Purpose: Broker professionals serve an important intermediary role in improving service access for youth but are often trained separately from clinicians. Community-Based Learning Collaboratives (CBLCs) include specific training/implementation strategies to foster collaboration and build community capacity for EBPs. Methods: The current study examined changes in trauma-related knowledge, practices, organizational culture, and interprofessional collaboration among 63 brokers. Brokers reported significant positive changes in trauma-related knowledge, practices, organizational culture, and interprofessional collaboration following CBLC participation. Results: Hierarchical regression analyses indicated statistically significant improvements in knowledge of treatment planning/case monitoring (r = .41) and organizational culture (r = .30) as significant predictors of changes in brokers’ use of child trauma evidence-based practices following CBLC participation. Discussion: Findings emphasize tailoring training to include topics and strategies most relevant to participants’ day-to-day responsibilities.
AaronsG. A.FettesD. L.HurlburtM. S.PalinkasL. A.GundersonL.WillgingC. E.ChaffinM. J. (2014). Collaboration, negotiation and coalescence for interagency collaborative teams to scale-up evidence-based practice. Journal of Clinical Child & Adolescent Psychology, 43(6), 915–928. https://doi.org/10.1080/15374416.2013.876642.
2.
AaronsG. A.GlissonC.GreenP. D.HoagwoodK.KelleherK. J.LandsverkJ. A.WeiszJ. R.ChorpitaB.GibbonsR.GlissonC.GreenE. P.HoagwoodK.JensenP. S.KelleherK.LandsverkJ.MaybergS.MirandaJ.PalinkasL.SchoenwaldS. (2012). The organizational social context of mental health services and clinician attitudes toward evidence-based practice: A United States national study. Implementation Science, 7(1), 56–71. https://doi.org/10.1186/1748-5908-7-56.
3.
AaronsG. A.HurlburtM.HorwitzS. M. (2011). Advancing a conceptual model of evidence-based practice implementation in public service sectors. Administration and Policy in Mental Health and Mental Health Services Research, 38(1), 4–23. https://doi.org/10.1007/s10488-010-0327-7.
4.
AaronsG. A.SawitzkyA. C. (2006). Organizational culture and climate and mental health provider attitudes toward evidence-based practice. Psychological Services, 3(1), 61–72. https://doi.org/10.1037/1541-1559.3.1.61.
5.
AaronsG. A.WellsR. S.ZagurskyK.FettesD. L.PalinkasL. A. (2009). Implementing evidence-based practice in community mental health agencies: A multiple stakeholder analysis. American Journal of Public Health, 99(11), 2087–2095. https://doi.org/10.2105/AJPH.2009.161711.
6.
BaiY.WellsR. S.ZagurskyK.FettesD. L.PalinkasM. M. (2009). Coordination between child welfare agencies and mental health service providers, children’s service use, and outcomes. Child Abuse & Neglect, 33(6), 372–381. https://doi.org/10.1016/j.chiabu.2008.10.004.
7.
BartlettJ. D.SmithS. (2019). The role of early care and education in addressing early childhood trauma. The American Journal of Community Psychology, 64(3–4), 359–372. https://doi.org/10.1002/ajcp.12380.
8.
BeidasR. S.WilliamsN. J.GreenP. D.AaronsG. A.Becker-HaimesE. M.EvansA. C.MarcusS. C.AdamsD. R.MarcusS. C. (2018). Concordance between administrator and clinician ratings of organizational culture and climate. Administration and Policy in Mental Health and Mental Health Services Research, 45(1), 142–151. https://doi.org/10.1007/s10488-016-0776-8.
9.
BenjetC. (2010). Childhood adversities of populations living in low-income countries: Prevalence, characteristics, and mental health consequences. Current Opinions in Psychiatry, 23(4), 356–362. https://doi.org/10.1097/YCO.0b013e32833ad79b.
10.
BerlinerL. (2011). Child sexual abuse: Definitions, prevalence, and consequences. The APSAC handbook on child maltreatment, (3), 215-232.
11.
BungerA. C.Lengnick-HallR. (2018). Do learning collaboratives strengthen communication? A comparison of organizational team communication networks over time. Health Care Management Review, 43(1), 50–60. https://doi.org/10.1097/HMR.0000000000000120.
12.
ChamberlainP.BrownC. H.SaldanaL.ReidJ.WangW.MarsenichL.BouwmanG. (2008). Engaging and recruiting counties in an experiment on implementing evidence-based practice in California. Administration and Policy in Mental Health and Mental Health Services Research, 35(4), 250–260. https://doi.org/10.1007/s10488-008-0167-x.
