Abstract
ABSTRACT Offering mental health (MH) care in schools may help youth overcome barriers to accessing services. However, the diverse school MH workforce receives disparate training in evidence-based practice (EBP) across disciplines. Many implementation efforts focus on training independently practicing providers; however, strengthening EBP training during graduate school may have wide-reaching benefits for graduate students and the students they will serve in schools. The TRAILS (Transforming Research into Action to Improve the Lives of Students) implementation program partnered with a school psychology graduate program for a quality improvement project to examine the feasibility and proximal, training-level outcomes of offering TRAILS EBP training to school MH graduate students. Specifically, a graduate instructor was trained to provide clinical and implementation support to graduate students (n = 12) in delivering transdiagnostic cognitive-behavioral therapy (CBT) skills to 3rd-12th grade students (n = 33). A mixed methods approach including interviews, focus groups, and surveys, revealed that those participating in this program (1 graduate instructor, 13 graduate students, and 4 supporting school-based MH professionals) found the training to be acceptable. Graduate student knowledge of and attitudes toward CBT improved significantly (p < .001) from pre-training to the end of the semester. Qualitative interviews revealed several graduate student-specific implementation barriers and facilitators, which should be considered when further developing TRAILS implementation support to graduate programs, and may be of interest to other implementation and training programs as well. This quality improvement project will inform the refinement of embedding TRAILS training during graduate school, supporting broader community access to EBP.
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