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Implementation Science
Published in: Implementation Science 1/2013

Open Access 01-12-2013 | Study protocol

Improving practice in community-based settings: a randomized trial of supervision – study protocol

Authors: Shannon Dorsey, Michael D Pullmann, Esther Deblinger, Lucy Berliner, Suzanne E Kerns, Kelly Thompson, Jürgen Unützer, John R Weisz, Ann F Garland

Published in: Implementation Science | Issue 1/2013

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Abstract

Background

Evidence-based treatments for child mental health problems are not consistently available in public mental health settings. Expanding availability requires workforce training. However, research has demonstrated that training alone is not sufficient for changing provider behavior, suggesting that ongoing intervention-specific supervision or consultation is required. Supervision is notably under-investigated, particularly as provided in public mental health. The degree to which supervision in this setting includes ‘gold standard’ supervision elements from efficacy trials (e.g., session review, model fidelity, outcome monitoring, skill-building) is unknown. The current federally-funded investigation leverages the Washington State Trauma-focused Cognitive Behavioral Therapy Initiative to describe usual supervision practices and test the impact of systematic implementation of gold standard supervision strategies on treatment fidelity and clinical outcomes.
Evidence-based treatments for child mental health problems are not consistently available in public mental health settings. Expanding availability requires workforce training. However, research has demonstrated that training alone is not sufficient for changing provider behavior, suggesting that ongoing intervention-specific supervision or consultation is required. Supervision is notably under-investigated, particularly as provided in public mental health. The degree to which supervision in this setting includes ‘gold standard’ supervision elements from efficacy trials (e.g., session review, model fidelity, outcome monitoring, skill-building) is unknown. The current federally-funded investigation leverages the Washington State Trauma-focused Cognitive Behavioral Therapy Initiative to describe usual supervision practices and test the impact of systematic implementation of gold standard supervision strategies on treatment fidelity and clinical outcomes.
Evidence-based treatments for child mental health problems are not consistently available in public mental health settings. Expanding availability requires workforce training. However, research has demonstrated that training alone is not sufficient for changing provider behavior, suggesting that ongoing intervention-specific supervision or consultation is required. Supervision is notably under-investigated, particularly as provided in public mental health. The degree to which supervision in this setting includes ‘gold standard’ supervision elements from efficacy trials (e.g., session review, model fidelity, outcome monitoring, skill-building) is unknown. The current federally-funded investigation leverages the Washington State Trauma-focused Cognitive Behavioral Therapy Initiative to describe usual supervision practices and test the impact of systematic implementation of gold standard supervision strategies on treatment fidelity and clinical outcomes.
Evidence-based treatments for child mental health problems are not consistently available in public mental health settings. Expanding availability requires workforce training. However, research has demonstrated that training alone is not sufficient for changing provider behavior, suggesting that ongoing intervention-specific supervision or consultation is required. Supervision is notably under-investigated, particularly as provided in public mental health. The degree to which supervision in this setting includes ‘gold standard’ supervision elements from efficacy trials (e.g., session review, model fidelity, outcome monitoring, skill-building) is unknown. The current federally-funded investigation leverages the Washington State Trauma-focused Cognitive Behavioral Therapy Initiative to describe usual supervision practices and test the impact of systematic implementation of gold standard supervision strategies on treatment fidelity and clinical outcomes.
Evidence-based treatments for child mental health problems are not consistently available in public mental health settings. Expanding availability requires workforce training. However, research has demonstrated that training alone is not sufficient for changing provider behavior, suggesting that ongoing intervention-specific supervision or consultation is required. Supervision is notably under-investigated, particularly as provided in public mental health. The degree to which supervision in this setting includes ‘gold standard’ supervision elements from efficacy trials (e.g., session review, model fidelity, outcome monitoring, skill-building) is unknown. The current federally-funded investigation leverages the Washington State Trauma-focused Cognitive Behavioral Therapy Initiative to describe usual supervision practices and test the impact of systematic implementation of gold standard supervision strategies on treatment fidelity and clinical outcomes.
Evidence-based treatments for child mental health problems are not consistently available in public mental health settings. Expanding availability requires workforce training. However, research has demonstrated that training alone is not sufficient for changing provider behavior, suggesting that ongoing intervention-specific supervision or consultation is required. Supervision is notably under-investigated, particularly as provided in public mental health. The degree to which supervision in this setting includes ‘gold standard’ supervision elements from efficacy trials (e.g., session review, model fidelity, outcome monitoring, skill-building) is unknown. The current federally-funded investigation leverages the Washington State Trauma-focused Cognitive Behavioral Therapy Initiative to describe usual supervision practices and test the impact of systematic implementation of gold standard supervision strategies on treatment fidelity and clinical outcomes.
