Consultation competencies in prolonged exposure therapy for posttraumatic stress disorder.

Burton, Mark S.; Sherrill, Andrew M.; Zwiebach, Liza; Fenlon, Emily E.; Rauch, Sheila A. M.; Ressler, Kerry J.

doi:10.1037/tra0001115

Cited by 2 publications

(2 citation statements)

References 46 publications

(58 reference statements)

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“…The Emory faculty provide consultants with formative feedback throughout the program and summative feedback at program completion. Completion of the consultant training program is contingent on demonstrating behaviorally anchored competencies (see Burton et al, 2021). Importantly, completion status of consultants is not contingent on their trainees completing two cases.…”

Section: Training Programmentioning

confidence: 99%

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Creating a national network of community-based consultants in prolonged exposure for PTSD: Outcomes and lessons learned from a consultant training program.

Sherrill¹,

Burton²,

Zwiebach³

et al. 2021

Psychological Trauma: Theory, Research, Practice, and Policy

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Objective: Dissemination of prolonged exposure (PE) for the treatment of posttraumatic stress disorder (PTSD) requires the availability of consultants who can help mental health clinicians learn to deliver the protocol faithfully and effectively. However, there is a dearth of PE consultants. We created a training program that aims to develop a national network of community-based PE consultants. The purpose of the study is to evaluate program effectiveness. Method: Our training program requires each consultant to provide consultation to two trainees, each of whom must treat two patients. Our team observes consultants engage with their trainees during virtual meetings and then provides feedback on each consultant's performance. Throughout the training, we collect outcome data on consultants, their trainees, and the patients of their trainees. Results:We have graduated 36 consultants, representing 14 American states. The vast majority of consultants (90%) were able to meet training requirements and expectations. Additionally, the majority of the consultants' trainees (60%) demonstrated competence for independent practice as evidenced primarily by high treatment fidelity ratings across two patients. Among consultants' trainees who reached competency benchmarks, their patients had a robust decrease in PTSD symptom severity from pretreatment to posttreatment (Cohen's d = 1.69). Lastly, follow-up survey data indicated that consultants and their trainees spent more time providing PE consultation and delivering PE, respectively, after completing their training. Conclusions: Outcome data from the first six cohorts indicate feasibility and effectiveness in PE consultant training. We share lessons learned in the development, maintenance, and improvement of our consultant training program. Clinical Impact StatementProlonged exposure (PE) is a first line treatment for posttraumatic stress disorder (PTSD). To increase patient accessibility to PE, clinicians can work with trained PE consultants to develop necessary competence. This study found that a PE consultant training program was able to create a network of PE consultants who have demonstrated success in helping clinicians implement PE effectively and with fidelity.

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Section: Training Programmentioning

confidence: 99%

“…The final draft of our competency framework includes 18 skills that are categorized into five domains (see Table S4 in the online supplemental materials). For a full description of our consultation competencies, as well as strategies to assess competencies, see Burton et al (2021).…”

Section: Formalize Consultation Competenciesmentioning

confidence: 99%