A Preliminary Exploration of the Barriers to Delivering (and Receiving) Exposure-Based Cognitive Behavioral Therapy for Anxiety Disorders in Adult Community Mental Health Settings
Article
Wolitzky-Taylor, K, Fenwick, K, Lengnick-Hall, R et al. (2018). A Preliminary Exploration of the Barriers to Delivering (and Receiving) Exposure-Based Cognitive Behavioral Therapy for Anxiety Disorders in Adult Community Mental Health Settings
. COMMUNITY MENTAL HEALTH JOURNAL, 54(7), 899-911. 10.1007/s10597-018-0252-x
Wolitzky-Taylor, K, Fenwick, K, Lengnick-Hall, R et al. (2018). A Preliminary Exploration of the Barriers to Delivering (and Receiving) Exposure-Based Cognitive Behavioral Therapy for Anxiety Disorders in Adult Community Mental Health Settings
. COMMUNITY MENTAL HEALTH JOURNAL, 54(7), 899-911. 10.1007/s10597-018-0252-x
Despite the effectiveness of exposure-based cognitive behavioral therapy (CBT) for anxiety disorders, few individuals in need receive this treatment, particularly in community mental health settings serving low-income adults. The present study took a preliminary step to understand these barriers by conducting a series of key informant interviews and focus groups among patients, providers, clinical administrators, and policy makers. Several themes emerged as barriers to the delivery of exposure-based CBT in these settings, including therapist training and compentency issues, logistical issues, and funding stream issues. Clinical implications and future research that can build from these data are discussed.
