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Published in: Administration and Policy in Mental Health and Mental Health Services Research 4/2011

01-07-2011 | Guest Editorial

The Science of Training in Evidence-Based Treatments in the Context of Implementation Programs: Current Status and Prospects for the Future

Authors: Kimberly D. Becker, Shannon Wiltsey Stirman

Published in: Administration and Policy in Mental Health and Mental Health Services Research | Issue 4/2011

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Excerpt

Training plays a critical role within the broader implementation research agenda involving evidence-based treatments (EBTs). EBTs, interventions that have demonstrated client improvement within the context of controlled trials (Kazdin 2008), tend to be complex, multisession treatment packages that hinge largely on the provider’s execution of a set of interventions with a satisfactory level of fidelity (Carroll et al. 2010; Chorpita and Regan 2009; Herschell et al. 2010). Although training alone is not sufficient to guarantee successful implementation, there is evidence that adequate training can reduce variations in provider behavior, improve fidelity, and ultimately, increase the quality of service delivery (Aarons et al. 2011; Feldstein et al. 2008; Fixsen et al. 2005; Stirman et al. 2004) above and beyond that provided by therapy as usual (Schoener et al. 2006; Simons et al. 2010). In light of the central role training plays in the implementation of EBTs in mental health service delivery settings (Karlin et al. 2010; McHugh and Barlow 2010), efforts to scientifically examine the impact of training and to establish best practices in training are essential (Herschell et al. 2010). …
Literature
go back to reference Aarons, G., Hurlburt, M., & Horwitz, S. (2011). Advancing a conceptual model of evidence-based practice implementation in public service sectors. Administration and Policy in Mental Health and Mental Health Services Research, 38(1), 4–23. doi:10.1007/s10488-010-0327-7.PubMedCrossRef Aarons, G., Hurlburt, M., & Horwitz, S. (2011). Advancing a conceptual model of evidence-based practice implementation in public service sectors. Administration and Policy in Mental Health and Mental Health Services Research, 38(1), 4–23. doi:10.​1007/​s10488-010-0327-7.PubMedCrossRef
go back to reference Becker, K. D., Nakamura, B., Young, J., & Chorpita, B. (2009). What better place than here, what better time than now? Advancing the dissemination and implementation of evidence-based practices. Behavior Therapist, 32, 89–96. Becker, K. D., Nakamura, B., Young, J., & Chorpita, B. (2009). What better place than here, what better time than now? Advancing the dissemination and implementation of evidence-based practices. Behavior Therapist, 32, 89–96.
go back to reference Beidas, R., Koerner, K., Weingardt, K., & Kendall, P. (2011). Training research: Practical recommendations for maximum impact. Administration and Policy in Mental Health and Mental Health Services Research. doi:10.1007/s10488-011-0338-z (this issue). Beidas, R., Koerner, K., Weingardt, K., & Kendall, P. (2011). Training research: Practical recommendations for maximum impact. Administration and Policy in Mental Health and Mental Health Services Research. doi:10.​1007/​s10488-011-0338-z (this issue).
go back to reference Chorpita, B., Bernstein, A., & Daleiden, E. (2008). Driving with roadmaps and dashboards: Using information resources to structure the decision models in service organizations. Administration and Policy in Mental Health and Mental Health Services Research, 35(1), 114–123. doi:10.1007/s10488-007-0151-x.PubMedCrossRef Chorpita, B., Bernstein, A., & Daleiden, E. (2008). Driving with roadmaps and dashboards: Using information resources to structure the decision models in service organizations. Administration and Policy in Mental Health and Mental Health Services Research, 35(1), 114–123. doi:10.​1007/​s10488-007-0151-x.PubMedCrossRef
go back to reference Chorpita, B., Yim, L., Donkervoet, J., Arensdorf, A., Amundsen, M., McGee, C., et al. (2002). Toward large-scale implementation of empirically supported treatments for children: A review and observations by the Hawaii Empirical Basis to Services Task Force. Clinical Psychology: Science and Practice, 9, 165–190.CrossRef Chorpita, B., Yim, L., Donkervoet, J., Arensdorf, A., Amundsen, M., McGee, C., et al. (2002). Toward large-scale implementation of empirically supported treatments for children: A review and observations by the Hawaii Empirical Basis to Services Task Force. Clinical Psychology: Science and Practice, 9, 165–190.CrossRef
go back to reference Damschroder, L., Aron, D., Keith, R., Kirsh, S., Alexander, J., & Lowery, J. (2009). Fostering implementation of health services research findings into practice: A consolidated framework for advancing implementation science. Implementation Science, 4(50). doi:10.1186/1748-5908-4-50. Damschroder, L., Aron, D., Keith, R., Kirsh, S., Alexander, J., & Lowery, J. (2009). Fostering implementation of health services research findings into practice: A consolidated framework for advancing implementation science. Implementation Science, 4(50). doi:10.​1186/​1748-5908-4-50.