Evidence-based treatments for child mental health problems are not consistently available in public mental health settings. Expanding availability requires workforce training. However, research has demonstrated that training alone is not sufficient for changing provider behavior, suggesting that ongoing intervention-specific supervision or consultation is required. Supervision is notably under-investigated, particularly as provided in public mental health. The degree to which supervision in this setting includes ‘gold standard’ supervision elements from efficacy trials (e.g., session review, model fidelity, outcome monitoring, skill-building) is unknown. The current federally-funded investigation leverages the Washington State Trauma-focused Cognitive Behavioral Therapy Initiative to describe usual supervision practices and test the impact of systematic implementation of gold standard supervision strategies on treatment fidelity and clinical outcomes.
Evidence-based treatments for child mental health problems are not consistently available in public mental health settings. Expanding availability requires workforce training. However, research has demonstrated that training alone is not sufficient for changing provider behavior, suggesting that ongoing intervention-specific supervision or consultation is required. Supervision is notably under-investigated, particularly as provided in public mental health. The degree to which supervision in this setting includes ‘gold standard’ supervision elements from efficacy trials (e.g., session review, model fidelity, outcome monitoring, skill-building) is unknown. The current federally-funded investigation leverages the Washington State Trauma-focused Cognitive Behavioral Therapy Initiative to describe usual supervision practices and test the impact of systematic implementation of gold standard supervision strategies on treatment fidelity and clinical outcomes.
Evidence-based treatments for child mental health problems are not consistently available in public mental health settings. Expanding availability requires workforce training. However, research has demonstrated that training alone is not sufficient for changing provider behavior, suggesting that ongoing intervention-specific supervision or consultation is required. Supervision is notably under-investigated, particularly as provided in public mental health. The degree to which supervision in this setting includes ‘gold standard’ supervision elements from efficacy trials (e.g., session review, model fidelity, outcome monitoring, skill-building) is unknown. The current federally-funded investigation leverages the Washington State Trauma-focused Cognitive Behavioral Therapy Initiative to describe usual supervision practices and test the impact of systematic implementation of gold standard supervision strategies on treatment fidelity and clinical outcomes.
Evidence-based treatments for child mental health problems are not consistently available in public mental health settings. Expanding availability requires workforce training. However, research has demonstrated that training alone is not sufficient for changing provider behavior, suggesting that ongoing intervention-specific supervision or consultation is required. Supervision is notably under-investigated, particularly as provided in public mental health. The degree to which supervision in this setting includes ‘gold standard’ supervision elements from efficacy trials (e.g., session review, model fidelity, outcome monitoring, skill-building) is unknown. The current federally-funded investigation leverages the Washington State Trauma-focused Cognitive Behavioral Therapy Initiative to describe usual supervision practices and test the impact of systematic implementation of gold standard supervision strategies on treatment fidelity and clinical outcomes.
Evidence-based treatments for child mental health problems are not consistently available in public mental health settings. Expanding availability requires workforce training. However, research has demonstrated that training alone is not sufficient for changing provider behavior, suggesting that ongoing intervention-specific supervision or consultation is required. Supervision is notably under-investigated, particularly as provided in public mental health. The degree to which supervision in this setting includes ‘gold standard’ supervision elements from efficacy trials (e.g., session review, model fidelity, outcome monitoring, skill-building) is unknown. The current federally-funded investigation leverages the Washington State Trauma-focused Cognitive Behavioral Therapy Initiative to describe usual supervision practices and test the impact of systematic implementation of gold standard supervision strategies on treatment fidelity and clinical outcomes.
Evidence-based treatments for child mental health problems are not consistently available in public mental health settings. Expanding availability requires workforce training. However, research has demonstrated that training alone is not sufficient for changing provider behavior, suggesting that ongoing intervention-specific supervision or consultation is required. Supervision is notably under-investigated, particularly as provided in public mental health. The degree to which supervision in this setting includes ‘gold standard’ supervision elements from efficacy trials (e.g., session review, model fidelity, outcome monitoring, skill-building) is unknown. The current federally-funded investigation leverages the Washington State Trauma-focused Cognitive Behavioral Therapy Initiative to describe usual supervision practices and test the impact of systematic implementation of gold standard supervision strategies on treatment fidelity and clinical outcomes.
