Abstract
We examined practitioners’ use of the transdiagnostic Modular Approach to Therapy for Children (MATCH) 7 years after learning MATCH for a clinical trial. The practitioners (N = 29; Mage = 52.10, SD = 12.29, 86% women, 97% white) reported using MATCH with 55% of their caseload; use of the various MATCH modules ranged from 39 to 70%. Use was positively associated with amount of MATCH experience in the trial, perceived effectiveness, and ease of implementation. Patterns of specific module use did not consistently match strength of prior evidence (e.g., exposure was least used of the anxiety modules), suggesting challenges for implementation science.
Similar content being viewed by others
References
Aarons, G. A., & Palinkas, L. A. (2007). Implementation of evidence-based practice in child welfare: Service provider perspectives. Administration and Policy in Mental Health and Mental Health Services Research, 34, 411–419. https://doi.org/10.1007/s10488-007-0121-3.
Aarons, G. A., & Sawitzky, A. C. (2006). Organizational culture and climate and mental health provider attitudes toward evidence-based practice. Psychological Services, 3, 61–72. https://doi.org/10.1037/1541-1559.3.1.61.
Angold, A., Costello, J., & Erkanli, A. (1999). Comorbidity. Journal of Child Psychiatry and Psychology, 40, 57–87. https://doi.org/10.1111/1469-7610.00424.
Beidas, R. S., & Kendall, P. C. (2010). Training therapists in evidence-based practice: A critical review of studies from a systems-contextual perspective. Clinical Psychology: Science and Practice, 17, 1–30. https://doi.org/10.1111/j.1468-2850.2009.01187.x.
Beidas, R. S., Marcus, S., Aarons, G. A., Hoagwood, K. E., Schoenwald, S., Evans, A. C.,… & Adams, D. R. (2015). Predictors of community therapists’ use of therapy techniques in a large public mental health system. JAMA Pediatrics, 169, 374–382. https://doi.org/10.1001/jamapediatrics.2014.3736.
Bond, G. B., Drake, R. E., McHugo, G. J., Peterson, A. E., Jones, A. M., & Williams, J. (2012). Long-term sustainability of evidence-based practices in community mental health agencies. Administration and Policy in Mental Health and Mental Health Services Research, 41, 228–236. https://doi.org/10.1007/s10488-012-0461-5.
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, 254–269. https://doi.org/10.1007/s10488-009-0244-9.
Chamberlain, P., Roberts, R., Jones, H., Marsenich, L., Sosna, T., & Price, J. M. (2012). Three collaborative models for scaling up evidence-based practices. Administration and Policy in Mental Health, 39, 278–290. https://doi.org/10.1007/s10488-011-0349-9.
Chorpita, B. F., Daleiden, E. L., Park, A. L., Ward, A. M., Levy, M. C., Cromley, T.,… & 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, 13. https://doi.org/10.1037/ccp0000133.
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: PracticeWise.
Chu, B. C., Crocco, S. T., Arnold, C. A., Brown, R., Southam-Gerow, M. A., & Weisz, J. R. (2015). Sustained implementation of cognitive-behavioral therapy for youth anxiety and depression: Long-term effects of structured training and consultation on therapist practice in the field. Professional Psychology: Research and Practice, 46, 70–79. https://doi.org/10.1037/a0038000.
Cook, J. M., Schnurr, P. P., Biyanova, T., & Coyne, J. C. (2009). Apples don’t fall far from the tree: Influences on psychotherapists’ adoption and sustained use of new therapies. Psychiatric Services, 60, 671–676. https://doi.org/10.1176/appi.ps.60.5.671.
Crome, E., Shaw, J., & Baillie, A. (2017). Costs and returns on training investment for empirically supported psychological interventions. Australian Health Review, 41, 82–88. https://doi.org/10.1071/AH15129.
Garland, A. F., Accurso, E. C., Haine-Schlagel, R., Brookman-Frazee, L., Roesch, S., & Zhang, J. J. (2014). Searching for elements of evidence-based practices in children’s usual care and examining their impact. Journal of Clinical Child and Adolescent Psychology, 43, 201–215. https://doi.org/10.1080/15374416.2013.869750.
Glisson, C., Schoenwald, S. K., Hemmelgarn, A., Green, P., Dukes, D., Armstrong, K. S., et al. (2010). Randomized trial of MST and ARC in a two-level evidence-based treatment implementation strategy. Journal of Consulting and Clinical Psychology, 78, 537–550. https://doi.org/10.1037/a0019160.
Herschell, A. D., Kolko, D. J., Baumann, B. L., & Davis, A. C. (2010). The role of therapist training in the implementation of psychosocial treatments: A review and critique with recommendations. Clinical Psychology Review, 30, 448–466. https://doi.org/10.1016/j.cpr.2010.02.005.
Kim, J. J., Brookman-Frazee, L., Gellatly, R., Stadnick, N., Barnett, M. L., & Lau, A. S. (2018). Predictors of burnout among community therapists in the sustainment phase of a system-driven implementation of multiple evidence-based practices in children’s mental health. Professional Psychology: Research and Practice, 49, 132–141. https://doi.org/10.1037/pro0000182.
Marchette, L. K., Thomassin, K., Hersh, J., MacPherson, H. A., Santucci, L., & Weisz, J. R. (2019). Community mental health settings as a context for evidence-based practice. In T. H. Ollendick, S. W. White, & B. A. White (Eds.), The oxford handbook of clinical child and adolescent psychology (pp. 623–639). New York: Oxford University Press.
