Development and Dissemination of Rigorous Methods for Training and Implementation

描述(由申请人提供)：循证行为治疗(EBHTs)的传播和实施正在全国范围内进行，这是许多州和国家倡议的一部分，目的是改变精神健康系统，改善对患有精神疾病和药物使用障碍的个人的护理。然而，这些培训和实施方法受到的经验审查有限。虽然它们通常反映了EBHT开发人员、同事或行为健康系统的良好判断力，但这些计划通常代价高昂，而且往往是成功的。一些研究人员已经开发了新的培训和实施行为健康治疗的方法，这些方法还处于评估的早期阶段(例如，以创伤为重点的CBT、自信的社区治疗、辩证行为治疗、珍珠和Triple-P)。对培训和实施进行经验评估并传播成功的模式和评估方法是一项重要的研究议程。这一系列的三次会议将汇聚EBHTs的开发者、参与EBHTs实施的研究人员和系统，以及关于培训和实施研究的跨学科专家。除了该领域的高级研究人员外，重点还将放在研究生、研究员和初级教员的参与上，以及确保妇女、种族和少数民族以及残疾人的参与。总体目标有三个方面：(A)以理论和行为改变研究为基础，传播有效的培训和实施模式；(B)传播严格的方法，在培训和实施的初始阶段对培训和实施进行评估；(C)开展跨学科合作，以提高实施循证治疗的数量和质量。会议1将重点分享关于现有EBHT培训和实施战略以及该领域现有文献的信息，让与会者了解彼此的专业知识。会议2将回顾在很大程度上成功或失败的“现实世界”实施。促成的讨论将涉及这些现实世界中的主要优势和障碍以及评估它们的方法。第三次会议将突出这一领域的进展，重点是自第一次会议以来可在EBHT实施和与会者的协作中使用的共同措施和方法。 公共卫生相关性：在全国和世界各地，正在向社区的提供者传授循证行为健康治疗(EBHTs)。虽然这些EBHTs本身有确凿的证据，但关于培训社区提供者或让EBHTs被系统接受和使用的有效方法的研究很少。本次会议将汇集跨学科的EBHTs、培训和实施研究方面的专家，以及成人教育和行为改变方面的专家，讨论和传播有效的战略，并合作提高EBHTs的培训和实施质量。

DESCRIPTION (provided by applicant): Dissemination and implementation of Evidence-Based Behavioral Health Treatments (EBHTs) is occurring nationally as part of many state and national initiatives to transform the mental health system and improve care to individuals with mental illness and substance use disorders. These methods of training and implementation, however, have received limited empirical scrutiny. While they typically reflect the good sense of the EBHT developer, colleagues, or behavioral health systems, these initiatives are often expensive and variably successful. Several researchers have developed new methods of training and implementation of behavioral health treatments which are in the early stages of evaluation (e.g., Trauma-Focused CBT, Assertive Community Treatment, Dialectical Behavior Therapy, PEARLS, and Triple-P). It is an important research agenda to have training and implementation be evaluated empirically and successful models and evaluation methodologies disseminated. This series of three conferences will bring together developers of EBHTs, researchers and systems involved in EBHT implementation, and interdisciplinary experts on training and implementation research. In addition to senior researchers in the field, the focus will also be on involvement of graduate students, fellows, and junior faculty, as well as assurance of participation among women, racial and ethnic minorities, and people with disabilities. The overall goal is threefold: (a) to disseminate effective models for training and implementation of EBHT s based in theory and behavior change research, (b) to disseminate rigorous methods for evaluating the training and implementation through its initial phases, and (c) to develop interdisciplinary collaborations to improve the quantity and quality of EBHT implementations. Conference 1 will focus on sharing information on existing EBHT training and implementation strategies and the existing literature in this area, to expose participants to each others' expertise. Conference 2 will review "real-world" implementations that have largely succeeded or failed. Facilitated discussions will address key strengths and barriers in these real world examples and methods for evaluating them. Conference 3 will highlight advances in the field, focusing on common measures and methods that can be used across EBHT implementations and collaborations by conference participants since the first conference. PUBLIC HEALTH RELEVANCE: Across the country and the world, evidence-based behavioral health treatments (EBHTs) are being taught to providers in the community. While there is solid evidence for these EBHTs themselves, there is little research on effective methods to train community providers or to have an EBHT accepted and used by a system. This conference will bring experts on the EBHTs, training and implementation research across disciplines and experts on adult education and behavior change to discuss and disseminate effective strategies and collaborate to improve the quality of training and implementation across EBHTs.