Psychology 3301F/G Chapter Notes - Chapter 13: National Institutes Of Health, Parent Management Training, Sound Studies

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Chapter 13: Intervention: Children and Adolescents
Who is the Client in Psych Services for Children and Adolescents
Psych services cant be imposed on a client
o Ifoed oset is euied; hild ad adol do’t efe theseles
Childe ad outh do’t hae the esoues to seek, atted ad pa fo psh seies idepedetl
o Parents act as gatekeepers for psych services for their kids
Whe teatet of hildhood odut poles did’t ath paets’ udestadig of the hild’s pole, paets ee
less likely to engage in treatment
Parent-therapist alliance: related to participation in therapy, with those who reported stronger alliance participating more
in services and cancelling fewer sessions
Youth-therapist alliance: reports of improvements in symptoms
o Means unless parents convinced therapy is helpful hard for youth to participate; unless young person engaged
with therapist limited change in symptoms
Kids under 12 can receive psych services only with the consent of a parent/legal guardian (some jurisdictions no age
Psychologist must also be knowledgeable about consent laws about divorced parents
Landmarks in evolution of EB psych services for child/adol
Progress lagged behind progress for adults
Do psych treatments for child/adol work
Levitt: said no support for efficacy of child psychotherapy
John Weisz, psychotherapy researcher: reasoned that if a treatment uses an artificial activity (like computer task) to train a
skill (paying attention) then its not fair to use a score on that same computer activity as a measure of treatment outcome
Alan Kazdin: attention to troubling discrepancy between nature of psychotherapy research and nature of clinical practice
o Recommended that treatment researchers pay greater attention to characteristics of the child, parent, family or
therapist that might influence treatment outcome
Review that meta analysis has offered explicit set of decision rules for synthesizing data from diverse studies and reporting
findings using a common metric
o Weighted least squares method: takes into account by assigning less weight in the meta analysis to studies with
greater error variance and more heavily weighting those with less error variance
Which treatments work for specific disorders
Numerous efficacious psych treatments for various problems of childhood and adolescents they are not routinely offered in
standard care
EB care consistently outperforms usual clinical care
o Evident among minority youth and among youth with most severe problems
Wh does’t eeoe do EB the? Ostale / of effiaious teatments is that clinicians may be unaware of them
Last 20 years efforts in different countries and across different disciplines to id the most helpful psych treatments for
childhood disorders
Many of EB approaches are behavioural and CB
Many of the efficacious treatments for children involve parents learning strategies to respond to their children behaviours
Most effective treatments of childhood disorders fall under umbrella of behavioural, CB and interpersonal approaches
Ethnic invariance implies that an EBT yields equivalent results for ethnic minority youth; ethnic disparity, on the other hand
implies that the treatment is not as powerful when applied to ethnic minority youth and therefore the treatment requires
Teatet should’t e ejeted  ee ee used i patiula populatio, o should pshologist assume that b/c it
worked w/ one sample it will be helpful in another
Clinical Practice Guidelines
Oe of the ealiest ultidisiplia eie paels o hilde’s etal health as oeed i US  Natioal Istitutes of
Health (NIH) to identify EBT of ADHD
o Resulted in the NIH consensus statement on the diagnosis and treatment of ADHD
Practice guidelines are designed to help practitioners deliver services that are based on current research findings
Examples of EBT
Disruptive Behaviour disorders
Most common reason for which adults refer children
Oppositional defiant disorder (ODD) reflects pattern of persistent negativistic and hostile behaviour that is usually evident
before 8
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