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Understanding the Effectiveness of the Cascading Model to Implement Parent-Child Interaction Therapy

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Abstract

Few community-based behavioral health clinicians are trained in evidence-based practices (EBPs). The Cascading Model (CM), a training model in which expert-trained clinicians train others at their agency, may help increase the number of EBP-trained clinicians. This study is one of the first to describe CM training methods and to examine differences between clinicians trained by an expert, and those trained through a within-agency training (WAT) by a fellow clinician. Results indicate that 56% of the 38 eligible clinicians chose to become trainers and 50% of the 56% conducted WATs to train others. This represents a 50% increase in EBP-trained clinicians within the study timeframe. Clinicians trained by an expert reported higher knowledge and training satisfaction than those trained through a WAT. Of note, clinicians trained through a WAT reported increases in EBP knowledge and were more diverse (race/ethnicity, employment status), suggesting that the CM may improve access to EBPs.

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Funding

This study was funded by a grant provided by the National Institute of Mental Health: R01 MH095750; A Statewide Trial to Compare Three Training Models for Implementing an EBT; PI: Herschell; 9/18/12–12/31/17.

Author information

Authors and Affiliations

  1. Department of Psychology, West Virginia University, Morgantown, WV, USA

    Laurel A. Brabson Ph.D., Mira D. H. Snider M.S. & Carrie B. Jackson Ph.D.

  2. University of Pittsburgh School of Medicine, 339 Sixth Avenue Suite 1300, Pittsburgh, PA, 15222, USA

    Amy D. Herschell Ph.D. & David J. Kolko Ph.D.

  3. Psychology Department, California University of Pennsylvania, California, PA, USA

    Kristen F. Schaffner Ph.D.

  4. Iowa State University, Ames, IA, USA

    Ashley T. Scudder Ph.D.

  5. UMPC Western Psychiatric Hospital, Pittsburgh, PA, USA

    David J. Kolko Ph.D.

  6. Hummelstown, PA, USA

    Stanley J. Mrozowski Ph.D.

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  1. Laurel A. Brabson Ph.D.
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Correspondence to Amy D. Herschell Ph.D..

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Brabson, L.A., Herschell, A.D., Snider, M.D.H. et al. Understanding the Effectiveness of the Cascading Model to Implement Parent-Child Interaction Therapy. J Behav Health Serv Res 48, 427–445 (2021). https://doi.org/10.1007/s11414-020-09732-2

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  • DOI: https://doi.org/10.1007/s11414-020-09732-2

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