Skip to main content
Top
Gepubliceerd in: Journal of Child and Family Studies 4/2012

01-08-2012 | Original Paper

Therapist Focus on Parent Involvement in Community-Based Youth Psychotherapy

Auteurs: Rachel Haine-Schlagel, Lauren Brookman-Frazee, Danielle L. Fettes, Mary Baker-Ericzén, Ann F. Garland

Gepubliceerd in: Journal of Child and Family Studies | Uitgave 4/2012

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

Abstract

Parent involvement in the treatment of childhood disruptive behavior problems is a critical component of effective care. Yet little is known about the amount of time therapists are involving parents in treatment and factors that predict therapists’ efforts to involve parents in routine care. The purpose of this study is to examine therapists’ within-session involvement of parents in community-based outpatient mental health treatment. The data are from a larger longitudinal observational study of psychotherapy for children ages 4–13 with disruptive behavior problems and include videotaped psychotherapy sessions coded for the therapeutic strategies delivered as well as measures of child, parent/family, and therapist characteristics at baseline. Parent involvement is defined as the proportion of time in the session that therapists direct treatment strategies towards parents. Results indicated that therapists directed treatment strategies towards parents an average of 44% of the time within a session. Multilevel modeling was used to examine client-level (child, parent, and family functioning) and provider-level (therapist experience and background) predictors of parent involvement. Therapists involved parents more when the child had higher levels of behavior problems, when the parent reported higher levels of internalized caregiver strain, and when the therapist was more experienced. The results highlight potential areas to target in efforts to increase parent involvement, including training less experienced therapists to increase their focus on directing strategies towards parents.
Literatuur
go back to reference Baker-Ericzén, M. J., Jenkins, M. M., & Haine-Schlagel, R. (under review). Therapist, parent, and youth perspectives of treatment barriers to family-focused community outpatient mental health child services. Baker-Ericzén, M. J., Jenkins, M. M., & Haine-Schlagel, R. (under review). Therapist, parent, and youth perspectives of treatment barriers to family-focused community outpatient mental health child services.
go back to reference Beauchaine, T. P., Webster-Stratton, C., & Reid, M. J. (2005). Mediators, moderators, and predictors of 1-year outcomes among children treated for early-onset conduct problems: A latent growth curve analysis. Journal of Consulting and Clinical Psychology, 73, 371–388.PubMedCrossRef Beauchaine, T. P., Webster-Stratton, C., & Reid, M. J. (2005). Mediators, moderators, and predictors of 1-year outcomes among children treated for early-onset conduct problems: A latent growth curve analysis. Journal of Consulting and Clinical Psychology, 73, 371–388.PubMedCrossRef
go back to reference Brannan, A. M., Heflinger, C. A., & Bickman, L. (1997). The caregiver strain questionnaire: Measuring the impact on the family living with a child with serious emotional disturbance. Journal of Emotional and Behavioral Disorders, 5, 212–222.CrossRef Brannan, A. M., Heflinger, C. A., & Bickman, L. (1997). The caregiver strain questionnaire: Measuring the impact on the family living with a child with serious emotional disturbance. Journal of Emotional and Behavioral Disorders, 5, 212–222.CrossRef
go back to reference Brannan, A. M., Heflinger, C. A., & Foster, E. M. (2003). The role of caregiver strain and other family variables in determining children’s use of mental health services. Journal of Emotional and Behavioral Disorders, 11, 78–92.CrossRef Brannan, A. M., Heflinger, C. A., & Foster, E. M. (2003). The role of caregiver strain and other family variables in determining children’s use of mental health services. Journal of Emotional and Behavioral Disorders, 11, 78–92.CrossRef
