Trajectories of Evidence Based Treatment for School Children with Autism: What's the Right Level for the Implementation?

Evidence-based practices (EBP) for children with autism are under-used in special-education schools. No research compared child-level versus teacher-level influences on EBP use, which could guide implementation strategies. We derived longitudinal profiles of EBP receipt by children (N = 234) in 69 autism-support classrooms, over an academic year. We compared overall impacts of child-level and teacher-level factors on profile membership. Most children received little EBP throughout the year; however substantial subgroups received increasing, and decreasing, doses of EBP. Child-level and teacher-level factors contributed about equally to profile membership. Children's autism symptoms and verbal ability, teachers' EBP skills, training/experience, classroom support, class size, and implementation leadership climate predicted profile membership. Early identification of treatment profiles could facilitate targeted implementation strategies increasing EBP use.

What Motivates Mental Health Clinicians-in-Training to Implement Evidence-Based Assessment? A Survey of Social Work Trainees.

Mental health clinicians do not consistently use evidence-based assessment (EBA), a critical component of accurate case conceptualization and treatment planning. The present study used the Unified Theory of Behavior to examine determinants of intentions to use EBA in clinical practice among a sample of Masters' level social work trainees (N = 241). Social norms had the largest effect on intentions to use EBA. Injunctive norms in reference to respected colleagues accounted for the most variance in EBA intentions. Findings differed for respondents over 29 years of age versus younger respondents. Implications for implementation strategies and further research are discussed.

Parental monitoring, adolescent dishonesty and underage drinking: A nationally representative study.

Little research has connected underage drinking with adolescent information management strategies. The present study uses longitudinal analyses to theoretically link adolescent lying with parental "monitoring knowledge," and, in turn, with prospective adolescent drinking, in a large nationally representative sample of U.S. seventh- and eighth-graders (N = 4020). Structural equation modeling evaluated and supported, two key hypotheses: (1) dishonesty promotes future alcohol use by decreasing parental monitoring knowledge, and (2) dishonesty directly predicts alcohol consumption independent of its effects on parental monitoring. Maternal warmth and adolescent satisfaction with maternal relationships, but not parental control, were associated with lessened lying, and predicted parental monitoring and underage drinking. Our data implicate the role of adolescent agency for parental monitoring and highlight advantages of cohesive as opposed to over-restrictive parenting.