Category: Youth & Families

 Brief Description: Intensive Care Coordination Using High Fidelity Wraparound (Wraparound), also known as High Fidelity Wraparound, uses an individualized, team-based, collaborative process to provide a coordinated set of services and supports. It is typically targeted toward children and youth with complex emotional, behavioral, or mental health needs, and their families. Throughout the process, youth and their families work with a care coordinator who convenes, facilitates, and coordinates efforts of the wraparound team. The care coordinator further helps the family navigate planned services and supports, including informal and community-based options; tracks progress and satisfaction to revise the plan of care as needed; and ensures program fidelity. Wraparound has four phases.

​Population: Children and youth (age 0-21) with complex emotional, behavioral, or mental health needs, and their families.

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

Training information: 

 Training and implementation information available from: https://www.nwic.org/ 

 Available Resources:

Clearinghouse link: https://preventionservices.acf.hhs.gov/programs/330/show

Certification/training requirements:

 Training and coaching available for care coordinators, parent and youth support partners, wraparound supervisors, and other critical roles through https://www.nwic.org/ .  Additional intensive training opportunities are available for local care coordinators to become certified as wraparound coaches and trainers.

 Category: Youth & Families

 Brief Description: Functional Family Therapy (FFT) is an effective, short-term evidence-based family counseling service designed for 11-to-18-year-old youth who are at risk or have been referred for behavioral or emotional problems. FFT works with a young person’s entire family and extrafamilial influences to facilitate positive growth and development. FFT works in phases which build upon each other. Phases are: engagement, motivation, relational assessment, behavior change, generalization.

​Population: ages 11-18 with behavior problems, conduct disorder, substance use disorder, delinquency

Primary Link to EBP Resource: https://www.fftllc.com/fft

Training information:

Oversight agency for Maine providers: https://www.fftllc.com/

FFT LLC trains and certifies. Oversight is provided on a regular basis. Training and certification is intended for teams of 3-8 clinicians including a supervisor.

 Available Resources:

https://www.fftllc.com/reports-guides

Clearinghouse link: https://www.cebc4cw.org/program/functional-family-therapy/

Certification/training requirements:

FFT is delivered by trained master’s level therapists. FFT should be implemented with a team of 3-8 therapists with oversight by a licensed clinical therapist who also carries a caseload.

Category: Youth & Families

Brief Description: Multisystemic Therapy (MST) is an intensive family and community-based treatment for serious juvenile offenders with possible substance abuse issues and their families. The primary goals of MST are to decrease youth criminal behavior and out-of-home placements. Critical features of MST include: (a) integration of empirically based treatment approaches to address a comprehensive range of risk factors across family, peer, school, and community contexts; (b) promotion of behavior change in the youth’s natural environment, with the overriding goal of empowering caregivers; and (c) rigorous quality assurance mechanisms that focus on achieving outcomes through maintaining treatment fidelity and developing strategies to overcome barriers to behavior change.

​Population: Youth, 12 to 17 years old, with possible substance abuse issues who are at risk of out-of-home placement due to antisocial or delinquent behaviors and/or youth involved with the juvenile justice system and their parents/caregivers

 Primary Link to EBP Resource: https://www.mstservices.com/

 Training information:

Training available via: https://www.mstservices.com/     MST Associates trains and certifies teams of 2-4 therapists. Oversight provided on a regular basis.

 Available Resources:

Clearinghouse link: https://www.cebc4cw.org/program/multisystemic-therapy/detailed 

Certification/training requirements:

Delivered within a team structure by licensed agencies who participate in comprehensive training and ongoing quality assurance.

 

Category: Youth & Families

 Brief Description: Multisystemic Therapy for Youth with Problem Sexual Behaviors (MST-PSB) is a clinical adaptation of Multisystemic Therapy (MST) that has been specifically designed and developed to treat youth (and their families) for problematic sexual behavior. MST-PSB is delivered in the community (clients’ homes, schools, neighborhoods) to ensure ecological validity and treatment generalization, occurs with a high level of intensity and frequency (often three or more sessions per week) and incorporates intensive family therapy, cognitive-behavioral therapy, parent training, skill building and other community system interventions through collaboratively developed individual treatment plans.

