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Abstract

Competency-based training approaches are being used more in healthcare to guide curriculum content and ensure accountability and outcomes in the educational process. This article provides an overview of the state of competency development in the field of behavioral health. Specifically, it identifies the groups and organizations that have conducted and supported this work, summarizes their progress in defining and assessing competencies, and discusses both the obstacles and future directions for such initiatives. A major purpose of this article is to provide a compendium of current competency efforts so that these might inform and enhance ongoing competency development in the varied behavioral health disciplines and specialties. These varied resources may also be useful in identifying the core competencies that are common to the multiple disciplines and specialties.

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References

  • InstitutionalAuthorNameAAMFT Core Competencies Taskforce. (2004) The marriage and family therapy core competencies The American Association for Marriage and Family Therapy Alexandria VA

    Google Scholar 

  • Accreditation Council for Graduate Medical Education. (1999). The ACGME outcome project. Online at: www.acgme.org/outcome/comp/compFull.asp

  • R.J. Adams S.L. Gallon (1997) Entry-level addiction counselor competency survey: National results Northwest Regional Educational Laboratory Portland OR

    Google Scholar 

  • InstitutionalAuthorNameAddiction Technology Transfer Center Curriculum Committee. (1995) Addiction counselor competencies: The knowledge, skills, and attitudes of professional practice Author Kansas City, MO

    Google Scholar 

  • L.B. Andrews J.W. Burruss (2004) Core competencies for psychiatric education American Psychiatric Publishers Washington, DC

    Google Scholar 

  • W.A. Anthony (2000) ArticleTitleA recovery-oriented service system: Setting some system level standards Psychiatric Rehabilitation Journal 24 IssueID2 159–168

    Google Scholar 

  • InstitutionalAuthorNameAssociation of Marital and Family Therapy Regulatory Boards. (2004) Information for candidates: Examination in marital and family therapy Professional Examination Service New York

    Google Scholar 

  • P.E. Benner (1984) From novice to expert: Excellence and power in clinical nursing practice Addison-Wesley Menlo Park, CA

    Google Scholar 

  • Birch Davis. (1984) Development of model professional standards for counselor credentialing National Institute on Alcohol Abuse and Alcoholism Rockville MD

    Google Scholar 

  • L.E. Blankertz S.E. Robinson (1996) ArticleTitleWho is the psychosocial rehabilitation worker? Psychiatric Rehabilitation Journal 19 IssueID4 3–13

    Google Scholar 

  • K.A. Brykczynski (1999) ArticleTitleAn interpretive study describing the clinical judgment of nurse practitioners Scholarly Inquiry for Nursing Practice: An Interpretive Journal 13 IssueID2 141–166

    Google Scholar 

  • InstitutionalAuthorNameCalifornia Office of Examination Resources. (2002) Validation report: Marriage and family therapist California Department of Consumer Affairs Sacramento, CA

    Google Scholar 

  • InstitutionalAuthorNameCenter for Mental Health Services. (2003) Evidence-based practice implementation resource kits Substance Abuse and Mental Health Services Administration Washington DC

    Google Scholar 

  • InstitutionalAuthorNameCenter for Mental Health Services. (2004) Mental health, United States, 2002 Substance Abuse and Mental Health Services Administration Rockville MD

    Google Scholar 

  • M.J. Chinman B. Kloos M. O’Connell L. Davidson (2002) ArticleTitleService providers’ views of psychiatric mutual support groups Journal of Community Psychology 30 1–18 Occurrence Handle10.1002/jcop.10000

    Article  Google Scholar 

  • M.J. Chinman A.S. Young M. Rowe S. Forquer E. Knight A. Miller (2003) ArticleTitleAn instrument to assess competencies of providers treating severe mental illness Mental Health Services Research 5 97–108 Occurrence Handle10.1023/A:1023281527952 Occurrence Handle12801073

    Article  PubMed  Google Scholar 

  • Commission on Accreditation for Marriage and Family Therapy Education. (2003). Standards of accreditation 10.3. Online at: www.aamft.org/about/COAMFTE/standards_of_accreditation.asp

