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A thematic analysis of broker consultation in a TF-CBT community based learning collaborative

Abstract

Background

Consultation is an important implementation strategy to increase competence, knowledge, and fidelity to evidence-based practice in community settings. However, the literature has primarily focused on consultation for clinical providers, and less is known about consultation for “broker” professionals, or those who identify and refer children to mental health services. Given their critical role in connecting youth to evidence-based treatment, investigating broker knowledge and use of evidence-based screening and referral are needed.

Objective

To address this gap, the current study examines the content of consultation provided to broker professionals.

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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, 38(1), 4–23. https://doi.org/10.1007/s10488-010-0327-7

    Article  PubMed  Google Scholar 

  • Aarons, G. A., & Palinkas, L. A. (2007). Implementation of evidence-based practice in child welfare: Service provider perspectives. Administration and Policy in Mental Health and Mental Health Services Research, 34(4), 411–419

    Article  Google Scholar 

  • Akin, B. A. (2016). Practitioner views on the core functions of coaching in the implementation of an evidence-based intervention in child welfare. Children and Youth Services Review, 68, 159–168

    Article  Google Scholar 

  • Barac, R., Kimber, M., Johnson, S., & Barwick, M. (2018). The effectiveness of consultation for clinicians learning to deliver motivational interviewing with fidelity. Journal of Evidence-Informed Social Work, 15(5), 510–533

    Article  Google Scholar 

  • Beidas, R. S., Edmunds, J. M., Cannuscio, C. C., Gallagher, M., Downey, M. M., & Kendall, P. C. (2013). Therapists perspectives on the effective elements of consultation following training. Administration and Policy in Mental Health and Mental Health Services Research, 40(6), 507–517

    Article  Google Scholar 

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

    Article  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. https://doi.org/10.1111/j.1468-2850.2009.01187.x

    Article  Google Scholar 

  • Beidas, R. S., Suarez, L., Simpson, D., Read, K., Chiaying, W., Connolly, S., & Philip, K. (2012b). Contextual factors and anxiety in minority and European American youth presenting for treatment across two urban university clinics. Journal of Anxiety Disorders, 26(4), 544–554. https://doi.org/10.1016/j.pain.2013.06.005.Re-Thinking

    Article  PubMed  PubMed Central  Google Scholar 

  • Braun, V., & Clarke, V. (2006). Using thematic analysis in psychology. Qualitative research in psychology. Qualitative Research in Psychology, 3(2), 77–101

    Article  Google Scholar 

  • Cohen, J. A., Mannarino, A. P., & Deblinger, E. (2016). Treating trauma and traumatic grief in children and adolescents. Guilford Publications

  • Copeland, W. E., Keeler, G., Angold, A., & Costello, E. J. (2007). Traumatic events and posttraumatic stress in childhood. Archives of General Psychiatry, 64(5), 577–584

    Article  Google Scholar 

  • Dopp, A. R., Hanson, R. F., Saunders, B. E., Dismuke, C. E., & Moreland, A. D. (2017). Community-based implementation of trauma-focused interventions for youth: Economic impact of the learning collaborative model. Psychological Services, 14(1), 57

    Article  Google Scholar 

  • Dorsey, S., Kerns, S. E. U., Lucid, L., Pullmann, M. D., Harrison, J. P., Berliner, L. … Deblinger, E. (2018). Objective coding of content and techniques in workplace-based supervision of an EBT in public mental health. Implementation Science, 13(1), https://doi.org/10.1186/s13012-017-0708-3

  • Dorsey, S., Kerns, S. E. U., Trupin, E. W., Conover, K. L., & Berliner, L. (2012). Child welfare caseworkers as service brokers for youth in foster care: Findings from project focus. Child Maltreatment, 17(1), 21–31. https://doi.org/10.1177/1077559511429593

