title: Evidence-based training in the era of evidence-based practice: Challenges and opportunities for training of PTSD providers.
abstract: There is a pressing global need for trained and competent mental health clinicians to deliver evidence-based psychological therapies to millions of trauma survivors in need of care. Three model, large-scale training programs were initiated a decade ago, one in the United Kingdom (U.K.), and two in the United States (U.S.), to disseminate high-quality, evidence-based psychological care to traumatized children and adults in need of assistance. Milestone contributions to implementation science have been made by each of these training programs, although limitations and challenges remain to be considered. In contrast, culturally adapted and simplified PTSD interventions and therapy training programs have also been developed and tested during the past decade, three of which show particular promise for broader implementation. These simplified but evidence-based interventions have been developed for use by lay counsellors or health technicians with minimal or no prior mental health training. Finally, a growing range of technology-based and technology-assisted training models for PTSD providers have also been developed and disseminated in the past decade. This trend is expected to accelerate as more providers become accustomed to acquiring clinical training in this modality or format, although significant barriers to technology-based training will need to be overcome.
authors.affiliation: New England Research Institutes, Watertown, MA, 02472, USA. Electronic address: rrosen@neriscience.com.
authors.forename: Raymond C
authors.initials: RC
authors.lastname: Rosen
authors.affiliation: National Center for PTSD, VA Palo Alto Health Care System, Menlo Park, CA, 94025, USA; Department of Psychiatry and Behavioral Sciences, Stanford University, USA.
authors.forename: Josef I
authors.initials: JI
authors.lastname: Ruzek
authors.affiliation: Education Development Center Inc., 43 Foundry Avenue, Waltham, MA, 02453, USA; Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD, 21205, USA.
authors.forename: Bradley E
authors.initials: BE
authors.lastname: Karlin
mesh_terms: D055317:Evidence-Based Practice / Q000193:education*; D006801:Humans; D011613:Psychotherapy / Q000193:education*; D013313:Stress Disorders, Post-Traumatic / Q000628:therapy*; D013813:Therapy, Computer-Assisted / Q000639:trends
keywords: Cognitive therapy; Evidence-based training; Post traumatic stress disorder; Prolonged exposure; Therapist competence