CCBHC Resources and Evidence-Based Practices

In partnership with Maine DHHS through funding from SAMHSA, CCSME is providing information on available resources, training and information about the Certified Community Behavioral Health Clinic (CCBHC) model and evidence-based practices included within CCBHCs. Resources below include information on upcoming trainings that may be relevant for CCBHC staff and administrators, as well as information about the evidence-based programs required within CCBHCs. 

Maine DHHS CCBHC Site

Resources and EBP Information for Maine CCBHCs

The Certified Community Behavioral Health Clinic model requires use of specific evidence-based practices (EBPs) for client services with additional evidence-based practices considered allowable. Information on the EBPs designated as required or allowable is included below. We have also included information on available training and other resources related to CCBHCs that may be helpful for CCBHC administrators and staff. 

Upcoming EBP-Focused Live Trainings

Service Member and Veterans Behavioral Health Training Series for CCBHCs

Other Upcoming Training

Additional training resources

Trainings provided by OCFS can be found on the OCFS Training Page and are updated as trainings become available. Trainings available through OADS can be found on the OADS training page and are updated as trainings become available. 

Training is available through the Maine Behavioral Health Workforce Development Collaborative offered by CCSME and AdCare Maine. Offerings typically include annual training in motivational interviewing, CBT-P, ethics, certified clinical supervision (CCS) training, as well as other evidence-based approaches for behavioral health professionals.

Required Evidence Based Practices for Maine CCBHCs

This table contains a brief description of required EBPs included within Maine CCBHCs. For more detailed information, see EBP descriptions below table.
Evidence-Based PracticeDescriptionPopulationLink(s)
All ages
Screening, Brief Intervention and Referral to Treatment (SBIRT)SBIRT is the universal screening and delivery of early intervention and referral to treatment services for persons at risk of developing substance use disorders and persons with substance use challenges.All ages

Individuals age 12 and older
https://www.sbirt.care/contact.aspx
All agesSystemic, Therapeutic, Assessment, Resources, Treatment (START) ModelSTART is a person-centered and solutions-focused community crisis prevention and intervention service model for individuals aged 6 and older with intellectual and developmental disabilities (IDD) and mental health needs (IDD-MH). Individuals aged 6 and older with intellectual and developmental disabilities (IDD) and mental health needs (IDD-MH).

https://centerforstartservices.org/START-Model
Child & familyPositive Parenting Program (Triple P)System Triple P can assist families in greater distress by working with parents of children who are experiencing moderate to severe behavior problems. Children and Adolescents

Triple P (standard) is delivered to parents up to 12 years old;
Teen Triple P is delivered to parents of 12 to 16 year old;
Pathways Triple P is for parents who are considered at risk of physically or emotionally harming their children.
https://www.triplep.net/glo-en/home/
Child & familyModular Approach to Therapy for Children with Anxiety, Depression, Trauma or Conduct Problems (MATCH)MATCH is a counseling program for children, teens and families designed for multiple problems related to anxiety, depression, posttraumatic stress, and disruptive conduct, including conduct problems associated with ADHD. Children and Adolescents

Children and teenagers age 6-15 and their families
https://www.practicewise.com/Portals/0/Demo/match/index.html
Child & familyParent-Child Interaction Therapy (PCIT)PCIT is a parent training treatment for young children with emotional and behavioral disorders that places emphasis on improving the quality of the parent-child relationship and changing parent-child interaction patterns.Children

Children ages 3-6 and their caregiver
https://www.pcit.org/
Child & familyAttachment BioBehavioral Catch- up (ABC)ABC is a parent/child treatment approach designed to help caregivers provide nurturing care and engage in synchronous interactions with their infants. ABC helps caregivers re-interpret children's behavioral signals so that they can provide nurturance through parent coaching sessionsChildren

Parents/caregivers of children age 0-4
https://www.abcintervention.org/
Child & familyIncredible YearsA series of comprehensive developmentally-based early intervention programs for parents and children to promote social-emotional comptence and reduce behavioral and emotional problems in young childrenChildren

Parents of children age 0-12 (different programs to address babies, toddlers, preschoolers, and school age)
https://www.incredibleyears.com/early-intervention-programs/parents
Child & family
Trauma
Trauma Focused Cognitive Behavioral TherapyTF-CBT is a structured, short-term treatment model that effectively improves a range of trauma-related outcomes in 8-25 sessions.Children and Adolescents

