Training in and implementation of Acceptance and Commitment Therapy for depression in the Veterans Health Administration: Therapist and patient outcomes

The U.S. Department of Veterans Affairs has implemented a national dissemination and training initiative to promote the availability of Acceptance and Commitment Therapy for depression (ACT-D). This paper reports on therapist and patient outcomes associated with competency-based training in and impl...

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Bibliographic Details
Published in:Behaviour research and therapy 2013-09, Vol.51 (9), p.555-563
Main Authors: Walser, Robyn D., Karlin, Bradley E., Trockel, Mickey, Mazina, Barbara, Barr Taylor, C.
Format: Article
Language:English
Subjects:
Acceptance
Acceptance and Commitment Therapy
Acceptance and Commitment Therapy - education
Acceptance and Commitment Therapy - methods
Adult
Adult and adolescent clinical studies
Aged
Aged, 80 and over
Assessment
Behavior therapy. Cognitive therapy
Biological and medical sciences
Clinical Competence - statistics & numerical data
Clinical outcomes
Cohort Studies
Depression
Depression - therapy
Diffusion of Innovation
Dissemination
Female
Health Knowledge, Attitudes, Practice
Health Services Accessibility
Humans
Male
Medical sciences
Middle Aged
Mood disorders
Outcome and Process Assessment (Health Care) - statistics & numerical data
Professional-Patient Relations
Psychiatric Status Rating Scales - statistics & numerical data
Psychology. Psychoanalysis. Psychiatry
Psychopathology. Psychiatry
Psychotherapy
Quality of Life
Therapist patient relationships
Therapist-Client relationships
Training
Treatments
United States
United States Department of Veterans Affairs
Veterans
Veterans - psychology
Young Adult
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Summary:The U.S. Department of Veterans Affairs has implemented a national dissemination and training initiative to promote the availability of Acceptance and Commitment Therapy for depression (ACT-D). This paper reports on therapist and patient outcomes associated with competency-based training in and implementation of ACT-D. Therapist and patient outcomes were assessed on eleven cohorts of therapists (n = 391) and their patients (n = 745). Three-hundred thirty four therapists successfully completed all requirements of the Training Program. Ninety-six percent of therapists achieved competency by the end of training, compared to 21% at the outset of training. Mixed effects model analysis indicated therapists' overall ACT-D competency scores increased from 76 to 112 (conditional SD = 6.6), p 
ISSN:0005-7967
1873-622X
DOI:10.1016/j.brat.2013.05.009