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[Clin Psychol Sci Prac 17: 31[ndash]35, 2010] The systems-contextual approach to training of service providers to deliver evidence-based practices provides a useful framework for considering the broader ecological context within providers' work, including organizational, training, program design, supervision, and funding variables. Our experience of disseminating on a large scale an evidence-based system of parenting interventions is used to highlight the major organizational, structural, and systemic challenges that need to be addressed to ensure that programs are effectively used within service delivery systems. Solutions to these challenges and implications for policy and practice are discussed.

Publication year: 2010
Source: Behaviour Research and Therapy, In Press, Accepted Manuscript, Available online 7 March 2010
Tom, Hildebrandt , Barbara, McCrady , Elizabeth, Epstein , Sharon, Cook , Noelle, Jensen
Statistical application of signal detection theory has been used to study the clinical utility of early treatment response in a range of treatments and psychiatric disorders. The current study sought to examine the predictive value of weekly within-treatment drinking using receiver operator curves (ROCs) and zero-inflated Poisson (ZIP) regression in102 women with alcohol use disorders (AUDs) randomized to either alcohol behavioral individual treatment (ABIT; n = 52) or alcohol behavioral couples treatment (ABCT; n = 50). ROC analyses indicated that failure to achieve or sustain abstinence by the end-of-treatment and one year follow-up was predicted with reasonable accuracy by week-4...

The prevalence of unexplained physical symptoms (UPS) in primary care is at least 33%. Cognitive behavioural therapy has shown to be effective. Within cognitive behavioural therapy, three models can be distinguished: reattribution model, coping model and consequences model. The consequences model, labelling psychosocial stress in terms of consequences rather than as causes of UPS, has high acceptance among patients and is effective in academic medical care. This acceptance is lost when applied in primary care. To increase acceptance of the consequences model among patients in primary care, we tailor this model to patient's perspective by approaching the model from bottom-up instead of top-down. Subsequently, we use this tailored model in an easily accessible group training. We illustrate our approach using two illustrative cases. Copyright © 2010 John Wiley & Sons, Ltd.Key Practitioner Message:[bull] The prevalence of unexplained physical symptoms (UPS) in primary care is at least 33%.[bull] Cognitive behavioural therapy has shown to be most effective for UPS. The most interesting cognitive behavioural model is the consequences model because 81% of the patients with UPS in secondary care accepts a therapy based on this model.[bull] The consequences model labels psychosocial stress as consequences rather than as causes of UPS and aims to change the consequences in that UPS reduces.[bull] The acceptance of the consequences model drops in primary care, making a therapy based on this model not feasible for primary care.[bull] If the acceptance of the consequences model in primary care could be raised by tailoring this model more closely to patients' perspective of their symptoms approaching the model innovatively from bottom-up, then the opportunity of a positive outcome for patients in primary care could be improved.Trial registration:Nederlands Trial Register, NTR1609

Most studies have indicated that friends or families of choice provide more support to HIV-positive men who have sex with men (MSM) than members of the family of origin. The creation of families of choice by MSM has been viewed as a means of creating a support system in the absence of traditional family. The purpose of this study is to explore if HIV-positive MSM believe family of origin is important. Data were drawn from a qualitative study of HIV disclosure to family. Responses to the question, "How important is family to you?" are explored. Results suggest that for many HIV-positive MSM, relationships with family of origin are very important. While not definitive, data to be presented are provocative and challenge notions of the significance of family of origin to marginalized populations.

• Content Type Journal Article
• DOI 10.1007/s10567-010-0064-1
• Authors
  • Peter Muris, Erasmus University Rotterdam Institute of Psychology Burgemeester Oudlaan 50, Suite T13-37, Postbus 1738 3000 DR Rotterdam The Netherlands
  • Andy P. Field, University of Sussex Brighton United Kingdom

• Journal Clinical Child and Family Psychology Review
• Online ISSN 1573-2827
• Print ISSN 1096-4037