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Managing In-Session "Surprises:" Provider Responses to Emergent Life Events during Evidence-Based Treatment
Karen Guan1, Michelle C Levy2,3, Rachel E Kim2
1Department of Psychology, University of California, 1285 Franz Hall, Box 951563, Los Angeles, CA, 90095, USA. kguan10@ucla.edu.
Abstract:
This study aimed to: (1) pilot a psychotherapy coding system for provider responses to emergent life events (ELEs; unexpected events that have a significant negative impact on the client), (2) examine the impact of ELEs on evidence-based treatment (EBT) delivery in community settings. Raters coded 30 randomly-sampled EBT session recordings with and without reported ELEs. Inter-rater reliability and validity for the system were generally high. When an ELE occurred, providers were significantly less likely to deliver the EBT, and when they did, they rarely linked the EBT to the event. Findings highlight the potential for ELEs to disrupt EBT implementation.
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