Children and adolescents exposed to at least one trauma and who experience PTSD symptoms, elevated levels of depression, anxiety, shame, other dysfunctional abuse-related feelings, thoughts or developing beliefs, and nonoffending parents or other caregivers.
https://tfcbt.org/

https://www.cebc4cw.org/program/trauma-focused-cognitive-behavioral-therapy/
Child & family
Trauma
Child Parent Psychotherapy (CPP)CPP is a treatment for children who have experienced trauma that is based in attachment theory. Therapeutic sessions include both the child and parent or primary caregiverChildren

Children age 0-6 who have experienced a traumatic event.
https://childparentpsychotherapy.com/providers/training/
Child & family
Trauma
Child and Family Traumatic Stress Intervention (CFTSI)The CFTSI is a brief (5‐8 session), evidence‐based early intervention for children that reduces traumatic stress reactions and the onset of PTSD.Children and Adolescents

Children and youth ages 7-18, young children ages 3-6, and children in foster care, together with a parent or caregiver
https://medicine.yale.edu/childstudy/services/community-and-schools-programs/yctsr/stress-intervention/
Child & family
Trauma
Eye Movement Desensitization and Reprocessing (EMDR)An 8-phase psychotherapy treatment using external stimuli for trauma-processingChildren, adolescents, adults age 2+

https://www.emdr.com/basic-training-emphasizing-treatment-of-children-and-adolescents/
Child & familyAdolescent Community Reinforcement Approach (A-CRA)A-CRA seeks to increase the family, social, and educational/vocational reinforces to support recovery. It is a developmentally-appropriate EBP for treating adolescents with SUD.Children and Adolescents

Adolescents age 12-25 with substance use disorder or substance misuse issues, or parents/caregivers of adolescents 12-25 with substance use disorder
https://www.chestnut.org/ebtx/treatments-and-research/treatments/a-cra/ 
Child & familyMultidimensional Family Therapy (MDFT)MDFT is a family-based treatment for adolescent substance use, delinquency, and other behavioral and emotional problems. Therapists work simultaneously in four interdependent domains: the adolescent, parent, family, and community.Children and Adolescents

Adolescents 11 to 18 with the following symptoms or problems: substance use or at risk, delinquent/conduct disorder, school and other behavioral problems, and both internalizing and externalizing symptoms
https://www.mdft.org/
All agesCognitive Behavioral Therapy (CBT)Cognitive Behavioral Therapy (CBT) is a psycho-social intervention that aims to reduce symptoms of various mental health and substance use conditions.All ages

CBT can be used with children, youth, and adults.
https://beckinstitute.org/
All agesCognitive Behavioral Therapy for Psychosis (CBTp)CBTp is a time-limited, solutions-focused, structured form of talk therapy following the principles of CBT that is indicated for individuals who experience distress related to psychotic symptoms.All ages

Youth and adults experiencing psychosis
https://www.nacbtp.org/
AdultsCollaborative Assessment and Management of Suicidality (CAMS)CAMS is a flexible therapeutic framework in which patient and provider work together to assess the patient’s suicidal risk and use that information to plan and manage suicide-specific, “driver-oriented” treatment.Adults

Individuals age 18 and older experiencing suicidality
https://cams-care.com/about-cams/
All agesMotivational Interviewing (MI)MI is a particular way of talking with people to guide them toward change and growth to strengthen their own motivation and commitment.All Ages

Can be used across all populations
https://www.cebc4cw.org/program/motivational-interviewing/
AdultsMedication for Opioid Use Disorder (MOUDMOUD is an evidence-based treatment for opioid use disorder using medications that target the brain.Adults

Individuals with Opioid Use Disorder
https://pcssnow.org/medications-for-opioid-use-disorder/ 

Maine SUD Learning Community
AdultsIndividual Placement Support (IPS) Supported Employment ModelIPS is a model of supported employment for people with serious mental illnessAdults and Adolescents

Age 15+ with serious mental illness
https://ipsworks.org/index.php/what-is-ips/

Required Evidence-Based Practices for CCBHCs – Description and Additional Information

The list below includes information about required EBPs that will be included in the state CCBHC implementation. Click on the title of each EBP to see more information about each EBP.

The information below is for required EBPs. For information on allowable EBPs, click here.

 

Organizational Processes

Screening, Brief Intervention and Referral to Treatment (SBIRT)

Category: Across the Lifespan

Brief Description: Screening, brief intervention and referral to treatment (SBIRT) is the universal screening and delivery of early intervention and referral to treatment services for persons at risk of developing substance use disorders and persons with substance use challenges.

Population: It is recommended that universal screening for unhealthy alcohol and other drug use be conducted at least annually for individuals ages 12 and older. Screening results will guide the level of brief intervention or referral to treatment.