​

Population: ages 12-17 who have engaged in problematic sexual behaviors towards others.

Primary Link to EBP Resource: https://www.mstpsb.com/

Training information:

Oversight agency for Maine providers: https://www.mstpsb.com/

• MST Associates trains and certifies teams of 2-4 therapists. Oversight provided on a regular basis.

 Available Resources:

Clearinghouse link: https://www.cebc4cw.org/program/multisystemic-therapy-for-youth-with-problem-sexual-behaviors/

Certification/training requirements:

Delivered within a team structure by licensed agencies who participate in comprehensive training and ongoing quality assurance.

Category: Youth & Families

Brief Description: RUBI is a training program for parents and other caregivers of children ages 3 to 10 with autism and mild to moderate behavior problems, such as tantrums, noncompliance, difficulties with transitions and aggression. Therapists work one-on-one to teach parents ways to reduce the children’s problem behavior and improve daily living skills, such as self-care and helping around the house.

RUBI parent training strategies focus on:

• How to prevent challenging behavior
• What to do when challenging behavior occurs
• How to promote positive behaviors

​

Population: Parents of children ages 3-10 with autism and mild to moderate behavior problems.

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

Training information: https://www.rubinetwork.org/training/training-in-rubi/

Available Resources:

RUBI Workbook available for purchase here: https://www.rubinetwork.org/store/

Certification/training requirements:

Introductory and intensive training in RUBI available from rubinetwork.org. Certification in RUBI-PT is available for those who meet criteria.

Category: Youth & Families

Brief Description: TST-R is a comprehensive method for treating traumatic stress in children and adolescents that adds to individually-based approaches by specifically addressing social environmental/ system-of-care factors that are believed to be driving a child’s traumatic stress problems. TST-R is adapted for refugee youth and families who have experienced war and violence prior to resettlement and continue to face ongoing acculturation and resettlement stress. It consists of three components of prevention and intervention. TST-R has been adapted for, and implemented with, various refugee communities. TST-R seeks not only to increase mental health capacity within refugee and immigrant communities, but also to increase the cultural knowledge of practitioners serving refugee and immigrant youth and families in resettlement.

​Population: Ages 10-21

 Primary Link to EBP Resource:

• https://www.childrenshospital.org/programs/trauma-and-community-resilience-center/refugee-trauma-resilience/prevention-intervention-models

Training information:

Technical assistance and consultation for organizations interested in developing, implementing and evaluating a TST-R program available – contact tcrc@childrens.harvard.edu.

•  https://www.childrenshospital.org/programs/trauma-and-community-resilience-center/refugee-trauma-resilience/prevention-intervention-models

 Available Resources:

Clearinghouse link: https://www.nctsn.org/sites/default/files/interventions/tstr_fact_sheet.pdf

Certification/Training:

For implementation and training information, contact tcrc@childrens.harvard.edu.

 

Category: Across the Lifespan

Brief Description: Acceptance and Commitment Therapy (ACT) focuses on helping patients behave more consistently with their own values and apply mindfulness and acceptance skills to their responses to uncontrollable experiences. It draws from both traditional behavior therapy techniques (cognitive therapy, behavior analysis) as well as practices such as mindfulness, cognitive defusion, and exploration of values. It is less focused on eliminating unwanted thoughts, emotions, or sensations and instead seeks to enhance psychological flexibility to be able to change behavior depending on how useful to the patient’s life this behavior is understood to be in the long term.

​Population: All ages

Primary Link to EBP Resource:  https://contextualscience.org/about_act

Training information:

Online course available: https://www.praxiscet.com/act-immersion-evergreen-signup/

 Available Resources:

Learning ACT: An Acceptance and Commitment Therapy Skills Training Manual for Therapists (2^nd Ed) available for purchase: https://learningact.com/about-the-book/

Certification/training requirements:

Training available online. No specific certification is required to practice ACT.

