The implementation of evidence-based treatments (EBTs) has become a topic of significant debate amongst researchers and mental health practitioners alike. While current research has indicated a shift in attitudes amongst treatment providers for what constitutes as "best practices" in treating clients, less is known regarding the dissemination and teaching of EBTs for early career, training clinicians. The focus of this study was to take a closer look at clinical training in EBT strategies, specifically those for children and adolescents with disruptive behavior problems (DBPs). Sixty-four internship training directors and program representatives from American Psychological Association (APA) accredited and Association of Psychology Postdoctoral and Internship Centers (APPIC) approved child and adolescent-focused internships completed a survey developed specifically for the current study and based on previous research in the domain of EBT. A systematic review of the publicly accessible information presented on each eligible participant's training agency website was also conducted in an attempt to compliment the data collected from the survey. The results of the study were consistent with previous findings from James and Roberts (2009) that supported placing a greater emphasis on training clinicians in EBTs, with the majority of participants noting specifically how training in EBTs helped to target treatments to diagnoses and ultimately lead to better client outcomes. Multiple concerns were also raised regarding the depth of an intern's exposure to the EBT protocols being trained, the lack of funding and qualified supervisors required to administer the EBT training, as well as the real-world applicability of EBT practices. Limitations of the study included a small sample size, the potential for biases in those who responded to the survey, as well as limitations pertaining to the research instrument, design, and methodology. Recommendations for future studies include conducting a more thorough examination of an agency's current and future plans for incorporating training in EBTs, conducting an in-depth analysis of an agency's website and online training handbook, as well as utilizing web-based surveys in addition to surveys distributed through United States Postal Service (USPS) mail as a way to increase the survey response rate.

Library of Congress Subject Headings

Dissertations (PsyD) -- Psychology; Evidence-based psychotherapy -- Methodology; Psychologists -- Training of; Behavior disorders in children; Behavior disorders in adolescence

Date of Award


School Affiliation

Graduate School of Education and Psychology



Degree Type


Degree Name


Faculty Advisor

Shafranske, Edward;