Primary Link to EBP Resource:

NORCO at the University of Chicago, SBIRT, https://www.sbirteducation.com/

DHHS-Support OR other training information (Where/frequency/length):

Online training and resources available through NORCO at the University of Chicago, https://www.sbirteducation.com/

Informational resources and additional technical assistance for SBIRT are available through the ME SUD Learning Community, https://mesudlearningcommunity.org/about-us/sbirt-resources/, and through CCSME. 

 Additional Resources 

ATTC Network, https://attcnetwork.org/centers/northwest-attc/screening-brief-intervention-and-referral-treatment-sbirt

The University of Missouri-Kansas City (UMKC) SBIRT Project training resources, https://sbirt.care/training.aspx

Institute for Research, Education & Training in Addictions SBIRT Toolkit, https://ireta.org/resources/sbirt-toolkit/

National Council for Mental Wellbeing, Youth SBIRT (YSBIRT), https://www.thenationalcouncil.org/program/ysbirt/

Certification/training requirements:

SBIRT can be employed in various settings and is most commonly implemented in primary care, emergency departments, integrated care settings and mental health organizations. Implementation involves creating workflows and organizational policy and procedures including documentation and data/evaluation metrics across the process. No specific certification required to implement SBIRT.

Systemic Therapeutic Assessment Resources Treatment (START) Model for Care Coordination

Category: Across the Lifespan

Brief Description: START is an evidence-based, community crisis prevention and intervention service model for individuals aged 6 and older with intellectual and developmental disabilities (IDD) and mental health needs (IDD-MH). The START model is person-centered and solutions-focused, employing positive psychology approaches and other evidence-based practices.

Population: Age 6-adulthood for individuals with intellectual and developmental disabilities and mental health needs.

Primary Link to EBP Resource:

Center for START Services: https://centerforstartservices.org/START-Model

DHHS-Support OR other training information (Where/frequency/length):

Upcoming training available for CCBHC Care Coordinators through Maine Office of Aging and Disability Services.

  • START Training for CCBHC Care Coordinators – Oct. 2 – Nov. 6 or March 4 – April 8 (contact oads.behavioralhealth@maine.gov)

 Certification/training requirements:

Programs using the START model can obtain START program certification through the National Center for START Services. Training is available through the Center for START Services.

Child/Family-Focused Therapy

At least one of the following:

Positive Parenting Program (Triple P)

Category: Outpatient Mental Health & Substance Use Treatment – Child/Family-Focused Therapy

Brief Description: The overall Triple P program is a multi-tiered system of 5 levels of education and support for parents and caregivers of children and adolescents. As an early intervention, System Triple P can assist families in greater distress by working with parents of children who are experiencing moderate to severe behavior problems. Throughout the program, parents are encouraged to develop a parenting plan that makes use of a variety of System Triple P strategies and tools. System Triple P practitioners are trained, therefore, to work with parents’ strengths and to provide a supportive, non-judgmental environment where a parent can continually improve their parenting skills.

Population:

  • Triple P – delivered to parents of children up to 12 years old
  • Teen Triple P – delivered to parents of 12 to 16 year olds
  • Pathways Triple P – intensive intervention program for parents who have difficulty regulating their emotions and are considered at risk of physically or emotionally harming their children.

Primary Link to EBP Resource:

https://www.triplep.net/glo-en/home/

Available Training: Online training available in the US: https://www.triplep.net/glo-en/getting-started-with-triple-p/training-for-individuals/open-enrollment-calendar/

 Additional Resources 

Clearinghouse link: https://www.cebc4cw.org/program/triple-p-positive-parenting-program-system/

Certification/training requirements:

2-3 day training required in the core Triple P curriculum, and additional training required for extension programs (Teen Triple P, Pathways Triple P).

Implementation support offered to organizations purchasing Triple P Provider Training Courses (https://www.triplep.net/glo-en/getting-started-with-triple-p/implementing-triple-p/implementation-support/)

Modular Approach to Therapy for Children with Anxiety, Depression, Trauma or Conduct Problems (MATCH-ADTC)

Category: Outpatient Mental Health & Substance Use Treatment – Child/Family-Focused Therapy

Brief Description: The Modular Approach to Therapy for Children with Anxiety, Depression, Trauma, or Conduct Problems (MATCH), is an evidence-based counseling program for children, teenagers aged 6-15, and their families. Unlike most specific counseling programs, which focus on a single problem (e.g., anxiety only), MATCH is designed for multiple problems related to anxiety, depression, posttraumatic stress, and disruptive conduct, including conduct problems associated with ADHD. The MATCH program can give children and families a specific set of scientifically proven tools to help manage these problems that come up at home, at school, or with friends. Therapists who use MATCH have specialized strategies to customize each treatment to each family.

