Use of the Breakthrough Series Collaborative to support broad and sustained use of evidence-based trauma treatment for children in community practice settings

Lori Ebert*, Lisa Amaya-Jackson, Jan M. Markiewicz, Cassandra Kisiel, John A. Fairbank

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

82 Scopus citations

Abstract

Empirically supported treatments for posttraumatic stress reactions in children are not widely available. This observational study evaluates the feasibility and utility of adapting the Institute for Healthcare's Breakthrough Series Collaborative (BSC) to support the broad implementation and sustained use of Trauma-Focused Cognitive Behavioral Therapy (TF-CBT) in community practice settings. Study findings indicated that agency staff in diverse roles viewed the BSC methodology as a valuable and practicable approach for facilitating skillful delivery of TF-CBT with fidelity. Use of TF-CBT increased over the course of the collaborative and findings from a survey conducted one year later indicated that participating agencies were able to sustain and spread the practice.

Original languageEnglish (US)
Pages (from-to)187-199
Number of pages13
JournalAdministration and Policy in Mental Health and Mental Health Services Research
Volume39
Issue number3
DOIs
StatePublished - May 2012

Funding

Acknowledgements This study was supported in part by grant number 2U79SM054284 from the Center for Mental Health Services (CMHS), Substance Abuse and Mental Health Services Administration (SAMHSA), U.S. Department of Health and Human Services (HHS). The views, policies, and opinions expressed are those of the authors and do not necessarily reflect those of SAMHSA or HHS. The authors gratefully acknowledge the contributions of the organizations that participated in the National Child Traumatic Stress Network Breakthrough Series for Trauma-Focused Cognitive Behavioral Therapy (TF-CBT) and of the developers of TF-CBT, Drs. Judith Cohen, Esther Deblinger, and Anthony Mannarino.

Keywords

  • Evidence-based treatment
  • Implementation
  • Quality collaboratives
  • Trauma

ASJC Scopus subject areas

  • Phychiatric Mental Health
  • Health Policy
  • Public Health, Environmental and Occupational Health
  • Psychiatry and Mental health

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