tolman, R. T., & Powell, A. K. (2014). Frequency, level, and rate of improvement for treatment targets in a children’s mental health community-based intensive in-home therapeutic setting. Administration and Policy in Mental Health and Mental Health Services Research, 41(4), 421–433.

    PubMed  Google Scholar 

  • Love, A. R., Okado, I., Orimoto, T. E., & Mueller, C. W. (2018). Factor analysis of therapist-identified treatment targets in community-based children’s mental health. Administration and Policy in Mental Health and Mental Health Services Research, 45(1), 103–120.

    PubMed  Google Scholar 

  • Milette-Winfree, M., & Mueller, C. W. (2018). Treatment-as-usual therapy targets for comorbid youth disproportionately focus on externalizing problems. Psychological Services, 15(1), 65–77.

    PubMed  Google Scholar 

  • Mueller, C., Tolman, R., Higa-McMillan, C. K., & Daleiden, E. (2010). Longitudinal predictors of youth functional improvement in a public mental health system. Journal of Behavioral Health Services and Research, 37, 350–362.

    PubMed  Google Scholar 

  • Nakamura, B. J., Daleiden, E. L., & Mueller, C. W. (2007). Validity of treatment target progress ratings as indicators of youth improvement. Journal of Child and Family Studies, 16(5), 729–741.

    Google Scholar 

  • Okamura, K. H., Nakamura, B. J., Mueller, C., Hayashi, K., & Higa-McMillan, C. (2014). An exploratory factor analysis of the knowledge of evidence-based services questionnaire. The Journal of Behavioral Health Services & Research, 43(2), 214–232.

    Google Scholar 

  • Orimoto, T. E. (2014). Predicting progress ratings on disruptive behavior targets with practices derived from the evidence-base (Unpublished doctoral dissertation). University of Hawai‘i at Mānoa, Honolulu, HI.

  • Orimoto, T. E., Higa-McMillan, C. K., Mueller, C. W., & Daleiden, E. L. (2012). Assessment of therapy practices in community treatment for children and adolescents. Psychiatric Services, 63(4), 343–350.

    PubMed  Google Scholar 

  • Orimoto, T. E., Mueller, C. W., & Nakamura, B. J. (2013, November). Fusing science and practice: Predicting progress ratings for disruptive behavior targets with practices derived from the evidence-base in community treatments. In R. Beidas & B. McLeod (Chair) and M. Southam-Gerow (Discussant), Translating evidence-based assessment and treatments for youth for deployment in community settings. Symposium presented at the annual convention of the Association for Behavioral and Cognitive Therapies, Nashville, TN.

  • Pardini, D. A., & Fite, P. J. (2010). Symptoms of conduct disorder, oppositional defiant disorder, attention-deficit/hyperactivity disorder, and callous-unemotional traits as unique predictors of psychological maladjustment in boys: Advancing an evidence base for DSM-V. Journal of the American Academy of Child & Adolescent Psychiatry, 49(11), 1134–1144.

    Google Scholar 

  • PracticeWise. (2016). Psychosocial and combined treatments coding manual. Satellite Beach, FL: PracticeWise LLC.

    Google Scholar 

  • PracticeWise (2018, Spring). Evidence-Based Youth Mental Health Services Literature Database. Satellite Beach, FL: PracticeWise, LLC.

  • Raudenbush, S. W., & Bryk, A. S. (2002). Hierarchical linear models: Applications and data analysis methods (2nd ed.). Thousand Oaks, CA: Sage Publications.

    Google Scholar 

  • Schoenwald, S. K., & Hoagwood, K. (2001). Effectiveness, transportability, and dissemination of interventions: What matters when? Psychiatric Services, 52(9), 1190–1197.

    CAS  PubMed  Google Scholar 

  • Schoenwald, S. K., Hoagwood, K. E., Atkins, M. S., Evans, M. E., & Ringeisen, H. (2010). Workforce development and the organization of work: The science we need. Administration and Policy in Mental Health Services Research, 37(1–2), 71–80.

