nach oben

Administration and Policy in Mental Health and Mental Health Services Research

Erschienen in:

24.02.2017 | Original Article

How Intervention and Implementation Characteristics Relate to Community Therapists’ Attitudes Toward Evidence-Based Practices: A Mixed Methods Study

verfasst von: Miya Barnett, Lauren Brookman-Frazee, Jennifer Regan, Dana Saifan, Nicole Stadnick, Anna Lau

Erschienen in: Administration and Policy in Mental Health and Mental Health Services Research | Ausgabe 6/2017

Einloggen, um Zugang zu erhalten

Abstract

Therapists’ perceptions toward evidence-based practices (EBPs) are important in implementation efforts, however little is known about characteristics of EBPs associated with more positive attitudes. This mixed-methods study examined how intervention and implementation characteristics of six EBPs related to therapist attitudes. Quantitative analysis of 793 cross-sectional surveys revealed that therapists endorsed more positive attitudes toward EBPs with (1) prescribed session content and order and (2) required consultation. Associations between these intervention and implementation characteristics and attitudes were not moderated by therapist experience or emotional exhaustion. Qualitative analyses complemented quantitative findings, indicating that “structure” was appealing for interventions and that therapists felt supported by consultation.

Practices have been de-identified in order to maintain a neutral presentation of data.

Aarons, G. A. (2004). Mental health provider attitudes toward adoption of evidence-based practice: The evidence-based practice attitude scale (EBPAS). Mental Health Services Research, 6, 61–74.CrossRefPubMedPubMedCentral

Aarons, G. A., Cafri, G., Lugo, L., & Sawitzky, A. (2012). Expanding the domains of attitudes towards evidence-based practice: the evidence based practice attitude scale-50. Administration and Policy in Mental Health and Mental Health Services Research, 39, 331–340. doi:10.1007/s10488-010-0302-3.CrossRefPubMed

Aarons, G. A., Fettes, D. L., Flores, L. E., & Sommerfeld, D. H. (2009a). Evidence-based practice implementation and staff emotional exhaustion in children’s services. Behaviour Research and Therapy, 47, 954–960. doi:10.1016/j.brat.2009.07.006.CrossRefPubMedPubMedCentral

Addis, M. E., Wade, W. A., & Hatgis, C. (1999). Barriers to dissemination of evidence—based practices: Addressing practitioners’ concerns about manual—based psychotherapies. Clinical Psychology: Science and Practice, 6, 430–441.

Addis, M. E., & Krasnow, A. D. (2000). A national survey of practicing psychologists’ attitudes toward psychotherapy treatment manuals. Journal of Consulting and Clinical Psychology, 68, 331–339. doi:10.1037//0022-006X.68.2.331.CrossRefPubMed

Bearman, S. K., Weisz, J. R., Chorpita, B. F., Hoagwood, K., Ward, A., Ugueto, A. M., & Bernstein, A. (2013). More practice, less preach? The role of supervision processes and therapist characteristics in EBP implementation. Administration and Policy in Mental Health, 40, 518–529. http://doi.org/10.1007/s10488-013-0485-5.

Beidas, R. S., Edmunds, J. M., Cannuscio, C. C., Gallagher, M., Downey, M. M., & Kendall, P. C. (2013). Therapists’ perspectives on the effective elements of consultation following training. Administration and Policy in Mental Health, 40, 507–517. doi:10.1007/s10488-013-0475-7.CrossRefPubMedPubMedCentral

Beidas, R. S., Edmunds, J., Ditty, M., Watkins, J., Walsh, L., Marcus, S., & Kendall, P. (2014). Are inner context factors related to implementation outcomes in cognitive-behavioral therapy for youth anxiety? Administration and Policy in Mental Health and Mental Health Services Research, 41, 788–799. doi:10.1007/s10488-013-0529-x.CrossRefPubMedPubMedCentral

Beidas, R. S., & Kendall, P. C. (2010). Training therapists in evidence-based practice: A critical review of studies from a systems-contextual perspective. Clinical Psychology: A Publication of the Division of Clinical Psychology of the American Psychological Association, 17, 1–30. doi:10.1111/j.1468-2850.2009.01187.x.

