Abstract The purpose of this Special Issue is to describe innovative school-related initiatives t... more Abstract The purpose of this Special Issue is to describe innovative school-related initiatives to reduce the population prevalence of youth mental health concerns. In this introduction to the Special Issue, we identify strategies that have not worked as well as those that have promise in improving youth mental health outcomes. We then provide a brief overview of each article in this issue. The first several articles focus on a comprehensive countywide approach to child and youth mental health that developed out of a unique tax initiative. In combination, these projects screen school-age youth in the county three times a year; support all county schools in providing universal, selective, and indicated interventions based on these screening data; deliver a mentoring program and school-based psychiatric care to youth with more intensive needs; and provide no-cost evidence-based evaluations, referrals, and ongoing progress monitoring to any family with concerns about their child’s mental health. Three additional articles in the Special Issue expand the focus to include other national models, including a statewide initiative in Georgia to bring mental health services to every school, policy issues related to school mental health in South Carolina, and cost analysis strategies for specifying the economic benefit of mental health initiatives.
Abstract The vast majority of youth experiencing symptoms of a mental health (MH) disorder never ... more Abstract The vast majority of youth experiencing symptoms of a mental health (MH) disorder never access services. Barriers to access include unawareness of symptoms or where to get help, stigma, or lack of transportation or finances. Many school, family, and community collaboration models have begun to enhance access to MH supports. The present study reports the impact of one such program called the Family Access Center of Excellence (FACE). FACE employs the Family Check-Up to conduct a child-focused, family systems assessment of family strengths and problem areas and create a treatment plan and linkages to services, with intensive case management to directly address access barriers. In this study, 417 youth were referred from schools to FACE in one academic year. We compared the 224 youth who engaged in FACE to 193 youth who were referred but chose not to access FACE services. Fixed effects regression models indicated that youth who engaged with FACE demonstrated improved social–emotional, behavioral, and academic outcomes compared to youth who did not engage. Implications are discussed along with next steps for developing responsive school–community linked models of care.
ABSTRACT Better integration of evidence-based practices (EBPs) in schools can improve access to e... more ABSTRACT Better integration of evidence-based practices (EBPs) in schools can improve access to effective youth mental health care. However, EBPs typically developed and tested within clinics may not be feasible for school-based implementation. We conducted a small randomized trial comparing Show Me FIRST, a brief intervention designed for efficient uptake in diverse clinical settings, against usual care (UC) in a school-based sample of 34 youth (70.59% female, 79.41% White; 11.76% Latinx; M = 12.21 years old; 41.18% received free or reduced lunch) with significantly elevated depression and anxiety. Using a mixed methods approach to gauge feasibility and efficacy, we found that school-based providers were able to deliver most content with fidelity and within six sessions. Youth and providers reported significant symptom improvements, but comparisons against UC were nonsignificant. Providers reported several challenges to implementing Show Me FIRST with the high-risk sample that may help explain these findings and suggest future adaptations.
Clinical supervision is integral to clinical training, but it is unclear to what extent currently... more Clinical supervision is integral to clinical training, but it is unclear to what extent currently recommended supervision practices are supported by empirical evidence. We reviewed professional supervision guidelines for psychologists, counselors, and social workers and identified 17 common elements across these guidelines. We then reviewed published studies that examined the relationship between these supervision elements and relevant therapist-, supervisor-, and client-level outcomes. Twenty-six studies were identified, which reported relevant data from 28 unique samples. Findings from the review indicate a need for further study of the relationship between recommended best practices in supervision and meaningful therapist, supervisor, and client outcomes.
Abstract In this concluding article for the Special Issue, we attempt to summarize lessons learne... more Abstract In this concluding article for the Special Issue, we attempt to summarize lessons learned from these various implementation and evaluation projects. We focus on the following four points: (a) correcting misperceptions of mental health; (b) identifying, training, and coaching system change implementers; (c) distinguishing strategies for launching versus sustaining systemic interventions; and (d) the role of culture in implementation and outcomes.
Evidence-based assessment, which requires the use of reliable and valid measurement tools, is an ... more Evidence-based assessment, which requires the use of reliable and valid measurement tools, is an essential component of many services that school social workers provide to promote the social, emotional, and behavioral health of students. A wide variety of psychometrically sound assessment tools exist to choose from, but it can be difficult for school personnel to identify and access the tools best suited to meet their needs. In an effort to reduce these barriers, the authors of this article provide a concise guide to free, validated measurement tools that are feasible for routine use in school settings for the most common youth mental health concerns (anxiety, depression, and disruptive behavior). The psychometric properties and other practical characteristics of 37 measurement tools are reviewed, accompanied by links to access each tool and suggestions to help social workers identify which may best fit any particular combination of the diverse goals, school settings, and student po...
