Skip to main content

Advertisement

Log in

Evaluating a Train-the-Trainer Approach for Increasing EBP Training Capacity in Community Mental Health

  • Published:
The Journal of Behavioral Health Services & Research Aims and scope Submit manuscript

Abstract

Research suggests the train-the-trainer (TtT) model may be an effective approach to training community mental health providers in evidence-based practice (EBP). This study compared pre- and post-training consultation outcomes as well as standardized measures of trainer attributes and behaviors between university-based master trainers and experienced community-based supervisors, trained under the TtT approach. Findings suggest local and master trainers are equivalent in terms of clinical teaching effectiveness and trainee-perceived charisma. Master trainers may have higher trainee-perceived credibility, but training and consultation outcomes are equivalent across the types of trainers, with the exception of behavioral problems where clinicians trained by local trainers and master trainers saw significantly greater growth than those who received training and consultation by master trainers.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Figure 1

Similar content being viewed by others

References

  1. Institute of Medicine. Psychosocial interventions for mental and substance use disorders: a framework for establishing evidence-based standards. (England MJ, Butler AS, Gonzalez ML, eds.). Washington (DC): National Academies Press (US); 2015. http://www.ncbi.nlm.nih.gov/books/NBK305126/. Accessed March 21, 2019.

  2. Williams NJ, Beidas RS. Annual research review: the state of implementation science in child psychology and psychiatry: a review and suggestions to advance the field. Journal of Child Psychology and Psychiatry. August 2018. https://doi.org/10.1111/jcpp.12960

  3. Weisz JR, Kuppens S, Ng MY, et al. What five decades of research tells us about the effects of youth psychological therapy: a multilevel meta-analysis and implications for science and practice. American Psychologist. 2017;72(2):79-117. https://doi.org/10.1037/a0040360

    Article  PubMed  Google Scholar 

  4. Bruns EJ, Kerns SEU, Pullmann MD, et al. Research, data, and evidence-based treatment use in state behavioral health systems, 2001-2012. Psychiatric Services. 2016;67(5):496-503. https://doi.org/10.1176/appi.ps.201500014

    Article  PubMed  Google Scholar 

  5. Cummings JR, Ponce NA, Mays VM. Comparing racial/ethnic differences in mental health service use among high-need subpopulations across clinical and school-based settings. Journal of Adolescent Health. 2010;46(6):603-606. https://doi.org/10.1016/j.jadohealth.2009.11.221

    Article  PubMed  Google Scholar 

  6. Kovess-Masfety V, Van Engelen J, Stone L, et al. Unmet need for specialty mental health services among children across Europe. Psychiatric Services. 2017;68(8):789-795. https://doi.org/10.1176/appi.ps.201600409

    Article  PubMed  Google Scholar 

  7. Sheppard R, Deane FP, Ciarrochi J. Unmet need for professional mental health care among adolescents with high psychological distress. Australian and New Zealand Journal of Psychiatry. 2018;52(1):59-67. https://doi.org/10.1177/0004867417707818

    Article  PubMed  Google Scholar 

  8. Beidas RS, Kendall PC. Training therapists in evidence-based practice: a critical review of studies from a systems-contextual perspective. Clinical Psychology : a publication of the Division of Clinical Psychology of the American Psychological Association. 2010;17(1):1-30. https://doi.org/10.1111/j.1468-2850.2009.01187.x

    Article  Google Scholar 

  9. Herschell AD, Kolko DJ, Baumann BL, et al. The role of therapist training in the implementation of psychosocial treatments: a review and critique with recommendations. Clinical Psychology Review. 2010;30(4):448-466. https://doi.org/10.1016/j.cpr.2010.02.005

    Article  PubMed  PubMed Central  Google Scholar 

  10. Rakovshik SG, McManus F. Establishing evidence-based training in cognitive behavioral therapy: a review of current empirical findings and theoretical guidance. Clinical Psychology Review. 2010;30(5):496-516. https://doi.org/10.1016/j.cpr.2010.03.004

    Article  PubMed  Google Scholar 

  11. Olmstead T, Carroll KM, Canning-Ball M, et al. Cost and cost-effectiveness of three strategies for training clinicians in motivational interviewing. Drug and Alcohol Dependence. 2011;116(1-3):195-202. https://doi.org/10.1016/j.drugalcdep.2010.12.015

    Article  PubMed  PubMed Central  Google Scholar 

  12. Nakamura BJ, Selbo-Bruns A, Okamura K, et al. Developing a systematic evaluation approach for training programs within a train-the-trainer model for youth cognitive behavior therapy. Behaviour Research and Therapy. 2014;53:10-19. https://doi.org/10.1016/j.brat.2013.12.001

    Article  PubMed  Google Scholar 

  13. Pearce J, Mann MK, Jones C, et al. The most effective way of delivering a train-the-trainers program: a systematic review. The Journal of Continuing Education in the Health Professions. 2012;32(3):215-226.

