How community therapists describe adapting evidence‐based practices in sessions for youth

Augmenting to improve fit and reach

Dados Bibliográficos

ID11043812
AutoresJoanna J Kim (0000-0002-3298-7757, Department of Psychology Arizona State University Tempe Arizona, autor correspondente), Lauren Brookman‐Frazee (0000-0001-7582-7529, Department of Psychiatry University of California San Diego San Diego California), Miya L Barnett (0000-0002-2359-9998, Department of Counseling, Clinical, and School Psychology University of California Santa Barbara Santa Barbara California), Melanie Tran (0000-0001-6124-7929, Department of Psychology University of California Berkeley Berkeley California), Mary Kuckertz (0000-0001-8724-4996, Child and Adolescent Services Research Center San Diego California), Stephanie H Yu (0000-0002-2668-8718, University of California, Los Angeles), Stephanie Yu (Department of Psychology University of California Los Angeles Los Angeles California), Anna S Lau (0000-0002-1142-2175, Department of Psychology University of California Los Angeles Los Angeles California)
Ano2020
Volume48
Fascículo4
Páginas1238-1257
Data de publicação2020-05-01
Peer ReviewedSim
Open AccessSim
TipoARTICLE
PeriódicoJournal of Community Psychology (JOURNAL)
Identificadores do periódicoISSN: 0090-4392 • E-ISSN: 1520-6629
EditoraWiley (PUBLISHER • GB)
DOI10.1002/jcop.22333
PMID32097494
OpenAlexW3008346107
IdiomaEN
Citações recebidas2
Referências citadas48

The study sought to (a) characterize the types and frequency of session‐level adaptations made to multiple evidence‐based practices (EBPs) and (b) identify therapist‐, client‐, and session‐level predictors of adaptations. Within the community implementation of multiple EBPs, 103 community mental health therapists reported on 731 therapy sessions for 280 clients. Therapists indicated whether they adapted EBPs in specific sessions and described adaptations in open‐ended responses. Responses were coded using the Augmenting and Reducing adaptations framework. Therapists reported making adaptations in 59% of sessions. Augmenting adaptations were reported more frequently than Reducing adaptations. Multilevel logistic regression analyses revealed that greater therapist openness to EBPs, younger child age, and presenting problems was associated with Augmenting adaptations. Child presenting problem of externalizing problems predicted fewer Reducing adaptations compared with internalizing problems. This study extends the growing research examining adaptations within the context of the system‐driven implementation of multiple EBPs by applying the Augmenting and Reducing adaptation framework to the session‐level

Adaptation (eye) · Alternative medicine · Context (archaeology) · Developmental psychology · Evidence-based practice · Mental health · Multilevel model · Openness to experience · Psychotherapist · Session (web analytics) · Child and Adolescent Psychosocial and Emotional Development · Clinical Psychology · Computer Science · Educational and Psychological Assessments · Family and Disability Support Research · Medicine · Psychology · Social Psychology