TF-CBT Webinar Sosna 5 28 14 Final - Children and Family ... Webinar_Sosna_5 2… · Todd Sosna, Ph.D. Children’s Institute, Inc. May 28, 2014 ... Microsoft PowerPoint - TF-CBT

5/28/2014

1

TEXT PAGE

Welcome

Thank you for joining us today. The webinar will begin in a few moments.

• If you haven’t dialed into the audio (telephone) portion, please do so now:

1 (877) 309 2074Access Code: 110-752-130

• If you are experiencing technical problems with the GoToWebinar (visual) program, contact the GoToWebinar help desk:

1 (800) 263-6317Webinar ID: 246705416

TEXT PAGE

How Do I Ask Questions?

Type and send your questions through the Question and Answer log located on the bottom half on your panel/dashboard.

5/28/2014

2

Trauma Focused Cognitive Behavioral Therapy

(TF-CBT) Implementation

2 5 3 7 1 C o m m e r c e n t r e D r i v e , S u i t e 1 4 0L a k e F o r e s t , C A 9 2 6 3 0

7 1 4 - 5 0 5 - 3 5 2 5n c s a c w @ c f f u t u r e s . o r g

w w w . n c s a c w . s a m h s a . g o v

Todd Sosna, Ph.D.Children’s Institute, Inc.

May 28, 2014

A Program of the

Substance Abuse and Mental Health Services Administration

Center for Substance Abuse Treatmentand the

Administration on Children, Youth and FamiliesChildren’s Bureau

Office on Child Abuse and Neglect

5/28/2014

3

Our Speaker

This webinar features Dr. Todd Sosna, Senior Vice President for Program Evaluation and Improvement at Children’s Institute, Inc., a non-profit agency providing services to more than 20,000 at-risk children and families annually, in the Los Angeles, California area.

http://www.childrensinstitute.org/

Agenda

• Implementation of TF-CBTo Overview

o Implementation Challenges

o Training Protocol

o Adaptations

• Measuring the Fidelity of TF-CBT

• Measuring the Impact and Outcomes of TF-CBTo Establishing and Sustaining a Program

5/28/2014

4

Implementation of TF-CBT




General Overview

• Optimal client outcomes requires access to responsive and effective services (EBPs)

• Implemented (and sustained) with integrity

– Implementing with integrity requires key organizational supports• Administrative oversight/champion

• Planning

• Thorough training

• Practice-specific supervision

• Monitoring and evaluation

• Commitment and persistence

5/28/2014

5

Implementation Challenges

• Selecting a suitable model• Thoughtful and comprehensive planning• Engaging staff and supervisors• Arranging for thorough training/accreditation• Arranging for practice specific supervision• Managing attrition/arranging for replacement

training

Implementation Challenges

• Managing referrals• Monitoring and supporting fidelity (Brief

Practice Checklist)• Tracking program outcomes (CIMH

performance report)• Competing initiatives/priorities• Developing/communicating realistic expectations

5/28/2014

6

Real World Behavior

• Knowing something• Being able to do something• Actually doing something

• Teaching• Practicing• Creating incentives for using

OUTCOMES(% of Participants who Demonstrate Knowledge, Demonstrate

new Skills in a Training Setting, and Use new Skills in the Classroom)

TRAININGCOMPONENTS

KnowledgeSkill

DemonstrationUse in the Classroom

Theory and Discussion

10% 5% 0%

..+Demonstration in Training

30% 20% 0%

…+ Practice & Feedback in Training

60% 60% 5%

…+ Coaching in Classroom

95% 95% 95%

Joyce and Showers, 2002 As presented by Karen Blasé at CIMH planning meeting 2007

5/28/2014

7

National Accreditation

• https://rtfweb.wpahs.org/tfcbt/Default.aspx• All eight steps must be met to achieve

certification:• Master’s degree or above in a mental health

discipline

• Professional licensure in home state

• Completion of TF-CBTWeb


• Participation in a live TF-CBT training (two days) conducted by a treatment developer or an approved national trainer; or Live training in the context of an approved national, regional, or state TF-CBT Learning Collaborative of at least six months duration in which one of the treatment developers or a graduate of our TF-CBT Train-the-Trainer (TTT) Program has been a lead faculty member

