Development and Dissemination of Rigorous Methods for Training and Implementation

描述（由申请人提供）：基于证据的行为健康治疗（EBHTs）的传播和实施正在全国范围内进行，作为许多州和国家倡议的一部分，以改变精神卫生系统并改善对精神疾病和物质使用障碍患者的护理。然而，这些培训和执行方法受到了有限的经验审查。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意识，但这些计划通常是昂贵的，并且成功的情况不一。一些研究人员已经开发了新的训练和实施行为健康治疗的方法，这些方法处于评估的早期阶段（例如，以创伤为中心的CBT，自信的社区治疗，辩证行为治疗，PEARLS和Triple-P）。对培训和实施进行经验评价和传播成功的模型和评价方法是一项重要的研究议程。这一系列的三场会议将汇集EBHT的开发人员、参与EBHT实施的研究人员和系统，以及培训和实施研究方面的跨学科专家。除了该领域的高级研究人员外，重点还将放在研究生、研究员和初级教师的参与上，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)传播基于理论和行为改变研究的培训和实施EBHT的有效模型；(b)传播在初始阶段评估培训和实施的严格方法；(c)发展跨学科合作，以提高EBHT实施的数量和质量。第一次会议的重点是分享现有EBHT培训和实施战略的信息以及这一领域的现有文献，使与会者了解彼此的专业知识。第2次会议将回顾“现实世界”中大部分成功或失败的实现。促进讨论将讨论这些现实世界示例中的主要优势和障碍以及评估它们的方法。第3次会议将重点介绍该领域的进展，重点讨论自第一次会议以来与会者可在EBHT实施和合作中使用的共同措施和方法。

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.