Category: Outpatient Mental Health & Substance Use Treatment

Brief Description: Applied behavior analysis (ABA) is largely based on behavior and its consequences, so it’s techniques generally involve teaching individuals more effective ways of behaving through positive reinforcement and working to change the social consequences of existing behavior. Treatment approaches based on ABA have been empirically shown to be effective in a wide variety of areas. ABA is one of the primary modalities for individuals with autism or other IDDs, but has also been applied as a clinical tool to address other conditions (depression, anxiety, substance use disorder, chronic pain, disruptive behavior and others).

Population: Individuals with autism or other IDDs across the lifespan. ABA can also be applied to address other conditions.

Link to EBP Resource: 

https://www.bacb.com/about-behavior-analysis/

Available training:

Board-Certified Behavior Analysts (BCBAs) must have a master or doctoral degree in psychology or behavior analysis following criteria available here: https://www.bacb.com/bcba/

 Certification/training requirements:  

Board-certified behavior analysts (BCBAs) provide ABA therapy services. To become a BCBA, a practitioner must have a master or doctoral degree in psychology or behavior analysis and pass a national certification exam. More information on this process available here: https://www.bacb.com/bcba/

BCBAs can supervise board certified assistant behavior analysts (BCaBAs) and registered behavior technicians (RBTs) to deliver services to clients. Certification information for BCaBAs and RBTs available here: https://www.bacb.com/ 

Category: Across the Lifespan

 Brief Description:

​Assertive Community Treatment (ACT) is an intensive community based (outpatient) treatment program with a multi-disciplinary team of providers that supports eligible adults and children who may have a major mental illness diagnosis and often co-occurring disorders. The goal of the ACT Program is to improve the client’s functioning in the least restrictive setting, while strengthening family, work, school and community ties. Research shows that ACT reduces hospitalization, increases housing stability, and improves quality of life for people with the most severe symptoms of mental illness.

Population: Adults and children with serious mental illness and/or co-occurring disorders.

Primary Link to EBP Resource:

 https://case.edu/socialwork/centerforebp/practices/assertive-community-treatment/assertive-community-treatment-resources

Training information:

ACT Resources – Center for Evidence-Based Practices at Case Western Reserve University – https://case.edu/socialwork/centerforebp/practices/assertive-community-treatment/assertive-community-treatment-resources

Available Resources:

ACT Resources – Center for Evidence-Based Practices at Case Western Reserve University – https://case.edu/socialwork/centerforebp/practices/assertive-community-treatment/assertive-community-treatment-resources

Assertive Community Treatment Evidence-Based Practice Kit (SAMHSA) https://store.samhsa.gov/product/Assertive-Community-Treatment-ACT-Evidence-Based-Practices-EBP-KIT/SMA08-4344

Brief overview of ACT program via MHTTC: https://mhttcnetwork.org/centers/northwest-mhttc/product/introduction-assertive-community-treatment-act

Certification/training requirements:

ACT services are delivered by a team. No specific training or certification is required to implement Assertive Community Treatment. Several implementation resources are available along with consultation and technical assistance.

Category: Across the Lifespan

Brief Description:

CRA is a comprehensive cognitive-behavioral intervention for the treatment of substance abuse problems. CRA seeks to treat substance abuse problems through focusing on environmental contingencies that impact and influence the client’s behavior. Developed in accordance with the belief that these environmental contingencies play a crucial role in an individual’s addictive behavior and recovery, CRA utilizes familial, social, recreational, and occupational events to support the individual in changing his or her substance use behaviors and in creating a successful recovery.

Population: Adults (18+) with substance use disorder or co-occurring disorders.

