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Issue: There is an established standard for the delivery of CBT. It is unknown to what extent clinicians follow CBT standards after training and to what extent fidelity to CBT standards correspond to depression outcomes in youth. Aim: Measure clinician fidelity to CBT delivery, examine the relationship between clinician fidelity and depression outcomes in youth and examine barriers and facilitators to fidelity to the delivery of CBT. As part of the CARIBOU-2 study, mental health community agency personnel received CBT training. Clinicians will complete questionnaires along with their clients to examine CBT fidelity and depression outcomes over the course of 52-weeks. In addition, therapeutic sessions will be recorded and transcribed and coded to better understand CBT fidelity and depression outcomes in youth experiencing depression. Clinicians and youth participants at the mental health community agencies involved in the CARIBOU-2 study. Contribution: Contributing to the evidence base on clinical standards for CBT delivery for the treatment of depression in community mental health agencies. |