- Child and Adolescent Psychosocial and Emotional Development
- Family and Disability Support Research
- Health Policy Implementation Science
- Child Welfare and Adoption
- Autism Spectrum Disorder Research
- Child Abuse and Trauma
- Educational and Psychological Assessments
- Community Health and Development
- Neuroendocrine regulation and behavior
- Stress Responses and Cortisol
- Occupational Therapy Practice and Research
- Homelessness and Social Issues
- Mathematics Education and Teaching Techniques
- Burn Injury Management and Outcomes
- Traumatic Ocular and Foreign Body Injuries
- Behavioral and Psychological Studies
- Mental Health and Patient Involvement
- Evaluation and Performance Assessment
- Health Sciences Research and Education
- Attachment and Relationship Dynamics
- Disaster Response and Management
- Early Childhood Education and Development
- Maternal Mental Health During Pregnancy and Postpartum
- Psychoanalysis and Psychopathology Research
- Infant Development and Preterm Care
Health Services Research & Development
2018-2025
San Diego State University
2021-2024
University of California, San Diego
2018-2021
University of Delaware
2013-2020
Universidad Católica Santo Domingo
2019-2020
Abstract Young children in foster care often experience adversity, such as maltreatment and lack of stability early caregiving relationships. As a result, these are at risk for range problems, including deficits executive functioning. The Attachment Biobehavioral Catch-up Toddlers (ABC-T) intervention was designed to help parents behave ways that promote the development young children's emerging self-regulatory capabilities. Participants included 173 parent–toddler dyads three groups:...
Abstract Young children in foster care are at increased risk for problematic language development, making early intervention a critical tool enhancing these children's foundational abilities. This study examined the efficacy of an preventative intervention, Attachment and Biobehavioral Catch‐up Toddlers ( ABC ‐T), improving receptive vocabulary abilities toddlers placed care. All had been removed from their biological parents’ into When were between 24 36 months old, parents contacted by...
This study described therapists' delivery of six child mental health evidence-based practices (EBPs) over 33 months during the sustainment phase a system-driven implementation aimed at improving access to EBPs in community settings. Seven hundred seventy-seven therapists and 162 program leaders delivering least one interest completed surveys, these data were matched therapist administrative claims data. Survival analyses examined (a) discontinuation all Los Angeles County Department Mental...
Abstract The roots of psychopathology frequently take shape during infancy in the context parent-infant interactions and adversity. Yet, neurobiological mechanisms linking these processes remain elusive. Here, using responses to attachment figures among infants who experienced adversity as a benchmark, we assessed rat pup cortical local field potentials (LFPs) behaviors exposed response maternal rough nurturing handling by examining its impact on separation-reunion with mother. We show that...
Early experiences of maltreatment have long‐term negative effects on children's compliance. This randomized clinical trial examined whether a brief preventative intervention (Attachment and Biobehavioral Catch‐up; ABC) was effective in enhancing compliance children who had been referred to Child Protective Services. Participants included 101 parent–child dyads received either ABC or control when were infants ( M = 9.4 months old, SD 6.1). When approximately 36 old 38.5, 3.0), demonstrated...
Understanding the factors that influence use of evidence-based practices (EBPs) for autism spectrum disorder (ASD) in schools is critical to selection effective implementation strategies support their sustained use. The current study has 2 aims: (a) evaluate association between school leadership profiles (undifferentiated and optimal) fidelity EBP (b) examine role climate as a mediator this association. Participants included 56 principals, 90 special education teachers, 133 classroom staff...
Although there is increasing investment to implement evidence-based practices (EBPs) in public systems across the USA, continued or sustained use of EBPs after initial implementation remains a challenge. The low integration routine practice severely limits their health impact, highlighting need understand factors that affect return on costly investments EBP implementation. This study aims (1) characterize trajectories delivery volume through reimbursement-driven and (2) examine impacts...
The first aim of the current study was to examine latent structure attachment states mind as assessed by Adult Attachment Interview (AAI) among three groups parents children at risk for insecure attachments: who adopted internationally (N = 147), foster 300), and living in poverty involved with Child Protective Services (CPS; N 284). Confirmatory factor analysis indicated state rating scales loaded on two factors reflecting adults' preoccupied dismissing mind. Taxometric analyses variation...
Many strategies may be used by external consultants (such as treatment developers and trainers) internal program leaders to support evidence-based practice (EBP) implementation. The goal of this study was identify which educational implementation are considered therapists most helpful, through mechanisms, whether these linked EBP use.Semi-structured interviews were conducted with 60 therapists, 826 completed surveys regarding their perceptions reported delivery EBPs within a system-driven,...
Objective: This study investigated a quality indicator for children's mental health, caregiver attendance in youth psychotherapy sessions, within system-driven implementation of multiple evidence-based practices (EBPs) community health services. Method: Administrative claims from nine fiscal years were analyzed to characterize and predict attendance. Data included characteristics therapists (n = 8,626), clients 134,368), sessions (e.g., individual, family), the EBP delivered. Clients...
(2021). Train-to-Sustain: Predictors of Sustainment in a Large-Scale Implementation Parent–Child Interaction Therapy. Evidence-Based Practice Child and Adolescent Mental Health: Vol. 6, No. 2, pp. 262-276.
Abstract Children adopted internationally experience adverse conditions prior to adoption, placing them at risk for problematic social–emotional development. The Attachment and Biobehavioral Catch-up (ABC) intervention was designed help adoptive parents behave in ways that promote young children's competence. Participants included 131 parent–child dyads randomly assigned receive either ABC ( n = 65) or a control 66). In addition, 48 low-risk biologically related were as comparison group. At...
Children who experience early adversity are at increased risk for developing psychopathology, and dysfunction of the hypothalamic pituitary adrenal (HPA) axis is a possible mechanism conferring this risk. This study sought to characterize association between morning cortisol during different developmental periods deficits in children's emotion regulation, core feature many psychological disorders. Morning was collected two time points (i.e., infancy, M = 13.0 months old, childhood, 36.8 old)...
Inner context organizational factors proximally shape therapist experiences with evidence-based practice (EBP) implementation and may influence self-efficacy, which has been linked to sustained use of EBPs in community mental health settings. Research primarily focused on constructs such as leadership climate. However, the effects depend upon other inner dimensions, psychological safety. Psychologically safe environments are conducive taking risks, speaking up about problems, requesting...
Mental health clinicians often report significant challenges when delivering evidence-based interventions in community settings, particularly unexpected client stressors (or emergent life events) interfere with the therapy process. The current study sought to extend of events children autism spectrum disorder by examining occurrence and impact context a collaborative, caregiver-mediated intervention for reducing challenging behaviors disorder, An Individualized Health Intervention ASD (AIM...