The Role of Consultation Calls for Clinic Supervisors in Supporting Large-Scale Dissemination of Evidence-Based Treatments for Children

Nadeem, Erum; Gleacher, Alissa; Pimentel, Sandra S.; Hill, Laura; McHugh, Mary L.

doi:10.1007/s10488-013-0491-7

Cited by 22 publications

(12 citation statements)

References 38 publications

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“…To date, EBTDC has provided training and a full year of distance-learning consultation to 1,552 clinicians and supervisors across 186 of the 346 clinics. The therapies supported by the EBTDC include CBT for depression, trauma-focused CBT, Coping Power, and Parent Management Training for DBDs (Gleacher et al, 2011; Nadeem et al, In press; Pimentel, Hoagwood, Albano, & Regan, 2009). …”

Section: Introductionmentioning

confidence: 99%

Scaling Up Evidence-Based Practices for Children and Families in New York State: Toward Evidence-based Policies on Implementation for State Mental Health Systems

Hoagwood

Olin

Horwitz

et al. 2014

Journal of Clinical Child & Adolescent Psychology

Self Cite

109

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Dissemination of innovations is widely considered the sine qua non for system improvement. At least two dozen states are rolling-out evidence-based mental health practices targeted at children and families using trainings, consultations, webinars, and learning collaboratives to improve quality and outcomes. In New York State (NYS) a group of researchers, policy-makers, providers and family support specialists have worked in partnership since 2002 to redesign and evaluate the children’s mental health system. Five system strategies driven by empirically-based practices and organized within a state-supported infrastructure have been used in the child and family service system with over 2,000 providers: (a) business practices; (b) use of health information technologies in quality improvement; (c) specific clinical interventions targeted at common childhood disorders; (d) parent activation; and (e) quality indicator development. The NYS system has provided a laboratory for naturalistic experiments. We describe these initiatives, key findings and challenges, lessons learned for scaling, and implications for creating evidence-based implementation policies in state systems.

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Section: Introductionmentioning

confidence: 99%

Scaling Up Evidence-Based Practices for Children and Families in New York State: Toward Evidence-based Policies on Implementation for State Mental Health Systems

Hoagwood

Olin

Horwitz

et al. 2014

Journal of Clinical Child & Adolescent Psychology

Self Cite

109

View full text Add to dashboard Cite

show abstract

“…However, the limited empirical research on supervision is primarily descriptive or exploratory in nature (Hoge et al, 2011), despite findings from one study that suggest that supervision may account for 16% of the variance in client treatment outcomes—approximately double the amount commonly attributed to specific treatment interventions (8%; Callahan, Almstrom, Swift, Borja, & Heath, 2009). There also is increasing theoretical (Nadeem et al, 2013) and empirical work on a related, but distinct area, EBT-focused expert consultation (e.g., Bearman et al, 2013; Beidas, Edmunds, Marcus, & Kendall, 2012; Funderburk et al, 2015). While this is an important area of research, expert consultation is a costly resource (Herschell et al, 2010; Stewart et al, 2016), whereas providing clinical supervision of EBT through workplace-based supervision, utilizing existing supervisory staff, may provide a cost-effective, feasible alternative.…”

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confidence: 99%

Supervision in Community Mental Health: Understanding Intensity of EBT Focus

et al. 2018

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The goal of the present study was to examine clinician, supervisor, and organizational factors that are associated with the intensity of evidence-based treatment (EBT) focus in workplace-based clinical supervision of a specific EBT, Trauma-Focused Cognitive Behavioral Therapy (TF-CBT). Supervisors (n = 56) and clinicians (n = 207) from mental health organizations across Washington State completed online self-report questionnaires. Multilevel modeling (MLM) analyses were used to examine the relative influence of nested clinician and supervisor factors on the intensity of EBT focus in supervision. We found that 33% of the variance in clinician report of EBT supervision intensity clustered at the supervisor level and implementation climate was the only significant factor associated with EBT supervision intensity. While individual clinician and supervisor factors may play a role in EBT coverage in supervision, our results suggest that an implementation climate that supports EBT may be the most critical factor for improving intensity of EBT coverage. Thus, implementation efforts that address the extent to which EBTs are expected, rewarded, and supported within an organization may be needed to support greater coverage of EBT during workplace-based supervision.

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“…Here, practitioners not only have access to interactive in‐person training workshops but also to ongoing support from clinical experts and from group members as they learn and apply EBTs in their particular work environment. In fact, some preliminary findings have suggested that ongoing clinical consultation appears to be a promising strategy for helping practitioners and organizations address some common challenges to implementation, and to improve learning of EBTs and the translation of training into practice (Fritz et al., ; Nadeem, Gleacher, & Beidas, ; Nadeem, Gleacher, Pimentel et al., ).…”

mentioning

confidence: 99%

Implementation and Sustainability of Child‐parent Psychotherapy: The Role of Reflective Consultation in the Learning Collaborative Model

Noroña

Acker²

2016

Infant Mental Health Journal

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Recent implementation science in mental health has focused on identifying the most effective strategies to disseminate and implement evidence-based treatments (EBTs) into real-world practice settings. The learning collaborative training methodology and its use of expert trainers/consultants have become increasingly popular as one of these approaches. Moreover, there is preliminary evidence that ongoing expert consultation may increase the adoption, learning, and sustainability of EBTs by an already practicing workforce and, consequently, help trainers, practitioners, and organizations address implementation barriers. This article describes the authors' experiences in facilitating Child-Parent Psychotherapy (CPP) training and explores the role of reflective clinical consultation as an active process that supports the implementation of a rich, but complex, model that requires sophisticated knowledge and skills from practitioners. It examines the intricate range of the CPP consultant's functions, which ultimately support clinicians' reflective practice as they learn and adopt this EBT. Reflective consultation is proposed as an essential component for the integration of knowledge, experience, and emotions in practitioners and as a catalyst for organizational change. Using their voices as trainers-consultants and those of their trainees, the authors discuss the implications of reflective consultation for the effective implementation and sustainability of CPP. Reflections are offered on lessons learned.

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The Role of Consultation Calls for Clinic Supervisors in Supporting Large-Scale Dissemination of Evidence-Based Treatments for Children

Cited by 22 publications

References 38 publications

Scaling Up Evidence-Based Practices for Children and Families in New York State: Toward Evidence-based Policies on Implementation for State Mental Health Systems

Scaling Up Evidence-Based Practices for Children and Families in New York State: Toward Evidence-based Policies on Implementation for State Mental Health Systems

Supervision in Community Mental Health: Understanding Intensity of EBT Focus

Implementation and Sustainability of Child‐parent Psychotherapy: The Role of Reflective Consultation in the Learning Collaborative Model

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