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4 results on '"Cassidy A. Gutner"'

1. Dealing with Complexity and Comorbidity: Opportunity for Transdiagnostic Treatment for PTSD

Author

Candice Presseau and Cassidy A. Gutner

Subjects
Psychotherapist, Flexibility (personality), Targeted interventions, medicine.disease, Mental health, Comorbidity, Article, 030227 psychiatry, 03 medical and health sciences, Psychiatry and Mental health, Clinical Psychology, 0302 clinical medicine, Treatment delivery, medicine, Psychology, 030217 neurology & neurosurgery, Psychopathology
Abstract

PURPOSE OF REVIEW: This review synthesizes literature on transdiagnostic treatments for PTSD and trauma-related psychopathology over the last three years and discusses their across diverse contexts. RECENT FINDINGS: Global and domestic studies suggest that a transdiagnostic approach has the potential to address many challenges providers encounter when treating traumatized populations. Existing research shows that transdiagnostic approaches (including the Unified Protocol, Common Elements Treatment Approach, and Modular Approach to Therapy for Children) are effective across low and high resourced settings, populations, and with comorbid mental health symptoms. Moreover, transdiagnostic approaches offer flexibility in treatment delivery, adaptability across contexts, and parsimonious training to treatment providers. They also provide a standalone alternative for unable or unwilling individuals to engage in traditional single diagnosis trauma-focused treatment, or those presenting with complex presentations that might otherwise require sequential courses of targeted interventions. SUMMARY: The promise of transdiagnostic treatment for trauma-populations is strong. Research is needed to examine patient and therapist perceptions of these approaches for optimally addressing PTSD and related symptoms, the extent to which they offer comparable, or perhaps better, outcomes than existing single diagnosis PTSD treatments, and their sustainability overtime. Considerations of adaptations to transdiagnostic treatment manuals across settings are also needed.

Published
2019
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2. Leveraging routine clinical materials and mobile technology to assess CBT fidelity: the Innovative Methods to Assess Psychotherapy Practices (imAPP) study

Author

Kera Mallard, Michael K. Suvak, Shannon Wiltsey Stirman, Jason E. Owen, Clara Johnson, Dawne Vogt, Robert J. DeRubeis, Torrey A. Creed, Booil Jo, Matthew Beristianos, Paul G. Barnett, Eric Kuhn, Heidi La Bash, Luana Marques, Sonja K. Schoenwald, and Cassidy A. Gutner

Subjects
050103 clinical psychology, medicine.medical_specialty, business.product_category, Quality management, media_common.quotation_subject, Psychological intervention, Fidelity, Health Informatics, Health informatics, Study Protocol, 03 medical and health sciences, 0302 clinical medicine, Humans, Medicine, 0501 psychology and cognitive sciences, Medical physics, 030212 general & internal medicine, Competence (human resources), Retrospective Studies, Worksheet, media_common, Measurement, lcsh:R5-920, Cognitive Behavioral Therapy, business.industry, Health Policy, 05 social sciences, Health Plan Implementation, Public Health, Environmental and Occupational Health, Health services research, Reproducibility of Results, Behavioral health, General Medicine, Anxiety Disorders, 3. Good health, Psychotherapy, Treatment Outcome, Anxiety, medicine.symptom, lcsh:Medicine (General), business
Abstract

