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23-02-2018 | Original Paper

Observational Assessment of Engagement Strategies to Promote Parent Homework Planning in Community-Based Child Mental Health Treatment: A Pilot Study

Auteurs: Jonathan I. Martinez, Rachel Haine-Schlagel

Gepubliceerd in: Journal of Child and Family Studies | Uitgave 6/2018

Abstract

Therapy homework includes tasks given to clients to complete outside of session to facilitate new knowledge/skills or to advance treatment goals. Homework completion, an important element of parent engagement in child mental health (MH) treatment, has been associated with improved child outcomes. The current pilot study assessed the design/assign phase of the therapy homework process to examine a) the extent to which therapists implemented engagement strategies with parents and b) whether therapist deployment of engagement strategies in early treatment predicted subsequent parent participation in homework planning. We included an ethnically-diverse sample of 10 therapists and 11 parent/child dyads receiving community-based MH services who participated in a pilot intervention study. Two observational coding systems were developed to code treatment session recordings for the extent to which a) therapists implemented engagement strategies with parents and b) parents contributed to therapy homework planning. Findings revealed low extensiveness of therapist implementation of engagement strategies with parents. As hypothesized, therapist use of engagement strategies (Collaboration, Empowerment, and Psychoeducation) in early treatment significantly predicted subsequent parent homework planning (sharing perspective on homework planning). However, therapist use of Alliance was unrelated to parent homework planning. These preliminary results suggest that therapist implementation of engagement strategies in early treatment may promote parent participation in homework planning, which is an important precursor to homework completion. This pilot study suggests potential future directions for both research on and training for community-based therapists in implementing successful strategies to promote parent homework planning in child MH treatment.

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Armbruster, P., & Fallon, T. (1994). Clinical, sociodemographic, and systems risk factors for attrition in a children’s mental health clinic. American Journal of Orthopsychiatry, 64(4), 577–585.PubMedCrossRef

Baker-Ericze´n, M. J., Jenkins, M. M., & Haine-Schlagel, R. (2013). Therapist, parent, and youth perspectives of treatment barriers to family-focused community outpatient mental health services. Journal of Child and Family Studies, 22(6), 854–868.CrossRef

Baydar, N., Reid, M. J., & Webster-Stratton, C. (2003). The role of mental health factors and program engagement in the effectiveness of a preventive parenting program for head start mothers. Child Development, 74(5), 1433–1453.PubMedCrossRef

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 and Adolescent Psychology, 44(1), 30–43.CrossRef

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

Brookman-Frazee, L. I., Drahota, A., & Stadnick, N. (2012). Training community mental health therapists to deliver a package of evidence-based practice strategies for school-age children with autism spectrum disorders: A pilot study. Journal of Autism and Developmental Disorders, 42(8), 1651–1661.PubMedCentralPubMedCrossRef

Brookman-Frazee, L. I., Taylor, R., & Garland, A. F. (2010). Characterizing community-based mental health services for children with autism spectrum disorders and disruptive behavior problems. Journal of Autism and Developmental Disorders, 40(10), 1188–1201.PubMedCentralPubMedCrossRef

Chacko, A., Anderson, L., Wymbs, B. T., & Wymbs, F. A. (2013). Parent-endorsed reasons for not completing homework in group-based behavioral parent training for high-risk families of youth with ADHD. Behaviour Change, 30(4), 262–272.CrossRef

Cicchetti, D. V. (1994). Guidelines, criteria, and rules of thumb for evaluating normed and standardized assessment instruments in psychology. Psychological Assessment, 6(4), 284–290.CrossRef

Cohen, J (1988). Statistical power analysis for the behavioral sciences (2nd ed.). Hillsdale, NJ: Lawrence Erlbaum.

