Soo Jeong Youn

Massachusetts General Hospital/Harvard Medical School

Given increasing opioid overdose mortality rates in the USA over the past 20 years, accelerating the implementation of prevention interventions found to be effective is critical. The Helping End Addiction Long-Term (HEAL) Prevention Cooperative (HPC) is a consortium of research projects funded to implement and test interventions designed to prevent...

Objective Male youth who have been involved in the juvenile legal system have disproportionate rates of trauma and violence exposure. Many justice-involved youth have untreated mental illness, with an estimated 66% of young men who are incarcerated meeting criteria for at least one mental health disorder, including posttraumatic stress disorder (PT...

The aim of this study was to evaluate the effectiveness of a flexible modular cognitive-behavioral theory (CBT) skills curriculum delivered by paraprofessionals in a community organization targeting high-risk justice-involved youth. Programmatic data were collected from 980 high-risk young men (Mage, 21.12; SD, 2.30), and Cox proportional hazards r...

La brecha entre investigación y práctica clínica constituye uno de los rasgos distintivos de la psicoterapia. Esta brecha se ha conceptualizado históricamente como un problema de diseminación unidireccional. Sin embargo, existen razones consistentes para considerar que la desarticulación entre ciencia y práctica también responde al modo en que se h...

The gap between research and clinical practice is one of the distinctive features of psychotherapy. This gap has historically been conceptualized as a problem of unidirectional dissemination. However, there are compelling reasons to consider that the disarticulation between science and practice also responds to the way in which scientific knowledge...

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In the last decade, many implementation frameworks have emerged that consolidate the research on implementation science, guiding purveyors and service agencies in improving implementation of evidence‐based practices (EBPs). In this paper, we describe how the purveyor of one EBP utilized the active implementation frameworks (AIFs) to define and stan...

Conduct a comprehensive needs assessment to evaluate the fit of a Cognitive Behavioral Theory (CBT) curriculum implemented within a community organization and inform possible adaptations to fit the mental health difficulties of high‐risk Latina young mothers. The PRECEDE–PROCEED implementation framework guided the assessment and results. Focus grou...

El Cuestionario de Evaluación del Estilo Personal del Terapeuta (EPT-C) es un instrumento con más de 20 años de desarrollos teóricos y empíricos a nivel internacional, especialmente en Latinoamérica. El objetivo del estudio consistió en proporcionar evidencia preliminar sobre sus propiedades psicométricas y estructura factorial en una muestra de ps...

Background Despite the availability of evidence-based treatments for posttraumatic stress disorder (PTSD), significant heterogeneity in the effectiveness of PTSD treatment persists, especially in community settings. Client demographics used to understand this variability in treatment outcome and dropout have yielded mixed results. Despite increasin...

This chapter presents a list of empirically based principles of therapeutic change that was revised from the one published in this book’s previous volume. The chapter describes the ways in which the original list was modified, and how an extensive review of scientific literature led to the identification of 38 principles clustered into 5 categories...

Despite the significant mental health needs and comorbidity in homeless individuals, there is a "science-practice gap" between the available evidence-based treatments (EBTs) and their lack of use in community health centers servicing homeless populations. To address this gap, it is imperative to evaluate and attend to the contextual factors that in...

Objective: The purpose of this study is to examine associations between therapist adherence, competence, and modifications of an evidence-based protocol (EBP) delivered in routine clinical care and client outcomes. Method: Data were derived from a NIMH-funded implementation-effectiveness hybrid study of Cognitive Processing Therapy (CPT) for PTS...

Conducted in naturalistic settings, practice-oriented research (POR) is aimed at building stronger connections between the science and practice of psychotherapy. Promoting the principles of POR, this paper has two aims: (1) Presenting the results of a survey assessing the interests of members of a large practice research network (PRN) in topics tha...

The current study investigated the sensitivity to change of the Counseling Center Assessment of Psychological Symptoms-34 (CCAPS-34), a multidimensional measure designed to assess the mental health problems common in college students across seven domains. The results suggest that the CCAPS-34 is able to capture change taking place during treatment.

The science-practice gap in the treatment of mental health is most pronounced in community settings, where clients with the highest needs often receive their care. Implementation science and community-based participatory research (CBPR) strategies aim to effectively address this gap by establishing partnerships that focus on scientifically rigorous...

The wide divide between research and clinical practice is well documented, and many psychotherapists do not implement empirical findings in their routine clinical work. A proposed evidence-based effort to address this science-practice gap is practice-oriented research, where clinicians are active participants in all aspects of research. The current...

Objective: Though many studies have shown that psychotherapy can be effective, psychotherapy available in routine practice may not be adequate. Several methods have been proposed to evaluate routine psychological treatments. The aim of this paper is to demonstrate the combined utility of complementary methods, change-based benchmarking, and end-st...

Despite growing evidence that a greater number of students are seeking counseling in college and university counseling centers throughout the United States, there is a dearth of empirical information about (a) the presenting concerns for which students seek treatment and (b) how these concerns differ according to client demographic factors. The pur...

