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    Facilitating practitioner flexibility within an empirically supported intervention: Lessons from a system of parenting support

    Access Status
    Fulltext not available
    Authors
    Mazzucchelli, Trevor
    Sanders, M.
    Date
    2010
    Type
    Journal Article
    
    Metadata
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    Citation
    Mazzucchelli, Trevor G. and Sanders, Matthew R. 2010. Facilitating practitioner flexibility within an empirically supported intervention: Lessons from a system of parenting support. Clinical Psychology: Science and Practice. 17 (3): pp. 283-252.
    Source Title
    Clinical Psychology: Science and Practice
    DOI
    10.1111/j.1468-2850.2010.01215.x
    ISSN
    09695893
    URI
    http://hdl.handle.net/20.500.11937/26528
    Collection
    • Curtin Research Publications
    Abstract

    Reluctance by practitioners to follow manuals is often cited as a reason for the lack of adoption of empirically supported treatments (ESTs). We contend that rigid adherence to the therapeutic techniques described in a manual is neither necessary nor desirable. Rather, practitioners should flexibly deliver interventions to meet the diverse needs of consumers, but in such a way that the intervention is not moved beyond its evidence base. This tension between adherence and flexibility is reframed as an issue of practitioner generalization. The present paper draws on the authors’ experiences from disseminating the Triple P-Positive Parenting Program to describe a number of strategies that can both safe-guard the fidelity with which ESTs are delivered and encourage their flexible delivery.

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