Open AccessUnderstanding the Effectiveness of the Cascading Model to Implement Parent-Child Interaction Therapy
Author(s) -
Laurel A. Brabson,
Amy D. Herschell,
Mira D H Snider,
Carrie B. Jackson,
Kenneth F. Schaffner,
Ashley T. Scudder,
David J. Kolko,
Stanley J. Mrozowski
Publication year - 2020
Publication title -
journal of behavioral health services and research/the journal of behavioral health services and research
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.713
H-Index - 55
eISSN - 1556-3308
pISSN - 1094-3412
DOI - 10.1007/s11414-020-09732-2
Subject(s) - health psychology , health informatics , public health , agency (philosophy) , medicine , evidence based practice , ethnic group , psychology , medical education , nursing , alternative medicine , philosophy , epistemology , pathology , sociology , anthropology
Few community-based behavioral health clinicians are trained in evidence-based practices (EBPs). The Cascading Model (CM), a training model in which expert-trained clinicians train others at their agency, may help increase the number of EBP-trained clinicians. This study is one of the first to describe CM training methods and to examine differences between clinicians trained by an expert, and those trained through a within-agency training (WAT) by a fellow clinician. Results indicate that 56% of the 38 eligible clinicians chose to become trainers and 50% of the 56% conducted WATs to train others. This represents a 50% increase in EBP-trained clinicians within the study timeframe. Clinicians trained by an expert reported higher knowledge and training satisfaction than those trained through a WAT. Of note, clinicians trained through a WAT reported increases in EBP knowledge and were more diverse (race/ethnicity, employment status), suggesting that the CM may improve access to EBPs.