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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 8.

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

References n EST Patient Therapist Training Active elements Outcome variables Design Results
Henry, Schacht, et al. (1993) 16 TLDP Adult psych. MD and PhD 1. Manual
2. 50 weekly seminars and supervision
3. Training case		 None 1. Therapist A
2. Therapist S		 Pre- to postdesign; convenience sample; no f / u; no comparison group 1. Therapist variables influenced A
2. Client variables influenced S
Hunter et al. (2005) 13 MI, group CBT Adult subst. + COD Mental heath counselors 1. 2.5-hour 12-week training
2. Biweekly
3. Subset received depression training		 Interactive educational meetings (not specified) 1. K
2. A
3. Job Sa
4. Job M		 Pre- to postdesign; convenience sample; 1-year f / u; comparison group 1. K increased*
2. A increased*
3. Job Sa + M
Miller et al. (2004) 140 MI Adult subst. abuse Licensed subst. abuse profess 1. WS
2. WSF
3. WSC
4. WSC + F
5. SGT		 Varied across training (WSF, WSC, and WSC + F) 1. C
2. Client change talk		 Randomized; comparison group; 4-, 8-, 12-month f / u; SM 1. All four workshops showed increase in C pre–post
2. WS group reversed gains at 4-month f / u
3. Reduction in MI-inconst. behavior

Note. TLDP, time-limited dynamic psychotherapy; psych., psychopathology; A, adherence; S, Skill; f / u, follow-up; SM, standardized measures; MI, motivational interviewing; CBT, cognitive-behavioral therapy;subst., substance; COD, co-occurring disorders; K, knowledge; Sa, satisfaction; M, morale; WS, workshop only; WSF, workshop plus feedback; WSC, workshop plus coaching; WSC + F, workshop plus coaching and feedback; SGT, self-guided training; C, competence.

*

No statistical analyses completed between comparison and intervention group because of 50% staff attrition and small sample size.