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Panel Discussions

Training, supervision, and credentialing

Panel Discussion 2 - CBT Implementation in Action: Training for Fidelity and Flexibility in Large Health Systems

Friday, June 26, 2026
9:00 AM - 10:30 AM PDT
Location: Yerba Buena Salon 4, B3 Level
Earn 1.5 Credit
Keywords: Supervision, Implementation, CBT
Level of Familiarity: Moderate
Recommended Readings: Merry, S. N., Hopkins, S., Lucassen, M. F. G., Stasiak, K., Weisz, J. R., Frampton, C. M. A., Bearman, S. K., Ugueto, A. M., Herren, J., Cribb‑Su’a, A., Kingi‑Uluave, D., Loy, J., Hartdegen, M., & Crengle, S. (2020). Effect of clinician training in the Modular Approach to Therapy for Children vs usual care on clinical outcomes and use of empirically supported treatments: A randomized clinical trial. JAMA Network Open, 3(8), e2011799. https://doi.org/10.1001/jamanetworkopen.2020.11799,   Harned, M. S., Schmidt, S. C., Korslund, K. E., & Gaglia, A. (2023). Therapist adherence to Dialectical Behavior Therapy in routine practice: Common challenges and recommendations for improvement. Journal of Contemporary Psychotherapy. https://doi.org/10.1007/s10879-023-09601-x,   Prégent, J., Chung, V.-H.-A., El Adib, I., Désilets, M., & Hudon, A. (2025). Applications of artificial intelligence in psychiatry and psychology education: Scoping review. JMIR Medical Education, 11, e75238. https://doi.org/10.2196/preprints.75238,   ,  
Teaching evidence-based practices within a large Health Maintenance Organization (HMO) requires structured implementation strategies that strengthen workforce capacity while balancing fidelity and adaptability in complex care environments. Although Cognitive Behavioral Therapy (CBT) and its related approaches are widely recognized as the gold standard in mental health systems, implementing these interventions presents persistent challenges, including limited clinician time, low engagement, and inconsistent training quality.
This panel will feature experienced clinical supervisors who will share practical insights and innovative methods for training psychology students and clinicians in CBT, Dialectical Behavior Therapy (DBT), and MATCH/MAP protocols. The discussion will begin by examining the unique implementation barriers faced within large HMOs, particularly for supervisors and trainees navigating high-volume care settings. Panelists will then describe enhancements to training, implementation, and fidelity monitoring. These include the use of the Cognitive Therapy Rating Scale-Revised in individual supervision to improve foundational skills and gather supervisee feedback, as well as strategies for integrating adherence measures into charting workflows and leveraging electronic health records to track intervention components, improve treatment planning, and increase clinician efficiency.
The panel will also explore how an AI sandbox was deployed to supplement training, provide repetition, and deliver immediate feedback for trainees and supervisors, while addressing current limitations and ethical considerations of AI in clinical education. Attendees will gain actionable strategies for overcoming systemic challenges, improving training quality, and integrating technology to support evidence-based care in large-scale mental health systems.

Learning Objectives:

  • Identify key challenges in implementing CBT, DBT, and MATCH/MAP within large healthcare settings.
  • Describe strategies to improve training and supervision using fidelity tools and electronic health record integration.
  • Evaluate how AI and other technologies enhance training and address current limitations.