Transdiagnostic
Lauren Milgram, B.A. (she/her/hers)
Doctoral Student
University of Miami
Miami, Florida, United States
Allison Harvey, Ph.D. (she/her/hers)
Professor
University of California Berkeley
Berkeley, California, United States
Ilana Seager van Dyk, PhD
Senior Lecturer
Massey University
Wellington, Wellington, New Zealand
Mario Mercado Diaz, D. Phil. (they/them/theirs)
Trails to Wellness
Philadelphia, Pennsylvania, United States
Sarah Kate Bearman, Ph.D. (she/her/hers)
Associate Professor
University of Texas at Austin
Austin, Texas, United States
V. Robin Weersing, Ph.D. (she/her/hers)
Professor
SDSU-UC San Diego JDP in Clinical Psychology
San Diego, California, United States
Lauren Milgram, B.A. (she/her/hers)
Doctoral Student
University of Miami
Miami, Florida, United States
Many single domain CBT interventions have been developed for youth emotional disorders (e.g., anxiety, depression, trauma), but few have been successfully adopted into community settings where youth most commonly receive care (e.g., community mental health, school settings). Poor implementation and effectiveness of single domain interventions in community settings may be explained in part by high rates of problem complexity among youth in these settings, as well as by a range of clinician, organizational, and socio-contextual factors often overlooked in efficacy research. Transdiagnostic, modular, and principle-based interventions allow clinicians to target multiple symptom domains simultaneously and flexibly select intervention content for a given client without straying from the intervention, thereby addressing some limitations of single domain approaches. Still, more efforts are needed to broaden the reach of transdiagnostic and related interventions to community settings and ensure that these interventions meet the needs of the clients, caregivers, clinicians, and agencies involved in youth mental health care.
This symposium will feature five presentations of novel research on a variety of transdiagnostic CBT interventions for youth being conducted in community settings. The presentations will span across a range of stages of intervention development and testing, including pilot qualitative evaluation, ongoing implementation and sustainment efforts, and primary outcomes from randomized controlled effectiveness trials. The overarching focus will be lessons learned from community-engaged research and future directions to increase community involvement and improve youth outcomes.
Presenter 1 will describe a cultural adaptation of a transdiagnostic intervention for LGBTQ+ youth and present pilot qualitative data from focus groups with youth, caregivers, and community organizations, which are used to inform future intervention adaptations. Presenter 2 will describe an ongoing community partnership with U.S. public schools designed to increase youths’ access to CBT through training of school mental health providers. Presenter 3 will describe a principle-based intervention developed in collaboration with community providers and implemented in community mental health centers in an ongoing randomized effectiveness trial. Presenter 4 will present data from a recently completed randomized controlled trial examining processes of change within a transdiagnostic intervention for youth emotional disorders, highlighting the importance of engaging caregivers in youth mental health treatment to support youths’ treatment engagement and response. Presenter 5 will present primary outcomes of a recently completed randomized trial comparing the effectiveness of a transdiagnostic emotion-focused intervention and a measurement feedback system to treatment as usual for youth in community mental health centers, with a focus on future directions for tailoring interventions to the community mental health setting to improve uptake and sustainment. An expert discussant will summarize the talks and provide closing remarks about future directions for community-engaged youth mental health research.
Speaker: Ilana Seager van Dyk, PhD – Massey University
Co-author: Eric K. Layland, Ph.D. (he/they) – University of Delaware
Co-author: Zachary Soulliard, Ph.D. (he/him/his) – Miami University
Co-author: John E. Pachankis, Ph.D. (he/him/his) – Yale School of Public Health
Speaker: Mario Mercado Diaz, D. Phil. (they/them/theirs) – Trails to Wellness
Co-author: Emily Bilek, Ph.D. (she/her/hers) – TRAILS
Co-author: Tyler Hein, Ph.D. (she/her/hers) – TRAILS
Co-author: Robin Jacob, PhD – University of Michigan
Co-author: Natalie Rodriguez Quintana, Ph.D. (she/her/hers) – TRAILS
Speaker: Sarah Kate Bearman, Ph.D. (she/her/hers) – University of Texas at Austin
Co-author: Abby Bailin, Ph.D. – The University of Texas at Austin
Co-author: Evelyn Cho, Ph.D. – Harvard University
Co-author: Ariel Sternberg, Ph.D. – Harvard University
Co-author: John R. Weisz, ABPP, Ph.D. – Harvard University
Speaker: V. Robin Weersing, Ph.D. (she/her/hers) – SDSU-UC San Diego JDP in Clinical Psychology
Co-author: Pauline Goger, PhD (she/her/hers) – SDSU-UC San Diego JDP in Clinical Psychology
Co-author: Melissa Escobar, MA (she/her/hers) – Montclair State University
Co-author: Francesca E. Rodriguez, B.A. – San Diego State University
Co-author: Michelle Rozenman, Ph.D. (she/her/hers) – University of Denver
Co-author: Araceli Gonzalez, Ph.D. – California State University Long Beach
Speaker: Lauren Milgram, B.A. (she/her/hers) – University of Miami
Co-author: David Rosenfield, Ph.D. – Southern Methodist University
Co-author: Golda Ginsburg, PhD – University of Connecticut School of medicine
Co-author: Amanda Jensen-Doss, Ph.D. (she/her/hers) – University of Miami
Co-author: Jill Ehrenreich-May, Ph.D. – University of Miami