{"id":"https://openalex.org/W3077462913","doi":"https://doi.org/10.1080/23794925.2020.1796550","title":"Implementing Strategic Flexibility in the Delivery of Youth Mental Health Care: A Tailoring Framework for Thoughtful Clinical Practice","display_name":"Implementing Strategic Flexibility in the Delivery of Youth Mental Health Care: A Tailoring Framework for Thoughtful Clinical Practice","publication_year":2020,"publication_date":"2020-07-02","ids":{"openalex":"https://openalex.org/W3077462913","doi":"https://doi.org/10.1080/23794925.2020.1796550","mag":"3077462913"},"language":"en","primary_location":{"id":"doi:10.1080/23794925.2020.1796550","doi":"https://doi.org/10.1080/23794925.2020.1796550","is_oa":false,"landing_page_url":"https://doi.org/10.1080/23794925.2020.1796550","pdf_url":null,"source":{"id":"https://openalex.org/S4210202248","display_name":"Evidence-Based Practice in Child and Adolescent Mental Health","issn_l":"2379-4925","issn":["2379-4925","2379-4933"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","norway-1","poland-20","russia-white-list-3"],"host_organization":"https://openalex.org/P4310320547","host_organization_name":"Taylor & Francis","host_organization_lineage":["https://openalex.org/P4310320547","https://openalex.org/P4310320449"],"host_organization_lineage_names":["Taylor & Francis","Informa"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Evidence-Based Practice in Child and Adolescent Mental Health","raw_type":"journal-article"},"volume":null,"type":"article","indexed_in":["crossref"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5000792190","display_name":"Christopher Georgiadis","orcid":"https://orcid.org/0000-0001-8124-9286","observed_orcids":["https://orcid.org/0000-0001-8124-9286"]},"institutions":[{"id":"https://openalex.org/I19700959","display_name":"Florida International University","ror":"https://ror.org/02gz6gg07","country_code":"US","type":"education","lineage":["https://openalex.org/I19700959"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Christopher Georgiadis","raw_affiliation_strings":["Center for Children and Families, Florida International University, Miami, Florida, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Center for Children and Families, Florida International University, Miami, Florida, USA","institution_ids":["https://openalex.org/I19700959"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5060868612","display_name":"Tara S. Peris","orcid":"https://orcid.org/0000-0003-3643-3994","observed_orcids":["https://orcid.org/0000-0003-3643-3994"]},"institutions":[{"id":"https://openalex.org/I161318765","display_name":"University of California, Los Angeles","ror":"https://ror.org/046rm7j60","country_code":"US","type":"education","lineage":["https://openalex.org/I161318765"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Tara S. Peris","raw_affiliation_strings":["Department of Psychiatry and Biobehavioral Sciences, UCLA Semel Institute for Neuroscience and Human Behavior, Los Angeles, California, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Psychiatry and Biobehavioral Sciences, UCLA Semel Institute for Neuroscience and Human Behavior, Los Angeles, California, USA","institution_ids":["https://openalex.org/I161318765"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5064229210","display_name":"Jonathan S. Comer","orcid":"https://orcid.org/0000-0001-6872-4476","observed_orcids":["https://orcid.org/0000-0001-6872-4476"]},"institutions":[{"id":"https://openalex.org/I19700959","display_name":"Florida International University","ror":"https://ror.org/02gz6gg07","country_code":"US","type":"education","lineage":["https://openalex.org/I19700959"]}],"countries":["US"],"is_corresponding":true,"raw_author_name":"Jonathan S. Comer","raw_affiliation_strings":["Center for Children and Families, Florida International University, Miami, Florida, USA"],"raw_orcid":"https://orcid.org/0000-0001-6872-4476","affiliations":[{"raw_affiliation_string":"Center for Children and Families, Florida International University, Miami, Florida, USA","institution_ids":["https://openalex.org/I19700959"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":2,"corresponding_author_ids":["https://openalex.org/A5064229210"],"corresponding_institution_ids":["https://openalex.org/I19700959"],"apc_list":null,"apc_paid":null,"fwci":1.5883,"has_fulltext":false,"cited_by_count":31,"citation_normalized_percentile":{"value":0.8986251,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":89,"max":99},"biblio":{"volume":"5","issue":"3","first_page":"215","last_page":"232"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10214","display_name":"Psychotherapy