Therapists Perspectives on the Effective Elements of Consultation Following Training

Department of Psychiatry, Perelman School of Medicine, University of Pennsylvania, 3535 Market Street, 3015, Philadelphia, PA, 19104, USA, .
Administration and Policy in Mental Health and Mental Health Services Research (Impact Factor: 3.44). 02/2013; 40(6). DOI: 10.1007/s10488-013-0475-7
Source: PubMed


Consultation is an effective implementation strategy to improve uptake of evidence-based practices for youth. However, little is known about what makes consultation effective. The present study used qualitative methods to explore therapists perspectives about consultation. We interviewed 50 therapists who had been trained 2 years prior in cognitive-behavioral therapy for child anxiety. Three themes emerged regarding effective elements of consultation: (1) connectedness with other therapists and the consultant, (2) authentic interactions around actual cases, and (3) the responsiveness of the consultant to the needs of individual therapists. Recommendations for the design of future consultation endeavors are offered.

Download full-text


Available from: Rinad S Beidas, Jan 16, 2014
37 Reads
  • Source
    [Show abstract] [Hide abstract]
    ABSTRACT: The training literature suggests that ongoing support following initial therapist training enhances training outcomes, yet little is known about what occurs during ongoing support and what accounts for its effectiveness. The present study examined consultation sessions provided to 99 clinicians following training in cognitive-behavioral therapy for youth anxiety. Recorded consultation sessions (N = 104) were coded for content and consultative methods. It was hypothesized that behavioral rehearsal (an active learning technique) would predict therapist adherence, skill, self-efficacy, and satisfaction at post-consultation. Regression analyses found no significant relation, however, clinician involvement during consultation sessions positively moderated the relationship between behavioral rehearsals and skill. Implications, limitations, and future directions are discussed.
    Administration and Policy in Mental Health and Mental Health Services Research 04/2013; 40(6). DOI:10.1007/s10488-013-0490-8 · 3.44 Impact Factor
  • Source
    [Show abstract] [Hide abstract]
    ABSTRACT: There is great interest in the dissemination and implementation of evidence-based treatments and practices for children across schools and community mental health settings. A growing body of literature suggests that the use of one-time workshops as a training tool is ineffective in influencing therapist behavior and patient outcomes and that ongoing expert consultation and coaching is critical to actual uptake and quality implementation. Yet, we have very limited understanding of how expert consultation fits into the larger implementation support system, or the most effective consultation strategies. This commentary reviews the literature on consultation in child mental health, and proposes a set of core consultation functions, processes, and outcomes that should be further studied in the implementation of evidence-based practices for children.
    Administration and Policy in Mental Health and Mental Health Services Research 05/2013; 40(6). DOI:10.1007/s10488-013-0502-8 · 3.44 Impact Factor
  • Source
    Administration and Policy in Mental Health and Mental Health Services Research 08/2013; 40(6). DOI:10.1007/s10488-013-0512-6 · 3.44 Impact Factor
Show more