Erschienen in:
23.11.2022 | Commentary
Addressing Barriers in Access to Mental Health Care Within the Veterans Health Administration: Evidence-Based Psychotherapies for Anxiety and Related Disorders
verfasst von:
Chelsea R. Ennis, Ph.D., Amanda M. Raines, Ph.D., Mirela A. Aldea, Ph.D., Mary O. Shapiro, Ph.D., Chris M. Crowe, Ph.D., C. Laurel Franklin, Ph.D.
Erschienen in:
Administration and Policy in Mental Health and Mental Health Services Research
|
Ausgabe 2/2023
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Excerpt
In an effort to reduce the mental healthcare burden in the United States (U.S.), the Veterans Health Administration (VHA) developed a nationwide evidence-based psychotherapy (EBP) dissemination and implementation initiative (Karlin & Cross,
2014). This model, which is the largest of its kind, transformed mental health care at the policy, provider, systems, and patient levels. At the policy level, the VHA mandated that all veterans with select psychiatric conditions (i.e., posttraumatic stress disorder [PTSD], severe mental illness [SMI], and depression) have access to EBPs (VHA Handbook 1160.01; Uniform Mental Health Services in VA Medical Centers and Clinics). At the provider level, the VHA established competency-based EBP training programs for numerous mental and behavioral health conditions. Additionally, changes were made at the local systems level to increase utilization of EBPs through the establishment of an EBP coordinator, and at the patient level through treatment socialization (i.e., shift from supportive psychotherapy to time-limited, goal-oriented care). …