Marchette, L. K., & Weisz, J. R. (2017). Practitioner review: Empirical evolution of youth psychotherapy toward transdiagnostic approaches. Journal of Child Psychology and Psychiatry, 58, 970–984. https://doi.org/10.1111/jcpp.12747.
Mitchell, P. (2011). Evidence-based practice in real-world services for young people with complex needs: New opportunities suggested by recent implementation science. Children and Youth Services Review, 33, 207–216.
Nakamura, B. J., Pestle, S. L., & Chorpita, B. F. (2009). Differential sequencing of cognitive behavioral techniques for reducing child and adolescent anxiety. Journal of Cognitive Psychotherapy, 23, 114–135. https://doi.org/10.1891/0889-8391.23.2.114.
Neudeck, P., & Einsle, F. (2012). Dissemination of exposure therapy in clinical practice: How to handle the barriers? In P. Neudeck & F. Einsle (Eds.), Exposure therapy (pp. 23–34). New York, NY: Springer.
Palinkas, L. A., Weisz, J. R., Chorpita, B. F., Levine, B., Garland, A. F., Hoagwood, K. E., et al. (2013). Continued use of evidence-based treatments after a randomized controlled effectiveness trial: A qualitative study. Psychiatric Services, 64, 1110–1118. https://doi.org/10.1176/appi.ps.004682012.
Peris, T. S., Compton, S. N., Kendall, P. C., Birmaher, B., Sherrill, J., March, J., … Piacentini, J.(2015). Trajectories of change in youth anxiety during cognitive-behavior therapy. Journal of Consulting and Clinical Psychology, 83, 239–252. https://doi.org/10.1037/a0038402.
Stewart, R. E., Adams, D. R., Mandell, D. S., Hadley, T. R., Evans, A. C., Rubin, R., …. Beidas, R. S. (2016). The perfect storm: Collision of the business of mental health and the implementation of evidence-based practices. Psychiatric Services, 67, 159–161. https://doi.org/10.1176/appi.ps.201500392.
Tommeraas, T., & Ogden, T. (2017). Is there a scale-up penalty? Testing behavioral change in n Mental Health, 44, 203–216. https://doi.org/10.1007/s10488-015-0712-3.
Weisz, J. R., Chorpita, B. F., Palinkas, L. A., Schoenwald, S. K., Miranda, J., Bearman, S. K.,* …. Gibbons, R. D., and the Research Network on Youth Mental Health. (2012). Testing standard and modular designs for psychotherapy with youth depression, anxiety, and conduct problems: A randomized effectiveness trial. Archives of General Psychiatry, 69, 274–282. https://doi.org/10.1001/archgenpsychiatry.2011.147.
Weisz, J. R., Jensen-Doss, A., & Hawley, K. M. (2006). Evidence-based youth psychotherapies versus usual clinical care: a meta-analysis of direct comparisons. American Psychologist, 61, 671. https://doi.org/10.1037/0003-066X.61.7.671.
Weisz, J. R., Krumholz, L. S., Santucci, L., Thomassin, K., & Ng, M. (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.
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, 750–761. https://doi.org/10.1001/jamapsychiatry.2013.1176.
Weisz, J. R., Ng, M. Y., & Bearman, S. K. (2014). Odd couple? Re-envisioning the relation between science and practice in the dissemination-implementation era. Clinical Psychological Science, 2, 58–74. https://doi.org/10.1177/2167702613501307.
Weisz, J. R., Ugueto, A. M., Herren, J., Marchette, L. K., Bearman, S. K., Lee, E. H., et al. (2018). When the torch is passed, does the flame still burn? Testing a “train the supervisor” model for the Child STEPs treatment program. Journal of Consulting and Clinical Psychology, 86(9), 726–737.
Whitley, R., Gingerich, S., Lutz, W. J., & Mueser, K. T. (2009). Implementing the illness management and recovery program in community mental health settings: Facilitators and barriers. Psychiatric Services, 60, 202–209. https://doi.org/10.1176/ps.2009.60.2.202.
Williams, N. J., & Beidas, R. S. (2018). Annual research review: The state of implementation science in child psychology and psychiatry: A review and suggestions to advance the field. Journal of Child Psychology and Psychiatry. https://doi.org/10.1111/jcpp.12960.
Funding
This study was funded by a Grant from the Norlien Foundation awarded to John R. Weisz. We thank the Norlien Foundation for their support but acknowledge that the findings and conclusions presented in this report are those of the authors.
Author information
Authors and Affiliations
Corresponding author
Ethics declarations
Conflict of interest
Author JRW receives royalties from sales of the MATCH-ADTC treatment manual. Authors KT and LKM declare that they have no conflict of interest.
Ethical Approval
All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.
Additional information
Publisher's Note
Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
Rights and permissions
About this article
Cite this article
Thomassin, K., Marchette, L.K. & Weisz, J.R. Practitioners' Use and Evaluation of Transdiagnostic Youth Psychotherapy Years After Training and Consultation Have Ended. Adm Policy Ment Health 46, 821–832 (2019). https://doi.org/10.1007/s10488-019-00962-x
Published:
Issue Date:
DOI: https://doi.org/10.1007/s10488-019-00962-x