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15.04.2024 | Original Paper

Therapist Participation in a Learning Collaborative on Trauma-Focused Cognitive Behavioral Therapy: Impact of COVID-related Stressors and Challenges

verfasst von: Kelsey McCoy, Angela Moreland-Johnson, Shelby Wade, Kathy Quinones, Carole Swiecicki, Rochelle Hanson

Erschienen in: Community Mental Health Journal

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Abstract

The rise in mental health problems during the COVID-19 pandemic amplified the need to improve access to evidence-based treatments (EBT) and necessitated changes in treatment delivery and training of mental health providers (MHPs). There is limited information on how the pandemic may have impacted MHPs’ participation in training and treatment delivery. This study included 269 MHPs who participated in a Learning Collaborative (LC) focused on an EBT. Qualitative interviews conducted with 15 MHPs who participated in the LC during the pandemic identified facilitators and barriers to training participation and EBT delivery that included social support, technology challenges, and difficulty completing cases following the transition to telehealth. Quantitative results showed that MHPs in the peri-COVID cohorts completed significantly fewer cases and fewer consultation calls compared to those prior to the pandemic. Findings suggest that providing support to train MHPs and promote EBT delivery may be beneficial during times of heightened stress.
Literatur
Zurück zum Zitat Aafjes-van Doorn, K., Békés, V., Prout, T. A., & Hoffman, L. (2020). Psychotherapists’ vicarious traumatization during the COVID-19 pandemic. Psychological Trauma: Theory Research Practice and Policy, 12(S1), S148.CrossRefPubMed Aafjes-van Doorn, K., Békés, V., Prout, T. A., & Hoffman, L. (2020). Psychotherapists’ vicarious traumatization during the COVID-19 pandemic. Psychological Trauma: Theory Research Practice and Policy, 12(S1), S148.CrossRefPubMed
Zurück zum Zitat Aafjes-van Doorn, K., Békés, V., & Prout, T. A. (2021). Grappling with our therapeutic relationship and professional self-doubt during COVID-19: Will we use video therapy again? Counselling Psychology Quarterly, 34(3–4), 473–484.CrossRef Aafjes-van Doorn, K., Békés, V., & Prout, T. A. (2021). Grappling with our therapeutic relationship and professional self-doubt during COVID-19: Will we use video therapy again? Counselling Psychology Quarterly, 34(3–4), 473–484.CrossRef
Zurück zum Zitat Aarons, G. A., & Sommerfeld, D. H. (2012). Leadership, innovation climate, and attitudes toward evidence-based practice during a statewide implementation. Journal of the American Academy of Child & Adolescent Psychiatry, 51(4), 423–431. Aarons, G. A., & Sommerfeld, D. H. (2012). Leadership, innovation climate, and attitudes toward evidence-based practice during a statewide implementation. Journal of the American Academy of Child & Adolescent Psychiatry, 51(4), 423–431.
Zurück zum Zitat Aarons, G. A., Farahnak, L. R., & Ehrhart, M. G. (2014). Leadership and strategic organizational climate to support evidence-based practice implementation. Dissemination and implementation of evidence-based practices in child and adolescent mental health, 82–97. Aarons, G. A., Farahnak, L. R., & Ehrhart, M. G. (2014). Leadership and strategic organizational climate to support evidence-based practice implementation. Dissemination and implementation of evidence-based practices in child and adolescent mental health, 82–97.
