National Trainers’ Perspectives on Challenges to Implementation of an Empirically-Supported Mental Health Treatment

Hanson, Rochelle F.; Gros, Kirstin Stauffacher; Davidson, Tatiana M.; Barr, Simone C.; Cohen, Judith A.; Deblinger, Esther; Mannarino, Anthony P.; Ruggiero, Kenneth J.

doi:10.1007/s10488-013-0492-6

Cited by 50 publications

(59 citation statements)

References 41 publications

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“…The authors then met in a consensus conference to discuss the categories, resolve questions, and refine the thematic categories prior to developing the final thematic categories (Table 1). Recent projects evaluating pilot data and focus group feedback for adapting interventions have used similar analytic approaches to qualitative research (e.g., Davidson, de Arellano, and Ruggiero 2012; Grubaugh et al in press; Hanson et al 2013). …”

Section: Methodsmentioning

confidence: 99%

Development and preliminary evaluation of a behavioural HIV-prevention programme for teenage girls of Latino descent in the USA

Davidson

López

Saulson

et al. 2014

Culture, Health & Sexuality

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National data suggests that teenage girls of Latino descent in the USA are disproportionately affected by HIV with the rate of new infections being approximately 4 times higher compared to White women of comparable age (Centers for Disease Control and Prevention 2013). This paper highlights the need for an effective single-sex HIV prevention program for teenage girls of Latino descent and describes the development and preliminary evaluation of Chicas Healing, Informing, Living and Empowering (CHILE), a culturally-tailored, HIV prevention programme exclusively for teenage girls of Latino descent that was adapted from Sisters Informing, Healing, Living, and Empowering (SiHLE), an evidence-based HIV prevention program that is culturally tailored for African American young women. Theatre testing, a pre-testing methodology to assess consumer response to a demonstration of a product, was utilised to evaluate the relevance and utility of the HIV program as well as opportunities for the integration of cultural constructs. Future directions for the evaluation of CHILE are discussed.

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Section: Methodsmentioning

confidence: 99%

Development and preliminary evaluation of a behavioural HIV-prevention programme for teenage girls of Latino descent in the USA

Davidson

López

Saulson

et al. 2014

Culture, Health & Sexuality

Self Cite

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“…Simultaneously as the referral network of behavioral health providers was built during the preparation phase, the PACTS team also began to provide training, consultation, and technical assistance to behavioral health and non-behavioral health staff in TF-CBT (see Figure 1 for a visual depiction of described activities; Hanson et al, 2014; Powell et al, 2012). Since 2011, six cohorts (182 therapists and 34 supervisors) have received training in TF-CBT.…”

Section: Case Study: Creating a Trauma-informed Behavioral Health Sysmentioning

confidence: 99%

Lessons learned while building a trauma-informed public behavioral health system in the City of Philadelphia

Beidas

Adams

Kratz

et al. 2016

Evaluation and Program Planning

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Exposure to traumatic experiences among youth is a serious public health concern. A trauma-informed public behavioral health system that emphasizes core principles such as understanding trauma, promoting safety, supporting consumer autonomy, sharing power, and ensuring cultural competence, is needed to support traumatized youth and the providers who work with them. This article describes a case study of the creation and evaluation of a trauma-informed publicly funded behavioral health system for children and adolescents in the City of Philadelphia (the Philadelphia Alliance for Child Trauma Services; PACTS) using the Exploration, Preparation, Implementation, and Sustainment (EPIS) as a guiding framework. We describe our evaluation of this effort with an emphasis on implementation determinants and outcomes. Implementation determinants include inner context factors, specifically therapist knowledge and attitudes (N = 114) towards evidence-based practices. Implementation outcomes include information on rate of PTSD diagnoses in agencies over time, number of youth receiving TF-CBT over time, and penetration (i.e., number of youth receiving TF-CBT divided by the number of youth screening positive on trauma screening). We describe lessons learned from our experiences building a trauma-informed public behavioral health system in the hopes that this case study can guide other similar efforts.

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“…Thus, for research on implementation, we would ultimately seek to develop cost-effective and accurate fidelity monitoring systems that can easily be embedded within the available community or service systems. Hanson et al (2013) found that implementation interventionists recognize the difficulty in maintaining fidelity and acknowledge the high resource intensity of effective intervention implementation, leading them to advocate for the increased use of technology to monitor and reduce drift. In addition to accurate fidelity monitoring, usability requires that we would have a minimum time lag between fidelity rating and feedback to the facilitator.…”

Section: Introductionmentioning

confidence: 99%

Blending Qualitative and Computational Linguistics Methods for Fidelity Assessment: Experience with the Familias Unidas Preventive Intervention

Gallo

Pantín

Villamar

et al. 2014

Adm Policy Ment Health

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Careful fidelity monitoring and feedback are critical to implementing effective interventions. A wide range of procedures exist to assess fidelity; most are derived from observational assessments (Schoenwald et al, 2013). However, these fidelity measures are resource intensive for research teams in efficacy/effectiveness trials, and are often unattainable or unmanageable for the host organization to rate when the program is implemented on a large scale. We present a first step towards automated processing of linguistic patterns in fidelity monitoring of a behavioral intervention using an innovative mixed methods approach to fidelity assessment that uses rule-based, computational linguistics to overcome major resource burdens. Data come from an effectiveness trial of the Familias Unidas intervention, an evidence-based, family-centered preventive intervention found to be efficacious in reducing conduct problems, substance use and HIV sexual risk behaviors among Hispanic youth. This computational approach focuses on “joining,” which measures the quality of the working alliance of the facilitator with the family. Quantitative assessments of reliability are provided. Kappa scores between a human rater and a machine rater for the new method for measuring joining reached .83. Early findings suggest that this approach can reduce the high cost of fidelity measurement and the time delay between fidelity assessment and feedback to facilitators; it also has the potential for improving the quality of intervention fidelity ratings.

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National Trainers’ Perspectives on Challenges to Implementation of an Empirically-Supported Mental Health Treatment

Cited by 50 publications

References 41 publications

Development and preliminary evaluation of a behavioural HIV-prevention programme for teenage girls of Latino descent in the USA

Development and preliminary evaluation of a behavioural HIV-prevention programme for teenage girls of Latino descent in the USA

Lessons learned while building a trauma-informed public behavioral health system in the City of Philadelphia

Blending Qualitative and Computational Linguistics Methods for Fidelity Assessment: Experience with the Familias Unidas Preventive Intervention

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