Evidence-based treatments for child mental health problems are not consistently available in public mental health settings. Expanding availability requires workforce training. However, research has demonstrated that training alone is not sufficient for changing provider behavior, suggesting that ongoing intervention-specific supervision or consultation is required. Supervision is notably under-investigated, particularly as provided in public mental health. The degree to which supervision in this setting includes ‘gold standard’ supervision elements from efficacy trials (e.g., session review, model fidelity, outcome monitoring, skill-building) is unknown. The current federally-funded investigation leverages the Washington State Trauma-focused Cognitive Behavioral Therapy Initiative to describe usual supervision practices and test the impact of systematic implementation of gold standard supervision strategies on treatment fidelity and clinical outcomes.
Evidence-based treatments for child mental health problems are not consistently available in public mental health settings. Expanding availability requires workforce training. However, research has demonstrated that training alone is not sufficient for changing provider behavior, suggesting that ongoing intervention-specific supervision or consultation is required. Supervision is notably under-investigated, particularly as provided in public mental health. The degree to which supervision in this setting includes ‘gold standard’ supervision elements from efficacy trials (e.g., session review, model fidelity, outcome monitoring, skill-building) is unknown. The current federally-funded investigation leverages the Washington State Trauma-focused Cognitive Behavioral Therapy Initiative to describe usual supervision practices and test the impact of systematic implementation of gold standard supervision strategies on treatment fidelity and clinical outcomes.
Evidence-based treatments for child mental health problems are not consistently available in public mental health settings. Expanding availability requires workforce training. However, research has demonstrated that training alone is not sufficient for changing provider behavior, suggesting that ongoing intervention-specific supervision or consultation is required. Supervision is notably under-investigated, particularly as provided in public mental health. The degree to which supervision in this setting includes ‘gold standard’ supervision elements from efficacy trials (e.g., session review, model fidelity, outcome monitoring, skill-building) is unknown. The current federally-funded investigation leverages the Washington State Trauma-focused Cognitive Behavioral Therapy Initiative to describe usual supervision practices and test the impact of systematic implementation of gold standard supervision strategies on treatment fidelity and clinical outcomes.
Evidence-based treatments for child mental health problems are not consistently available in public mental health settings. Expanding availability requires workforce training. However, research has demonstrated that training alone is not sufficient for changing provider behavior, suggesting that ongoing intervention-specific supervision or consultation is required. Supervision is notably under-investigated, particularly as provided in public mental health. The degree to which supervision in this setting includes ‘gold standard’ supervision elements from efficacy trials (e.g., session review, model fidelity, outcome monitoring, skill-building) is unknown. The current federally-funded investigation leverages the Washington State Trauma-focused Cognitive Behavioral Therapy Initiative to describe usual supervision practices and test the impact of systematic implementation of gold standard supervision strategies on treatment fidelity and clinical outcomes.
Evidence-based treatments for child mental health problems are not consistently available in public mental health settings. Expanding availability requires workforce training. However, research has demonstrated that training alone is not sufficient for changing provider behavior, suggesting that ongoing intervention-specific supervision or consultation is required. Supervision is notably under-investigated, particularly as provided in public mental health. The degree to which supervision in this setting includes ‘gold standard’ supervision elements from efficacy trials (e.g., session review, model fidelity, outcome monitoring, skill-building) is unknown. The current federally-funded investigation leverages the Washington State Trauma-focused Cognitive Behavioral Therapy Initiative to describe usual supervision practices and test the impact of systematic implementation of gold standard supervision strategies on treatment fidelity and clinical outcomes.
Evidence-based treatments for child mental health problems are not consistently available in public mental health settings. Expanding availability requires workforce training. However, research has demonstrated that training alone is not sufficient for changing provider behavior, suggesting that ongoing intervention-specific supervision or consultation is required. Supervision is notably under-investigated, particularly as provided in public mental health. The degree to which supervision in this setting includes ‘gold standard’ supervision elements from efficacy trials (e.g., session review, model fidelity, outcome monitoring, skill-building) is unknown. The current federally-funded investigation leverages the Washington State Trauma-focused Cognitive Behavioral Therapy Initiative to describe usual supervision practices and test the impact of systematic implementation of gold standard supervision strategies on treatment fidelity and clinical outcomes.

Methods/Design

The study has two phases. We will conduct an initial descriptive study (Phase I) of supervision practices within public mental health in Washington State followed by a randomized controlled trial of gold standard supervision strategies (Phase II), with randomization at the clinician level (i.e., supervisors provide both conditions). Study participants will be 35 supervisors and 130 clinicians in community mental health centers. We will enroll one child per clinician in Phase I (N = 130) and three children per clinician in Phase II (N = 390). We use a multi-level mixed within- and between-subjects longitudinal design. Audio recordings of supervision and therapy sessions will be collected and coded throughout both phases. Child outcome data will be collected at the beginning of treatment and at three and six months into treatment.