Zurück zum Zitat Amaya-Jackson, L., Hagele, D., Sideris, J., Potter, D., Briggs, E. C., Keen, L., & Socolar, R. (2018). Pilot to policy: Statewide dissemination and implementation of evidence-based treatment for traumatized youth. BMC Health Services Research, 18(1), 1–14.CrossRef Amaya-Jackson, L., Hagele, D., Sideris, J., Potter, D., Briggs, E. C., Keen, L., & Socolar, R. (2018). Pilot to policy: Statewide dissemination and implementation of evidence-based treatment for traumatized youth. BMC Health Services Research, 18(1), 1–14.CrossRef
Zurück zum Zitat Ascienzo, S., Sprang, G., & Eslinger, J. (2020). Disseminating TF-CBT: A mixed methods investigation of clinician perspectives and the impact of training format and formalized problem‐solving approaches on implementation outcomes. Journal of Evaluation in Clinical Practice, 26(6), 1657–1668.CrossRefPubMed Ascienzo, S., Sprang, G., & Eslinger, J. (2020). Disseminating TF-CBT: A mixed methods investigation of clinician perspectives and the impact of training format and formalized problem‐solving approaches on implementation outcomes. Journal of Evaluation in Clinical Practice, 26(6), 1657–1668.CrossRefPubMed
Zurück zum Zitat Békés, V., Aafjes-van Doorn, K., Luo, X., Prout, T. A., & Hoffman, L. (2021). Psychotherapists’ challenges with online therapy during COVID-19: Concerns about connectedness predict therapists’ negative view of online therapy and its perceived efficacy over time. Frontiers in Psychology, 12. Békés, V., Aafjes-van Doorn, K., Luo, X., Prout, T. A., & Hoffman, L. (2021). Psychotherapists’ challenges with online therapy during COVID-19: Concerns about connectedness predict therapists’ negative view of online therapy and its perceived efficacy over time. Frontiers in Psychology, 12.
Zurück zum Zitat Cohen, J. A., Mannarino, A. P., Kliethermes, M., & Murray, L. A. (2012). Trauma-focused CBT for youth with complex trauma. Child Abuse & Neglect, 36(6), 528–541.CrossRef Cohen, J. A., Mannarino, A. P., Kliethermes, M., & Murray, L. A. (2012). Trauma-focused CBT for youth with complex trauma. Child Abuse & Neglect, 36(6), 528–541.CrossRef
Zurück zum Zitat Connolly, S. L., Miller, C. J., Lindsay, J. A., & Bauer, M. S. (2020). A systematic review of providers’ attitudes toward telemental health via videoconferencing. Clinical Psychology: Science and Practice, 27(2), e12311. Connolly, S. L., Miller, C. J., Lindsay, J. A., & Bauer, M. S. (2020). A systematic review of providers’ attitudes toward telemental health via videoconferencing. Clinical Psychology: Science and Practice, 27(2), e12311.
Zurück zum Zitat Creswell, J. W., Klassen, A. C., Clark, P., V. L., & Smith, K. C. (2011). Best practices for mixed methods research in the health sciences. Bethesda (Maryland): National Institutes of Health, 2013, 541–545. Creswell, J. W., Klassen, A. C., Clark, P., V. L., & Smith, K. C. (2011). Best practices for mixed methods research in the health sciences. Bethesda (Maryland): National Institutes of Health, 2013, 541–545.
Zurück zum Zitat Deblinger, E., Stauffer, L. B., & Steer, R. A. (2001). Comparative efficacies of supportive and cognitive behavioral group therapies for young children who have been sexually abused and their nonoffending mothers. Child Maltreatment, 6(4), 332–343.CrossRefPubMed Deblinger, E., Stauffer, L. B., & Steer, R. A. (2001). Comparative efficacies of supportive and cognitive behavioral group therapies for young children who have been sexually abused and their nonoffending mothers. Child Maltreatment, 6(4), 332–343.CrossRefPubMed
Zurück zum Zitat DeCuir-Gunby, J. T., Marshall, P. L., & McCulloch, A. W. (2012). Using mixed methods to analyze video data: A mathematics teacher professional development example. Journal of Mixed Methods Research, 6(3), 199–216.CrossRef DeCuir-Gunby, J. T., Marshall, P. L., & McCulloch, A. W. (2012). Using mixed methods to analyze video data: A mathematics teacher professional development example. Journal of Mixed Methods Research, 6(3), 199–216.CrossRef
