EN ESPANOL

by Comprehensive Staff

11/08/2019 6:56 pm

A Leader in Evidence-Based Practices

Evidence-Based Practices (EBPs) are research and measurement-based care using standardized measures to track outcomes. In other words, care programs that have a history of proven results with data that can help providers determine effective treatment for individual clients. For over a decade Comprehensive Healthcare has been recognized as a leader in its commitment to implementing evidence-based practices and programs. Comprehensive Healthcare has added 19 EBP therapies and three EBP programs since 2000.

Closing the Gap for More Effective Treatments

Along with new therapies, Comprehensive Healthcare has built strong partnerships with major institutions across the state, like Washington State University, University of Washington’s Evidence Based Practice Institute and several others to also help develop new therapies. Comprehensive Healthcare established an Evidence Based Practices Oversight Committee (EBPOC) to monitor program fidelity and ensure consultation and support is provided to EBP clinicians. This committee records outcome measures, collects data and oversees the adoption of new EBPs. Diego Mendoza, Team Leader of co-occurring disorder services at Comprehensive Healthcare in Yakima, describes the role of EBPs in Comprehensive Healthcare’s continuum of services. “The emphasis on implementing EBPs stems from a consensus that a gap exists between what we know about effective treatments and the services currently offered. While many mental health agencies provide excellent services, the opportunity for Comprehensive Healthcare to integrate the best that science has to offer into the service delivery system has compelled us to implement EBPs.”

Implementation and use of EBPs requires intensive clinician training followed up by regular internal consultation and more training. The effectiveness of EBPs is also measured continuously to make sure clients receive treatment that helps them achieve their goals.

Partnership with the University of Washington

A close working relationship with the University of Washington (UW) has aided Comprehensive Healthcare’s efforts to implement EBPs by bringing treatments and programs that typically are only available in urban areas to the many rural communities served. The partnership also provides Comprehensive Healthcare with access to knowledge and skills of national and international experts. One example is how the UW provided consultation and training in Cognitive Behavioral Therapy for Psychosis (CBTp) to Comprehensive Healthcare providers. CBTp is one of the most effective treatment options available in the country, and less than 1% of licensed clinicians nationwide have had the opportunity to be trained in CBTp - positioning Comprehensive Healthcare as a leader in providing evidence-based care.

LETTER OF COMMENDATION

Dear Greg Aubol,

CBTp Consultant, Comprehensive Healthcare

On behalf of the Cognitive Behavioral Therapy for Psychosis Implementation Team at the University of Washington’s Department of Psychiatry and Behavioral Sciences, I would like to recognize and thank you for the remarkable amount of effort and initiative you have put into supporting the implementation of CBTp at Comprehensive Healthcare. You have truly gone above and beyond in supporting the providers at Comprehensive Healthcare in their learning….. We look forward to working with you more intensely in the coming months to further develop your expertise in CBTp training and supervision. The spread and sustainability of CBTp would not be possible without the effort of driven individuals such as yourself who truly care about the work they do. We commend you for your dedication and leadership, and thank you for your exceptional partnership.

Sincerely,

Sara L. Kopelovich, Ph.D.,

Professor of Cognitive Behavioral Therapy for Psychosis and founding member of the North American CBT for Psychosis Network

Better Data Means Better Services, and Better Services Mean Better Results

Diego Mendoza explains, “Ultimately, it is Comprehensive Healthcare’s goal to help clients achieve their recovery goals - developing resilience; living, working, learning and participating in the community.”

Implementing EBPs requires a considerable amount of training for consultants and clinicians. For example, the initial implementation training for CBTp involved training by faculty from Harvard followed by six months of post-training consultation. Since the initial training, the scope of CBTp has expanded to include three levels of treatment based on client needs. Over the next six months, Diego Mendoza and Greg Aubol, Team Leader and Therapist at Comprehensive Healthcare in Ellensburg, will be meeting twice monthly with nationally recognized experts from the UW to expand their CBTp expertise.

What’s next? Greg, Diego and a small number of staff will be bringing their knowledge back to their teams at Comprehensive Healthcare and will teach them how to implement this valuable EBP. Greg Aubol says, “We are learning how to be trainers of CBTp for Comprehensive Healthcare staff, and how to conduct fidelity reviews of clinicians practicing CBTp to assure that clients receiving this treatment are getting it from competently trained clinicians. We want to develop internal expertise in the EBP to assure that this treatment will be available to those we serve on a continuous basis.”

EBPs Currently Offered

AF-CBT Alternatives for families cognitive behavioral therapy (children and youth)

CETA Common Elements Treatment Approach (adults)

CBT+A Cognitive Behavioral Therapy for Anxiety (children and youth)

CBT+B Cognitive Behavioral Therapy for Behavior (children and youth)

CBT+D Cognitive Behavioral Therapy for Depression (children and youth)

Cognitive Behavioral Therapy Group for Depression (adults)

CBT-P Cognitive Behavioral Therapy for Psychosis (adults)

CPT Cognitive Processing Therapy (adults with PTSD)

DBT Dialectical Behavioral Therapy (adults and adolescents)

EBP Evidence-Based Practice

EMDR Eye Movement Desensitization and Reprocessing (children, youth and adults)

FFT Functional Family Therapy (children and youth)

IMR Illness Management and Recovery (adults)

MI Motivational Interviewing

MST/FIT Multi-Systemic Therapy-Family Integrated Transition (youth with conduct disorders)

NET/MIST Narrative Exposure Therapy/Motivational Interviewing with Skills Therapy (study targeting Native American teens and young adults with trauma and substance use)

PACT Assertive Community Treatment (adults with psychosis)

PCIT Parent Child Interaction Therapy (children 7 and younger)

New Journeys First episode psychosis (youth and young adults) using Navigate model

STAY Slow down, Take interest, Assess your role, Yield to someone else (teens with their parents/ guardians)

TF-CBT Trauma-Focused Cognitive Behavioral Therapy (children and youth with PTSD)

TRIPLE P Positive Parenting Program (children and youth)

TRIPLE P On-Line – Positive Parenting Program (children and youth) provided on-line

WISe Wraparound with Intensive Services (through age 20)

– wrap-around services plus applicable therapy EBP Wraparound

– children and youth with family (through age 20) (care coordination and peer support component of WISe)

YOUTUBE