go back to reference 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 & Policy in Mental Health & Mental Health Services Research, 37, 254–269.CrossRef 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 & Policy in Mental Health & Mental Health Services Research, 37, 254–269.CrossRef
go back to reference Brookman-Frazee, L., Haine, R. A., Gabayan, E. N., & Garland, A. F. (2008). Predicting frequency of treatment visits in community-based youth psychotherapy. Psychological Services, 5, 126–138.PubMedCrossRef Brookman-Frazee, L., Haine, R. A., Gabayan, E. N., & Garland, A. F. (2008). Predicting frequency of treatment visits in community-based youth psychotherapy. Psychological Services, 5, 126–138.PubMedCrossRef
go back to reference Cunningham, P. B., & Henggeler, S. W. (1999). Engaging multiproblem families in treatment: Lessons learned throughout the development of multisystemic therapy. Family Process, 38, 265–281.PubMedCrossRef Cunningham, P. B., & Henggeler, S. W. (1999). Engaging multiproblem families in treatment: Lessons learned throughout the development of multisystemic therapy. Family Process, 38, 265–281.PubMedCrossRef
go back to reference DeGarmo, D. S., Chamberlain, P., Leve, L. D., & Price, J. (2009). Foster parent intervention engagement moderating child behavior problems and placement disruption. Research on Social Work Practice, 19, 423–433.PubMedCrossRef DeGarmo, D. S., Chamberlain, P., Leve, L. D., & Price, J. (2009). Foster parent intervention engagement moderating child behavior problems and placement disruption. Research on Social Work Practice, 19, 423–433.PubMedCrossRef
go back to reference Derogatis, L. R., & Melisaratos, N. (1983). The brief symptom inventory: An introductory report. Psychological Medicine, 13, 595–605.PubMedCrossRef Derogatis, L. R., & Melisaratos, N. (1983). The brief symptom inventory: An introductory report. Psychological Medicine, 13, 595–605.PubMedCrossRef
go back to reference Dowell, K. A., & Ogles, B. M. (2010). The effects of parent participation on child psychotherapy outcome: A meta-analytic review. Journal of Clinical Child & Adolescent Psychology, 39, 151–162.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 & Adolescent Psychology, 39, 151–162.CrossRef
go back to reference Earls, F. J. (1994). Violence and today’s youth. Critical Issues for Children and Youth, 4, 4–23. Earls, F. J. (1994). Violence and today’s youth. Critical Issues for Children and Youth, 4, 4–23.
go back to reference Eyberg, S. M., Nelson, M. M., & Boggs, S. R. (2008). Evidence-based psychosocial treatments for children and adolescents with disruptive behavior. Journal of Clinical Child and Adolescent Psychology, 37, 215–237.PubMedCrossRef Eyberg, S. M., Nelson, M. M., & Boggs, S. R. (2008). Evidence-based psychosocial treatments for children and adolescents with disruptive behavior. Journal of Clinical Child and Adolescent Psychology, 37, 215–237.PubMedCrossRef
go back to reference Eyberg, S. M., & Pincus, D. (1999). Eyberg child behavior inventory and Sutter-Eyberg student behavior inventory—revised: Professional manual. Odessa, FL: Psychological Assessment Resources. Eyberg, S. M., & Pincus, D. (1999). Eyberg child behavior inventory and Sutter-Eyberg student behavior inventory—revised: Professional manual. Odessa, FL: Psychological Assessment Resources.
go back to reference Garland, A. F., Accurso, E. C., & Haine-Schlagel, R. (2010a). Treatment processes associated with outcomes in usual care therapy for children. San Francisco, CA: Paper presented at the Association for Behavioral and Cognitive Therapies Convention. Garland, A. F., Accurso, E. C., & Haine-Schlagel, R. (2010a). Treatment processes associated with outcomes in usual care therapy for children. San Francisco, CA: Paper presented at the Association for Behavioral and Cognitive Therapies Convention.
