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Clinical Case Consultation and Experiential Learning in Cognitive Behavioral Therapy Implementation: Brief
Scott H Waltman1,2, Brittany C Hall3, Lynn M McFarr4
1Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania walt2155@pacificu.edu.
Journal of Cognitive Psychotherapy
|August 4, 2020
Summary
Consultants found experiential learning most effective for implementing cognitive behavioral therapy (CBT) in community mental health (CMH). This study offers insights into effective CBT training strategies for CMH clinicians treating complex cases.
Area of Science:
- Psychology
- Mental Health Services
- Implementation Science
Background:
- Cognitive Behavioral Therapy (CBT) is increasingly implemented in Community Mental Health (CMH) settings due to its proven effectiveness.
- Ongoing clinical case consultation is crucial for successful CBT implementation in CMH.
- Existing research often focuses on trainee perspectives regarding consultation effectiveness.
Purpose of the Study:
- To clarify the role and process of clinical case consultation in CBT implementation within CMH systems.
- To examine the strategies used by consultants from the trainers' perspective.
- To understand how consultation impacts CMH clinician competency in treating comorbid patients.
Main Methods:
- Survey of 27 trainers involved in two large-scale CBT implementation initiatives in CMH.
- Data collection focused on consultants' perceived effectiveness of various consultation strategies.
- Analysis of strategies including experiential learning, case conceptualization, and practice sample review.
Main Results:
- Trainers perceived experiential learning as the most effective consultation strategy for teaching CBT to CMH clinicians.
- This contrasts with previous research emphasizing trainees' views on relational variables.
- Case conceptualization and practice sample review were also discussed regarding their utility.
Conclusions:
- Experiential learning is a key strategy for consultants aiming to enhance CBT competency in CMH clinicians.
- Understanding the trainers' perspective provides valuable insights into effective CBT implementation in community settings.
- Consultation strategies need to be tailored to improve clinician competence in managing complex patient populations.
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