Few CBTp implementation studies have applied a framework to CBTp implementation. The authors adapted the Learning Collaborative model in an attempt to promote adoption of CBTp in community mental health clinics across a large, populous state with poor access to mental health services. Fifty-six providers attended an in-person training followed by six months of biweekly consultation sessions (Phase 1). Twenty-one providers participated in an additional six months of consultation (Phase 2). One year after completion of Phase 2, 21% of the originally trained providers continue to provide CBTp. Penetration and self-perceived skill development were improved modestly. Participating providers identified multiple barriers to CBTp implementation, including features of the training and consultation, the agency, the intervention itself, and psychosocial and clinical challenges associated with the client population.
Publication Date: Wednesday, October 24, 2018
