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. 2016 Oct;45(5):745-758.
doi: 10.1007/s10566-016-9356-z. Epub 2016 Apr 5.

Using Observational Assessment to Help Identify Factors Associated with Parent Participation Engagement in Community-Based Child Mental Health Services

Nicole A Stadnick  1 , Rachel Haine-Schlagel  2 , Jonathan I Martinez  3
Affiliations

Using Observational Assessment to Help Identify Factors Associated with Parent Participation Engagement in Community-Based Child Mental Health Services

Nicole A Stadnick et al. Child Youth Care Forum. 2016 Oct.

Abstract

Background: Parent engagement in child mental health (MH) services has received growing attention due to its significance in intervention outcomes and evidence-based care. In particular, parent participation engagement (PPE) reflects active and responsive contributions in and between sessions. Yet, limited research has examined factors associated with PPE, particularly within community-based MH services where PPE is low and highly diverse families are often served.

Objective: This study examined child, parent, and therapist factors associated with PPE in a sample of racially/ethnically diverse parent-child dyads receiving publicly-funded, community-based MH services.

Methods: This prospective study included 18 parent-child dyads receiving community-based MH services from 17 therapists in five outpatient clinics for child disruptive behaviors. PPE was measured using in-session observational assessment of therapy recordings. Child factors that were examined included age, first time child MH service use, and intensity of child behavior problems. Parent factors included ethnicity, education, depression symptoms, and parent motivation to participate in therapy. Therapist factors included therapist training in parent-mediation interventions, attitudes towards organizational functioning, and attitudes towards parent participation strategies.

Results: Results from linear regression analyses indicated that first time child MH service use, intensity of child behavior problems, parent ethnicity and motivation to participate in therapy, as well as therapists' training and attitudes about their practice were each significantly associated with PPE.

Conclusions: Results highlight specific child, parent, and therapist characteristics that may impact observed PPE in child MH therapy. These findings underscore the importance of considering the influence of family and provider factors on PPE in community-based child MH services.

Keywords: Child mental health treatment; Community-based; Disruptive behavior problems; Engagement; Parent; Participation.

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References

    1. American Psychological Association Presidential Task Force on Evidence-Based Practice Evidence-based practice in psychology. American Psychologist. 2006;61:271–285. doi:10.1037/0003-066X.61.4.271. - PubMed
    1. Andrade BF, Browne DT, Naber AR. Parenting skills and parent readiness for treatment are associated with child disruptive behavior and parent participation in treatment. Behavior Therapy. 2015;46:365–378. doi:10.1016/j.beth.2015.01.004. - PubMed
    1. Austin PC, Steyerberg EW. The number of subjects per variable required in linear regression analyses. Journal of Clinical Epidemiology. 2015;68:627–636. doi:10.1016/j.jclinepi.2014.12.014. - PubMed
    1. Baker-Ericzén MJ, Jenkins MM, Haine-Schlagel R. Therapist, parent, and youth perspectives of treatment barriers to family-focused community outpatient mental health services. Journal of Child and Family Studies. 2013;22:854–868. doi:10.1007/s10826-012-9644-7. - PMC - PubMed
    1. Becker KD, Lee BR, Daleiden EL, Lindsey M, Brandt NE, Chorpita BF. The common elements of engagement in children's mental health services: Which elements for which outcomes? Journal of Clinical Child and Adolescent Psychology. 2015;44:30–43. doi:10.1080/15374416.2013.814543. - PubMed

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