In the fourth installment of our series on evidence-based and evidence-informed programs and practices, we are addressing mental health interventions for children and youth.  Listed below are the ones that the North Carolina Practice Improvement Collaborative (NC PIC) has reviewed.

Trauma Focused Cognitive Based Therapy is a psychosocial treatment model designed to treat posttraumatic stress and related emotional and behavioral problems in children and adolescents.  Outcomes include decreasing child behavior problems, symptoms of posttraumatic stress disorder (PTSD), depression, and feelings of shame and mitigating parental emotional reaction to the child’s experience of sexual abuse.

Two registries have reviewed the models and found the intervention to be effective.  For the National Registry of Evidence-based Programs and Practices (NREPP), the quality of research ranged from 3.0-4.0, with readiness for dissemination receiving an overall rating of 3.7. The OJJDP Model Programs Guide (MPG) deemed it effective.

Treatment Foster Care Oregon (TFCO),  is a community-based intervention for youth with behavioral problems.  Outcomes address reducing the number of days in locked settings, substance use, criminal and delinquent activities, and pregnancy rates while increasing homework completion and school attendance.

Several registries have reviewed the models and found the evidence of effectiveness to vary depending on whether the intervention is for children or adolescents.  According to the California Evidence-Based Center for Child Welfare (CEBC), the MTFC-P for children, ages 3 to 6, merited a scientific rating of 2 (supported by research evidence) whereas MTFC-A for youth, ages 12 to 17, received a scientific rating of 1 (well-supported by research evidence).  NREPP review of MTFC-A indicated that the quality of research ranged from 2.8 to 3.1; readiness for dissemination received an overall rating of 3.8.  In other reviews of MTFC-A, the OJJDP MPG deemed it effective while Blueprints for Healthy Youth Development considered it to be a model program.

Together Facing the Challenge (TFC) is a training and consultation model for TFC supervisors and treatment foster parents.  The aim of the program is to improve outcomes for youth living in treatment foster care settings.  The CEBC gave TFC a scientific rating of 2.

Teaching-Family Model utilizes a married couple to provide supervision, skill building, and support for youth with behavioral issues in residential group home settings. CEBC considered the intervention to be promising, with a scientific rating of 3.

Pressley Ridge Treatment Foster Care has not been reviewed by an independent panel.

Family Centered Treatment is a strengths-based intervention that assists families implement simple and practical solutions in the face of disruption or dissolution.   CEBC considered the intervention to be promising, with a scientific rating of 3.

Note:  OJJDP recently revised their website.  In the December 5 issue of this newsletter, links to OJJDP programs were missing.  If you want to find these programs and their reviews, you can search their database by clicking here.