Discussion

This study will provide insight into how supervisors can optimally support clinicians delivering evidence-based treatments. Phase I will provide descriptive information, currently unavailable in the literature, about commonly used supervision strategies in community mental health. The Phase II randomized controlled trial of gold standard supervision strategies is, to our knowledge, the first experimental study of gold standard supervision strategies in community mental health and will yield needed information about how to leverage supervision to improve clinician fidelity and client outcomes.

Trial registration

ClinicalTrials.gov NCT01800266
Literature
1.
Weisz JR, Jensen-Doss JR, Hawley KM: Youth psychotherapy outcome research: a review and critique of the evidence base. Annual Rev Psychol. 2005, 56: 337-363. 10.1146/annurev.psych.55.090902.141449.CrossRefPubMed
2.
Chambless DL, Ollendick TH: Empirically supported psychological interventions: controversies and evidence. Annual Rev Psychol. 2001, 52: 685-716. 10.1146/annurev.psych.52.1.685.CrossRefPubMed
3.
Weisz JR, McCarty CA, Valeri SM: Effects of psychotherapy for depression in children and adolescents: a meta-analysis. Psychol Bull. 2006, 132: 132-149.CrossRefPubMedPubMedCentral
4.
Weisz JR, Doss AJ, Haley KM: Evidence-based youth psychotherapies versus usual clinical care: a meta-analysis of direct comparisons. Am Psychol. 2006, 61: 671-689.CrossRefPubMed
5.
Weisz JR, Kuppens S, Eckshtain D, Ugueto AM, Hawley KM, Jensen-Doss A: Do evidence-based youth psychotherapies outperform usual clinical care? a multilevel meta-analysis. JAMA Psychiatry. in press
6.
Fixsen DL, Naoom SF, Blase KA, Friedman RM, Wallace F: University of South Florida, Louis de la Parte Florida mental health institute. Implementation research: a synthesis of the literature (FMHI publication No. 231). 2005, Tampa, FL: The National Implementation Research Network
7.
Mitchell PF: Evidence-based practice in real-world services for young people with complex needs: new opportunities suggested by recent implementation science. Child Youth Serv Rev. 2011, 33: 207-216. 10.1016/j.childyouth.2010.10.003.CrossRef
8.
Beidas RS, Kendall PC: Training therapists in evidence-based practice: a critical review of studies from a systems-contextual perspective. Clin Psychol Sci Pract. 2010, 17: 1-30. 10.1111/j.1468-2850.2009.01187.x.CrossRef
9.
Herschell AD, Kolko DJ, Baumann BL, Davis AC: The role of therapist training in the implementation of psychosocial treatments: a review and critique with recommendations. Clin Psychol Rev. 2010, 30: 448-466. 10.1016/j.cpr.2010.02.005.CrossRefPubMedPubMedCentral
10.
Ellis M, Krengel M, Ladany N, Schult D: Clinical supervision research from 1981–1993: a methodological critique. J Counsel Psychol. 1996, 43: 35-50.CrossRef
11.
Kilminster SM, Jolly BC: Effective supervision in clinical practice settings: a literature review. Med Ed. 2000, 34: 827-840. 10.1046/j.1365-2923.2000.00758.x.CrossRef
12.
Callahan JL, Almstrom CM, Swift JK, Borja SE, Heath CJ: Exploring the contribution of supervisors to intervention outcomes. Train Ed Prof Psychol. 2009, 3: 72-77.
13.
Schoenwald S, Carter RE, Chapman JE, Sheidow AJ: Therapist adherence and organizational effects on change in youth behavior problems one year after Multisystemic Therapy. Admin Policy Mental Health Mental Health Serv Res. 2008, 35: 379-394. 10.1007/s10488-008-0181-z.CrossRef
14.
Schoenwald SK, Mehta TG, Frazier SL, Shernoff ES: Clinical supervision in effectiveness and implementation research. Clin Psychol Sci Pract. 2013, 20: 44-59. 10.1111/cpsp.12022.CrossRef
15.
Miller C, Gruskin S, Subramanian S, Rajaraman D, Heymann S: Orphan care in Botswana’s working households: growing responsibilities in the absence of adequate support. Am J Public Health. 2006, 96: 1429-1435. 10.2105/AJPH.2005.072280.CrossRefPubMedPubMedCentral
16.
