(PS13-A20) Training the Trainers on the Joy of Integrating Measurement Based Care into Clinical Supervision

Measurement Based Care (MBC) allows behavioral health  providers to systematically evaluate treatment as it progresses in real time by using feedback from standardized and idiographic measures to inform clinical decision making (Fortney et al., 2017). Using MBC data can improve both the clinical efficiency and effectiveness of treatment as well as help providers to enhance their professional skill development by providing feedback about their performance. (Guo et al., 2015; Levine et al., 2017; Lyon et al., 2019; Swift et al., 2015). Despite the evidence for MBC, wide scale implementation remains a challenge (Lewis et al., 2019). A 2017 study surveyed psychology training clinic directors regarding the barriers to the implementation of MBC into their clinics and found that lack of education for supervisors regarding the clinical value of MBC was one of the largest barriers to successful implementation of MBC (Peterson & Fagan, 2017). Supervisors may be unaware of the benefits of adding in MBC as an adjunct to supervision and therefore less likely to use it themselves, let alone train their supervisees in MBC without the advent of new training.

This study investigated whether an online training for supervisors on how to use MBC data within supervision would increase positive attitudes, use, and self-perceived teaching ability of the benefits of MBC within supervision. The lead researcher on the study created a 50-minute training video for supervisors designed as a pragmatic way to help their supervisees address likely barriers to MBC use. The aim of the video was to address both supervisors’ unfamiliarity with MBC as well as provide specific examples of how MBC feedback could be useful in clinical supervision. This longitudinal intervention study consisted of 3 waves of data collection, a uniform video intervention, and two test groups. Licensed mental health providers who reported currently being clinical supervisors (n= 58) were recruited and their attitudes toward MBC, self-reported MBC use during supervision, and self-reported ability to describe the clinical benefits of MBC were measured at all time points. Preliminary analysis confirmed that the MBC training delivered to all supervisors was effective at positively boosting immediate attitudes, perceived capacity to teach trainees about MBC, and likelihood of use of MBC. The primary analyses will fit a multilevel model nesting repeated measures over time within individuals to test for differential rates of durability in MBC intervention effects on attitudes, perceived capacity to each the benefits of MBC, and likelihood of MBC use in supervision across 30 days as a function of receiving reminders.