The Clinic Treatment Project

NCT01178554 | Completed DMC

• 1 other identifier: 83423-0
• Study Type: interventional
• Target: 203
• Locations: 1 country
• Sites: 2

Brief Summary

The Clinic Treatment Project tested two alternative methods of delivering evidence-based practices within public community-based mental health clinics, using training and supervision procedures designed for the settings and users.

Conditions

Anxiety; Depression; Problem Behavior

Keywords

anxiety disorders; depression; depressive disorders; disruptive behavioral problems; conduct problems

Outcome Measures

Primary Outcomes (1)

• Brief Problem Checklist (BPC, parent and child forms)

  Youth and parents were contacted weekly to report changes in youth functioning. Each person was asked to rate their own or their child's behavior on 12 items (6 internalizing and 6 externalizing behaviors) that were adapted from the Youth Self Report and the Child Behavior Checklist. Children and caregivers completed the pre-treatment assessment on Day 1, every week during treatment, and at post-treatment assessment which occurred on average 267 days (SD = 124 days) after the pre-treatment assessment.

  Change over time from Day 1 to Day 267

Secondary Outcomes (10)

• The Children's Interview for Psychiatric Syndromes-Child and Parent Forms (ChIPS/P-ChIPS)

  Change over time from Day 1 to Day 267

• Top Problems Assessment

  Change over time from Day 1 to Day 712 (24-mo follow-up)

• Youth Self-Report Form (YSR)

  Change over time from Day 1 to Day 712 (24-mo follow-up)

• Child Behavior Checklist (CBCL)

  Change over time from Day 1 to Day 712 (24-mo follow-up)

• Therapeutic Alliance Scale for Children

  post-treatment (Day 267)

Study Arms (3)

Usual Care Treatment

ACTIVE COMPARATOR

Usual Care therapists could use any treatment procedures they used regularly in their clinical practice.

Behavioral: psychotherapy

Standard Manual Treatment (SMT)

EXPERIMENTAL

Evidence-based treatment manuals were used for anxiety (Coping Cat Manual; Kendall, 1994; Kendall et al., 1994 ), depression (Primary and Secondary Control Enhancement Training; Weisz et al., 1997, 1998), and conduct problems (Defiant Children Manual; Barkley, 1997).

Behavioral: evidence-based treatment

Modular Maual Treatment (MMT)

EXPERIMENTAL

Therapists used a modular manual (Modular Approach to Therapy for Children with Anxiety, Depression, or Conduct Problems; Chorpita \& Weisz, 2004) to help children with primary problems of anxiety, depression, and conduct.

Behavioral: modular evidence-based treatment

Interventions

psychotherapy BEHAVIORAL

Usual Care therapists could use any treatment procedures they used regularly in their clinical practice.

Also known as: Treatment As Usual (TAU), Case Management

Usual Care Treatment

evidence-based treatment BEHAVIORAL

Evidence-based treatment manuals were used for anxiety (Coping Cat Manual; Kendall, 1994; Kendall et al., 1994 ), depression (Primary and Secondary Control Enhancement Training; Weisz et al., 1997, 1998), and conduct problems (Defiant Children Manual; Barkley, 1997).

Also known as: best practices, evidence-based practices, treatment manuals

Standard Manual Treatment (SMT)

modular evidence-based treatment BEHAVIORAL

Therapists used the Modular Approach to Therapy for Children with Anxiety, Depression, or Conduct Problems (MATCH-ADC; Chorpita \& Weisz, 2004)

Also known as: modular treatments, best practices, evidence-based practices

Modular Maual Treatment (MMT)

Eligibility Criteria

• Age: 7 Years - 13 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17)

You may qualify if:

• year olds and their parents
• seeking services at community mental health clinics
• primary problem or disorder related to anxiety, depression, or conduct problems

You may not qualify if:

• Child is younger than 7 years, 9 months or older than 13 on the day of the phone screen.
• Child has attempted suicide within the past year.
• Schizophrenic spectrum diagnosis (including MDD w/ psychotic features)
• Autism or another Pervasive Developmental Disorder (e.g., PDD NOS, Asperger's Disorder, Child Disintegrative Disorder, Rett's Disorder).
• Anorexia Nervosa
• Bulimia Nervosa
• Mental Retardation
• No relevant T-scores validate target disorders.
• ADHD identified as primary reason for seeking treatment at phone screen
• Child's sibling already included
• Child's medication has not been regulated for one month or longer

Sponsors & Collaborators

• Judge Baker Children's Center: lead
• MacArthur Foundation: collaborator
• University of Hawaii: collaborator
• University of Illinois at Chicago: collaborator

Study Sites (2)

The University of Hawaii at Manoa

Honolulu, Hawaii, 96822-2294, United States

Location

Judge Baker Children's Center

Boston, Massachusetts, 02120, United States

Location

Related Publications (10)

• Chorpita BF, Bernstein A, Daleiden EL; Research Network on Youth Mental Health. Driving with roadmaps and dashboards: using information resources to structure the decision models in service organizations. Adm Policy Ment Health. 2008 Mar;35(1-2):114-23. doi: 10.1007/s10488-007-0151-x. Epub 2007 Nov 6.

