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ViewAttendees 5

Symposia

Transdiagnostic

Session: Quantitative and Qualitative Examination of the Unified Protocol for Adolescents: Implementation in Diverse Contexts

4 - (SYM 33) Community Therapist Qualitative Reports of Implementing the Unified Protocol for Transdiagnostic Treatment of Emotional Disorders in Adolescents (UP-A) with Diverse Families

Friday, November 17, 2023
2:30 PM – 4:00 PM PST
Location: Ashnola (301), Level 3

Background: Treatment implementation input from frontline providers working within diverse communities is essential for optimizing treatment delivery in these settings. Yet, no study to date has systematically described the experiences of community therapists delivering the Unified Protocol for Transdiagnostic Treatment of Emotional Disorders in Adolescents (UP-A). This study sought to fill this gap through an in-depth, qualitative analysis of interviews with community therapists who implemented the UP-A.



 



Methods: Twenty therapists participated in individual phone interviews about their UP-A implementation experiences after completing UP-A training and/or consultation as part of an NIMH-funded randomized controlled trial (R01MH106536 & R01MH106657). Interview recordings were transcribed, and analyzed using Dedoose, a qualitative analysis software. Following a coding, consensus, co-occurrence, and comparison method, three of the authors developed a code list based on interview questions and additional topics that emerged from participant responses.



 



Results: Various UP-A factors, which either facilitated or hindered implementation, emerged. These UP-A factors were inter-connected with client, organizational, therapist, and dissemination and implementation factors. Specifically, UP-A factors included issues around its transdiagnostic appropriateness, cross-cultural relevance, content and materials, parent components, structure/flexibility, effectiveness, and needed modifications.



 




Conclusions:  Gathering the in-depth perspectives of frontline providers, especially ones working in under-resourced settings, will lead to a better understanding of the process of implementing transdiagnostic approaches in non-university, uncontrolled settings, and ultimately improve mental health services and youth outcomes.