Identifying scalable strategies for assessing fidelity is a key challenge in implementation science. However, for psychosocial interventions, the existing, reliable ways to test treatment fidelity quality are often labor intensive, and less burdensome strategies may not reflect actual clinical practice. Cognitive behavioral therapies (CBTs) provide clinicians with a set of effective core elements to help treat a multitude of disorders, which, evidence suggests, need to be delivered with fidelity to maximize potential client impact. The current “gold standard” for rating CBTs is rating recordings of therapy sessions, which is extremely time-consuming and requires a substantial amount of initial training. Although CBTs can vary based on the target disorder, one common element employed in most CBTs is the use of worksheets to identify specific behaviors and thoughts that affect a client’s ability to recover. The present study will develop and evaluate an innovative new approach to rate CBT fidelity, by developing a universal CBT scoring system based on worksheets completed in therapy sessions. To develop a scoring system for CBT worksheets, we will compile common CBT elements from a variety of CBT worksheets for a range of psychiatric disorders and create adherence and competence measures. We will collect archival worksheets from past studies to test the scoring system and assess test-retest reliability. To evaluate whether CBT worksheet scoring accurately reflects clinician fidelity, we will recruit clinicians who are engaged in a CBT for depression, anxiety, and/or posttraumatic stress disorder. Clinicians and clients will transmit routine therapy materials produced in session (e.g., worksheets, clinical notes, session recordings) to the study team after each session. We will compare observer-rated fidelity, clinical notes, and fidelity-rated worksheets to identify the most effective and efficient method to assess clinician fidelity. Clients will also be randomly assigned to either complete the CBT worksheets on paper forms or on a mobile application (app) to learn if worksheet format influences clinician and client experience or differs in terms of reflecting fidelity. Scoring fidelity using CBT worksheets may allow clinics to test fidelity in a short and effective manner, enhancing continuous quality improvement in the workplace. Clinicians and clinics can use such data to improve clinician fidelity in real time, leading to improved patient outcomes. ClinicalTrials.gov NCT03479398 . Retrospectively registered March 20, 2018.

Published
2018
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3. Emergence of Transdiagnostic Treatments for PTSD and Posttraumatic Distress

Author

Tara E. Galovski, Michelle J. Bovin, Paula P. Schnurr, and Cassidy A. Gutner

Subjects
050103 clinical psychology, Psychotherapist, Population, Psychological intervention, Article, Stress Disorders, Post-Traumatic, 03 medical and health sciences, 0302 clinical medicine, medicine, Humans, 0501 psychology and cognitive sciences, education, Depression (differential diagnoses), education.field_of_study, 05 social sciences, Stressor, Traumatic stress, medicine.disease, 030227 psychiatry, Psychotherapy, Psychiatry and Mental health, Distress, Eating disorders, Anxiety, medicine.symptom, Psychology, Stress, Psychological, Clinical psychology
Abstract

Both theoretical and empirical findings have demonstrated similarities across diagnoses, leading to a growing interest in transdiagnostic interventions. Most of the evidence supporting transdiagnostic treatment has accumulated for depression, anxiety, and eating disorders, with minimal attention given to posttraumatic stress disorder and other reactions to traumatic stressors. Although single-diagnosis protocols are effective for posttraumatic stress disorder (PTSD) and other trauma-related disorders, in principle, transdiagnostic approaches may have beneficial applications within a traumatized population. This paper defines different types of transdiagnostic treatments, reviews transdiagnostic approaches used in related disorders, and discusses their applicability to PTSD. Examples are drawn from existing transdiagnostic treatments in order to provide a framework for the application of such interventions to the field of traumatic stress. Implications for implementation and dissemination are also discussed.

Published
2016
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4. Proceedings of the 3rd Biennial Conference of the Society for Implementation Research Collaboration (SIRC) 2015: advancing efficient methodologies through community partnerships and team science