Administration and Policy in Mental Health and Mental Health Services Research
Previous surveys indicate infrequent use of evidence-based treatment (EBT) manuals in usual care ... more Previous surveys indicate infrequent use of evidence-based treatment (EBT) manuals in usual care youth mental health, but the extent to which providers use core and common EBT strategies and what contextual factors impact EBT strategy implementation need further study. In a national, multidisciplinary survey of 1092 youth-serving providers, providers reported regular use of many EBT strategies. Provider learning theory orientation, more recent degree, more standardized and ongoing assessment use, more positive attitudes toward innovation and evidence, fewer low-income clients, and perceptions that their agency valued quality care and provided fewer training resources predicted more frequent EBT strategy use.
Administration and Policy in Mental Health and Mental Health Services Research, 2016
Numerous trials demonstrate that monitoring client progress and using feedback for clinical decis... more Numerous trials demonstrate that monitoring client progress and using feedback for clinical decision-making enhances treatment outcomes, but available data suggest these practices are rare in clinical settings and no psychometrically validated measures exist for assessing attitudinal barriers to these practices. This national survey of 504 clinicians collected data on attitudes toward and use of monitoring and feedback. Two new measures were developed and subjected to factor analysis: The monitoring and feedback attitudes scale (MFA), measuring general attitudes toward monitoring and feedback, and the attitudes toward standardized assessment scales-monitoring and feedback (ASA-MF), measuring attitudes toward standardized progress tools. Both measures showed good fit to their final factor solutions, with excellent internal consistency for all subscales. Scores on the MFA subscales (Benefit, Harm) indicated that clinicians hold generally positive attitudes toward monitoring and feedback, but scores on the ASA-MF subscales (Clinical Utility, Treatment Planning, Practicality) were relatively neutral. Providers with cognitive-behavioral theoretical orientations held more positive attitudes. Only 13.9 % of clinicians reported using standardized progress measures at least monthly and 61.5 % never used them. Providers with more positive attitudes reported higher use, providing initial support for the predictive validity of the ASA-MF and MFA. Thus, while clinicians report generally positive attitudes toward monitoring and feedback, routine collection of standardized progress measures remains uncommon. Implications for the dissemination and implementation of monitoring and feedback systems are discussed.
ABSTRACT Mental health (MH) stigma affects help seeking behaviors of youth, particularly youth of... more ABSTRACT Mental health (MH) stigma affects help seeking behaviors of youth, particularly youth of color. This article reports the impact of Look Around (LA), a social media campaign designed to reduce MH stigma and increase help seeking in 6th- to 12th-grade youth in one Midwestern county. The campaign utilized movie theater advertising, social media, web-based advertising, and school-based media/events over a school year. Using a pre–posttest survey research design with 11,478 6th- to 12th-grade students in a Midwestern county, we used paired t-tests to examine pre- to posttest changes in survey items addressing MH stigma and help seeking attitudes. We then used a regression model to examine change by racial subgroup on a composite of all the items. Lastly, we used an independent t-test to examine differences between high-change youth and low-change youth on academic performance, attendance, discipline, and MH screening scores. Posttest improvements in the stigma and help-seeking for all youth were observed, but controlling for all covariates (grade level, sex, etc.), youth of color reported lower levels of change compared to White youth. Social media campaigns are useful in addressing MH stigma and help seeking, but messaging may need to attend to the cultural characteristics of all youth.
Psychiatric services (Washington, D.C.), Jan 14, 2016
Many youths receiving community mental health treatment do not receive evidence-based interventio... more Many youths receiving community mental health treatment do not receive evidence-based interventions. Research suggests that community mental health therapists use a broad range of therapeutic techniques at low intensities. This study examined the relationship between therapist- and client-level predictors of community-based therapists' report of cognitive, behavioral, psychodynamic, and family techniques within the context of implementation efforts. A total of 130 therapists participated from 23 organizations in an urban, publicly funded behavioral health system implementing evidence-based practices. Therapist-level predictors included age, gender, clinical experience, licensure status, and participation in evidence-based practice initiatives. Child-level predictors included therapist-reported child primary disorder (externalizing, internalizing, or other) and child age. Therapists completed the Therapist Procedures Checklist-Family Revised, a self-report measure of therapeutic ...