Primary Link to EBP Resource:

https://www.robertjmeyersphd.com/cra.html 

Training information:

Initial training and certification available through Robert J Meyers Associates https://www.robertjmeyersphd.com/workshops.html

Available Resources:

Clearinghouse link: https://www.cebc4cw.org/program/community-reinforcement-approach/detailed

Two books available:

• • Meyers, R. J. & Smith, J. E. (1995). Clinical guide to alcohol treatment: The Community Reinforcement Approach. Guildford Press.
  • Meyers, R. J. & Miller, W. R. (2001). A Community Reinforcement Approach to the treatment of addiction. University Press.

Certification/training requirements:

CRA is intended to be delivered by masters-level clinicians. Certification in CRA is available and includes an initial 2-day training followed by submission of therapy tapes for review by coders and a series of conference/coaching calls.

Category: Across the Lifespan

Brief Description:

Contingency management is a behavioral therapy that uses behavioral reinforcement to achieve treatment goals. Contingency management is one of the only evidence-based behavioral interventions shown to be effective in treating stimulant use disorder (StimUD). It can also be effective for treatment of other substance use disorders. Contingency management provides monetary incentives (such as gift cards) for meeting treatment goals, including substance non-use as measured by negative urine drug tests, rewarding individuals for changing their behaviors. Substance use offers a powerful, immediate reinforcement. Contingency management confronts this challenge by offering immediate financial awards that can help activate the brain’s reward system, thus encouraging the replacement of stimulants with the incentive to achieve a dopamine release.

Population: Adults with Stimulant Use Disorder

Primary Link to EBP Resource:

 ASAM Clinical Practice Guideline on the Management of Stimulant Use Disorder (StUD) 

Contingency Management for the Treatment of SUDs 

Training information:

Training resources: Contingency Management for Healthcare Settings for clinical supervisors, decision-makers, and direct-care staff (Northwest ATTC; HealtheKnowledge) – https://healtheknowledge.org/course/index.php?categoryid=52 ;

Recovery Incentives: California’s Contingency Management Program, Contingency Management (CM) Overview Training (Published 5/9/22): https://psattcelearn.org/courses/recovery-incentives-californias-contingency-management-program-contingency-management-overview-training/

Available Resources:

Maine SUD Learning Community offers technical assistance related to implementation of contingency management: https://mesudlearningcommunity.org/coaching-and-technical-assistance/

Recorded webinar: https://mesudlearningcommunity.org/document/contingency-management-essential-treatment-approach-for-individuals-with-stimulant-use-disorder/

University of VT Center on Rural Addiction, UVM CORA Contingency Management Provider Training Video, https://www.uvmcora.org/resources/

Certification/training requirements:

Online courses available. No specific training course or certification is required to implement CM.

Category: Across the Lifespan

Brief Description: DBT is a behavioral therapy that addresses an individual’s ability to regulate their emotions, behavioral, and interpersonal function, thoughts, and actions. DBT consists of four modes of treatment delivery: individual psychotherapy, DBT Skills training, in-the-moment phone coaching, and DBT consultation teams for therapists. DBT uses acceptance strategies as well as behavioral change strategies.     

Population: All ages. Developed for treatment of individuals with Borderline Personality Disorder, it has shown to be effective in the treatment of a wider population who present with dysregulation.

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

Training information:

Training available through Behavioral Tech Institute (formerly Linehan Institute) https://behavioraltech.org/store/events/

Online training available in DBT and DBT Skills training: https://psychwire.com/linehan

 Available Resources:

“Implementing DBT in a Community Mental Health Setting” Blog Series

 Certification/training requirements:

DBT is intended to be delivered by a team of professionals licensed to provide mental health services.

Certification in DBT is available through the DBT-Linehan Board of Certification. Certification involves completion of a minimum of 40 hours in DBT didactic training hours, clinical experience in DBT and on a DBT team, and successful completion of a national exam.

Category: Across the Lifespan

Brief Description: DBT Skills Training is one of the 4 modes within DBT and focuses on teaching clients the four skills of mindfulness, emotion regulation, interpersonal skills, and distress tolerance. It is often used in a group setting and can be used with or without a full DBT program. If used as part of a full DBT program, DBT Skills groups are often facilitated by a different clinician than the DBT clinician.

