Symposium 4 – October 14, 2011 (MC: Shannon Dorsey)

1. Dissemination of TF-CBT across Washington State
Presentation Slides       Video of Presentation

Presenter:     Lucy Berliner, MSW
Authors:     Lucy Berliner, Shannon Dorsey, University of Washington, Ron Gengler, Central Washington Comprehensive Mental Health, Don Fields-Moriarty, Kitsap Mental Health Services, Laura Severtson, Greater Lakes Mental Healthcare, and Dan Fox, Lutheran Community Services

Abstract:   Evaluation data will be presented for a statewide learning collaborative model of a components intervention for children and families seeking care in public mental health settings in WA state. EBI clinical supervisors from three community agencies will describe the field perspective. The presentations will be oriented toward identifying the organizational and work force factors that enhance and impede adoption of both proprietary and non-proprietary EBI. They will challenge researchers to answer questions about what are the most feasible as well effective strategies within real world constraints.


2. Partnerships for Success at Lutheran Community Services: An University-Agency Collaborative to Enhance EBP Implementation
Presentation Slides    Video of Presentation

Presenter:    Suzanne Kerns, PhD
Authors:    Suzanne Kerns, University of Washington, and Dan Fox, Lutheran Community Services

Abstract:     The Partnerships for Success (PfS) model, originally developed by David Julian, is a capacity building strategy designed to enhance implementation of programming to prevent and address child and adolescent problem behaviors (Julian, 2006). Through this comprehensive approach, many of the known barriers associated with implementing evidence-based practices are proactively addressed and an infrastructure is built to facilitate problem-solving other challenges that arise.

While PfS is typically applied to county or regional service areas, this project investigated an adaptation of the model with an agency-University partnership. The primary aim of the project was to determine if implementation of the PfS model could favorably shift agency culture and climate with regard to implementation of evidence-based practices. Additionally, outcomes specific to the chosen evidence-based practice (motivational interviewing), including important agency-level indicators such as length in treatment and client no-show rates, were assessed.

Agency staff responded to an anonymous questionnaire about attitudes towards evidence-based practices and overall climate at the agency across three time periods during PfS implementation – at baseline, immediately after initial motivational interviewing implementation, and at one year follow-up. Significant improvements in attitudes towards evidence-based practices and agency climate were found at follow-up. Other agency-level indicators have not demonstrated change at this time. We will discuss implications of this model and associated findings from a research and agency perspective.

3. The Realities of Fidelity versus Flexibility
Presentation Slides       Video of Presentation

Presenter:    Rita Bostick, MA
Authors:    Rita Bostick, Sara van Driel, Triple P America

Abstract:    While there is a keen awareness of the need to maintain fidelity to evidence-based intervention models, providers often argue that clients do not fit inside the intervention box. Hence, there is a need to balance fidelity to the evidence-base of the model, but also to allow for flexibility to meet the needs of individual clients. This presentation focuses on the balance of fidelity and flexibility in both a program delivery and a provider training context stemming from experiences disseminating the Triple P – Positive Parenting Program. Real examples will be used throughout the presentation to highlight key implementation points. Finally, the presentation will provide a brief overview of current Triple P research in this area and areas for future research consideration.


Q and A