Virginia Commission on Youth Collection of Evidence-Based Practices For Children and Adolescents with Mental Health Treatment Needs 7th Edition COMMONWEALTH of VIRGINIA Commission on Youth Delegate Richard P. “Dickie” Bell, Chair Pocahontas Building Senator Dave W. Marsden, Vice Chair 900 E. Main Street, 11th Floor _______ Richmond, Virginia 23219 804-371-2481 Executive Director FAX 804-371-0574 Amy M. Atkinson http://vcoy.virginia.gov April 1, 2019 Dear Fellow Citizen of the Commonwealth: As Chair of the General Assembly’s Commission on Youth, it is my pleasure to present the 7th Edition of the Collection of Evidence-based Practices for Children and Adolescents with Mental Health Treatment Needs. The 7th Edition of the Collection is designed to be a quick reference guide for those seeking an overview of evidence-based mental health treatments for children and adolescents. This condensed edition provides a description of mental health conditions that affect youth, a discussion of evidence-based treatments, and a compendium of resources for further reading. The 7th Edition is intended to be used in conjunction with the 6th Edition, which provides in-depth information about each disorder, as well as a summary of current research on mental health treatments for children and adolescents. Both editions are available on the Commission’s website at http://vcoy.virginia.gov. The 2002 General Assembly, through Senate Joint Resolution 99, directed the Virginia Commission on Youth to coordinate the collection of treatments that are recognized as effective for children, including juvenile offenders, who have mental health treatment needs, symptoms, and disorders. The resulting publication was compiled by the Commission with the assistance of an advisory group of experts pursuant to Senate Joint Resolution 99. The Collection was published in House Document 9 and presented to the Governor and the 2003 General Assembly. To ensure that this information remained current and reached the intended audience, the 2003 General Assembly passed Senate Joint Resolution 358, which requires the Commission on Youth to update the Collection biennially and to disseminate it via web technologies. Since 2003, the Commission has updated this resource and made it available through the Commission on Youth website and in print editions. The Commission on Youth gratefully acknowledges the contributions of its Advisory Group members. For more information about the Virginia Commission on Youth or the Collection, I encourage you to visit our website at http://vcoy.virginia.gov. Sincerely, Richard P. “Dickie” Bell MEMBERS OF THE VIRGINIA COMMISSION ON YOUTH Virginia House of Delegates Richard P. “Dickie” Bell, Chair Emily M. Brewer Jerrauld C. “Jay” Jones Mark L. Keam Christopher K. Peace Todd E. Pillion Senate of Virginia David W. “Dave” Marsden, Vice-Chair Charles W. “Bill” Carrico, Sr. Barbara A. Favola Gubernatorial Appointments from the Commonwealth at Large Avohom B. Carpenter Deirdre S. "Dede" Goldsmith Christian Rehak Commission on Youth Staff Amy M. Atkinson, Executive Director Will Egen, Senior Policy Analyst Christine Wilcox, Policy Editor The information contained herein is strictly for informational and educational purposes only and is not designed to replace the advice and counsel of a physician, mental health provider, or other medical professional. If you require such advice or counsel, you should seek the services of a licensed mental health provider, physician, or other medical professional. The Commission on Youth is not rendering professional advice and makes no representations regarding the suitability of the information contained herein for any purpose. TABLE OF CONTENTS Introduction ................................................................................................................................................................ 1 Reference Chart of Disorders and Evidence-based Practices .................................................................................... 5 Introduction to Neurodevelopmental Disorders ..................................................................................................... 26 Intellectual Disability .......................................................................................................................................... 27 Autism Spectrum Disorder ................................................................................................................................. 35 Attention-Deficit/Hyperactivity Disorder .......................................................................................................... 50 Motor Disorders ................................................................................................................................................. 55 Developmental Coordination Disorder Stereotypic Movement Disorder Tic Disorders Tourette Disorder Persistent (Chronic) Vocal or Motor Tic Disorder Provisional Tic Disorder Schizophrenia ........................................................................................................................................................... 64 Bipolar and Related Disorders .................................................................................................................................. 70 Bipolar I Disorder Bipolar II Disorder Cyclothymic Disorder Depressive Disorders ................................................................................................................................................ 76 Disruptive Mood Dysregulation Disorder Major Depressive Disorder Persistent Depressive Disorder (Dysthymia) Anxiety Disorders ..................................................................................................................................................... 82 Separation Anxiety Disorder Social Anxiety Disorder/Social Phobia Specific Phobia Generalized Anxiety Disorder Panic Disorder Agoraphobia Table of Contents Obsessive-Compulsive and Related Disorders ......................................................................................................... 87 Obsessive-Compulsive Disorder Body Dysmorphic Disorder Hoarding Disorder Trichotillomania Excoriation Disorder Trauma- and Stressor-Related Disorders ................................................................................................................. 97 Post-Traumatic Stress Disorder Acute Stress Disorder Attachment Disorders of Early Childhood Disinhibited Social Engagement Disorder Reactive Attachment Disorder Adjustment Disorder .............................................................................................................................................. 107 Feeding and Eating Disorders ................................................................................................................................. 112 Anorexia Nervosa Bulimia Nervosa Binge Eating Disorder Disruptive, Impulse-Control, and Conduct Disorders ............................................................................................. 122 Oppositional Defiant Disorder Conduct Disorder Intermittent Explosive Disorder Pyromania Kleptomania Substance Use Disorders ........................................................................................................................................ 128 Youth Suicide ......................................................................................................................................................... 141 Antidepressants and the Risk of Suicidal Behavior ............................................................................................... 146 Nonsuicidal Self-Injury ........................................................................................................................................... 148 Juvenile Offending ................................................................................................................................................. 152 Juvenile Firesetting ................................................................................................................................................ 157 Sexual Offending .................................................................................................................................................... 161 Provider Descriptions ............................................................................................................................................ 167 Terms Used in Virginia’s Mental Health Delivery System ...................................................................................... 172 Advisory Group Members ..................................................................................................................................... 197 INTRODUCTION Welcome to the 7th Edition of the Collection of Evidence-Based Practices for Children and Adolescents with Mental Health Treatment Needs. This update is designed to be a quick reference guide to evidence-based practices—interventions that have been proven, through scientific testing, to be effective. This short guide includes information from the 6th Edition that is most relevant to non-clinicians, including: • A brief discussion of each disorder included in the 6th Edition • A description of treatments and interventions, with a focus on treatments that are evidence-based • A list of resources and organizations for further information HOW TO USE THE 7TH EDITION OF THE COLLECTION The 7th Edition is designed to provide a brief