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

Wolitzky-Taylor, K, Chung, B, Bearman, SK et al. (2019). Stakeholder Perceptions of the Barriers to Receiving and Delivering Exposure-Based Cognitive Behavioral Therapy for Anxiety Disorders in Adult Community Mental Health Settings . COMMUNITY MENTAL HEALTH JOURNAL, 55(1), 83-99. 10.1007/s10597-018-0250-z

cited authors

  • Wolitzky-Taylor, K; Chung, B; Bearman, SK; Arch, J; Grossman, J; Fenwick, K; Lengnick-Hall, R; Miranda, J

authors

abstract

  • 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.

publication date

  • January 31, 2019

published in

Digital Object Identifier (DOI)

start page

  • 83

end page

  • 99

volume

  • 55

issue

  • 1