Skip to main content
SpringerLink
Log in

The Role of Consultation Calls for Clinic Supervisors in Supporting Large-Scale Dissemination of Evidence-Based Treatments for Children

  • Original Article
  • Published:
Administration and Policy in Mental Health and Mental Health Services Research Aims and scope Submit manuscript

Abstract

This study explores the content of consultation provided to clinic supervisors within the context of a statewide training program in an evidence-based practice. Minute-to-minute live coding of consultation calls with clinic supervisors was conducted in order to identify the content and distribution of call topics. Results indicated that approximately half of the total speaking time was spent on a range of clinically relevant topics (e.g., cognitive-behavioral therapy techniques, fidelity to the treatment protocols). The remaining time was spent on program administration and CBT-related supervisory issues. This pilot study has broad implications for structuring the content of consultation process in large-scale dissemination efforts involving multiple portions of the clinical workforce.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2

Similar content being viewed by others

References

  • Aarons, G. A., Hurlburt, M., & Horwitz, S. M. (2011). Advancing a conceptual model of evidence-based practice implementation in public service sectors. Administration and Policy in Mental Health and Mental Health Services Research, 38(1), 4–23.

    Article  PubMed  Google Scholar 

  • Accurso, E. C., Taylor, R. M., & Garland, A. F. (2011). Evidence-based practices addressed in community-based children’s mental health clinical supervision. Training and Education in Professional Psychology, 5(2), 88–96.

    Article  Google Scholar 

  • Bambling, M., King, R., Raue, P., Schweitzer, R., & Lambert, W. (2006). Clinical supervision: Its influence on client-rated working alliance and client symptom reduction in the brief treatment of major depression. Psychotherapy Research, 16(3), 317–331.

    Article  Google Scholar 

  • Beidas, R. S., Edmunds, J. E., Marcus, S. C., & Kendall, P. C. (2012). Training and consultation to promote implementation of an empirically supported treatment: A randomized trial. Psychiatric Services, 63(7), 660–665.

    Article  PubMed  Google Scholar 

  • Beidas, R. S., & Kendall, P. C. (2010). Training therapists in evidence-based practice: A critical review of studies from a systems-contextual perspective. Clinical Psychology: Science and Practice, 17(1), 1–30.

    Article  Google Scholar 

  • Bero, L. A., Grilli, R., Grimshaw, J. M., Harvey, E., Oxman, A. D., & Thomson, M. A. (1998). Getting research findings into practice—closing the gap between research and practice: An overview of systematic reviews of interventions to promote the implementation of research findings. British Medical Journal, 317(7156), 465–468.

    Article  PubMed  CAS  Google Scholar 

  • Bickman, L. (1999). Practice makes perfect and other myths about mental health services. American Psychologist, 54(11), 965–978.

    Article  Google Scholar 

  • Callahan, J. L., Almstrom, C. M., Swift, J. K., Borja, S. E., & Heath, C. J. (2009). Exploring the contribution of supervisors to intervention outcomes. Training and Education in Professional Psychology, 3(2), 72–77.

    Article  Google Scholar 

  • Cauffman, J. G., Forsyth, R. A., Clark, V. A., Foster, J. P., Martin, K. J., Lapsys, F. X., et al. (2002). Randomized controlled trials of continuing medical education: What makes them most effective? Journal of Continuing Education in the Health Professions, 22(4), 214–221.

    Article  PubMed  Google Scholar 

  • Damschroder, L. J., Aron, D. C., Keith, R. E., Kirsh, S. R., Alexander, J. A., & Lowery, J. C. (2009). Fostering implementation of health services research findings into practice: A consolidated framework for advancing implementation science. Implementation Science, 4(1), 50.

    Article  PubMed  Google Scholar 

  • Davis, D. A. (1998). Does CME work? An analysis of the effect of educational activities on physician performance or health care outcomes. International Journal of Psychiatry in Medicine, 28, 21–39.

    Article  PubMed  CAS  Google Scholar 

  • Ebert, L., Amaya-Jackson, L., Markiewicz, J., Kisiel, C., & Fairbank, J. (2011). 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.

    Article  Google Scholar 

  • Ellis, M. V., & Ladany, N. (1997). Inferences concerning supervisees and clients in clinical supervision: An integrative review. In C. E. Watkins Jr (Ed.), Handbook of psychotherapy supervision (pp. 447–507). Hoboken, NJ: Wiley.

