To prevent protocol 'drift', the PI and therapists in each arm have monthly telephone contact to discuss any issues and additional training sessions among therapists occurs as needed.
During the scenario, two members of the research team would act as confederates, playing the role of nurse, respiratory therapist, or other resuscitation staff as needed.
Case managers also have open access to specialist CBT therapists on a daily basis to discuss patient treatments and risks, as needed.
In addition, we arranged regular phone contacts between individual therapist and patient as needed in order to support generalization of recently acquired skills in everyday life.
Turn to loved ones and therapists for emotional support as needed, and consult with a lawyer or law expert for legal support.
The functions and modes of RO-DBT are similar to those in standard DBT [ 28], including weekly 1 hour individual therapy sessions, weekly skills training classes, telephone coaching (as needed), and weekly therapist consultation team meetings.
A clinical psychologist (PR, one of the authors) met with each team of therapists for 1.5 hours of group clinical supervision every two weeks and was also available for individual consultation as needed by the therapists.
A team of 12 therapists is on hand, moving around as needed, talking with children and their parents.
She also had one hour of dedicated time per week for individual consultation as needed by the therapists.
A computerized report was generated and sent to the treating physician, the therapist doctor, the psychiatrist and other specialists as needed.
