title: National trainers' perspectives on challenges to implementation of an empirically-supported mental health treatment.
abstract: This study examined perceived challenges to implementation of an empirically supported mental health treatment for youth (Trauma-Focused Cognitive Behavioral Therapy; TF-CBT) and explored the potential use of technology-based resources in treatment delivery. Thematic interviews were conducted with 19 approved national TF-CBT trainers to assess their perspectives about challenges to implementation of TF-CBT and to explore their perceptions about the potential value of innovative, technology-based solutions to enhance provider fidelity and improve quality of care. These data offer some important insights and implications for training in evidence-based treatments, provider fidelity and competence, and patient engagement, particularly for those interventions targeting trauma-related symptoms among youth.
authors.affiliation: National Crime Victims Research and Treatment Center, Medical University of South Carolina, MSC 861, Charleston, SC, 29425, USA, hansonrf@musc.edu.
authors.forename: Rochelle F
authors.initials: RF
authors.lastname: Hanson
authors.forename: Kirstin Stauffacher
authors.initials: KS
authors.lastname: Gros
authors.forename: Tatiana M
authors.initials: TM
authors.lastname: Davidson
authors.forename: Simone
authors.initials: S
authors.lastname: Barr
authors.forename: Judith
authors.initials: J
authors.lastname: Cohen
authors.forename: Esther
authors.initials: E
authors.lastname: Deblinger
authors.forename: Anthony P
authors.initials: AP
authors.lastname: Mannarino
authors.forename: Kenneth J
authors.initials: KJ
authors.lastname: Ruggiero
mesh_terms: D019958:Attention Deficit and Disruptive Behavior Disorders / Q000523:psychology / Q000628:therapy*; D001291:Attitude of Health Personnel; D002648:Child; D002662:Child Health Services / Q000592:standards; D015928:Cognitive Behavioral Therapy / Q000193:education* / Q000592:standards; D003863:Depression / Q000523:psychology / Q000628:therapy*; D055317:Evidence-Based Practice; D005178:Faculty; D006801:Humans; D008605:Mental Health Services / Q000592:standards; D010043:Outcome and Process Assessment, Health Care; D013313:Stress Disorders, Post-Traumatic / Q000523:psychology / Q000628:therapy*