Techniques and Applications","score":0.9101999998092651,"subfield":{"id":"https://openalex.org/subfields/3203","display_name":"Clinical Psychology"},"field":{"id":"https://openalex.org/fields/32","display_name":"Psychology"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},"topics":[{"id":"https://openalex.org/T10214","display_name":"Psychotherapy Techniques and Applications","score":0.9101999998092651,"subfield":{"id":"https://openalex.org/subfields/3203","display_name":"Clinical Psychology"},"field":{"id":"https://openalex.org/fields/32","display_name":"Psychology"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T11093","display_name":"Personality Disorders and Psychopathology","score":0.025599999353289604,"subfield":{"id":"https://openalex.org/subfields/3203","display_name":"Clinical Psychology"},"field":{"id":"https://openalex.org/fields/32","display_name":"Psychology"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T13944","display_name":"Psychiatric care and mental health services","score":0.012799999676644802,"subfield":{"id":"https://openalex.org/subfields/3203","display_name":"Clinical Psychology"},"field":{"id":"https://openalex.org/fields/32","display_name":"Psychology"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/strategic-flexibility","display_name":"strategic flexibility","score":0.7680000066757202},{"id":"https://openalex.org/keywords/personalized-treatment","display_name":"personalized treatment","score":0.843999981880188},{"id":"https://openalex.org/keywords/youth-mental-health-care","display_name":"youth mental health care","score":0.8920000195503235},{"id":"https://openalex.org/keywords/evidence-based-practice","display_name":"evidence-based practice","score":0.6669999957084656},{"id":"https://openalex.org/keywords/treatment-modification","display_name":"treatment modification","score":0.4399999976158142},{"id":"https://openalex.org/keywords/clinical-decision-making","display_name":"clinical decision-making","score":0.5569999814033508},{"id":"https://openalex.org/keywords/protocol-adherence","display_name":"protocol adherence","score":0.6809999942779541},{"id":"https://openalex.org/keywords/child-and-adolescent-psychotherapy","display_name":"child and adolescent psychotherapy","score":0.6290000081062317}],"concepts":[{"id":"https://openalex.org/C2780598303","wikidata":"https://www.wikidata.org/wiki/Q65921492","display_name":"Flexibility (engineering)","level":2,"score":0.7944271564483643},{"id":"https://openalex.org/C183003079","wikidata":"https://www.wikidata.org/wiki/Q1000371","display_name":"Personalization","level":2,"score":0.577609121799469},{"id":"https://openalex.org/C134362201","wikidata":"https://www.wikidata.org/wiki/Q317309","display_name":"Mental health","level":2,"score":0.5076664686203003},{"id":"https://openalex.org/C98045186","wikidata":"https://www.wikidata.org/wiki/Q205663","display_name":"Process (computing)","level":2,"score":0.5068674683570862},{"id":"https://openalex.org/C15744967","wikidata":"https://www.wikidata.org/wiki/Q9418","display_name":"Psychology","level":0,"score":0.46514785289764404},{"id":"https://openalex.org/C195094911","wikidata":"https://www.wikidata.org/wiki/Q14167904","display_name":"Process management","level":1,"score":0.44350534677505493},{"id":"https://openalex.org/C160735492","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health care","level":2,"score":0.4201306700706482},{"id":"https://openalex.org/C41008148","wikidata":"https://www.wikidata.org/wiki/Q21198","display_name":"Computer science","level":0,"score":0.4200972020626068},{"id":"https://openalex.org/C112930515","wikidata":"https://www.wikidata.org/wiki/Q4389547","display_name":"Risk analysis (engineering)","level":1,"score":0.3566015958786011},{"id":"https://openalex.org/C56739046","wikidata":"https://www.wikidata.org/wiki/Q192060","display_name":"Knowledge