go back to reference Garland, A. F., Brookman-Frazee, L., Hurlburt, M., Arnold, E., Zoffness, R., Haine-Schlagel, R., et al. (2010b). Mental health care for children with disruptive behavior problems: A view inside therapists’ offices. Psychiatric Services, 61, 788–795.PubMedCrossRef Garland, A. F., Brookman-Frazee, L., Hurlburt, M., Arnold, E., Zoffness, R., Haine-Schlagel, R., et al. (2010b). Mental health care for children with disruptive behavior problems: A view inside therapists’ offices. Psychiatric Services, 61, 788–795.PubMedCrossRef
go back to reference 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, 505–514.PubMedCrossRef 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, 505–514.PubMedCrossRef
go back to reference 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, 409–418.PubMedCrossRef 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, 409–418.PubMedCrossRef
go back to reference Garland, A. F., Hurlburt, M. S., Brookman-Frazee, L., Taylor, R. M., & Accurso, E. C. (2010c). Methodological challenges of characterizing usual care psychotherapeutic practice. Administration and Policy in Mental Health and Mental Health Services Research, 37, 208–220.PubMedCrossRef Garland, A. F., Hurlburt, M. S., Brookman-Frazee, L., Taylor, R. M., & Accurso, E. C. (2010c). Methodological challenges of characterizing usual care psychotherapeutic practice. Administration and Policy in Mental Health and Mental Health Services Research, 37, 208–220.PubMedCrossRef
go back to reference Glisson, C., Landsverk, J., Schoenwald, S., Kelleher, K., Hoagwood, K. E., Mayberg, S., et al. (2008). Assessing the organizational social context (OSC) of mental health services: Implications for research and practice. Administration and Policy in Mental Health and Mental Health Services Research, 35, 98–113.PubMedCrossRef Glisson, C., Landsverk, J., Schoenwald, S., Kelleher, K., Hoagwood, K. E., Mayberg, S., et al. (2008). Assessing the organizational social context (OSC) of mental health services: Implications for research and practice. Administration and Policy in Mental Health and Mental Health Services Research, 35, 98–113.PubMedCrossRef
go back to reference Hawley, K. M., & Weisz, J. R. (2005). Youth versus parent working alliance in usual clinical care: Distinctive associations with retention, satisfaction, and treatment outcome. Journal of Clinical Child and Adolescent Psychology, 34, 117–128.PubMedCrossRef Hawley, K. M., & Weisz, J. R. (2005). Youth versus parent working alliance in usual clinical care: Distinctive associations with retention, satisfaction, and treatment outcome. Journal of Clinical Child and Adolescent Psychology, 34, 117–128.PubMedCrossRef
go back to reference Hoge, R. D., Andrews, D. A., Faulkner, P., & Robinson, D. (1989). The family relationship index: Validity data. Journal of Clinical Psychology, 45, 897–903.PubMedCrossRef Hoge, R. D., Andrews, D. A., Faulkner, P., & Robinson, D. (1989). The family relationship index: Validity data. Journal of Clinical Psychology, 45, 897–903.PubMedCrossRef
go back to reference Holahan, C. J., & Moos, R. H. (1983). The quality of social support: Measures of family and work relationships. British Journal of Clinical Psychology, 22, 157–162.CrossRef Holahan, C. J., & Moos, R. H. (1983). The quality of social support: Measures of family and work relationships. British Journal of Clinical Psychology, 22, 157–162.CrossRef
go back to reference Huang, L., Stroul, B., Friedman, R., Mrazek, P., Friesen, B., Pires, S., et al. (2005). Transforming mental health care for children and their families. American Psychologist, 60, 615–627.PubMedCrossRef Huang, L., Stroul, B., Friedman, R., Mrazek, P., Friesen, B., Pires, S., et al. (2005). Transforming mental health care for children and their families. American Psychologist, 60, 615–627.PubMedCrossRef