Schoenwald SK, Sheidow AJ, Chapman JE: Clinical supervision in treatment transport: effects on adherence and outcomes. J Consul Clin Psychol. 2009, 77: 410-421.CrossRef
17.
Accurso EC, Taylor RM, Garland AF: Evidence-based practices addressed in community-based children’s mental health clinical supervision. Train Ed Prof Psychol. 2011, 5: 88-96.
18.
Carroll KM, Rounsaville BJ: A vision of the next generation of behavioral therapies research in the addictions. Addiction. 2007, 102: 850-862. 10.1111/j.1360-0443.2007.01798.x.CrossRefPubMedPubMedCentral
19.
Gonsalvez CJ, Milne DL: Clinical supervisor training in Australia: a review of current problems and possible solutions. Australian Psychol. 2010, 45: 233-242. 10.1080/00050067.2010.512612.CrossRef
20.
Milne DL, Sheikh AI, Pattison S, Wilkinson A: Evidence-based training for clinical supervisors: a systematic review of 11 controlled studies. Clin Sup. 2011, 30: 53-71. 10.1080/07325223.2011.564955.CrossRef
21.
Eby LT, Burk H, Maher CP: How serious of a problem is staff turnover in substance abuse treatment? A longitudinal study of actual turnover. J Subs Abuse Treat. 2010, 39: 264-271. 10.1016/j.jsat.2010.06.009.CrossRef
22.
Chorpita BF, Regan J: Dissemination of effective mental health treatment procedures: maximizing the return on a significant investment. Behav Res Therapy. 2009, 47: 990-993. 10.1016/j.brat.2009.07.002.CrossRef
23.
Beidas RS, Edmunds JM, Marcus SC, Kendall PC: Training and consultation to promote implementation of an empirically supported treatment: a randomized trial. Psychiatric Serv. 2012, 63: 660-665. 10.1176/appi.ps.201100401.CrossRef
24.
Milne D: Evaluating and enhancing supervision: an experiential model. Casebook for clinical supervision: a competency-based approach. Edited by: Falender CA, Shafranske EP. 2008, Washington, DC US: American Psychological Association, 211-233.CrossRef
25.
Padesky CA: Developing cognitive therapist competency: teaching and supervision models. Frontiers of cognitive therapy. Edited by: Salkovskis PM. 1996, New York, NY US: Guilford Press, 266-292.
26.
Sheidow AJ, Donahue BC, Hill HH, Heneggler SW, Ford JD: Development of an audio tape review system for supporting adherence to an evidence based treatment. Prof Psychol Res Prac. 2008, 39: 553-560.CrossRef
27.
Bearman SK, Weisz JR, Chorpita BF, Hoagwood K, Ward A, Ugueto AM, Bernstein A: More practice, less preach? The role of supervision processes and therapist characteristics in EBP implementation. Admin Policy Mental Health Mental Health Serv Res. in press
28.
Proctor E, Silmere H, Raghavan R, Hovmand P, Aarons G, Bunger A, Griffey R, Hensley M: Outcomes for implementation research: conceptual distinctions, measurement challenges, and research agenda. Admin Policy Mental Health. 2010, 38: 65-76.CrossRef
29.
Schoenwald SK, Garland AF, Chapman JE, Frazier SL, Sheidow AJ, Southam-Gerow MA: Toward the effective and efficient measurement of implementation fidelity. Admin Policy Mental Health Mental Health Serv Res. 2011, 38: 32-43. 10.1007/s10488-010-0321-0.CrossRef
30.
Garland AF, Bickman L, Chorpita BF: Change what? Identifying quality improvement targets by investigating usual mental health care. Admin Policy Mental Health Mental Health Serv Res. 2010, 37: 15-26. 10.1007/s10488-010-0279-y.CrossRef
31.
Hogue A, Ozechowski TJ, Robbins MS, Barrett WH: Making fidelity an intramural game: localizing quality assurance procedures to promote sustainability of evidence-based practices in usual care. Clin Psychol Sci Pract. 2013, 20: 60-77. 10.1111/cpsp.12023.CrossRef
32.
Hurlburt MS, Garland AF, Nguyen K, Brookman-Frazee L: Child and family therapy process: concordance of therapist and observational perspectives. Admin Policy Mental Health Mental Health Serv Res. 2010, 37: 230-244. 10.1007/s10488-009-0251-x.CrossRef
33.
Hrisos S, Eccles MP, Francis JJ, Dickinson HO, Kaner EFS, Beyer F, Johnston M: Are there valid proxy measures of clinical behavior? a systematic review. Implement Sci. 2009, 4: 37-56. 10.1186/1748-5908-4-37.CrossRefPubMedPubMedCentral
34.
