{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,11]],"date-time":"2025-10-11T17:51:58Z","timestamp":1760205118154,"version":"3.40.5"},"reference-count":28,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2021,3,29]],"date-time":"2021-03-29T00:00:00Z","timestamp":1616976000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100000025","name":"National Institute of Mental Health","doi-asserted-by":"publisher","award":["R21\/R33 MH097007"],"award-info":[{"award-number":["R21\/R33 MH097007"]}],"id":[{"id":"10.13039\/100000025","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Family Process"],"published-print":{"date-parts":[[2021,9]]},"abstract":"<jats:p>The implementation of evidence\u2010based psychotherapies often requires significant commitments of time and expense from mental health providers. Psychotherapy protocols with rapid and efficient training and supervision requirements may have higher levels of uptake in publicly funded clinics. Family\u2010focused therapy (FFT) is a 4\u2010month, 12\u2010session treatment for bipolar and psychosis patients consisting of psychoeducation, communication training, and problem\u2010solving skills training. In a pilot randomized trial, we compared two methods of training community clinicians in FFT: (a) high intensity (<jats:italic>n<\/jats:italic> <jats:italic>= 24)<\/jats:italic>, consisting of a 6\u2010hour in\u2010person didactic workshop followed by telephone supervision for every session with training cases; or (b) low\u2010intensity training (<jats:italic>n<\/jats:italic>\u00a0=\u00a023), consisting of a 4\u2010hour online workshop covering the same material as the in\u2010person workshop followed by telephone supervision after every third session with training cases. Of 47 clinician participants, 18 (11 randomly assigned to high intensity, 7 to low) enrolled 34 patients with mood or psychotic disorders (mean age 16.5\u00a0\u00b1\u00a02.0\u00a0years; 44.1% female) in an FFT implementation phase. Expert supervisors rated clinicians\u2019 fidelity to the FFT manual based on taped family sessions. We detected no differences in fidelity scores between clinicians in the two training conditions, nor did patients treated by clinicians in high\u2010 versus low\u2010intensity training differ in end\u2010of\u2010treatment depression or mania symptoms. Levels of parent\/offspring conflict improved in both conditions. Although based on a pilot study, the results suggest that low\u2010intensity training of community clinicians in FFT is feasible and can result in rapid achievement of fidelity benchmarks without apparent loss of treatment efficacy.<\/jats:p>","DOI":"10.1111\/famp.12646","type":"journal-article","created":{"date-parts":[[2021,3,29]],"date-time":"2021-03-29T09:58:11Z","timestamp":1617011891000},"page":"727-740","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Effects of High\u2010 versus Low\u2010Intensity Clinician Training on Implementation of Family\u2010Focused Therapy for Youth with Mood and Psychotic Disorders"],"prefix":"10.1111","volume":"60","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9647-6147","authenticated-orcid":false,"given":"David J.","family":"Miklowitz","sequence":"first","affiliation":[{"name":"Department of Psychiatry and Biobehavioral Sciences UCLA Semel Institute for Neuroscience and Behavior David Geffen School of Medicine Los Angeles CA USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marc J.","family":"Weintraub","sequence":"additional","affiliation":[{"name":"Department of Psychiatry and Biobehavioral Sciences UCLA Semel Institute for Neuroscience and Behavior David Geffen School of Medicine Los Angeles CA USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Filippo","family":"Posta","sequence":"additional","affiliation":[{"name":"Estrella Mountain Community College Avondale AZ USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Danielle M.","family":"Denenny","sequence":"additional","affiliation":[{"name":"Department of Psychiatry and Biobehavioral Sciences UCLA Semel Institute for Neuroscience and Behavior David Geffen School of Medicine Los Angeles CA USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bowen","family":"Chung","sequence":"additional","affiliation":[{"name":"Department of Psychiatry and Biobehavioral Sciences UCLA Semel Institute for Neuroscience and Behavior David Geffen School of Medicine Los Angeles CA USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2021,3,29]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.books.9780890423349"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.ps.201100401"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.ajp.2009.08101569"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1001\/archgenpsychiatry.2007.3"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10597-014-9733-8"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.brat.2016.08.012"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.2012.300755"},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.genhosppsych.2010.03.006"},{"key":"e_1_2_6_10_1","doi-asserted-by":"publisher","DOI":"10.1111\/eip.12144"},{"key":"e_1_2_6_11_1","doi-asserted-by":"publisher","DOI":"10.1037\/a0018121"},{"key":"e_1_2_6_12_1","doi-asserted-by":"publisher","DOI":"10.1001\/archpsyc.65.9.1053"},{"key":"e_1_2_6_13_1","doi-asserted-by":"publisher","DOI":"10.1111\/famp.12237"},{"key":"e_1_2_6_14_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamapsychiatry.2020.2993"},{"key":"e_1_2_6_15_1","doi-asserted-by":"publisher","DOI":"10.1001\/archpsyc.60.9.904"},{"key":"e_1_2_6_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jad.2020.06.015"},{"key":"e_1_2_6_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jaac.2014.04.020"},{"key":"e_1_2_6_18_1","doi-asserted-by":"publisher","DOI":"10.1001\/archpsyc.64.4.419"},{"key":"e_1_2_6_19_1","doi-asserted-by":"publisher","DOI":"10.4088\/JCP.v64n0211"},{"key":"e_1_2_6_20_1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.ajp.2014.13081130"},{"key":"e_1_2_6_21_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jaac.2012.10.007"},{"key":"e_1_2_6_22_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamapsychiatry.2019.4520"},{"key":"e_1_2_6_23_1","doi-asserted-by":"publisher","DOI":"10.1901\/jaba.1979.12-691"},{"key":"e_1_2_6_24_1","doi-asserted-by":"publisher","DOI":"10.1037\/0022-006X.71.3.482"},{"volume-title":"Mini international neuropsychiatric interview version 7.02 for DSM\u20105","year":"2016","author":"Sheehan D. 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