Category: Dissemination / Implementation

Symposium

Symposium 49 - A Tailored Implementation of CBT in a Youth Residential Setting

Friday, November 17
3:00 PM - 4:00 PM
Location: Indigo Ballroom A, Level 2, Indigo Level

Keywords: CBT | Implementation | Adolescents
Presentation Type: Symposium

CBT has been widely supported for an array of adolescent psychiatric problems (Zhou et al., 2015). Based on this mounting evidence, leadership from a youth residential treatment center approached this team seeking aid in CBT implementation. Nonetheless, about two-thirds of implementation efforts fail, often because they are not tailored to the context (Mendel et al., 2008). A multi-method assessment of the context to help address barriers and aid sustainability is recommended prior to the introduction of training (Kramer & Burns, 2008). The first presentation of this symposium is, to our knowledge, the first exemplar of a tailored implementation of CBT. The team developed a methodology that began with a mixed methods needs assessment and conjoint analysis to identify potential barriers and match effective strategies to reveal a tailored blueprint. An implementation team was developed and included staff representatives from all roles who were charged with owning the implementation process and becoming experts in CBT. Simultaneously, it was acknowledged that CBT would need to be adapted to fit the context and the background and education of the multidisciplinary team members (high school educated youth care workers, bachelor level managers, masters level therapists). The second presentation will illustrate the adaptation process and highlight the six core skills that were identified as integral to a comprehensive and coordinated care model: collaborative active listening (VALUE), problem solving (ITCH), rating subjective distress intensity (SPEED Map), activity scheduling (CAPES), distress tolerance (TIP), and cognitive restructuring (CBT Chat Form). A three-level Endorsement System was developed to credential staff demonstrating competency in these skills, which was linked to promotion and raises. Finally, the third presentation will reveal results from an evaluation of the six training visits that occurred over the course of three years, in conjunction with monthly consultation for implementation teams. Specifically, results will cover changes in provider’s knowledge, self-efficacy, and intention to use skills learned. Preliminary findings from this study suggest that trainee’s self-efficacy increased from novice to intermediate in the span of two training visits, but that knowledge and intention to use CBT remained limited in the first year of the training. The work of this team has both research and clinical implications, including an exemplar of a methodology for tailoring an implementation of CBT and a model of CBT adapted to a context over the course of training.  

Learning Objectives:

Cara C. Lewis

Associate Scientific Investigator
Kaiser Permanente Washington Health Research Institute

Presentation(s):

Send Email for Cara Lewis

Judith S. Beck

President, Beck Institute for Cognitive Behavior Therapy
Beck Institute for Cognitive Behavior Therapy

Presentation(s):

Send Email for Judith Beck

Cara C. Lewis

Associate Scientific Investigator
Kaiser Permanente Washington Health Research Institute

Presentation(s):

Send Email for Cara Lewis

Robert Hindman

Beck Institute

Presentation(s):

Send Email for Robert Hindman

Natalie Rodriguez-Quintana

Graduate Student
Indiana University

Presentation(s):

Send Email for Natalie Rodriguez-Quintana


Assets

Symposium 49 - A Tailored Implementation of CBT in a Youth Residential Setting



Attendees who have favorited this

Please enter your access key

The asset you are trying to access is locked. Please enter your access key to unlock.

Send Email for A Tailored Implementation of CBT in a Youth Residential Setting