POST CERTIFICATION ADHERENCE SUPERVISION AND/OR MONITORING PROGRAM
FTTIM suggests that an Adherence Program that combines alternating Monitoring and Supervision sessions might be adequate for many therapists. However, an agency may elect to receive all sessions as Adherence Supervision for a more rigorous review of their performance, especially where a therapist is aspiring to become a BSFT Supervisor, or where "remediation" support might be necessary.
An Adherence Program is conducted shortly following certification in Brief Strategic Family Therapy. Agencies and clinicians that are providing BSFT to clients must adhere to the treatment model in order to assure fidelity, and thus, successful outcome. In general, research on EBP implementation (including BSFT) indicates that, without a monitoring program, adherence is particularly difficult during the first 3 years.
Agencies and/or clinicians send our Institute their tapes/DVDs for review. In the process of review, clinician's performance is rated using the Certification Rating Checklist that was developed in the course of model development and has been used in the research studies. Our Institute's adherence monitors will look for mastery in the four BSFT domains. 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).
A Monthly Adherence Report on the scale scores and review findings---and any deficiencies noted---is submitted to the agency and clinician. Specific recommendations are given if recalibration or remediation is needed.
MONTHLY ADHERENCE MONITORING The adherence monitoring session with the clinician is an hour long.
MONTHLY ADHERENCE SUPERVISION The Adherence Supervision process, which sometimes alternates with Adherence Monitoring, goes a step beyond Monitoring. The monthly or bi-monthly tapes/DVDs submitted for adherence are also supervised with an additional hour of phone/video supervision with the clinician. Time devoted to Adherence Supervision is 2 hours.
(Optional) BASELINE ASSESSMENT of current status. For clinicians that have not been under adherence for 2 - 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 two months need not complete this step.
Contact the Institute Administrator for further information regarding the Adherence Program, and for budget planning at