Training therapists in evidence-based treatments (EBTs) is a strategy for improving the quality of mental health care. State and county-wide initiatives have focused on increasing EBT implementation, however, many clients seen in community mental health agencies do not fit into the age or diagnostic requirements of available EBTs. Given the limited reach of some EBTs, questions remain about how EBT implementation efforts may lead to a broader change in general practice. This study aimed to understand the secondary impacts of receiving training in and delivering one EBT, Parent-Child Interaction Therapy (PCIT), on therapists’ general provision of mental health care to children on their caseload who were not receiving PCIT. Twenty-three therapists providing PCIT in community settings participated in hour-long semi-structured interviews about their experiences providing PCIT and general children’s mental health treatment. Thematic analysis illuminated themes and subthemes related to how PCIT training impacted the therapist’s general practice. Three primary themes emerged regarding how training in and providing PCIT impacted therapists’ general practice: (1) Treatment toolbox, (2) Involving caregivers in treatment, and (3) Confidence working with children. This study highlighted how receiving training in an EBT impacts therapists’ general provision of services, such that child clients who are not receiving a full course of PCIT could still be receiving elements of evidence-based practices associated with improved quality of care, such as enhanced caregiver engagement and use of progress measures. Therapists’ increased confidence and skill set garnered from EBT training could generalize to their larger practice, which has significant implications for improving client care.

中文翻译：

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循证治疗培训和提供对儿童心理保健的次要影响

对治疗师进行循证治疗 (EBT) 培训是提高精神卫生保健质量的一项策略。州和县范围内的举措侧重于加强 EBT 的实施，然而，社区心理健康机构看到的许多客户不符合现有 EBT 的年龄或诊断要求。鉴于某些 EBT 的影响范围有限，关于 EBT 实施工作如何可能导致一般实践发生更广泛变化的问题仍然存在。本研究旨在了解接受 EBT（亲子互动疗法 (PCIT)）培训和实施对治疗师向未接受 PCIT 的儿童提供一般心理健康护理的次要影响。在社区环境中提供 PCIT 的 23 名治疗师参加了长达一小时的半结构化访谈，了解他们提供 PCIT 和一般儿童心理健康治疗的经验。主题分析阐明了与 PCIT 培训如何影响治疗师的一般实践相关的主题和子主题。关于 PCIT 培训和提供如何影响治疗师的一般实践，出现了三个主要主题：(1) 治疗工具箱，(2) 让护理人员参与治疗，以及 (3) 与儿童一起工作的信心。这项研究强调了接受 EBT 培训如何影响治疗师的一般服务提供，因此未接受 PCIT 完整课程的儿童客户仍然可以接受与提高护理质量相关的循证实践要素，例如增强护理质量护理人员的参与和进步措施的使用。治疗师从 EBT 培训中获得的信心和技能的增强可以推广到他们更大的实践中，这对于改善客户护理具有重大意义。