Borntrager, C. F., Chorpita, B. F., Higa-McMillan, C., & Weisz, J. R. (2009). Provider attitudes toward evidence-based practices: Are the concerns with the evidence or with the manuals?. Psychiatric Services, 60, 677–688.CrossRefPubMed

Brookman-Frazee, L., Garland, A. F., Taylor, R., & Zoffness, R. (2009). Therapists’ attitudes towards psychotherapeutic strategies in community-based psychotherapy with children with disruptive behavior problems. Administration and Policy in Mental Health, 36, 1–12. doi:10.1007/s10488-008-0195-6.CrossRefPubMed

Brookman-Frazee, L., Stadnick, N., Roesch, S., Regan, J., Barnett, M., Bando, L., ... & Lau, A (2016). Measuring sustainment of multiple practices fiscally mandated in children’s mental health services. Administration and Policy in Mental Health and Mental Health Services Research, 43, 1009–1022. doi:10.1007/s10488-016-0731-8.CrossRefPubMed

Brookman-Frazee, L. I., Drahota, A., & Stadnick, N. (2012). Training community mental health therapists to deliver a package of evidence-based practice strategies for school-age children with autism spectrum disorders: A pilot study. Journal of Autism and Developmental Disorders, 42, 1651–1661. doi:10.1007/s10803-011-1406-7.CrossRefPubMedPubMedCentral

Burgess, A. M., Okamura, K. H., Izmirian, S. C., Higa-McMillan, C. K., Shimabukuro, S., & Nakamura, B. J. (2016). Therapist attitudes towards evidence-based practice: A joint factor analysis. The Journal of Behavioral Health Services & Research, doi:10.1007/s11414-016-9517-8.

Cashel, M. L. (2002). Child and adolescent psychological assessment: Current clinical practices and the impact of managed care. Professional Psychology: Research and Practice, 33, 446–453.CrossRef

Chorpita, B. F., & Daleiden, E. L. (2009). Mapping evidence-based treatments for children and adolescents: Application of the distillation and matching model to 615 treatments from 322 randomized trials. Journal of Consulting and Clinical Psychology, 77, 566–579. doi:10.1037/a0014565.CrossRefPubMed

Chorpita, B. F., Bernstein, A., & Daleiden, E. L. (2011). Empirically guided coordination of multiple evidence-based treatments: An illustration of relevance mapping in children’s mental health services. Journal of Consulting and Clinical Psychology, 79, 470–480. doi:10.1037/a0023982.CrossRefPubMed

Chorpita, B. F., Daleiden, E. L., & Collins, K. S. (2014). Managing and adapting practice: A system for applying evidence in clinical care with youth and families. Clinical Social Work Journal, 42, 134–142. doi:10.1007/s10615-013-0460-3.CrossRef

Chorpita, B. F., Park, A., Tsai, K., Korathu-Larson, P., Higa-McMillan, C. K., Nakamura, B. J., & Krull, J. (2015). Balancing effectiveness with responsiveness: Therapist satisfaction across different treatment designs in the child STEPs randomized effectiveness trial. Journal of Consulting and Clinical Psychology, 83, 709–718. doi:10.1037/a0039301.CrossRefPubMed

Christian, A. S., Niec, L. N., Acevedo-Polakovich, I. D., & Kassab, V. A. (2014). Dissemination of an evidence-based parenting program: Clinician perspectives on training and implementation. Children and Youth Services Review, 43, 8–17. doi:10.1016/j.childyouth.2014.04.005.CrossRef

Cohen, J. A., Mannarino, A. P., & Deblinger, E. (2006).Treating trauma and traumatic grief in children and adolescents. New York, NY: The Guilford Press.