Perepletchikova F, Treat TA, Kazdin AE: Treatment integrity in psychotherapy research: analysis of the studies and examination of the associated factors. J Consul Clin Psychol. 2007, 72: 829-841.CrossRef
35.
Cross W, Matthieu M, Cerel J, Knox KL: Proximate outcomes of gatekeeper training for suicide prevention in the workplace. Suicide Life-Threat Behav. 2007, 37: 659-670. 10.1521/suli.2007.37.6.659.CrossRefPubMed
36.
Beidas RS, Cross WF, Dorsey S: Show me don’t tell me: behavioral rehearsal as a training and fidelity tool. Cogn Behav Pract. in press
37.
Freeston M: Clinical supervision: art or science?. 2010, Boston, MA US: World Congress of Behavioral and Cognitive Therapies
38.
Matthieu M, Cross W, Batres AR, Flora CM, Knox KL: Evaluation of gatekeeper training for suicide prevention in veterans. Archives Suicide Res. 2008, 12: 148-154. 10.1080/13811110701857491.CrossRef
39.
Peabody JW, Luck J, Glassman P, Dresselhaus TR, Lee M: Comparison of vignettes, standardized patients, and chart abstraction: a prospective validation study of 3 methods for measuring quality. JAMA J Am Med Assoc. 2000, 283: 1715-1722. 10.1001/jama.283.13.1715.CrossRef
40.
Unützer J, Chan YF, Hafer E, Knaster J, Shields A, Powers D, Veith RC: Quality improvement with pay-for-performance incentives in integrated behavioral health care. Am J Public Health. 2012, 106: e41-e45.CrossRef
41.
Worthen VE, Lambert MJ: Outcome oriented supervision: advantages of adding systematic client tracking to supportive consultations. Counsel Psychotherapy Res. 2007, 7: 48-53. 10.1080/14733140601140873.CrossRef
42.
Hunkeler E, Katon W, Tang L, Williams JW, Kroenke K, Lin EB, Unützer J: Long term outcomes from the IMPACT randomised trial for depressed elderly patients in primary care. BMJ British Med J. 2006, 332: 259-263. 10.1136/bmj.38683.710255.BE.CrossRef
43.
Unützer J, Katon W, Callahan CM, Williams JW, Hunkeler E, Harpole L, Hoffing M, Della Penna RD, Hitchock Noël P, Lin EHB: Collaborative care management of late-life depression in the primary care setting: a randomized controlled trial. JAMA J Am Med Assoc. 2002, 288: 2836-2845. 10.1001/jama.288.22.2836.CrossRef
44.
Garland A, Landsverk J, Lau A: Racial/ethnic disparities in mental health service use among children in foster care. Child Youth Serv Rev. 2003, 25: 491-507. 10.1016/S0190-7409(03)00032-X.CrossRef
45.
Palmiter DJ: A survey of the assessment practices of child and adolescent clinicians. Am J Orthopsych. 2004, 74: 122-128.CrossRef
46.
Barber JP, Crits-Christoph P, Luborksy L: Effects of therapist adherence and competence on patient outcome in brief dynamic therapy. J Consul Clin Psychol. 1996, 64: 619-622.CrossRef
47.
Schoenwald S, Carter RE, Chapman JE, Sheidow AJ: Therapist adherence and organizational effects on change in youth behavior problems one year after multisystemic therapy. Admin Policy Mental Health. 2008, 35: 379-394. 10.1007/s10488-008-0181-z.CrossRef
48.
Webb CA, DeRubeis RJ, Barber JP: Therapist adherence/competence and treatment outcome: a meta-analytic review. J Consul Clin Psychol. 2010, 78: 200-211.CrossRef
49.
McHugh R, Murray HW, Barlow DH: Balancing fidelity and adaptation in the dissemination of empirically-supported treatments: the promise of transdiagnostic interventions. Behav Res Therapy. 2009, 47: 946-953. 10.1016/j.brat.2009.07.005.CrossRef
50.
Ellis MV, Ladany N: Inferences concerning supervisees and clients in clinical supervision: an integrative review. Handbook of psychotherapy supervision. Edited by: Watkins CEJr. 1997, New York, NY US: Wiley, 447-507.
51.
Schoenwald SK, Sheidow AJ, Letourneau EJ, Liao JG: Transportability of multisystemic therapy: evidence for multi-level influences. Mental Health Serv Res. 2003, 5: 223-239. 10.1023/A:1026229102151.CrossRef
52.