  PMID: 17987376 BACKGROUND

• Borntrager CF, Chorpita BF, Higa-McMillan C, Weisz JR. Provider attitudes toward evidence-based practices: are the concerns with the evidence or with the manuals? Psychiatr Serv. 2009 May;60(5):677-81. doi: 10.1176/ps.2009.60.5.677.

  PMID: 19411357 BACKGROUND

• Ebesutani C, Bernstein A, Nakamura BJ, Chorpita BF, Higa-McMillan CK, Weisz JR; The Research Network on Youth Mental Health. Concurrent Validity of the Child Behavior Checklist DSM-Oriented Scales: Correspondence with DSM Diagnoses and Comparison to Syndrome Scales. J Psychopathol Behav Assess. 2010 Sep;32(3):373-384. doi: 10.1007/s10862-009-9174-9. Epub 2009 Nov 27.

  PMID: 20700377 BACKGROUND

• Chorpita BF, Reise S, Weisz JR, Grubbs K, Becker KD, Krull JL; Research Network on Youth Mental Health. Evaluation of the Brief Problem Checklist: child and caregiver interviews to measure clinical progress. J Consult Clin Psychol. 2010 Aug;78(4):526-36. doi: 10.1037/a0019602.

  PMID: 20658809 BACKGROUND

• Ebesutani C, Bernstein A, Nakamura BJ, Chorpita BF, Weisz JR; Research Network on Youth Mental Health. A psychometric analysis of the revised child anxiety and depression scale--parent version in a clinical sample. J Abnorm Child Psychol. 2010 Feb;38(2):249-60. doi: 10.1007/s10802-009-9363-8.

  PMID: 19830545 BACKGROUND

• Ho A, Weisz JR, Austin AA, Chorpita BF, Southam-Gerow M, Wells K, the Research Network on Youth Mental Health. Bridging science and community practice: Clinician and organizational engagement in community clinics in the clinic treatment project. Emotional and Behavioral Disorders in Youth. Winter 2006;7:13-19.

  BACKGROUND

• Martin JL, Weisz JR, Chorpita BF, Higa CK, Southam-Gerow M, Wells K, the Research Network on Youth Mental Health. Moving evidence-based practices into everyday clinical care settings: Addressing challenges associated with pathways to treatment, child characteristics, and structure of treatment. Emotional and Behavioral Disorders in Youth. Winter 2006;7:5-21.

  BACKGROUND

• Palinkas LA, Aarons GA, Chorpita BF, Hoagwood K, Landsverk J, Weisz JR; Research Network on Youth Mental Health. Cultural exchange and the implementation of evidence-based practice: two case studies. J Evidence-Based Social Work. 2009 September;19(5):602-612.

  BACKGROUND

• Palinkas LA, Schoenwald SK, Hoagwood K, Landsverk J, Chorpita BF, Weisz JR; Research Network on Youth Mental Health. An ethnographic study of implementation of evidence-based treatments in child mental health: first steps. Psychiatr Serv. 2008 Jul;59(7):738-46. doi: 10.1176/ps.2008.59.7.738.

  PMID: 18586990 BACKGROUND

• Weisz JR, Chorpita BF, Palinkas LA, Schoenwald SK, Miranda J, Bearman SK, Daleiden EL, Ugueto AM, Ho A, Martin J, Gray J, Alleyne A, Langer DA, Southam-Gerow MA, Gibbons RD; Research Network on Youth Mental Health. Testing standard and modular designs for psychotherapy treating depression, anxiety, and conduct problems in youth: a randomized effectiveness trial. Arch Gen Psychiatry. 2012 Mar;69(3):274-82. doi: 10.1001/archgenpsychiatry.2011.147. Epub 2011 Nov 7.

  PMID: 22065252 DERIVED

Related Links

• Child System and Treatment Enhancement Projects

MeSH Terms

Conditions

Anxiety Disorders; Depression; Problem Behavior; Depressive Disorder

Interventions

Psychotherapy; Therapeutics; Case Management; Practice Guidelines as Topic

Condition Hierarchy (Ancestors)

Mental Disorders; Behavioral Symptoms; Behavior; Child Behavior; Mood Disorders

Intervention Hierarchy (Ancestors)

Behavioral Disciplines and Activities; Patient Care Planning; Comprehensive Health Care; Patient Care Management; Health Services Administration; Guidelines as Topic; Quality Assurance, Health Care; Quality of Health Care; Health Care Quality, Access, and Evaluation

Study Officials

• John R. Weisz, Ph.D.

  Judge Baker Children's Center

  PRINCIPAL INVESTIGATOR

• Bruce F. Chorpita, Ph.D.

  University of Hawaii

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: TRIPLE
• Who Masked: PARTICIPANT, CARE PROVIDER, OUTCOMES ASSESSOR
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER

Study Record Dates

• First Submitted: July 12, 2010
• First Posted: August 10, 2010
• Study Start: June 1, 2005
• Primary Completion: May 1, 2009
• Study Completion: June 1, 2010
• Last Updated: March 16, 2011

Record last verified: 2011-03

Locations

US (2)