Category: Primary Care
Keywords: Integrated Care | Families | Service Delivery
Presentation Type: Symposium
Research suggests that the most effective psychosocial treatment for ADHD is a multimodal approach involving collaboration between families, schools, and health care providers. Unfortunately, families of racial and ethnic minority background who reside in under-resourced, urban settings often face significant barriers initiating and maintaining engagement in such treatments when they are available. However, it may be possible to better engage these families (Dumas et al, 2007; Nick & Kazdin, 2005). The PASS intervention, an integrated, multimodal behavioral health service based in urban primary care that targets children with ADHD and their families, includes strategies to promote engagement from initial contact with the family and throughout treatment. PASS emphasizes the use of phone contacts between the clinician and the family both before and during treatment to engage families in treatment. Other engagement strategies include motivational interviewing to support family readiness for change and willingness to be involved in treatment and collaborative problem solving around potential barriers to treatment.
Prior findings from the PASS study have indicated that pre-treatment phone contacts were linked with attendance at an initial PASS intake session (Power, et al, 2010) and ongoing engagement in PASS as measured by session attendance (Walton, et al, 2014). Our team has coded session audiotapes and identified family strengths and barriers to care. This presentation will build on the prior results by investigating the link between pre-treatment phone contacts and in-session engagement as measured by family in-session strengths and treatment barriers, while also investigating how family in-session strengths and barriers are linked to ongoing engagement in PASS. The presentation will include strategies for using phone contacts and therapy techniques to build on strengths and address barriers in order to engage urban underserved families in treatment. Potential implications for treatment delivery to increase the engagement of multiply-stressed, low socioeconomic status, ethnic minority families in treatment will be considered.
psychologist in the Department of Child and Adolescent Psychiatry and Behavioral Sciences
Children’s Hospital of Philadelphia
Friday, November 17
8:30 AM – 10:00 AM
Friday, November 17
1:45 PM – 3:15 PM
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