  • P.W. Corrigan S.G. McCracken M. Edwards S. Kommana T. Simpatico (1997) ArticleTitleStaff training to improve implementation and impact of behavioral rehabilitation programs Psychiatric Services 48 1336–1338 Occurrence Handle9323757

    PubMed  Google Scholar 

  • P.W. Corrigan L. Steiner S.G. McCracken B. Blaser M. Barr (2001) ArticleTitleStrategies for disseminating evidence-based practices to staff who treat people with serious mental illness Psychiatric Services 52 1598–1606 Occurrence Handle10.1176/appi.ps.52.12.1598 Occurrence Handle11726749

    Article  PubMed  Google Scholar 

  • R.D. Coursey L. Curtis D.T. Marsh J. Campbell C. Harding L. Spaniol et al. (2000a) ArticleTitleCompetencies for direct service staff members who work with adults with severe mental illnesses: Specific knowledge, attitudes, skills, and bibliography Psychiatric Rehabilitation Journal 23 IssueID4 378–392

    Google Scholar 

  • R.D. Coursey L. Curtis D.T. Marsh J. Campbell C. Harding L. Spaniol et al. (2000b) ArticleTitleCompetencies for direct service staff members who work with adults with severe mental illnesses in outpatient public mental health/managed care systems Psychiatric Rehabilitation Journal 23 IssueID4 370–377

    Google Scholar 

  • A.S. Daniels N. Adams (2004) From policy to service: A quality vision for behavioral health American College of Mental Health Administration Pittsburgh PA

    Google Scholar 

  • L. Davidson M. O’Connell D. Sells M. Staeheli (2003) Is there an outside to mental illness? L. Davidson (Eds) Living outside mental illness: Qualitative studies of recovery in schizophrenia New York University Press New York 31–60

    Google Scholar 

  • Davidson, L., O’Connell, M., Tondora, J., Kangas, K., & Evans, A. (2004). The top ten concerns about recovery encountered in mental health systems transformation. Unpublished Manuscript

  • Davidson, L., O’Connell, M.J., Tondora, J., Staeheli, M., & Evans, A.C. (2004). Recovery from serious mental illness: Paradigm shift or (another) psychiatric shibboleth? Manuscript submitted for publication

  • A.K. Davis F. Cotter D. Czechowicz (1988) ArticleTitleSubstance abuse units taught by four specialties in medical schools and residency programs Jouranl of Medical Education 63 IssueID10 739–746

    Google Scholar 

  • M.J. Dewan B.N. Steenbarger R.P. Greenberg (2004) The art and science of brief psychotherapy American Psychiatric Publishers Washington, DC

    Google Scholar 

  • R.E. Drake S.M. Essock A. Shaner K.B. Carey K. Minkoff L. Kola et al. (2001) ArticleTitleImplementing dual diagnosis services for clients with severe mental illness Psychiatric Services 52 469–476 Occurrence Handle10.1176/appi.ps.52.4.469 Occurrence Handle11274491

    Article  PubMed  Google Scholar 

  • Dreyfus, S.E., & Dreyfus, H.L. (1980). Five-stage model of the mental activities involved in directed skill acquisition. Berkeley, CA: Unpublished report supported by the Air Force of Scientific Research (AFSC), USAF (Contract F49620–79-C-0063)

  • H.L. Dreyfus S.E. Dreyfus (1986) Mind over machine Face Press New York NY

    Google Scholar 

  • M.F. Fleming K.L. Barry A. Davis R. Kahn M. Rivo (1994) ArticleTitleFaculty development in addiction medicine: Project SAEP, a one year follow-up study Family Medicine 26 IssueID4 221–225 Occurrence Handle8034139

    PubMed  Google Scholar 

  • S.W. Fraser T. Greenhalgh (2001) ArticleTitleCoping with complexity: Educating for capability British Medical Journal 323 799–803 Occurrence Handle11588088

    PubMed  Google Scholar 

  • G. Gabbard (2004) Long-term psychodynamic psychotherapy American Psychiatric Publishers Washington, DC