    Article  Google Scholar 

  14. Yarber L, Brownson CA, Jacob RR, et al. Evaluating a train-the-trainer approach for improving capacity for evidence-based decision making in public health. BMC Health Services Research. 2015;15(1):547. https://doi.org/10.1186/s12913-015-1224-2

    Article  PubMed  PubMed Central  Google Scholar 

  15. Zisblatt L, Hayes SM, Lazure P, et al. Safe and competent opioid prescribing education: Increasing dissemination with a train-the-trainer program. Substance Abuse. 2017;38(2):168-176. https://doi.org/10.1080/08897077.2016.1275927

    Article  PubMed  Google Scholar 

  16. Burley M. Outpatient Treatment Differences for Children Served in Washington’s Public Mental Health System. Olympia, WA: Washington State Institute for Public Policy; 2009.

    Google Scholar 

  17. Ambady N, Rosenthal R. Thin slices of expressive behavior as predictors of interpersonal consequences: a meta-analysis. Psychological Bulletin. 1992;111(2):256-274. https://doi.org/10.1037/0033-2909.111.2.256

    Article  Google Scholar 

  18. Piccolo RF, Colquitt JA. Transformational leadership and job behaviors: the mediating role of job characteristics. Academy of Management Journal. 2006:327–340.

  19. Cooper CL. Adverse and growthful effects of experiential learning groups: the role of the trainer, participant, and group characteristics. Human Relations. 1977;30(12):1103-1129. https://doi.org/10.1177/001872677703001204

    Article  Google Scholar 

  20. Boyd MR, Lewis CC, Scott K, et al. The creation and validation of the Measure of Effective Attributes of Trainers (MEAT). Implementation Science. 2017;12(1):73. https://doi.org/10.1186/s13012-017-0603-y

    Article  PubMed  Google Scholar 

  21. Copeland H, Hewson MGA. Developing and testing an instrument to measure the effectiveness of clinical teaching in an academic medical center. Academic medicine : journal of the Association of American Medical Colleges. 2000;75(2):161-166. https://doi.org/10.1097/00001888-200002000-00015

    Article  CAS  Google Scholar 

  22. R Core Team (2019). R: A language and environment forstatistical computing. R Foundation for Statistical Computing,Vienna, Austria. https://www.R-project.org/

  23. Dorsey S, Berliner L, Lyon AR, et al. A statewide common elements initiative for children’s mental health. The Journal of Behavioral Health Services & Research. 2016;43(2):246-261. https://doi.org/10.1007/s11414-014-9430-y

    Article  Google Scholar 

  24. Orfaly RA, Frances JC, Campbell P, et al. Train-the-trainer as an educational model in public health preparedness: Journal of Public Health Management and Practice. 2005;11(Supplement):S123-S127. https://doi.org/10.1097/00124784-200511001-00021

    Article  Google Scholar 

  25. Glasgow RE, Riley WT. Pragmatic measures: what they are and why we need them. American Journal of Preventive Medicine. 2013;45(2):237-243. https://doi.org/10.1016/j.amepre.2013.03.010

    Article  PubMed  Google Scholar 

  26. Dorsey S, Pullmann MD, Kerns SEU, et al. The juggling act of supervision in community mental health: implications for supporting evidence-based treatment. Administration and Policy in Mental Health and Mental Health Services Research. 2017;44(6):838-852. https://doi.org/10.1007/s10488-017-0796-z

    Article  PubMed  Google Scholar 

Download references

Acknowledgements

We’d like to thank the local trainers for their hard work leading trainings and support developing the train-the-trainer initiative: Rachel Barrett, Dan Fox, Melissa Gorsuch-Clark, Cara Graham, Louisa Hall, Phoebe Mulligan, and Renee Slaven. This publication was made possible in part by funding from the Washington State Department of Social and Health Services, Division of Behavioral Health Recovery.

Funding

This publication was made possible in part by funding from the Washington State Department of Social and Health Services, Division of Behavioral Health Recovery (WA DBHR).

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Noah S. Triplett AB.

Ethics declarations

All evaluation activities were reviewed by the Washington State IRB and were exempted from review.

Conflict of interest

Dr. Sedlar, Ms. Berliner, Dr. Jungbluth, and Dr. Dorsey were paid by WA DBHR to serve as the master trainers for the initiative outlined in this study. The remaining authors declare that they have no conflict of interest.

Human participants

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

Informed consent

Informed consent was obtained from all individual participants included in the study.

Additional information

Publisher’s Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Triplett, N.S., Sedlar, G., Berliner, L. et al. Evaluating a Train-the-Trainer Approach for Increasing EBP Training Capacity in Community Mental Health. J Behav Health Serv Res 47, 189–200 (2020). https://doi.org/10.1007/s11414-019-09676-2

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s11414-019-09676-2

Keywords

Navigation