POST CERTIFICATION ADHERENCE MONITORING PROGRAMS

MONTHLY ADHERENCE MONITORING  (for the first three years following certification).  Agencies and clinicians providing BSFT to clients must adhere to the treatment model in order to assure fidelity, and thus, successful outcome.  In general, reasearch on EBP implementation (including BSFT) indicates that adherence is particularly difficult during the first 3 years after certification without a monitoring program.

Agencies and/or clinicians send the Institute tapes/DVDs for review.  FTTIM adherence monitors will look for mastery in the four BSFT domains, reporting to the agency any deficiencies noted. The domains include BSFT behavioral (treatment) skills and BSFT conceptual skills (case formulation and change formulation skills). Adherence to the BSFT model is defined as maintaining a score of at least 3.8 on each of the four BSFT domains and demonstrating mastery of the skills within each domain (i.e. no item ratings of fair, unsatisfactory, or poor).

(Optional) BSFT ADHERENCE SUPERVISION  is available upon request. It is more comprehensive than Adherence Monitoring.  The monthly or bi-monthly tapes/DVDs submitted for adherence will also be supervised with 1 hour of phone/video supervision . Agencies and/or clinicians will receive monthly reports.  Also, they will receive specific recommendations if recalibration or remediation is needed.

(Optional) BASELINE ASSESSMENT  of current status.  For clinicians that have not been under adherence for over 3 months, they can send a recent tape (i.e. within the last month) of a family session conducted by the therapist.  Clinicians who are not adherent will receive a written report with specific domains and skills needing remediation, as well as a remediation plan. Therapists certified within three months need not complete this step .