Skip to main content
Mijn bibliotheek
Shop
Nieuws Boeken Tijdschriften Toetsvragen Web-tv Video Audio
Tips voor Mijn BSL
Inloggen
Top
Journal of Rational-Emotive & Cognitive-Behavior Therapy
Gepubliceerd in:

27-12-2016

Care for a Change? Tiered CBT for Youth

Auteur: Robert D. Friedberg

Gepubliceerd in: Journal of Rational-Emotive & Cognitive-Behavior Therapy | Uitgave 3/2017

Log in om toegang te krijgen
share
DELEN

Deel dit onderdeel of sectie (kopieer de link)

  • Optie A:
    Klik op de rechtermuisknop op de link en selecteer de optie “linkadres kopiëren”
  • Optie B:
    Deel de link per e-mail
    Link delen
publish
Publiceer nu

Abstract

The third decade of the twenty-first century will likely ring in dramatic changes in the delivery of behavioral health care to young patients and their families. Clinical interventions will have to be effective, accountable, and cost efficient. Fortunately, cognitive behavioral therapy (CBT) spectrum approaches are well suited to these emerging imperatives. However, cognitive behaviorally oriented clinicians and administrators will need to implement well-established methods in new service provision channels. This article presents a tiered care model that incorporates common elements contained in modular CBT packages. The basics of tiered care and the Modular Approach to Therapy with Children with Anxiety, Depression, Trauma and Conduct Problems follow. Keys for uniting common CBT elements into tiered care are delineated. A simple, transparent stratified care system is presented. Three confabulated cases augment the description of the approach. The article concludes with recommendations for administering a stratified care system.
vorige artikel When REBT Goes Difficult: Applying ABC-DEF to Personality Disorders
volgende artikel A Cognitive-Behavioral-Based Workshop Intervention for Maladaptive Perfectionism
Literatuur
Ali, M. M., Teich, J., Woodward, A., & Han, B. (2016). The implications of the Affordable Care Act for behavioral health utilization. Administration and Policy in Mental Health Research and Services, 43, 11–22.CrossRef
Asarnow, J. R., Hoagwood, K. E., Stancin, T., Lochman, J., Hughes, J. L., Miranda, J. M., et al. (2015). Psychological science and innovative strategies for informing health care redesign: A policy brief. Journal of Clinical Child and Adolescent Psychology, 44, 923–932.CrossRefPubMedPubMedCentral
Bearman, S. K., & Weisz, J. R. (2015). Review: Comprehensive treatments for youth co-morbidity: Evidence guided approaches to a complicated problem. Child and Adolescent Mental Health, 20, 131–141.CrossRefPubMedPubMedCentral
Beck, A. T. (1996). The beck depression inventory-2. San Antonio, TX: Psychological Corporation.
Becker, K. D., Chorpita, B. F., & Daleiden, E. L. (2014). Coordinating people and knowledge: Efficiency in the context of the Patient Protection and Affordable Care Act. Clinical Psychology: Science and Practice, 21, 106–112.
Becker, K. D., Lee, B. R., Daleiden, E. L., Lindsey, M., Brandt, N. E., & Chorpita, B. F. (2015). The common elements of engagement in children’s mental health services: Which elements for which outcomes? Journal of Clinical Child and Adolescent Psychology, 44, 30–43.CrossRefPubMed
Beecham, J. (2014). Annual research review: Child and adolescent mental health interventions: A review of progress in economic studies across different disorders. Journal of Child Psychology and Psychiatry, 55, 714–732.CrossRefPubMedPubMedCentral
Beidas, R. S., Stewart, R. E., Walsh, L., Lucas, S., Downey, M. M., Jackson, K., et al. (2015). Free, brief, and validated: Standardized instruments for low-resource mental health settings. Cognitive and Behavioral Practice, 22, 5–19.CrossRefPubMedPubMedCentral