    Google Scholar 

  • Scott, S., Knapp, M., Henderson, J., & Maughan, B. (2001). Financial cost of social exclusion: Follow up study of antisocial children into adulthood. British Medical Journal, 323, 191–194.

    CAS  PubMed  Google Scholar 

  • Singer, J. D., & Willett, J. B. (2003). Applied longitudinal data analysis: Modeling change and event occurrence. New York, NY, US: Oxford University Press.

    Google Scholar 

  • Stringaris, A. (2011). Irritability in children and adolescents: A challenge for DSM-5. European Child & Adolescent Psychiatry, 20, 61–66.

    Google Scholar 

  • Task Force on Promotion and Dissemination of Psychological Procedures D. o. C. P. (1995). Training in and dissemination of empirically validated psychological treatments: Report and recommendations. The Clinical Psychologist, 48, 3–23.

    Google Scholar 

  • Waschbusch, D. A. (2002). A meta-analytic examination of comorbid hyperactive-impulsive-attention problems and conduct problems. Psychological Bulletin, 128(1), 118–150.

    PubMed  Google Scholar 

  • Webster-Stratton, C., Reid, J., & Hammond, M. (2001). Social skills and problem-solving training for children with early-onset conduct problems: Who benefits? The Journal of Child Psychology and Psychiatry and Allied Disciplines, 42(7), 943–952.

    CAS  Google Scholar 

  • Weersing, V. R., Jeffreys, M., Do, M. T., Schwartz, K. T., & Bolano, C. (2017). Evidence base update of psychosocial treatments for child and adolescent depression. Journal of Clinical Child & Adolescent Psychology, 46(1), 11–43.

    Google Scholar 

  • Weisz, J. R., Jensen-Doss, A., & Hawley, K. M. (2005). Youth psychotherapy outcome research: A review and critique of the evidence base. Annual Review of Psychology, 56(1), 337–363.

    PubMed  Google Scholar 

  • Weisz, J. R., Ng, M. Y., & Bearman, S. K. (2014). Odd couple? Reenvisioning the relation between science and practice in the dissemination-implementation era. Clinical Psychological Science, 2(1), 58–74.

    Google Scholar 

  • Wilkie, D. P., Cicero, D. C., & Mueller, C. W. (2018). Disruptive behavior treatment progress as a function of therapy focus and youth diagnosis in a community mental health setting. Administration and Policy in Mental Health and Mental Health Services Research, 45(3), 484–494.

    PubMed  Google Scholar 

  • Wootton, J. M., Frick, P. J., Shelton, K. K., & Silverthorn, P. (1997). Ineffective parenting and childhood conduct problems: The moderating role of callous-unemotional traits. Journal of Consulting and Clinical Psychology, 65(2), 301–308.

    CAS  PubMed  Google Scholar 

  • Zoccolillo, M., Pickles, A., Quinton, D., & Rutter, M. (1992). The outcome of childhood conduct disorder: Implications for defining adult personality disorder and conduct disorder. Psychological Medicine, 22, 971–986.

    CAS  PubMed  Google Scholar 

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Acknowledgements

This study was supported in part from a research and evaluation contract awarded to the second author by the State of Hawaii Department of Health, Child and Adolescent Mental Health Division.

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  1. Department of Psychology, University of Hawai`i at Mānoa, 2530 Dole Street, Sakamaki C400, Honolulu, HI, 96822, USA

    Daniel P. Wilkie & Charles W. Mueller

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  1. Daniel P. Wilkie
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Correspondence to Daniel P. Wilkie.

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Wilkie, D.P., Mueller, C.W. Practices Derived from the Evidence Base for Depression Predict Disruptive Behavior Progress in Adolescent Community Mental Health Care. Adm Policy Ment Health 48, 219–232 (2021). https://doi.org/10.1007/s10488-020-01068-5

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