Adapting Evidence-Based Treatments for Youth in a Community Mental Health Setting: Single Case Design

• Main Author: Quinoy, Alexis
• Format: Others
• Published: VCU Scholars Compass 2011
• Subjects: Treatment Study; Evidence-based treatment; effectiveness; dissemination; implementation; child; adolescent; clinical psychology; single case; community; Clinical Psychology; Psychology; Social and Behavioral Sciences
• Online Access: http://scholarscompass.vcu.edu/etd/2394; http://scholarscompass.vcu.edu/cgi/viewcontent.cgi?article=3393&context=etd

This single-case design study examined the effectiveness of adapting evidence-based treatments (EBTs) for children in a community clinic through a university-community partnership. Community clinic therapists treated eight youths (five males), ages 10 to 14, of whom four were Caucasian, two were Latino, one was African-American, and one was Caucasian/African-American. Youths presented with a primary diagnosis of a DSM-IV (American Psychiatric Association, 1994) internalizing disorder (plus multiple comorbidities). An adapted treatment combining multiple elements based on two primary treatment manuals: Coping Cat (Kendall et al., 1990) and PASCET (Weisz et al., 1999) was used. Youths with comorbid externalizing symptoms were also treated with elements from a parent-training manual (Barkley, 1997). Results of visual and clinical significance analysis demonstrated mixed support for the adapted treatment in a community clinic setting. The findings support further efforts to test the effectiveness of adapted EBTs in a community clinic setting and population.