Cook, J. M., Thompson, R., & Schnurr, P. P. (2015). Perceived characteristics of intervention scale development and psychometric properties. Assessment, 22, 704–714. doi:10.1177/1073191114561254.CrossRefPubMed

Cropanzano, R., Rupp, D. E., & Byrne, Z. S. (2003). The relationship of emotional exhaustion to work attitudes, job performance, and organizational citizenship behaviors. Journal of Applied Psychology, 88, 160–169. doi:10.1037/0021-9010.88.1.160.CrossRefPubMed

Edmunds, J. M., Read, K. L., Ringle, V. A., Brodman, D. M., Kendall, P. C., & Beidas, R. S. (2014). Sustaining clinician penetration, attitudes and knowledge in cognitive-behavioral therapy for youth anxiety. Implementation Science, 9, 1–12. doi:10.1186/s13012-014-0089-9.CrossRef

Funderburk, B. W., Ware, L. M., Altshuler, E., & Chaffin, M. (2008). Use and feasibility of telemedicine technology in the dissemination of parent-child interaction therapy. Child Maltreatment, 13, 377–382. doi:10.1177/1077559508321483.CrossRefPubMed

Glisson, C., Green, P., & Williams, N. J. (2012). Assessing the organizational social context (OSC) of child welfare systems: implications for research and practice. Child Abuse & Neglect, 36, 621–632. doi:10.1016/j.chiabu.2012.06.002.CrossRef

Glisson, C., Landsverk, J., Schoenwald, S., Kelleher, K., Hoagwood, K. E., Mayberg, S.,. & Research Network on Youth Mental Health. (2008). Assessing the organizational social context (OSC) of mental health services: Implications for research and practice. Administration and Policy in Mental Health and Mental Health Services Research, 35, 98–113. doi:10.1007/s10488-007-0148-5.CrossRefPubMed

Godley, S. H., White, W. L., Diamond, G., Passetti, L., & Titus, J. C. (2001). Therapist reactions to manual-guided therapies for the treatment of adolescent marijuana users. Clinical Psychology: Science and Practice, 8, 405–417. doi:10.1093/clipsy.8.4.405.

Greenhalgh, T., Robert, G., Macfarlane, F., Bate, P., & Kyriakidou, O. (2004). Diffusion of innovations in service organizations: systematic review and recommendations. Milbank Quarterly, 82, 581–629. doi:10.1111/j.0887-378X.2004.00325.x.CrossRefPubMedPubMedCentral

Hamilton, A. (2013). Qualitative methods in rapid turn-around health services research. Retrieved 19 August, 2016 from http://www.hsrd.research.va.gov/for_researchers/cyber_seminars/archives/780-notes.pdf. .

Hawley, K. M., Cook, J. R., & Jensen-Doss, A. (2009). Do noncontingent incentives increase survey response rates among mental health providers? A randomized trial comparison. Administration and Policy in Mental Health and Mental Health Services Research, 36, 343–348. doi:10.1007/s10488-009-0225-z.

Hayes, A. F. (2006). A primer on multilevel modeling. Human Communication Research, 32, 385–410. doi:10.1111/j.1468-2958.2006.00281.x.CrossRef

Herschell, A. D., Kolko, D. J., Baumann, B. L., & Davis, A. C. (2010). The role of therapist training in the implementation of psychosocial treatments: A review and critique with recommendations. Clinical Psychology Review, 30, 448–466. doi:10.1016/j.cpr.2010.02.005.CrossRefPubMedPubMedCentral

Jaycox, L. H. (2003). CBITS: Cognitive behavioral intervention for trauma in schools. Dallas, TX: Sopris West.

Jensen-Doss, A., Hawley, K. M., Lopez, M., & Osterberg, L. D. (2009). Using evidence-based treatments: The experiences of youth providers working under a mandate. Professional Psychology: Research and Practice, 40, 417–424. doi:10.1037/a0014690.CrossRef

Lau, A. S., & Brookman-Frazee, L. (2016). The 4KEEPS study: Identifying predictors of sustainment of multiple practices fiscally mandated in children’s mental health services. Implementation Science. doi:10.1186/s13012-016-0388-4.

Lieberman, A. F., & Van Horn, P. (2005). Don’t hit my mommy!: A manual for child-parent psychotherapy with young witnesses of family violence. Washington, DC: Zero to Three.

Lim, A., Nakamura, B. J., Higa-McMillan, C. K., Shimabukuro, S., & Slavin, L. (2012). Effects of workshop trainings on evidence-based practice knowledge and attitudes among youth community mental health providers. Behaviour Research and Therapy, 50, 397–406. doi:10.1016/j.brat.2012.03.008.CrossRefPubMed

Los Angeles County Department of Mental Health (2010a). CBITS implementation planning. Retrieved 19 August, 2016 from http://file.lacounty.gov/dmh/cms1_159573.pdf.

