Table 5.

Qualitative Themes and Illustrative Quotes about Intervention & Implementation Characteristics Associated with Therapist Attitudes

	Illustrative Quotes
Intervention Design
The structure of EBPs is appealing	I think I kind of like the structure of it. It’s kind of nice the way the structure is, there’s a little bit less treatment planning because, you know, okay, this week we’re doing the feelings, effective modulation, or whatever. Okay, now we’re going to start the trauma narrative and you know that you’re going to be doing that for a couple weeks, and then that takes some of the pressure off.
Structural elements of EBPs can be challenging	One thing, it does not have very much leeway at all, even the very first session, it’s not about rapport building, it’s right off the bat psycho-education, which kind of cuts against my grain, because I’m one of those that pretty much believes that people tell you their true self when they feel comfortable and trust you and whatever, and that’s more than just explaining what this modality and the steps and all that.
Flexibility of a modular treatment is appealing	Probably the flexibility that I can just use more of my clinical judgment and just, like, okay, this is what this kid needs right now and I can…yes, it’s a little less regimented.
Implementation Support
Having consultation is appealing	I thought it was kind of cool that they did the phone consultations after the training. Because they kind of…you know, as we were using the model, we were able to ask questions during, so I thought that was really neat. Because then you got to ask like the person who created it.
Format of consultation can be challenging	I actually don’t really prefer the consultation calls. I mean it’s like okay, but I feel like I learn more when I see the person and I see them pretending to conduct a session.
Limited consultation is challenging	But with [EBP 3], it’s just kind of like we got trained, go through the model, and like, you know, so what’s next. That’s the big thing for me. What’s next? I would really like to see them have a training on how you can fit it with youth.