Table 4 Recommendations for clinical practice to increase adherence and a shared vision on treatment protocols

Recommendations for clinical practice

Therapists

• Distinguish between ways of modifying treatment protocols and relate these modifications to clinical guidelines

• Use observational material (i.e. video/audio) during supervision

• Discuss treatment modifications with colleagues

• Plan regular patient evaluations

Mental health centers

• Create time and space for supervision of treatments and monitor it’s quality

• Organize regular team meetings for discussions about protocol modifications

• Recognize and define the role of the manager in relation to protocol implementation

• Pilot protocols for new interventions or methods