Los Angeles County Department of Mental Health (2010b). CPP implementation planning. Retrieved 19 August, 2016 from http://file.lacounty.gov/dmh/cms1_159574.pdf.

Los Angeles County Department of Mental Health (2010c). MAP kickoff meeting: Training and implementation. Retrieved 19 August, 2016 from http://file.lacounty.gov/dmh/cms1_160228.pdf.

Los Angeles County Department of Mental Health (2010d). TF-CBT implementation planning. Retrieved 19 August, 2016 from http://file.lacounty.gov/dmh/cms1_160204.pdf.

Los Angeles County Department of Mental Health (2010e). Triple P implementation planning. Retrieved 19 August, 2016 from http://file.lacounty.gov/dmh/cms1_160228.pdf.

Lyon, A. R., Ludwig, K., Romano, E., Leonard, S., Stoep, A. V., & McCauley, E. (2013). “If it’s worth my time, I will make the time”: School-based providers’ decision-making about participating in an evidence-based psychotherapy consultation program. Administration and Policy in Mental Health, 40, 467–481. doi:10.1007/s10488-013-0494-4.CrossRefPubMedPubMedCentral

Maslach, C., & Jackson, S. E. (1981). The measurement of experienced burnout. Journal of Organizational Behavior, 2, 99–113. doi:10.1002/job.4030020205.CrossRef

Miles, M. B., & Huberman, A. M. (1994). Qualitative data analysis: An expanded sourcebook. Sage.

Morse, G., Salyers, M. P., Rollins, A. L., Monroe-DeVita, M., & Pfahler, C. (2012). Burnout in mental health services: A review of the problem and its remediation. Administration and Policy in Mental Health, 39, 341–352. doi:10.1007/s10488-011-0352-1.CrossRefPubMedPubMedCentral

Nadeem, E., Gleacher, A., & Beidas, R. S. (2013). Consultation as an implementation strategy for evidence-based practices across multiple contexts: Unpacking the black box. Administration and Policy in Mental Health, 40, 439–450. doi:10.1007/s10488-013-0502-8.CrossRefPubMedPubMedCentral

Najavits, L. M. (2002). Seeking safety: A treatment manual for PTSD and substance abuse. Guilford Press.

Nakamura, B. J., Higa-McMillan, C. K., Okamura, K. H., & Shimabukuro, S. (2011). Knowledge of and attitudes towards evidence-based practices in community child mental health practitioners. Administration and Policy in Mental Health and Mental Health Services Research, 38, 287–300. doi:10.1007/s10488-011-0351-2.CrossRefPubMed

Nelson, M. M., Shanley, J. R., Funderburk, B. W., & Bard, E. (2012). Therapists’ attitudes toward evidence-based practices and implementation of parent–child interaction therapy. Child Maltreatment, 17, 47–55. doi:10.1177/1077559512436674.CrossRefPubMed

Nelson, T. D., & Steele, R. G. (2007). Predictors of practitioner self-reported use of evidence-based practices: Practitioner training, clinical setting, and attitudes toward research. Administration and Policy in Mental Health and Mental Health Services Research, 34, 319–330. doi:10.1007/s10488-006-0111-x.CrossRefPubMed

Nelson, T. D., Steele, R. G., & Mize, J. A. (2006). Practitioner attitudes toward evidence-based practice: Themes and challenges. Administration and Policy in Mental Health and Mental Health Services Research, 33, 398–409. doi:10.1007/s10488-006-0044-4.CrossRefPubMed

Palinkas, L. A., Aarons, G. A., Horwitz, S., Chamberlain, P., Hurlburt, M., & Landsverk, J. (2011). Mixed method designs in implementation research. Administration and Policy in Mental Health and Mental Health Services Research, 38, 44–53. doi:10.1007/s10488-010-0314-z.CrossRefPubMed

Pemberton, J. R., Conners-Burrow, N. A., Sigel, B. A., Sievers, C. M., Stokes, L. D., & Kramer, T. L. (2015). Factors associated with clinician participation in TF-CBT post-workshop training components. Administration and Policy in Mental Health and Mental Health Services Research, 1–10, doi:10.1007/s10488-015-0677-2.