    Article  Google Scholar 

  • Durlak, J. A., & DuPre, E. P. (2008). Implementation matters: A review of research on the influence of implementation on program outcomes and the factors affecting implementation. American Journal of Community Psychology, 41(3–4), 327–350

    Article  Google Scholar 

  • Edmunds, J. M., Beidas, R. S., & Kendall, P. C. (2013). Dissemination and implementation of evidence–based practices: Training and consultation as implementation strategies. Clinical Psychology: Science and Practice, 20(2), 152–165

    Google Scholar 

  • Fitzgerald, M. M., Torres, M. M., Shipman, K., Gorrono, J., Kerns, S. E. U., & Dorsey, S. (2015). Child welfare caseworkers as brokers of mental health services: A pilot evaluation of project Focus Colorado. Child Maltreatment, 20(1), 37–49. https://doi.org/10.1177/1077559514562448

    Article  PubMed  Google Scholar 

  • Glaser, B. G., & Strauss, A. L. (2017). Discovery of grounded theory: Strategies for qualitative research. Routledge

  • Grimshaw, J. M., Shirran, L., Thomas, R., Mowatt, G., Fraser, C., Bero, L. … O’Brien, M. A. (2001). Changing provider behavior: an overview of systematic reviews of interventions.Medical Care,II2–II45

  • Hanson, R. F., Saunders, B. E., Peer, S. O., Ralston, E., Moreland, A. D., Schoenwald, S., & Chapman, J. (2018). Community-based learning collaboratives and participant reports of interprofessional collaboration, barriers to, and utilization of child trauma services. Children and Youth Services Review, 94, 306–314

    Article  Google Scholar 

  • Hanson, R. F., Schoenwald, S., Saunders, B. E., Chapman, J., Palinkas, L. A., Moreland, A. D., & Dopp, A. (2016). Testing the community-based learning collaborative (CBLC) implementation model: a study protocol. International Journal of Mental Health Systems, 10(1), 52

    Article  Google Scholar 

  • Helseth, S. A., Peer, S. O., Are, F., Korell, A. M., Saunders, B. E., Schoenwald, S. K. … Hanson, R. F. (2020). Sustainment of Trauma-Focused and Evidence-Based Practices Following Learning Collaborative Implementation. Administration and Policy in Mental Health and Mental Health Services Research, 47(4), 569–580. https://doi.org/10.1007/s10488-020-01024-3

    Article  PubMed  Google Scholar 

  • Herschell, A. D., Kolko, D. J., Baumann, B. L., & Davis, A. C. (2010). The role of therapist training in the implementation of psychosocial treatments: A review and critique with recommendations. Clinical Psychology Revie, 30(4), 448–466. https://doi.org/10.1038/jid.2014.371

    Article  Google Scholar 

  • Jensen-Doss, A., Smith, A. M., Walsh, L. M., Ringle, M., Casline, V., Patel, E. … Webster, R. (2020). Preaching to the choir? Predictors of engagement in a community-based learning collaborative. Administration and Policy in Mental Health and Mental Health Services Research, 47(2), 279–290. https://doi.org/10.1007/s10488-019-00985-4

    Article  Google Scholar 

  • Kauth, M. R., Sullivan, G., Blevins, D., Cully, J. A., Landes, R. D., Said, Q., & Teasdale, T. A. (2010). Employing external facilitation to implement cognitive behavioral therapy in VA clinics: a pilot study. Implementation Science, 5(1), 75

    Article  Google Scholar 

  • Kessler, R. C., Avenevoli, S., Costello, E. J., Georgiades, K., Green, J. G., Gruber, M. J. … Petukhova, M. (2012). Prevalence, persistence, and sociodemographic correlates of DSM-IV disorders in the National Comorbidity Survey Replication Adolescent Supplement. Archives of General Psychiatry, 69(4), 372–380

    Article  Google Scholar 

  • Landsverk, J., Burns, B. J., Stambaugh, L. F., & Rolls-Reutz, J. A. (2006). Mental health care for children and adolescents in foster care: Review of research literature. Seattle, WA: Casey Family Programs

