Managing In-Session “Surprises:” Provider Responses to Emergent Life Events during Evidence-Based Treatment Implementation

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• 作者：Karen Guan ; Michelle C. Levy ; Rachel E. Kim…
• 关键词：Emergent life events ; Dissemination and implementation ; Evidence ; based treatment ; Community settings ; Therapy providers
• 刊名：Administration and Policy in Mental Health and Mental Health Services Research
• 出版年：2017
• 出版时间：March 2017
• 年：2017
• 卷：44
• 期：2
• 页码：164-176
• 全文大小：
• 刊物类别：Medicine
• 刊物主题：Public Health; Health Administration; Clinical Psychology; Psychiatry; Health Informatics;
• 出版者：Springer US
• ISSN：1573-3289
• 卷排序：44

文摘

This study aimed to: (1) pilot a psychotherapy coding system for provider responses to emergent life events (ELEs; unexpected events that have a significant negative impact on the client), (2) examine the impact of ELEs on evidence-based treatment (EBT) delivery in community settings. Raters coded 30 randomly-sampled EBT session recordings with and without reported ELEs. Inter-rater reliability and validity for the system were generally high. When an ELE occurred, providers were significantly less likely to deliver the EBT, and when they did, they rarely linked the EBT to the event. Findings highlight the potential for ELEs to disrupt EBT implementation.