Dissemination and Implementation of Evidence-Based Treatments for Childhood PTSD

2019 ◽  
pp. 715-730
Author(s):  
Alison Salloum
Keyword(s):  
Dissemination And Implementation ◽  
Evidence Based ◽  
Childhood Ptsd ◽  
Evidence Based Treatments

Evidence-based Training

2018 ◽  
pp. 964-980
Author(s):  
Anthony P. DuBose ◽  
Yevgeny Botanov ◽  
Maria V. Navarro-Haro ◽  
Marsha M. Linehan
Keyword(s):  
Mental Health Professionals ◽  
Emotion Dysregulation ◽  
Professional Training ◽  
Dissemination And Implementation ◽  
Evidence Based ◽  
Behaviour Therapy ◽  
Evidence Based Treatment ◽  
Intensive Training ◽  
Evidence Based Treatments ◽  
Primary Means

Evidence-based training is a key component in the dissemination and implementation of evidence-based treatments. Dialectical behaviour therapy (DBT) is a well-established evidence-based treatment for suicidal behaviours and emotion dysregulation. However, after publication of the first DBT clinical trial and treatment text, few routes were available to meet the demand for training outside of the treatment development laboratory. Additionally, due to inconsistent standards and regulations for professional training in evidence-based treatments, few mental health professionals had the opportunity to receive training in DBT. To meet the training needs and maintain fidelity to a resource-intensive evidence-based treatment, a novel model of training was developed. Consequentially, an intensive model of training remains the primary means by which practising professionals are trained in standard DBT. This chapter reviews the development and structure of intensive training in DBT and the evidence for the training model’s effectiveness.

scholarly journals VEIKSMINGI PSICHOLOGINĖS PAGALBOS BŪDAI PSICHOTRAUMATOLOGIJOJE

Psichologija ◽  
2013 ◽  
Vol 47 ◽  
pp. 102-115 ◽  
Author(s):  
E. Kazlauskas
Keyword(s):  
Posttraumatic Stress Disorder ◽  
Posttraumatic Stress ◽  
Stress Disorder ◽  
Good Practice ◽  
Psychological Trauma ◽  
Psychosocial Treatment ◽  
Dissemination And Implementation ◽  
Evidence Based ◽  
Psychological Treatments ◽  
Evidence Based Treatments

Straipsnyje analizuojamas psichologinės pagalbos būdų suaugusiems asmenims psichotraumatolo­gijoje veiksmingumas. Įsigilinus į 1998–2012 m. paskelbtas metaanalizes, sistemines apžvalgas, geros praktikos vadovus, daromos išvados, kad daugelis tyrimų patvirtina trumpalaikės į traumą orientuotos kognityviosios elgesio terapijos bei nujautrinimo akių judesiais ir perdirbimo (EMDR) terapijos veiksmin­gumą potrauminio streso sutrikimų turintiems asmenims. Tyrimų rezultatai rodo, kad asmenims iš kar­to po trauminio įvykio nerekomenduojama taikyti formalias psichosocialinės intervencijos procedūras, kaip antai psichologinis susirinkimas (angl. debriefing). Yra mokslinių įrodymų, kad trumpalaikė eklekti­nė terapija (BEPP), internetu teikiamos pagalbos ar virtualios realybės taikymo metodai gali veiksmingai padėti asmenims, kurie turi potrauminio streso sutrikimą. Straipsnyje aptariamos tyrimais paremtų psi­chologinės pagalbos metodų diegimo psichotraumatologijos praktikoje problemos. Pagrindiniai žodžiai: psichologinė trauma, potrauminio streso sutrikimas, pagalbos veiksmingumas.   EFFECTIVE PSYCHOLOGICAL TREATMENTS IN PSYCHOTRAUMATOLOGYEvaldas Kazlauskas SummaryThe present article gives an overview of the psycho­logical treatments of psychological trauma. The article is oriented towards practitioners who want to update their knowledge of the recent developments in psychotraumatology. The research findings, based on meta-analyses and good practice guidelines, are presented and the issues related to the implementation of evidence-based treatments are discussed.The study has shown that the critical stress incident debriefing developed by J. T. Mitchell in 1983 (or psychological debriefing) is not recommended imme­diately after trauma. Metaanalysis (Rose et al., 2003; van Emmeric et al., 2002) revealed no positive long-term effects of debriefing immediately after trauma, with indications of negative outcomes in some studies. Practical guidelines of the International Society of Traumatic Stress Studies, as well as other guidelines do not recommend debriefing as a regular procedure for all survivors. Practical, social or legal assistance provided in an empathic way is recommended during the first month after the trauma. Meta-analytical studies published since 1998 concerning the effectiveness of posttraumatic stress disorder treatments demonstrated the efficacy of trauma-focused cognitive-behavioral therapies (TF-CBT) and eye movement reprocessing and desen­sitization therapy (EMDR). Evidence from studies on the effects of a brief eclectic psychotherapy for posttraumatic stress disorder (BEPP), developed by B. Gersons, internet-based treatments, and virtual reality are promising, and these treatments in the future are possible effective alternatives for TF-CBT and EMDR in evidence-based practice. Psychological treatments should be the first option for the treatment of PTSD, with medication used only when the appro­priate psychological treatments are unavailable or the client prefers medication over psychosocial treatment. While a number of RCT studies have shown the efficacy of TF-CBT and EMDR treatment for PTSD, there is still a gap between research and everyday clinical practice. From the practitioner’s point of view, transfer of manual-based methods from RCT efficacy studies to daily practice is not easy. Clinicians are facing complicated cases, and comorbid disorders are widely prevalent with PTSD. We must also be aware that with the new treatments developed, training of these methods and particularly the availability of sys­tematic supervisions are not always easily accessible; this slows down the dissemination and implementation of evidence-based treatments. Clinicians have to take their own responsibility for selecting what is best for a particular client; however, practitioners also need to make decisions based on what science shows to be the most effective treatment.Key words: psychological trauma, posttraumatic stress disorder, effectiveness of treatment.   o:OfficeDocumentSettings> Veiksmingi psichologinės pagalbos būdai psichotraumatologijoje 