13.
ChuangE.LucioR. (2011). Interagency collaboration between child welfare agencies, schools, and mental health providers and children’s mental health service receipt. Advances in School Mental Health Promotion, 4(2), 4–15. https://doi.org/10.1080/1754730x.2011.9715625.
14.
CohenJ. A.DeblingerE.MannarinoA. P. (2018). Trauma-focused cognitive behavioral therapy for children and families. Psychotherapy Research, 28(1), 47–57. https://doi.org/10.1080/10503307.2016.1208375.
15.
CohenJ. A.MannarinoA. P.DeblingerE. (2017). Treating trauma and traumatic grief in children and adolescents (2nd ed.). Guilford Press.
16.
DorseyS.BriggsC.WoodsB. A. (2011). Cognitive behavioral treatment for posttraumatic stress disorder in children and adolescents. Child and Adolescent Psychiatric Clinics of North America, 20(2), 255–269. https://doi.org/10.1016/j.chc.2011.01.006.
17.
DorseySGrayC. L.WasongaA. I.AmanyaC.WeinerB. J.BeldenC. M.MartinP.MezaR. D.WeinholdA. K.SoiC.MurrayL. K.LucidL.TurnorE. L.MildonR.WhettenK. (2020). Advancing successful implementation of task-shifted mental health care in low-resource settings (BASIC): Protocol for a stepped wedge cluster randomized trial. BMC psychiatry, 20(1), 1-14.
18.
DorseyS.KernsS. E.TrupinE. W.ConoverK. L.BerlinerL. (2012). Child welfare caseworkers as service brokers for youth in foster care: Findings from project focus. Child Maltreatment, 17(1), 22–31. https://doi.org/10.1177/1077559511429593.
19.
DorseyS.PullmanM. D.BerlinerL.KoschmannE.McKayM.DeblingerE. (2014). Engaging foster parents in treatment: A randomized trial of supplementing trauma-focused cognitive behavioral therapy with evidence-based engagement strategies. Child Abuse & Neglect, 38(9), 1508–1520. https://doi.org/10.1016/j.chiabu.2014.03.020.
20.
DyeH. (2018). The impact and long-term effects of childhood trauma. Journal of Human Behavior in the Social Environment, 28(3), 381–392. https://doi.org/10.1080/10911359.2018.1435328.
21.
EbertL.Amaya-JacksonL.MarkiewiczJ. M.KisielC.FairbankJ. A. (2012). Use of the breakthrough series collaborative to support broad and sustained use of evidence-based trauma treatment for children in community practice settings. Administration and Policy in Mental Health, 39(3), 187–199. https://doi.org/10.1007/s10488-011-0347-y.
22.
FinkelhorD.TurnerH. A.ShattuckA.HambyS. L. (2015). Prevalence of childhood exposure to violence, crime and abuse: Results from the national survey of children’s exposure to violence. JAMA Pediatrics, 169(8), 746–754. https://doi.org/10.1001/jamapediatrics.2015.0676.
23.
FitzgeraldM. M.TorresM. M.ShipmanK.GorronoJ.KernsS. E.DorseyS. (2015). Child welfare caseworkers as brokers of mental health services: A pilot evaluation of project focus Colorado. Child maltreatment, 20(1), 37-49.
24.
GlissonC. (2002). The organizational context of children’s mental health services. Clinical child and family psychology review, 5(4), 233-253.
25.
GlissonC.DukesD.GreenP. (2006). The effects of the ARC organizational intervention on caseworker turnover, climate, and culture in children’s service systems. Child Abuse & Neglect, 30(8), 855–880. https://doi.org/10.1016/j.chiabu.2005.12.010.
26.
GlissonC.JamesL. R. (2002). The cross‐level effects of culture and climate in human service teams. Journal of Organizational Behavior: The International Journal of Industrial, Occupational and Organizational Psychology and Behavior, 3(6), 767-794.
27.
GlissonC.SchoenwaldS. K. (2005). The ARC organizational and community intervention strategy for implementing evidence-based children’s mental health treatments. Mental Health Services Research, 7(4), 243–259. https://doi.org/10.1007/s11020-005-7456-1.
28.
GlissonC.SchoenwaldS. K.HemmelgarnA.GreenP.DukesD.ArmstrongK. S.ChapmanJ. E. (2010). Randomized trial of MST and ARC in a two-level evidence-based treatment implementation strategy. Journal of consulting and clinical psychology, 78(4), 537-550.