Zurück zum Zitat Domhardt, M., Münzer, A., Fegert, J. M., & Goldbeck, L. (2015). Resilience in survivors of child sexual abuse: A systematic review of the literature. Trauma Violence & Abuse, 16(4), 476–493.CrossRef Domhardt, M., Münzer, A., Fegert, J. M., & Goldbeck, L. (2015). Resilience in survivors of child sexual abuse: A systematic review of the literature. Trauma Violence & Abuse, 16(4), 476–493.CrossRef
Zurück zum Zitat Ebert, L., Amaya-Jackson, L., Markiewicz, J. M., Kisiel, C., & Fairbank, J. A. (2012). Use of the breakthrough series collaborative to support broad and sustained use of evidence-based trauma treatment for children in community practice settings. Administration and Policy in Mental Health and Mental Health Services Research, 39(3), 187–199.CrossRefPubMed Ebert, L., Amaya-Jackson, L., Markiewicz, J. M., Kisiel, C., & Fairbank, J. A. (2012). Use of the breakthrough series collaborative to support broad and sustained use of evidence-based trauma treatment for children in community practice settings. Administration and Policy in Mental Health and Mental Health Services Research, 39(3), 187–199.CrossRefPubMed
Zurück zum Zitat Edmunds, J. M., Beidas, R. S., & Kendall, P. C. (2013). Dissemination and implementation of evidence–based practices: Training and consultation as implementation strategies. Clinical Psychology: Science and Practice, 20(2), 152.PubMed Edmunds, J. M., Beidas, R. S., & Kendall, P. C. (2013). Dissemination and implementation of evidence–based practices: Training and consultation as implementation strategies. Clinical Psychology: Science and Practice, 20(2), 152.PubMed
Zurück zum Zitat Elo, S., & Kyngäs, H. (2008). The qualitative content analysis process. Journal of Advanced Nursing, 62(1), 107–115.CrossRefPubMed Elo, S., & Kyngäs, H. (2008). The qualitative content analysis process. Journal of Advanced Nursing, 62(1), 107–115.CrossRefPubMed
Zurück zum Zitat Espeleta, H. C., Taylor, D. L., Kraft, J. D., & Grant, D. M. (2021). Child maltreatment and cognitive vulnerabilities: Examining the link to posttraumatic stress symptoms. Journal of American College Health, 69(7), 759–766. Espeleta, H. C., Taylor, D. L., Kraft, J. D., & Grant, D. M. (2021). Child maltreatment and cognitive vulnerabilities: Examining the link to posttraumatic stress symptoms. Journal of American College Health, 69(7), 759–766.
Zurück zum Zitat Fixsen, D. L., Blase, K. A., Naoom, S. F., & Wallace, F. (2009). Core implementation components. Research on social work practice, 19(5), 531–540. Fixsen, D. L., Blase, K. A., Naoom, S. F., & Wallace, F. (2009). Core implementation components. Research on social work practice, 19(5), 531–540.
Zurück zum Zitat Hanson, R. F., Self-Brown, S., Rostad, W. L., & Jackson, M. C. (2016). The what, when, and why of implementation frameworks for evidence-based practices in child welfare and child mental health service systems. Child Abuse & Neglect, 53, 51–63.CrossRef Hanson, R. F., Self-Brown, S., Rostad, W. L., & Jackson, M. C. (2016). The what, when, and why of implementation frameworks for evidence-based practices in child welfare and child mental health service systems. Child Abuse & Neglect, 53, 51–63.CrossRef
Zurück zum Zitat Hanson, R. F., Saunders, B. E., Ralston, E., Moreland, A. D., Peer, S. O., & Fitzgerald, M. M. (2019). Statewide implementation of child trauma-focused practices using the community-based learning collaborative model. Psychological Services, 16(1), 170.CrossRefPubMed Hanson, R. F., Saunders, B. E., Ralston, E., Moreland, A. D., Peer, S. O., & Fitzgerald, M. M. (2019). Statewide implementation of child trauma-focused practices using the community-based learning collaborative model. Psychological Services, 16(1), 170.CrossRefPubMed
