Abstract
ABSTRACTAlthough evidence-based treatments exist for a variety of youth mental health conditions, few of them have been developed and tested at higher levels of care, where characteristics of both the patient and the setting may make them challenging to implement. This contributes to a well-documented divide between clinical research and practice settings, and it limits our understanding of how youth with higher levels of clinical complexity might meaningfully access scientifically supported care. In this paper, we describe efforts to use evidence-based practice in a real-world partial hospitalization (PHP) setting for youth ages 6–12 years. We describe both system and clinician-level constraints as well as efforts to overcome them in providing care for youth with the full spectrum of severe psychopathology. Focusing on two specific domains, group cognitive behavior therapy (CBT) and parent training, we describe efforts to work flexibly guided by the principles set forth in well-established protocols. Challenges and future directions for bringing evidence-based care to hospital-based settings are discussed.
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