29.
HansonR. F.BorntragerC. F.Self-BrownS.KilpatrickD. G.SaundersB. E.ResnickH. S.AmstadterA. B. (2008). Relations among gender, violence exposure, and mental health: The national survey of adolescents. American Journal of Orthopsychiatry, 78(3), 313–321. https://doi.org/10.1037/a0014056.
30.
HansonR. F.GrosK. S.DavidsonT. M.BarrS.CohenJ.DeblingerE.MannarinoA. P.RuggieroK. J. (2014). National trainers’ perspectives on challenges to implementation of an empirically-supported mental health treatment. Administration and Policy in Mental Health and Mental Health Services Research, 41(4), 522–534. https://doi.org/10.1007/s10488-013-0492-6.
31.
HansonR. F.SaundersB. E.PeerS. O.RalstonE.MorelandA. D.SchoenwaldS.ChapmanJ. (2018). Community-based learning collaboratives and participant reports of interprofessional collaboration, barriers to, and utilization of child trauma services. Children and Youth Services Review, 94(4), 306–314. https://doi.org/10.1016/j.childyouth.2018.09.038.
32.
HansonR. F.SaundersB. E.RalstonE.MorelandA. D.PeerS. O.FitzgeraldM. M. (2019). Statewide implementation of child trauma-focused practices using the community-based learning collaborative model. Psychological Services,, 16(1), 170-181.
33.
HansonR. F.SaundersB. E.RalstonE.MorelandA. D.PeerS. O.FitzgeraldM. M. (2019). Statewide implementation of child trauma-focused practices using the community-based learning collaborative model. Psychological Services, 16(1), 170–181. https://doi.org/10.1037/ser0000319.
34.
HelsethS. A.PeerS. O.AreF.KorellA. M.SaundersB. E.SchoenwaldS. K.HansonR. F.HansonR. F. (2020). Sustainment of trauma-focused and evidence-based practices following learning collaborative implementation. Administration and Policy in Mental Health and Mental Health Services Research, 47(4), 569–580. https://doi.org/10.1007/s10488-020-01024-3.
35.
HerschellA. D.KolkoD. J.ScudderA. T.Taber-ThomasS.SchaffnerK. F.HiegelS. A.MrozowskiS.ChaffinM.MrozowskiS. (2015). Protocol for a statewide randomized controlled trial to compare three training models for implementing an evidence-based treatment. Implementation Science, 10(1), 133–149. https://doi.org/10.1186/s13012-015-0324-z.
36.
IBM Corp. (2017). Released 2017. IBM SPSS Statistics for Windows, Version 25.0. Armonk, NY: IBM Corp. IBM Corp.
37.
Institute of Health Improvement. (2003). The Breakthrough Series: IHI’s collaborative model for achieving breakthrough improvement. Boston, MA: Institute for Healthcare Improvement.
38.
LangJ. M.AkeG.BartoB.CaringiJ.LittleC.BaldwinM. J.SullivanK.TunnoA. M.BodianR.Joy StewartC.StevensK.ConnellC. M. (2017). Trauma screening in child welfare: Lessons learned from five states. Journal of Child & Adolescent Trauma, 10(4), 405–416. https://doi.org/10.1007/s40653-017-0155-y.
39.
LippardE. T. C.NemeroffC. B. (2020). The devastating clinical consequences of child abuse and neglect: Increased disease vulnerability and poor treatment response in mood disorders. American Journal of Psychiatry, 177(1), 20–36. https://doi.org/10.1176/appi.ajp.2019.19010020.
40.
McLaughlinK. A.Greif GreenJ.GruberM. J.SampsonN. A.ZaslavskyA. M.KesslerR. C. (2012). Childhood adversities and first onset of psychiatric disorders in a national sample of US adolescents. Archives of General Psychiatry, 69(11), 1151–1160. https://doi.org/10.1001/archgenpsychiatry.2011.2277.
41.
McNeishD. M.StapletonL. M. (2016). The effect of small sample size on two-level model estimates: A review and illustration. Educational Psychology Review, 28(2), 295–314. https://doi.org/10.1007/s10648-014-9287-x.
42.
MurrayL. K.SkavenskiS.KaneJ. C.MayeyaJ.DorseyS.CohenJ. A.MichalopoulosL. T. M.ImasikuM.BoltonP. A. (2015). Effectiveness of trauma-focused cognitive behavioral therapy among trauma-affected children in Lusaka, Zambia: a randomized clinical trial. JAMA pediatrics, 169(8), 761-769.
