Stakeholder Perceptions of the Barriers to Receiving and Delivering Exposure-Based Cognitive Behavioral Therapy for Anxiety Disorders in Adult Community Mental Health Settings.

Autor:	Wolitzky-Taylor, Kate, Chung, Bowen, Bearman, Sarah Kate, Arch, Joanna, Grossman, Jason, Fenwick, Karissa, Lengnick-Hall, Rebecca, Miranda, Jeanne
Předmět:	ANXIETY disorders treatment ATTITUDE (Psychology) CLINICAL competence COGNITIVE therapy PSYCHOLOGY of executives HEALTH services accessibility HEALTH status indicators MEDICAL care MEDICAL personnel SURVEYS PATIENTS' attitudes STAKEHOLDER analysis ADULTS
Zdroj:	Community Mental Health Journal; Jan2019, Vol. 55 Issue 1, p83-99, 17p, 1 Diagram, 10 Charts
Abstrakt:	CBT is considered the first-line treatment for anxiety disorders, particularly when it involves gradual confrontation with feared stimuli (i.e., exposure); however, delivery of CBT for anxiety disorders in real-world community clinics is lacking. This study utilized surveys we developed with key stakeholder feedback (patient, provider, and administrator) to assess patient and provider/administrator perceptions of the barriers to delivering (or receiving) CBT for anxiety disorders. Providers/administrators from two counties in California (N = 106) indicated lack of training/competency as primary barriers. Patients in one large county (N = 42) reported their own symptoms most often impacted treatment receipt. Both groups endorsed acceptability of exposure but indicated that its use in treatment provided/received had been limited. Implications and recommendations are discussed. [ABSTRACT FROM AUTHOR]
Databáze:	Complementary Index
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