    Google Scholar 

  • Gill, K.J. (Ed.). (2001). Psychiatric rehabilitation curriculum in higher education [Special issue]. Psychiatric Rehabilitation Skills, 5(3)

  • Haack, M., & Adger, H. (Eds.). (2002). Strategic plan for interdisciplinary faculty development: Arming the nation’s health professional workforce for a new approach to substance use disorders. Substance Abuse, 23(3S)

  • M. Hansen (2002) The need for competence in children’s public mental health services D.T. Marsh M.A. Fristad (Eds) Handbook of serious emotional disturbance in children and adolescents John Wiley and Sons New York, NY 93–111

    Google Scholar 

  • M. Hansen C. Anderson C. Gray S. Harbaugh M. Lindblad-Goldberg D.T. Marsh (1999) Child, family, and community core competencies PA CASSP Training and Technical Assistance Institute Harrisburg, PA

    Google Scholar 

  • M.A. Hoge D. Stayner L. Davidson (2000) ArticleTitlePsychology internships in the treatment of severe mental illness: Implications for training in academic medical centers Journal of Clinical Psychology in Medical Settings 7 213–222 Occurrence Handle10.1023/A:1009580413935

    Article  Google Scholar 

  • InstitutionalAuthorNameInstitute of Medicine. (2001) Crossing the quality chasm: A new health system for the 21st Century National Academies Press Washington, DC

    Google Scholar 

  • InstitutionalAuthorNameInstitute of Medicine. (2003a) Health professions education: A bridge to quality The National Academies Press Washington, DC

    Google Scholar 

  • InstitutionalAuthorNameInstitute of Medicine. (2003b) Unequal treatment: Confronting racial and ethnic disparities in health care National Academies Press Washington, DC

    Google Scholar 

  • InstitutionalAuthorNameInternational Association of Psychosocial Rehabilitation Services. (2001) Role delineation report of the psychiatric rehabilitation practitioner Columbia Assessment Services Morrisville, NC

    Google Scholar 

  • InstitutionalAuthorNameInternational Certification Consortium/Alcohol Reciprocity Abuse Other Drug. (1996) Role delineation study for advanced alcohol and other drug abuse counselors Columbia Assessment Services, Inc Raleigh, NC

    Google Scholar 

  • N.J. Kaslow K.A. Borden F.L. Collins L. Forrest J. Illfelder-Kaye P.D. Nelson et al. (2004) ArticleTitleCompetencies conference: Future directions in education and credentialing in professional psychology Journal of Clinical Psychology 60 IssueID7 699–712 Occurrence Handle10.1002/jclp.20016 Occurrence Handle15195334

    Article  PubMed  Google Scholar 

  • D.C. Leach (2001) ArticleTitleThe ACGME competencies: Substance or form? Accreditation Council for Graduate Education Journal of the American College of Surgeons 192 IssueID3 396–398 Occurrence Handle10.1016/S1072-7515(01)00771-2 Occurrence Handle11245382

    Article  PubMed  Google Scholar 

  • A.F. Lehman (1999) ArticleTitleQuality of care in mental health: The case of schizophrenia Health Affairs 18 52–65 Occurrence Handle10.1377/hlthaff.18.5.52 Occurrence Handle10495592

    Article  PubMed  Google Scholar 

  • D.C. Lewis R.G. Niven D. Czechowicz J.G. Trumble (1987) ArticleTitleA review of education in alcohol and other drug abuse JAMA 257 IssueID21 2945–2948 Occurrence Handle10.1001/jama.257.21.2945 Occurrence Handle3553640

    Article  PubMed  Google Scholar 

  • P. Lindley P. O’Halloran D. Juriansz (2001) The capable practitioner Sainsbury Centre for Mental Health London England

    Google Scholar 

  • Marrelli, A.F., Tondora, J., & Hoge, M.A. (2005). Strategies for developing competency models. Administration & Policy in Mental Health, 32(5), 573–601

    Google Scholar 

  • W.R. McFarlane S. McNary L. Dixon H. Hornby E. Cimett (2001) ArticleTitlePredictors of dissemination of family psychoeducation in community mental health centers in Maine and Illinois Psychiatric Services 52 935–942 Occurrence Handle10.1176/appi.ps.52.7.935 Occurrence Handle11433111

