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<p>In response to a growing demand, therapists in the United States (U.S.) are increasingly providing mental health services in Spanish. However, little is known about therapists who provide Spanish-language services in the U.S. context, particularly in relation to training in cognitive behavioral therapy (CBT). Thus, this study describes and explores differences between community therapists who provide services primarily in English or Spanish in regard to their demographic characteristics, evidence-based practice attitudes, burnout, secondary traumatic&#xa0;stress, compassion satisfaction, and CBT competence. We also longitudinally compared changes in therapist CBT competence across three time points. We analyzed data from 1497 therapists within a public mental health system, of whom 61 (4%) reported working with Spanish-speaking populations. Therapists were part of a 7-month CBT training and implementation program offered in both English and Spanish. We found that Spanish-speaking therapists were significantly older, had higher educational attainment, and had more years in their current role. Spanish-speaking therapists also had significantly lower pre-training secondary traumatic stress and CBT competence. There were no significant cross-sectional&#xa0;differences in EBP attitudes, burnout, and compassion satisfaction. Longitudinally, Spanish-speaking therapists showed&#xa0;greater gains in CBT competence from pre-training to 3 months and from pre-training to certification. By the end of training, therapists in both groups demonstrated strong CBT competence, regardless of their primary language. Current findings provide initial evidence that constructs underlying CBT can serve as a&#xa0;bridge to providing services to Spanish-speaking groups, for whom CBT was not originally developed.</p>

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Cognitive Behavioral Therapy Training and Implementation: Comparisons Between Spanish-Speaking and English Monolingual Therapists

  • 期刊论文

  • 出版模式：

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  • 发表日期：

    2025年6月12日

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  • Vanesa A. Mora Ringle,
  • Elyse Ganss,
  • Jeymi D. Menendez Solorzano,
  • Amanda A. Rosado,
  • Torrey A. Creed

摘要

In response to a growing demand, therapists in the United States (U.S.) are increasingly providing mental health services in Spanish. However, little is known about therapists who provide Spanish-language services in the U.S. context, particularly in relation to training in cognitive behavioral therapy (CBT). Thus, this study describes and explores differences between community therapists who provide services primarily in English or Spanish in regard to their demographic characteristics, evidence-based practice attitudes, burnout, secondary traumatic stress, compassion satisfaction, and CBT competence. We also longitudinally compared changes in therapist CBT competence across three time points. We analyzed data from 1497 therapists within a public mental health system, of whom 61 (4%) reported working with Spanish-speaking populations. Therapists were part of a 7-month CBT training and implementation program offered in both English and Spanish. We found that Spanish-speaking therapists were significantly older, had higher educational attainment, and had more years in their current role. Spanish-speaking therapists also had significantly lower pre-training secondary traumatic stress and CBT competence. There were no significant cross-sectional differences in EBP attitudes, burnout, and compassion satisfaction. Longitudinally, Spanish-speaking therapists showed greater gains in CBT competence from pre-training to 3 months and from pre-training to certification. By the end of training, therapists in both groups demonstrated strong CBT competence, regardless of their primary language. Current findings provide initial evidence that constructs underlying CBT can serve as a bridge to providing services to Spanish-speaking groups, for whom CBT was not originally developed.