Pub Date : 2022-12-22DOI: 10.1080/23794925.2022.2151527
S. Tannenbaum, Katie C. Hart, S. Moody, Vasco M. Lopes, Carla C. Allan
{"title":"Building a Summer Treatment Program in the Real World","authors":"S. Tannenbaum, Katie C. Hart, S. Moody, Vasco M. Lopes, Carla C. Allan","doi":"10.1080/23794925.2022.2151527","DOIUrl":"https://doi.org/10.1080/23794925.2022.2151527","url":null,"abstract":"","PeriodicalId":72992,"journal":{"name":"Evidence-based practice in child and adolescent mental health","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-12-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47151752","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-12-01DOI: 10.1080/23794925.2022.2148309
Marina M. Matsui, Brad J. Nakamura
{"title":"Cultivating Strength-Based Assessment: Psychometric Evaluation of the Social-Emotional, Evidence-Based Developmental Strengths (SEEDS) Youth Self-Report with Ethnically Diverse Grade School Youth","authors":"Marina M. Matsui, Brad J. Nakamura","doi":"10.1080/23794925.2022.2148309","DOIUrl":"https://doi.org/10.1080/23794925.2022.2148309","url":null,"abstract":"","PeriodicalId":72992,"journal":{"name":"Evidence-based practice in child and adolescent mental health","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43714368","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-11-22DOI: 10.1080/23794925.2022.2148380
M. K. Cancilliere, Aleksandra M. Fryc, E. Flannery-Schroeder
ABSTRACT Cognitive-behavioral therapy (CBT) with exposure is an effective treatment for childhood anxiety disorders; however, by nature it may involve much discomfort, often rendering engagement during exposure a challenge. An examination of factors related to engagement during exposure in CBT for anxiety is needed; yet, a search of the extant literature found few appropriate assessment tools. Thus, the current study focuses on developing and testing a measure of self-efficacy specific to exposure tasks, a construct likely to contribute to engagement during exposures. Twenty-four parent-child dyads were recruited, and parent, child, and clinician assessments were completed. Analyses revealed significant increases in self-efficacy in tandem with reductions in anxiety symptoms and increases in social and family functioning. Internal consistency was acceptable to excellent across time. Observed effect sizes were promising, warranting greater investigation of the self-efficacy measure. Further investigation into factors contributing to child engagement during exposure in CBT for anxiety is needed.
{"title":"A Self-Efficacy Measure for Use During Exposure in CBT Therapy for Childhood Anxiety Disorders","authors":"M. K. Cancilliere, Aleksandra M. Fryc, E. Flannery-Schroeder","doi":"10.1080/23794925.2022.2148380","DOIUrl":"https://doi.org/10.1080/23794925.2022.2148380","url":null,"abstract":"ABSTRACT Cognitive-behavioral therapy (CBT) with exposure is an effective treatment for childhood anxiety disorders; however, by nature it may involve much discomfort, often rendering engagement during exposure a challenge. An examination of factors related to engagement during exposure in CBT for anxiety is needed; yet, a search of the extant literature found few appropriate assessment tools. Thus, the current study focuses on developing and testing a measure of self-efficacy specific to exposure tasks, a construct likely to contribute to engagement during exposures. Twenty-four parent-child dyads were recruited, and parent, child, and clinician assessments were completed. Analyses revealed significant increases in self-efficacy in tandem with reductions in anxiety symptoms and increases in social and family functioning. Internal consistency was acceptable to excellent across time. Observed effect sizes were promising, warranting greater investigation of the self-efficacy measure. Further investigation into factors contributing to child engagement during exposure in CBT for anxiety is needed.","PeriodicalId":72992,"journal":{"name":"Evidence-based practice in child and adolescent mental health","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-11-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42081418","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-10-03DOI: 10.1080/23794925.2022.2127134
Abigail Peskin, W. Rothenberg, Jason F. Jent
ABSTRACT Tuberous sclerosis complex (TSC) is a complex, rare genetic disorder often comorbid with severe autism spectrum disorder (ASD) with language and cognitive deficits. Despite the combination of TSC and ASD often leading to significant disruptive child behaviors, studies to treat ASD caused by TSC have thus far focused on pharmacological rather than behavioral interventions. This single-case study presents a 7-year-old Hispanic male “Michael,” diagnosed with TSC and ASD, and treated using Parent–Child Interaction Therapy (PCIT) adapted to his language and developmental level. Upon graduation from PCIT, Michael’s aggression and disruptive behavior decreased across clinic, home, and school settings (per parent report), and several social communication behaviors had emerged and increased including functional play, looking toward others, and directing smiles and other emotions. This case study highlights the promise of PCIT for children with lower cognitive and language functioning, demonstrates the potential of naturalistic parent-coaching interventions for older children with ASD, and provides a detailed clinical strategy for the behavioral treatment of TSC and ASD.
