Sustaining and Improving Clinicians' Use of Evidence-Based Psychotherapy (EBP) for PTSD

Not Recruiting

Trial ID: NCT02449421

Purpose

The purpose of the study is to compare the impact of two strategies to sustain and improve the delivery of an evidence-based psychotherapy for PTSD, Cognitive Processing Therapy (CPT) in three different mental health systems. These approaches are based on two different theories of what is necessary to promote successful implementation. We will examine whether these strategies lead to improved patient outcomes, clinician skill, proportion of clients who receive CPT, and other outcomes that are relevant to the implementation of evidence-based psychosocial treatments. By examining these questions in 3 different mental health systems, we will also examine whether the implementation strategies yield different results in different systems.

Official Title

A Comparison of the Effects of Internet-Based Strategies to Support Mental Health Clinicians' Use of an Effective Psychotherapy for Post Traumatic Stress Disorder (PTSD) in Mental Health Systems

Stanford Investigator(s)

Eligibility


Inclusion Criteria:

   - All clinicians that provide psychotherapy to patients with PTSD

   - Agree to provide CPT to 6 patients over 2 years

   - Consent to be randomized to one of two study conditions

   - Are willing to record therapy sessions

   - Continue to have computer/internet access.

   - Patients will be clients of clinician participants that

      1. Are 18 years or older

      2. Have a diagnosis of PTSD

      3. Are willing to have their sessions audiorecorded

Exclusion Criteria:

   - Ineligible patient participants are those having

      1. Current uncontrolled psychotic or bipolar disorder

      2. Unremitted substance dependence

      3. Current imminent suicidality or homicidality that requires imminent attention

      4. Significant cognitive impairment

Intervention(s):

behavioral: Quality Improvement Learning Community

behavioral: Fidelity-oriented Learning Community

Not Recruiting

Contact Information

Stanford University
School of Medicine
300 Pasteur Drive
Stanford, CA 94305
SPECTRUM
650-493-5000