    Google Scholar 

  • Feldstein, A. C., & Glasgow, R. E. (2008). A practical, robust implementation and sustainability model (PRISM) for integrating research findings into practice. The Joint Commission Journal on Quality and Patient Safety, 34(4), 228–243.

    Google Scholar 

  • Fixsen, D. L., Naoom, S. F., Blasé, K. A., Friedman, R. M., & Wallace, F. (2005). Implementation research: A synthesis of the literature. Tampa, FL: University of South Florida, Louis de la Parte Florida Mental Health Institute, The National Implementation Research Network.

    Google Scholar 

  • Forsetlund, L., Bjørndal, A., Rashidian, A., Jamtvedt, G., O’Brien, M. A., Wolf, F., Oxman, A. D. (2009). Continuing education meetings and workshops: Effects on professional practice and health care outcomes. Cochrane Database of Systematic Reviews, 15(2), CD003030.

    Google Scholar 

  • Gleacher, A. A., Nadeem, E., Moy, A. J., Whited, A. L., Albano, A. M., Radigan, M., et al. (2011). Statewide CBT training for clinicians and supervisors treating youth: The New York State Evidence-Based Treatment dissemination center. Journal of Emotional and Behavioral Disorders, 19(3), 182–192.

    Article  Google Scholar 

  • Greenhalgh, T., Robert, G., MacFarland, F., Bate, P., & Kyriakidou, O. (2004). Diffusion of innovations in service organizations: Systematic review and recommendations. Milbank Quarterly, 82(4), 581–629.

    Article  PubMed  Google Scholar 

  • Heaven, C., Clegg, J., & Maguire, P. (2006). Transfer of communication skills training from workshop to workplace: The impact of clinical supervision. Patient Education and Counseling, 60(3), 313–325.

    Article  PubMed  Google Scholar 

  • Herschell, A. D., McNeil, C. B., & McNeil, D. (2004). Clinical child psychology’s progress in disseminating empirically supported treatments. Clinical Psychology: Science and Practice, 11(3), 267–288.

    Article  Google Scholar 

  • Hoagwood, K., & Kolko, D. J. (2009). Introduction to the special section on practice contexts: A glimpse into the nether world of public mental health services for children and families. Administration and Policy in Mental Health and Mental Health Services Research, 36(1), 35–36.

    Article  PubMed  Google Scholar 

  • Kilminster, S. M., & Jolly, B. C. (2000). Effective supervision in clinical practice settings: A literature review. Medical Education, 34(10), 827–840.

    Article  PubMed  CAS  Google Scholar 

  • Lochman, J. E., & Wells, K. C. (2004). The coping power program for preadolescent aggressive boys and their parents: Outcome effects at the 1-year follow-up. Journal of Consulting and Clinical Psychology, 72(4), 571–578.

    Article  PubMed  Google Scholar 

  • Lochman, J. E., & Wells, K. (2008). Coping power: Child group facilitator’s guide (Vol. 2). New York: Oxford University Press.

    Google Scholar 

  • McHugh, R. K., & Barlow, D. H. (2010). The dissemination and implementation of evidence-based psychological treatments: A review of current efforts. American Psychologist, 65(2), 73–84.

    Article  PubMed  Google Scholar 

  • McKay, M. M., & Bannon, W. M. (2004). Engaging families in child mental health services. Child & Adolescent Psychiatric Clinics of North America, 13(4), 905–921.

    Article  Google Scholar 

  • Miller, W. R., Yahne, C. E., Moyers, T. B., Martinez, J., & Pirritano, M. (2004). A randomized trial of methods to help clinicians learn motivational interviewing. Journal of Consulting and Clinical Psychology, 72(6), 1050–1062.

    Article  PubMed  Google Scholar 

  • Mittman, B. S. (2004). Creating the evidence base for quality improvement collaboratives. Annals of Internal Medicine, 140(11), 897–901.

    Article  PubMed  Google Scholar 

  • Morgenstern, J., Morgan, T. J., McCrady, B. S., Keller, D. S., & Carroll, K. M. (2001). Manual-guided cognitive-behavioral therapy training: A promising method for disseminating empirically supported substance abuse treatments to the practice community. Psychology of Addictive Behaviors, 15(2), 83–88.

    Article  PubMed  CAS  Google Scholar 

  • Nadeem, E., Gleacher, A. A., & Beidas, R. (2013). Consultation as an implementation strategy for evidence-based practices across multiple contexts: Unpacking the black box (submitted).