go back to reference Decker, S., Jameson, M., & Naugle, A. (2011). Therapist training in empirically supported treatments: A review of evaluation methods for short- and long-term outcomes. Administration and Policy in Mental Health and Mental Health Services Research. (this issue) Decker, S., Jameson, M., & Naugle, A. (2011). Therapist training in empirically supported treatments: A review of evaluation methods for short- and long-term outcomes. Administration and Policy in Mental Health and Mental Health Services Research. (this issue)
go back to reference Feldstein, A., Glasgow, R., & Smith, D. (2008). A practical, robust implementation and sustainability model (PRISM) for integrating research findings into practice. Joint Commission Journal on Quality and Patient Safety, 34(4), 228–243. doi:10.2165/00148365-200806040-00001.PubMed Feldstein, A., Glasgow, R., & Smith, D. (2008). A practical, robust implementation and sustainability model (PRISM) for integrating research findings into practice. Joint Commission Journal on Quality and Patient Safety, 34(4), 228–243. doi:10.​2165/​00148365-200806040-00001.PubMed
go back to reference Fixsen, D., Naoom, S., Blase, K., Friendman, R., & Wallace, F. (2005). Implementation research: A synthesis of the literature. Tampa, FL: The National Implementation Research Network, Louis de la Parte Florida Mental Health Institute, University of South Florida. Fixsen, D., Naoom, S., Blase, K., Friendman, R., & Wallace, F. (2005). Implementation research: A synthesis of the literature. Tampa, FL: The National Implementation Research Network, Louis de la Parte Florida Mental Health Institute, University of South Florida.
go back to reference Henggeler, S., Schoenwald, S., Liao, J., Letourneau, E., & Edwards, D. (2002). Transporting efficacious treatments to field settings: The link between supervisory practices and therapist fidelity in MST programs. Journal of Clinical Child and Adolescent Psychology, 31(2), 155–167. doi:10.1207/153744202753604449.PubMed Henggeler, S., Schoenwald, S., Liao, J., Letourneau, E., & Edwards, D. (2002). Transporting efficacious treatments to field settings: The link between supervisory practices and therapist fidelity in MST programs. Journal of Clinical Child and Adolescent Psychology, 31(2), 155–167. doi:10.​1207/​1537442027536044​49.PubMed
go back to reference Hepner, K., Hunter, S., Paddock, S., Zhou, A., & Watkins, K. (2011). Training addiction counselors to implement CBT for depression. Administration and Policy in Mental Health and Mental Health Services Research (this issue). Hepner, K., Hunter, S., Paddock, S., Zhou, A., & Watkins, K. (2011). Training addiction counselors to implement CBT for depression. Administration and Policy in Mental Health and Mental Health Services Research (this issue).