The current state of college student mental health is frequently labeled a “crisis,” as the demand for services and severity of symptomatology have appeared to increase in recent decades. Nationally representative findings are presented from the Center for Collegiate Mental Health, a practice research network based in the United States, composed of...

Objective: Though many studies have shown that psychotherapy can be effective, psychotherapy available in routine practice may not be adequate. Several methods have been proposed to evaluate routine psychological treatments. The aim of this paper is to demonstrate the combined utility of complementary methods, change-based benchmarking and end-stat...

Conducted within a practice-research network in private practice, this exploratory study was aimed at examining whether clinicians can accurately predict and recall profiles of therapeutic interventions they used during an entire treatment for a given client. Based on a small sample (7 clinicians and 30 clients), the results tentatively suggest tha...

Dropout has been a pervasive and costly problem in psychotherapy, particularly for college counseling centers. The present study examined potential predictors of dropout using a large data set (N = 10,147 clients, 481 therapists) that was gathered through a college counseling center practice research network as a replication and extension of recent...

With data gathered from 47 university counseling centers in the United States, this study addresses both inter- and intra-group differences in symptomatology at intake among international students. In Study 1, symptomatology among international students was explored in comparison to US ethnic groups. In Study 2, intra-group differences in symptomat...

Objective: Research has demonstrated that providing appropriate supports and services on campus can improve both mental health and academic outcomes for students with disabilities (Emerson, Honey, Madden, & Llewellyn, 2009; Stumbo, Martin, & Hedrick, 2009), but little is known about the specific mental health needs of this population. The purpose...

The Treatment Outcome Package (TOP; D. R. Kraus, Seligman, & Jordan, 2005) is a multidimensional routine progress and outcome measure developed for use in diverse naturalistic practice settings. In this article, we (a) provide a brief review and summary of the extant psychometric and research support for the TOP, (b) provide examples of the TOP's u...

The goal of this article is to present information about a standardized multidimensional measure of psychological symptoms, the Counseling Center Assessment of Psychological Symptoms (CCAPS; Locke et al., 2011; Locke, McAleavey, et al., 2012; McAleavey, Nordberg, Hayes, et al., 2012), developed to assess difficulties specific to college students' m...

Aim: Although psychotherapy is effective for a majority of people, there is a subset of people who fail to improve over the course of therapy. Prior research has shown that clients whose actual rate of change in therapy deviates significantly from the expected rate of change are much more likely to have a negative outcome. This expected trajectory...

Practice research networks (PRNs) are infrastructures that allow for the collaboration of researchers and clinicians in conducting clinically meaningful and scientifically rigorous research. Despite the variety of PRNs, they can be broadly grouped into three clusters: (a) PRNs sponsored by professional organizations, such as American Psychiatric As...

2015) Building clinicians-researchers partnerships: Lessons from diverse natural settings and practice-oriented initiatives, makes every effort to ensure the accuracy of all the information (the "Content") contained in the publications on our platform. However, Taylor & Francis, our agents, and our licensors make no representations or warranties wh...

Generalized Anxiety Disorder (GAD) is defined in the DSM-5 as persistent and excessive anxiety and worry about a number of domains in the person's life, present for at least 6 months. The worry and anxiety are difficult to control and cause significant distress and/or impairment in the individual's functioning. In addition, in order to meet DSM-5 c...

It is argued that the use of brief measures such as the CORE 10 and the ORS in patient monitoring and feedback systems is problematic because their poor reliability leads to insufficient sensitivity for early decision making. This problem is partially resolved by using the briefer measures as a form of communication between client and therapist rat...

This study explored the feasibility of using Internet social networking media in an online program for Major Depressive Disorder (MDD) screening and psychoeducation targeting college students. A Facebook advertisement targeted students at five colleges in the United States to complete a mental health research survey that screened for MDD using the...

As an effort to foster the use of standardized data in clinical practice, this article discusses an outcome measure developed by clinicians for use in naturalistic settings: the treatment outcome package (TOP). In addition to describing how the TOP can be used in day-to-day practice, the article illustrates how its multidimensional structure can in...

Background: We have previously shown an association between patient belief and treatment response in the Hypericum Depression Trial Study Group's 2002 study. We re-examined these data to determine whether clinical improvement was associated with physician belief about assigned therapy. Methods: Three hundred and forty adults with major depressio...

A comparison of institutional enrollment data and counseling center service utilization data at 66 universities showed that neither ethnic minority students nor European American students under-or overutilized counseling services (Study 1). Data from Study 2 examining students in the general campus bodies at 45 institutions indicated that utilizati...

To investigate the validity of using electronic medical records (EMR) database in a large health organization for identifying patients with clinical depression. The Massachusetts General Hospital EMR system was used to generate a sample of primary care patients seen in the primary care clinic in 2007. Using this sample, the validity of using certai...

Relapse of major depressive disorder (MDD) is a common clinical problem. This study was designed to determine whether residual sleep disturbance (insomnia and hypersomnia) predict risk of relapse during the continuation and maintenance treatment of MDD. A total of 570 patients with MDD were treated with open-label, flexible dose fluoxetine (range 2...