Guidelines for Achieving CPT Provider Status through this study (Canada/Texas):
- Professional licensure/registration as a mental health professional, with psychotherapy in scope of practice; and
- Reading the CPT manual
- Participation in a live CPT training (2-3 days) conducted by a treatment developer or an approved CPT Trainer
- Participation in scheduled group CPT consultation (with discussion of own clients during the call; minimum of 50 minutes attendance to count toward attendance) OR participation in individual CPT consultation/supervision for a minimum of 12 hours
- Initiation of at least 4 individual CPT cases, with successful completion of 2 individual CPT treatment cases. If your work setting provides group therapy using CPT, contact the CPT Study Coordinator to learn about using group sessions toward study requirements.
Submission of Case materials:
- Audio-recording uploads: Completion of 2 individual CPT treatment cases; and uploading of at least 24 sessions
- Submission of redacted case notes, scores on PCL-5, and sample worksheets or stuck point log.
(Note: Because you are submitting audio-recordings, we don’t require a full set of case notes. We ask for at least one clinical note, completed on the CPT note template that is available on iCohere, and at least one worksheet and/or stuck point log per month that was completed or reviewed in the same session for which the note is provided).
- Use of at least one standardized instrument to assess weekly PTSD symptom progress with each of the above cases
- Therapists will have CPT Provider status for 3-year increments. They will be contacted by the CPT Program 6 months prior to expiration of their status in order to renew. To maintain CPT Provider status, providers must document that they have met requirements #4-7 above within their 3-year period of status.
VA: Please see the CPT SharePoint for VA Provider Status requirements.
Guidelines for Achieving Quality-Rated CPT Provider:
In addition to the above requirements, the provider must meet the following criteria to achieve Quality-Rated CPT Provider status at no cost
- Full participation in the study
- Review of 2 randomly selected video- or audio-recorded patient sessions of CPT for adherence and minimal competency (i.e., a minimum rating of “3” is adequate for each item) for the given sessions.
Therapists will have Quality-Rated Provider in CPT status for 3-year increments. They will be contacted by the CPT Program 6 months prior to expiration of their approval in order to renew.
- If the therapist would like to renew, they will need to upload 1 client’s recording and outcome monitoring of client’s PCLs. One session will be reviewed for fidelity as outlined above. If approved, this renewal will last for another 3 years.
CPT Provider Status Q&A:
Q1: How Quality Provider Status is determined?
The audio-recordings that you submit throughout the study will be randomly sampled by our CPT Fidelity Raters, and rated in the areas of fidelity (adherence and skill) in your delivery of the CPT protocol. To achieve Quality-rated CPT Provider status, you must demonstrate sufficient fidelity to the protocol. Please note that although the requirement for CPT Provider status is 2 completed cases, for this study, to receive quality rated status at no cost, full participation is at least 4 cases (for non-previously CPT trained clinicians) and 2 additional baseline cases for previously CPT-trained clinicians in the first year. In the second year, we will ask you to continue to submit cases so that we can learn about CPT delivery and its effectiveness after you complete the learning collaborative meetings. These cases can count toward quality rated provider status if it was not achieved in the first year.
Q2: I was not aware how closely we were required to stick to the protocol and have been more flexible than I should have been to this point! Would this impact if I receive CPT Provider status? If so, could I start again with new study clients?
That’s OK! One of the goals of this study is to understand what you typically do in your practice, and how your participation in the learning collaboratives changes your practice. In this case, it sounds like you want to work toward the goal of sticking more closely to the protocol. We sample a number of recordings across your participation in the study to assess Quality-rated Provider status, giving relatively more weight to your later sessions. So if you start sticking with the protocol more closely, that should be reflected in the ratings of the later sessions we sample.
Q3: I am wondering about the process for becoming a CPT provider, and if it would still be possible to become a provider if we were unable to provide CPT to enough clients during the timeframe of the study?
In order to be eligible for CPT Provider status, you need to submit recordings and patient data for 24 sessions with 2 clients that have completed the entire protocol. To achieve Quality-rated Provider status, you must demonstrate sufficient fidelity to the protocol and fully participate in the study. For the study, we are asking you to enroll more than 2 clients. We encourage clinicians to continue with consultation, and completing the monthly survey while looking for suitable clients as the study requirement is to submit patient data for 4 completed cases (for new clinicians) and 6 completed cases (for returning clinicians). If you actively participate in the second (follow-up) year by enrolling cases and getting input on them via the message board, those recordings can also count toward provider status.
