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Symposia
Child / Adolescent - Anxiety
Jennifer Freeman, Ph.D. (she/her/hers)
Professor
Alpert Medical School of Brown University
East Providence, Rhode Island, United States
Joshua Kemp, PhD (he/him/his)
Assistant Professor
Alpert Medical School of Brown University; Pediatric Anxiety Research Center
east Providence, Rhode Island, United States
Erin O'Connor, Ph.D.
Psychologist
Bradley Hospital
East Providence, Rhode Island, United States
Jennifer Herren, PhD (she/her/hers)
Associate Professor
Alpert Medical School of Brown University/Pediatric anxiety Research Center
east Providence, Rhode Island, United States
Christopher Georgiadis, PhD (he/him/his)
Postdoctoral Fellow
Alpert medical School of Brown University/Pediatric Anxiety Research Center
East providence, Rhode Island, United States
Giulia Righi, Ph.D.
Assistant Professor/ Staff Psychologist
Alpert Medical School of Brown University
East Providence, Rhode Island, United States
Kristen G. Benito, Ph.D.
Assistant Professor/Research and Quality Improvement Lead
Alpert Medical School of Brown University
East Providence, Rhode Island, United States
Anxiety disorders are among the most common and earliest forms of psychopathology, yet few providers in community practice settings use or are trained in evidence-based treatments (EBTs) for pediatric anxiety. Delivery of EBTs is further limited by the “provider-centered” manner in which they are often administered (i.e., office-based). The rationale, design, and methods for a team-based approach to the treatment of pediatric anxiety developed with substantial stakeholder involvement and which addresses quality and workforce issues inherent in the current child mental health crisis will be presented in this symposium talk. Baseline data from a comparison of team-based community delivered cognitive behavioral treatment (CBT) and office-based CBT for pediatric anxiety and obsessive-compulsive disorder (OCD) in a sample of 333 youth ages 5 to 18 will be presented, and processes will be discussed for fostering and maintaining strong stakeholder engagement, training strategies, supervision structures, and implementation of quality and fidelity monitoring tools. Treatment delivered outside of a traditional office setting using a team-based approach has the potential to increase patient access to care. In addition to describing specific design considerations, we provide a roadmap for the integration of community-based stakeholders and for rigorous supervision and quality monitoring. Future directions are discussed, particularly in the context of lack of access to care that has a longstanding disproportionate impact on youth of color and youth from low-income communities.