Category: Child / Adolescent - School-Related Issues


Goal Attainment to Measure Patient-Centered Response to Evidence-Based Intervention in Urban Primary Care

Friday, November 17
8:30 AM - 10:00 AM
Location: Sapphire Ballroom B, Level 4, Sapphire Level

Keywords: Child | Evidence-Based Practice | Primary Care
Presentation Type: Symposium

The MTA found that a combined treatment approach, involving behavioral treatment and medication, was more effective than a single approach in improving symptoms of ADHD and ODD and remediating functional impairments (Conners et al. 2001), especially for children from less educated families (Jensen et al. 2001) and for ethnic minority children (Arnold et al. 2003). Unfortunately, urban, underserved families do not typically receive combined treatments; in fact, families often experience challenges obtaining a single treatment and maintaining this service throughout the period of need (Eiraldi et al. 2006). This presentation will describe findings from a federally-funded study designed to develop and evaluate Partnering to Achieve School Success (PASS; Power et al., 2014) a collaborative, multimodal intervention based in urban primary care designed to reduce barriers to care and improve delivery of treatment for ADHD to underserved families. PASS provides treatment based on empirically-based principles and practices for the treatment of ADHD; treatment is located in children’s primary care office; and treatment is designed to address barriers to care and improve family engagement.

Data from 43 families who attended at least one PASS session will be presented (Ages Kindergarten through 6th grade, 91% black, 56% had Medicaid). Families attended an average of 7.3 sessions (Range 1 to 19). PASS includes five treatment components: Brief Family Therapy, Engagement, Family-School Behavior Therapy, Crisis Intervention, and Medication Monitoring. Outcome measures for 21 families included parent reported progress toward meeting patient identified goals, with 33% listing an academic achievement goal, 95% listing a behavioral compliance goal, 10% listing an interpersonal relationship goal, and 71% listing a ‘other’ goal. Parents reported success in achieving these goals on a scale from -2 (significantly worse) to +2 (completely met) ranged from 0 (no change) to 2 (completely met) with a modal score of 1 (partially met). This study will also present data on how families who showed improvement in reaching parent treatment goals differed from those who did not report progress as of the final treatment session in parent and child characteristics, parent reported treatment barriers, parent identified goals, and utilization of the different treatment components of PASS. Implications for future treatment of urban, underserved families will be discussed.

Jenelle Nissley-Tsiopinis

psychologist in the Department of Child and Adolescent Psychiatry and Behavioral Sciences
Children’s Hospital of Philadelphia


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Goal Attainment to Measure Patient-Centered Response to Evidence-Based Intervention in Urban Primary Care

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