Author

Cara Lewis, Doyanne Darnell, Suzanne Kerns, Maria Monroe-DeVita, Sara J. Landes, Aaron R. Lyon, Cameo Stanick, Shannon Dorsey, Jill Locke, Brigid Marriott, Ajeng Puspitasari, Caitlin Dorsey, Karin Hendricks, Andria Pierson, Phil Fizur, Katherine A. Comtois, Lawrence A. Palinkas, Patricia Chamberlain, Gregory A. Aarons, Amy E. Green, Mark. G. Ehrhart, Elise M. Trott, Cathleen E. Willging, Maria E. Fernandez, Nicholas H. Woolf, Shuting Lily Liang, Natalia I. Heredia, Michelle Kegler, Betsy Risendal, Andrea Dwyer, Vicki Young, Dayna Campbell, Michelle Carvalho, Yvonne Kellar-Guenther, Laura J. Damschroder, Julie C. Lowery, Sarah S. Ono, Kathleen F. Carlson, Erika K. Cottrell, Maya E. O’Neil, Travis L. Lovejoy, Joanna J. Arch, Jill L. Mitchell, Cara C. Lewis, Brigid R. Marriott, Kelli Scott, Jennifer Schurer Coldiron, Eric J. Bruns, Alyssa N. Hook, Benjamin C. Graham, Katelin Jordan, Rochelle F. Hanson, Angela Moreland, Benjamin E. Saunders, Heidi S. Resnick, Shannon Wiltsey Stirman, Cassidy A. Gutner, Jennifer Gamarra, Dawne Vogt, Michael Suvak, Jennifer Schuster Wachen, Katherine Dondanville, Jeffrey S. Yarvis, Jim Mintz, Alan L. Peterson, Elisa V. Borah, Brett T. Litz, Alma Molino, Stacey Young McCaughan, Patricia A. Resick, Nancy Pandhi, Nora Jacobson, Neftali Serrano, Armando Hernandez, Elizabeth Zeidler- Schreiter, Natalie Wietfeldt, Zaher Karp, Michael D. Pullmann, Barbara Lucenko, Bridget Pavelle, Jacqueline A. Uomoto, Andrea Negrete, Molly Cevasco, Suzanne E. U. Kerns, Robert P. Franks, Christopher Bory, Edward J. Miech, Teresa M. Damush, Jason Satterfield, Derek Satre, Maria Wamsley, Patrick Yuan, Patricia O’Sullivan, Helen Best, Susan Velasquez, Miya Barnett, Lauren Brookman-Frazee, Jennifer Regan, Nicole Stadnick, Alison Hamilton, Anna Lau, Scott Roesch, Byron J. Powell, Thomas J. Waltz, Matthew J. Chinman, Laura Damschroder, Jeffrey L. Smith, Monica M. Matthieu, Enola K. Proctor, JoAnn E. Kirchner, Monica J. Matthieu, Craig S. Rosen, Sarah C. Walker, Asia S. Bishop, Mariko Lockhart, Allison L. Rodriguez, Luisa Manfredi, Andrea Nevedal, Joel Rosenthal, Daniel M. Blonigen, Anne M. Mauricio, Thomas D. Dishion, Jenna Rudo-Stern, Justin D. Smith, Courtney Benjamin Wolk, Colleen Harker, Anne Olsen, Travis Shingledecker, Frances Barg, David Mandell, Rinad S. Beidas, Marissa C. Hansen, Maria P. Aranda, Isabel Torres-Vigil, Bryan Hartzler, Bradley Steinfeld, Tory Gildred, Zandrea Harlin, Fredric Shephard, Matthew S. Ditty, Andrea Doyle, John A. Bickel, Katharine Cristaudo, Dan Fox, Sonia Combs, David H. Lischner, Richard A. Van Dorn, Stephen J. Tueller, Jesse M. Hinde, Georgia T. Karuntzos, Roselyn Peterson, Lucy Berliner, Laura K. Murray, Yevgeny Botanov, Beverly Kikuta, Tianying Chen, Marivi Navarro-Haro, Anthony DuBose, Kathryn E. Korslund, Marsha M. Linehan, Colleen M. Harker, Elizabeth A. Karp, Sarah R. Edmunds, Lisa V. Ibañez, Wendy L. Stone, Jack H. Andrews, Benjamin D. Johnides, Estee M. Hausman, Kristin M. Hawley, Beth Prusaczyk, Alex Ramsey, Ana Baumann, Graham Colditz, Mimi Choy-Brown, Rosemary D. Meza, Shannon Wiltsey-Stirman, Georganna Sedlar, Leah Lucid, Nelson Zounlome, Candice M. Monson, Norman Shields, Marta Mastlej, Meredith SH Landy, Jeanine Lane, Natalie K. Finn, Elisa