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Published on: April 11, 2018
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Do Treatment Plans Matter? Moving From Recommendations to Action.
Katherine H Tsai1, Andrew L Moskowitz1, Roxanna E Lynch2
1a Department of Psychology , University of California , Los Angeles.
Summary
Service planning documents guide mental health treatment targets and practices for youth. Including recommendations in treatment plans increases their use and aligns care with evidence-based approaches.
Area of Science:
- Child and Adolescent Mental Health
- Healthcare Service Delivery
- Treatment Planning
Background:
- Community-based mental health services for youth often rely on structured treatment plans.
- Understanding the influence of service-planning documents on actual clinical practice is crucial for effective care delivery.
Purpose of the Study:
- To investigate if service-planning documents, detailing treatment targets and practices, influence provider implementation in youth mental health services.
- To examine the relationship between recommended and implemented targets and practices over time.
Main Methods:
- Analysis of treatment data from 94 youths (ages 4-17) receiving community-based mental health services.
- Comparison of initial Mental Health Treatment Plans with Monthly Treatment and Progress Summaries.
- Utilized two-level generalized mixed effects models and linear mixed effects models.
Main Results:
- Providers were more likely to implement targets and practices if they were included in the initial treatment plan.
- Closer adherence to recommended targets correlated with closer adherence to recommended practices.
- Shifts in treatment targets over time were associated with corresponding shifts in practice utilization.
- Evidence-based practices for specific targets were more frequently adopted.
Conclusions:
- Service planning documents can help organize mental health care for youth.
- Findings suggest limitations in current service planning and care delivery systems.
- Identified areas for improvement in the planning and implementation of youth mental health services.
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