management","level":1,"score":0.3401927351951599},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.30863818526268005},{"id":"https://openalex.org/C144133560","wikidata":"https://www.wikidata.org/wiki/Q4830453","display_name":"Business","level":0,"score":0.2455378770828247},{"id":"https://openalex.org/C542102704","wikidata":"https://www.wikidata.org/wiki/Q183257","display_name":"Psychotherapist","level":1,"score":0.18083912134170532},{"id":"https://openalex.org/C17744445","wikidata":"https://www.wikidata.org/wiki/Q36442","display_name":"Political science","level":0,"score":0.17947044968605042},{"id":"https://openalex.org/C187736073","wikidata":"https://www.wikidata.org/wiki/Q2920921","display_name":"Management","level":1,"score":0.12605497241020203},{"id":"https://openalex.org/C162324750","wikidata":"https://www.wikidata.org/wiki/Q8134","display_name":"Economics","level":0,"score":0.08839336037635803},{"id":"https://openalex.org/C136764020","wikidata":"https://www.wikidata.org/wiki/Q466","display_name":"World Wide Web","level":1,"score":0.0},{"id":"https://openalex.org/C111919701","wikidata":"https://www.wikidata.org/wiki/Q9135","display_name":"Operating system","level":1,"score":0.0},{"id":"https://openalex.org/C199539241","wikidata":"https://www.wikidata.org/wiki/Q7748","display_name":"Law","level":1,"score":0.0}],"mesh":[],"locations_count":1,"locations":[{"id":"doi:10.1080/23794925.2020.1796550","doi":"https://doi.org/10.1080/23794925.2020.1796550","is_oa":false,"landing_page_url":"https://doi.org/10.1080/23794925.2020.1796550","pdf_url":null,"source":{"id":"https://openalex.org/S4210202248","display_name":"Evidence-Based Practice in Child and Adolescent Mental Health","issn_l":"2379-4925","issn":["2379-4925","2379-4933"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","norway-1","poland-20","russia-white-list-3"],"host_organization":"https://openalex.org/P4310320547","host_organization_name":"Taylor & Francis","host_organization_lineage":["https://openalex.org/P4310320547","https://openalex.org/P4310320449"],"host_organization_lineage_names":["Taylor & Francis","Informa"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Evidence-Based Practice in Child and Adolescent Mental Health","raw_type":"journal-article"}],"best_oa_location":null,"sustainable_development_goals":[{"display_name":"Good health and well-being","score":0.8371999859809875,"id":"https://metadata.un.org/sdg/3"}],"sustainable_development_goals_aurora":[],"study_designs":[],"awards":[],"funders":[],"has_content":{"grobid_xml":false,"pdf":false},"content_urls":null,"referenced_works_count":87,"referenced_works":["https://openalex.org/W8653789","https://openalex.org/W1595520964","https://openalex.org/W1660283423","https://openalex.org/W1966716513","https://openalex.org/W1977864436","https://openalex.org/W1979329738","https://openalex.org/W1985165878","https://openalex.org/W1985348239","https://openalex.org/W1994618257","https://openalex.org/W2000632076","https://openalex.org/W2001311334","https://openalex.org/W2004991021","https://openalex.org/W2007678286","https://openalex.org/W2023053325","https://openalex.org/W2031383823","https://openalex.org/W2035257454","https://openalex.org/W2035465584","https://openalex.org/W2039052800","https://openalex.org/W2041894260","https://openalex.org/W2045022795","https://openalex.org/W2049845824","https://openalex.org/W2056674587","https://openalex.org/W2059429633","https://openalex.org/W2060778578","https://openalex.org/W2066710166","https://openalex.org/W2071504912","https://openalex.org/W2071553551","https://openalex.org/W2072574205","https://openalex.org/W2075258694","https://openalex.org/W2088044671","https://openalex.org/W2103381928","https://openalex.org/W2109880945","https://openalex.org/W2114297568","https://openalex.org/W2122382587","https://openalex.org/W2122714527","https://openalex.org/W2137784028","https://openalex.org/W2139689782","https://openalex.org/W2143279047","https://openalex.org/W2149857313","https://openalex.org/W2150835308","https://openalex.org/W2153795736","https://openalex.org/W2163084572","https://openalex.org/W2183188071","https://openalex.org/W2281394733","https://openalex.org/W2331540066","https://openalex.org/W2339516214","https://openalex.org/W2341640339","https://openalex.org/W2390610445","https://openalex.org/W2461374963","https://openalex.org/W2507418551","https://openalex.org/W2508066938","https://openalex.org/W2517141143","https://openalex.org/W2558355857","https://openalex.org/W2563073300","https://openalex.org/W2564892373","https://openalex.org/W2570622727","https://openalex.org/W2593