Population: All ages. Developed for treatment of individuals with Borderline Personality Disorder, it has shown to be effective in the treatment of a wider population who present with dysregulation.

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

Training information:

Online training available in DBT Skills available – does not require previous DBT experience: https://psychwire.com/linehan 

Live training also available through Behavioral Tech Institute (formerly Linehan Institute) https://behavioraltech.org/store/events/

Certification/training requirements:

DBT Skill Groups are intended to be delivered by professionals licensed to provide mental health services.

Category: Across the Lifespan

Brief Description: Cognitive Processing Therapy (CPT) is a cognitive-behavioral therapy (treatment that focuses on thoughts and feelings) for Posttraumatic Stress Disorder, or PTSD, and related conditions. CPT focuses on the connections between thoughts, feelings, behavior and bodily sensations. CPT provides a way to understand why recovery from traumatic events is difficult and how symptoms of PTSD affect daily life. The focus is on identifying how traumatic experiences change thoughts and beliefs, and how thoughts influence current feelings and behaviors. An important part of the treatment is addressing ways of thinking that might keep individuals “stuck” and get in the way of recovery from symptoms of PTSD and other problems.

Population: Adults with PTSD and related conditions

Primary Link to EBP Resource: https://cptforptsd.com/about-cpt/ 

Training information:

Live workshops available: https://cptforptsd.com/workshop/

On-Demand Foundational CPT training also available: https://cptforptsd.com/workshop/

 Available Resources:

Manual available for purchase: https://www.guilford.com/books/Cognitive-Processing-Therapy-for-PTSD/Resick-Monson-Chard/9781462528646

Certification/training requirements:

Live and online training and manual available. Providers can seek status as CPT Provider or Quality-Rated CPT Provider if desired.

 

Category: Across the Lifespan

Brief Description: Prolonged Grief Treatment (PGT), formerly called Complicated Grief Treatment, is a treatment specifically designed to help people who feel stuck in their grief. The treatment has a specified time frame and targets 6 Healing Milestones. Therapists trained to do this treatment are skilled in meeting grievers where they are and helping them learn ways to accept their new reality and restore their well-being through gentle guidance. The therapy includes sharing and discussing information about grief and adapting to loss and the use of a series of activities that promote experiential learning.

Population: Adults experiencing prolonged grief. 

Primary Link to EBP Resource: https://prolongedgrief.columbia.edu/prolonged-grief-treatment/ 

Training information:

Live and online training available: https://prolongedgrief.columbia.edu/training/

Organizations can also request customized training.

Available Resources:

Clearinghouse link: https://sprc.org/online-library/complicated-grief-treatment-cgt/

Treatment manual and assessment forms available for purchase: https://prolongedgrief.columbia.edu/therapy-aids/

Certification/training requirements:

Training available for clinicians – see https://prolongedgrief.columbia.edu/training/.  No certification available.

Category: Across the Lifespan

Brief Description:

Seeking Safety is an evidence-based, present-focused counseling model to help people attain safety from trauma and/or substance abuse. It can be conducted in group (any size) and/or individual modality, for all genders. It is an extremely safe model as it directly addresses both trauma and addiction, but without requiring clients to delve into the trauma narrative, thus making it relevant to a very broad range of clients and easy to implement from the very start of treatment.

Population:Adults and adolescents who have experienced any kind of trauma and/or substance misuse. Clients do not have to meet formal diagnostic criteria for PTSD or SUD.

Primary Link to EBP Resource: https://www.treatment-innovations.org/ss-description.html

Training information:

Seeking Safety virtual training available – https://www.treatment-innovations.org/store/c13/Open_Trainings.html

Agencies can also request training (virtual or in-person): https://www.treatment-innovations.org/training.html

 Certification/training requirements:

Training is available to anyone. Certification is available but not required for use of the program, unless program is being used for a research study.

