Arora Prerna G, Awad Michael, Parr Kayla, Connors Elizabeth H
Department of Health Studies and Applied Educational Psychology, Teachers College, Columbia University, New York City, NY, USA.
Department of Psychiatry, Yale University, New Haven, CT, USA.
Adm Policy Ment Health. 2025 Jan;52(1):261-276. doi: 10.1007/s10488-024-01419-6. Epub 2024 Nov 14.
Racial and ethnic minoritized (REM) youth are at greater risk for depression and suicide than their White peers. Despite this, REM youth are much more likely than their White peers to prematurely dropout of treatment. Culturally tailored and scalable engagement models to improve mental health treatment retention among REM youth with depressive symptoms and suicidal thoughts and behaviors (STB) are urgently needed. Strategic Treatment Assessment for Youth (STAY) is a theoretically-driven, culturally tailored measurement-based care (MBC) approach to treatment engagement for REM youth with depressive symptoms and suicide risk. Specifically, STAY uses MBC feedback processes to reduce perceptual barriers to treatment, thus improving treatment retention and ultimately, client outcomes among REM youth. In addition to standard MBC components, STAY includes a greater emphasis on providing a client-centered rationale for MBC which includes assessing and discussing treatment expectations, the use of individualized progress measures and alliance measures, and cultural competence training. The goal of this manuscript is to describe the STAY model based on initial theoretical development and preliminary clinician-informed refinements. Further, a case example of STAY is presented with a particular focus on the use of feedback processes. Finally, the current and future directions to empirically examine STAY as a treatment retention strategy with REM populations are provided.
少数族裔青年比白人同龄人更容易患抑郁症和自杀。尽管如此，少数族裔青年比白人同龄人更早中断治疗的可能性要大得多。迫切需要有针对性的、可扩展的文化参与模式，以提高有抑郁症状以及有自杀想法和行为的少数族裔青年的心理健康治疗留存率。青少年战略治疗评估（STAY）是一种基于理论、针对文化的基于测量的护理（MBC）方法，用于有抑郁症状和自杀风险的少数族裔青年的治疗参与。具体而言，STAY使用MBC反馈流程来减少治疗的认知障碍，从而提高治疗留存率，并最终改善少数族裔青年的治疗效果。除了标准的MBC组成部分外，STAY更加强调为MBC提供以客户为中心的理由，包括评估和讨论治疗期望、使用个性化的进展测量和联盟测量，以及文化能力培训。本手稿的目的是基于初步的理论发展和临床医生提供的初步改进来描述STAY模型。此外，还给出了一个STAY的案例，特别关注反馈流程的使用。最后，提供了将STAY作为少数族裔人群治疗留存策略进行实证研究的当前和未来方向。