It is also possible to receive CPT Quality Rated Provider Status through www.cptforptsd.com by submitting session recordings and a fee. Fully participating in the study allows you to have recordings from consented patients during years one and two reviewed for this status without the fee.
Q4: I was able to provide CPT to a client for the study and his scores on the PCL decreased, but he was only able to complete 10 sessions due to him moving out of the area. Would that client count toward the CPT Provider Status?
Congratulations on your client’s decreased PCL scores! This client does count toward one of the 4 patients enrolled, and these audio-recordings will be counted toward the 24 sessions for provider status. The audio-recordings of these sessions can be randomly selected and rated, which would count toward your possible Quality-Rated CPT Provider status if you fully participate in the study.
Q5: One of my patients completed CPT and I provided patient data and recordings for 12 sessions. My second patient did not complete CPT (only 5 sessions completed). Will I still qualify for provider status?
The requirement is to submit 24 sessions, with 2 patients that have completed the entire protocol, in order to be eligible to be rated for CPT Provider status. Unfortunately, 17 sessions is not enough data for the CPT Raters to assess you for CPT Provider status. Two full cases are required for achieving this status. However, you can continue participating and enrolling cases during the follow-up year, and these cases can count as well. To be consistent with the CPT Provider Status standards, we need to see two completed cases.
Q6: I participated in the first CPT Study in Canada and was randomized to a group which received weekly supervision. I did not miss supervision sessions, my patients did very well with clinically significant PCL scores dropping to no longer meeting criteria for PTSD, and I submitted all the required patient data. I was hoping to receive Quality-rated Provider status, but only received “CPT Provider” status.
Congratulations on receiving Provider Status! The audio-recordings that you submitted throughout the study were sampled and rated for CPT protocol fidelity (i.e., adherence and competence). Unfortunately, your sessions did not demonstrate sufficient fidelity to designate you as a Quality-rated CPT Provider. In fact, relatively few people did achieve this status, which is part of the reason we developed this follow-up study. We are delighted that you are continuing to pursue this designation through the CPT-II Study. If you let your learning collaborative know that this is a goal, you can receive support through the meetings to achieve this status.
Q7: I have almost completed the first year of consultation, but have not submitted recordings and patient measures for 2 complete cases. Can I still work toward CPT Provider status?
Yes! Over Year 2 of the study, we encourage you to continue enrolling clients and uploading recordings, submitting patient measures, using Message Board for consultation with your learning community, and completing Monthly CPT Activity surveys. If you are able to complete 2 full cases during Year 2, this will count toward provider status if you are a in Canada or Texas
Q8 : There is a lot to do for this study! Why? And how do I keep it all straight?
We expect that the baseline, 12, and 24 month therapist surveys will each take an hour or less (typically 30-45 minutes). Monthly assessments and the 4, 8, and 18 month surveys should take less than 15 minutes. Interviews typically last an hour and can be scheduled at your convenience. This information is critical to answering the questions that the study seeks to answer.
While we have tried to streamline our assessments, we also take very seriously the fact that the governments of the US and Canada have awarded us scarce taxpayer-funded grant dollars to learn how to provide individuals with PTSD access to effective care within different mental health systems. We want to make sure at the end of the study that we can answer those questions, and have designed our assessment strategy accordingly. We are hopeful that the study will provide you support in your own efforts to provide high quality care, and are very grateful for your participation and assistance with our measurement of the effectiveness of the learning collaboratives.
We are attempting to make client-level information consistent with routine care and the VA rollout processes, although the information will be accessed by the study team somewhat differently. The only additional item that we ask for is a CPT worksheets that is completed or reviewed in session. This will be used by your learning collaborative and is also another way for us to understand what CPT looks like in routine care. We will appreciate any suggestions you can provide about how to make the transmission of this routine care information smoother or simpler!
We have made some “cheat sheets” to tell you what to provide the study team, when, and how:
[link to study measures—one link for Texas/Canada, and one for VA.]
[link to Vanessa’s what/when/where/how “cheat sheet”]
Important message from the Research Team:
For the study, we are asking you to submit more than the 2 cases required for CPT Provider status. We are asking you to submit 4 cases in the first year and at least 2 cases during the follow-up year if you are using CPT, so that we can get a more accurate picture of what your CPT practice looks like. Enrolling more cases should also help you to possibly achieve Quality-rated Provider status. The more cases you enroll, the more opportunities you have to discuss and learn from your own cases within your learning collaboratives, which should improve your practice, which would be reflected in the sessions that we rate!