Piotrowski, C., & Keller, J. W. (1989). Psychological testing in outpatient mental health facilities: A national study. Professional Psychology: Research and Practice, 20, 423.CrossRef

Reding, M. E., Chorpita, B. F., Lau, A. S., & Innes-Gomberg, D. (2014). Providers’ attitudes toward evidence-based practices: is it just about providers, or do practices matter, too? Administration and Policy in Mental Health and Mental Health Services Research, 41, 767–776. doi:10.1007/s10488-013-0525-1.CrossRefPubMedPubMedCentral

Rogers, E. M. (1962). Diffusion of innovations. New York, NY: Free Press.

Rogers, E. M. (2003). Diffusion of innovations (5th edn.). New York, NY: Free Press.

Rosenberg, R. P., & Beck, S. (1986). Preferred assessment methods and treatment modalities for hyperactive children among clinical child and school psychologists. Journal of Clinical Child Psychology, 15, 142–147.CrossRef

Spradley, J. (1979). The ethnographic interview. New York: Holt, Rinehart and Winston.

Turner, K. M., Markie-Dadds, C., & Sanders, M. R. (2002). Facilitator’s manual for group Triple P (2nd ed. revised). Milton, QLD: Triple P International Pty. Ltd.

Titel: How Intervention and Implementation Characteristics Relate to Community Therapists’ Attitudes Toward Evidence-Based Practices: A Mixed Methods Study
verfasst von: Miya Barnett
Lauren Brookman-Frazee
Jennifer Regan
Dana Saifan
Nicole Stadnick
Anna Lau
Publikationsdatum: 24.02.2017
Verlag: Springer US
Erschienen in: Administration and Policy in Mental Health and Mental Health Services Research / Ausgabe 6/2017
Print ISSN: 0894-587X
Elektronische ISSN: 1573-3289
DOI: https://doi.org/10.1007/s10488-017-0795-0

Neu im Fachgebiet Psychiatrie

Demenzkranke durch Antipsychotika vielfach gefährdet

23.04.2024 Demenz Nachrichten

Wenn Demenzkranke aufgrund von Symptomen wie Agitation oder Aggressivität mit Antipsychotika behandelt werden, sind damit offenbar noch mehr Risiken verbunden als bislang angenommen.

Weniger postpartale Depressionen nach Esketamin-Einmalgabe

23.04.2024 Depression antepartal oder postpartal Nachrichten

Bislang gibt es kein Medikament zur Prävention von Wochenbettdepressionen. Das Injektionsanästhetikum Esketamin könnte womöglich diese Lücke füllen.

„Psychotherapie ist auch bei sehr alten Menschen hochwirksam!“

22.04.2024 DGIM 2024 Kongressbericht

Die Kombination aus Medikamenten und Psychotherapie gilt als effektivster Ansatz bei Depressionen. Das ist bei betagten Menschen nicht anders, trotz Besonderheiten.

Auf diese Krankheiten bei Geflüchteten sollten Sie vorbereitet sein

22.04.2024 DGIM 2024 Nachrichten

Um Menschen nach der Flucht aus einem Krisengebiet bestmöglich medizinisch betreuen zu können, ist es gut zu wissen, welche Erkrankungen im jeweiligen Herkunftsland häufig sind. Dabei hilft eine Internetseite der CDC (Centers for Disease Control and Prevention).

Update Psychiatrie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.

Newsletter bestellen

Springer Medizin

Abstract

Bitte loggen Sie sich ein, um Zugang zu diesem Inhalt zu erhalten

Weitere Artikel der Ausgabe 6/2017

Placement and Delinquency Outcomes Among System-Involved Youth Referred to Multisystemic Therapy: A Propensity Score Matching Analysis

Optimal Network for Patients with Severe Mental Illness: A Social Network Analysis

The Impact of Coverage Restrictions on Antipsychotic Utilization Among Low-Income Medicare Part D Enrollees

Mapping “Trauma-Informed” Legislative Proposals in U.S. Congress

The Role of Practice Research Networks (PRN) in the Development and Implementation of Evidence: The Northern Improving Access to Psychological Therapies PRN Case Study

Context Matters: Team and Organizational Factors Associated with Reach of Evidence-Based Psychotherapies for PTSD in the Veterans Health Administration