go back to reference Ireland, J. L., Sanders, M. R., & Markie-Dadds, C. (2003). The impact of parent training on marital functioning: A comparison of two group versions of the Triple P- positive parenting program for parents of children with early-onset conduct problems. Behavioural and Cognitive Psychotherapy, 31, 127–142.CrossRef Ireland, J. L., Sanders, M. R., & Markie-Dadds, C. (2003). The impact of parent training on marital functioning: A comparison of two group versions of the Triple P- positive parenting program for parents of children with early-onset conduct problems. Behavioural and Cognitive Psychotherapy, 31, 127–142.CrossRef
go back to reference 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, 173–181.PubMedCrossRef 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, 173–181.PubMedCrossRef
go back to reference Jackson, H., Frick, P., & Dravage-Bush, J. (2000). Perceptions of control in children with externalizing and mixed behavior disorders. Child Psychiatry and Human Development, 31, 43–58.PubMedCrossRef Jackson, H., Frick, P., & Dravage-Bush, J. (2000). Perceptions of control in children with externalizing and mixed behavior disorders. Child Psychiatry and Human Development, 31, 43–58.PubMedCrossRef
go back to reference 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, 50–65.PubMedCrossRef 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, 50–65.PubMedCrossRef
go back to reference Kazak, A. E., Hoagwood, K., Weisz, J. R., Hood, K., Kratochwill, T. R., Vargas, L. A., et al. (2010). A meta-systems approach to evidence-based practice for children and adolescents. American Psychologist, 65, 85–97.PubMedCrossRef Kazak, A. E., Hoagwood, K., Weisz, J. R., Hood, K., Kratochwill, T. R., Vargas, L. A., et al. (2010). A meta-systems approach to evidence-based practice for children and adolescents. American Psychologist, 65, 85–97.PubMedCrossRef
go back to reference Kazdin, A. E., Siegel, T. C., & Bass, D. (1990). Drawing on clinical practice to inform research on child and adolescent psychotherapy: Survey of practitioners. Professional Psychology: Research and Practice, 21, 189–198.CrossRef Kazdin, A. E., Siegel, T. C., & Bass, D. (1990). Drawing on clinical practice to inform research on child and adolescent psychotherapy: Survey of practitioners. Professional Psychology: Research and Practice, 21, 189–198.CrossRef
go back to reference Muthén, L. K., & Muthén, B. O. (2010). Mplus version 6.1 [Computer Software]. Los Angeles, CA: Muthén & Muthén. Muthén, L. K., & Muthén, B. O. (2010). Mplus version 6.1 [Computer Software]. Los Angeles, CA: Muthén & Muthén.
go back to reference Nix, R. L., Bierman, K. L., McMahon, R. J., & The Conduct Problems Prevention Research Group. (2009). How attendance and quality of participation affect treatment response to parent management training. Journal of Consulting and Clinical Psychology, 77, 429–438.PubMedCrossRef Nix, R. L., Bierman, K. L., McMahon, R. J., & The Conduct Problems Prevention Research Group. (2009). How attendance and quality of participation affect treatment response to parent management training. Journal of Consulting and Clinical Psychology, 77, 429–438.PubMedCrossRef
go back to reference 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, 149–166.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, 149–166.PubMedCrossRef
go back to reference Pellerin, K., Costa, N., 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, 273–281.PubMedCrossRef Pellerin, K., Costa, N., 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, 273–281.PubMedCrossRef
go back to reference Radloff, L. S. (1977). The CES-D scale: A self-report depression scale for research in the general population. Applied Psychological Measurement, 1, 385–401.CrossRef Radloff, L. S. (1977). The CES-D scale: A self-report depression scale for research in the general population. Applied Psychological Measurement, 1, 385–401.CrossRef
go back to reference Raudenbush, S., Bryk, R., & Congdon, A. (2004). HLM [computer software]. Lincolnwood, IL: Scientific Software International. Raudenbush, S., Bryk, R., & Congdon, A. (2004). HLM [computer software]. Lincolnwood, IL: Scientific Software International.
