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Symposium

Dissemination and Implementation Science
Symposium

Symposium 25 - Adapting and Implementing Evidence-Based Psychological Treatments in Real-World Care: Lessons Across Disorders, Settings, and Populations

Friday, June 26, 2026
9:00 AM - 10:30 AM PDT
Location: Yerba Buena Salon 14, B3 Level
CE: 1

Keywords: Implementation , Dissemination , Community-based
Level of Familiarity: Basic
Recommended Readings: Stirman, S. W., Gumport, N. B., Calloway, A., Gunter, C., Marques, L., Hernandez, S., ... & Creed, T. A. (2025). A Comparison of Pragmatic and Scalable Strategies to Assess Fidelity to Cognitive Processing Therapy in Routine Care Settings. Behavior Therapy, 56(3), 453-469.,   Walker, D., Pearson, C., Day, A., Bedard-Gilligan, M., Saluskin, K., Huh, D., & Kaysen, D. (2023). A community engaged approach in adapting motivational interviewing and skills training for Native Americans with experiences of substance misuse. American Journal of Health Promotion, 37(6), 796-806.,   Monson, C. M., Shnaider, P., Wagner, A. C., Liebman, R. E., Pukay-Martin, N. D., Landy, M. S., ... & Koerner, N. (2023). Longitudinal associations between interpersonal relationship functioning and posttraumatic stress disorder (PTSD) in recently traumatized individuals: differential findings by assessment method. Psychological Medicine, 53(6), 2205-2215.,   Harvey, A. G., Agnew, E. R., Esteva Hache, R., Spencer, J. M., Diaz, M., Ovalle Patino, E., ... & Sarfan, L. D. (2025). A randomized trial of adapted versus standard versions of the Transdiagnostic Intervention for Sleep and Circadian Dysfunction implemented via facilitation and delivered by community mental health providers: improving the “fit” of psychological treatments by adapting to context. Implementation Science, 20(1), 32.,   Smith, J. D., Li, D. H., & Rafferty, M. R. (2020). The implementation research logic model: a method for planning, executing, reporting, and synthesizing implementation projects. Implementation Science, 15(1), 84.

This symposium brings together leading researchers to examine how evidence-based psychological treatments are adapted, implemented, and sustained in real-world clinical and community settings, with a focus on balancing fidelity, fit with the context, and equity. Across diverse populations, disorders, and service contexts, the talks highlight common challenges and innovative solutions in translating empirically supported treatments into routine care.

Allison G. Harvey, Ph.D., presents findings from a large Hybrid Type 1, cluster-randomized trial comparing Standard versus Adapted versions of the Transdiagnostic Intervention for Sleep and Circadian Dysfunction (TSC) delivered by community mental health providers. Results demonstrate that while both versions were effective, the adapted intervention showed greater uptake and lower dropout, underscoring the value of stakeholder-informed adaptation and facilitation-based implementation strategies.

Shannon Wilsey Stirman, Ph.D., examines how CBT is actually delivered following training and consultation in routine care. Using observational ratings of therapy sessions, this presentation will characterize common CBT strategies, therapist competence, and patterns of treatment adaptation, offering critical insights into fidelity, flexibility, and implications for training and sustainment.

Candice Monson, Ph.D., traces the evolution of Cognitive-Behavioral Conjoint Therapy for PTSD (CBCT for PTSD), from its original protocol to numerous adaptations across populations, formats, and delivery systems. Her presentation highlights how systematic adaptation has expanded reach while maintaining core mechanisms, as well as lessons learned from large-scale dissemination efforts in the U.S. and internationally.

Debra Kaysen, Ph.D., presents results from a parallel effectiveness trial testing culturally adapted PTSD and substance use treatments among rural Native American participants. Findings demonstrate that trauma-focused and substance-focused pathways both reduce HIV risk behaviors, with particularly strong benefits associated with PTSD symptom reduction, emphasizing the importance of culturally grounded, community-delivered interventions.

Together, these presentations illustrate how thoughtful adaptation, measurement of real-world delivery, and partnership with communities can enhance the public health impact of evidence-based psychotherapies. Our discussant, Professor J.D. Smith, will integrate cross-cutting themes and highlight future directions for implementation-effectiveness research.