go back to reference Herschell, A., Kolko, D., Baumann, B., & Davis, A. (2010). The role of therapist training in the implementation of psychosocial treatments: A review and critique with recommendations. Clinical Psychology Review, 30(4), 448–466. doi:10.1016/j.cpr.2010.02.005.PubMedCrossRef Herschell, A., Kolko, D., Baumann, B., & Davis, A. (2010). The role of therapist training in the implementation of psychosocial treatments: A review and critique with recommendations. Clinical Psychology Review, 30(4), 448–466. doi:10.​1016/​j.​cpr.​2010.​02.​005.PubMedCrossRef
go back to reference Higa-McMillan, C., Powell, C., Daleiden, E., & Mueller, C. (2011). Pursuing an evidence-based culture through contextualized feedback: Aligning youth outcomes and practices. Professional Psychology: Research and Practice. doi:10.1037/a0022139. Higa-McMillan, C., Powell, C., Daleiden, E., & Mueller, C. (2011). Pursuing an evidence-based culture through contextualized feedback: Aligning youth outcomes and practices. Professional Psychology: Research and Practice. doi:10.​1037/​a0022139.
go back to reference Hoagwood, K., Burns, B., & Weisz, J. (2002). A profitable conjunction: From science to service in children’s mental health. In B. Burns & K. Hoagwood (Eds.), Community treatment for youth: Evidence based interventions for severe emotional and behavioral disorders (pp. 327–338). New York: Oxford University Press. Hoagwood, K., Burns, B., & Weisz, J. (2002). A profitable conjunction: From science to service in children’s mental health. In B. Burns & K. Hoagwood (Eds.), Community treatment for youth: Evidence based interventions for severe emotional and behavioral disorders (pp. 327–338). New York: Oxford University Press.
go back to reference Institute of Medicine. (2001). Crossing the quality chasm: A new health system for the 21st century. Washington, DC: National Academy Press. Institute of Medicine. (2001). Crossing the quality chasm: A new health system for the 21st century. Washington, DC: National Academy Press.
go back to reference Karlin, B., Ruzek, J., Chard, K., Eftekhari, A., Monson, C., Hembree, E., et al. (2010). Dissemination of evidence-based psychological treatments for posttraumatic stress disorder in the Veterans health administration. Journal of Traumatic Stress, 23(6), 663–673. doi:10.1002/jts.20588.PubMedCrossRef Karlin, B., Ruzek, J., Chard, K., Eftekhari, A., Monson, C., Hembree, E., et al. (2010). Dissemination of evidence-based psychological treatments for posttraumatic stress disorder in the Veterans health administration. Journal of Traumatic Stress, 23(6), 663–673. doi:10.​1002/​jts.​20588.PubMedCrossRef
go back to reference Kirkpatrick, D. (1967). Evaluation of training. In R. L. Craig & L. R. Bittel (Eds.), Training and development handbook. New York: McGraw-Hill. Kirkpatrick, D. (1967). Evaluation of training. In R. L. Craig & L. R. Bittel (Eds.), Training and development handbook. New York: McGraw-Hill.
go back to reference Lewis, C., & Simons, A. (2011). A pilot study disseminating cognitive behavioral therapy for depression: Therapist factors and perceptions of barriers to implementation. Administration and Policy in Mental Health and Mental Health Services Research. doi:10.1007/s10488-011-0348-x (this issue). Lewis, C., & Simons, A. (2011). A pilot study disseminating cognitive behavioral therapy for depression: Therapist factors and perceptions of barriers to implementation. Administration and Policy in Mental Health and Mental Health Services Research. doi:10.​1007/​s10488-011-0348-x (this issue).
go back to reference Lopez, M., Osterberg, L., Jensen-Doss, A., & Rae, W. (2011). Effects of workshop training for providers under mandated use of an evidence-based practice. Administration and Policy in Mental Health and Mental Health Services Research. doi:10.1007/s10488-010-0326-8 (this issue). Lopez, M., Osterberg, L., Jensen-Doss, A., & Rae, W. (2011). Effects of workshop training for providers under mandated use of an evidence-based practice. Administration and Policy in Mental Health and Mental Health Services Research. doi:10.​1007/​s10488-010-0326-8 (this issue).
go back to reference Lyon, A. R., Stirman, S. W., Kerns, S. E. & Bruns, E. J. (2011). Developing the mental health workforce: Review and application of training approaches from multiple disciplines. Administration and Policy in Mental Health. doi:10.1007/s10488-010-0331-y (this issue). Lyon, A. R., Stirman, S. W., Kerns, S. E. & Bruns, E. J. (2011). Developing the mental health workforce: Review and application of training approaches from multiple disciplines. Administration and Policy in Mental Health. doi:10.​1007/​s10488-010-0331-y (this issue).