Bennett-Levy, J., Richards, D. A., & Farrand, P. (2010). Low intensity CBT interventions: A revolution in mental health care. In J. Bennett-Levy, D. A. Richards, P. Farrand, H. Christensen, K. M. Griffiths, D. J. Kavanaugh, et al. (Eds.), Oxford guide to low intensity CBT interventions (pp. 3–19). Oxford: Oxford University Press.CrossRef
Berner, M., Gunzler, C., Frick, K., Kriston, L., Loessl, B., Bruck, R., et al. (2008). Finding the ideal place for a psychotherapeutic intervention in stepped care approaches-a brief overview of the literature and preliminary results from the Project PREDICT. International Journal of Methods in Psychiatric Research, 17(S1), S60–S64.CrossRefPubMed
Berwick, D. M., Nolan, T. W., & Whittington, J. (2008). The triple aim: Care, health, and cost. Health Affairs, 27, 759–769.CrossRefPubMed
Birmaher, B., Khetarpal, S., Brent, D. A., Cully, M., Balach, L., Kaufman, J., et al. (1997). The Screen for Child Anxiety Related Emotional Disorders (SCARED): Scale construction and psychometric characteristics. Journal of the American Academy of Child and Adolescent Psychiatry, 36, 545–553.CrossRefPubMed
Bower, P., & Gilbody, S. (2005). Stepped care in psychological therapies: Access, effectiveness, and efficiency. British Journal of Psychiatry, 186, 11–17.CrossRefPubMed
Bower, P., Gilbody, S., & Barkham, M. (2006). Making decisions about patient progress: The application of routine outcome measurement in stepped care psychological therapy services. Primary Care and Mental Health, 4, 21–28.
Brown, T. E., Reding, M. E. J., & Chorpita, B. F. (2015). The uncertain steps on the certain path toward progress: Some guesses about the future of cognitive and behavioral therapies. The Behavior Therapist, 38, 144–147, 149.
Chiu, A. W., Langer, D. A., McLeod, B. D., Har, D., Drahota, A., Galla, B. M., et al. (2013). Effectiveness of modular CBT for child anxiety in elementary school. School Psychology Quarterly, 28, 141–153.CrossRefPubMedPubMedCentral
Chorpita, B. F., & Daleiden, E. L. (2009). Mapping evidence-based treatments for children and adolescents: Applications of the distillation and matching model to 615 treatment from 322 randomized trials. Journal of Consulting and Clinical Psychology, 77, 566–577.CrossRefPubMed
Chorpita, B. F., Park, A., Tsai, K., Korathu-Larson, P., Higa-McMillan, C. K., Nakamura, B. J., et al. (2015). Balancing effectiveness with responsiveness: Therapist satisfaction across different treatment designs in the Child STEPS randomized effectiveness trials. Journal of Consulting and Clinical Psychology, 83, 709–718.CrossRefPubMed
Chorpita, B. F., Reise, S., Weisz, J. R., Grubbs, K., Becker, K. D., Krull, J. L., et al. (2010). Evaluation of the Brief Problem Checklist: Child and caregiver interviews to measure clinical progress. Journal of Consulting and Clinical Psychology, 78, 526–536.CrossRefPubMed
Chorpita, B. F., & Weisz, J. R. (2009). Modular approach to therapy for children with anxiety, depression, trauma or conduct problems (MATCH-ADTC). Satellite Beach, FL: Practice-Wise.
Chorpita, B. F., Weisz, J. R., Daleiden, E. L., Schoenwald, S. K., Palinkas, L., Miranda, J. M., et al. (2013). Long-term outcomes for the Child STEPS randomized effectiveness trial: A comparison of modular versus standard treatment design with usual care. Journal of Consulting and Clinical Psychology, 81, 999–1009.CrossRefPubMed
Clarke, G., Lynch, F., Spofford, M., & Debar, L. (2006). Trends in influencing future delivery of mental health services in large healthcare systems. Clinical Psychology: Science and practice, 13, 287–292.