Zurück zum Zitat Harvey, A. G., & Gumport, N. B. (2015). Evidence-based psychological treatments for mental disorders: Modifiable barriers to access and possible solutions. Behaviour Research and Therapy, 68, 1–12.CrossRefPubMedPubMedCentral Harvey, A. G., & Gumport, N. B. (2015). Evidence-based psychological treatments for mental disorders: Modifiable barriers to access and possible solutions. Behaviour Research and Therapy, 68, 1–12.CrossRefPubMedPubMedCentral
Zurück zum Zitat Helseth, S. A., Peer, S. O., Are, F., Korell, A. M., Saunders, B. E., Schoenwald, S. K., & Hanson, R. F. (2020). Sustainment of trauma-focused and evidence-based practices following learning collaborative implementation. Administration and Policy in Mental Health and Mental Health Services Research, 47(4), 569–580.CrossRefPubMed Helseth, S. A., Peer, S. O., Are, F., Korell, A. M., Saunders, B. E., Schoenwald, S. K., & Hanson, R. F. (2020). Sustainment of trauma-focused and evidence-based practices following learning collaborative implementation. Administration and Policy in Mental Health and Mental Health Services Research, 47(4), 569–580.CrossRefPubMed
Zurück zum Zitat Herschell, A. D., Kolko, D. J., Scudder, A. T., Taber-Thomas, S., Schaffner, K. F., Hiegel, S. A., & Mrozowski, S. (2015). Protocol for a statewide randomized controlled trial to compare three training models for implementing an evidence-based treatment. Implementation Science, 10(1), 1–16.CrossRef Herschell, A. D., Kolko, D. J., Scudder, A. T., Taber-Thomas, S., Schaffner, K. F., Hiegel, S. A., & Mrozowski, S. (2015). Protocol for a statewide randomized controlled trial to compare three training models for implementing an evidence-based treatment. Implementation Science, 10(1), 1–16.CrossRef
Zurück zum Zitat IBM Corp. (2021). IBM SPSS statistics 28 [Computer software]. Author. IBM Corp. (2021). IBM SPSS statistics 28 [Computer software]. Author.
Zurück zum Zitat Lang, J. M., Franks, R. P., Epstein, C., Stover, C., & Oliver, J. A. (2015). Statewide dissemination of an evidence-based practice using breakthrough Series Collaboratives. Children and Youth Services Review, 55, 201–209.CrossRef Lang, J. M., Franks, R. P., Epstein, C., Stover, C., & Oliver, J. A. (2015). Statewide dissemination of an evidence-based practice using breakthrough Series Collaboratives. Children and Youth Services Review, 55, 201–209.CrossRef
Zurück zum Zitat Ledesma, D. A. S., & Fernandez, K. T. G. (2021). If I am not well, I can’t do sessions well’: An analysis of the narratives of Filipino therapists during the COVID-19 pandemic. Counselling and Psychotherapy Research. Ledesma, D. A. S., & Fernandez, K. T. G. (2021). If I am not well, I can’t do sessions well’: An analysis of the narratives of Filipino therapists during the COVID-19 pandemic. Counselling and Psychotherapy Research.
Zurück zum Zitat Makadia, R., Sabin-Farrell, R., & Turpin, G. (2017). Indirect exposure to client trauma and the impact on trainee clinical psychologists: Secondary traumatic stress or vicarious traumatization? Clinical Psychology & Psychotherapy, 24(5), 1059–1068. Makadia, R., Sabin-Farrell, R., & Turpin, G. (2017). Indirect exposure to client trauma and the impact on trainee clinical psychologists: Secondary traumatic stress or vicarious traumatization? Clinical Psychology & Psychotherapy, 24(5), 1059–1068.
Zurück zum Zitat Meza, R. D., AlRasheed, R., Pullmann, M. D., & Dorsey, S. (2023). Clinical supervision approach predicts evidence-based trauma treatment delivery in children’s mental health. Frontiers in Psychiatry, 13, 1072844. Meza, R. D., AlRasheed, R., Pullmann, M. D., & Dorsey, S. (2023). Clinical supervision approach predicts evidence-based trauma treatment delivery in children’s mental health. Frontiers in Psychiatry, 13, 1072844.