go back to reference McHugh, R., & Barlow, D. (2010). The dissemination and implementation of evidence-based psychological treatments. A review of current efforts. American Psychology, 65(2), 73–84. doi:10.1037/a0018121.CrossRef McHugh, R., & Barlow, D. (2010). The dissemination and implementation of evidence-based psychological treatments. A review of current efforts. American Psychology, 65(2), 73–84. doi:10.​1037/​a0018121.CrossRef
go back to reference Nakamura, B., Chorpita, B., Hirsch, M., Daleiden, E., Slavin, L., Amundson, M., et al. (2011a). Large-scale implementation of evidence-based treatments for children 10 years later: Hawaii’s evidence-based services initiative in children’s mental health. Clinical Psychology: Science and Practice, 18(1), 24–35. doi:10.1111/j.1468-2850.2010.01231.x (this issue).CrossRef Nakamura, B., Chorpita, B., Hirsch, M., Daleiden, E., Slavin, L., Amundson, M., et al. (2011a). Large-scale implementation of evidence-based treatments for children 10 years later: Hawaii’s evidence-based services initiative in children’s mental health. Clinical Psychology: Science and Practice, 18(1), 24–35. doi:10.​1111/​j.​1468-2850.​2010.​01231.​x (this issue).CrossRef
go back to reference Nakamura, B., Higa-McMillan, C., Okamura, K., & Shimabukuro, S. (2011b). Knowledge of and attitudes towards evidence-based practices in community child mental health practitioners. Administration and Policy in Mental Health and Mental Health Services Research. doi:10.1007/s10488-011-0351-2 (this issue). Nakamura, B., Higa-McMillan, C., Okamura, K., & Shimabukuro, S. (2011b). Knowledge of and attitudes towards evidence-based practices in community child mental health practitioners. Administration and Policy in Mental Health and Mental Health Services Research. doi:10.​1007/​s10488-011-0351-2 (this issue).
go back to reference Onken, L., Blaine, J., & Battjes, R. (1997). Behavioral therapy research: A conceptualization of a process. In S. W. Henggeler & R. Amentos (Eds.), Innovative approaches from difficult to treat populations. Washington, DC: American Psychiatric Press. Onken, L., Blaine, J., & Battjes, R. (1997). Behavioral therapy research: A conceptualization of a process. In S. W. Henggeler & R. Amentos (Eds.), Innovative approaches from difficult to treat populations. Washington, DC: American Psychiatric Press.
go back to reference Palinkas, L., Aarons, G., Horwitz, S., Chamberlain, P., Hurlburt, M., & Landsverk, J. (2010). Mixed method designs in implementation research. Administration and Policy in Mental Health and Mental Health Services Research, 38(1), 44–53. doi:10.1007/s10488-010-0314-z.CrossRef Palinkas, L., Aarons, G., Horwitz, S., Chamberlain, P., Hurlburt, M., & Landsverk, J. (2010). Mixed method designs in implementation research. Administration and Policy in Mental Health and Mental Health Services Research, 38(1), 44–53. doi:10.​1007/​s10488-010-0314-z.CrossRef
go back to reference Palinkas, L., Schoenwald, S., Hoagwood, K., Landsverk, J., Chorpita, B., & Weisz, J. (2008). An ethnographic study of implementation of evidence-based treatments in child mental health: First steps. Psychiatric Services, 59(7), 738–746. doi:10.1176/appi.ps.59.7.738.PubMedCrossRef Palinkas, L., Schoenwald, S., Hoagwood, K., Landsverk, J., Chorpita, B., & Weisz, J. (2008). An ethnographic study of implementation of evidence-based treatments in child mental health: First steps. Psychiatric Services, 59(7), 738–746. doi:10.​1176/​appi.​ps.​59.​7.​738.PubMedCrossRef
