A Quality Improvement Approach to Elevate Clinicians’ Use of Evidenced-Based Practice

Abstract

ABSTRACT Mental and behavioral health needs amongst youth are on the rise, increasing the demand for community clinicians to treat increasingly complex cases. Extensive, complex caseloads contribute to burnout particularly when clinicians do not have the training to deliver effective treatment. Case conceptualization is a crucial component of effective treatment, as this guides intervention selection. Case conceptualization is vital within the evidence-based practice model, but this clinical skill is complex and challenging to implement effectively. A quality improvement (QI) approach was used by psychologists to develop and implement an eight-session training series with three cohorts of master’s prepared clinicians to increase their utilization of evidence-based treatments (EBTs) in clinical practice using the Project ECHO model. This QI project was accomplished via an iterative process where feedback was incorporated throughout the series. Participants’ knowledge, self-efficacy, and clinical practice were assessed pre- and post- completion of the series. Iterations in programming to improve the quality of the course are covered in detail. Participants demonstrated significant improvements in self-efficacy and reported positive changes in their clinical practice. There was no statistical change in knowledge, which was high on the pretest. Participants reported increased utilization and self-efficacy using EBTs in their clinical practice following participation in the course. Ongoing QI efforts and data collection are needed to continue to improve programming and demonstrate effectiveness of the series. Future efforts targeting specific EBT approaches for masters-prepared clinicians would be worthwhile.