Articlegreen2009

Clinical supervision in treatment transport: Effects on adherence and outcomes.

Sonja K. Schoenwald · Ashli J. Sheidow · Jason E. Chapman

180 citations0/0 files storedJournal of Consulting and Clinical Psychology

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Counseling Practices and Supervision Social Work Education and Practice Psychotherapy Techniques and Applications

Abstract

This nonexperimental study used mixed-effects regression models to examine relations among supervisor adherence to a clinical supervision protocol, therapist adherence, and changes in the behavior and functioning of youths with serious antisocial behavior treated with an empirically supported treatment (i.e., multisystemic therapy [MST]) 1 year posttreatment. Participants were 1,979 youths and families treated by 429 clinicians across 45 provider organizations in North America. Four dimensions of clinical supervision were examined. Mixed-effects regression model results showed that one dimension, supervisor focus on adherence to treatment principles, predicted greater therapist adherence. Two supervision dimensions, Adherence to the Structure and Process of Supervision and focus on Clinician Development, predicted changes in youth behavior. Conditions required to test hypothesized mediation by therapist adherence of supervisor adherence effects on youth outcomes were not met. However, direct effects of supervisor and therapist adherence were observed in models including both of these variables.

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References

1983Experiential Learning : Experience as the Source of Learning and Development 1979The Ecology of Human Development 1981The Ecology of Human Development 1996The Challenge of Innovation Implementation 2000From Micro to Meso: Critical Steps in Conceptualizing and Conducting Multilevel Research 2008Evidence-based treatment and practice: New opportunities to bridge clinical research and practice, enhance the knowledge base, and improve patient care.2001Multisystemic Treatment of Antisocial Behavior in Children and Adolescents 1997Handbook of psychotherapy supervision.

Cited by

2009Moving beyond efficacy and effectiveness in child and adolescent intervention research.2013More Practice, Less Preach? The Role of Supervision Processes and Therapist Characteristics in EBP Implementation 2011Efficacy Studies to Large-Scale Transport: The Development and Validation of Multisystemic Therapy Programs 2016Building an Evidence Base for Effective Supervision Practices: An Analogue Experiment of Supervision to Increase EBT Fidelity 2014Validity of Therapist Self-Report Ratings of Fidelity to Evidence-Based Practices for Adolescent Behavior Problems: Correspondence between Therapists and Observers

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