Implementation of Cognitive Processing Therapy in Rape Crisis Centers

Implementation of Cognitive Processing Therapy in Rape Crisis Centers
This research project will use a randomized controlled trial to assess the feasibility and effectiveness of a learning-collaborative as an implementation strategy to advance the use of Cognitive Processing Therapy for treating PTSD in 15 Texas Rape Crisis Centers. A Hybrid III design will be used to allow the simultaneous testing of an implementation strategy (learning collaborative) and the effectiveness of CPT within the context of RCCs. Fifteen RCCs will be randomly assigned to one of three training conditions: (1) CPT training + a learning collaborative; (2) Standard CPT training; and (3) No CPT training.

This design will also allow for the documentation of the level of effectiveness of typical RCC counseling services, which is absent from the literature. Data will be collected from five directors and 20 counselors from each training condition and 180 adult survivors who consent to participate and receive counseling services (CPT n=120; routine counseling n=60). This study will assess whether uptake and fidelity of CPT differ by staff and organizational characteristics to identify potential implementation challenges that could inform strategies for future scale-up efforts. Mixed methods will also be employed to capture qualitative data about provider and survivor perceptions of CPT and the implementation process. This translational feasibility study is the first investigation of this magnitude to be conducted within this service sector.


Tonya Edmond, PhD

Department of Justice, Office on Violence Against Women