Zurück zum Zitat Molfenter, T., Heitkamp, T., Murphy, A. A., Tapscott, S., Behlman, S., & Cody, O. J. (2021). Use of telehealth in mental health (MH) services during and after COVID-19. Community Mental Health Journal, 57(7), 1244–1251.CrossRefPubMedPubMedCentral Molfenter, T., Heitkamp, T., Murphy, A. A., Tapscott, S., Behlman, S., & Cody, O. J. (2021). Use of telehealth in mental health (MH) services during and after COVID-19. Community Mental Health Journal, 57(7), 1244–1251.CrossRefPubMedPubMedCentral
Zurück zum Zitat Nadeem, E., Weiss, D., Olin, S. S., Hoagwood, K. E., & Horwitz, S. M. (2016). Using a theory-guided learning collaborative model to improve implementation of EBPs in a state children’s mental health system: A pilot study. Administration and Policy in Mental Health and Mental Health Services Research, 43(6), 978–990.CrossRefPubMed Nadeem, E., Weiss, D., Olin, S. S., Hoagwood, K. E., & Horwitz, S. M. (2016). Using a theory-guided learning collaborative model to improve implementation of EBPs in a state children’s mental health system: A pilot study. Administration and Policy in Mental Health and Mental Health Services Research, 43(6), 978–990.CrossRefPubMed
Zurück zum Zitat Nissen-Lie, H. A., Havik, O. E., Høglend, P. A., Monsen, J. T., & Rønnestad, M. H. (2013). The contribution of the quality of therapists’ personal lives to the development of the working alliance. Journal of Counseling Psychology, 60(4), 483.CrossRefPubMed Nissen-Lie, H. A., Havik, O. E., Høglend, P. A., Monsen, J. T., & Rønnestad, M. H. (2013). The contribution of the quality of therapists’ personal lives to the development of the working alliance. Journal of Counseling Psychology, 60(4), 483.CrossRefPubMed
Zurück zum Zitat Norwood, C., Moghaddam, N. G., Malins, S., & Sabin-Farrell, R. (2018). Working alliance and outcome effectiveness in videoconferencing psychotherapy: A systematic review and noninferiority meta-analysis. Clinical Psychology & Psychotherapy, 25(6), 797–808. Norwood, C., Moghaddam, N. G., Malins, S., & Sabin-Farrell, R. (2018). Working alliance and outcome effectiveness in videoconferencing psychotherapy: A systematic review and noninferiority meta-analysis. Clinical Psychology & Psychotherapy, 25(6), 797–808.
Zurück zum Zitat Odyniec, P., Probst, T., Margraf, J., & Willutzki, U. (2019). Psychotherapist trainees’ professional self-doubt and negative personal reaction: Changes during cognitive behavioral therapy and association with patient progress. Psychotherapy Research, 29(1), 123–138. Odyniec, P., Probst, T., Margraf, J., & Willutzki, U. (2019). Psychotherapist trainees’ professional self-doubt and negative personal reaction: Changes during cognitive behavioral therapy and association with patient progress. Psychotherapy Research, 29(1), 123–138.
Zurück zum Zitat Probst, T., Stippl, P., & Pieh, C. (2020). Changes in provision of psychotherapy in the early weeks of the COVID-19 lockdown in Austria. International Journal of Environmental Research and Public Health, 17(11), 3815.CrossRefPubMedPubMedCentral Probst, T., Stippl, P., & Pieh, C. (2020). Changes in provision of psychotherapy in the early weeks of the COVID-19 lockdown in Austria. International Journal of Environmental Research and Public Health, 17(11), 3815.CrossRefPubMedPubMedCentral
Zurück zum Zitat Roesler, C. (2017). Tele-analysis: The use of media technology in psychotherapy and its impact on the therapeutic relationship. Journal of Analytical Psychology, 62(3), 372–394.CrossRefPubMed Roesler, C. (2017). Tele-analysis: The use of media technology in psychotherapy and its impact on the therapeutic relationship. Journal of Analytical Psychology, 62(3), 372–394.CrossRefPubMed
Zurück zum Zitat Ruwaard, J., Schrieken, B., Schrijver, M., Broeksteeg, J., Dekker, J., Vermeulen, H., & Lange, A. (2009). Standardized web-based cognitive behavioural therapy of mild to moderate depression: A randomized controlled trial with a long-term follow-up. Cognitive Behaviour Therapy, 38(4), 206–221.CrossRefPubMed Ruwaard, J., Schrieken, B., Schrijver, M., Broeksteeg, J., Dekker, J., Vermeulen, H., & Lange, A. (2009). Standardized web-based cognitive behavioural therapy of mild to moderate depression: A randomized controlled trial with a long-term follow-up. Cognitive Behaviour Therapy, 38(4), 206–221.CrossRefPubMed
Zurück zum Zitat Schuster, R., Pokorny, R., Berger, T., Topooco, N., & Laireiter, A. R. (2018). The advantages and disadvantages of online and blended therapy: Survey study amongst licensed psychotherapists in Austria. Journal of Medical Internet Research, 20(12), e11007. Schuster, R., Pokorny, R., Berger, T., Topooco, N., & Laireiter, A. R. (2018). The advantages and disadvantages of online and blended therapy: Survey study amongst licensed psychotherapists in Austria. Journal of Medical Internet Research, 20(12), e11007.
