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Improving Sustainment through Implementation Supports to Reduce Burnout in Therapists Delivering Child Trauma EBPs

Award Number: K23MH123067
ORGANIZATION: NATIONAL INSTITUTE OF MENTAL HEALTH
OPDIV: NIH
AWARD CLASS: DISCRETIONARY
AWARD ACTIVITY TYPE: TRAINING/TRAINEESHIP
PERIOD OF PERFORMANCE START DATE: 05/01/2021
PERIOD OF PERFORMANCE END DATE: 04/30/2026

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Improving Sustainment through Implementation Supports to Reduce Burnout in Therapists Delivering Child Trauma EBPs - PROJECT SUMMARY/ABSTRACT Many evidence-based mental health interventions have been developed to address the negative outcomes associated with child exposure to early adversity and trauma. Despite these promising advances, however, the majority of children served in publicly funded mental health systems do not receive evidence-based programs (EBPs). To address this research-to-practice gap, several large-scale, system-driven implementation efforts of multiple trauma EBPs have been launched over the last decade, including in the states of California and Arkansas. Though these system-driven initiatives often increase EBP delivery in community settings following the initial implementation push, long-term sustainment of EBP delivery is low. Workforce risk factors, such as provider burnout leading to turnover, have been identified as contributing to the poor long-term sustainment of trauma EBPs. Therefore, an important step to consider in supporting the long- term sustainment of child trauma EBPs is to develop implementation strategies that target provider burnout and organizational climate factors associated with decreased provider retention. This proposed K23 Mentored Patient-Oriented Research Career Development Award will develop and pilot a package of implementation strategies, “Supporting Providers & Preventing the Overwhelming of Resources in Trauma Systems” (SUPPORTS), aimed increasing the sustained delivery of trauma EBPs by addressing the factors associated with provider retention related to burnout. The development of SUPPORTS will be informed by a needs assessment conducted with programs involved with the multiple-EBP implementation efforts in California and Arkansas. This project will build upon the applicant’s foundation of research and clinical experience while also providing specialized training critical for the applicant’s future development. Specifically, the applicant requires additional training in: 1) theory and practice in implementation science with particular emphasis on organizational management and science as it pertains to the development and testing of implementation strategies; 2) advanced methodologies, including qualitative and mixed qualitative and quantitative methods; and 3) healthcare economic techniques to evaluate the impact of implementation strategies. This training will be facilitated by mentorship from the applicant’s primary sponsor, Dr. Lauren Brookman-Frazee, and her co-sponsors, Drs. Gregory Aarons, Todd Gilmer, Lisa Kath, and Allison Hamilton. This project will provide pilot data to motivate a subsequent NIMH R01 application to conduct a large-scale trial of the implementation strategies supporting the sustainment of child trauma EBPs. In addition, this project will provide the applicant with the advanced training and skills required to launch an independent research program focused on improving mental healthcare services for children exposed to early adversity and trauma.


Issue Date FY	Funding FY	Legal Entity Name	Legal Entity Address	Legal Entity City	Legal Entity State	Legal Entity Zip Code	Legal Entity COUNTY	Legal Entity COUNTRY	Assistance Listing	Award Code	Budget Year	Action Date	Action Type	Action Amount

Issue Date FY: 2025 ( Subtotal = $191,068 )
2025	2025	SAN DIEGO STATE UNIVERSITY FOUNDATION	5250 CAMPANILE DR	SAN DIEGO	CA	92182	SAN DIEGO	USA	Mental Health Research Grants	000	5	6/10/2025	NON-COMPETING CONTINUATION	$191,068
														Subtotal = $191,068

Issue Date FY: 2024 ( Subtotal = $191,201 )
2024	2024	SAN DIEGO STATE UNIVERSITY FOUNDATION	5250 CAMPANILE DR	SAN DIEGO	CA	92182	SAN DIEGO	USA	Mental Health Research Grants	000	4	4/29/2024	NON-COMPETING CONTINUATION	$191,201
														Subtotal = $191,201

Issue Date FY: 2023 ( Subtotal = $191,285 )
2023	2023	SAN DIEGO STATE UNIVERSITY FOUNDATION	5250 CAMPANILE DR MC1947	SAN DIEGO	CA	92182	SAN DIEGO	USA	Mental Health Research Grants	000	3	8/22/2023	NON-COMPETING CONTINUATION	$191,285
														Subtotal = $191,285

Issue Date FY: 2022 ( Subtotal = $191,330 )
2022	2022	SAN DIEGO STATE UNIVERSITY FOUNDATION	5250 CAMPANILE DR MC1947	SAN DIEGO	CA	92182	SAN DIEGO	USA	Mental Health Research Grants	000	2	5/26/2022	NON-COMPETING CONTINUATION	$191,330
														Subtotal = $191,330

Issue Date FY: 2021 ( Subtotal = $191,330 )
2021	2021	SAN DIEGO STATE UNIVERSITY FOUNDATION	5250 CAMPANILE DR MC1947	SAN DIEGO	CA	92182	SAN DIEGO	USA	Mental Health Research Grants	000	1	4/14/2021	NEW	$191,330
														Subtotal = $191,330

Grand Total All Awards = $956,214

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Improving Sustainment through Implementation Supports to Reduce Burnout in Therapists Delivering Child Trauma EBPs

Award Number: K23MH123067

ORGANIZATION: NATIONAL INSTITUTE OF MENTAL HEALTH

OPDIV: NIH

AWARD CLASS: DISCRETIONARY

AWARD ACTIVITY TYPE: TRAINING/TRAINEESHIP

PERIOD OF PERFORMANCE START DATE: 05/01/2021

PERIOD OF PERFORMANCE END DATE: 04/30/2026

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