Dickson, K. S., Zeedyk, S. M., Martinez, J., & Haine-Schlagel, R. (2017). Examining ethnic disparities in provider and parent in-session participation engagement. Journal of Childrenas Services, 12(1), 47–58.CrossRef

Dowell, K. A., & Ogles, B. M. (2010). The effects of parent participation on child psychotherapy outcome: A meta-analytic review. Journal of Clinical Child and Adolescent Psychology, 39(2), 151–162.PubMedCrossRef

Detweiler, J. B., & Whisman, M. A. (1999). The role of homework assignments in cognitive therapy for depression: potential methods for enhancing adherence. Clinical Psychology, 6(3), 267–282.

Detweiler-Bedell, J. B., & Whisman, M. A. (2005). A lesson in assigning homework: Therapist, client, and task characteristics in cognitive therapy for depression. Professional Psychology, 36(2), 219–223.CrossRef

Dozois, D. J. (2010). Understanding and enhancing the effects of homework in cognitive‐behavioral therapy. Clinical Psychology, 17(2), 157–161.

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 and Adolescent Psychiatry, 40(4), 409–418.PubMedCrossRef

Garland, A. F., Brookman-Frazee, L., Hurlburt, M., Accurso, E. C., Zoffness, R. J., Haine-Schlagel, R., & Ganger, W. (2010). Mental health care for children with disruptive behavior problems: A view inside therapists’ offices. Psychiatric Services, 61(8), 788–795.PubMedCrossRef

Garland, A. F., Brookman-Frazee, L., & McLeod, B. D. (2008). Scoring manual for the PRAC study therapy process observational coding system for child psychotherapy: Strategies scale. Department of Psychiatry. San Diego: University of California.

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 and Adolescent Psychiatry, 47(5), 505–514.PubMedCrossRef

Garland, A. F., Haine- Schlagel, R., Accurso, E. C., Baker-Ericzen, M. J., & Brookman-Frazee, L. (2012). Exploring the effect of therapists’ treatment practices on client attendance in community based care for children. Psychological Services, 9(1), 74–88.PubMedCentralPubMedCrossRef

Garland, A. F., Haine-Schlagel, R., Brookman-Frazee, L., Baker-Ericzen, M. J., Trask, E., & Fawley-King, K. (2013). Improving community-based mental health care for children: Translating knowledge into action. Administration and Policy in Mental Health and Mental Health Services Research, 40(1), 6–22.PubMedCrossRef

Gopalan, G., Goldstein, L., Klingenstein, K., Sicher, C., Blake, C., & McKay, M. 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.PubMedCentralPubMed

Haine-Schlagel, R., Chlebowski, C., Dickson, K., Martinez, J., Wright, B., & Brookman-Frazee, L. (2018). [Descriptives on ACEs codes in a sample of community mental health treatment sessions for children with Autism Spectrum Disorder.] Unpublished raw data.

Haine-Schlagel, R. Jonathan I. Martinez, Scott C. Roesch, Cristina E. Bustos, & Janicki, C. (2017). Randomized Trial of the Parent And Caregiver Active Participation Tool kit for ChildMental Health Treatment. Journal of Clinical Child & Adolescent Psychology :1–11.

Haine-Schlagel, R., & Martinez, J. I. (2014a). Parent participation engagement (PPE) in child psychotherapy observational coding system. San Diego, CA: San Diego State University.

Haine-Schlagel, R., & Martinez, J. I. (2014b). Therapist alliance, collaboration, and empowerment strategies (ACEs) observational coding system. San Diego, CA: San Diego State University.

Haine-Schlagel, R., & Walsh, N. (2015). A review of parent participation engagement in child and family mental health treatment. Clinical Child and Family Psychology Review, 18(2), 133–150.PubMedCentralPubMedCrossRef

Haine-Schlagel, R., Roesch, S. C., Trask, E. V., Fawley-King, K., Ganger, W. C., & Aarons, G. A. (2016). The Parent Participation Engagement Measure (PPEM): Reliability and validity in child and adolescent community mental health services. Administration and Policy in Mental Health and Mental Health Services Research, 43(5), 813–823.PubMedCrossRef