Using structural equation modeling, this study examined the relationship of caregiver network sup... more Using structural equation modeling, this study examined the relationship of caregiver network support on caregiver and child mental health need, as well as child mental health service use among 1075 8-year-old children participating in the LONGSCAN study. The final model showed acceptable fit (Χ2 = 301.476, df = 136, p < 0.001; RMSEA = 0.052; CFI = 0.95). Caregiver and child mental health needs were positively related. As predicted, caregiver network support exerted a protective effect, with greater levels of caregiver network support predictive of lower caregiver and child need. Contrary to prediction, however, caregiver network support was not directly related to child service use. Higher child need was directly related to child service use, especially among children whose caregivers had mental health problems. The findings appear to indicate that lower levels of caregiver network support may exert its impact on child service use indirectly by increasing caregiver and child need, rather than by directly increasing the likelihood of receiving services, especially for African American children.► We examined caregiver/child factors influencing child mental health service use. ► Sample included 1075 8-year-old children participating in the LONGSCAN study. ► Structural equation models (SEM) were used to examine latent constructs. ► The final SEM model showed acceptable fit. ► Network support influences child service use indirectly by increasing child needs.
Http Dx Doi Org 10 1207 S15374424jccp2702_7, Jun 7, 2010
Structured child and adolescent treatments, tested through controlled clinical trials, have produ... more Structured child and adolescent treatments, tested through controlled clinical trials, have produced beneficial effects in hundreds of studies. By contrast, the limited pool or research on traditional clinical treatments raises doubts about their effectiveness. Thus, identification of empirically supported treatments may contribute something of real value to clinical practice and training. The Child Task Force report represents an important initial step in this direction. Here we offer both praise and critique, suggesting a number of ways the task force process and product may be improved. In addition, we suggest several ways to strengthen and enrich the clinical trials research available to the Task Force, emphasizing the need to test empirically supported treatments with referred youth in practice settings.
Assessment is an integral component of treatment. However, prior surveys indicate clinicians may ... more Assessment is an integral component of treatment. However, prior surveys indicate clinicians may not use standardized assessment strategies. We surveyed 1,510 clinicians and used multivariate analysis of variance to explore group differences in specific measure use. Clinicians used unstandardized measures more frequently than standardized measures, although psychologists used standardized measures more frequently than nonpsychologists. We also used latent profile analysis to classify clinicians based on their overall approach to assessment and examined associations between clinician-level variables and assessment class or profile membership. A four-profile model best fit the data. The largest profile consisted of clinicians who primarily used unstandardized assessments (76.7%), followed by broad-spectrum assessors who regularly use both standardized and unstandardized assessment (11.9%), and two smaller profiles of minimal (6.0%) and selective assessors (5.5%). Compared with broad-s...
Administration and Policy in Mental Health and Mental Health Services Research
Practice-based research networks (PBRNs)-collaborations of practice settings that work together t... more Practice-based research networks (PBRNs)-collaborations of practice settings that work together to generate research knowledge-are underused in mental health services research. This article proposes an agenda for mental health services research that uses a variety of PBRN structures and that focuses on what really happens in practice, the effectiveness of practice innovations in real world care, the challenges of implementing evidence supported interventions, modification of clinician behavior, and assessment of the effect of mental health policy changes on practice. The challenges of conducting research within PBRNs are substantial, including difficulties in maintaining positive member relations, securing ongoing funding, sustaining productivity, overcoming IRB entanglements and achieving both scientific excellence in recruitment and measurement validity and utility for practitioner members. However, the awareness of these challenges allows researchers and practitioners to build ne...
Administration and policy in mental health, Jan 31, 2015
Comprehensive scalable clinician training is needed to increase the impact of evidence-supported ... more Comprehensive scalable clinician training is needed to increase the impact of evidence-supported psychotherapies. This study was designed to ascertain clinician participation in different low-cost training activities, what predicts their training participation, and how participation can be increased. The study enrolled 163 clinicians. Of these, 105 completed a follow-up survey and 20 completed a more in-depth qualitative interview. Some activities (web training) attracted greater participation than others (e.g., discussion boards, role playing). Key findings include the desirability of self-paced learning and the flexibility it afforded practicing clinicians. However, some found the lack of accountability insurmountable. Many desired in-person training as a way to introduce accountability and motivation. While low-cost, relevant, self-paced learning appeals to practicing clinicians, it may need to be combined with opportunities for in-person training and accountability mechanisms in...