Population: Families of youth between age 8-13 experiencing anxiety, depression, traumatic stress, or disruptive behavior.

Primary Link to EBP Resource: https://www.practicewise.com/Portals/0/Demo/match/index.html 

Available Training

Live virtual training offered through Maine DHHS – Monday, October 23, 2023- Friday, October 27, 2023, 9:00 am – 4:30 pm daily. Visit Maine OCFS Training Page to see if additional trainings are available.

Online training available: https://www.practicewise.com/portals/0/MATCH_public/index.html 

Additional Training: https://www.bakercenter.org/training 

Additional Resources 

Clearinghouse link: https://www.cebc4cw.org/program/modular-approach-to-therapy-for-children-with-anxiety-depression-trauma-or-conduct-problems/ 

MATCH-ADTC video tutorials: https://weiszlab.fas.harvard.edu/video-tutorials

Certification/training requirements:

Online on-demand and live training available. Credentialed models are available but not required for MATCH Therapist, MATCH Supervisor, and MATCH Training Professional. The MATCH Professional Development Program offers training for those who wish to provide supervision, consultation, or training in the MATCH protocol.

Parent-Child Interaction Therapy (PCIT)

 Category: Outpatient Mental Health & Substance Use Treatment – Child/Family-Focused Therapy

Brief Description: Parent-child interaction therapy (PCIT) is an evidence-based behavior parent training treatment for young children with emotional and behavioral disorders that places emphasis on improving the quality of the parent-child relationship and changing parent-child interaction patterns. Children and their caregivers are seen together in PCIT.

PCIT is based on many of the same theoretical underpinnings as other parent training models, but PCIT focuses more on coaching caregivers in using specific skills. In PCIT, parents are initially taught relationship enhancement or discipline skills that they are going to be practicing in session and at home with their child. In subsequent sessions, most of the session time is spent coaching caregivers in the application of specific therapy skills.

Population: Children age 3-6 and their caregivers

Primary Link to EBP Resource: Parent-Child Interaction Therapy: https://www.pcit.org/ 

Training information 

PCIT-approved trainings: https://www.pcit.org/upcoming-trainings

Additional Resources 

Clearinghouse link: https://www.cebc4cw.org/program/parent-child-interaction-therapy/ 

https://www.pcit.org/what-is-pcit-for-professionals.html 

Certification/training requirements:

Initial Therapist training is 40-hours – see additional information: https://www.pcit.org/initial-therapist-training.html 

Certification is available through PCIT International. PCIT-Certified Therapist training requirements: https://www.pcit.org/therapist-requirements.html 

Attachment and BioBehavioral Catch-Up (ABC)

Category: Outpatient Mental Health & Substance Use Treatment – Child/Family-Focused Therapy

Brief Description: ABC is a parent/child treatment approach designed to help caregivers provide nurturing care and engage in synchronous interactions with their infants. ABC helps caregivers re-interpret children’s behavioral signals so that they can provide nurturance through parent coaching sessions. It was developed primarily for use with low-income African-American, Hispanic, and non-Hispanic White families who have experienced neglect, physical abuse, domestic violence, and placement instability.

Population: Parents or caregivers of children age 0-4

Primary Link to EBP Resource: https://www.abcintervention.org/ 

Available training:

ABC Parent Coach Training: https://www.abcintervention.org/becomeaparentcoach/

Additional Resources 

Clearinghouse link: https://www.cebc4cw.org/program/triple-p-positive-parenting-program-system/

Certification/training requirements:

Training to become a parent coach includes an initial 4-day training followed by a 6-month supervision period. for ABC parent coaches – information and training available: https://www.abcintervention.org/becomeaparentcoach/

Initial training is in ABC-Infant which is designed for infants between 6 and 24 months of age. Training for this is conducted remotely over the course of four half-days. After being certified in ABC-Infant, parent coaches are eligible to learn ABC-Newborn and ABC-Early Childhood. The newborn intervention is designed for newborns  0 to 5 months of age and the early childhood intervention is designed for children between 24 and 48 months. Each additional training involves one remote training session and additional supervision time.

Incredible Years

Category: Outpatient Mental Health & Substance Use Treatment – Child/Family-Focused Therapy

Brief Description: The Incredible Years series includes a range of comprehensive and developmentally based early intervention programs for parents, teachers and children. These programs are founded on developmental theory, which acknowledges the role of multiple risk and protective factors in the development of conduct problems. The aim of these programs is to promote social, emotional, and academic competence, while also preventing, reducing, and treating behavioral and emotional problems in young children.