go back to reference Proctor, E., Landsverk, J., Aarons, G., Chambers, D., Glisson, C., & Mittman, B. (2009). Implementation research in mental health services: An emerging science with conceptual, methodological, and training challenges. Administration and Policy in Mental Health and Mental Health Services Research, 36(1), 24–35. doi:10.1007/s10488-008-0197-4.PubMedCrossRef Proctor, E., Landsverk, J., Aarons, G., Chambers, D., Glisson, C., & Mittman, B. (2009). Implementation research in mental health services: An emerging science with conceptual, methodological, and training challenges. Administration and Policy in Mental Health and Mental Health Services Research, 36(1), 24–35. doi:10.​1007/​s10488-008-0197-4.PubMedCrossRef
go back to reference Proctor, E., Silmere, H., Hovmand, P., Aarons, G., Bunger, A., Griffey, R., et al. (2011). Outcomes for implementation research: Conceptual distinctions, measurement challenges, and research agenda. Administration and Policy in Mental Health and Mental Health Services Research, 38, 65–76. doi:10.1007/s10488-010-0319-7.PubMedCrossRef Proctor, E., Silmere, H., Hovmand, P., Aarons, G., Bunger, A., Griffey, R., et al. (2011). Outcomes for implementation research: Conceptual distinctions, measurement challenges, and research agenda. Administration and Policy in Mental Health and Mental Health Services Research, 38, 65–76. doi:10.​1007/​s10488-010-0319-7.PubMedCrossRef
go back to reference Rogers, E. (2003). Diffusion of innovations (5th ed.). New York: The Free Press, A Division of Simon & Schuster, Inc. Rogers, E. (2003). Diffusion of innovations (5th ed.). New York: The Free Press, A Division of Simon & Schuster, Inc.
go back to reference Schoenwald, S., Garland, A., Chapman, J., Frazier, S., Sheidow, A., & Southam-Gerow, M. (2010a). Toward the effective and efficient measurement of implementation fidelity. Administration and Policy in Mental Health and Mental Health Services Research, 38, 32–43. doi:10.1007/s10488-010-0321-0.CrossRef Schoenwald, S., Garland, A., Chapman, J., Frazier, S., Sheidow, A., & Southam-Gerow, M. (2010a). Toward the effective and efficient measurement of implementation fidelity. Administration and Policy in Mental Health and Mental Health Services Research, 38, 32–43. doi:10.​1007/​s10488-010-0321-0.CrossRef
go back to reference Schoenwald, S., Hoagwood, K., Atkins, M., Evans, M., & Ringeisen, H. (2010b). Workforce development and the organization of work: The science we need. Administration and Policy in Mental Health and Mental Health Services Research, 37(1), 71–80. doi:10.1007/s10488-010-0278-z.PubMedCrossRef Schoenwald, S., Hoagwood, K., Atkins, M., Evans, M., & Ringeisen, H. (2010b). Workforce development and the organization of work: The science we need. Administration and Policy in Mental Health and Mental Health Services Research, 37(1), 71–80. doi:10.​1007/​s10488-010-0278-z.PubMedCrossRef
go back to reference Schoenwald, S., Sheidow, A., & Chapman, J. (2009). Clinical supervision in treatment transport: Effects on adherence and outcomes. Journal of Consulting and Clinical Psychology, 77(3), 410–421. doi:10.1037/a0013788.PubMedCrossRef Schoenwald, S., Sheidow, A., & Chapman, J. (2009). Clinical supervision in treatment transport: Effects on adherence and outcomes. Journal of Consulting and Clinical Psychology, 77(3), 410–421. doi:10.​1037/​a0013788.PubMedCrossRef
go back to reference Seidman, E., Chorpita, B., Reay, W., Stelk, W., Garland, A., Kutash, K., et al. (2010). A framework for measurement feedback to improve decision-making in mental health. Administration and Policy in Mental Health and Mental Health Services Research, 37, 128–131.PubMedCrossRef Seidman, E., Chorpita, B., Reay, W., Stelk, W., Garland, A., Kutash, K., et al. (2010). A framework for measurement feedback to improve decision-making in mental health. Administration and Policy in Mental Health and Mental Health Services Research, 37, 128–131.PubMedCrossRef
