دورية أكاديمية
Effect of Providing Evidence-Based Mental Health Treatment on Retention in Care Among Medicaid-Enrolled Youths.
| العنوان: | Effect of Providing Evidence-Based Mental Health Treatment on Retention in Care Among Medicaid-Enrolled Youths. |
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| المؤلفون: | Stewart RE; Department of Psychiatry, Perelman School of Medicine, University of Pennsylvania, Philadelphia (Stewart, Cardamone, Shen, Mandell, Rothbard); Community Behavioral Health, Philadelphia (Dallard, Comeau); Department of Behavioral Health and Intellectual disAbility Services, Philadelphia (Bowen)., Cardamone NC; Department of Psychiatry, Perelman School of Medicine, University of Pennsylvania, Philadelphia (Stewart, Cardamone, Shen, Mandell, Rothbard); Community Behavioral Health, Philadelphia (Dallard, Comeau); Department of Behavioral Health and Intellectual disAbility Services, Philadelphia (Bowen)., Shen L; Department of Psychiatry, Perelman School of Medicine, University of Pennsylvania, Philadelphia (Stewart, Cardamone, Shen, Mandell, Rothbard); Community Behavioral Health, Philadelphia (Dallard, Comeau); Department of Behavioral Health and Intellectual disAbility Services, Philadelphia (Bowen)., Dallard N; Department of Psychiatry, Perelman School of Medicine, University of Pennsylvania, Philadelphia (Stewart, Cardamone, Shen, Mandell, Rothbard); Community Behavioral Health, Philadelphia (Dallard, Comeau); Department of Behavioral Health and Intellectual disAbility Services, Philadelphia (Bowen)., Comeau C; Department of Psychiatry, Perelman School of Medicine, University of Pennsylvania, Philadelphia (Stewart, Cardamone, Shen, Mandell, Rothbard); Community Behavioral Health, Philadelphia (Dallard, Comeau); Department of Behavioral Health and Intellectual disAbility Services, Philadelphia (Bowen)., Mandell DS; Department of Psychiatry, Perelman School of Medicine, University of Pennsylvania, Philadelphia (Stewart, Cardamone, Shen, Mandell, Rothbard); Community Behavioral Health, Philadelphia (Dallard, Comeau); Department of Behavioral Health and Intellectual disAbility Services, Philadelphia (Bowen)., Bowen J; Department of Psychiatry, Perelman School of Medicine, University of Pennsylvania, Philadelphia (Stewart, Cardamone, Shen, Mandell, Rothbard); Community Behavioral Health, Philadelphia (Dallard, Comeau); Department of Behavioral Health and Intellectual disAbility Services, Philadelphia (Bowen)., Rothbard A; Department of Psychiatry, Perelman School of Medicine, University of Pennsylvania, Philadelphia (Stewart, Cardamone, Shen, Mandell, Rothbard); Community Behavioral Health, Philadelphia (Dallard, Comeau); Department of Behavioral Health and Intellectual disAbility Services, Philadelphia (Bowen). |
| المصدر: | Psychiatric services (Washington, D.C.) [Psychiatr Serv] 2024 Aug 02, pp. appips20240066. Date of Electronic Publication: 2024 Aug 02. |
| Publication Model: | Ahead of Print |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: American Psychiatric Association Country of Publication: United States NLM ID: 9502838 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1557-9700 (Electronic) Linking ISSN: 10752730 NLM ISO Abbreviation: Psychiatr Serv Subsets: MEDLINE |
| أسماء مطبوعة: | Original Publication: Washington, DC : American Psychiatric Association, c1995- |
| مستخلص: | Objective: Youths who start behavioral health treatment often stop before completing a therapeutic course of care. To increase treatment engagement and quality of care, the Evidence-Based Practice and Innovation Center in Philadelphia has incentivized use of evidence-based practices (EBPs) for mental health care of youths. The authors aimed to compare treatment outcomes between youths who received EBP care and those who did not. Methods: Using EBP-specific billing codes and propensity score matching, the authors compared treatment retention among youths who received trauma-focused cognitive-behavioral therapy (TF-CBT; N=413) or parent-child interaction therapy (PCIT; N=90) relative to matched samples of youths in standard outpatient therapy (N=503). Results: Youths with a minimum of one session of TF-CBT or PCIT attended a second session at higher rates than did youths in the matched control group (TF-CBT: 96% vs. 68%, p<0.01; PCIT: 94% vs. 69%, respectively, p<0.01). On average, these returning youths attended more sessions in the EBP groups than in the control group (TF-CBT: 15.9 vs. 11.5 sessions, p<0.01; PCIT: 11.2 vs. 6.9 sessions, p<0.01). Conclusions: These findings indicate that, in addition to improving quality of care, EBP implementation helps address the major challenge that most youths who engage with treatment are not retained long enough for care to have therapeutic effects. Future research should examine the mechanisms through which EBPs can improve treatment retention. Competing Interests: The authors report no financial relationships with commercial interests. |
| فهرسة مساهمة: | Keywords: Child psychiatry; Evidence-based practice; Insurance; Mental health systems; Trauma-informed care |
| تواريخ الأحداث: | Date Created: 20240802 Latest Revision: 20240802 |
| رمز التحديث: | 20240802 |
| DOI: | 10.1176/appi.ps.20240066 |
| PMID: | 39091172 |
| قاعدة البيانات: | MEDLINE |
| تدمد: | 1557-9700 |
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| DOI: | 10.1176/appi.ps.20240066 |