Chaffin M, Hecht D, Bard D, Silovsky JF, Beasley WH: A statewide trial of the SafeCare home-based services model with parents in child protective services. Pediatrics. 2012, 129: 509-515. 10.1542/peds.2011-1840.CrossRefPubMedPubMedCentral
53.
Aarons GA, Sommerfeld DH, Hecht DB, Silovsky JF, Chaffin MJ: The impact of evidence-based practice implementation and fidelity monitoring on staff turnover: evidence for a protective effect. J Consul Clin Psychol. 2009, 77: 270-280.CrossRef
54.
Knudsen HK, Ducharme LJ, Roman PM: Clinical supervision, emotional exhaustion, and turnover intention: a study of substance abuse treatment counselors in the clinical trials network of the national institute on drug abuse. J Subs Abuse Treat. 2008, 35: 387-395. 10.1016/j.jsat.2008.02.003.CrossRef
55.
Cohen JA, Mannarino A, Deblinger E: Treating trauma and traumatic grief in Children and adolescents: a clinician’s guide. 2006, New York: Guilford Press
56.
Cohen JA, Mannarino AP: Disseminating and implementing trauma-focused CBT in community settings. Trauma Violence Abuse. 2008, 9: 214-226. 10.1177/1524838008324336.CrossRefPubMed
57.
Sigel BA, Benton AH, Lynchm CE, Kramer TL: Preliminary findings for statewide dissemination programs using trauma-focused cognitive-behavioral therapy (TF-CBT) with children. 2010, Philedelphia, PA US: Presented at the University of Arkansas for Medical Sciences, Annual National Colloquium
58.
Sigel BA, Kramer TL, Conners-Burrow NA, Church JK, Worley KB, Mitrani NA: Statewide dissemination of trauma-focused cognitive-behavioral therapy (TF-CBT). Child Youth Serv Rev. 2013, 35: 1023-1029. 10.1016/j.childyouth.2013.03.012.CrossRef
59.
Gleacher AA, Nadeem E, Moy AJ, Whited AL, Albano AM, Radigan M, Wang R, Chassman J, Myrhol-Clarke B, Hoagwood KE: Statewide CBT training for clinicians and supervisors treating youth: the New York State evidence based treatment dissemination center. J Emot Behav Disorders. 2010, 19: 182-192.CrossRef
60.
Milne D, Aylott H, Fitzpatrick H, Ellis MV: How does clinical supervision work? Using a ‘best evidence synthesis’ approach to construct a basic model of supervision. Clin Sup. 2008, 27: 170-190. 10.1080/07325220802487915.CrossRef
61.
McLeod BD, Weisz JR: Therapy process observational coding system for child psychotherapy strategies scale. J Clin Child Adol Psychol. 2010, 39: 436-443. 10.1080/15374411003691750.CrossRef
62.
Steinberg AM, Brymer M, Decker K, Pynoos RS: The UCLA PTSD reaction index. Current Psychiatry Reports. 2004, 6: 96-100. 10.1007/s11920-004-0048-2.CrossRefPubMed
63.
Steinberg AM, Brymer MJ, Kim S, Briggs EC, Ippen CG, Ostrowsky SA, Gully KJ, Pynoos RS: Psychometric properties of the UCLA PTSD reaction index: part I. J Traumatic Stress. 2013, 26: 1-9. 10.1002/jts.21780.CrossRef
64.
Goodman R: The strengths and difficulties questionnaire: a research note. J Child Psychol Psychiatry. 1997, 38: 581-586. 10.1111/j.1469-7610.1997.tb01545.x.CrossRefPubMed
65.
Graen GB, Uhl-Bien M: Relationship-based approach to leadership: development of leader-member exchange (lmx) theory of leadership over 25 years: applying a multi-level multi-domain perspective. Leadership Quarter. 1995, 6: 219-247. 10.1016/1048-9843(95)90036-5.CrossRef
66.
Efstation JF, Patton MJ, Kardish CM: Measuring the working alliance in counsellor supervision. J Counsel Psychol. 1990, 37: 322-329.CrossRef
67.
Horvath AO, Greenberg LS: Development of the working alliance inventory. The psychotherapeutic process: a research handbook. Edited by: Greenberg LS, Pinsoff WM. 1986, New York, NY US: Guildford Press, 529-556.
68.
Rahim MA: The development of a leader power inventory. Multi Behav Res. 1988, 23: 491-503. 10.1207/s15327906mbr2304_6.CrossRef
69.