go back to reference Sholomskas, D., Syracuse-Siewert, G., Rounsaville, B., Ball, S., Nuro, K., & Carroll, K. (2005). We don’t train in vain: A dissemination trial of three strategies of training clinicians in cognitive-behavioral therapy. Journal of Consulting and Clinical Psychology, 73(1), 106–115. doi:10.1037/0022-006X.73.1.106.PubMedCrossRef Sholomskas, D., Syracuse-Siewert, G., Rounsaville, B., Ball, S., Nuro, K., & Carroll, K. (2005). We don’t train in vain: A dissemination trial of three strategies of training clinicians in cognitive-behavioral therapy. Journal of Consulting and Clinical Psychology, 73(1), 106–115. doi:10.​1037/​0022-006X.​73.​1.​106.PubMedCrossRef
go back to reference Simons, A., Padesky, C., Montemarano, J., Lewis, C., Murakami, J., Lamb, K., et al. (2010). Training and dissemination of cognitive behavior therapy for depression in adults: A preliminary examination of therapist competence and client outcomes. Journal of Consulting and Clinical Psychology, 78(5), 751–756. doi:10.1037/a0020569.PubMedCrossRef Simons, A., Padesky, C., Montemarano, J., Lewis, C., Murakami, J., Lamb, K., et al. (2010). Training and dissemination of cognitive behavior therapy for depression in adults: A preliminary examination of therapist competence and client outcomes. Journal of Consulting and Clinical Psychology, 78(5), 751–756. doi:10.​1037/​a0020569.PubMedCrossRef
go back to reference Stirman, S. W., Bhar, S., Spokas, M., Brown, G., Creed, T., Perivoliotis, D., et al. (2010). Training and consultation in evidence-based psychosocial treatments in public mental health settings: The ACCESS model. Professional Psychology: Research and Practice, 41(1), 48–56. doi:10.1037/a0018099.CrossRef Stirman, S. W., Bhar, S., Spokas, M., Brown, G., Creed, T., Perivoliotis, D., et al. (2010). Training and consultation in evidence-based psychosocial treatments in public mental health settings: The ACCESS model. Professional Psychology: Research and Practice, 41(1), 48–56. doi:10.​1037/​a0018099.CrossRef
go back to reference Stirman, S. W., Crits-Christoph, P., & DeRubeis, R. (2004). Achieving successful dissemination of empirically supported psychotherapies: A synthesis of dissemination theory. Clinical Psychology: Science and Practice, 11(4), 343–359. doi:10.1093/clipsy/bph091.CrossRef Stirman, S. W., Crits-Christoph, P., & DeRubeis, R. (2004). Achieving successful dissemination of empirically supported psychotherapies: A synthesis of dissemination theory. Clinical Psychology: Science and Practice, 11(4), 343–359. doi:10.​1093/​clipsy/​bph091.CrossRef
go back to reference Weisz, J., Chu, B., & Polo, A. (2004). Treatment dissemination and evidence-based practice: Strengthening intervention through clinician-researcher collaboration. Clinical Psychology: Science and Practice, 11(3), 300–307. doi:10.1093/clipsy.bph085.CrossRef Weisz, J., Chu, B., & Polo, A. (2004). Treatment dissemination and evidence-based practice: Strengthening intervention through clinician-researcher collaboration. Clinical Psychology: Science and Practice, 11(3), 300–307. doi:10.​1093/​clipsy.​bph085.CrossRef
Metadata
Title
The Science of Training in Evidence-Based Treatments in the Context of Implementation Programs: Current Status and Prospects for the Future
Authors
Kimberly D. Becker
Shannon Wiltsey Stirman
Publication date
01-07-2011
Publisher
Springer US
Published in
Administration and Policy in Mental Health and Mental Health Services Research / Issue 4/2011
Print ISSN: 0894-587X
Electronic ISSN: 1573-3289
DOI
https://doi.org/10.1007/s10488-011-0361-0

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