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Evaluation ViewAttendees 6

Treatment - Other
Symposia

Symposium 22 - Implementing Evidence-Based Practices in a Pediatric Inpatient Psychiatric Unit

Friday, November 15, 2024
10:30 AM – 11:30 AM EST
Location: 401/402, Level 4, Downtown Marriott
CE: 1

Keywords: Evidence-Based Practice, Child, Adolescents
Level of Familiarity: All
Recommended Readings: Reynolds, E. K., Grados, M. A., Praglowski, N., Hankinson, J. C., Deboard-Lucas, R., Goldstein, L., Perry-Parrish, C. K., Specht, M. W., & Ostrander, R. (2016). Use of modified positive behavioral interventions and supports in a psychiatric inpatient unit for high-risk youths. Psychiatric Services, 67(5), 570-573.,  

Patriquin, M., Thompson, A.D., Lowry, K.W., Leffler, J.M. & Reynolds, E.K. (2022). Inpatient psychiatric care for children and adolescents: Increasing the integration of service and science. Child & Adolescent Mental Health, 7(4), 503-512.

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Leffler, J.M. & D’Angelo, E.J. (2020). Implementing evidence-based treatments for youth in acute and intensive treatment settings. Journal of Cognitive Psychotherapy, 34, 185-199.

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Even prior to the COVID-19 pandemic, the increasing prevalence of youth mental health difficulties has been of significant concern in the United States. Youth mental health concerns have continued to trend in an alarming direction, with rates of anxiety, depression, and suicidality doubling post-pandemic (Racine et al., 2021). Unfortunately, the nation’s mental health system was already overwhelmed, so this marked influx in patients needing mental health services has resulted in further stress to these programs and the team members working in them (Ibeziako et al., 2022). Furthermore, the acuity and complexity of patients admitted to pediatric inpatient psychiatric units (IPUs) has markedly increased in recent years, placing both patients and staff at higher risk of potential injury, as well as negatively contributing to staff burnout and turnover (Azeem et al., 2017). Despite the increasing demand for intensive psychiatric services and the growing complexities of patients served in these settings, there is limited guidance on what evidence-based practices (EBPs) are effective on pediatric IPUs (Leffler et al., 2021). For organizations committed to implementation of EBPs, there must be significant investment made in the development and retention of the workforce, as well as in the maintenance of their clinical skills, so that they can demonstrate high fidelity to treatment models (Banwell et al., 2021). Unfortunately, there is also a dearth of research available to guide organizations in providing effective multidisciplinary workforce trainings aimed at effectively delivering clinical interventions in an IPU milieu. This symposium aims to highlight current EBPs (e.g., Positive Behavioral Intervention and Supports, Unified Protocols for Transdiagnostic Treatment of Emotional Disorders in Children and Adolescents, and Applied Behavior Analysis) that have been adapted, implemented, and evaluated on a number of different IPUs across the country, representing patients and staff from a range of geographic areas, healthcare systems, and diverse identities (e.g., racial, ethnic, sexual, gender). This symposium will also describe specific training and fidelity monitoring systems that have been developed to support treatment fidelity, as well as outcomes related to these efforts. Finally, insights will be shared about what research must be conducted in the future to expand the field's understanding of EBPs on pediatric IPUs. 

Learning Objectives:

At the end of this session, the learner will be able to:
  1. Explain how Positive Behavioral Interventions and Supports (PBIS) can be adapted to increase safety on a pediatric inpatient psychiatric unit.
  2. Outline ways to train milieu staff in delivering evidence-based practices on a pediatric inpatient psychiatric unit.
  3. Describe a system for monitoring treatment fidelity and providing ongoing coaching to milieu staff on a pediatric inpatient psychiatric unit.
  4. Demonstrate increased understanding of innovative ways of providing evidence-based care on a pediatric inpatient psychiatric unit.
  5. Outline methods for improved support of milieu staff in delivering high-quality care on a pediatric inpatient psychiatric unit.

Presentations:

  • 10:30 AM – 11:30 AM EST
    (SYM 22) Supporting Multidisciplinary Acute Care Staff on the Implementation and Maintenance of Positive Behavioral Interventions and Supports

    Speaker: Elizabeth Reynolds, Ph.D. – Johns Hopkins School of Medicine

  • 10:30 AM – 11:30 AM EST
    (SYM 22) Training Milieu Staff to Deliver a Transdiagnostic Intervention with Fidelity on a Pediatric Inpatient Psychiatric Unit

    Speaker: Evadine Codd, Ph.D. (she/her/hers) – University of Colorado School of Medicine

  • 10:30 AM – 11:30 AM EST
    (SYM 22) From Training to Implementation: Perspectives on Staff Training and Treatment Fidelity on a Specialized Inpatient Unit for Youth with Neurodevelopment Disorders

    Speaker: Mathew C. Luehring, Ph.D., Other (he/him/his) – University of Colorado Anschutz Medical Campus

    Co-author: Patrick Romani, Ph.D., BCBA-D – University of Colorado School of Medicine

    Co-author: Shanna Baikie, MA, BCBA – No Affiliation

    Co-author: McKenzie Schwien, MA, BCBA – Children's Hospital Colorado

    Co-author: Kayce Nagel, MS, BCBA – Children's Hospital Colorado

  • 10:30 AM – 11:30 AM EST
    (SYM 22) Development and Implementation of Modified-positive Behavior Interventions and Supports on a Child and Adolescent Inpatient Psychiatry Unit

    Speaker: Alysha Thompson, Ph.D. (she/her/hers) – Seattle Children's / University of Washington

    Co-author: Sheena Friesen, PhD (she/her/hers) – Seattle Children's / University of Washington

    Co-author: Connor Gallik, PhD (he/him/his) – Seattle Children's / University of Washington