C-CAP Lab

Projects & Publications

Improving Pediatric Primary Care Capacity for Suicide Prevention (PED SAFE) 

The PED SAFE study employs user-testing to develop and evaluate a pediatric primary care-based youth suicide prevention intervention. Through an iterative redesign process and the intervention procedures and protocol will be adapted to improve acceptability, usability, feasibility, and appropriateness for the pediatric primary care context.  In the second phase of this study, we will conduct a pilot randomized controlled trial to evaluate preliminary effectiveness, feasibility, acceptability, and appropriateness (planned to start Spring 2024). 

 

Evaluation of First Approach Skills Training (FAST) Program 

The FAST programs are evidence-informed, brief, primary care-based interventions for common youth mental health problems. This study uses retrospective and prospective data collection with youth engaged in primary care-based mental health treatment using the FAST interventions.  Prospective data collection will include longitudinal data assessment before, during, and after FAST.  Youth, families, and clinicians participate in this study. 

 

Caregivers’ Perspectives on Youth Mental Health & Suicide Prevention 

Currently in the developmental phase, this cross-sectional study will recruit caregivers of youth across the United States.  This study’s goal is to inform youth suicide prevention and treatment engagement interventions, with emphasis on rural areas. 

 

Leveraging Ecological Momentary Assessment to Refine Youth Suicide Prevention 

Integrated care settings, such as pediatric primary care, are ideal contexts in which to embed evidence-based suicide prevention programs (EBSPs); however, most existing EBSPs for youth prioritize high clinical acuity and are resource-intensive. In the interest of targeted prevention refinement, particularly for youth with lower acuity risk, this project will utilize ecological momentary assessment (EMA) to assess and characterize real-time risk and protective factors.  Ultimately, this project aims to: 1) inform risk formulation in integrated care settings by characterizing associations between fluctuating proximal risk factors and suicidal thoughts and behaviors and use this information to refine EBSPs in pediatric primary care and 2) inform developmental models of youth suicide risk. 

 

Systematic Reviews & Meta-Analyses  

The lab frequently engages in systematic reviews and meta-analyses related to youth mental health.  Current projects include: integrated mental healthcare in juvenile justice settings, use of task shifting for youth mental health treatment, and psychometric evaluation of youth suicide risk assessment tools. 

 

Publications

Blossom, J. B., Jungbluth, N., Bolden, C., Woodruff, M. A., Pringle, W., Read, K. L., Jenness, J. L., Martin, B., & Schoenfelder Gonzalez, E. (2024). Evaluation of the first approach skills training (FAST) integrated Pediatric Primary Care Program: Implementation and Clinical Effectiveness. (In Press). Evidence-Based Practice in Child and Adolescent Mental Health, 1–10. https://doi.org/10.1080/23794925.2024.2330397

Adrian, M., Twohy, E., Babeva, K., Jenness, J., Gurtovenko, K., Blossom, J. B., King, S., McCartney, L., & McCauley, E. (in press). A unique model of care for youth in crisis: A pilot open trial. Psychological Services.

Blossom, J. B., Jungbluth, N., Dillon-Naftolin, E., & French, W. (2023). Treatment of anxiety disorders in the pediatric primary care setting. Child and Adolescent Psychiatric Clinics, 32(3), 601-611. doi:10.1016/j.chc.2023.02.003

McGuire, A.,* Kriegshauser, K., & Blossom, J. B. (in press). What parents think vs. what parents do: Examining parental accommodation beliefs and behaviors in relation to youth anxiety in the presence of externalizing concerns. Journal of Emotional and Behavioral Disorders. Advance online publication.

Kriegshauser, K., Sexton, C. C., Bozsik, F., Blossom, J. B., Wiese, A., Adams Larsen, M., & Hale, L. (2022). The feasibility of a family-focused CBT skills App: Anchors Away. Cognitive and Behavioral Practice. Advance online publication.

Blossom, J. B., Ridge-Anderson, A., Adrian, M. C., & Jobes, D. (2022). A developmentally-informed approach to the Collaborative Assessment and Management of Suicide (CAMS) for Adolescents (CAMS-4Teens) and engaging parents in treatment. Practice Innovations, 7(4), 303-312. doi:10.1037/pri0000189

Conference Presentations

Blossom, J.B. Jenness, J.L. Jungbluth, N., Bolden, C., Green, A., Guajardo, K., Gonzalez, E.S. (2024 April). Expanding the behavioral health workforce: The First Approach Skills Training model. Symposium presented at the Society of Pediatric Psychology Annual Conference, New Orleans, LA.

Blossom, J. B., Green, A., Guajardo, K., Brown, L., Walter, D., Schwartz-Mette, R., Kelberman, C., & Schuttenberg, E. (2024 April). Improving Youth Suicide Prevention in Primary Care: Co-designing a Brief, Evidence-Informed Model of Care. [Symposium presentation]. 2024 Anxiety and Depression Association of America Annual Conference, Boston, MA.

Blossom, J. B., Green, A., Guajardo, K., Brown, L., Walter, D., Schwartz-Mette, R., Kelberman, C., & Schuttenberg, E. (2023 October). Brief intervention for youth suicide risk in primary care. [Conference presentation]. 2nd Annual Maine Research Symposium – Mental Health. Orono, ME.

Poster Presentations

*Kelberman, C., *Schuttenberg, E. M., Cohen-Gilbert, J. E., Sneider, J. T., Blossom, J. B., Rieselbach, M., Stein, E., Silveri, M. M. (2024, April 11-14). Longitudinal examination of emotion dysregulation and suicide attempt history among adolescents in an acute residential treatment program [Poster presentation]. Anxiety and Depression Association of America, Boston, MA.

*Schuttenberg, E. M., *Kelberman, C., Chadburn, A., & Blossom, J. B. (2024, April 11). What bridges the gap between suicidality? Examining emotion regulation and interpersonal needs as serial mediators [Poster presentation]. University of Maine Student Symposium, Orono, ME.

Guajardo, K. B., Green, A. E., Beaudoin, G., Martin, B., Read, K. L., & Blossom, J. B. (2023, November). The role of intolerance of uncertainty, social support, and family accommodation, in predicting parental help-seeking during the COVID-19 pandemic. [Poster presentation]. Association for Behavioral and Cognitive Therapies, Seattle, WA.

Schuttenberg, E. M., Pastro, B. P., Kelberman, C., Sneider, J. T., Gilbert-Cohen, J. E., Nangle, D. W., Blossom, J. B., Silveri, M. M. (2023, November 16-19). Symptom trajectories during acute residential treatment: Sexual minority individuals start with worse emotion regulation difficulties and improve at a faster rate [Poster presentation]. Association for Behavioral and Cognitive Therapies, Seattle, WA.