When the torch is passed, does the flame still burn? Testing a 'train the supervisor' model for the Child STEPs treatment program
| Autor: | Adam S. Weissman, Amanda Jensen-Doss, Lauren Krumholz Marchette, Erica H. Lee, Jacqueline Hersh, Jacquelyn N. Raftery-Helmer, Ana M. Ugueto, J. Lindsey Tweed, Kristel Thomassin, Jenny Herren, Sarah Kate Bearman, Daniel M. Cheron, John R. Weisz, Alisha Alleyne |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
Conduct Disorder
Male 050103 clinical psychology medicine.medical_specialty Adolescent Health Personnel Poison control PsycINFO Suicide prevention Occupational safety and health 03 medical and health sciences 0302 clinical medicine Injury prevention medicine Humans 0501 psychology and cognitive sciences Child Depressive Disorder 05 social sciences Traumatic stress Mental health Anxiety Disorders 030227 psychiatry Psychotherapy Psychiatry and Mental health Clinical Psychology Treatment Outcome Family medicine Anxiety Female medicine.symptom Psychology |
| Zdroj: | Journal of consulting and clinical psychology. 86(9) |
| ISSN: | 1939-2117 |
| Popis: | OBJECTIVE We assessed sustainability of an empirically supported, transdiagnostic youth psychotherapy program when therapist supervision was shifted from external experts to internal clinic staff. METHOD One hundred sixty-eight youths, aged 6-15 years, 59.5% male, 85.1% Caucasian, were treated for anxiety, depression, traumatic stress, or conduct problems by clinicians employed in community mental health clinics. In Phase 1 (2.7 years), 1 group of clinicians, the Sustain group, received training in Child STEPs (a modular transdiagnostic treatment + weekly feedback on youth response) and treated clinic-referred youths, guided by weekly supervision from external STEPs experts. In Phase 2 (2.9 years), Sustain clinicians treated additional youths but with supervision by clinic staff who had been trained to supervise STEPs. Also in Phase 2, a new group, External Supervision clinicians, received training and supervision from external STEPs experts and treated referred youths. Phase 2 youths were randomized to Sustain or External Supervision clinicians. Groups were compared on 3 therapist fidelity measures and 14 clinical outcome measures. RESULTS Sustain clinicians maintained their previous levels of fidelity and youth outcomes after switching from external to internal supervision; and in Phase 2, the Sustain and External Supervision groups also did not differ on fidelity or youth outcomes. Whereas all 34 group comparisons were nonsignificant, trends with the largest effect sizes showed better clinical outcomes for internal than external supervision. CONCLUSIONS Implementation of empirically supported transdiagnostic treatment may be sustained when supervision is transferred from external experts to trained clinic staff, potentially enhancing cost-effectiveness and staying power in clinical practice. (PsycINFO Database Record |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|