Population: Parents of children age 0-12  — Baby parenting program 0-12 months; Toddlers 1-3 years, Preschoolers 3-6 years, School Age 6-12 years)

Primary Link to EBP Resource: https://www.incredibleyears.com/early-intervention-programs/parents 

Available training:

Online training available through https://www.incredibleyears.com/training/upcoming

Additional Resources 

Clearinghouse link: https://www.cebc4cw.org/program/the-incredible-years/   

Certification/training requirements:

Training available through https://www.incredibleyears.com/training/upcoming. Certification not required for use of program but is available for agencies. Purchase of program materials required separately from training.

Trauma-Focused Therapy for Children/Youth

At least one of the following:

Trauma-Focused Cognitive Behavioral Therapy (TF-CBT)

Category: Outpatient Mental Health & Substance Use Treatment – Trauma-Focused Therapy for Children/Youth

Brief Description: TF-CBT is a structured, short-term treatment model that effectively improves a range of trauma-related outcomes in 8-25 sessions.

Population: Children and youth aged 3-21 with Posttraumatic Stress Disorder (PTSD) or other problems related to traumatic life experiences, and their parents or primary caregivers

Primary Link to EBP Resource: https://tfcbt.org/

Available training:

Online and in-person training available through https://tfcbt.org/training/ 

Additional Resources 

TF-CBT Implementation resources and guides: https://tfcbt.org/resources/implementation/

Clearinghouse link: https://www.nctsn.org/interventions/trauma-focused-cognitive-behavioral-therapy 

Certification/training requirements:

Certification process required for licensed mental health professionals – More information at: https://tfcbt.org/certification/. Certification process may take 6-12 months and includes completion of online training, 2-day live training by an approved trainer, participation on follow up consultation/supervision, completion of 3 cases with use of standardized instrument to assess TF-CBT progress, passing the TF-CBt Therapist Certification Program Knowledge-based test

Child and Family Traumatic Stress Intervention (CFTSI)

Category: Outpatient Mental Health & Substance Use Treatment – Trauma-Focused Therapy for Children/Youth

Brief Description: The CFTSI is a brief (5‐8 session), evidence‐based early intervention for children 7 to 18 years old, young children ages 3-6 and children in foster care, that reduces traumatic stress reactions and the onset of PTSD. CFTSI is implemented within 30-45 days following a traumatic event or the disclosure of physical or sexual abuse. CFTSI is used successfully with children with extensive trauma histories. The goal of CFTSI is to decrease post-traumatic stress reactions and onset of PTSD by increasing communication and family support. As an evidence‐based early intervention, CFTSI fills the gap between standardized acute interventions and evidence‐based, longer‐term treatments required to deal with enduring posttraumatic reactions.

Population: Children and youth age 7-18, together with a parent or caregiver

Primary Link to EBP Resource: https://medicine.yale.edu/childstudy/services/community-and-schools-programs/yctsr/stress-intervention/ 

Available training:

Training available through the Yale Center for Traumatic Stress and Recovery. For more information contact Hilary Hahn hilary.hahn@yale.edu 

Additional Resources 

CFTSI Resource Documents – https://medicine.yale.edu/childstudy/services/community-and-schools-programs/yctsr/stress-intervention/resource-center/english/

Clearinghouse links: https://www.nctsn.org/interventions/child-and-family-traumatic-stress-intervention

https://www.cebc4cw.org/program/child-and-family-traumatic-stress-intervention-cftsi/detailed

Certification/training requirements:

Training and implementation manual available through developers at Yale Center for Traumatic Stress and Recovery (YCTSR). CFTSI should be delivered by masters-level therapists working in settings which serve children. Initial training is 2-days (12 hours total).

Child-Parent Psychotherapy (CPP)

Category: Outpatient Mental Health & Substance Use Treatment – Trauma-Focused Therapy for Children/Youth

Brief Description: CPP is an intervention model for children aged 0-6 who have experienced at least one traumatic event and/or are experiencing mental health, attachment, and/or behavioral problems, including posttraumatic stress disorder. The treatment is based in attachment theory but also integrates psychodynamic, developmental, trauma, social learning, and cognitive behavioral theories. Therapeutic sessions include the child and parent or primary caregiver. The primary goal of CPP is to support and strengthen the relationship between a child and his or her caregiver as a vehicle for restoring the child’s cognitive, behavioral, and social functioning. Treatment also focuses on contextual factors that may affect the caregiver-child relationship.

