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A Journey: American Indian Behavioral Health Programs Building Culturally Competent Clinical Skills and Adapting Evidence-Based TreatmentsJanuary 2020 (has links)
abstract: There are federal mandates attached to funding for behavioral health programs that require the use of evidence-based treatments (EBTs) to treat mental health disorders in order to improve clinical outcomes. However, these EBTs have not been constructed with American Indian/Alaskan Native (AI/AN) populations. There are over 340 EBTs, and only two outcome controlled studies have demonstrated effectiveness with AI/AN populations to treat mental health disorders. AI/AN communities often have to select an EBT that is not reflective of their culture, language, and traditions. Although EBTs are frequently used in AI/AN communities, little is known about the adaptation process of these interventions with the AI/AN population. For this study, a qualitative design was used to explore how American Indian behavioral health (AIBH) organizations in the Southwest adapted EBTs for cultural relevancy and cultural appropriateness. One urban and two tribal AIBH programs were recruited for the study. Over a six-week period, 24 respondents (practitioners and cultural experts) participated in a semi-structured interview. Transcripts were analyzed using the constant comparative analysis approach. As a result, four themes emerged: 1) attitudes towards EBTs, 2) how to build culturally competent clinical skills, 3) steps to adapt EBTs, and 4) internal and external organizational factors required to adopt EBTs. The four themes identify how to build a culturally responsive behavioral health program in Indian country and are the purview of this dissertation. / Dissertation/Thesis / Doctoral Dissertation Social Work 2020
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Dissemination of Evidence Based Treatments to Rural Communities: Exploring the Role of Telehealth.Polaha, Jodi 01 February 2013 (has links)
No description available.
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Provider-Level Manual Adaptation: Patterns, Predictors, and Impact on Child OutcomesOsterberg, Leticia 2009 May 1900 (has links)
Manualized, evidence-based treatments (EBTs) for children are being increasingly
incorporated in community mental health clinics. Yet, providers hold concerns about the
appropriateness of manuals for community populations, as suggested by the research of
Jensen-Doss, Hawley, Lopez and Osterberg. Such concerns could lead them to adapt EBTs
in the field, potentially diminishing or increasing their effectiveness. Therefore, it is striking
how little is known about provider-level manual adaptation in community settings. The
present study investigated the extent to which therapists mandated to use a manualized EBT
adapt the treatment in the field, including patterns, predictors and outcomes of adaptation. A
typology of provider-level manual adaptation was created to describe sessions double-dipped
(i.e., repeated), skipped, or flipped (i.e., delivered in reverse order).
Patterns of manual adaptation used by a sample of 38 community therapists treating
288 depressed youths with Lewinsohn and colleagues? Adolescent Coping with Depression
course (CWD-A) were described. Hierarchical Linear Modeling was used to identify which
client and therapist characteristics predict manual adaptation, and whether adaptation is
associated with greater improvement or worsening in youths? therapy outcomes.
Adaptation was widespread and largely unsystematic, with no significant client predictors of repeats or flips. Sessions were skipped more often for youths belonging to
families with higher income and youths with greater pre-treatment symptom severity, but less
often for Hispanic and Asian youths relative to Caucasians. A significant portion of
variability in adaptation was attributable to therapists, who showed habits in manual
adaptation: therapists with more years of experience working at the clinics double-dipped
sessions more often, and Hispanic therapists flipped sessions much less often than Caucasian
therapists did. Finally, adaptation was significantly related with outcomes, such that doubledips
were associated with worsened symptom severity, skips were associated with improved
symptom severity, and flips were associated with worsened functioning.
Given that these data suggest manualized EBTs are likely to undergo vast adaptation
in community settings, and that such adaptation is related to client outcomes, further research
is necessary to better inform practitioners about when each type of manual adaptation may be
appropriate. Practical implications for implementation efforts are discussed.
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Teacher Acceptability of Treatments for ADHDGirio, Erin Lynne 28 December 2006 (has links)
No description available.
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Pilot Effectiveness and Transportability Trial of Multi-Family Psychoeducational Psychotherapy (MF-PEP) for Childhood Mood Disorders in a Community Behavioral Health SettingMacPherson, Heather Ann 01 November 2010 (has links)
No description available.
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The Utilization of Evidence-Based Treatments in Trauma Treatment of Active Military Personnel and Their FamiliesBrickell, Matt 05 October 2015 (has links)
No description available.
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Going beyond evidence based and common factors approaches: a social constructionist model of therapeutic factorsVan Zyl, Francois Nicolaas 02 1900 (has links)
Text in English / The inception of psychology as a practicing profession in 1938 brought with it a continuing scientific struggle geared towards cementing its place as a value-adding health service in the form of psychotherapy. Concepts such as Empirically Supported Treatments (ESTs), Evidence Based Treatments (EBTs) and Evidence Based Practice in Psychology (EBPP) arose out of research attempts to scientifically prove the efficacy of psychological treatment versus psychiatric medications or versus no treatment. This focus on evidence in psychotherapy partly stems from, but also influences public policy in the form of practice and training mandates as well as government and insurance funding policies for psychotherapy. At present ESTs, EBTs and EBPP are the source of polarisation among psychologists who argue for either sides of this controversy, raising questions on a practical/policy level as well as an epistemological level. This thesis differentiates between ESTs, EBTs and EBPP as well as the Common Factors approach and continues to critically investigate the advantages, practical/policy implications and epistemological critiques against these approaches. Some of the identified shortfalls resulting from unwarranted epistemological (empirical) assumptions are addressed by proposing a social constructionist model of therapeutic factors based on social constructionist- and eco-systemic theories. The proposed model allows therapists to employ EBT’s in conjunction with various other (excluded) approaches that are available in their arsenal of treatments. Clinical case studies are used to illustrate the model’s practical operation in therapeutic contexts. / Psychology / Ph.D. (Psychology)
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Going beyond evidence based and common factors approaches: a social constructionist model of therapeutic factorsVan Zyl, Francois Nicolaas 02 1900 (has links)
Text in English / The inception of psychology as a practicing profession in 1938 brought with it a continuing scientific struggle geared towards cementing its place as a value-adding health service in the form of psychotherapy. Concepts such as Empirically Supported Treatments (ESTs), Evidence Based Treatments (EBTs) and Evidence Based Practice in Psychology (EBPP) arose out of research attempts to scientifically prove the efficacy of psychological treatment versus psychiatric medications or versus no treatment. This focus on evidence in psychotherapy partly stems from, but also influences public policy in the form of practice and training mandates as well as government and insurance funding policies for psychotherapy. At present ESTs, EBTs and EBPP are the source of polarisation among psychologists who argue for either sides of this controversy, raising questions on a practical/policy level as well as an epistemological level. This thesis differentiates between ESTs, EBTs and EBPP as well as the Common Factors approach and continues to critically investigate the advantages, practical/policy implications and epistemological critiques against these approaches. Some of the identified shortfalls resulting from unwarranted epistemological (empirical) assumptions are addressed by proposing a social constructionist model of therapeutic factors based on social constructionist- and eco-systemic theories. The proposed model allows therapists to employ EBT’s in conjunction with various other (excluded) approaches that are available in their arsenal of treatments. Clinical case studies are used to illustrate the model’s practical operation in therapeutic contexts. / Psychology / Ph.D. (Psychology)
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