Co-occurrence of multiple psychological conditions has been called the """"""""premier challenge facing mental healthprofessionals"""""""". While much discussion has been given to the potential effects this co-occurrence might have on treatments for children and adolescents, very little hard data exist on the topic, especially within mental health service settings. The proposed study is designed to investigate the relation between syndrome co-occurrence and (1) the process of child psychotherapy, (2) therapy engagement, and (3) treatment outcome among 463 children and their parents receiving mental health services at one of ten community clinics in Southern California. This study takes a dimensional approach to co-occurrence, in which main effects of syndromes will be used to quantify the independent impact of each syndrome and statistical interactions among different syndromes will be used to quantify the impact of co-occurrence. Multi-level or hierarchical linear modeling will be used to predict treatment process, therapy engagement, and outcomes over two years post intake from individual syndromes and their interactions. The proposed research will shed light on the debate about effects of syndrome co-occurrence on treatment and enrich our understanding of the factors that contribute to process, engagement, and outcomes within service settings for children.

Agency
National Institute of Health (NIH)
Institute
National Institute of Mental Health (NIMH)
Type
Predoctoral Individual National Research Service Award (F31)
Project #
5F31MH065811-02
Application #
6626195
Study Section
Special Emphasis Panel (ZMH1-SRV-C (01))
Program Officer
Light, Enid
Project Start
2002-04-15
Project End
2004-07-29
Budget Start
2003-04-15
Budget End
2004-07-29
Support Year
2
Fiscal Year
2003
Total Cost
$7,144
Indirect Cost
Name
University of California Los Angeles
Department
Psychology
Type
Schools of Arts and Sciences
DUNS #
092530369
City
Los Angeles
State
CA
Country
United States
Zip Code
90095
Weisz, John R; Jensen-Doss, Amanda; Hawley, Kristin M (2006) Evidence-based youth psychotherapies versus usual clinical care: a meta-analysis of direct comparisons. Am Psychol 61:671-89
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; Doss, Amanda Jensen; Hawley, Kristin M (2005) Youth psychotherapy outcome research: a review and critique of the evidence base. Annu Rev Psychol 56:337-63
Weisz, John R; Hawley, Kristin M; Doss, Amanda Jensen (2004) Empirically tested psychotherapies for youth internalizing and externalizing problems and disorders. Child Adolesc Psychiatr Clin N Am 13:729-815, v-vi