5/28/2014

8


• Participation in follow-up consultation or supervision on a twice a month basis for at least six months or a once a month basis for at least twelve months. The candidate must participate in at least nine out of the twelve consultation or supervisory sessions. This consultation must be provided by one of the treatment developers or a graduate from our TTT program. ; or Active participation in at least 3/4 of the required cluster/consultation calls in the context of an approved TF-CBT Learning Collaborative;


• Completion of three separate TF-CBT treatment cases with three children or adolescents with at least two of the cases including the active participation of caretakers or another designated third party

• Use of at least one standardized instrument to assess TF-CBT treatment progress with each of the above cases;

• Taking and passing TF-CBT Therapist Certification Program Knowledge-Based Test.

5/28/2014

9

Adaptations to TF-CBT

• What kind of adaptations have been made to TF-CBT? – Cultural adaptations

– International

– Others

Monitoring the Fidelity of TF-CBT




5/28/2014

10

Monitoring Fidelity

• Brief Practice Checklist– Completed by therapist following each session

– Reviewed during training

– Reviewed in practice‐specific supervision

• Audio tape reviews

Monitoring Fidelity

5/28/2014

11

Measuring the Impact and Outcomes of TF-CBT




Tracking Outcomes

• Client level reports

Sharing with clients is encouraged!

5/28/2014

12

Tracking Outcomes

• Program level reports

Reports and Studies

• Trauma Focused Cognitive Behavioral Therapy CIMH Community Development Teams -Aggregate Program Performance Dashboard Report

5/28/2014

13

Establishing a Program

• Designate an administrator/manager lead to champion learning and using the model

• Develop a concrete intervention-specific implementation plan– Understand the model– Prepare staff, managers, referrals, oversight– Understand and plan for training/accreditation

and replacement training– Set realistic expectations

Establishing a Program

• Engage providers/staff and supervisors based on a full understanding of the intervention requirements

• Focus on fidelity from the outset• Use the full training protocol

• Start to use the model soon after training• Initiate program performance evaluation from

the outset• Maintain momentum (expect and plan for

interrupted progression)

5/28/2014

14

Sustaining a Program

• Ongoing oversight and support by an administrative champion

• Regular intervention-specific supervision

• Routine fidelity monitoring and outcomes

• Program performance evaluation

• Commitment to replacement training and consultation as needed

• Dedication of time and money to training activities

Questions and Discussion

4 9 4 0 I r v i n e B l v d . , S u i t e 2 0 2I r v i n e , C A 9 2 6 2 0



5/28/2014

15

Save the Date

Our next webinar in the Evidence Based Practice Implementation Webinar Series:

Implementation of Nurturing Program for Families in Substance Abuse Treatment and Recovery

June 24, 2:00pm - 3:30 pm ET• The webinar features Terri Bogage, MSW, LICSW, the

Director of Family and Children’s Services and Dianna Christmas, MPH, Parent-Child Services Coordinator at the Institute for Health and Recovery (IHR).

• To register, please go to: https://www1.gotomeeting.com/register/518314232

National Center for Substance Abuse and Child Welfare

(NCSACW)

http://www.ncsacw.samhsa.gov/

Contact Information

30

FOR RESOURCES andMATERIALS FROM THIS WEBINAR

Please visit our website:

http://www.cffutures.org/

For questions specific to this webinar please contact:Marianna Corona, LCSW

Research AssociateChildren and Family Futures

[email protected]

Documents

TF-CBT Webinar Sosna 5 28 14 Final - Children and Family ... Webinar_Sosna_5 2… · Todd Sosna, Ph.D. Children’s Institute, Inc. May 28, 2014 ... Microsoft PowerPoint - TF-CBT