What is it about?

Disorders of inattention and disruptive behavior, such as Attention-Deficit/ Hyperactivity Disorder (ADHD) and Oppositional Defiant Disorder (ODD), are among the most common and costly youth mental health conditions across cultures. Our team harnessed technology to enhance a school clinician training and intervention program (i.e., CLS-R-FUERTE) to combat the widespread impact of ADHD and ODD worldwide.

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Why is it important?

Supporting scalable training for school clinicians to deliver treatments that work could address a significant public health concern in underserved settings, such as Mexico, where only 14% of youth with mental health disorders receive treatment and less than half of those treated receive more than minimally adequate care. Lessons learned from this work also could be translated into advancements in other settings and/or for other conditions.


Our CLS-R-FUERTE open-trial emerged in context of a nearly decade-long collaboration between clinical researchers at the University of California San Francisco (UCSF) and the Autonomous University of Sinaloa (UAS); see Strivelab.ucsf.edu for an overview. Our efforts have been warmly embraced by the Secretary of Public Education in Culiacán, as well as the countless principals, school clinicians, teachers, and families with whom we have worked. We look forward to continued and expanded partnership opportunities aimed at improving young people's access to and engagement in mental and behavioral health care.

Lauren Haack
University of California San Francisco

Read the Original

This page is a summary of: Enhancing accessibility and scalability of school-based programs to improve youth attention and behavior: Open feasibility trial of the remote CLS-R-FUERTE program in Mexico., School Psychology, November 2023, American Psychological Association (APA),
DOI: 10.1037/spq0000580.
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