M. Torres, Carol A. Malte, Aline Lott, Andrew J. Saxon, Meredith Boyd, Jennifer D. Pierce, Agathe Lorthios-Guilledroit, Lucie Richard, Johanne Filiatrault, Kevin Hallgren, Shirley Crotwell, Rosa Muñoz, Becky Gius, Benjamin Ladd, Barbara McCrady, Elizabeth Epstein, John D. Clapp, Danielle E. Ruderman, Melanie Barwick, Raluca Barac, Stanley Zlotkin, Laila Salim, Marnie Davidson, Alicia C. Bunger, Hillary A. Robertson, Christopher Botsko, Brandy N. Smith, Lindsay R. Trent, Melanie S. Harned, André Ivanoff, Antonio R. Garcia, Minseop Kim, Lonnie Snowden, John Landsverk, Annika C. Sweetland, Maria Jose Fernandes, Edilson Santos, Cristiane Duarte, Afrânio Kritski, Noa Krawczyk, Caitlin Nelligan, Milton L. Wainberg, David H. Sommerfeld, Benjamin Chi, Echezona Ezeanolue, Rachel Sturke, Lydia Kline, Laura Guay, George Siberry, Ian M. Bennett, Rinad Beidas, Rachel Gold, Johnny Mao, Diane Powers, Mindy Vredevoogd, Jurgen Unutzer, Jennifer Schroeder, Lane Volpe, Julie Steffen, Michael D Pullmann, Nathaniel Jungbluth, Kelly Thompson, Eliza Segell, Pearl McGee-Vincent, Nancy Liu, Robyn Walser, Jennifer Runnals, R. Keith Shaw, Craig Rosen, Janet Schmidt, Patrick Calhoun, Ruth L. Varkovitzky, Amy Drahota, Jonathan I. Martinez, Brigitte Brikho, Rosemary Meza, Aubyn C. Stahmer, Anna Williamson, Ronnie M. Rubin, Matthew O. Hurford, Shawna L. Weaver, David S. Mandell, Arthur C. Evans, Rebecca E. Stewart, Samantha L. Matlin, Shawna Weaver, Trevor R. Hadley, Donald R. Gerke, Ericka M. Lewis, Jenna McWilliam, Jacquie Brown, Michelle Tucker, Kathleen P Conte, Abigail Melvin, Freda Liu, Amelia Kotte, Kaitlin A. Hill, Albert C. Mah, Priya A. Korathu-Larson, Janelle R. Au, Sonia Izmirian, Scott Keir, Brad J. Nakamura, Charmaine K. Higa-McMillan, Brittany Rhoades Cooper, Angie Funaiole, Eleanor Dizon, Eric J. Hawkins, Hildi J. Hagedorn, Douglas Berger, Anissa Frank, Carol E. Achtmeyer, Anthony J. Mariano, Kate Wolitzky-Taylor, Richard Rawson, Richard Ries, Peter Roy-Byrne, Michelle Craske, Dena Simmons, Catalina Torrente, Lori Nathanson, Grace Carroll, Kimbree Brown, Karina Ramos, Nicole Thornton, Thomas J. Dishion, Elizabeth A. Stormshak, Daniel S. Shaw, Melvin N. Wilson, Emmy Tiderington, Bikki Tran Smith, Deborah K. Padgett, Marilyn L. Ray, Abraham Wandersman, Andrea Lamont, Gordon Hannah, Kassandra A. Alia, Lisa Saldana, Holle Schaper, Mark Campbell, Valerie B. Shapiro, B.K. Elizabeth Kim, Jennifer L. Fleming, Paul A. LeBuffe, Katherine Anne Comtois, Bryan J. Weiner, and Heather Halko

Subjects
medicine.medical_specialty, business.industry, 030503 health policy & services, Health Policy, Public health, Public Health, Environmental and Occupational Health, Health services research, MEDLINE, Health Informatics, General Medicine, Health informatics, Health administration, Team science, 03 medical and health sciences, 0302 clinical medicine, medicine, Engineering ethics, 030212 general & internal medicine, Implementation research, 0305 other medical science, business, Health policy
Abstract

Introduction to the 3rd Biennial Conference of the Society for Implementation Research Collaboration: advancing efficient methodologies through team science and community partnerships

Published
2016
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