Population: Children aged 0-6 with a parent or caregiver

Primary Link to EBP Resource: https://childparentpsychotherapy.com/ 

Available training: Agency training for masters level counselors available through: https://childparentpsychotherapy.com/providers/training/ This training follows a learning collaborative model over the course of 18-months and is designed for teams of licensed mental health professionals rather than individuals.

Additional Resources

Manual for CPP available for purchase in digital or paperback:

Lieberman, A.F., Ghosh Ippen, C., & Van Horn (2015). Don’t hit my mommy: A manual for Child-Parent Psychotherapy with young children exposed to violence and other trauma, Second Edition. Washington, DC: Zero to Three.

 Clearinghouse link: https://www.cebc4cw.org/program/child-parent-psychotherapy/ 

Certification/training requirements:

Training and implementation manual available through developers at Yale Center for Traumatic Stress and Recovery (YCTSR). CFTSI should be delivered by masters-level therapists working in settings which serve children. Initial training is 2-days (12 hours total).

Eye Movement Desensitization and Reprocessing

Category: Outpatient Mental Health & Substance Use Treatment – Trauma-Focused Therapy for Children/Youth

Brief Description: EMDR therapy is an 8-phase psychotherapy treatment that was originally designed to alleviate the symptoms of trauma. During the EMDR trauma processing phases, guided by standardized procedures, the client attends to emotionally disturbing material in brief sequential doses that include the client’s beliefs, emotions, and body sensations associated with the traumatic event while simultaneously focusing on an external stimulus. Therapist directed bilateral eye movements are the most commonly used external stimulus, but a variety of other stimuli including hand-tapping and audio bilateral stimulation are often used.

Population: Children and youth ages 2+

Primary Link to EBP Resource: https://www.emdr.com/basic-training-emphasizing-treatment-of-children-and-adolescents/ 

Available training:

Virtual training available through https://www.emdr.com/basic-training-emphasizing-treatment-of-children-and-adolescents/. Nonprofit training (only available to non-profit or public sector organizations) available through https://www.emdrhap.org/training/training-overview/

Additional Resources 

Home study book courses available through emdr.com. Distance learning courses available: https://beacon360.content.online/xbcs/S1535/catalog/products.xhtml

Clearinghouse links: https://www.cebc4cw.org/program/eye-movement-desensitization-and-reprocessing/

 Certification/training requirements: Training available to licensed mental health professionals or prelicensed mental health professionals working under supervision. Certification courses available. Individuals with only substance use license are not eligible as EMDR includes mental health scope of practice.

Substance Use Disorder Treatment for Youth

At least one of the following:

Adolescent Community Reinforcement Approach (A-CRA)

Category: Outpatient Mental Health & Substance Use Treatment – Trauma-Focused Therapy for Children/Youth

Brief Description: A-CRA is a behavioral intervention that helps people rearrange their lifestyles so that healthy, drug-free living becomes rewarding and thereby competes with alcohol and drug use. A-CRA includes guidelines for three types of sessions: adolescents alone, caregivers alone, and adolescents and caregivers together. According to the adolescent’s needs and self-assessment of happiness in multiple areas of functioning, therapists choose from among 17 A-CRA procedures that address, for example, problem-solving skills to cope with stressors, communication skills, and participation in positive social and recreational activities with the goal of improving life satisfaction and eliminating substance use problems. 

Population: Adolescents age 12-25 with substance use disorder or substance misuse issues, or parents/caregivers of adolescents 12-25 with substance use disorder

Primary Link to EBP Resource: https://www.chestnut.org/ebtx/treatments-and-research/treatments/a-cra/ 

Available training:

Training available through Chestnut Health Systems EBTx Resource Center – see 2023 dates 

Additional training may be offered through Maine OCFS – check OCFS training page for upcoming training information.

Additional Resources 

A comprehensive treatment manual is available for purchase: https://www.chestnut.org/ebtx/ebtx-chestnut-org-resources/

Clearinghouse links: https://www.cebc4cw.org/program/adolescent-community-reinforcement-approach/

Certification/training requirements: A clinician and supervisor certification is available through Chesnut EBTx Center for A-CRA, CRA and Assertive Community Care (ACC). Once a supervisor achieves certification, it is possible to train and certify clinicians at his/her own site with verification from Chestnut Health Systems

Multidimensional Family Therapy (MDFT)

Category: Outpatient Mental Health & Substance Use Treatment – Trauma-Focused Therapy for Children/Youth

Brief Description:MDFT is a family-based treatment for adolescent substance use, delinquency, and other behavioral and emotional problems. Therapists work simultaneously in four interdependent domains: the adolescent, parent, family, and community. Therapy sessions are held alone with the youth, alone with the parents, and with youth and parents together. Once a therapeutic alliance is established and youth and parent motivation is enhanced, theMDFTtherapist focuses on facilitating behavioral and interactional change. The final stage ofMDFTworks to solidify behavioral and relational changes and launch the family successfully so that treatment gains are maintained.

