The overarching goal of this Mentored Career Development Award (K01) is to provide the applicant with skills to establish an independent program of research focused on improving family-focused community services for children, by greater attention to and understanding of the parent and family contextual variables (P/FCVs) that impact services. The proposed K01 study seeks to examine clinician's abilities to systematically assess for P/FCVs and understand clinical decision-making practices in usual care related to P/FCVs. The outcomes will provide information relevant to tailoring empirically supported interventions to the needs of diverse, complex families. The award will build upon the applicant's strong existing training in tailoring treatments, clinical decision-making models, empirically supported treatments, parent-training interventions, and delivering care in community mental health clinics. The proposed training goals provide instruction and mentoring in (1) identification and assessment of P/FCVs (2) methods for studying decision-making in the context of usual practice (3) utilizing qualitative methods, (4) advanced statistical topics focusing on modeling techniques and longitudinal data analysis and (5) ethical conduct of research. The research plan is divided into three phases; each studying community outpatient services for children with disruptive behavior disorders. Phase 1 research will 1) identify P/FCVs that impact treatments according to parent, youth & clinician perspectives and the empirical literature and 2) examine assessment of P/FCVs in usual care and compare to standardized assessment and 3) examine clinical decision-making practices. Phase II will examine the impact of contextual factors on the delivery and receipt of services and test the linkage between P/FCVs and treatment process variables (i.e. attrition, dosage, intensity, alliance, compliance with therapeutic strategies). Phase III will develop and test for feasibility simplified decision-making tree/s to be used in usual care to tailor treatments to P/FCVs. The training activities and study results will form the basis for examining clinical decision-making guidelines (R01) based on simple heuristic models to tailor treatments to the complexities of """"""""real world"""""""" families. ? ?

Agency
National Institute of Health (NIH)
Institute
National Institute of Mental Health (NIMH)
Type
Research Scientist Development Award - Research & Training (K01)
Project #
1K01MH069665-01A1
Application #
6823734
Study Section
Services Research Review Committee (SRV)
Program Officer
Light, Enid
Project Start
2004-07-24
Project End
2009-06-30
Budget Start
2004-07-24
Budget End
2005-06-30
Support Year
1
Fiscal Year
2004
Total Cost
$159,105
Indirect Cost
Name
Children's Hospital & Res Ctr at Oakland
Department
Type
DUNS #
136123085
City
San Diego
State
CA
Country
United States
Zip Code
92123
Baker-Ericzén, Mary J; Jenkins, Melissa M; Park, Soojin et al. (2015) Clinical Decision-Making in Community Children's Mental Health: Using Innovative Methods to Compare Clinicians With and Without Training in Evidence-Based Treatment. Child Youth Care Forum 44:133-157
Baker-Ericzén, Mary J; Jenkins, Melissa M; Haine-Schlagel, Rachel (2013) Therapist, Parent, and Youth Perspectives of Treatment Barriers to Family-Focused Community Outpatient Mental Health Services. J Child Fam Stud 22:854-868
Garland, Ann F; Haine-Schlagel, Rachel; Brookman-Frazee, Lauren et al. (2013) Improving community-based mental health care for children: translating knowledge into action. Adm Policy Ment Health 40:6-22
Connelly, Cynthia D; Hazen, Andrea L; Baker-Ericzen, Mary J et al. (2013) Is screening for depression in the perinatal period enough? The co-occurrence of depression, substance abuse, and intimate partner violence in culturally diverse pregnant women. J Womens Health (Larchmt) 22:844-52
Haine-Schlagel, Rachel; Brookman-Frazee, Lauren; Fettes, Danielle L et al. (2012) Therapist Focus on Parent Involvement in Community-Based Youth Psychotherapy. J Child Fam Stud 21:646-656
Brookman-Frazee, Lauren; Baker-Ericzén, Mary; Stadnick, Nicole et al. (2012) Parent Perspectives on Community Mental Health Services for Children with Autism Spectrum Disorders. J Child Fam Stud 21:
Garland, Ann F; Haine-Schlagel, Rachel; Accurso, Erin C et al. (2012) Exploring the effect of therapists' treatment practices on client attendance in community-based care for children. Psychol Serv 9:74-88
Baker-Ericzen, Mary J; Connelly, Cynthia D; Hazen, Andrea L et al. (2012) A collaborative care telemedicine intervention to overcome treatment barriers for Latina women with depression during the perinatal period. Fam Syst Health 30:224-40
Brookman-Frazee, Lauren; Haine, Rachel A; Baker-Ericzén, Mary et al. (2010) Factors associated with use of evidence-based practice strategies in usual care youth psychotherapy. Adm Policy Ment Health 37:254-69
Baker-Ericzén, Mary J; Jenkins, Melissa M; Brookman-Frazee, Lauren (2010) Clinician and Parent Perspectives on Parent and Family Contextual Factors that Impact Community Mental Health Services for Children with Behavior Problems. Child Youth Care Forum 39:397-419

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