Breakout B – May 16, 2013
1. Training in Triple P (Positive Parenting Program): Exploring Implementation Outcomes Across Practitioner Groups in the United States, Australia, England & Canada
Presentation Slides Video of Presentation
Presenter: Suvena Sethi, PhD
Authors: Suvena Sethi, PhD, & Matthew Sanders, PhD, Parenting & Family Support Centre, University of Queensland, Australia
Abstract: The Triple P Positive Parenting Program is a multi-level parenting and family support strategy that aims to reduce behavioral, emotional, and developmental problems in children by enhancing parental knowledge, skills, and confidence to promote positive and supportive relationships with their children. An integral element of the implementation of Triple P is practitioner training. This paper explores the results of an analysis of training outcomes of participants who received practitioner training in Level 4, Group Triple P (n=4080; for example, GP’s, psychologists, nurses, teachers, social and family support workers). A series of ANOVAs were conducted to analyze training outcomes across practitioner groups including perceived adequacy of skills and proficiency in the delivery of Triple P strategies. While we highlight that across each country, outcomes illustrate significant improvements in practitioner confidence in the delivery of positive parenting strategies, qualitative responses of participants also highlight the potential challenges faced by practitioners in accessing evidence-based interventions. The successful implementation of a Triple P Online Training Program represents the next crucial step in program development. Discussion will draw on a public health model that engages a wider practitioner cohort and will include an emerging focus on translating Triple P provider training for an online implementation strategy. The opportunity and challenges of such a process will be discussed.
2. Factors Associated with Adoption of a Mental Health Intervention for Autism Spectrum Disorders
Presentation Slides Video of Presentation
Presenter: Colby Chlebowski, PhD
Authors: Colby Chlebowski, PhD, & Lauren Brookman-Frazee, PhD, Department of Psychiatry, Child & Adolescent Services Research Center, University of California, San Diego
Abstract: Community and school-based mental health programs play an important role in caring for school-age children with Autism Spectrum Disorders (ASD). The AIM HI (“An Individualized Mental Health Intervention for ASD???) was developed to address concerns about the quality of publicly-funded MH care for this population. It is a package of EB strategies developed specifically for delivery in MH services and designed in collaboration with community stakeholders based on a community needs assessment and data on EB strategies for this clinical population. This presentation will report findings related to intervention adoption from a large-scale effectiveness and implementation study of AIM HI. Child MH programs from one large, geographically diverse county are being recruited to participate and randomized to immediate AIM HI implementation or a waitlist control condition. To date, 100% (n=18) of eligible programs approached to participate have enrolled in the study. Preliminary themes emerging from the program recruitment process highlight implementation facilitators at the system and organizational levels (e.g., system leader champions, program leader support based on perceived need for therapist ASD training, and strong implementation climate). Data from agency and program leader and therapist surveys reporting on their decisions to adopt AIM HI, implementation climate, leadership, and attitudes towards evidence-based practices will be presented
3. Observed Barriers to Implementation of Empirically-Supported Treatments by Clinicians Working with Military & Veteran Patients
Presentation Slides Presentation Slides Video of Presentation (Craig J. Bryan) Video of Presentation (David S. Riggs)
Presenters: Craig J. Bryan, PsyD and David S. Riggs, PhD
Authors: Craig J. Bryan, PsyD, ABPP,1 & David S. Riggs, PhD2
1National Center for Veterans Studies; 2Center for Deployment Psychology
Abstract: During the past two years, the National Center for Veterans Studies and Center for Deployment Psychology have provided training workshops to over 9000 military and civilian mental health professionals focused on several empirically-supported treatments for psychiatric conditions of particular relevance to military and veteran patients: prolonged exposure (PE) and cognitive processing therapy (CPT) for PTSD, cognitive behavioral therapy for insomnia (CBTi), imagery rehearsal therapy (IRT) for nightmares, brief cognitive behavioral therapy (BCBT) for suicide risk, and cognitive behavioral therapy for chronic pain. Very few mental health professionals have been exposed to these treatments, and several common barriers to full adoption of these treatment models have been noted, including misconceptions about treatment safety and efficacy, strong commitment to unsupported theories and practices, and pseudoscientific thinking. Furthermore, adoption of these practices has been limited despite these efforts. In this presentation, individual and systemic barriers to the implementation of these protocols will be discussed, as well as a few examples of successful adoption that may provide guidance to improve successful dissemination of empirically-supported treatments across large and dispersed health care systems. To date, 100% (n=18) of eligible programs approached to participate have enrolled in the study. Preliminary themes emerging from the program recruitment process highlight implementation facilitators at the system and organizational levels (e.g., system leader champions, program leader support based on perceived need for therapist ASD training, and strong implementation climate). Data from agency and program leader and therapist surveys reporting on their decisions to adopt AIM HI, implementation climate, leadership, and attitudes towards evidence-based practices will be presented