What Predicts Clinician Dropout from State-Sponsored Managing and Adapting Practice Training

Abstract

Dropouts from system-wide evidence-based practice trainings are high; yet there are few studies on what predicts dropouts. This study examined multilevel predictors of clinician dropout from a statewide training on the Managing and Adapting Practice program. Extra-organizational structural variables, intra-organizational variables and clinician variables were examined. Using multivariable logistic regression analysis, state administrative data and prospectively collected clinician participation data were used to predict dropout. Two characteristics were predictive: younger clinicians and those practicing in upstate-rural areas compared to downstate-urban areas were less likely to drop out from training. Implications for research and policy are described.

Using a Theory-Guided Learning Collaborative Model to Improve Implementation of EBPs in a State Children’s Mental Health System: A Pilot Study

“…In the one pair, in which the control site outperformed the LC site, it is notable that the LC site’s clinicians were on average 20 years older. Data from the larger MAP training initiative (Olin et al, 2015) showed that age was a significant predictor of clinician dropout from MAP. Thus, this anomaly may reflect key differences in clinician characteristics (specifically age) that impacted MAP implementation; however, this issue requires further investigation in future research.…”

“…The EBTDC MAP program has been described in detail elsewhere (Olin et al, 2015). It included a five-day training in modular cognitive behavioral therapy and how to use the PracticeWise resources (i.e., searchable web database of evidence-based practices, practice guides, progress and outcome monitoring tools) (Chorpita, Bernstein, & Daleiden, 2008; Chorpita & Daleiden, 2009; PracticeWise, 2014).…”

“…Since 2006, EBTDC has offered free training to child-serving mental health clinics in a range of evidence-based treatments (Gleacher et al, 2010). In 2013–2014, EBTDC offered training in the Managing and Adapting Practice (MAP) system (Olin et al, 2015; PracticeWise, 2014). The LC model piloted in this study was designed to be an augmentation to the clinical skills training program (MAP) offered to frontline clinicians.…”

Advancing Implementation Research and Practice in Behavioral Health Systems

“…Both of these articles identify characteristics of the innovation as an important factor in successful implementation (Aarons et al, 2011; Rogers, 2003). Olin and colleagues (this issue) investigate outer context and inner context factors that predicted clinician drop out from a statewide training on an EBP in the State of NY, finding that younger clinicians and those that practiced in upstate-rural areas were less likely to drop out from training in an EBP. Finally, Rosen and colleagues (this issue) present a review of research focusing on the implementation of two EBPs for PTSD in the U.S. Department of Veterans Affairs.…”

Developing a sustainable child and family service system after a community tragedy: Lessons from Sandy Hook

“…Questions were adapted from ongoing research with New York State behavioral health agencies (Chor et al, 2014; Chor, Wisdom, Olin, Hoagwood, & Horwitz, 2015; Olin et al, 2015a, 2015b). The in-person interviews asked about barriers and facilitators to implementing and sustaining services, current and future needs of the community, local professional networks, and characteristics of an ideal services system.…”