Maine Implementation Study - Phase III
Condition: Anxiety; Trauma; Depression; Problem Behavior
MeSH terms: Depression; Problem Behavior
Study type: Interventional

Summary: 
      This study focused on youths who were referred to community-based mental healths clinics for
      problems related to disruptive behaviors, depression, anxiety, traumatic stress, and any
      combination of these problems. Therapists were randomly assigned to deliver usual treatment
      procedures (usual care, or UC) in their clinics or an evidence-based, modularized treatment
      (Modular Approach to Therapy for Children with Anxiety, Depression, Trauma, or Conduct
      Problems, or MATCH-ADTC). Assessments were conducted at pre-treatment and post-treatment, and
      every 3 to 6 months for two years. Results will address critical questions about deployment
      of evidence-based youth practices to clinical settings.
    

Detailed description: 
      This study focused on youths aged 6 - 15 who were referred to community-based mental healths
      clinics for problems related to disruptive behaviors, depression, anxiety, traumatic stress,
      and any combination of these problems. Using a randomized block design, therapists were
      randomly assigned to deliver usual treatment procedures (usual care, or UC) in their clinics
      or an evidence-based, modularized treatment (Modular Approach to Therapy for Children with
      Anxiety, Depression, Trauma, or Conduct Problems, or MATCH-ADTC). MATCH-ADTC was supported by
      training and supervision procedures designed to fit providers and their clinic contexts.
      Assessments were carried out at pre-treatment, at post-treatment, and at 3-,6-,9-,12,18-,and
      24-month follow-ups. Assessments carried out at pre-treatment included (a) individual youth
      problems and disorders; (b) individual youth functioning at home and school; and (c) clinic
      staff beliefs and attitudes toward evidence-based treatments. Assessments carried out at
      post-treatment and follow-ups included measures of (1) youth, caregiver, and therapist
      satisfaction with treatment; (b) youth, caregiver, and therapist views on the quality of the
      therapeutic relationship; and (c) treatment costs. Assessments carried out at follow-up only
      included measures of (a) caregiver reports of any mental health service use following project
      treatment; (b) therapist reports on the extent to which the treatment procedures they used in
      the project are continued after project termination. Analyses will address critical questions
      about deployment of evidence-based youth practices to clinical settings.
    

Intervention name(s): Usual Care Treatment; Modular Approach to Therapy for Children
Intervention type(s): Behavioral; Behavioral
Intervention description(s): Usual Care therapists could use any treatment procedures they used regularly in their clinical practice.; Therapists used the Modular Approach to Therapy for Children with Anxiety, Depression, Trauma, or Conduct Problems (MATCH-ADTC; Chorpita & Weisz, 2010).
Allocation: Randomized
Intervention model: Parallel Assignment
Masking: Triple (Participant, Care Provider, Outcomes Assessor)
Primary purpose: Treatment
Keywords: Anxiety; Trauma; Depression; Problem Behavior; evidence-based treatments