Category: Across the Lifespan – Organizational

Brief Description:

Zero Suicide is a framework for suicide prevention in health and behavioral health care systems and is also a specific set of strategies and tools. The foundational belief of Zero Suicide is that suicide deaths for individuals under care within health and behavioral health systems are preventable. It is a systems-wide approach and incorporation of evidence-based clinical care practices that reduce suicide deaths and behaviors.

Population: An organizational approach intended to reduce suicide across populations served.

Primary Link to EBP Resource: https://zerosuicide.edc.org/ 

Training information:

https://zerosuicide.edc.org/toolkit

https://namimaine.org/suicide-prevention/

 Certification/training requirements:

 There is not a specific training or certification process, but organizations should follow the implementation guidance provided to implement the model with fidelity. Specific training on strategies, tools and procedures may be necessary for staff within various roles at the organization to implement with fidelity.

 Category: Rehabilitation

Brief Description:

Wellness Recovery Action Plan (WRAP®) is a manualized group intervention for symptom and illness management that is delivered in a self-help group context. WRAP guides participants through the process of identifying and understanding their personal wellness resources (“wellness tools”) and then helps them develop an individualized plan to use these resources on a daily basis to manage their mental illness.

WRAP groups typically range in size from 8 to 12 participants and are led by two trained Peer Facilitators. Information is imparted through lectures, discussions, and individual and group exercises, and key WRAP concepts are illustrated through examples from the lives of the facilitators and participants. It is typically delivered over 8 weeks in 2-2.5 hour sessions although the duration and frequency can be adjusted to meet the needs of the participants.

Population: Adults with mental illness of varying severity, however there are no diagnostic criteria required for participation in a WRAP group. WRAP has also been used to help people cope with other health issues, other disabilities,  substance use disorders, and other difficult life transitions.

Primary Link to EBP Resource: https://www.wellnessrecoveryactionplan.com/ 

Available training: 

 Training for WRAP facilitators and WRAP Advanced Level Facilitators (ALF) through:

https://www.wellnessrecoveryactionplan.com/seminar-and-training-calendar/ 

Additional Resources 

 Information on using WRAP with different challenges and life experiences is available as well as workbooks and other materials: https://www.wellnessrecoveryactionplan.com/wrap-in-action/sample-wraps-tools/ 

Certification/training requirements: 

Training is required to become a Certified WRAP Facilitator and should complete a refresher training every 2 years. WRAP Facilitators can be trained by a WRAP ALF. Certification to become a WRAP ALF is available through Advocates for Human Potential (AHP): https://www.wellnessrecoveryactionplan.com/seminar-and-training-calendar/  or through a licensed WRAP Facility.

Category: Rehabilitation

Brief Description: The Trauma Recovery and Empowerment Model (TREM) is a fully manualized group-based intervention designed to facilitate trauma recovery among women with histories of exposure to sexual and physical abuse. Drawing on cognitive restructuring, psychoeducational, and skills-training techniques, the gender-specific 24-29 session group emphasizes the development of coping skills and social support. It addresses both short- and long-term consequences of violent victimization, including mental health symptoms, especially posttraumatic stress disorder (PTSD) and depression, and substance abuse. TREM has been successfully implemented in a wide range of service settings (mental health, substance abuse, criminal justice) and among diverse racial and ethnic populations.

Population: Women with trauma due to physical, sexual, and/or emotional abuse. Variations of TREM have been developed to support men (M-TREM), girls (G-TREM), and boys (B-TREM) who have experienced abuse.

Primary Link to EBP Resource: https://www.cebc4cw.org/program/trauma-recovery-and-empowerment-model/detailed 

Available training:

 Training in TREM and variations of TREM for working with men, girls, and boys available through: https://communityconnectionsdc.org/trainings.  

Additional Resources 

 Clearinghouse link: https://www.cebc4cw.org/program/trauma-recovery-and-empowerment-model/detailed 

Certification/training requirements: 

Training is available through Community Connections DC, the developers of the program. No certification is available or required.