Forgatch, M. S., & Patterson, G. R. (2010). Parent Management Training—Oregon Model: An intervention for anti-social behavior in children and adolescents. In J. R. Weisz & A. E. Kazdin (Eds.), Evidence-based psychotherapies for children and adolescents (2nd ed., pp. 159–178). New York: Guilford.
Frazier, S. L., Bearman, S. K., Garland, A. F., & Atkins, M. S. (2014). Dissemination and implementation in children’s mental health: Closing the research to training gap. In R. S. Beidas & P. C. Kendall (Eds.), Dissemination and implementation of evidence-based practices in child and adolescent mental health (pp. 98–123). Oxford: Oxford University Press.
Friedberg, R. D., McClure, J. M., & Garcia, J. H. (2009). Cognitive therapy techniques for children and adolescents. New York: Guilford.
Glasgow, R. E. (2013). What does it mean to be pragmatic: Pragmatic methods, measures, and models to facilitate translation. Health Education and Behavior, 40, 257–263.CrossRefPubMed
Glasgow, R. E., & Riley, W. T. (2013). Pragmatic measures: What they are and why might we need them. American Journal of Preventive Medicine, 45, 237–243.CrossRefPubMed
Goodman, R. (1997). The strengths and difficulties questionnaire: A research note. Journal of Child Psychology and Psychiatry, 38, 581–586.CrossRefPubMed
Hayes, S. C. (2016). The situation has clearly changed: So what are we going to do about it? Cognitive and Behavioral Practice, 23, 446–450.CrossRef
Janicke, D. M., Fritz, A. M., & Rozensky, R. M. (2015). Healthcare reform and preparing the future clinical child and adolescent psychology workforce. Journal of Clinical Child and Adolescent Psychology, 44, 1030–1039.CrossRefPubMed
Kazdin, A. E. (2008). The Kazdin method for parenting the defiant child. Boston, MA: Houghton Mifflin.
Kazdin, A. E., & Rabbitt, S. M. (2013). Novel models for delivering mental health services and reducing the burdens of mental illness. Clinical Psychological Science, 1, 170–191.CrossRef
Kolko, D., & Perrin, E. E. (2014). The integration of behavioral health administration interventions in children’s health care: Services, science, and suggestions. Journal of Clinical Child and Adolescent Psychology, 43, 216–228.CrossRefPubMedPubMedCentral
Kovacs, M. (2010). The children’s depression inventory-2. North Tonawanda, NY: Multi-Health Systems.
Lipton, R. B., Stewart, W. F., Stone, A. M., Lainez, M. J., & Sawyer, J. C. (2000). Stratified care v. step care strategies for migraines: The Disability in Strategies of Care study. Journal of the American Medical Association, 284, 2599–2605.CrossRefPubMed
March, J. S. (2012). Multi-dimensional anxiety scale for children-2. North Tonawanda, NY: Multi-Health Systems.
Miller, A. (2015). The business of CBT. Mini-workshop presented at the 49th annual meeting of the Association of Behavioral and Cognitive Therapies, Chicago, IL.
Papworth, M., Marrinan, T., Martin, B., Keegan, D., & Chaddock, A. (2013). Low intensity cognitive behavior therapy. Thousand Oaks, CA: Sage.
Park, A. L., Tsai, K. H., Guan, K., Reding, M. E. J., Chorpita, B. F., Weisz, J. R., et al. (2016). Service use findings from the Child STEPS effectiveness trail: Additional support for modular designs. Administration and Policy in Mental Health Services and Research, 43, 135–140.CrossRef
Richards, D. A., Bower, P., Pagel, C., Wever, A., Utley, M., Cape, J., et al. (2012). Delivering stepped care: An analysis of implementation in routine practice. Implementation Science, 7, 3.CrossRefPubMedPubMedCentral
Salloum, A., Wang, W., Robst, J., Murphy, T. K., Scheeringa, M. S., Cohen, J. A., et al. (2016). Stepped care versus standard trauma-focused cognitive behavioral therapy for young children. Journal of Child Psychology and Psychiatry, 57, 614–622.CrossRefPubMed
Swanson, J. M., Sandman, C. A., Deutch, C. K., & Baren, M. (1983). Methylphenidate hydrochloride given with or before breakfast: I Behavioral, cognitive, and electrophysiologic effects. Pediatrics, 72, 49–55.PubMed