872658","https://openalex.org/W2610482521","https://openalex.org/W2612773831","https://openalex.org/W2620849736","https://openalex.org/W2629681570","https://openalex.org/W2767447558","https://openalex.org/W2768542624","https://openalex.org/W2780536397","https://openalex.org/W2780684125","https://openalex.org/W2783043367","https://openalex.org/W2793613764","https://openalex.org/W2888475303","https://openalex.org/W2905212201","https://openalex.org/W2905333617","https://openalex.org/W2905575283","https://openalex.org/W2907482335","https://openalex.org/W2911076295","https://openalex.org/W2912034647","https://openalex.org/W2917947829","https://openalex.org/W2921612312","https://openalex.org/W2948736612","https://openalex.org/W2966097614","https://openalex.org/W2972516681","https://openalex.org/W2976594430","https://openalex.org/W3008729647","https://openalex.org/W3012290708","https://openalex.org/W3013323152","https://openalex.org/W3035592005","https://openalex.org/W3036461050","https://openalex.org/W4232048117","https://openalex.org/W4254873511"],"related_works":["https://openalex.org/W4293079859","https://openalex.org/W4280589015","https://openalex.org/W4394979131","https://openalex.org/W2092586175","https://openalex.org/W4293087053","https://openalex.org/W4388566183","https://openalex.org/W7221336806","https://openalex.org/W2558355857","https://openalex.org/W4385996612","https://openalex.org/W4289240745"],"abstract_inverted_index":{"Despite":[0],"increased":[1],"empirical":[2],"support":[3],"for,":[4],"and":[5,93,117,139,148,169,179,207],"consensus":[6],"recognition":[7],"of,":[8],"the":[9,16,25,38,53,60,102],"values":[10],"of":[11,18,41,62,95,172,199],"responsive":[12],"treatment":[13,42,109,113,126],"personalization":[14],"in":[15,125,133],"delivery":[17],"evidence-based":[19,69],"mental":[20],"health":[21],"care":[22],"for":[23,51,209],"youth,":[24],"literature":[26],"has":[27,101],"actually":[28],"offered":[29,205],"very":[30],"little":[31],"structured":[32],"guidance":[33],"with":[34],"which":[35,82],"to":[36,66,86,152],"inform":[37],"actual":[39],"practice":[40],"flexibility.":[43],"The":[44],"present":[45],"paper":[46],"offers":[47],"aworking":[48],"heuristic":[49],"framework":[50],"navigating":[52],"necessary":[54],"deliberations":[55],"that":[56,197],"must":[57],"be":[58,121,157],"at":[59],"center":[61],"individual":[63],"therapist":[64,103],"efforts":[65,211],"thoughtfully":[67,104],"tailor":[68],"practices.":[70],"Our":[71],"guiding":[72],"Strategic":[73,96,162],"Flexibility":[74,163],"Model":[75],"is":[76,127,136,164,188,198],"organized":[77],"around":[78],"five":[79],"critical":[80],"questions/deliberations,":[81],"we":[83],"collectively":[84],"refer":[85],"as":[87,166,182],"\u201cthe":[88],"Who,":[89],"What,":[90],"When,":[91],"Where,":[92],"Why":[94],"Flexibility.\u201d":[97],"Specifically,":[98],"our":[99,185],"model":[100],"consider:":[105],"(1)":[106],"who":[107],"warrants":[108],"flexibility?;":[110],"(2)":[111],"what":[112,118,134,142,153],"components":[114],"merit":[115],"flexibility,":[116],"modifications":[119],"can":[120,144],"applied?;":[122,147],"(3)":[123],"when":[124],"flexibility":[128,137,145,156],"warranted?;":[129],"(4)":[130],"where":[131,140],"(i.e.,":[132,151],"settings)":[135,143],"needed,":[138],"(in":[141],"by":[146],"(5)":[149],"why":[150],"end)":[154],"should":[155],"applied":[158],"under":[159],"specific":[160],"circumstances?":[161],"conceptualized":[165],"an":[167],"active":[168],"dynamic":[170],"process":[171],"careful":[173],"consideration,":[174],"hypothesis":[175,177],"generation,":[176],"testing,":[178],"course":[180],"correction,":[181],"needed.":[183],"Within":[184],"model,":[186],"it":[187],"haphazard":[189],"clinical":[190],"\u201coff-roading\u201d\u2013":[191],"not":[192],"protocol":[193],"non-adherence,":[194],"per":[195],"say\u2013":[196],"primary":[200],"concern.":[201],"Specific":[202],"examples":[203],"are":[204,215],"throughout,":[206],"recommendations":[208],"future":[210],"on":[212],"this":[213],"front":[214],"discussed.":[216]},"counts_by_year":[{"year":2026,"cited_by_count":6},{"year":2025,"cited_by_count":4},{"year":2024,"cited_by_count":5},{"year":2023,"cited_by_count":3},{"year":2022,"cited_by_count":3},{"year":2021,"cited_by_count":9},{"year":2020,"cited_by_count":1}],"updated_date":"2026-10-14T16:39:01.820549","created_date":"2020-08-24T00:00:00"}