title: Factor Analysis of Therapist-Identified Treatment Targets in Community-Based Children's Mental Health.
abstract: The present study used exploratory and confirmatory factor analyses to identify underlying latent factors affecting variation in community therapists' endorsement of treatment targets. As part of a statewide practice management program, therapist completed monthly reports of treatment targets (up to 10 per month) for a sample of youth (n = 790) receiving intensive in-home therapy. Nearly 75 % of youth were diagnosed with multiple co-occurring disorders. Five factors emerged: Disinhibition, Societal Rules Evasion, Social Engagement Deficits, Emotional Distress, and Management of Biodevelopmental Outcomes. Using logistic regression, primary diagnosis predicted therapist selection of Disinhibition and Emotional Distress targets. Client age predicted endorsement of Societal Rules Evasion targets. Practice-to-research implications are discussed.
authors: Department of Psychology, University of Hawai'i at Mānoa, 2530 Dole Street, Sakamaki C400, Honolulu, HI, 96822, USA.
authors: Allison R
authors: AR
authors: Love
authors: Department of Psychology, University of Hawai'i at Mānoa, 2530 Dole Street, Sakamaki C400, Honolulu, HI, 96822, USA.
authors: Izumi
authors: I
authors: Okado
authors: Department of Psychology, University of Hawai'i at Mānoa, 2530 Dole Street, Sakamaki C400, Honolulu, HI, 96822, USA.
authors: Trina E
authors: TE
authors: Orimoto
authors: Department of Psychology, University of Hawai'i at Mānoa, 2530 Dole Street, Sakamaki C400, Honolulu, HI, 96822, USA. cmueller@hawaii.edu.
authors: Charles W
authors: CW
authors: Mueller
mesh_terms: D000275:Adjustment Disorders / Q000523:psychology / Q000628:therapy; D000293:Adolescent; D000367:Age Factors; D001007:Anxiety / Q000523:psychology / Q000628:therapy; D001008:Anxiety Disorders / Q000523:psychology / Q000628:therapy; D019958:Attention Deficit and Disruptive Behavior Disorders / Q000523:psychology / Q000628:therapy; D002648:Child; D003156:Community Mental Health Services; D003863:Depression / Q000523:psychology / Q000628:therapy; D003866:Depressive Disorder / Q000523:psychology / Q000628:therapy; D005163:Factor Analysis, Statistical; D005260:Female; D006801:Humans; D016015:Logistic Models; D008297:Male; D001523:Mental Disorders / Q000523:psychology / Q000628:therapy*; D010347:Patient Care Planning; D011613:Psychotherapy; D012737:Sex Factors; D019966:Substance-Related Disorders / Q000523:psychology / Q000628:therapy
keywords: Community based children’s mental health; Factor analysis; Treatment targets; Usual care; Youth psychotherapy