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. Author manuscript; available in PMC: 2010 Sep 25.
Published in final edited form as: Clin Psychol (New York). 2010 Mar;17(1):1–30. doi: 10.1111/j.1468-2850.2009.01187.x

Table 6.

Systems-contextual level: Training, organizational support, and therapist variables

References n EST Patient Therapist Training Active elements Outcome variables Design Results
Fadden (1997) 86 BFT Families with schizo. member Nursing-level clinicians 1. Orientation
2. Manual
3. 3-day skills workshop
4. Ten 1.5-hour supervisions
5. Ongoing monthly supervision		 Role-plays, videotaped demonstrations of sessions 1. Number of families seen
2. Barriers to use of tx
3. Impact of BFT on work		 Convenience sample; nonrandomized; no f / u; no pre-; no control group; ICM 1. 70% reported using BFT
2. Mean families seen = 1.7
3. 66% reported difficult to use
4. Therapists in the comm. or where more staff members were trained in BFT saw more families
5. Little attitude change
Henggeler, Chapman, et al. (2008) 432 CM Subst. abuse in adol. Public sector clinicians 1. Manual
2. 1-day didactic and experiential workshop		 Experiential role-plays 1. Adop
2. A
3. Org* 		Convenience sample; nonrandomized; 6-month f / u; no control group; ICM + SM 1. 58% reported use
2. Pract. variables predicted adop
3. Pract. and org. variables predicted A
Maunder et al. (2008) 25 CBT Adult and youth in PC MDs 1. 3- to 4-hour workshop
2. Manual
3. Four 1.5-hour case discussions		 Case discussion groups 1. K
2. Self-reported use
3. Att and Sa		 Convenience sample; nonrandomized; no f / u; no control group; ICM + SM 1. High Sa
2. Increased K
3. Increased use
Morganstern et al. (2001) 29 CBT Adult subst. abuse Subst. abuse counselors 1. 100 hours training (35-hour didactic training and feedback, supervision, and manual) Role-plays and feedback 1. Rated A
2. Rated S
3. Att and Sa		 Randomized; comparison group; no f / u; ICM and SM 1. High Sa
2. High Att toward CBT
3. Proficient A & S
Siqueland et al. (2000) 62 CT, DP, DC Adult subst. abuse Subst. abuse counselors 1. Manual
2. Four 2-day workshops
3. Unspecified supervision		 Role-plays 1. Rated A
2. Rated C		 Convenience sample; nonrandomized; no f / u; no control group; ICM and SM 1. In CT general experience and specific experience in CT predicted C

Note. BFT, behavioral family therapy; schizo., schizophrenia; tx, treatment; f / u, follow-up; ICM, investigator-created measures; CM, contingency management; subst., substance; adol., adolescent; Adop, adoption; A, adherence; Org, organizational variables; SM, standardized measures; CBT, cognitive-behavioral therapy; PC, primary care; MDs, physicians; K, knowledge; Att, attitudes; Sa, satisfaction; S, skill; C, competence; CT, cognitive therapy; DP, dynamic therapy; DC, drug counseling.

*

not included as an outcome variable, but measured organizational characteristics as predictors.