{"title":"Harnessing Parent–Child Interaction Therapy for the Behavioral Treatment of a Child with Tuberous Sclerosis Complex and Autism Spectrum Disorder","authors":"Abigail Peskin, W. Rothenberg, Jason F. Jent","doi":"10.1080/23794925.2022.2127134","DOIUrl":"https://doi.org/10.1080/23794925.2022.2127134","url":null,"abstract":"ABSTRACT Tuberous sclerosis complex (TSC) is a complex, rare genetic disorder often comorbid with severe autism spectrum disorder (ASD) with language and cognitive deficits. Despite the combination of TSC and ASD often leading to significant disruptive child behaviors, studies to treat ASD caused by TSC have thus far focused on pharmacological rather than behavioral interventions. This single-case study presents a 7-year-old Hispanic male “Michael,” diagnosed with TSC and ASD, and treated using Parent–Child Interaction Therapy (PCIT) adapted to his language and developmental level. Upon graduation from PCIT, Michael’s aggression and disruptive behavior decreased across clinic, home, and school settings (per parent report), and several social communication behaviors had emerged and increased including functional play, looking toward others, and directing smiles and other emotions. This case study highlights the promise of PCIT for children with lower cognitive and language functioning, demonstrates the potential of naturalistic parent-coaching interventions for older children with ASD, and provides a detailed clinical strategy for the behavioral treatment of TSC and ASD.","PeriodicalId":72992,"journal":{"name":"Evidence-based practice in child and adolescent mental health","volume":"8 1","pages":"376 - 392"},"PeriodicalIF":0.0,"publicationDate":"2022-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49663111","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-10-02DOI: 10.1080/23794925.2022.2127135
Melody English, Shannon McCullough, Mackenzie S. Sommerhalder, D. Day, Miranda Lingenfelter, S. Edwards, Kristin Scardamalia
ABSTRACT Readmission of youth to psychiatric inpatient care has several negative consequences, including increased risk of suicide and need for more frequent hospitalizations, disruption of education, and high cost of care for families as well as hospitals. Previously identified factors predicting readmission to psychiatric inpatient care for youth have included a wide variety of clinical diagnoses, indicating inconsistency in the association between diagnoses and risk of readmission. Instead, the current study focuses on behavioral definitions derived from chief complaints for psychiatric inpatient readmissions. The present study explores the relationship between chief complaint and readmission for patients ages 5–12 who were readmitted within 30 days post-discharge and over 30 days post-discharge from an inpatient psychiatric unit. Results demonstrated that when compared to patients without aggression as their identified chief complaint, patients whose chief complaint was identified as aggression-only and aggression-plus-other-factors were more likely to be readmitted within 30 days post-discharge and to have significantly more 30-day readmissions. Additionally, compared to patients without SI as their identified chief complaint, patients with SI-only as their identified chief complaint were found to be less likely to be readmitted within 30 days and have significantly fewer 30-day readmissions. These results suggest that physical aggression is a unique factor that may increase the risk of readmission for patients 5–12 years old. The results may be particularly useful in identifying crucial treatment components when establishing standards of care for inpatient psychiatric units, though further investigation is needed.
