Clinicians' Perspectives on Cognitive Therapy in Community Mental Health Settings: Implications for Training and Implementation

Overview

Journal Adm Policy Ment Health

Publisher Springer

Specialty Public Health

Date 2012 Mar 20

PMID 22426739

Citations 14

Authors

Shannon Wiltsey Stirman

Ana Gutierrez-Colina

Katherine Toder

Gregory Esposito

Frances Barg

Frank Castro

Aaron T Beck

Paul Crits-Christoph

Affiliations

Soon will be listed here.

Abstract

Policymakers are investing significant resources in large-scale training and implementation programs for evidence-based psychological treatments (EBPTs) in public mental health systems. However, relatively little research has been conducted to understand factors that may influence the success of efforts to implement EBPTs for adult consumers of mental health services. In a formative investigation during the development of a program to implement cognitive therapy (CT) in a community mental health system, we surveyed and interviewed clinicians and clinical administrators to identify potential influences on CT implementation within their agencies. Four primary themes were identified. Two related to attitudes towards CT: (1) ability to address client needs and issues that are perceived as most central to their presenting problems, and (2) reluctance to fully implement CT. Two themes were relevant to context: (1) agency-level barriers, specifically workload and productivity concerns and reactions to change, and (2) agency-level facilitators, specifically, treatment planning requirements and openness to training. These findings provide information that can be used to develop strategies to facilitate the implementation of CT interventions for clients being treated in public-sector settings.

Citing Articles

A Glimpse into the "Black Box": Which Elements of Consultation in an EBP are Associated with Client Symptom Change and Therapist Fidelity?.

Mallard Swanson K, Song J, Beristianos M, Aajmain S, Lane J, Landy M Implement Res Pract. 2023; 2:26334895211051791.

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Common paraverbal errors during hypnosis intervention training.

Montgomery G, Green J, Erblich J, Force J, Schnur J Am J Clin Hypn. 2021; 63(3):252-268.

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When Do Therapists Stop Using Evidence-Based Practices? Findings from a Mixed Method Study on System-Driven Implementation of Multiple EBPs for Children.

Lau A, Lind T, Crawley M, Rodriguez A, Smith A, Brookman-Frazee L Adm Policy Ment Health. 2019; 47(2):323-337.

PMID: 31720914 PMC: 7237196. DOI: 10.1007/s10488-019-00987-2.

Community Therapist Reports of Client Engagement Challenges During the Implementation of Multiple EBPs in Children's Mental Health.

Lau A, Gonzalez J, Barnett M, Kim J, Saifan D, Brookman-Frazee L Evid Based Pract Child Adolesc Ment Health. 2019; 3(3):197-212.

PMID: 31263771 PMC: 6602085. DOI: 10.1080/23794925.2018.1455545.

Improving and sustaining delivery of CPT for PTSD in mental health systems: a cluster randomized trial.

Wiltsey Stirman S, Finley E, Shields N, Cook J, Haine-Schlagel R, Burgess Jr J Implement Sci. 2017; 12(1):32.

PMID: 28264720 PMC: 5339953. DOI: 10.1186/s13012-017-0544-5.

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