Project Background:

Applications of Clinical Training Assessment (ACTA) is an assessment and training measure used to assess a GABI clinician's competence across 7 modes of therapeutic action, termed REARING. REARING is the theoretical basis for GABI and exemplifies the things the clinician does, or does not do, to create therapeutic change in parent-child dyads. REARING stands for: Reflective functioning, Emotional attunement, Affect regulation, Reticence, Intergenerational patterns of attachment, Nurturance, and Group context.  Each clinician is asked to complete ACTA at three different time-points: pre-training, post-training, three months post-training. At each timepoint, the clinician watches a novel GABI video, and is asked a series of questions such as " What do you see happening in this video? What struck you about this situation?"  and "Do you see any therapeutic interventions being used? Please describe."   The answers are coded and reviewed by the clinician and supervisors.