go back to reference Reyno, S. M., & McGrath, P. J. (2006). Predictors of parent training efficacy for child externalizing behavior problems—a meta-analytic review. Journal of Child Psychology and Psychiatry, 47, 99–111.PubMedCrossRef Reyno, S. M., & McGrath, P. J. (2006). Predictors of parent training efficacy for child externalizing behavior problems—a meta-analytic review. Journal of Child Psychology and Psychiatry, 47, 99–111.PubMedCrossRef
go back to reference Richards, M. M., Bowers, M. J., Lazicki, T., Krall, D., & Jacobs, A. K. (2008). Caregiver involvement in the intensive mental health program: Influence on changes in child functioning. Journal of Child and Family Studies, 17, 241–252.CrossRef Richards, M. M., Bowers, M. J., Lazicki, T., Krall, D., & Jacobs, A. K. (2008). Caregiver involvement in the intensive mental health program: Influence on changes in child functioning. Journal of Child and Family Studies, 17, 241–252.CrossRef
go back to reference Schoenwald, S. K., Brown, T. L., & Henggeler, S. W. (2000). Inside multisystemic therapy: Therapist, supervisory, and program practices. Journal of Emotional and Behavioral Disorders, 8, 113–127.CrossRef Schoenwald, S. K., Brown, T. L., & Henggeler, S. W. (2000). Inside multisystemic therapy: Therapist, supervisory, and program practices. Journal of Emotional and Behavioral Disorders, 8, 113–127.CrossRef
go back to reference Southam-Gerow, M. A., Ringeisen, H. L., & Sherrill, J. T. (2006). Integrating interventions and services research: Progress and prospects. Clinical Psychology: Science and Practice, 13, 1–8.CrossRef Southam-Gerow, M. A., Ringeisen, H. L., & Sherrill, J. T. (2006). Integrating interventions and services research: Progress and prospects. Clinical Psychology: Science and Practice, 13, 1–8.CrossRef
go back to reference Staudt, M. (2007). Treatment engagement with caregivers of at-risk children: Gaps in research and conceptualization. Journal of Child and Family Studies, 16, 183–196.CrossRef Staudt, M. (2007). Treatment engagement with caregivers of at-risk children: Gaps in research and conceptualization. Journal of Child and Family Studies, 16, 183–196.CrossRef
go back to reference Taylor-Richardson, K. D., Heflinger, C. A., & Brown, T. N. (2006). Experience of strain among types of caregivers responsible for children with serious emotional and behavioral disorders. Journal of Emotional and Behavioral Disorders, 14, 157–168.CrossRef Taylor-Richardson, K. D., Heflinger, C. A., & Brown, T. N. (2006). Experience of strain among types of caregivers responsible for children with serious emotional and behavioral disorders. Journal of Emotional and Behavioral Disorders, 14, 157–168.CrossRef
go back to reference Verduin, T. L., & Kendall, P. C. (2003). Differential occurrence of comorbidity within childhood anxiety disorders. Journal of Clinical Child and Adolescent Psychology, 32, 290–295.PubMedCrossRef Verduin, T. L., & Kendall, P. C. (2003). Differential occurrence of comorbidity within childhood anxiety disorders. Journal of Clinical Child and Adolescent Psychology, 32, 290–295.PubMedCrossRef
go back to reference Weisz, J. R., & Jensen, A. L. (2001). Child and adolescent psychotherapy in research and practice contexts: Review of the evidence and suggestions for improving the field. European Journal of Child and Adolescent Psychiatry, 10, 12–18.CrossRef Weisz, J. R., & Jensen, A. L. (2001). Child and adolescent psychotherapy in research and practice contexts: Review of the evidence and suggestions for improving the field. European Journal of Child and Adolescent Psychiatry, 10, 12–18.CrossRef
Metagegevens
Titel
Therapist Focus on Parent Involvement in Community-Based Youth Psychotherapy
Auteurs
Rachel Haine-Schlagel
Lauren Brookman-Frazee
Danielle L. Fettes
Mary Baker-Ericzén
Ann F. Garland
Publicatiedatum
01-08-2012
Uitgeverij
Springer US
Gepubliceerd in
Journal of Child and Family Studies / Uitgave 4/2012
Print ISSN: 1062-1024
Elektronisch ISSN: 1573-2843
DOI
https://doi.org/10.1007/s10826-011-9517-5

Andere artikelen Uitgave 4/2012

Journal of Child and Family Studies 4/2012 Naar de uitgave