{"title":"Factors Associated with Readmissions to a Child Psychiatric Inpatient Unit","authors":"Melody English, Shannon McCullough, Mackenzie S. Sommerhalder, D. Day, Miranda Lingenfelter, S. Edwards, Kristin Scardamalia","doi":"10.1080/23794925.2022.2127135","DOIUrl":"https://doi.org/10.1080/23794925.2022.2127135","url":null,"abstract":"ABSTRACT Readmission of youth to psychiatric inpatient care has several negative consequences, including increased risk of suicide and need for more frequent hospitalizations, disruption of education, and high cost of care for families as well as hospitals. Previously identified factors predicting readmission to psychiatric inpatient care for youth have included a wide variety of clinical diagnoses, indicating inconsistency in the association between diagnoses and risk of readmission. Instead, the current study focuses on behavioral definitions derived from chief complaints for psychiatric inpatient readmissions. The present study explores the relationship between chief complaint and readmission for patients ages 5–12 who were readmitted within 30 days post-discharge and over 30 days post-discharge from an inpatient psychiatric unit. Results demonstrated that when compared to patients without aggression as their identified chief complaint, patients whose chief complaint was identified as aggression-only and aggression-plus-other-factors were more likely to be readmitted within 30 days post-discharge and to have significantly more 30-day readmissions. Additionally, compared to patients without SI as their identified chief complaint, patients with SI-only as their identified chief complaint were found to be less likely to be readmitted within 30 days and have significantly fewer 30-day readmissions. These results suggest that physical aggression is a unique factor that may increase the risk of readmission for patients 5–12 years old. The results may be particularly useful in identifying crucial treatment components when establishing standards of care for inpatient psychiatric units, though further investigation is needed.","PeriodicalId":72992,"journal":{"name":"Evidence-based practice in child and adolescent mental health","volume":"7 1","pages":"493 - 502"},"PeriodicalIF":0.0,"publicationDate":"2022-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47260770","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-10-02DOI: 10.1080/23794925.2022.2127132
M. Patriquin, Alysha D. Thompson, Kelly Walker Lowry, J. Leffler, Elizabeth K. Reynolds
ABSTRACT The past decade has seen a significant increase in rates of mental illness for youth, including a dramatic increase in rates of suicide. This rise in youth mental illness coincides with a growing utilization of inpatient psychiatric care for children and adolescents. Now, more than ever, evidence-based interventions – and the science to develop these treatments – is needed for youth inpatient psychiatric care. Herein, we outline the strengths, weaknesses, opportunities, and threats (SWOT) for increasing the science in youth inpatient psychiatric settings to develop new evidence-based services.
{"title":"Inpatient Psychiatric Care for Children and Adolescents: Increasing the Integration of Service and Science","authors":"M. Patriquin, Alysha D. Thompson, Kelly Walker Lowry, J. Leffler, Elizabeth K. Reynolds","doi":"10.1080/23794925.2022.2127132","DOIUrl":"https://doi.org/10.1080/23794925.2022.2127132","url":null,"abstract":"ABSTRACT The past decade has seen a significant increase in rates of mental illness for youth, including a dramatic increase in rates of suicide. This rise in youth mental illness coincides with a growing utilization of inpatient psychiatric care for children and adolescents. Now, more than ever, evidence-based interventions – and the science to develop these treatments – is needed for youth inpatient psychiatric care. Herein, we outline the strengths, weaknesses, opportunities, and threats (SWOT) for increasing the science in youth inpatient psychiatric settings to develop new evidence-based services.","PeriodicalId":72992,"journal":{"name":"Evidence-based practice in child and adolescent mental health","volume":"7 1","pages":"503 - 512"},"PeriodicalIF":0.0,"publicationDate":"2022-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49453966","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-10-02DOI: 10.1080/23794925.2022.2127136
Alysha D. Thompson, J. Leffler, Aaron J. Vaughn
ABSTRACT This second special issue of Evidence Based Practice in Child and Adolescent Mental Health will focus on Acute, Intensive, and Residential Services (AIRS) for youth. Despite recent increases in AIRS research, there remains a shortage of applying, evaluating, and developing evidence-based treatments (EBTs) in these settings. In addition, since the publication of our first special issue, the American Academy of Pediatrics (AAP), Children’s Hospital Alliance (CHA), and American Academy of Child and Adolescent Psychiatry (AACAP) have issued a joint statement declaring the state of youth mental illness to be a national crisis, worsened by the COVID-19 pandemic (American Academy of Pediatrics, Children’s Hospital Association, & American Academy of Child and Adolescent Psychiatrists [AAP, CHA, & AACAP], 2021). The introduction to the special issue will highlight work being done in AIRS settings for youth around the country.
