title: Managing In-Session "Surprises:" Provider Responses to Emergent Life Events during Evidence-Based Treatment Implementation.
abstract: This study aimed to: (1) pilot a psychotherapy coding system for provider responses to emergent life events (ELEs; unexpected events that have a significant negative impact on the client), (2) examine the impact of ELEs on evidence-based treatment (EBT) delivery in community settings. Raters coded 30 randomly-sampled EBT session recordings with and without reported ELEs. Inter-rater reliability and validity for the system were generally high. When an ELE occurred, providers were significantly less likely to deliver the EBT, and when they did, they rarely linked the EBT to the event. Findings highlight the potential for ELEs to disrupt EBT implementation.
authors.affiliation: Department of Psychology, University of California, 1285 Franz Hall, Box 951563, Los Angeles, CA, 90095, USA. kguan10@ucla.edu.
authors.forename: Karen
authors.identifier: http://orcid.org/0000-0002-7312-8078
authors.initials: K
authors.lastname: Guan
authors.affiliation: Department of Psychology, University of California, 1285 Franz Hall, Box 951563, Los Angeles, CA, 90095, USA.|PracticeWise, LLC, Los Angeles, CA, USA.
authors.forename: Michelle C
authors.initials: MC
authors.lastname: Levy
authors.affiliation: Department of Psychology, University of California, 1285 Franz Hall, Box 951563, Los Angeles, CA, 90095, USA.
authors.forename: Rachel E
authors.initials: RE
authors.lastname: Kim
authors.affiliation: Department of Psychology, University of California, 1285 Franz Hall, Box 951563, Los Angeles, CA, 90095, USA.
authors.forename: Todd E
authors.initials: TE
authors.lastname: Brown
authors.affiliation: Department of Psychology, University of California, 1285 Franz Hall, Box 951563, Los Angeles, CA, 90095, USA.
authors.forename: Michael E J
authors.initials: ME
authors.lastname: Reding
authors.affiliation: Department of Psychology, University of California, 1285 Franz Hall, Box 951563, Los Angeles, CA, 90095, USA.
authors.forename: Leslie
authors.initials: L
authors.lastname: Rith-Najarian
authors.affiliation: Department of Psychology, University of California, 1285 Franz Hall, Box 951563, Los Angeles, CA, 90095, USA.
authors.forename: Michael
authors.initials: M
authors.lastname: Sun
authors.affiliation: Department of Psychology, University of California, 1285 Franz Hall, Box 951563, Los Angeles, CA, 90095, USA.
authors.forename: Anna S
authors.initials: AS
authors.lastname: Lau
authors.affiliation: Department of Psychology, University of California, 1285 Franz Hall, Box 951563, Los Angeles, CA, 90095, USA.
authors.forename: Bruce F
authors.initials: BF
authors.lastname: Chorpita
mesh_terms: D003153:Community Health Services / Q000458:organization & administration*; D055317:Evidence-Based Practice / Q000379:methods*; D006801:Humans; D008016:Life Change Events; D011613:Psychotherapy / Q000379:methods*; D015203:Reproducibility of Results; D013315:Stress, Psychological / Q000628:therapy*; D014481:United States
keywords: Community settings; Dissemination and implementation; Emergent life events; Evidence-based treatment; Therapy providers