Conference Handouts

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Presented at the 17th Annual Research Conference

Transportability of MST: Evidence for Multi-level Influences

Download Handouts: 225kb pdf

Session Number: 10 Room: Salon C & D

Presenting: Sonya Schoenwald

All Authors for this paper: Sonya Schoenwald

Presentation Type: part of symposium

Synopsis: This presentation describes a study that examines factors associated with the implementation and short-term outcomes in dissemination sites of Multisystemic Therapy (MST), an intensive, short-term, family and community-based treatment for serious antisocial behavior in youth. Participants were 666 children and families served by 217 therapists in 39 of the 41 sites in the study. Results of random effects regression supported direct effects of therapist adherence, organizational climate, and structure at baseline on post-treatment child outcomes. However, organizational factors were unrelated to adherence. Post-hoc moderation analyses of therapist adherence indicated that clinician participation in organizational decision-making facilitated the ability of clinicians and families to determine when and how discharge occurred. Organizational climate factors related to less favorable child behavior and functioning outcomes when adherence was low, but not when it was high. Implications for the transport of evidence-based treatments to community setting will be discussed.

Date: Monday, March 1, 2004

Session Time: 1:15 PM - 2:45 PM

Organizational Influences on the Dissemination of Functional Family Therapy

Download Handouts: 352kb pdf

Session Number: 10 Room: Salon C & D

Presenting: Thomas Sexton

All Authors for this paper: Thomas Sexton

Presentation Type: part of symposium

Synopsis: This presentation describes an ongoing study of the factors that impact successful dissemination to which Functional Family Therapy (FFT) can be applied. The findings on the organizational features of climate, culture and structure of organizations, model fidelity/adherence, and alliance between implementers and trainees will be presented. The study uses data from two ongoing statewide dissemination projects in Washington State and New York. Results from these studies demonstrate that the degree of therapist adherence is directly related to successful outcome of FFT. Furthermore, it seems that the alliance is a critical factor in successful implementation. If effective family psychology interventions are going to move into the communities and maintain their successful outcomes, attention to the systems in which they are being implemented is essential. Results of these studies will shed light on the development of theoretical understanding of dissemination particularly in regard to organizational factors.

Date: Monday, March 1, 2004

Session Time: 1:15 PM - 2:45 PM

Engaging Families into Mental Health Treatments and Services for Children and Youth

Download Handouts: 140kb pdf

Session Number: 10 Room: Salon C & D

Presenting: Mary McKay

All Authors for this paper: Mary McKay

Presentation Type: part of symposium

Synopsis: This presentation discusses data on a set of engagement studies that are designed to improve access and retention among low-income families of color. Approximately 75% of children with mental health needs do not receive any type of mental health care with the disparity between mental health need and use highest among minority youth. This presentation will describe data relevant to the impact of these engagement strategies when applied to evidence-based treatment (EBP) models. The efforts in New York State to implement evidence-based engagement strategies embedded within various research and evaluation efforts of evidence-based treatments for children and youth will be discussed. The New York State Office of Mental Health is currently conducting evaluations of 'real world' implementations of functional family therapy for high risk youth affected by the September 11th terrorist attacks at the World Trade Center. Preliminary data suggest that high initial show rates can be achieved (i.e.: 95%), but that a different set of engagement strategies are needed to retain participants beyond the first visit. Linking family-driven engagement approaches to EBPs may improve the implementation, acceptability, and uptake of these models and ultimately improve the quality of services for low-income families of color.

Date: Monday, March 1, 2004

Session Time: 1:15 PM - 2:45 PM