Article

An Examination of Behavioral Rehearsal During Consultation as a Predictor of Training Outcomes

Department of Psychology, Temple University, 1701 North 13th Street, Philadelphia, PA, 19122, USA, .
Administration and Policy in Mental Health and Mental Health Services Research (Impact Factor: 3.44). 04/2013; 40(6). DOI: 10.1007/s10488-013-0490-8
Source: PubMed

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.

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    • "The present study is among the first to use qualitative methods to examine therapists perspectives about the utility of consultation as an implementation strategy following training in CBT for child anxiety. We intend for this qualitative study to be read as a companion to the quantitative data reported (Edmunds et al. 2013) in that it helps provide meaning to the process of consultation and delineates core themes which may be useful in future studies of consultation, which qualitative inquiry is particularly well suited for (Palinkas et al. 2011). Overall, therapists' responses reflected common themes regarding their experience of consultation as an implementation strategy following training to support implementation of CBT for child anxiety in community settings. "
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    ABSTRACT: 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.
    Administration and Policy in Mental Health and Mental Health Services Research 02/2013; 40(6). DOI:10.1007/s10488-013-0475-7 · 3.44 Impact Factor
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    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
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