{"title":"Introduction to the Second Special Issue: Acute, Intensive, and Residential Services","authors":"Alysha D. Thompson, J. Leffler, Aaron J. Vaughn","doi":"10.1080/23794925.2022.2127136","DOIUrl":"https://doi.org/10.1080/23794925.2022.2127136","url":null,"abstract":"ABSTRACT This second special issue of Evidence Based Practice in Child and Adolescent Mental Health will focus on Acute, Intensive, and Residential Services (AIRS) for youth. Despite recent increases in AIRS research, there remains a shortage of applying, evaluating, and developing evidence-based treatments (EBTs) in these settings. In addition, since the publication of our first special issue, the American Academy of Pediatrics (AAP), Children’s Hospital Alliance (CHA), and American Academy of Child and Adolescent Psychiatry (AACAP) have issued a joint statement declaring the state of youth mental illness to be a national crisis, worsened by the COVID-19 pandemic (American Academy of Pediatrics, Children’s Hospital Association, & American Academy of Child and Adolescent Psychiatrists [AAP, CHA, & AACAP], 2021). The introduction to the special issue will highlight work being done in AIRS settings for youth around the country.","PeriodicalId":72992,"journal":{"name":"Evidence-based practice in child and adolescent mental health","volume":"7 1","pages":"399 - 402"},"PeriodicalIF":0.0,"publicationDate":"2022-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47856712","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-09-30DOI: 10.1080/23794925.2022.2127133
C. White, A. Ugueto
ABSTRACT A significant number of adolescents in the U.S. experience traumatic events, putting them at risk for developing Posttraumatic Stress Disorder (PTSD). Despite this risk, PTSD is not a commonly assigned diagnosis in psychiatric settings. The current study examined rates of psychiatrist-reported PTSD (PR-PTSD) diagnoses compared to probable PTSD diagnoses based on adolescent self-reported PTSD (SR-PTSD) symptoms on a psychiatric inpatient unit (n = 151, age 13–17). Self-report measures included questions on exposure to trauma and The Child PTSD Symptom Scale for DSM-5 (CPSS-5). Approximately 60% of participants met criteria for a “probable PTSD diagnosis” on the CPSS-5; however, only 10 out of 151 (6.6%) and 58 out of 151 (38.4%) were given PR-PTSD at admission and at discharge, respectively. Chi-square analyses indicated adolescents with SR-PTSD were more likely to have previous psychiatric admissions, χ2(1, N = 149) = 3.87, p = .049. There was also a significant association between SR-PTSD and suicide risk, χ2(3, N = 148) = 9.93, p = .019. Both the null and low suicide risk groups contributed the most to predicting SR-PTSD based on the standardized residuals being ±1.96. Additionally, SR-PTSD and insurance status were significantly associated, χ2(1, N = 147) = 4.48, p = .034. All of the cells equally contributed to the significance. When comparing diagnosis given at admission to SR-PTSD, agreement was poor (κ=.070, p = .043), and there was no agreement between diagnosis given at discharge and SR-PTSD (κ=.116, p = .074). Findings from the study highlight a discrepancy in SR-PTSD and PR-PTSD in adolescent psychiatric settings.
{"title":"Exploring Agreement Between Adolescent Self-Reported PTSD Symptoms and Clinical Diagnoses on a Psychiatric Inpatient Unit","authors":"C. White, A. Ugueto","doi":"10.1080/23794925.2022.2127133","DOIUrl":"https://doi.org/10.1080/23794925.2022.2127133","url":null,"abstract":"ABSTRACT A significant number of adolescents in the U.S. experience traumatic events, putting them at risk for developing Posttraumatic Stress Disorder (PTSD). Despite this risk, PTSD is not a commonly assigned diagnosis in psychiatric settings. The current study examined rates of psychiatrist-reported PTSD (PR-PTSD) diagnoses compared to probable PTSD diagnoses based on adolescent self-reported PTSD (SR-PTSD) symptoms on a psychiatric inpatient unit (n = 151, age 13–17). Self-report measures included questions on exposure to trauma and The Child PTSD Symptom Scale for DSM-5 (CPSS-5). Approximately 60% of participants met criteria for a “probable PTSD diagnosis” on the CPSS-5; however, only 10 out of 151 (6.6%) and 58 out of 151 (38.4%) were given PR-PTSD at admission and at discharge, respectively. Chi-square analyses indicated adolescents with SR-PTSD were more likely to have previous psychiatric admissions, χ2(1, N = 149) = 3.87, p = .049. There was also a significant association between SR-PTSD and suicide risk, χ2(3, N = 148) = 9.93, p = .019. Both the null and low suicide risk groups contributed the most to predicting SR-PTSD based on the standardized residuals being ±1.96. Additionally, SR-PTSD and insurance status were significantly associated, χ2(1, N = 147) = 4.48, p = .034. All of the cells equally contributed to the significance. When comparing diagnosis given at admission to SR-PTSD, agreement was poor (κ=.070, p = .043), and there was no agreement between diagnosis given at discharge and SR-PTSD (κ=.116, p = .074). Findings from the study highlight a discrepancy in SR-PTSD and PR-PTSD in adolescent psychiatric settings.","PeriodicalId":72992,"journal":{"name":"Evidence-based practice in child and adolescent mental health","volume":"7 1","pages":"463 - 476"},"PeriodicalIF":0.0,"publicationDate":"2022-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45764037","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-09-08DOI: 10.1080/23794925.2022.2111727
