Multidisciplinary Cognitive-Behavioral Therapy Training for the Veterans Affairs Primary Care Setting
- 24 June 2010
- journal article
- Published by Physicians Postgraduate Press, Inc in The Primary Care Companion For CNS Disorders
- Vol. 12 (3)
- https://doi.org/10.4088/PCC.09m00838blu
Abstract
Current research highlights the need to embed evidence-based psychotherapies such as cognitive-behavioral therapy (CBT) within primary care settings. Few studies have examined CBT training procedures, and no studies have examined the impact of CBT training in the primary care setting. The current study sought to describe and assess the feasibility and effectiveness of a focused CBT training program for a diverse sample of primary care mental health providers in the Department of Veterans Affairs (VA). A multidisciplinary group of 28 mental health clinicians from 6 VA medical centers and 15 community-based outpatient clinics received an intensive 1½-day CBT workshop, held in Houston, Texas, in May 2008, including didactic presentations, expert modeling, and small-group role plays. CBT experts also provided biweekly follow-up group telephone consultation calls for participants over 12 weeks to aid in development of CBT skills. Participant program evaluation surveys and self-reported CBT knowledge, ability, and utilization were measured preworkshop, postworkshop, and 3 months postworkshop. Analyses compared mean change scores at baseline to those at 3-month follow-up. Wilcoxon signed rank tests were completed, and Cohen d effect-size calculations were also computed. Statistical analyses found that participant self-reported CBT knowledge (P < .01, effect size [ES] = 0.49) was significantly improved postworkshop and maintained at 3-month follow-up. Self-reported abilities were also improved (P = .07, ES = 0.40). The potency of the training experience appeared to be enhanced by the multimodal nature of the program. Although challenges exist, focused and intensive training in CBT appears feasible for multidisciplinary mental health practitioners in the primary care setting.Keywords
This publication has 11 references indexed in Scilit:
- Provider Attitudes Toward Evidence-Based Practices: Are the Concerns With the Evidence or With the Manuals?Psychiatric Services, 2009
- Psychological interventions for major depression in primary care: a meta-analytic review of randomized controlled trialsGeneral Hospital Psychiatry, 2008
- Integrating Mental Health and Primary Care Services in the Department of Veterans Affairs Health Care SystemJournal of Clinical Psychology in Medical Settings, 2008
- Psychosocial and pharmacological interventions for depressed adults in primary care: A critical reviewClinical Psychology Review, 2008
- Workshop-based Training in Trauma-focused CBT: An In-depth Analysis of Impact on Provider PracticesCommunity Mental Health Journal, 2007
- We Don't Train in Vain: A Dissemination Trial of Three Strategies of Training Clinicians in Cognitive-Behavioral Therapy.Journal of Consulting and Clinical Psychology, 2005
- A Randomized Trial of Methods to Help Clinicians Learn Motivational Interviewing.Journal of Consulting and Clinical Psychology, 2004
- Cognitive Behavioral Therapy: A Blueprint for Attaining and Assessing Psychiatry Resident CompetencyAcademic Psychiatry, 2003
- Empirically supported individual and group psychological treatments for adult mental disorders.Journal of Consulting and Clinical Psychology, 1998
- Training in cognitive, supportive-expressive, and drug counseling therapies for cocaine dependence.Journal of Consulting and Clinical Psychology, 1998