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Table 5 Examples of adaptations made to CDST

From: Using a stakeholder-engaged, iterative, and systematic approach to adapting collaborative decision skills training for implementation in VA psychosocial rehabilitation and recovery centers

Original content

Adapted content

Skills training models appear as text, with tables and worksheets

When each model is discussed, its icon appears. For example, the following appears with the ASAP assertive communication model:

Discuss and validate past negative experiences with mental health clinicians that might impact current comfort engaging in collaborative decision-making

Add coping skill practice and coping skill card (front side below) to decrease anxiety and increase confidence

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Range of examples and vignettes, but none targeted specifically for Veterans

Add new examples including Veteran-specific examples about disclosing military sexual trauma and seeking care outside of VA

Address standard components of evidence-based skills training and cognitive-behavioral interventions (e.g., agenda setting, homework review, session review) briefly in Clinician Manual and more thoroughly in the Service Delivery Manual and clinician training

Add specific outlines for agendas, homework review, and session review in each session; see for example, the session review for session 1 below: View full size image