    Article  PubMed  Google Scholar 

  • J. Meyers M. Kaufman S. Goldman (1999) Promising practices: Training strategies for serving children with serious emotional disturbance and their families in a system of care. In Systems of care: Promising practices in children’s mental health, 1998 Series NumberInSeriesVolume V Center for Effective Collaboration and Practice, American Institutes for Research Washington, DC

    Google Scholar 

  • NAAPIMHA. (2002). Growing our own. Curriculum developed with funds from U.S. DHHS, SAMHSA, CMHS

  • P.B. Nemec C.W. Pratt (2001) ArticleTitleGraduate education in psychiatric rehabilitation Psychiatric Rehabilitation Skills 5 IssueID3 477–494

    Google Scholar 

  • InstitutionalAuthorNameNew Freedom Commission on Mental Health. (2003) Achieving the promise: Transforming mental health care in America, final report U.S. Department of Health and Human Services Rockville, MD

    Google Scholar 

  • Northey, W. (2004). Marriage and family therapy core competencies task force report to the board of directors. Report prepared by William Northey to the board of directors

  • O’Connell, M., Tondora, J., Croog, G., Evans, A., & Davidson, L. (in press). From rhetoric to routine: Assessing recovery-oriented practices in a state mental health and addiction system. Psychiatric Rehabilitation Journal

  • M. O’Hagan (2001) Recovery competencies for New Zealand mental health workers Mental Health Commission Wellington, New Zealand

    Google Scholar 

  • J.S. Onken J.M. Dumont P. Ridgway D.H. Dornan R.O. Ralph (2002) Mental health recovery: What helps and what hinders? A national research project for the development of recovery facilitating system performance indicators Report to the National Technical Assistance Center for State Mental Health Planning, National Association of State Mental Health Program Directors Alexandria, VA

    Google Scholar 

  • S.J. Onken J.M. Dumont P. Ridgway D.H. Dornan R.O. Ralph (2004) Update on the recovery oriented system indicators (ROSI) measure: Consumer survey and administrative data profile Proceedings from 2004 Joint National Conference on Mental Health Block Grant and Mental Health Statistics Washington, DC

    Google Scholar 

  • InstitutionalAuthorNamePennsylvania CASSP Training and Technical Assistance Institute. (1995) Core principles: Child and adolescent service system program (CASSP) PA Department of Public Welfare, Office of Mental Health and Substance Abuse Services Harrisburg, PA

    Google Scholar 

  • C.W. Pratt K.J. Gill (2001) ArticleTitlePsychiatric rehabilitation education: A government service provider and academic collaboration Rehabilitation Education 15 191–199

    Google Scholar 

  • C.W. Pratt K.J. Gill N.M. Barrett M.M. Roberts (1999) Psychiatric rehabilitation Academic Press San Diego, CA

    Google Scholar 

  • PSR-ED@yahoo (n.d.). Group web site devoted to psychiatric rehabilitation education. Contact: pnemec@bu.edu

  • R.O. Ralph K. Kidder D. Phillips (2000) Can we measure recovery? A compendium of recovery and recovery-related instruments The Evaluation Center@HSRI and the Center for Mental Health Services Rockville, MD

    Google Scholar 

  • D.S. Rychen L.H. Salganik (Eds) (2001) Defining and selecting key competencies Hogrefe & Huber Publishers Seattle, WA

    Google Scholar 

  • S. Scheiber T. Kramer S. Adamowski (2003a) Core competencies for neurologists: What clinicians need to know Butterworth/Heinemann New York

    Google Scholar 

  • S. Scheiber T. Kramer S. Adamowski (2003b) Core competencies in psychiatric practice: What clinicians need to know American Psychiatric Publishers Washington, DC

    Google Scholar 

  • S. Sexson J. Sargent B. Zima E. Beresin S Cuffe M. Drell et al. (2001) ArticleTitleSample core competencies in child and adolescent psychiatry training: A starting point Academic Psychiatry 25 201–213 Occurrence Handle10.1176/appi.ap.25.4.201 Occurrence Handle11744536

