Cited by 48Psychotherapy Techniques and ApplicationsPersonality Disorders and PsychopathologyChild and Adolescent Psychosocial and Emotional Development

Review: comprehensive treatments for youth comorbidity – evidence-guided approaches to a complicated problem

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Bearman, Sarah Kate, Weisz, John R.·2015·Child and Adolescent Mental Health

Abstract

BACKGROUND: Evidence-based treatments (EBTs) with a single-disorder focus have improved the potential for youth mental health care, yet may be an imperfect fit to clinical care settings where diagnostic comorbidity and co-occurring problems are commonplace. Most EBTs were developed to treat one diagnosis or problem (or a small homogenous cluster), but most clinically referred youths present with multiple disorders and problems. FINDINGS: Three emerging approaches may help address the comorbidity that is so common in treated youths. Conceptually unified treatments target presumed causal and maintaining factors that are shared among more than one disorder or problem area; preliminary open trials and case studies show promising results. Modular protocols combine the 'practice elements' that commonly appear in separate single-disorder EBTs and repackage them into coordinated delivery systems; one modular protocol, MATCH, has produced positive findings in a randomized effectiveness trial. Monitoring and Feedback Systems (MFSs) provide real-time data on client progress to inform clinical decision-making, encompassing comorbid and co-occurring problems; one study shows beneficial effects in everyday practice with diverse youth problems. CONCLUSIONS: All three approaches - conceptually unified, modular, and MFS - can be strengthened by increased research attention to treatment integrity, clinician user-appeal, design simplicity, and the infrastructure necessary for successful implementation.

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Research works printed but not linked: 2

  1. Institute of Medicine 2007 The state of quality improvement and implementation research: Workshop summary Washington, DC The National Academies Press
  2. Weisz JR Chorpita BF 2012 ‘Mod squad’ for youth psychotherapy: Restructuring evidence-based treatment for clinical practice Kendall PC Child and adolescent therapy: Cognitive-behavioral procedures 4 379 397 New York, NY, US Guilford Press

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Authors
Bearman, S. K., & Weisz, J. R.
Affiliations
  • The University of Texas at Austin (US)
  • Harvard University (US)
Corresponding author
Bearman, Sarah Kate
Venue
Child and Adolescent Mental Health
Publisher
Wiley
Published
2015-03-27
Volume
20
Issue
3
Pages
131-141
ISSN
  • 1475-357X (ISSN-L)
  • 1475-3588
OpenAlex
W2013294621
Cited by
48
References
89
Citations by year
2026: 5 · 2025: 1 · 2024: 3 · 2023: 7 · 2022: 2 · 2021: 3 · 2020: 7 · 2019: 5 · 2018: 3 · 2017: 5 · 2016: 5 · 2015: 2
FWCI
0.72
Type
journal article
Language
en
Open access
Locations
  • Child and Adolescent Mental Health (publishedVersion)
  • PubMed (publishedVersion)
  • PubMed Central (acceptedVersion)
Funders
  • National Institute of Mental Health (MH083887)
  • The Annie E. Casey Foundation
Topics
  • Social Sciences › Psychology › Clinical Psychology › Psychotherapy Techniques and Applications
  • Social Sciences › Psychology › Clinical Psychology › Personality Disorders and Psychopathology
  • Social Sciences › Psychology › Clinical Psychology › Child and Adolescent Psychosocial and Emotional Development
Keywords
youth mental health, co-occurring problems, evidence-based treatment, implementation fidelity, implementation

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