EBT Fidelity Trajectories Across Training Cohorts Using the Interagency Collaborative Team Strategy
Chaffin, M.; Hecht, D.; Aarons, G.; Fettes, D.; Hurlburt, M.; Ledesma, K.
Administration and Policy in Mental Health 43(2): 144-156
2016
ISSN/ISBN: 1573-3289 PMID: 25586878 DOI: 10.1007/s10488-015-0627-zDocument Number: 579258
The Interdisciplinary Collaborative Team (ICT) strategy uses front-line providers as adaptation, training and quality control agents for multi-agency EBT implementation. This study tests whether an ICT transmits fidelity to subsequent provider cohorts. SafeCare was implemented by home visitors from multiple community-based agencies contracting with child welfare. Client-reported fidelity trajectories for 5,769 visits, 957 clients and 45 providers were compared using three-level growth models. Provider cohorts trained and live-coached by the ICT attained benchmark fidelity after 12 weeks, and this was sustained. Hispanic clients reported high cultural competency, supporting a cultural adaptation crafted by the ICT.
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