title: Predictors of use of evidence-based practices for children and adolescents in usual care.
abstract: Practice data from 74 therapists providing public mental health services to 519 youth ages 5-19 were examined. Multilevel modeling suggested child and therapist characteristics predicted use of practices derived from the evidence-base (PDEB) and use of practices with minimal evidence support (PMES). Longer episode length predicted greater receipt of PDEB; older youth, males, and youth in out-of-home levels of care were more likely to receive PMES; and youth receiving an evidence-based treatment program were less likely to receive PMES. Professional specialty and theoretical orientation significantly predicted PDEB whereas therapist characteristics did not predict PMES. Implementation implications are discussed.
authors.affiliation: Department of Psychology, University of Hawaii at Hilo, 200 W. Kawili St., Hilo, HI, 96720, USA, higac@hawaii.edu.
authors.forename: Charmaine K
authors.initials: CK
authors.lastname: Higa-McMillan
authors.forename: Brad J
authors.initials: BJ
authors.lastname: Nakamura
authors.forename: Ashley
authors.initials: A
authors.lastname: Morris
authors.forename: David S
authors.initials: DS
authors.lastname: Jackson
authors.forename: Lesley
authors.initials: L
authors.lastname: Slavin
mesh_terms: D000293:Adolescent; D000328:Adult; D000367:Age Factors; D002648:Child; D002675:Child, Preschool; D003156:Community Mental Health Services / Q000706:statistics & numerical data*; D003376:Counseling; D055317:Evidence-Based Practice / Q000706:statistics & numerical data*; D005196:Family Therapy; D005260:Female; D006801:Humans; D008297:Male; D001523:Mental Disorders / Q000628:therapy*; D008875:Middle Aged; D055361:Multilevel Analysis; D017064:Process Assessment, Health Care; D011570:Psychiatry; D011582:Psychological Theory; D011584:Psychology; D011613:Psychotherapy / Q000706:statistics & numerical data*; D012737:Sex Factors; D012947:Social Work; D013997:Time Factors; D055815:Young Adult