Can School Mental Health Providers Deliver Psychosocial Treatment Improving Youth Attention and Behavior in Mexico? A Pilot Randomized Controlled Trial of CLS-FUERTE

Lauren Marie Haack, Eva Angelina Araujo, Jocelyn Meza, Lauren M. Friedman, Madeline Spiess, Dulce Karely Alcaraz Beltrán, Kevin Delucchi, Ambrocio Mojardín Herladez, Linda Pfiffner

Research output: Contribution to journalArticlepeer-review

6 Scopus citations

Abstract

Background: Despite well-established Evidence-Based Treatments (EBTs) for Attention-Deficit/Hyperactivity Disorder (ADHD) and Oppositional Defiant Disorder (ODD), many low-resource settings lack EBT access. Methods: We conducted a school-clustered randomized controlled pilot of CLS-FUERTE (a multicomponent behavioral EBT adapted for children in Mexico) with 58 students. We randomly assigned four schools to receive CLS-FUERTE and four to receive school services as usual. We compared groups post-treatment on parent- and teacher-rated ADHD/ODD symptoms and impairment. Results: CLS-FUERTE fidelity, attendance, engagement, and acceptability was high and students receiving CLS-FUERTE showed greater improvement in teacher-rated ADHD, ODD, and impairment, as well as parent-rated ADHD and impairment, compared to students receiving usual services. Conclusions: Pilot results suggest that psychosocial EBTs can be successfully implemented by School Mental Health Providers in Mexico.

Original languageEnglish (US)
Pages (from-to)2083-2097
Number of pages15
JournalJournal of Attention Disorders
Volume25
Issue number14
DOIs
StatePublished - Dec 2021
Externally publishedYes

Keywords

  • ADHD
  • ODD
  • community
  • culture
  • evidence-based treatment
  • schools

ASJC Scopus subject areas

  • Developmental and Educational Psychology
  • Clinical Psychology

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