Facilitating Implementation of Cognitive Behavioral Therapy in Primary Care and Community Clinics

Facilitating Implementation of Cognitive Behavioral Therapy in Primary Care and Community Clinics

The investigators propose to test the effect of external facilitation on the extent that brief cognitive behavioral therapy (CBT) for depression is incorporated into routine practice in primary care and community based clinics in the VA. The investigators will provide training in brief CBT to mental health providers in participating clinics. To the investigators' knowledge, this will be the first study of the effect of external facilitation on outcomes of a training intervention.

We will test the effect of external facilitation on the extent that brief CBT for depression is incorporated into routine practice in primary care and community based clinics in the VA. We will provide training in brief CBT to mental health providers in participating clinics. To our knowledge, this will be the first study of the effect of external facilitation on outcomes of a training intervention.

Inclusion Criteria:

• mental health clinicians in selected clinics who do or are willing to do psychotherapy.

Exclusion Criteria:

• clinicians who do not do psychotherapy in eligible clinics.