Publication Date

2017-08-01

Availability

Embargoed

Embargo Period

2019-08-01

Degree Type

Dissertation

Degree Name

Doctor of Philosophy (PHD)

Department

Psychology (Arts and Sciences)

Date of Defense

2017-04-07

First Committee Member

Amanda Jensen-Doss

Second Committee Member

Jill Ehrenreich-May

Third Committee Member

Brian Doss

Fourth Committee Member

Saneya H. Tawfik

Fifth Committee Member

Cynthia L. Rowe

Abstract

The inclusion of ongoing consultation following EBP training in implementation efforts has been shown to enhance the uptake of EBPs into systems of care. Yet, little is known about the types of questions and concerns raised by providers during consultation and methods used by consultants to address those concerns. In addition, it is often difficult to get providers to engage in consultation. The present study examined content and consultative methods during consultation following training in TF-CBT, as part of a community-based learning collaborative (CBLC) to implement TF-CBT for youth served in the child welfare system. Minute-to-minute live coding of consultation calls was conducted to examine content and consultative methods, and results of coding are discussed. Consistent with previous work, findings highlight difficulties with provider engagement in consultation. Results included a significant positive association between providers with more years’ professional experience and consultation call engagement and between greater average weekly caseloads and number of case presentations on consultation calls. What takes place during consultation, engagement in consultation, and considering ways in which EBP training efforts may be more targeted to address barriers and increase provider engagement in ongoing support efforts are discussed.

Keywords

implementation; supervision; evidence-based treatment; usual care; youth mental health; engagement

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