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Administration and Policy in Mental Health and Mental Health Services Research

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16.10.2015 | Original Article

Managing In-Session “Surprises:” Provider Responses to Emergent Life Events during Evidence-Based Treatment Implementation

verfasst von: Karen Guan, Michelle C. Levy, Rachel E. Kim, Todd E. Brown, Michael E. J. Reding, Leslie Rith-Najarian, Michael Sun, Anna S. Lau, Bruce F. Chorpita

Erschienen in: Administration and Policy in Mental Health and Mental Health Services Research | Ausgabe 2/2017

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Abstract

This study aimed to: (1) pilot a psychotherapy coding system for provider responses to emergent life events (ELEs; unexpected events that have a significant negative impact on the client), (2) examine the impact of ELEs on evidence-based treatment (EBT) delivery in community settings. Raters coded 30 randomly-sampled EBT session recordings with and without reported ELEs. Inter-rater reliability and validity for the system were generally high. When an ELE occurred, providers were significantly less likely to deliver the EBT, and when they did, they rarely linked the EBT to the event. Findings highlight the potential for ELEs to disrupt EBT implementation.

Note: Because preferred activity was defined differently for ELE cases than for non-ELE cases, the contingency table in this analysis is not symmetrical.

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Titel: Managing In-Session “Surprises:” Provider Responses to Emergent Life Events during Evidence-Based Treatment Implementation
verfasst von: Karen Guan
Michelle C. Levy
Rachel E. Kim
Todd E. Brown
Michael E. J. Reding
Leslie Rith-Najarian
Michael Sun
Anna S. Lau
Bruce F. Chorpita
Publikationsdatum: 16.10.2015
Verlag: Springer US
Erschienen in: Administration and Policy in Mental Health and Mental Health Services Research / Ausgabe 2/2017
Print ISSN: 0894-587X
Elektronische ISSN: 1573-3289
DOI: https://doi.org/10.1007/s10488-015-0692-3

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