Abstract The purpose of this Special Issue is to describe innovative school-related initiatives t... more Abstract The purpose of this Special Issue is to describe innovative school-related initiatives to reduce the population prevalence of youth mental health concerns. In this introduction to the Special Issue, we identify strategies that have not worked as well as those that have promise in improving youth mental health outcomes. We then provide a brief overview of each article in this issue. The first several articles focus on a comprehensive countywide approach to child and youth mental health that developed out of a unique tax initiative. In combination, these projects screen school-age youth in the county three times a year; support all county schools in providing universal, selective, and indicated interventions based on these screening data; deliver a mentoring program and school-based psychiatric care to youth with more intensive needs; and provide no-cost evidence-based evaluations, referrals, and ongoing progress monitoring to any family with concerns about their child’s mental health. Three additional articles in the Special Issue expand the focus to include other national models, including a statewide initiative in Georgia to bring mental health services to every school, policy issues related to school mental health in South Carolina, and cost analysis strategies for specifying the economic benefit of mental health initiatives.
Abstract The vast majority of youth experiencing symptoms of a mental health (MH) disorder never ... more Abstract The vast majority of youth experiencing symptoms of a mental health (MH) disorder never access services. Barriers to access include unawareness of symptoms or where to get help, stigma, or lack of transportation or finances. Many school, family, and community collaboration models have begun to enhance access to MH supports. The present study reports the impact of one such program called the Family Access Center of Excellence (FACE). FACE employs the Family Check-Up to conduct a child-focused, family systems assessment of family strengths and problem areas and create a treatment plan and linkages to services, with intensive case management to directly address access barriers. In this study, 417 youth were referred from schools to FACE in one academic year. We compared the 224 youth who engaged in FACE to 193 youth who were referred but chose not to access FACE services. Fixed effects regression models indicated that youth who engaged with FACE demonstrated improved social–emotional, behavioral, and academic outcomes compared to youth who did not engage. Implications are discussed along with next steps for developing responsive school–community linked models of care.
ABSTRACT Better integration of evidence-based practices (EBPs) in schools can improve access to e... more ABSTRACT Better integration of evidence-based practices (EBPs) in schools can improve access to effective youth mental health care. However, EBPs typically developed and tested within clinics may not be feasible for school-based implementation. We conducted a small randomized trial comparing Show Me FIRST, a brief intervention designed for efficient uptake in diverse clinical settings, against usual care (UC) in a school-based sample of 34 youth (70.59% female, 79.41% White; 11.76% Latinx; M = 12.21 years old; 41.18% received free or reduced lunch) with significantly elevated depression and anxiety. Using a mixed methods approach to gauge feasibility and efficacy, we found that school-based providers were able to deliver most content with fidelity and within six sessions. Youth and providers reported significant symptom improvements, but comparisons against UC were nonsignificant. Providers reported several challenges to implementing Show Me FIRST with the high-risk sample that may help explain these findings and suggest future adaptations.
Clinical supervision is integral to clinical training, but it is unclear to what extent currently... more Clinical supervision is integral to clinical training, but it is unclear to what extent currently recommended supervision practices are supported by empirical evidence. We reviewed professional supervision guidelines for psychologists, counselors, and social workers and identified 17 common elements across these guidelines. We then reviewed published studies that examined the relationship between these supervision elements and relevant therapist-, supervisor-, and client-level outcomes. Twenty-six studies were identified, which reported relevant data from 28 unique samples. Findings from the review indicate a need for further study of the relationship between recommended best practices in supervision and meaningful therapist, supervisor, and client outcomes.
Abstract In this concluding article for the Special Issue, we attempt to summarize lessons learne... more Abstract In this concluding article for the Special Issue, we attempt to summarize lessons learned from these various implementation and evaluation projects. We focus on the following four points: (a) correcting misperceptions of mental health; (b) identifying, training, and coaching system change implementers; (c) distinguishing strategies for launching versus sustaining systemic interventions; and (d) the role of culture in implementation and outcomes.
Evidence-based assessment, which requires the use of reliable and valid measurement tools, is an ... more Evidence-based assessment, which requires the use of reliable and valid measurement tools, is an essential component of many services that school social workers provide to promote the social, emotional, and behavioral health of students. A wide variety of psychometrically sound assessment tools exist to choose from, but it can be difficult for school personnel to identify and access the tools best suited to meet their needs. In an effort to reduce these barriers, the authors of this article provide a concise guide to free, validated measurement tools that are feasible for routine use in school settings for the most common youth mental health concerns (anxiety, depression, and disruptive behavior). The psychometric properties and other practical characteristics of 37 measurement tools are reviewed, accompanied by links to access each tool and suggestions to help social workers identify which may best fit any particular combination of the diverse goals, school settings, and student po...
