Therapist competence, therapy quality, and therapist training

Large numbers of therapists worldwide wish to receive training in how to deliver psychological treatments. Current methods of training are poorly suited to this task as they are costly and require scarce expertise. New forms of training therefore need to be developed that are more cost-effective and scalable. Internet-based methods might fulfil these requirements whilst having the added advantage of being able to provide trainees with extensive exposure to the treatment as practised. New strategies and procedures for evaluating training outcome are also required. These need to be capable of assessing the therapist’s knowledge of the treatment and its use, as well as the therapist’s ability to apply this knowledge in clinical practice. Standardised role play-based techniques might be of value in this regard.

[1]  Alan E. Kazdin,et al.  Treatment Integrity and Therapeutic Change: Issues and Research Recommendations , 2006 .

[2]  Christine Bellotti,et al.  A randomized trial comparing two models of web-based training in cognitive-behavioral therapy for substance abuse counselors. , 2009, Journal of substance abuse treatment.

[3]  F. Mcmanus,et al.  Establishing evidence-based training in cognitive behavioral therapy: A review of current empirical findings and theoretical guidance. , 2010, Clinical psychology review.

[4]  A. Kazdin,et al.  Treatment integrity in psychotherapy research: analysis of the studies and examination of the associated factors. , 2007, Journal of consulting and clinical psychology.

[5]  K. Carroll,et al.  One small step for manuals: Computer-assisted training in twelve-step facilitation. , 2006, Journal of studies on alcohol.

[6]  P. Garfinkel,et al.  Handbook of treatment for eating disorders , 1997 .

[7]  B. Rounsaville,et al.  We don't train in vain: a dissemination trial of three strategies of training clinicians in cognitive-behavioral therapy. , 2005, Journal of consulting and clinical psychology.

[8]  W. Miller,et al.  A randomized trial of methods to help clinicians learn motivational interviewing. , 2004, Journal of consulting and clinical psychology.

[9]  N. Jacobson,et al.  Testing the integrity of a psychotherapy protocol: assessment of adherence and competence. , 1993, Journal of consulting and clinical psychology.

[10]  I. Blackburn,et al.  THE REVISED COGNITIVE THERAPY SCALE (CTS-R): PSYCHOMETRIC PROPERTIES , 2001 .

[11]  K. Weingardt,et al.  Using Blended Learning to Implement Evidence-Based Psychotherapies , 2008 .

[12]  J. Barber,et al.  A conceptual and empirical review of the meaning, measurement, development, and teaching of intervention competence in clinical psychology. , 2009, Clinical psychology review.

[13]  David Newble,et al.  Techniques for measuring clinical competence: objective structured clinical examinations , 2004, Medical education.

[14]  Laura Mufson,et al.  National survey of psychotherapy training in psychiatry, psychology, and social work. , 2006, Archives of general psychiatry.

[15]  Julie M. Skutch,et al.  Which training method works best? A randomized controlled trial comparing three methods of training clinicians in dialectical behavior therapy skills. , 2009, Behaviour research and therapy.

[16]  David H Barlow,et al.  The dissemination and implementation of evidence-based psychological treatments. A review of current efforts. , 2010, The American psychologist.

[17]  Barbara K. Reid,et al.  Effectiveness of brief training in cognitive behaviour therapy techniques for palliative care practitioners , 2006, Palliative medicine.

[18]  B. Keogh,et al.  Surgical “league tables” , 2008, Heart.

[19]  P. Kendall,et al.  Training Therapists in Evidence-Based Practice: A Critical Review of Studies From a Systems-Contextual Perspective. , 2010, Clinical psychology : a publication of the Division of Clinical Psychology of the American Psychological Association.

[20]  A. Beck,et al.  Cognitive Therapy Scale , 2011 .

[21]  D H Barlow,et al.  The dissemination of empirically supported treatments: a view to the future. , 1999, Behaviour research and therapy.

[22]  K. Weingardt The Role of Instructional Design and Technology in the Dissemination of Empirically Supported, Manual-Based Therapies , 2006 .

[23]  J. Barber,et al.  Assessing intervention competence and its relation to therapy outcome: A selected review derived from the outcome literature. , 2007 .

[24]  N. Jacobson,et al.  Can depression be de-medicalized in the 21st century: scientific revolutions, counter-revolutions and the magnetic field of normal science. , 2000, Behaviour research and therapy.

[25]  C. Fairburn,et al.  Cognitive-behavioral self-help for binge eating disorder: a controlled effectiveness study. , 1998, Journal of consulting and clinical psychology.

[26]  Jones Mark,et al.  Surgeon specific mortality in adult cardiac surgery: comparison between crude and risk stratified data , 2003, BMJ : British Medical Journal.

[27]  D. Kolko,et al.  The role of therapist training in the implementation of psychosocial treatments: a review and critique with recommendations. , 2010, Clinical psychology review.