Learning Objectives:

  • Describe key strategies for adapting evidence-based psychotherapies to uptake in routine care settings
  • Evaluate patterns of treatment delivery, fidelity, and adaptation in real-world practice
  • Apply transdiagnostic and culturally responsive implementation principles
  • Compare implementation and effectiveness outcomes across diverse populations, disorders, and service contexts
  • Integrate cross-study lessons on implementation, adaptation, and mechanisms of change

Presentations:

  • 9:06 AM - 9:27 AM PDT
    (SYM 25) An RCT of Adapted versus Standard Versions of the Transdiagnostic Intervention for Sleep and Circadian Dysfunction (TSC) Implemented via Facilitation and Delivered by Community Mental Health Providers

    Speaker: Allison G. Harvey, Ph.D. (she/her/hers) – University of California, Berkeley

    Co-Author: Laurel D. Sarfan, PhD (she/her/hers) – University of California, Berkeley

    Co-Author: Anne E. Milner, Ph.D. (she/her/hers) – University of California, Berkeley

    Co-Author: Marlen Diaz, B.A. (she/her/hers) – University of California, Berkeley

    Co-Author: Lulu Dong, PhD – Stony Brook University

    Co-Author: Emma R. Agnew, LCSW – University of California at Berkeley

    Co-Author: Rafael Esteva Hache, B.A. – Stony Brook University

    Co-Author: Amy Kilbourne, PhD – Office of Research and Development

    Co-Author: Eric Stice, Ph.D. – Stanford University

    Co-Author: Julia M. Spencer, B.S. – University of California Berkeley

    Co-Author: Daniel Buysse, MD (he/him/his) – University of Pittsburgh

    Co-Author: Catherine Callaway, M.A. – University of California, Berkeley

    Co-Author: Estephania Ovalle Patino, BA (she/her/hers) – UC Berkeley & UCLA

  • 9:27 AM - 9:48 AM PDT
    (SYM 25) Patterns of CBT Strategy Use and Treatment Adaptation After Training and Implementation in Routine Care Treatment Settings

    Speaker: Shannon L. Wiltsey Stirman, Ph.D. (she/her/hers) – National Center for PTSD and Stanford University

    Co-Author: Amber Calloway, Ph.D. (she/her/hers) – University of Pennsylvania

    Co-Author: Nicole B. Gumport, Ph.D. (she/her/hers) – Stanford University

    Co-Author: Jiyoung Song, M.A. – University of California, Berkeley

    Co-Author: Torrey Creed, Ph.D. (she/her/hers) – University of Pennsylvania

  • 9:48 AM - 10:09 AM PDT
    (SYM 25) The Journey of Adaptation and Implementation of Cognitive-behavioral Conjoint Therapy for PTSD

    Speaker: Candice Monson, Ph.D. (she/her/hers) – Toronto Metropolitan University

    Co-Author: Candice Monson, Ph.D. (she/her/hers) – Toronto Metropolitan University

    Co-Author: Alexander O. Crenshaw, Ph.D. (he/him/his) – Kennesaw State University

    Co-Author: Skye Fitzpatrick, Ph.D. (she/her/hers) – York University

    Co-Author: Shirley Glynn, Ph.D. (she/her/hers) – VA/UCLA

    Co-Author: Brandi Luedtke, PhD – Phoenix Veterans’ Administration Health Care System

    Co-Author: Leslie Morland, Psy.D. (she/her/hers) – National Center for PTSD

    Co-Author: Nicole Pukay-Martin, PhD – Durham VA Health Care System

    Co-Author: Jeremiah Schumm, PhD – wright State Univeristy

    Co-Author: Lauren Sippel, Ph.D. – VA Northeast Program Evaluation Center

    Co-Author: Anne C. Wagner, Ph.D. – Remedy / Toronto Metropolitan University Department of Psychology

    Co-Author: Steffany J. Fredman, Ph.D. (she/her/hers) – The Pennsylvania State University

  • 10:09 AM - 10:30 AM PDT
    (SYM 25) Reducing HIV Risk Among Rural Native Americans: A Parallel Effectiveness Study of PTSD and Substance Use Treatments

    Speaker: Debra Kaysen, ABPP, Ph.D. – Stanford University

    Co-Author: Debra Kaysen, ABPP, Ph.D. – Stanford University

    Co-Author: Selime Salim, PhD (she/her/hers) – Stanford University

    Co-Author: David Huh, PhD (he/him/his) – University of Washington

    Co-Author: Michele Bedard-Gilligan, PhD (she/her/hers) – University of Washington

    Co-Author: Denise Walker, PhD (she/her/hers) – Arizona State University

    Co-Author: Rebeca Marin, PhD (she/her/hers) – University of Washington

    Co-Author: Katherine Saluskin, MSW (she/her/hers) – Yakama Behavioral Health

    Co-Author: Cynthia Pearson, PhD – University of Washington