Harpaz-Rotem, I., Leslie, D., & Rosencheck, R. A. (2004). Treatment retention among children entering a new episode of mental healthcare. Psychiatric Services, 55(9), 1022–1028.PubMedCrossRef

Horvath, A. O., Del, Re,A. C., Fllückiger, C., & Symonds, D. (2011). Alliance in individual psychotherapy. Psychotherapy, 48(1), 9–16.PubMedCrossRef

Houlding, C., Schmidt, F., & Walker, D. (2010). Youth therapist strategies to enhance client homework completion. Child and Adolescent Mental Health, 15(2), 103–109.CrossRef

Howgego, I., Yellowlees, P., Owen, C., Meldrum, L., & Dark, F. (2003). The therapeuticalliance: The key to effective patient outcome? A descriptive review of the evidence in community mental health case management. Australian and New Zealand Journal of Psychiatry, 37(2), 169–183.PubMedCrossRef

Ingoldsby, E. M. (2010). Review of interventions to improve family engagement and retention in parent and child mental health programs. Journal of Child and Family Studies, 19(5), 629–645.PubMedCentralPubMedCrossRef

Israel, P., Thomsen, P. H., Langeveld, J. H., & Stormark, K. M. (2007). Child factors associated with parent involvement in usual clinical care of children and adolescents: A national register study. Nordic Journal of Psychiatry, 61(3), 173–181.PubMedCrossRef

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

Karver, M. S., Handelsman, J. B., Fields, S., & Bickman, L. (2006). Meta-analysis of therapeutic relationship variables in youth and family therapy: The evidence for different relationship variables in the child and adolescent treatment outcome literature. Clinical Psychology Review, 26(1), 50–65.PubMedCrossRef

Kazantzis, N., MacEwan, J., & Dattilio, F. M. (2005). A guiding model for practice. In N. Kazantzis, F. P. Deane, K. R. Ronan & L. L’Abate (Eds.), Using homework assignments in cognitive behavior therapy (pp. 359–407). New York: Routledge.CrossRef

Kazantzis, N., & Shinkfield, G. (2007). Conceptualizing patient barriers to nonadherence with homework assignments. Cognitive and Behavioral Practice, 14(3), 317–324.CrossRef

Kazantzis, N., Whittington, C., & Dattilio, F. (2010). Meta-analysis of homework effects in cognitive and behavioral therapy: A replication and extension. Clinical Psychology, 17(2), 144–156.

Kazdin, A. E. (1996). Dropping out of child psychotherapy: Issues for research and implications for practice. Clinical Child Psychology and Psychiatry, 1(1), 133–156.CrossRef

Kling, Å., Forster, M., Sundell, K., & Melin, L. (2010). A randomized controlled effectiveness trial of parent management training with varying degrees of therapist support. Behav Ther, 41(4), 530–542.PubMedCrossRef

Landrum, B., Knight, D. K., & Flynn, P. M. (2012). The impact of organizational stress and burnout on client engagement. Journal of Substance Abuse Treatment, 42, 222–230.PubMedCrossRef

Lindsey, M. A., Brandt, N. E., Becker, K. D., Lee, B. R., Barth, R. P., Daleiden, E. L., & Chorpita, B. F. (2014). Identifying the common elements of treatment engagement interventions in children’s mental health services. Clinical Child and Family Psychology Review, 17(3), 283–298.PubMedCrossRef

Lukens, E. P., & McFarlane, W. R. (2004). Psychoeducation as evidence-based practice: Considerations for practice, research, and policy. Briefing Treatment and Crisis Intervention, 4(3), 205–225.CrossRef

Malik, M. L., Beutler, L. E., Gallagher-Thompson, D., Thompson, L., & Alimohamed, S. (2003). Are all cognitive therapies alike? A comparison of cognitive and non-cognitive therapy process and implications for the application of empirically supported treatments. Journal of Consulting and Clinical Psychology, 71(1), 150–158.PubMedCrossRef