  • Nadeem, E., Gleacher, A. A., Pimentel, S., & Hoagwood, K. E. (2011). Implementation of evidence-based treatments for children: Consultation calls with supervisors as an implementation support strategy. Paper presented at the 45th annual convention of the association for behavioral and cognitive therapies, Toronto, Canada.

  • ØVretveit, J., Bate, P., Cleary, P., Cretin, S., Gustafson, D., McInnes, K., et al. (2002). Quality collaboratives: Lessons from research. Quality and Safety in Health Care, 11(4), 345–351.

    Article  PubMed  Google Scholar 

  • Pimentel, S., Hoagwood, K. E., Albano, A. M., & Regan, J. (2009). Disseminating evidence-based treatments for children: A microanalysis of consultation calls as an ongoing training strategy. In K. Hoagwood Beyond didactics: Emerging evidence on EBP implementation strategies in New York State. Tampa: Paper presented at the Research and Training Center for Children’s Mental Health Conference.

  • Schoenwald, S. K., Sheidow, A. J., & Chapman, J. E. (2009). Clinical supervision in treatment transport: Effects on adherence and outcomes. Journal of Consulting and Clinical Psychology, 77(3), 410–421.

    Article  PubMed  Google Scholar 

  • Schoenwald, S. K., Sheidow, A. J., & Letourneau, E. J. (2004). Toward effective quality assurance in evidence-based practice: Links between expert consultation, therapist fidelity, and child outcomes. Journal of Clinical Child & Adolescent Psychology, 33(1), 94–104.

    Article  Google Scholar 

  • Sholomskas, D. E., Syracuse-Siewert, G., Rounsaville, B. J., Ball, S. A., Nuro, K. F., & Carroll, K. M. (2005). We don’t train in vain: A dissemination trial of three strategies of training clinicians in cognitive-behavioral therapy. Journal of Consulting and Clinical Psychology, 73(1), 106–115.

    Article  PubMed  Google Scholar 

  • Wandersman, A., Chien, V. H., & Katz, J. (2012). Toward an evidence-based system for innovation support for implementing innovations with quality: Tools, training, technical assistance, and quality assurance/quality improvement. American Journal of Community Psychology, 50(3–4), 445–459.

    Article  PubMed  Google Scholar 

  • Wandersman, A., Duffy, J., Flaspohler, P., Noonan, R., Lubell, K., Stillman, L., et al. (2008). Bridging the gap between prevention research and practice: The interactive systems framework for dissemination and implementation. American Journal of Community Psychology, 41(3–4), 171–181.

    Article  PubMed  Google Scholar 

  • Wells, K. C., Lochman, J. E., & Lenhart, L. (2008). Coping Power: Parent group facilitator’s guide (programs that work). New York, NY: Oxford University Press.

    Google Scholar 

  • Wheeler, S., & Richards, K. (2007). The impact of clinical supervision on counselors and therapists, their practice and their clients. A systematic review of the literature. Counselling and Psychotherapy Research, 7(1), 54–65.

    Article  Google Scholar 

Download references

Acknowledgements

Writing of the paper was support by grants from the New York State Office of Mental Health, Policy Scholar (Nadeem, Gleacher) and the National Institute of Mental Health, K01MH083694 (Nadeem) and P30 MH090322 (Hoagwood).

Author information

Authors and Affiliations

  1. Department of Child and Adolescent Psychiatry, New York University, One Park Avenue, 7th Floor, New York, NY, 10016, USA

    Erum Nadeem, Alissa Gleacher & Kimberly E. Hoagwood

  2. New York State Psychiatric Institute, Columbia University, New York, NY, USA

    Sandra Pimentel

  3. Columbia University, New York, NY, USA

    Laura Campbell Hill

  4. New York State Office of Mental Health, New York, NY, USA

    Mary McHugh

Authors
  1. Erum Nadeem
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Alissa Gleacher
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Sandra Pimentel
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Laura Campbell Hill
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Mary McHugh
    View author publications

    You can also search for this author in PubMed Google Scholar

  6. Kimberly E. Hoagwood
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Erum Nadeem.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Nadeem, E., Gleacher, A., Pimentel, S. et al. The Role of Consultation Calls for Clinic Supervisors in Supporting Large-Scale Dissemination of Evidence-Based Treatments for Children. Adm Policy Ment Health 40, 530–540 (2013). https://doi.org/10.1007/s10488-013-0491-7

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10488-013-0491-7

Keywords

Search

Navigation