Using a Learning Collaborative Model to Disseminate Cognitive Processing Therapy to Community-Based Agencies

Although effective treatments for posttraumatic stress disorder exist, their use in community settings is disappointingly low. Training alone does not necessarily lead to adoption. To address this problem, we trained community clinicians in cognitive processing therapy, an evidence-based treatment f...

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Veröffentlicht in:Behavior therapy 2019-01, Vol.50 (1), p.36-49
Hauptverfasser: LoSavio, Stefanie T., Dillon, Kirsten H., Murphy, Robert A., Goetz, Karen, Houston, Falesha, Resick, Patricia A.
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container_end_page 49
container_issue 1
container_start_page 36
container_title Behavior therapy
container_volume 50
creator LoSavio, Stefanie T.
Dillon, Kirsten H.
Murphy, Robert A.
Goetz, Karen
Houston, Falesha
Resick, Patricia A.
description Although effective treatments for posttraumatic stress disorder exist, their use in community settings is disappointingly low. Training alone does not necessarily lead to adoption. To address this problem, we trained community clinicians in cognitive processing therapy, an evidence-based treatment for posttraumatic stress disorder, using a Learning Collaborative, an intensive training methodology focused on both clinical training and developing sustainability. Sixty clinicians within 18 agencies began the year-long, team-based Learning Collaborative. Clinicians attended three in-person Learning Sessions, received weekly consultation, and submitted audio-recorded sessions to be rated for fidelity. Clinicians were rostered as approved treatment providers if they completed all training requirements. Additionally, we engaged leadership from each agency to build a sustainable practice. Clinicians trained through the Learning Collaborative demonstrated a high degree of fidelity to the treatment (average competence ratings “satisfactory” to “good”), and most (68%) were rostered as approved treatment providers. Patients treated by clinician trainees exhibited significant symptom reductions (d = 1.68 and 1.28 for posttraumatic stress and depression symptoms, respectively, among treatment completers). At a 6-month follow-up, 95% of rostered clinicians and 100% of agencies with rostered clinicians were still providing the treatment. These results suggest that the Learning Collaborative model is a promising approach for the dissemination and implementation of evidence-based treatments for adult posttraumatic stress disorder. •Effective treatments for posttraumatic stress disorder are used inconsistently•Learning Collaboratives focus on both clinical training and sustainability•This is the first reported Learning Collaborative for cognitive processing therapy•Most (68%) clinicians were rostered as approved treatment providers•At the 6-month follow-up, 95% of rostered clinicians were still using the treatment
doi_str_mv 10.1016/j.beth.2018.03.007
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subjects Adult
Cognitive Behavioral Therapy - methods
cognitive processing therapy
Community Mental Health Services - methods
Female
fidelity
Follow-Up Studies
Health Personnel
Humans
implementation
Learning
learning collaborative
Male
Stress Disorders, Post-Traumatic - psychology
Stress Disorders, Post-Traumatic - therapy
Surveys and Questionnaires
sustainability
Treatment Outcome
title Using a Learning Collaborative Model to Disseminate Cognitive Processing Therapy to Community-Based Agencies
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