In Their Own Words: Psychologists Share Their Research

Created on August 5, 2017. Last updated on May 28th, 2025 at 04:09 pm

In Their Own Words: Transforming Pediatric Mental and Behavioral Healthcare Through a Regional
Learning Network: A Guide for Leveraging Implementation Science

By Jessica M. McClure, Melissa A. Young, Stephanie Eberle, Jillian E. Austin, Katherine Junger, Toria Reisman, Jeff Steller, Brandy Seger, & Ndidi Unaka

Pediatric mental and behavioral health (MBH) needs continue to exceed available resources, with most initiatives prioritizing expanded service capacity over measurable improvements in population-level clinical outcomes. To address this critical gap, the Pediatric Improvement Network for Quality (PINQ) was established as a learning network guided by the Exploration, Preparation, Implementation, and Sustainment (EPIS) implementation science framework. PINQ was designed to foster strong partnerships among community mental health centers (CMHCs), hospital-based teams, and pediatric primary care providers to enhance access, improve service quality, and drive better outcomes for youth across the region.

Key findings from the implementation of PINQ include:

• Ten MBH teams—comprising 514 therapists—were onboarded and trained to use the Brief Outcome Survey (BOS), a three-item tool as part of a comprehensive measurement-based care (MBC) approach.
• Weekly case consultation groups, facilitated by doctoral-level psychologists, provided therapists with structured support in applying MBC throughout treatment. These sessions offered a collaborative space for clinical problem-solving, skill development, and real-time feedback, helping to strengthen treatment fidelity and promote continuous learning across teams.
• The network’s infrastructure leveraged behavioral health attribution to match patient panels from community organizations with hospital data via a health information exchange, enabling near real-time tracking of MBH emergency department and inpatient admissions for youth across the network.

Recommendations and future directions include:

• Before onboarding new organizations, ensure leaders are fully aligned with the network’s goals and have the authority to support implementation. Tailor onboarding to each organization’s readiness to foster long-term engagement.
• Expand the application of behavioral health attribution across all teams to enable near real-time tracking of emergency department and inpatient utilization, supporting more precise outcome monitoring and informed system-level interventions.
• Leverage aggregated network data to demonstrate impact, inform policy, and support value-based contracting that rewards effective and equitable care.
• Monitor outcomes across demographic groups to identify and address disparities in access to effective care, ensuring interventions promote equitable access and outcomes.
• Deepen partnerships between pediatric primary care and MBH providers to support whole-child care, streamline referrals, and reduce fragmentation across systems.

– Past Features –

In Their Own Words: Delivery of Cognitive Behavioral Therapy with Diverse, Underresourced Youth Using Telehealth: Advancing Equity Through Consumer Perspectives

By Reyna J. Rodriguez, Ph.D., Maria J. Lewis, Ph.D., Bradley Hudson, Psy.D., and Amy E. West, Ph.D.

With the rise of telehealth during the COVID-19 pandemic, it is important that the quality of services are evaluated. Our study aimed to understand the experiences of children, their parents, and mental health providers in using telehealth to receive or provide therapy services for pediatric anxiety. 

The main findings of our study are listed below:

• Ensuring privacy of children via telehealth can be a challenge 
• Technological difficulties can detract from the ease and effectiveness of treatment
• Children are generally more comfortable with technology than their parents
• Building a relationship with a therapist via telehealth can be challenging; however, seeing the home environments of therapists can help families feel bonded to the provider
• Advantages to using telehealth include removing the need to commute to the provider’s office and children missing school to attend sessions
• Telehealth reduces risk of COVID-19 contagion 

The following recommendations to address identified challenges are provided:

• Therapists should spend time at the outset of treatment identifying and problem-solving challenges using telehealth
• Families can ask their providers to provide “cheat sheets” or brief introductions to using telehealth platforms to improve comfort with using technology
• Providers and families may reschedule/continue sessions via the phone if internet outages occur, and explore the use a parked car, headphones, and chat functions to increase privacy
• Use of online games may be used to form a relationship with a provider
• A provider may send materials to children and parents to use in treatment sessions

In conclusion, there are several strengths and limitations perceived by children, their parents, and mental health providers regarding telehealth. Working as a team – children, parents, and providers together – to address challenges can improve the quality of telehealth mental health services. 

Source(s):

Castro, M.J., Rodriguez, R.J., Hudson, B., Weersing, V.R., Kipke, M., Peterson, B.S., & West, A.E. (2022). Delivery of cognitive behavioral therapy with diverse, underresourced youth using telehealth: Advancing equity through consumer perspectives. Evidence-Based Practice in Child and Adolescent Mental Health. https://doi.org/10.1080/23794925.2022.2062687

In Their Own Words: Emotional Responses to Social Media Experiences Among Adolescents: Longitudinal Associations with Depressive Symptoms

By Jacqueline Nesi, Ph.D.

In two different homes, in two different towns, two teens are opening up Instagram, getting ready to post. Each scrolls carefully through recent photos, selecting a picture of a recent night out with friends, applies a filter or two, composes a clever caption, and posts. Then they wait. As they check back in on the photo’s status, each begins to realize that only a few “likes” are trickling in. A few hours later, the like count hasn’t budged. How do they react? One teen shrugs her shoulders, closes the app, and heads out to soccer practice, unbothered. The other teen gets a pit in her stomach and sits on her bed, ruminating over what was so wrong with the photo to make her peers despise it or – worse – ignore it completely.

The same social media experience can affect teens very differently.

In a recent study, my colleagues and I set out to learn more about how these different emotional responses to social media experiences might impact teens’ mental health. We asked almost 700 teens questions about how frequently they have negative emotional responses to social media (e.g., feeling bad about getting too few likes, feeling left out or excluded), and positive emotional responses (e.g., feeling happy because of a positive comment, feeling less alone). We also asked them about their symptoms of depression.

Here’s what we found: (1) Teens who reported more positive emotional responses to social media were actually more likely to experience depressive symptoms one year later. Why would this be? We suspect that teens who are more emotionally invested in their online experiences – relying on, for example, high numbers of “likes” to feel happy – may be at greater risk over time. (2) We also found that teens who were already experiencing depressive symptoms were more likely to report negative emotional responses to social media. Teens who are feeling depressed might be at higher risk for these difficult emotions when using social media – feeling bad after a negative comment, or feeling pressure to show a perfect version of themselves. (3) We found that, compared to boys, girls were more likely to report both positive and negative emotions in response to their social media use. It may be that girls are more emotionally sensitive to the experiences they have online.

When it comes to social media use, all teens are not the same. Encouraging teens to recognize how their online experiences affect their moods and emotions is an important first step toward helping them use social media in healthier ways.

Source(s):

Nesi, J., Rothenberg, W.A., Bettis, A.H., Massing-Schaffer, M., Fox, K.A., Telzer, E.H., Lindquist, K.A. & Prinstein, M.J. (2021) Emotional responses to social media experiences among adolescents: Longitudinal associations with depressive symptoms. Journal of Clinical Child & Adolescent Psychology. https://doi.org/10.1080/15374416.2021.1955370