Population: Ages 11 to 18 with the following symptoms or problems: substance use or at risk, delinquent/conduct disorder, school and other behavioral problems, and both internalizing and externalizing symptoms

Primary Link to EBP Resource: https://www.mdft.org/ 

Available training:

Agency training for teams of at least 3 clinicians to become certified available through mdft.org

Additional Resources 

Manual and training videos available

Clearinghouse links: https://www.cebc4cw.org/program/multidimensional-family-therapy/detailed 

MDFT “Getting Started” Guide

Certification/training requirements: Training available to licensed mental health professionals or prelicensed mental health professionals working under supervision. Certification courses available. Individuals with only substance use license are not eligible as EMDR includes mental health scope of practice.

 Outpatient Mental Health & Substance Use Treatment (all ages)

Cognitive Behavioral Therapy (CBT)

Category: Outpatient Mental Health & Substance Use Treatment 

Brief Description: Cognitive Behavioral Therapy (CBT) is a psycho-social intervention that aims to reduce symptoms of various mental health and substance use conditions. It focuses on challenging and changing cognitive distortions and their associated behaviors to improve emotional regulation and develop coping strategies.

Population: CBT can be used with children, youth, and adults. It has been found effective in treating depression, anxiety, PTSD, tics, substance use disorders, eating disorders, and borderline personality disorder. It can also be used to address psychosis (see below – CBTp).

Primary Link to EBP Resource:  https://beckinstitute.org/ 

Available training:

Online, in-person, and organizational training available through the Beck Institute: https://beckinstitute.org/training/. Additional online training resources available. 

Additional Resources 

 Clearinghouse links: https://www.cebc4cw.org/program/cognitive-behavioral-therapy-cbt-for-adult-depression/ 

Additional training resources: https://www.academyofct.org/page/TrainingPrograms 

Certification/training requirements: Training available to masters-level counselors or clinicians. CBT certification is available through the Beck Institute but not required in order to use CBT.

Cognitive Behavioral Therapy for Psychosis (CBT-P)

Category: Outpatient Mental Health & Substance Use Treatment

Brief Description: Cognitive Behavioral Therapy for psychosis (CBTp) is a specialized form of CBT that is designed for working with clients who experience psychosis. During a course of CBTp treatment, a clinician works with a client experiencing psychosis to help them cope with upsetting symptoms, such as hallucinations or delusions; process their diagnosis; and improve skills like organization and reality-testing, which may become impaired after a psychotic episode.

Population: Individuals experiencing psychosis or at risk of developing psychosis

Link to EBP Resource: https://med.stanford.edu/inspire-training/cbtp.html 

http://psychosisresearch.com/cbt/ 

Available training:

Training available in-state through CCSME in partnership with Mainehealth PIER Program: https://mhir.org/?page_id=29328

Online and in-person trainings available through: https://www.nacbtp.org/trainings  

Additional Resources 

Best Practices in Schizophrenia Treatment CBTp Resources: https://www.neomed.edu/bestcenter/practices/cognitive-behavioral/cognitive-behavioral-therapy-for-psychosis-cbt-p-resources/  

SAMHSA Guide on Routine Administration of Cognitive Behavioral Therapy for Psychosis as the Standard of Care for Treatment for Psychosis

Certification/training requirements: Practitioners should be familiar with basic concepts of CBT before training in CBTp. 

Collaborative Assessment and Management of Suicidality (CAMS)

Category: Outpatient Mental Health & Substance Use Treatment

Brief Description: The Collaborative Assessment and Management of Suicidality (CAMS) is a flexible therapeutic framework in which patient and provider work together, ideally in an outpatient setting, to assess the patient’s suicidal risk and use that information to plan and manage suicide-specific, “driver-oriented” treatment. The therapist and the client work on treating those drivers to reduce stress, hopelessness, and suicidal ideation while increasing hope. 

Population: Adults experiencing suicidal ideation, can be used in both outpatient and inpatient settings as well as with military service members and veterans.

