Community Study of Outcome Monitoring for Emotional Disorders in Teens

Summary

This study is being done to compare three types of talk therapies for youth who struggle with emotional and behavioral problems (e.g., anxiety, sadness, worries) in Community Mental Health Clinics in Connecticut (CT) and Florida (FL).

Conditions

• Depression
• Anxiety

Interventions

BEHAVIORAL

Unified Protocol for Adolescents (UP-A)

The UP-A is an emotion-focused, transdiagnostic approach for adolescents (ages 12-18) with a primary emotional disorder. It is a developmental adaptation of the Unified Protocol, a transdiagnostic treatment for adults with emotional disorders. Clinicians present all skills in the context of the emotions most salient to presenting concerns and adolescent/caregiver conceptualizations of treatment needs, thereby personalizing treatment. The UP-A is delivered in 8-21 weekly sessions, with clinician flexibility regarding the sequencing and depth with which various sections are presented to clients and caregivers, as well as the emotions targeted during the course of the intervention.

BEHAVIORAL

Youth Outcomes Questionnaire

The YOQ consists of parent- and youth-report measures of symptoms and alliance administered weekly on a tablet computer. The YOQ online system then generates reports to provide clinicians with systematic feedback about client progress, flagging "critical items" that have been endorsed (e.g., suicidality, hallucinations), presenting graphs of ratings over time, and providing empirically-derived "alerts" when clients are failing to progress or showing deterioration. Clinicians will be trained to use this feedback to modify treatment as needed, share it with families as appropriate, and use it to enhance use of supervision.

BEHAVIORAL

Treatment as Usual

Clinicians assigned to the TAU condition will be instructed to use whatever treatment methods and outcome monitoring strategies they typically use with adolescents with internalizing disorders.

Sponsors & Collaborators

• University of Connecticut

  collaborator OTHER

• National Institute of Mental Health (NIMH)

  collaborator NIH

• University of Miami

  lead OTHER

Principal Investigators

• Golda Ginsburg, Ph.D. · University of Connecticut

• Amanda Jensen-Doss, Ph.D. · University of Miami

• Jill Ehrenreich-May, Ph.D. · University of Miami

Study Design

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

TRIPLE

Model

PARALLEL

Eligibility

Min Age

12 Years

Max Age

18 Years

Sex

ALL

Healthy Volunteers

No

Timeline & Regulatory

Start

2016-01-31

Primary Completion

2020-07-30

Completion

2020-07-30

Countries

• United States

Study Locations