Blueprints Program Rating: Model
A six-week group intervention focused on reducing negative cognitions and increasing engagement in pleasant activities in an effort to prevent the onset and persistence of depression in at-risk high school youth with depressive symptoms.
Initial Training and Technical Assistance
Initial training consists of a one-day training course for therapists and supervisors who would be delivering and administering the program. The cost of the one-day training is $1,000 plus travel expenses. Program developers can travel to the program delivery site if a group of therapists will be trained or an individual therapist or small group might opt to travel to the developer. Skype or other forms of video conference training is also an option to save on travel costs.
Curriculum and Materials
Free for download at thebluesprogram.weebly.com/.
Other Start-Up Costs
Therapist time to learn the intervention is the primary start-up cost. In addition, therapists must have access to a room large enough to accommodate a group of 5-8 adolescents. Ideally, the group room would contain a large table for participants to write in session and a white/marker board for the group leader to present material.
Intervention Implementation Costs
Ongoing Curriculum and Materials
The developer provides the facilitator curricula and participant workbooks for download at no cost. Local sites will have to cover the costs of duplicating the participant workbook.
Qualifications: Mental health professionals who have had some training in the assessment and intervention of adolescent affective disorders. This could include psychologists, clinical social workers, school counselors, and psychiatrists.
Time to Deliver Intervention: Adolescents attend 6 weekly one-hour group sessions. The evaluated interventions primarily use 2 co-facilitators for each group. Staff also spend time on recruiting individuals to participate in groups; doing outreach and reminders to make sure participants attend; preparing for sessions; and providing short (15 minute) make-up sessions for individuals who miss groups.
Other Implementation Costs
Administrative costs, including costs associated with maintaining an office for the program.
Implementation Support and Fidelity Monitoring Costs
Ongoing Training and Technical Assistance
Technical support is available on a case-by-case basis; contact Dr. Rohde to discuss options.
Fidelity Monitoring and Evaluation
Detailed checklists are available for free from the developers (thebluesprogram.weebly.com/) to assess intervention adherence and facilitator competence.
- Protocol adherence is measured using session-specific checklists for the concepts, skills, and exercises that are outlined in the session script. Each item is rated on a 100-point scale that covers full, partial, or minimal presentation.
- General facilitator competence is measured using 12 items, each rated on a 100-point scale, that assess various general indices of a competent group therapist (e.g., leader expresses ideas clearly and at an appropriate pace, leader keeps group members on task during session).
Facilitators can self-monitor their adherence and competence as checks, or sessions can be recorded and rated by supervisors or colleagues knowledgeable in cognitive behavior therapy treatment and prevention interventions. The developers do not offer fidelity monitoring services at this time.
Ongoing License Fees
Other Implementation Support and Fidelity Monitoring Costs
Other Cost Considerations
Year One Cost Example
In this example, five therapists agree to add this intervention to their practices and seek training. With this size group, on-site training is cost effective. For purposes of the example, we assume that the five trained therapists spend half their time on Blues Program groups, that 2 therapists co-facilitate each group, and that a supervisor spends 25% of his/her time monitoring fidelity and supporting therapists in delivering the intervention effectively. The costs would include:
Program assumptions for this example include:
- Each group requires 10 hours of initial recruitment and outreach.
- Each weekly session requires on average 4 hours of preparation, reminders, and make-ups.
- Each weekly session requires 2 hours of delivery time (1 hour session for 2 co-facilitators).
- Total time required per group = 46 hours; 10 hours recruitment + (6 hours prep and delivery * 6 sessions).
Five therapists working half-time on the program (5,200 hours) would facilitate 113 groups in a year. If each group has 7 participants, 791 adolescents would be served per year. The cost per participant in Year One would be $234.