A meta-systems approach to evidence-based practice for children and adolescents.

  title={A meta-systems approach to evidence-based practice for children and adolescents.},
  author={Anne E. Kazak and Kimberly Eaton Hoagwood and John R. Weisz and Korey K. Hood and Thomas R. Kratochwill and Luis A. Vargas and Gerard A. Banez},
  journal={The American psychologist},
  volume={65 2},
Improving outcomes for children and adolescents with mental health needs demands a broad meta-systemic orientation to overcome persistent problems in current service systems. Improving outcomes necessitates inclusion of current and emerging evidence about effective practices for the diverse population of youth and their families. Key components of the meta-system for children with emotional or behavioral needs include families, cultural norms and values, and service sectors such as schools… 

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Despite the identification of children and adolescents in both juvenile justice and child welfare systems as populations in pressing need of stronger foundations of evidence-based practices, Kazak et al. (2010) point out that evidence- based assessment methods and interventions do exist within these systems.

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The readiness of the child and adolescent evidence base for large-scale dissemination should be viewed with healthy skepticism until studies of the fit between empirically based treatments and the context of service delivery have been undertaken.

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