Category: Dissemination / Implementation

Symposium

Symposium 71 - Supporting Clinicians to Deliver CBT Across Routine Clinical Settings: Insights From Implementation Science

Saturday, November 18
10:15 AM - 11:15 AM
Location: Sapphire Ballroom E & F, Level 4, Sapphire Level

Keywords: Treatment-CBT | Implementation | Dissemination
Presentation Type: Symposium

Disseminating and implementing evidence-based practices (EBPs) into routine clinical care settings is critical for ensuring that treatment-seeking individuals receive evidence-based care. Traditional dissemination models (e.g., workshops) fail to lead to significant clinician behavior change (Beidas and Kendall, 2010). The rapidly growing field of implementation science aims to develop strategies to facilitate the uptake and long-term use of EBPs across settings (Eccles & Mittman, 2006). A key driver of successful implementation is ensuring that clinicians implementing EBPs have the necessary support and infrastructure to deliver interventions with fidelity (Damschroder et al., 2009). This is critical for psychosocial interventions, such as cognitive-behavioral therapy (CBT), which are multi-faceted and complex to deliver (Beidas et al., 2012). More work is needed to understand how to best support clinicians to deliver CBT effectively (Powell et al., 2014).  

This symposium tackles this challenge and centers on strategies for identifying, designing, and evaluating effective implementation strategies for clinicians to deliver CBT across mental health settings. Consistent with theory suggesting the need to consider multiple levels of implementation (e.g., clinician, organizational; Damschroder et al., 2009), presentations will discuss the impact of implementation strategies across multiple levels. First, Becker-Haimes and colleagues will present on the development, acceptability, and preliminary feasibility of a clinician toolkit designed to support clinician implementation of exposure therapy for anxious youth. Results suggested that a toolkit-based approach is an acceptable and feasible strategy to target clinician use of exposure therapy. Second, Regan and colleagues will discuss data from a large, publicly-funded health care system regarding implementation support strategies that are commonly used in agencies that are implementing EBPs and how these implementation supports influence agency leadership’s attitudes to EBP. Findings suggested that the use of implementation supports is variable and that the presence of implementation supports is associated with more favorable leadership attitudes to EBPs. Third, Mallard and colleagues will present data on how ongoing consultation, a key implementation strategy, impacts clinician fidelity to CBT. Results suggested that specific consultation activities differentially impact clinician fidelity to cognitive processing therapy. Finally, Dr. Rinad Beidas will serve as the discussant. Dr. Beidas, an expert in implementation science for mental health interventions, will discuss the implications of findings for advancing the reach of CBT across clinical contexts and identify important next steps for the field. 

Learning Objectives:

Emily M. Becker-Haimes

Postdoctoral researcher
University of Pennsylvania

Presentation(s):

Send Email for Emily Becker-Haimes

Rinad Beidas

Assistant Professor
University of Pennsylvania

Presentation(s):

Send Email for Rinad Beidas

Emily M. Becker-Haimes

Postdoctoral researcher
University of Pennsylvania

Presentation(s):

Send Email for Emily Becker-Haimes

Jennifer Regan

Hathaway-Sycamores Child and Family Services

Presentation(s):

Send Email for Jennifer Regan

Kera Mallard

National Center for PTSD and Palo Alto Veterans Institute for Research

Presentation(s):

Send Email for Kera Mallard


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