43.
NadeemE.OlinS.HillL. C.HoagwoodK.HorwitxS. M. (2014). Learning collaboratives in mental health care: Used but untested. Psychiatric Services, 65(9), 1088–1099. https://doi.org/10.1176/appi.ps.201300229.
44.
NadeemE.OlinS. S.HillL. C.HoagwoodK. E.HorwitzS. M. (2013). Understanding the components of quality improvement collaboratives: A systematic literature review. The Milbank Quarterly, 91(2), 354–394. https://doi.org/10.1111/milq.12016.
45.
NadeemE.WeissD.OlinS. S.HoagwoodK. E.HorwitzS. M. (2016). Using a theory-guided learning collaborative model to improve implementation of EBPs in a state children’s mental health system: A pilot study. Administration and Policy in Mental Health and Mental Health Services Research, 43(6), 978–990. https://doi.org/10.1007/s10488-016-0735-4.
46.
NovinsD. K.GreenA. E.LeghaR. K.AaronsG. A. (2013). Dissemination and implementation of evidence-based practices for child and adolescent mental health: A systematic review. Journal of the American Academy of Child and Adolescent Psychiatry, 52(10), 1009–1025. https://doi.org/101016/j.jaac.2013.07.012.
47.
PalinkasL. A.FuentesD.FinnoM.GarciaA. R.HollowayI. W.ChamberlainP. (2012). Inter-organizational collaboration in the implementation of evidence-based practices among public agencies serving abused and neglected youth. Administration and Policy in Mental Health and Mental Health Services Research, 41(2), 74–85. https://doi.org/10.1007/s10488-012-0437-5.
48.
PowellB. J.WaltzT. J.ChinmanM. J.DamschroderL. J.SmithJ. L.MatthieuM. M.KirchnerJ. E.KirchnerJ. E. (2015). A refined compilation of implementation strategies: Results from the Expert Recommendations for Implementing Change (ERIC) project. Implementation Science, 10(1), 21–35. https://doi.org/10.1186/s13012-015-0209-1.
49.
ProctorE. K.SilmreH.RaghavanR.HowmandP.AaronsG.BungerA.HensleyM.HensleyM. (2011). Outcomes for implementation research: Conceptual distinctions, measurement challenges, and research agenda. Administration and Policy in Mental Health, 38, 65–76. https://doi.org/10.1007/s10488-010-0319-7.
50.
SaundersB. E.AdamsZ. A. (2014). Epidemiology of traumatic experiences in childhood. Child and Adolescent Psychiatric Clinics of North America, 23(2), 167–184. https://doi.org/10.1016/j.chc.2013.12.003.
51.
SaundersB. E.HansonR. F. (2014). Innovative methods for implementing evidence supported interventions for mental health treatment of child and adolescent victims of violence. In R MReeceR FHansonJ.Sargent (Eds.), Treatment of child abuse: Common ground for mental health, medical, and legal practitioners (2nd ed., pp. 235–245). The Johns Hopkins University Press.
52.
SchoenwaldS. K.HoagwoodK. (2001). Effectiveness, transportability, and dissemination of interventions: What matters when?Psychiatric services,, 52(9), 1190-1197.
53.
SorensenJ. B. (2002). The strength of corporate culture and the reliability of firm performance. Administrative Science Quarterly, 47(1), 70–91.
54.
WalshK.DanielsonC. K.McCauleyJ.HansonR. F.SmithD. W.ResnickH. S.KilpatrickD. G. (2012). Longitudinal trajectories of posttraumatic stress disorder symptoms and binge drinking among adolescent girls: The role of sexual victimization. Journal of Adolescent Health, 50(1), 54–59. https://doi.org/10.1016/j.jadohealth.2011.05.017.
55.
WittA.BrownR. C.PlenerP. L.BrahlerE.FegertJ. M. (2017). Child maltreatment in Germany: Prevalence rates in the general population. Child and Adolescent Psychiatry and Mental Health, 11(47), 1–9. https://doi.org/10.1186/s13034-017-0185-0.
56.
Woods-JaegerB. A.KavaC. M.AkibaC. F.LucidL.DorseyS. (2017). The art and skill of delivering culturally responsive trauma-focused cognitive behavioral therapy in Tanzania and Kenya. Psychological Trauma: Theory, Research, Practice, and Policy, 9(2), 230–238. https://doi.org/10.1037/tra0000170.
