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Administration and Policy in Mental Health and Mental Health Services Research

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01.07.2013 | Original Article

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

verfasst von: Shannon Wiltsey Stirman, Ana Gutiérrez-Colina, Katherine Toder, Gregory Esposito, Frances Barg, Frank Castro, Aaron T. Beck, Paul Crits-Christoph

Erschienen in: Administration and Policy in Mental Health and Mental Health Services Research | Ausgabe 4/2013

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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.

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Titel: Clinicians’ Perspectives on Cognitive Therapy in Community Mental Health Settings: Implications for Training and Implementation
verfasst von: Shannon Wiltsey Stirman
Ana Gutiérrez-Colina
Katherine Toder
Gregory Esposito
Frances Barg
Frank Castro
Aaron T. Beck
Paul Crits-Christoph
Publikationsdatum: 01.07.2013
Verlag: Springer US
Erschienen in: Administration and Policy in Mental Health and Mental Health Services Research / Ausgabe 4/2013
Print ISSN: 0894-587X
Elektronische ISSN: 1573-3289
DOI: https://doi.org/10.1007/s10488-012-0418-8

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