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Symposia

Dissemination & Implementation Science

Increasing Access to Evidence-Based Behavioral Health Services through Task-Shifting Approaches and the Expansion of Services Across Settings

5 - (SYM 76) Designing a Single-session Strategy (S3) for School-based Mental Health Providers Delivering CBT

Saturday, November 16, 2024
10:30 AM - 12:00 PM EST
Location: 305/306, Level 3, Downtown Marriott
Abstract Body
One of the most common settings where youth receive mental health services is school. Thus, it is critical that School Mental Health Providers (SMHPs) are provided with the materials and support needed to deliver evidence-based mental health services. Transforming Research into Action to Improve the Lives of Students (TRAILS) is a nonprofit organization that partners with school districts to provide school staff with the necessary training and web-based resources for delivering mental health programming to students. One program is aimed at SMHPs delivering Cognitive Behavioral Therapy skill groups for depression and anxiety. As SMHPs deliver TRAILS materials, implementation barriers inevitably arise, such as low referral rates, difficulty protecting student time, or not having protected space to work with students. The TRAILS team has historically worked with individual SMHPs to generate solutions to implementation barriers. As TRAILS continues to grow and partner with more schools, a more scalable approach is needed. To address this concern, the TRAILS team partnered with researchers at Northwestern University to create a digital, self-administered Single Session Strategy (S3) tool that guides SMHPs through common implementation barriers and creates action plans for addressing them. S3s are brief, streamlined programs for clinicians to complete in just one encounter. By shifting the task of implementation coaching from TRAILS trained implementation support practitioners to an easily-accessible, digital, self-guided tool, TRAILS may be able to dedicate greater time towards training more SMHPs, effectively allowing TRAILS to reach more students. Additionally, SMHPs may be able to receive implementation support “on-demand” as barriers arise. In this presentation, we will describe the development of this tool and present findings from co-design sessions with an initial group of TRAILS coaches and SMHPs. This theory-grounded tool is modeled off of research in barrier prioritization and self-determination theory, empowering and supporting SMHPs to identify implementation barriers and make action plans for them. The creation of this tool demonstrates the promise of digital, self-administered, and single-session approaches for facilitating successful implementation.