This is a request for an ADAMHA Research Scientist Award. The overall objective of the research program is to strengthen the base of knowledge about mental health services for children and adolescents (herein referred to collectively as """"""""children""""""""). Research bearing on child services is often bifurcated into two insular streams: (a) Controlled, experimental research of modest ecological validity, and (b) Ecologically valid research of more modest experimental rigor. The research program described here is an attempt to bridge the gap, maximizing information by drawing from the strengths of both experimental and clinic-based research. The program is designed to generate a body of knowledge addressing the following questions: (l) What kinds of child problems and referral processes lead children into mental health services? (2) What factors are associated with children's persistence in, and attrition from, mental health care? (3) What are the effects of child mental health interventions? The program also explores whether answers to these questions differ as a function of child ethnicity and (where relevant) national culture. The questions are addressed through an array of methods: (a) A multi-site, longitudinal study of clinic-based child mental health care; (b) focused comparisons of mental health care data on Caucasian, Latino, and African- American youngsters; (c) complementary comparisons of data from Thailand and the U.S.; (d) multiple applications of a recently developed statistical procedure to referral problem data; and (e) multiple applications of meta-analysis to data on treatment attrition and treatment outcome. An overarching aim is to promote a conceptual synthesis, an integrated picture of how children gain access to mental health care, why they persist or drop out, and what impact services have on their functioning and adaptation. A longer-term goal is to find ways of improving children's access to mental health care, their persistence in it once they have access, and the benefits of the interventions they receive.

National Institute of Health (NIH)
National Institute of Mental Health (NIMH)
Research Scientist Award (K05)
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Services Research Review Committee (SER)
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University of California Los Angeles
Schools of Arts and Sciences
Los Angeles
United States
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Jensen-Doss, Amanda; Weisz, John R (2008) Diagnostic agreement predicts treatment process and outcomes in youth mental health clinics. J Consult Clin Psychol 76:711-22
Lau, Anna S; Valeri, Sylvia M; McCarty, Carolyn A et al. (2006) Abusive parents' reports of child behavior problems: relationship to observed parent-child interactions. Child Abuse Negl 30:639-55
Doss, Amanda Jensen; Weisz, John R (2006) Syndrome co-occurrence and treatment outcomes in youth mental health clinics. J Consult Clin Psychol 74:416-25
Weisz, John R; Weiss, Bahr; Suwanlert, Somsong et al. (2006) Culture and youth psychopathology: testing the syndromal sensitivity model in Thai and American adolescents. J Consult Clin Psychol 74:1098-107
Hawley, Kristin M; Weisz, John R (2005) Youth versus parent working alliance in usual clinical care: distinctive associations with retention, satisfaction, and treatment outcome. J Clin Child Adolesc Psychol 34:117-28
McLeod, Bryce D; Weisz, John R (2005) The therapy process observational coding system-alliance scale: measure characteristics and prediction of outcome in usual clinical practice. J Consult Clin Psychol 73:323-33
McCarty, Carolyn A; Lau, Anna S; Valeri, Sylvia M et al. (2004) Parent-child interactions in relation to critical and emotionally overinvolved expressed emotion (EE): is EE a proxy for behavior? J Abnorm Child Psychol 32:83-93
McLeod, Bryce D; Weisz, John R (2004) Using dissertations to examine potential bias in child and adolescent clinical trials. J Consult Clin Psychol 72:235-51
Hawley, Kristin M; Weisz, John R (2003) Child, parent, and therapist (dis)agreement on target problems in outpatient therapy: the therapist's dilemma and its implications. J Consult Clin Psychol 71:62-70
Southam-Gerow, Michael A; Weisz, John R; Kendall, Philip C (2003) Youth with anxiety disorders in research and service clinics: examining client differences and similarities. J Clin Child Adolesc Psychol 32:375-85

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