scholarly journals Dissemination and implementation of evidence based treatments for youth: Challenges and recommendations.

2012 ◽  
Vol 43 (5) ◽  
pp. 527-534 ◽  
Author(s):  
Michael A. Southam-Gerow ◽  
Adriana Rodríguez ◽  
Bruce F. Chorpita ◽  
Eric L. Daleiden
Keyword(s):  
Dissemination And Implementation ◽  
Evidence Based ◽  
Evidence Based Treatments

International Implementation of Dialectical Behaviour Therapy

2018 ◽  
pp. 908-930
Author(s):  
Anthony P. DuBose ◽  
Yevgeny Botanov ◽  
André Ivanoff
Keyword(s):  
Emotion Dysregulation ◽  
Careful Examination ◽  
Dissemination And Implementation ◽  
Evidence Based ◽  
Behaviour Therapy ◽  
Dialectical Behaviour Therapy ◽  
Multiple Strategies ◽  
Evidence Based Treatments ◽  
Dissemination And Implementation Science ◽  
History Of

International implementation of dialectical behaviour therapy (DBT) faces many challenges, particularly training therapists across cultures. DBT was born out of necessity to help suicidal individuals suffering from severe emotion dysregulation. Due to a growing popularity of the treatment and rising need for transdiagnostic, evidence-based treatments that target suicidal behaviour, DBT implementation has spread globally. The need for increased international DBT implementation is critical, but implementation efforts require careful examination. Due to the resource-intensive framework of DBT, requiring four modes of treatment, in addition to the multiple strategies required of providers, implementation efforts present novel and significant obstacles to consider. This chapter reviews the history of international DBT implementations and outlines important factors to consider in future implementations. Future implementations will also be strongly influenced by findings from the growing field of dissemination and implementation science.

scholarly journals Science at the Heart of Psychotherapy: A Review of Three Evidence-Based Treatments

2016 ◽  
Vol 28 (1) ◽  
pp. 25
Author(s):  
Victoria Brady ◽  
Victoria Taylor ◽  
Simon Rego
Keyword(s):  
Dialectical Behavior Therapy ◽  
Evidence Base ◽  
Background Information ◽  
Dissemination And Implementation ◽  
Evidence Based ◽  
Medical Problems ◽  
Acceptance And Commitment ◽  
Wide Range ◽  
Evidence Based Treatments ◽  
Cost Efficient

Changes in the U.S. healthcare system over the past fewdecades have led to a transformation of the mental healthfield. The demand for accountability and the need for effective,cost-efficient treatments have spurred the movementtoward evidence-based practices. Today, a number of empiricallybased psychotherapies exist that have proven efficaciousin the treatment of a wide range of physical and psychologicaldisorders. Despite the strong evidence base for these treatments,their dissemination and implementation have beenslow. The intention of the present article is to summarize themajor characteristics of three types of psychotherapy (cognitivebehavioral therapy, acceptance and commitment therapy,and dialectical behavior therapy) that have received muchempirical support and have demonstrated applicability to awide range of both mental and medical problems. For eachtreatment, some background information is provided, alongwith the theoretical underpinnings of the treatment, a summaryof the current state of the evidence, and limitations andcriticisms in the literature.

Refining Evidence-Based Treatments for Late-Life Depression

GeroPsych ◽  
2015 ◽  
Vol 28 (2) ◽  
pp. 67-76
Author(s):  
Grace C. Niu ◽  
Patricia A. Arean
Keyword(s):  
Older Adults ◽  
Mental Illness ◽  
Brain Plasticity ◽  
Late Life ◽  
Aging Population ◽  
The United States ◽  
Future Research ◽  
Evidence Based ◽  
Late Life Depression ◽  
Evidence Based Treatments

The recent increase in the aging population, specifically in the United States, has raised concerns regarding treatment for mental illness among older adults. Late-life depression (LLD) is a complex condition that has become widespread among the aging population. Despite the availability of behavioral interventions and psychotherapies, few depressed older adults actually receive treatment. In this paper we review the research on refining treatments for LLD. We first identify evidence-based treatments (EBTs) for LLD and the problems associated with efficacy and dissemination, then review approaches to conceptualizing mental illness, specifically concepts related to brain plasticity and the Research Domain Criteria (RDoc). Finally, we introduce ENGAGE as a streamlined treatment for LLD and discuss implications for future research.

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