TF-CBT Training Augmented with a Self-Care Focus

Understanding Facilitators and Barriers to Treatment Implementation

Datos Bibliográficos

ID8907620
AutoresJulie P Harrison (0000-0003-3903-1253, Rowan University, autor de correspondencia), Esther Deblinger (0000-0003-1081-2961, Rowan University), Elisabeth Pollio (Rowan University), Beth A Cooper (0000-0001-8655-1230, Rowan University), Beth Cooper, Robert A Steer (Rowan University)
Año2023
Volumen59
Número7
Páginas1409-1421
Fecha de publicación2023-05-05
Peer ReviewedSí
Open AccessSí
TipoARTICLE
RevistaCommunity Mental Health Journal (JOURNAL)
Identificadores de la revistaISSN: 0010-3853 • E-ISSN: 1573-2789
EditorialSpringer Science+Business Media (PUBLISHER • DE)
DOI10.1007/s10597-023-01130-0
PMID37145337
OpenAlexW4372336151
IdiomaEN
Citas recibidas3
Referencias citadas36

Clinicians working with youth exposed to trauma may be at increased risk for experiencing elevated levels of stress and symptoms of secondary traumatic stress, which can negatively impact clinician wellbeing and ultimately contribute to reduced access to quality care for clients. An innovative Trauma-Focused Cognitive Behavioral Therapy (TF-CBT) training incorporating self-care practices (i.e., Practice What You Preach; PWYP) was developed to help facilitate the implementation of TF-CBT and to enhance clinicians' coping and decrease stress. The primary purpose of this study was to determine whether the PWYP-augmented training met three Objectives: (1) increase clinicians' feelings of TF-CBT competency; (2) improve clinicians' coping abilities/reduce clinicians' stress; and (3) increase clinicians' insight into the benefits and/or challenges clients may experience in treatment. An exploratory aim was also developed to identify additional facilitators and barriers of TF-CBT implementation. The written reflections of 86 community-based clinicians who participated in the PWYP-augmented TF-CBT training were examined using qualitative methods. The majority of clinicians indicated increased feelings of competency and improved coping abilities and/or stress levels; almost half mentioned increased insight into clients' experiences. The most frequently mentioned additional facilitators were related to elements of the TF-CBT treatment model. Anxiety/self-doubt was the barrier most frequently mentioned, though all clinicians who mentioned this barrier indicated it lessened or resolved over the course of the training. Incorporating self-care strategies into trainings may serve as a facilitator for TF-CBT implementation by enhancing the competency and well-being of clinicians. The additional insights into barriers and facilitators can be used to further improve the PWYP initiative and future training and implementation efforts

Anxiety · Competence (human resources · Coping (psychology · Facilitator · Feeling · Psychiatry · Child and Adolescent Psychosocial and Emotional Development · Clinical Psychology · Health Policy Implementation Science · Medicine · Nursing · Psychiatric care and mental health services · Psychology