Administration and Policy in Mental Health and Mental Health Services Research
Previous surveys indicate infrequent use of evidence-based treatment (EBT) manuals in usual care ... more Previous surveys indicate infrequent use of evidence-based treatment (EBT) manuals in usual care youth mental health, but the extent to which providers use core and common EBT strategies and what contextual factors impact EBT strategy implementation need further study. In a national, multidisciplinary survey of 1092 youth-serving providers, providers reported regular use of many EBT strategies. Provider learning theory orientation, more recent degree, more standardized and ongoing assessment use, more positive attitudes toward innovation and evidence, fewer low-income clients, and perceptions that their agency valued quality care and provided fewer training resources predicted more frequent EBT strategy use.
Administration and Policy in Mental Health and Mental Health Services Research, 2016
Numerous trials demonstrate that monitoring client progress and using feedback for clinical decis... more Numerous trials demonstrate that monitoring client progress and using feedback for clinical decision-making enhances treatment outcomes, but available data suggest these practices are rare in clinical settings and no psychometrically validated measures exist for assessing attitudinal barriers to these practices. This national survey of 504 clinicians collected data on attitudes toward and use of monitoring and feedback. Two new measures were developed and subjected to factor analysis: The monitoring and feedback attitudes scale (MFA), measuring general attitudes toward monitoring and feedback, and the attitudes toward standardized assessment scales-monitoring and feedback (ASA-MF), measuring attitudes toward standardized progress tools. Both measures showed good fit to their final factor solutions, with excellent internal consistency for all subscales. Scores on the MFA subscales (Benefit, Harm) indicated that clinicians hold generally positive attitudes toward monitoring and feedback, but scores on the ASA-MF subscales (Clinical Utility, Treatment Planning, Practicality) were relatively neutral. Providers with cognitive-behavioral theoretical orientations held more positive attitudes. Only 13.9 % of clinicians reported using standardized progress measures at least monthly and 61.5 % never used them. Providers with more positive attitudes reported higher use, providing initial support for the predictive validity of the ASA-MF and MFA. Thus, while clinicians report generally positive attitudes toward monitoring and feedback, routine collection of standardized progress measures remains uncommon. Implications for the dissemination and implementation of monitoring and feedback systems are discussed.
ABSTRACT Mental health (MH) stigma affects help seeking behaviors of youth, particularly youth of... more ABSTRACT Mental health (MH) stigma affects help seeking behaviors of youth, particularly youth of color. This article reports the impact of Look Around (LA), a social media campaign designed to reduce MH stigma and increase help seeking in 6th- to 12th-grade youth in one Midwestern county. The campaign utilized movie theater advertising, social media, web-based advertising, and school-based media/events over a school year. Using a pre–posttest survey research design with 11,478 6th- to 12th-grade students in a Midwestern county, we used paired t-tests to examine pre- to posttest changes in survey items addressing MH stigma and help seeking attitudes. We then used a regression model to examine change by racial subgroup on a composite of all the items. Lastly, we used an independent t-test to examine differences between high-change youth and low-change youth on academic performance, attendance, discipline, and MH screening scores. Posttest improvements in the stigma and help-seeking for all youth were observed, but controlling for all covariates (grade level, sex, etc.), youth of color reported lower levels of change compared to White youth. Social media campaigns are useful in addressing MH stigma and help seeking, but messaging may need to attend to the cultural characteristics of all youth.
Psychiatric services (Washington, D.C.), Jan 14, 2016
Many youths receiving community mental health treatment do not receive evidence-based interventio... more Many youths receiving community mental health treatment do not receive evidence-based interventions. Research suggests that community mental health therapists use a broad range of therapeutic techniques at low intensities. This study examined the relationship between therapist- and client-level predictors of community-based therapists' report of cognitive, behavioral, psychodynamic, and family techniques within the context of implementation efforts. A total of 130 therapists participated from 23 organizations in an urban, publicly funded behavioral health system implementing evidence-based practices. Therapist-level predictors included age, gender, clinical experience, licensure status, and participation in evidence-based practice initiatives. Child-level predictors included therapist-reported child primary disorder (externalizing, internalizing, or other) and child age. Therapists completed the Therapist Procedures Checklist-Family Revised, a self-report measure of therapeutic ...