Lehman WEK, Greener JM, Simpson DD: Assessing organizational readiness for change. J Subs Abuse Treat. 2002, 22: 197-209. 10.1016/S0740-5472(02)00233-7.CrossRef
70.
Borntrager C, Chorpita BF, McMillan-Higa C, Weisz J: Provider attitudes towards evidence based practices: are the concerns with the evidence or the manuals?. Psychiatric Serv. 2009, 60: 677-681. 10.1176/appi.ps.60.5.677.CrossRef
71.
Maslach C, Jackson S, Leiter M: Maslach burnout inventory manual. 1996, Mountain View, California: Consulting Psychologists Press
72.
Walsh JP, Ashford SJ, Hill TE: Feedback obstruction: the influence of the information environment on employee turnover intentions. Human Relat. 1985, 38: 23-46. 10.1177/001872678503800102.CrossRef
73.
Birmaher B, Khetarpal S, Brent D, Cully M: The screen for child anxiety related emotional disorders (SCARED): scale construction and psychometric characteristics. J Am Acad Child Adol Psychiatry. 1997, 36: 545-553. 10.1097/00004583-199704000-00018.CrossRef
74.
Muris P, Merckelbach H, Korver P, Meesters C: Screening for trauma in childresn and adolescents: the validity of the traumatic stress disorder scale of the screen for Child anxiety related emotional disorders. J Clin Child Psychol. 2000, 29: 406-413. 10.1207/S15374424JCCP2903_11.CrossRefPubMed
75.
Gardner W, Lucas A, Kolko DJ, Campo JV: Comparison of the PSC-17 and alternative mental health screens in an at-risk primary care sample. J Am Acad Child Adol Psychiatry. 2007, 46: 611-618. 10.1097/chi.0b013e318032384b.CrossRef
76.
Kerns SEU, Dorsey S, Trupin EW, Berliner L: Project Focus: promoting emotional health and wellbeing for youth in foster care through connections to evidence-based practices. Report Emot Behav Disorders Youth. 2010, 10: 30-38.
77.
Baron RM, Kenny DA: The moderator-mediator variable distinction in social psychological research: Conceptual, strategic, and statistical considerations. J Personal Soc Psychol. 1986, 51: 1173-1182.CrossRef
78.
Cole DA, Maxwell SE: Testing meditational models with longitudinal data: questions and tips in the use of structural equation modeling. J Abnormal Psychol. 2003, 112: 558-577.CrossRef
79.
MacKinnon DP: Introduction to statistical mediation analysis. 2008, New York, NY US: Lawrence Erlbaum Associates
80.
Stice E, Presnell K, Gau J, Shaw H: Testing mediators of intervention effects in randomized controlled trials: an evaluation of two eating disorder prevention programs. J Consul Clin Psychol. 2007, 75: 20-32.CrossRef
81.
QSR International: NVivo 9: qualitative analysis software program. 2010
82.
Patton MQ: Qualitative evaluations and research methods. 1990, Newbury Park, CA: Sage
83.
Strauss A, Corbin J: Basics of qualitative research. 1990, Newbury Park, CA: Sage
84.
Pringle B, Chambers D, Wang PS: Toward enough of the best for all: research to transform the efficacy, quality, and reach of mental health care for youth. Admin Policy Mental Health Mental Health Serv Res. 2010, 37: 191-196. 10.1007/s10488-010-0266-3.CrossRef
85.
National Institute of Mental Health: NIH publication No. 08–6368 edition. The national institute of mental health strategic plan. 2008, Bethesda, MD US: U. S. Department of Health and Human Services, National Institutes of Health, National Institute of Mental Health
86.
Bruns EJ, Hoagwood KE: State implementation of evidence-based practice for youths, part I: responses to the state of the evidence. J Am Acad Child Adol Psychiatry. 2008, 47: 369-373. 10.1097/CHI.0b013e31816485f4.CrossRef
87.
Jensen-Doss A, Hawley KH, Lopez M, Osterberg LD: Using evidence-based treatments: the experiences of youth providers working under a mandate. Prof Psychol Res Pract. 2009, 40: 417-424.CrossRef
Metadata
Title
Improving practice in community-based settings: a randomized trial of supervision – study protocol
Authors
Shannon Dorsey
Michael D Pullmann
Esther Deblinger
Lucy Berliner
Suzanne E Kerns
Kelly Thompson
Jürgen Unützer
John R Weisz
Ann F Garland
Publication date
01-12-2013
Publisher
BioMed Central
Published in
Implementation Science / Issue 1/2013
Electronic ISSN: 1748-5908
DOI
https://doi.org/10.1186/1748-5908-8-89

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