    Google Scholar 

  • Lang, J. M., Ake, G., Barto, B., Caringi, J., Little, C., Baldwin, M. J. … Stewart, C. J. (2017). Trauma screening in child welfare: Lessons learned from five states. Journal of Child & Adolescent Trauma, 10(4), 405–416

    Article  Google Scholar 

  • Leffler, J. M., Jackson, Y., West, A. E., McCarty, C. A., & Atkins, M. S. (2013). Training in evidence-based practice across the professional continuum. Professional Psychology: Research and Practice, 44(1), 20–28. https://doi.org/10.1037/a0029241

    Article  Google Scholar 

  • Lyon, A. R., Bruns, E. J., Weathers, E. S., Canavas, N., Ludwig, K., Vander Stoep, A. … McCauley, E. (2014). Taking evidence-based practices to school: Using expert opinion to develop a brief, evidence-informed school-based mental health intervention. Advances in School Mental Health Promotion, 7(1), 42–61

    Article  Google Scholar 

  • Merikangas, K. R., He, J., Burstein, M., Swanson, S. A., Avenevoli, S., Cui, L. … Swendsen, J. (2010). Lifetime prevalence of mental disorders in US adolescents: results from the National Comorbidity Survey Replication–Adolescent Supplement (NCS-A). Journal of the American Academy of Child & Adolescent Psychiatry, 49(10), 980–989

    Article  Google Scholar 

  • Nadeem, E., Gleacher, A., & Beidas, R. S. (2013a). Consultation as an implementation strategy for evidence-based practices across multiple contexts: Unpacking the black box. Administration and Policy in Mental Health and Mental Health Services Research, 40(6), 439–450

    Article  Google Scholar 

  • Nadeem, E., Olin, S. S., Hill, L. C., Hoagwood, K. E., & Horwitz, S. M. (2013b). Understanding the components of quality improvement collaboratives: a systematic literature review. The Milbank Quarterly, 91(2), 354–394

    Article  Google Scholar 

  • Noroña, C. R., & Acker, M. L. (2016). Implementation and sustainability of child-parent psychotherapy: The role of reflective consultation in the learning collaborative model. Infant Mental Health Journal, 37(6), 701–716

    Article  Google Scholar 

  • Powell, B. J., Hausmann-Stabile, C., & McMillen, J. C. (2013). Mental health clinicians’ experiences of implementing evidence-based treatments. Journal of Evidence-Based Social Work, 10(5), 396–409. https://doi.org/10.1080/15433714.2012.664062

    Article  PubMed  Google Scholar 

  • Powell, B. J., Waltz, T. J., Chinman, M. J., Damschroder, L. J., Smith, J. L., Matthieu, M. M. … Kirchner, J. E. (2015). A refined compilation of implementation strategies: results from the Expert Recommendations for Implementing Change (ERIC) project. Implementation Science, 10(1), 21

    Article  Google Scholar 

  • Stirman, S. W., Bhar, S. S., Spokas, M., Brown, G. K., Creed, T. A., Perivoliotis, D. … Beck, A. T. (2010). Training and consultation in evidence-based psychosocial treatments in public mental health settings: The ACCESS model. Professional Psychology: Research and Practice, 41(1), 48–56. https://doi.org/10.1037/a0018099

    Article  Google Scholar 

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Correspondence to Zabin S. Patel.

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Patel, Z.S., Casline, E. & Jensen-Doss, A. A thematic analysis of broker consultation in a TF-CBT community based learning collaborative. Journ Child Adol Trauma (2022). https://doi.org/10.1007/s40653-022-00472-3

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  • DOI: https://doi.org/10.1007/s40653-022-00472-3

Keywords

  • Evidence-based practice
  • Mental health services
  • Child trauma
  • Implementation
  • Learning collaborative
  • Consultation