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Consistency with Evidence-Based Treatments and Perceived Effectiveness of Children’s Community-Based Care

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Abstract

This study examined whether delivery of psychotherapeutic strategies consistent with common elements of evidence-based (EB) treatments for child disruptive behavior problems was associated with parents’ report of treatment effectiveness. The intensity of delivery of practice elements consistent with EB treatments was coded from a random sample of 538 videotaped psychotherapy sessions with 157 children/families and 75 therapists from six community-based clinics. Multilevel regression analyses tested whether intensity of EB practice elements was associated with parents’ report of treatment effectiveness after 4 months, controlling for intensity of other practice elements. Results indicate parents reported greater perceived treatment effectiveness when community-based treatment included more intensive delivery of practice elements consistent with EB treatments to children. These findings may reassure providers about the acceptability of EB practice elements and may motivate efforts to integrate EB practice elements more intensively into community-based care.

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Acknowledgments

Preparation of this article was supported by the following NIMH grants: R01-MH66070; K23-MH080149; K23-MH077584. The authors thank Michael Hurlburt, Ph.D. for comments on an earlier draft of the manuscript, Scott Roesch, Ph.D. for assistance with data analysis, William Ganger, MA for assistance with data management, Deb Dupuis, MPH and Robin Taylor for project management, and the families and therapists who participated in this study.

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Authors and Affiliations

  1. San Diego State University, 3020 Children’s Way MC 5033, San Diego, CA, 92123, USA

    Rachel Haine-Schlagel

  2. University of California, San Diego, 3020 Children’s Way MC 5033, San Diego, CA, 92123, USA

    Danielle L. Fettes, Lauren Brookman-Frazee & Ann F. Garland

  3. School of Social Policy and Practice, University of Pennsylvania, 3701 Locust Walk, Philadelphia, PA, 19104-6214, USA

    Antonio R. Garcia

  4. University of San Diego, 3020 Children’s Way MC 5033, San Diego, CA, 92123, USA

    Ann F. Garland

  5. Child and Adolescent Services Research Center, 3020 Children’s Way MC 5033, San Diego, CA, 92123, USA

    Rachel Haine-Schlagel, Danielle L. Fettes, Antonio R. Garcia, Lauren Brookman-Frazee & Ann F. Garland

Authors
  1. Rachel Haine-Schlagel
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  2. Danielle L. Fettes
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  3. Antonio R. Garcia
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  4. Lauren Brookman-Frazee
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  5. Ann F. Garland
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Correspondence to Rachel Haine-Schlagel.

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Haine-Schlagel, R., Fettes, D.L., Garcia, A.R. et al. Consistency with Evidence-Based Treatments and Perceived Effectiveness of Children’s Community-Based Care. Community Ment Health J 50, 158–163 (2014). https://doi.org/10.1007/s10597-012-9583-1

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  • DOI: https://doi.org/10.1007/s10597-012-9583-1

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