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Community-Based Treatment for Youth with Co- and Multimorbid Disruptive Behavior Disorders

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Abstract

Little is known about the types of psychotherapeutic practices delivered to youth with comorbid and multimorbid diagnoses in community settings. The present study, based on therapists’ self-reported practices with 569 youth diagnosed with a disruptive behavior disorder (ODD or CD), examined whether specific therapeutic practice applications varied as a function of the number and type of comorbid disorders. While type of comorbid disorder (AD/HD or internalizing) did not predict therapists’ practices, youth with more than two diagnoses (multimorbid) received treatment characterized by a more diverse set and a higher dosage of practices.

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Notes

  1. Total CAFAS scores were examined as potential covariates for both study questions. However, they were not significantly related to diversity and dosage scores, length of treatment episode, client age, or client gender. As a result, total CAFAS score was not considered as a theoretically relevant covariate and was not included in any GLM analyses.

  2. Only 51 of the possible 63 PEs were examined via χ2, as 12 of the PEs had an insufficient sample size for adequate analyses.

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Acknowledgments

Dr. Mueller received a research and evaluation contract from the State of Hawai’i Department of Health, Child and Adolescent Mental Health Division (email: cmueller@hawaii.edu, phone: 808-956-9559). Results from this study have not been presented elsewhere. The authors wish to thank Ryan Tolman, M.A. for his contribution to this paper.

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  1. Department of Psychology, University of Hawai’i at Mānoa, 2530 Dole Street, Sakamaki C 400, Honolulu, HI, 96822-2294, USA

    Trina E. Orimoto, Charles W. Mueller, Kentaro Hayashi & Brad J. Nakamura

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  1. Trina E. Orimoto
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  2. Charles W. Mueller
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  3. Kentaro Hayashi
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  4. Brad J. Nakamura
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Correspondence to Trina E. Orimoto.

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Orimoto, T.E., Mueller, C.W., Hayashi, K. et al. Community-Based Treatment for Youth with Co- and Multimorbid Disruptive Behavior Disorders. Adm Policy Ment Health 41, 262–275 (2014). https://doi.org/10.1007/s10488-012-0464-2

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