I recently had the privilege and pleasure to speak with Dr. Edna Foa, the Senior author and creator of Prolonged Exposure therapy, and to correspond with Dr. Sheila Rauch the newest member of the team, about the updated Prolonged Exposure Therapy for PTSD manual. I learned all about the new manual as well as some savory bits about relaxed breathing, imaginal exposure processing, and the future of PE treatment.
Blog posts with the tag "Consultation"
One key to both learning a new approach to treatment and maintaining our existing skills involves consultation, particularly for EBPs. Don’t just take my word for it, research shows that consultation after a training workshop not only boosts providers’ subjective self-efficacy and intent to use the treatment (Ruzek et al, 2016), but also improves objective fidelity ratings as well (Webster-Stratton et al, 2014).
I was trained in the Primary Care Behavioral Health Consultation model (PCBH; Robinson & Reiter, 2016) while I was a pre-doctoral clinical psychology resident (intern) in early 2007. As a young U.S. Air Force (USAF) officer and clinician, I found the primary care rotation to be exciting and exhausting. However, as a colleague of mine says, the primary care bug bit hard and I was hooked! I enjoyed the fast-paced generalist environment and the need to be prepared for anything. After graduation, I was fortunate to continue doing part-time PCBH work until I separated from the USAF in 2015. The USAF calls their PCBH program the Behavioral Health Optimization Program, a.k.a. BHOP (USAF, 2014). I BHOPped along for a few years until I was certified as an official “mentor” by Patti Robinson in 2011. For three years thereafter, I trained residents in BHOP. I truly had no idea that the skills I learned during my residency rotation would prove so valuable not just in primary care clinics, but also in a variety of other military settings, including the deployed environment.
While every provider may experience some initial discomfort with implementing an unfamiliar treatment, I am often surprised with how resistant many mental health providers are toward learning and implementing evidence-based treatments. An article on this topic by Scott Lilienfeld and colleagues demonstrates this resistance, reasons for it, and potential ways to work through it. I believe providers on all sides of this issue should read this article as a way to both consider another perspective and to clarify their own opinions.
The Center for Deployment Psychology (CDP) offers Evidence Based Psychotherapy (EBP) consultation in addition to many EBP training workshops. CDP often receives questions pertaining to consultation and the consultation process. Throughout the work we do at the Center, we have observed several common misconceptions regarding consultation. We hope to dispell some of the more common clinican misconceptions, while answering questions that frequently arise. In addition, we hope to provide a platform for clinicians to discuss any thoughts they may have regarding consultation.