Taylor, E. (2014). Commentary: Do clinicians need health economics?: A commentary on Beecham. Journal of Child Psychiatry and Psychology, 55, 733–735.CrossRef
Tolin, D. F., Diefenbach, G. J., & Gillham, C. M. (2011). Stepped care versus standard cognitive behavioral therapy for obsessive-compulsive disorder: Preliminary study of efficacy and costs. Depression and Anxiety, 28, 314–323.CrossRefPubMedPubMedCentral
Tolin, D. F., Diefenbach, G. J., Maltby, N., & Hannan, S. E. (2010). Stepped care of obsessive-compulsive disorder: A pilot study. Cognitive and Behavioral Practice, 12, 403–414.CrossRef
Tolin, D. F., McKay, D., Forman, E., & Thombs, B. D. (2015). Empirically supported treatment: Recommendations for a new model. Clinical Psychology: Science and Practice, 22, 317–328.
Ularntinon, S., Friedberg, R. D., Behar, S., & Paternostro, J. (2016). Fit to practice: Augmenting modular cognitive behavioral procedures with case conceptualization. Current Psychiatry Reviews, 12, 97–104.CrossRef
Van der Leeden, A. J. M., Van Widenfelt, B. M., Van der Leeden, R., Liber, J. M., Utens, E. M., & Treffers, P. D. A. (2011). Stepped care cognitive behavioral therapy for children with anxiety disorders: A new treatment approach. Behavioural and Cognitive Psychotherapy, 39, 55–75.CrossRefPubMed
Webster-Stratton, C., & Reid, M. J. (2010). The incredible years parents, teachers, and children training series: A multifaceted treatment approach for young children with conduct problems. In J. R. Weisz & A. E. Kazdin (Eds.), Evidence-based psychotherapies for children and adolescents (pp. 194–210). New York: Guilford.
Weisz, J. R., & Chorpita, B. F. (2012). “Mod squad” for youth psychotherapy: Restructuring evidence-based treatment for clinical practice. In P. C. Kendall (Ed.), Child and adolescent therapy: Cognitive-behavioral procedures (pp. 379–397). New York: Guilford.
Weisz, J. R., Chorpita, B. F., Palinkas, L. A., Schoenwald, S. K., Miranda, J., & Bearman, S. K. (2012). Testing standard and modular designs for psychotherapy teating depression, anxiety, and conduct problems in youth: A randomized effectiveness trail. Archives of General Psychiatry, 69, 274–282.CrossRefPubMed
Weisz, J. R., & Kazdin, A. E. (Eds.). (2015). Evidence-based psychotherapies for children and adolescents (2nd ed.). New York: Guilford.
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, 39–63.CrossRef
Williams, C., & Martinez, R. (2008). Increased access to CBT: Stepped care and CBT self-help models in practice. Behavioural and Cognitive Psychotherapy, 36, 675–683.CrossRef
Zisser, A., & Eyberg, S. E. (2010). Parent-child interaction therapy and the treatment of disruptive behavior disorders. In J. R. Weisz & A. E. Kazdin (Eds.), Evidence-based psychotherapies for children and adolescents (pp. 179–193). New York: Guilford.
Metagegevens
Titel
Care for a Change? Tiered CBT for Youth
Auteur
Robert D. Friedberg
Publicatiedatum
27-12-2016
Uitgeverij
Springer US
Gepubliceerd in
Journal of Rational-Emotive & Cognitive-Behavior Therapy / Uitgave 3/2017
Print ISSN: 0894-9085
Elektronisch ISSN: 1573-6563
DOI
https://doi.org/10.1007/s10942-016-0260-0

Andere artikelen Uitgave 3/2017

Emotion Ideology Mediates Effects of Risk Factors on Alexithymia Development

A Cognitive-Behavioral-Based Workshop Intervention for Maladaptive Perfectionism

Coping Style as a Moderator of Perfectionism and Suicidal Ideation Among Undergraduate Students

Irrational and Metacognitive Beliefs Mediate the Relationship Between Content Beliefs and GAD Symptoms: A Study on a Normal Population

When REBT Goes Difficult: Applying ABC-DEF to Personality Disorders