Therapist report of adaptations to delivery of evidence-based practices within a system-driven reform of publicly funded children's mental health services.

ABSTRACT:

Objective

This study examined clinical adaptations reported by community therapists to multiple evidence-based practices (EBPs) currently implemented in children's mental health services. Based on an item set informed by Stirman and colleagues' model (2015), 2 factors emerged describing Augmenting adaptations and Reducing/Reordering adaptations. We used multilevel modeling to examine therapist- and practice-level predictors of therapist reports of each type of adaptation.

Method

Data were drawn from an online survey, including a novel therapist report measure of EBP adaptations, completed by 572 therapists (89.2% female, Mage = 37.08 years, 33.4% non-Hispanic White) delivering EBPs in the context of a system-driven, fiscally mandated implementation effort.

Results

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SUBMITTER: Lau A 

PROVIDER: S-EPMC5501960 | biostudies-literature | 2017 Jul

REPOSITORIES: biostudies-literature