Abstract
This study examined the effectiveness of a treatment program comprised of several components based on evidence-based treatments (EBTs) for disruptive behavior problems delivered to youth participating in a school mental health program in an underserved community in the Appalachian region. Participants were 117 children in kindergarten through 6th grade including 91 children (78% male) from 5 schools who were consecutively referred to the intervention program and 26 children (73% male) from 3 schools in which program implementation was delayed for 1 year. Treatment outcome was measured via parent and teacher ratings of child symptoms and functioning. The treatment condition resulted in significant reduction in hyperactivity/impulsivity and early aggressive and delinquent behavior, as well as significant improvement in several other functional domains. Results suggest that EBTs can retain their effectiveness when transported to a community context.
Publication types
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Multicenter Study
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Randomized Controlled Trial
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Research Support, Non-U.S. Gov't
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Research Support, U.S. Gov't, P.H.S.
MeSH terms
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Aggression / psychology
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Appalachian Region
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Attention Deficit Disorder with Hyperactivity / diagnosis
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Attention Deficit Disorder with Hyperactivity / psychology
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Attention Deficit Disorder with Hyperactivity / therapy*
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Attention Deficit and Disruptive Behavior Disorders / diagnosis
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Attention Deficit and Disruptive Behavior Disorders / psychology
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Attention Deficit and Disruptive Behavior Disorders / therapy*
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Behavior Therapy / methods*
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Child
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Community Mental Health Services
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Comorbidity
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Conduct Disorder / diagnosis
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Conduct Disorder / psychology
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Conduct Disorder / therapy
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Education
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Evidence-Based Medicine*
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Feedback, Psychological
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Female
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Health Plan Implementation
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Humans
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Impulsive Behavior / diagnosis
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Impulsive Behavior / psychology
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Impulsive Behavior / therapy
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Juvenile Delinquency / prevention & control
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Juvenile Delinquency / psychology
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Male
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Medically Underserved Area*
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Mental Health Services*
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Ohio
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Outcome and Process Assessment, Health Care
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Personality Assessment
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Referral and Consultation / statistics & numerical data
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School Health Services*
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Science*
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Treatment Outcome