Martinez, J. I., Lau, A. S., Chorpita, B. F., & Weisz, J. R., the Research Network on Youth Mental Health. (2015). Psychoeducation as a mediator of treatment approach on parent engagement in child psychotherapy for disruptive behavior. Journal of Clinical Child and Adolescent Psychology, 46(4), 573–587.PubMedCrossRef

McLeod, B. D., & Weisz, J. R. (2005). The therapy process observational coding system alliance scale: Measure characteristics and prediction of outcome in usual clinical practice. Journal of Consulting and Clinical Psychology, 73(2), 323–333.CrossRef

Miller, L. M., Southam-Gerow, M. A., & Allin, Jr., R. B. (2008). Who stays in treatment? Child and family predictors of youth client retention in a public mental health agency. Child and Youth Care Forum, 37(4), 153–170.PubMedCrossRef

Nock, M. K., & Ferriter, C. (2005). Parent management of attendance and adherence in child and adolescent therapy: A conceptual and empirical review. Clinical Child and Family Psychology Review, 8(2), 149–166.CrossRef

Nock, M. K., & Kazdin, A. E. (2005). Randomized controlled trial of a brief intervention for increasing participation in parent management training. Journal of Consulting and Clinical Psychology, 73(5), 872–879.PubMedCrossRef

Olin, S., Hoagwood, K. E., Rodriguez, J., Ramos, B., Burton, G., & Penn, M., et al. (2010). The application of behavior change theory to family-based services: Improving parent empowerment in children’s mental health. Journal of Child and Family Studies, 19(4), 462–470.PubMedCentralPubMedCrossRef

Pellerin, K. A., Costa, N. M., Weems, C. F., & Dalton, R. F. (2010). An examination of treatment completers and non-completers at a child and adolescent community mental health clinic. Community Mental Health Journal, 46(3), 273–281.PubMedCrossRef

Resendez, M. G., Quist, R. M., & Matshazi, D. G. (2000). A longitudinal analysis of family empowerment and client outcomes. Journal of Child and Family Studies, 9(4), 449–460.CrossRef

Scheel, M., & Rieckmann, T. (1998). An empirically derived description of self-efficacy and empowerment for parents of children identified as psychologically disordered. The American Journal of Family Therapy, 26(1), 15–27.CrossRef

Taub, J., Tighe, T. A., & Burchard, J. (2001). The effects of parent empowerment on adjustment for children receiving comprehensive mental health services. Children’s Services, 4(3), 103–122.CrossRef

Tynan, W., Chew, C., & Algermissen, M. (2004). Concurrent parent and child therapy groups for externalizing disorders: The rural replication. Cognitive and Behavioral Practice, 11(1), 99–101.CrossRef

Wampold, B. (2001). Contextualizing psychotherapy as a healing practice: Culture, history, and methods. Applied and Preventive Psychology, 10(2), 69–86.

Westra, H. A., Arkowitz, H., & Dozois, D. J. (2009). Adding a motivational interviewing pretreatment to cognitive behavioral therapy for generalized anxiety disorder: A preliminary randomized controlled trial. Journal of Anxiety Disorders, 23(8), 1106–1117.PubMedCentralPubMedCrossRef

Westra, H. A., & Dozois, D. J. (2006). Preparing clients for cognitive behavioral therapy: A randomized pilot study of motivational interviewing for anxiety. Cognitive Therapy and Research, 30(4), 481–498.CrossRef

Titel: Observational Assessment of Engagement Strategies to Promote Parent Homework Planning in Community-Based Child Mental Health Treatment: A Pilot Study
Auteurs: Jonathan I. Martinez
Rachel Haine-Schlagel
Publicatiedatum: 23-02-2018
Uitgeverij: Springer US
Gepubliceerd in: Journal of Child and Family Studies / Uitgave 6/2018
Print ISSN: 1062-1024
Elektronisch ISSN: 1573-2843
DOI: https://doi.org/10.1007/s10826-018-1030-7

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