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Adm Policy Ment Health. 2018 Jan;45(1):103-120. doi: 10.1007/s10488-016-0770-1.

Factor Analysis of Therapist-Identified Treatment Targets in Community-Based Children's Mental Health.

Author information

1
Department of Psychology, University of Hawai'i at Mānoa, 2530 Dole Street, Sakamaki C400, Honolulu, HI, 96822, USA.
2
Department of Psychology, University of Hawai'i at Mānoa, 2530 Dole Street, Sakamaki C400, Honolulu, HI, 96822, USA. cmueller@hawaii.edu.

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.

KEYWORDS:

Community based children’s mental health; Factor analysis; Treatment targets; Usual care; Youth psychotherapy

PMID:
27771814
DOI:
10.1007/s10488-016-0770-1

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