Zurück zum Zitat Simionato, G. K., & Simpson, S. (2018). Personal risk factors associated with burnout among psychotherapists: A systematic review of the literature. Journal of Clinical Psychology, 74(9), 1431–1456.CrossRefPubMed Simionato, G. K., & Simpson, S. (2018). Personal risk factors associated with burnout among psychotherapists: A systematic review of the literature. Journal of Clinical Psychology, 74(9), 1431–1456.CrossRefPubMed
Zurück zum Zitat Stewart, R. W., Orengo-Aguayo, R., Young, J., Wallace, M. M., Cohen, J. A., Mannarino, A. P., & de Arellano, M. A. (2020). Feasibility and effectiveness of a telehealth service delivery model for treating childhood posttraumatic stress: A community-based, open pilot trial of trauma-focused cognitive–behavioral therapy. Journal of Psychotherapy Integration, 30(2), 274. Stewart, R. W., Orengo-Aguayo, R., Young, J., Wallace, M. M., Cohen, J. A., Mannarino, A. P., & de Arellano, M. A. (2020). Feasibility and effectiveness of a telehealth service delivery model for treating childhood posttraumatic stress: A community-based, open pilot trial of trauma-focused cognitive–behavioral therapy. Journal of Psychotherapy Integration, 30(2), 274.
Zurück zum Zitat Valenstein-Mah, H., Greer, N., McKenzie, L., Hansen, L., Strom, T. Q., Wiltsey Stirman, S., ... & Kehle-Forbes, S. M. (2020). Effectiveness of training methods for delivery of evidence-based psychotherapies: A systematic review. Implementation Science, 15, 1–17. Valenstein-Mah, H., Greer, N., McKenzie, L., Hansen, L., Strom, T. Q., Wiltsey Stirman, S., ... & Kehle-Forbes, S. M. (2020). Effectiveness of training methods for delivery of evidence-based psychotherapies: A systematic review. Implementation Science, 15, 1–17.
Zurück zum Zitat Villalobos, B. T., Dueweke, A. R., Orengo-Aguayo, R., & Stewart, R. W. (2023). Patient perceptions of trauma-focused telemental health services using the Telehealth Satisfaction Questionnaire (TSQ). Psychological Services, 20(1), 107. Villalobos, B. T., Dueweke, A. R., Orengo-Aguayo, R., & Stewart, R. W. (2023). Patient perceptions of trauma-focused telemental health services using the Telehealth Satisfaction Questionnaire (TSQ). Psychological Services, 20(1), 107.
Zurück zum Zitat Whaibeh, E., Mahmoud, H., & Naal, H. (2020). Telemental health in the context of a pandemic: The COVID-19 experience. Current Treatment Options in Psychiatry, 7(2), 198–202.CrossRefPubMedPubMedCentral Whaibeh, E., Mahmoud, H., & Naal, H. (2020). Telemental health in the context of a pandemic: The COVID-19 experience. Current Treatment Options in Psychiatry, 7(2), 198–202.CrossRefPubMedPubMedCentral
Metadaten
Titel
Therapist Participation in a Learning Collaborative on Trauma-Focused Cognitive Behavioral Therapy: Impact of COVID-related Stressors and Challenges
verfasst von
Kelsey McCoy
Angela Moreland-Johnson
Shelby Wade
Kathy Quinones
Carole Swiecicki
Rochelle Hanson
Publikationsdatum
15.04.2024
Verlag
Springer US
Erschienen in
Community Mental Health Journal
Print ISSN: 0010-3853
Elektronische ISSN: 1573-2789
DOI
https://doi.org/10.1007/s10597-024-01256-9

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