Using structural equation modeling, this study examined the relationship of caregiver network sup... more Using structural equation modeling, this study examined the relationship of caregiver network support on caregiver and child mental health need, as well as child mental health service use among 1075 8-year-old children participating in the LONGSCAN study. The final model showed acceptable fit (Χ2 = 301.476, df = 136, p < 0.001; RMSEA = 0.052; CFI = 0.95). Caregiver and child mental health needs were positively related. As predicted, caregiver network support exerted a protective effect, with greater levels of caregiver network support predictive of lower caregiver and child need. Contrary to prediction, however, caregiver network support was not directly related to child service use. Higher child need was directly related to child service use, especially among children whose caregivers had mental health problems. The findings appear to indicate that lower levels of caregiver network support may exert its impact on child service use indirectly by increasing caregiver and child need, rather than by directly increasing the likelihood of receiving services, especially for African American children.► We examined caregiver/child factors influencing child mental health service use. ► Sample included 1075 8-year-old children participating in the LONGSCAN study. ► Structural equation models (SEM) were used to examine latent constructs. ► The final SEM model showed acceptable fit. ► Network support influences child service use indirectly by increasing child needs.
Http Dx Doi Org 10 1207 S15374424jccp2702_7, Jun 7, 2010
Structured child and adolescent treatments, tested through controlled clinical trials, have produ... more Structured child and adolescent treatments, tested through controlled clinical trials, have produced beneficial effects in hundreds of studies. By contrast, the limited pool or research on traditional clinical treatments raises doubts about their effectiveness. Thus, identification of empirically supported treatments may contribute something of real value to clinical practice and training. The Child Task Force report represents an important initial step in this direction. Here we offer both praise and critique, suggesting a number of ways the task force process and product may be improved. In addition, we suggest several ways to strengthen and enrich the clinical trials research available to the Task Force, emphasizing the need to test empirically supported treatments with referred youth in practice settings.
Assessment is an integral component of treatment. However, prior surveys indicate clinicians may ... more Assessment is an integral component of treatment. However, prior surveys indicate clinicians may not use standardized assessment strategies. We surveyed 1,510 clinicians and used multivariate analysis of variance to explore group differences in specific measure use. Clinicians used unstandardized measures more frequently than standardized measures, although psychologists used standardized measures more frequently than nonpsychologists. We also used latent profile analysis to classify clinicians based on their overall approach to assessment and examined associations between clinician-level variables and assessment class or profile membership. A four-profile model best fit the data. The largest profile consisted of clinicians who primarily used unstandardized assessments (76.7%), followed by broad-spectrum assessors who regularly use both standardized and unstandardized assessment (11.9%), and two smaller profiles of minimal (6.0%) and selective assessors (5.5%). Compared with broad-s...
Administration and Policy in Mental Health and Mental Health Services Research
Practice-based research networks (PBRNs)-collaborations of practice settings that work together t... more Practice-based research networks (PBRNs)-collaborations of practice settings that work together to generate research knowledge-are underused in mental health services research. This article proposes an agenda for mental health services research that uses a variety of PBRN structures and that focuses on what really happens in practice, the effectiveness of practice innovations in real world care, the challenges of implementing evidence supported interventions, modification of clinician behavior, and assessment of the effect of mental health policy changes on practice. The challenges of conducting research within PBRNs are substantial, including difficulties in maintaining positive member relations, securing ongoing funding, sustaining productivity, overcoming IRB entanglements and achieving both scientific excellence in recruitment and measurement validity and utility for practitioner members. However, the awareness of these challenges allows researchers and practitioners to build ne...
Administration and policy in mental health, Jan 31, 2015
Comprehensive scalable clinician training is needed to increase the impact of evidence-supported ... more Comprehensive scalable clinician training is needed to increase the impact of evidence-supported psychotherapies. This study was designed to ascertain clinician participation in different low-cost training activities, what predicts their training participation, and how participation can be increased. The study enrolled 163 clinicians. Of these, 105 completed a follow-up survey and 20 completed a more in-depth qualitative interview. Some activities (web training) attracted greater participation than others (e.g., discussion boards, role playing). Key findings include the desirability of self-paced learning and the flexibility it afforded practicing clinicians. However, some found the lack of accountability insurmountable. Many desired in-person training as a way to introduce accountability and motivation. While low-cost, relevant, self-paced learning appeals to practicing clinicians, it may need to be combined with opportunities for in-person training and accountability mechanisms in...
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