    Article  PubMed  Google Scholar 

  • InstitutionalAuthorNameSubstance Abuse and Mental Health Services Administration. (1998) Cultural competence standards in managed care mental health services for four underserved/underrepresented racial/ethnic groups Center for Mental Health Services Washington, DC

    Google Scholar 

  • S.W. Sumerall S.J. Lopez M.E. Oehlert (2000) Competency-based education and training in psychology: A primer Charles C. Thomas Springfield, IL

    Google Scholar 

  • D. Tharinger B. Friedman J. Hughes A. La Greca L. Silverstein L. Vargas et al. (1998) Report of the task force on child and adolescent professional psychology to the board of professional affairs American Psychological Association Washington, DC

    Google Scholar 

  • U.K. Department of Health. (1999). National service framework for mental health: Modern standards and service models. London, England: Online at: www.publications.doh.gov.uk/nsf/index.htm

  • InstitutionalAuthorNameU.S. Department of Health and Human Services. (1998) Addiction counseling competencies: The knowledge, skills, and attitudes of professional practice (technical assistance publication series 21) U.S. Department of Health and Human Services, Substance Abuse and Mental Health Services Administration, Center for Substance Abuse Treatment Rockville, MD

    Google Scholar 

  • InstitutionalAuthorNameU.S. Department of Health and Human Services (2001) Mental health: Culture, race, and ethnicity—a supplement to mental health: A report of the Surgeon General U.S. Department of Health and Human Services, Substance Abuse and Mental Health Services, Administration Center for Mental Health Services, National Institutes of Health National Institute of Mental Health Rockville, MD

    Google Scholar 

  • InstitutionalAuthorNameU.S. Department of Health and Human Services. (2002a) Culture of emotions: A cultural competence and diversity training program/DSM-IV outline for cultural formulation Office of Minority Health Rockville, MD

    Google Scholar 

  • InstitutionalAuthorNameU.S. Department of Health and Human Services. (2002b) Nurse practitioner primary care competencies in specialty areas: Adult, family, gerontological, pediatric, and women’s health Health Resources and Services Administration Rockville, MD

    Google Scholar 

  • K. Wheeler J. Haber (2004) ArticleTitleDevelopment of psychiatric-mental health nurse practitioner competencies: Opportunities for the 21st Century Journal of the American Psychiatric Nurses Association 20 IssueID10 1–10

    Google Scholar 

  • A. Winston R.N. Rosenthal H. Pinsker (2004) Introduction to supportive psychotherapy American Psychiatric Publishers Washington, DC

    Google Scholar 

  • Young, A.S., Chinman, M., Forquer, S.L., Knight, E.L., Vogel, H., Miller, A., et al. (in press). A consumer-led intervention that improves provider competencies as evaluated by research survey. Psychiatric Services

  • A.S. Young S.L. Forquer A. Tran M. Starzynski J. Shatkin (2000) ArticleTitleIdentifying clinical competencies that support rehabilitation and empowerment in individuals with severe mental illness Journal of Behavioral Health Services and Research 27 321–333

    Google Scholar 

  • A.S. Young R. Klap C.D. Sherbourne K.B. Wells (2001) ArticleTitleThe quality of care for depressive and anxiety disorders in the United States Archives of General Psychiatry 58 55–61 Occurrence Handle10.1001/archpsyc.58.1.55 Occurrence Handle11146758

    Article  PubMed  Google Scholar 

  • A.S. Young J.L. Magnabosco (2004) Services for adults with mental illness B.L. Levin J. Petrila K.D. Hennessy (Eds) Mental health services: A public health perspective Oxford University Press New York, NY 177–208

    Google Scholar 

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Correspondence to Michael A. Hoge.

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This work was supported in part by Contract No. 03M00013801D from the Substance Abuse and Mental Health Services Administration.

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Hoge, M.A., Paris, M., Adger, H. et al. Workforce Competencies in Behavioral Health: An Overview. APMH 32, 593–631 (2005). https://doi.org/10.1007/s10488-005-3259-x

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