Mazneen Havewala, Cixin Wang, Diksha Bali, A. Chronis-Tuscano
ABSTRACT Asian American youth experience high rates of racism and mental health difficulties, yet are less likely to seek mental health services compared to their non-Asian peers. Due to restrictions on in-person interactions imposed by the COVID-19 pandemic, many mental health services have been delivered virtually since March 2020. Youth Mental Health First Aid (YMHFA) virtual training is a manualized program designed to educate adults on recognizing signs and symptoms of common adolescent mental health challenges, and how they could effectively intervene. However, there is no published research on the effectiveness of the YMHFA-virtual version. Also, there is limited research on the effectiveness of YMHFA among Asian Americans, a vulnerable population. Utilizing a pre-post design, we evaluated the effects of the virtual YMHFA that we adapted for Asian Americans. Thirty-five Asian/American adults (Mage = 47.0, SDage = 8.98) participated in the YMHFA-virtual training and completed pre- and post- surveys. Significant increases were found in participants’ mental health literacy (MHL), mental health knowledge, confidence in using the mental health first aid skills, help-seeking intentions, and help-seeking attitudes, while a significant decrease was found in their stigma toward mental illnesses. The effect sizes varied from small (e.g., attitudes) to large (MHL and confidence in using MHFA skills). These promising findings have several implications. The culturally adapted YMHFA-virtual version may be an effective way to reach Asian Americans and promote mental health awareness, helpful attitudes, and confidence in supporting youth with mental health challenges in a culturally sensitive and non-threatening manner among this population.
{"title":"Evaluation of the Virtual Youth Mental Health First Aid Training for Asian Americans During COVID-19","authors":"Mazneen Havewala, Cixin Wang, Diksha Bali, A. Chronis-Tuscano","doi":"10.1080/23794925.2022.2111727","DOIUrl":"https://doi.org/10.1080/23794925.2022.2111727","url":null,"abstract":"ABSTRACT Asian American youth experience high rates of racism and mental health difficulties, yet are less likely to seek mental health services compared to their non-Asian peers. Due to restrictions on in-person interactions imposed by the COVID-19 pandemic, many mental health services have been delivered virtually since March 2020. Youth Mental Health First Aid (YMHFA) virtual training is a manualized program designed to educate adults on recognizing signs and symptoms of common adolescent mental health challenges, and how they could effectively intervene. However, there is no published research on the effectiveness of the YMHFA-virtual version. Also, there is limited research on the effectiveness of YMHFA among Asian Americans, a vulnerable population. Utilizing a pre-post design, we evaluated the effects of the virtual YMHFA that we adapted for Asian Americans. Thirty-five Asian/American adults (Mage = 47.0, SDage = 8.98) participated in the YMHFA-virtual training and completed pre- and post- surveys. Significant increases were found in participants’ mental health literacy (MHL), mental health knowledge, confidence in using the mental health first aid skills, help-seeking intentions, and help-seeking attitudes, while a significant decrease was found in their stigma toward mental illnesses. The effect sizes varied from small (e.g., attitudes) to large (MHL and confidence in using MHFA skills). These promising findings have several implications. The culturally adapted YMHFA-virtual version may be an effective way to reach Asian Americans and promote mental health awareness, helpful attitudes, and confidence in supporting youth with mental health challenges in a culturally sensitive and non-threatening manner among this population.","PeriodicalId":72992,"journal":{"name":"Evidence-based practice in child and adolescent mental health","volume":"8 1","pages":"321 - 334"},"PeriodicalIF":0.0,"publicationDate":"2022-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46103152","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}