National Trainers’ Perspectives on Challenges to Implementation of an Empirically-Supported Mental Health Treatment

  • Rochelle F. Hanson
  • Kirstin Stauffacher Gros
  • Tatiana M. Davidson
  • Simone Barr
  • Judith Cohen
  • Esther Deblinger
  • Anthony P. Mannarino
  • Kenneth J. Ruggiero
Original Article


This study examined perceived challenges to implementation of an empirically supported mental health treatment for youth (Trauma-Focused Cognitive Behavioral Therapy; TF-CBT) and explored the potential use of technology-based resources in treatment delivery. Thematic interviews were conducted with 19 approved national TF-CBT trainers to assess their perspectives about challenges to implementation of TF-CBT and to explore their perceptions about the potential value of innovative, technology-based solutions to enhance provider fidelity and improve quality of care. These data offer some important insights and implications for training in evidence-based treatments, provider fidelity and competence, and patient engagement, particularly for those interventions targeting trauma-related symptoms among youth.


Treatment fidelity Implementation of evidence-based treatment Child mental health 



This study was supported by the South Carolina Clinical and Translational Research (SCTR) Institute (NIH Grants UL1 RR029882 and UL1 TR000062). Dr. Hanson is partly supported by Grant 1790-SP from the Duke Endowment and Substance Abuse and Mental Health Services Administration Grant No. 1U79SM061269-01 (PI: Hanson). Preparation of this article was supported in part by the Implementation Research Institute at the George Warren Brown School of Social Work, Washington University, through an award from the National Institute of Mental Health (R25 MH080916-01A2) and the Department of Veterans Affairs, Health Services Research & Development Service (QUERI). Drs. Hanson, Davidson, Gros, and Ruggiero are supported by NIMH Grant R01 MH081056 (PI: Ruggiero). Drs. Hanson, Ruggiero, and Davidson are also supported by National Institute of Mental Health Grant No. 1 R34 MH096907-01 (PI: Ruggiero). Views expressed herein are those of the authors and do not necessarily reflect those of VA or NIMH or respective institutions. This paper has not been presented or published previously. The authors wish to acknowledge Kyle Brown, Danna Lewsky and Amy Oliver for their assistance in manuscript preparation.


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Copyright information

© Springer Science+Business Media New York 2013

Authors and Affiliations

  • Rochelle F. Hanson
    • 1
  • Kirstin Stauffacher Gros
    • 1
    • 4
  • Tatiana M. Davidson
    • 1
  • Simone Barr
    • 1
  • Judith Cohen
    • 2
  • Esther Deblinger
    • 3
  • Anthony P. Mannarino
    • 2
  • Kenneth J. Ruggiero
    • 1
    • 4
  1. 1.National Crime Victims Research and Treatment CenterMedical University of South CarolinaCharlestonUSA
  2. 2.Allegheny General HospitalPittsburghUSA
  3. 3.University of Medicine and Dentistry of New JerseyNewarkUSA
  4. 4.Ralph H. Johnson Veterans Affairs Medical CenterCharlestonUSA

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