scholarly journals Considerations for the Dissemination of Incredible Years in Welfare Systems: Implications of the Case of "Cathy" for Intervention in the Foster Care System

2016 ◽  
Vol 12 (2) ◽  
pp. 124
Author(s):  
Arielle S. Gartenberg ◽  
Robin Lang
Keyword(s):  
Foster Care ◽  
Systems Of Care ◽  
Essential Elements ◽  
Welfare System ◽  
Transitional Housing ◽  
Evidence Based ◽  
Incredible Years ◽  
Social And Emotional ◽  
Study Approach ◽  
Evidence Based Treatments

<p><span style="font-size: small;">The Incredible Years (IY) Parent and Child Series are evidence-based interventions that increase knowledge and mastery of parenting, mood regulation, and interpersonal problem solving strategies for caregivers while developing similar social and emotional skills in their children. Rogers, Bobich, and Heppell (2016) use a case study approach to examine the effectiveness of adaptations of the IY program for delivery in a transitional housing shelter. They describe strategies for modifying IY to meet the needs of a vulnerable population within the context of the shelter and the broader welfare system. In this commentary, the difficulties commonly experienced by youth like "Cathy" as a function of homelessness and trauma are discussed. Aspects of IY and its adaptation are examined as they highlight (1) essential elements of psychological interventions with clients exposed to trauma, and (2) barriers and facilitators in the delivery of evidence-based treatments within complex natural settings and systems of care. These considerations are salient for practitioners treating youth and families involved in the child welfare system and foster care. The most vital adaptations presented in the Case of Cathy and the IY literature are reviewed to address anticipated pragmatic barriers and therapeutic issues in the implementation of IY for youth in these systems.&nbsp;&nbsp;</span></p>

Treatment Interventions for Immigrants, Refugees, and Their Families

2020 ◽  
pp. 197-230
Author(s):  
Eugenio M. Rothe ◽  
Andres J. Pumariega
Keyword(s):  
Mental Health Treatment ◽  
Systems Of Care ◽  
Child And Adolescent ◽  
Child And Adolescent Psychiatry ◽  
Idioms Of Distress ◽  
Evidence Based ◽  
Treatment Interventions ◽  
Related Family ◽  
Values And Beliefs ◽  
Evidence Based Treatments

The chapter on treatment interventions for immigrants, refugees, and their families describes the importance for clinicians to familiarize themselves with how to treat these populations given the changing demographics in the United States. It explains the cultural competence model, the cultural sensibility model, and the community systems of care model, as well as other variations of treatment that take into account cultural nuances. The chapter outlines specific recommendations to treat child, adolescent, and adult immigrants and refugees based on the Practice Parameter on Child and Adolescent Psychiatric Culturally Competent Care by the American Academy of Child and Adolescent Psychiatry and other sources. These include how to overcome barriers to mental health treatment, the role of language barriers and how to overcome them, the generational challenges in treating the family, awareness of cultural biases and how to address them, understanding cultural idioms of distress in diagnosis and formulation, the need to assess and treat immigration-related losses and traumas and to evaluate acculturation-related family conflicts, identification of key family members in the treatment, and the need to design treatment interventions that are consonant with the cultural values and beliefs of the immigrant family. The need to provide evidence-based pharmacological treatments and to consider ethnopharmacological factors is addressed. Other evidence-based treatments such as cognitive behavioral therapy for post-traumatic stress disorder, testimonial psychotherapy, narrative exposure therapy, eye movement desensitization and reprocessing, and others are discussed.

scholarly journals Evidence-based treatment guidelines: at work in a microcosm

2014 ◽  
Vol 9 ◽  
Author(s):  
Patricia Whelan
Keyword(s):  
Treatment Guidelines ◽  
Quality Care ◽  
Medical Costs ◽  
Essential Elements ◽  
Evidence Based ◽  
Treatment Delays ◽  
Evidence Based Treatment ◽  
The Us ◽  
Evidence Based Treatments ◽  
Unnecessary Procedures

Background: Medical treatment under workers’ compensation represents just a miniscule portion (about 1 percent) of total medical costs in the U.S. Furthermore, legislation and rules are determined autonomously by each state.Objective: To study Workers’ Comp systems in each state and determine what, if any, impact states adopting the use of evidence-based treatment guidelines has had to outcomes within the respective states. Hypothesis: Worker’ comp medical care, and the outcomes of that care in each state, can theoretically represent a microcosm of what could be achieved in an entire country.Methods: A trend began in 2003, starting with California, for states to consider adopting Evidence-Based Treatment Guidelines EBTGs) as a mechanism to insure timely and quality care for injured workers by following the least invasive, most-effective treatments today's science has to offer. Bi-products to the effective implementation of EBTGs, include earlier return to work, better outcomes resulting in reduced indemnity costs, less friction in the system (providers know what treatments are authorized and will be paid for), fewer episodes of over-utilization of services, and decreased medical costs, benefiting employers, insurers, providers and business. Findings: Outcomes where true EBTG have been implemented: Ohio adopted EBTGs in 2003. A Pilot conducted in 2005 showed a decrease in medical costs by 64%, lost days by 69% and treatment delays by 77%. Texas adopted EBTG in 2006; Total costs have declined by 50%, patients are recovering more quickly, more providers are willing to treat these patients, opioid abuses have declined and many states are looking to adopt this model.Discussion: Other state outcomes and essential elements needed in an EBTG will be discussed, time permitting.Conclusion: Outcomes realized through the adoption/implementation of evidence-based treatment guidelines by selected states, need not be isolated to the US or to the “microcosm” of workplace injuries and illnesses. Countries adopting evidence-based treatments guidelines within their healthcare systems can benefit from the same results: more timely and quality care, better outcomes, reduced costs, less disputes, reduced utilization of unnecessary procedures and services.

Refining Evidence-Based Treatments for Late-Life Depression

GeroPsych ◽  
2015 ◽  
Vol 28 (2) ◽  
pp. 67-76
Author(s):  
Grace C. Niu ◽  
Patricia A. Arean
Keyword(s):  
Older Adults ◽  
Mental Illness ◽  
Brain Plasticity ◽  
Late Life ◽  
Aging Population ◽  
The United States ◽  
Future Research ◽  
Evidence Based ◽  
Late Life Depression ◽  
Evidence Based Treatments

The recent increase in the aging population, specifically in the United States, has raised concerns regarding treatment for mental illness among older adults. Late-life depression (LLD) is a complex condition that has become widespread among the aging population. Despite the availability of behavioral interventions and psychotherapies, few depressed older adults actually receive treatment. In this paper we review the research on refining treatments for LLD. We first identify evidence-based treatments (EBTs) for LLD and the problems associated with efficacy and dissemination, then review approaches to conceptualizing mental illness, specifically concepts related to brain plasticity and the Research Domain Criteria (RDoc). Finally, we introduce ENGAGE as a streamlined treatment for LLD and discuss implications for future research.

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