Primary Link to EBP Resource: https://cams-care.com/about-cams/

Available training: 

Online training available: https://cams-care.com/training/ . Organizations can also request team training from CAMS-Care. The CAMS book, Managing Suicide Risk, A Collaborative Approach, 3rd Ed., is the primary resource on CAMS and book study is a component of CAMS training.

Additional Resources 

Clearinghouse links:https://sprc.org/online-library/collaborative-assessment-and-management-of-suicidality-cams/

Watch a 1-hour webinar to learn more about CAMS: https://southeastmhttc.org/the-collaborative-assessment-and-management-of-suicidality/

Certification/training requirements: 

Licensed mental health professionals can be trained and/or certified in CAMS. CAMS-training: 10 hours of course work (online) and 4 consultation calls; CAMS-Certified: Additional 6 CEUs and skills review assessment; Training information: https://cams-care.com/training/ 

Motivational Interviewing

Category: Outpatient Mental Health & Substance Use Treatment – All Ages

Brief Description: MI is a particular way of talking with people to guide them toward change and growth to strengthen their own motivation and commitment. It is a client-centered, directive method designed to enhance client motivation for behavior change. It focuses on exploring and resolving ambivalence by increasing intrinsic motivation to change. MI can be used by itself, as well as in combination with other treatments. It has been utilized in pretreatment work to engage and motivate clients for other treatment modalities.

Population: Can be used across all populations

Primary Link to EBP Resource: https://motivationalinterviewing.org/ 

Motivational Interviewing: Helping People Change and Grow, 4th Edition, 2023, Guilford Press, https://www.guilford.com/books/Motivational-Interviewing/Miller-Rollnick/9781462552795 

Available training:

Training available in Maine through Health Education and Training Institute (HETI) as well as CCSME and Adcare Maine via the Maine Behavioral Workforce Development Collaborative.

Online courses available through:  https://psychwire.com/motivational-interviewing#courses

Additional training opportunities from MINT-Certified trainers can be found: https://motivationalinterviewing.org/motivational-interviewing-training 

Additional Resources 

Coding Manual and Additional resources available from: https://casaa.unm.edu/tools/index.html 

Clearinghouse link: https://www.cebc4cw.org/program/motivational-interviewing/ 

Certification/training requirements: Training available online and in-state. Supervisory Training and Train-the-Trainer available through HETI Maine. No specific certifications or licensures are required in order to be trained in MI. MINT-Certified trainers have demonstrated proficiency and completed requirements to train on MI. 

 

Medications for Opioid Use Disorder (MOUD)

Category: Outpatient Mental Health & Substance Use Treatment 

Brief Description: Medications for Opioid Use Disorder (MOUD) involve a combination of medications that target the brain, and psychosocial interventions (e.g., counseling, skills development) aimed at improving treatment outcomes. Research shows that medications and therapy together may be more successful than either treatment method alone.

Population: 

Primary Link to EBP Resource: https://pcssnow.org/medications-for-opioid-use-disorder/ 

Available training:

Free training, resources and technical assistance available through the Maine SUD Learning Community: http://mesudlearningcommunity.org/ 

Online training available through: https://pcssnow.org/medications-for-opioid-use-disorder/ 

Additional Resources 

 SAMHSA TIP 63: Medications for Opioid Use Disorder

Certification/training requirements: Requires licensed prescriber. As of June 2023, DEA-registered and new medical practitioners must attest to 8-hours of training in treatment of Opioid Use Disorder per the MATE Act

Rehabilitation  

Individual Placement and Support (IPS) Supported Employment Model

Category: Rehabilitation

Brief Description: Individual Placement and Support (IPS) is a model of supported employment for people with serious mental illness (e.g., schizophrenia spectrum disorder, bipolar, depression). IPS supported employment helps people living with behavioral health conditions work at regular jobs of their choosing. Although variations of supported employment exist, IPS refers to the evidence-based practice of supported employment. Mainstream education and technical training are included as ways to advance career paths.

Population: Ages 15+ with serious mental illness

Primary Link to EBP Resource: https://ipsworks.org/index.php/what-is-ips/

Available training:

Online training for IPS practitioners and supervisors available through: https://ipsworks.org/index.php/training-courses/

Training course also available for non-employment staff working with the IPS model (clinicians, peer specialists, case managers, etc.)

Additional Resources 

 ACRE Certification for employment specialists is also available through: https://www.maineworkingtogether.org/certification/ 

Certification/training requirements: Training available online through IPS Works. For experienced IPS-trained practitioners, additional certification and training available.

This webpage was made possible by Grant Number SM-23-015 from the Substance Abuse and Mental Health Administration (SAMHSA) awarded to the Maine Department of Health and Human Services (DHHS).