Psychotherapy in decline: what steps are needed to promote evidence-based practice?

Gaudiano, Brandon A.; Ellenberg, Stacy

doi:10.2217/cpr.14.22

Cited by 2 publications

(7 citation statements)

References 15 publications

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“…On the other hand, training clinicians to deliver CBT when they are already in a clinical position can be invaluable to improve local capacity, especially in primary care or for underserved locations and populations [ 56 , 66 , 68 , 79 , 113 , 119 ]. For active practitioners, mitigating the direct and indirect training costs is crucial to getting them involved [ 83 , 85 ], notably through online training programs [ 91 , 117 – 120 ]. In some contexts, training non-psychotherapist staff to deliver CBT components can help compensate for the lack of specialized human resources [ 48 , 64 , 79 , 81 , 83 , 113 , 121 , 122 ].…”

Section: Resultsmentioning

confidence: 99%

“…Disseminating relevant information can help individuals with anxiety disorders in the community adopt the behaviors required to reach CBT services. Indeed, literacy and knowledge about anxiety disorders and their possible treatments are the first steps in procuring EBPTs for oneself and can be improved by direct communication [ 11 , 120 , 124 , 131 ]. Awareness campaigns in clinicians’ waiting rooms, through information websites, or using social or traditional media can be considered [ 60 , 90 , 123 , 124 , 132 ], with some authors advocating highly targeted direct-to-consumer marketing for specific forms of psychotherapy [ 43 , 120 , 123 , 124 ].…”

Section: Resultsmentioning

confidence: 99%

“…Indeed, literacy and knowledge about anxiety disorders and their possible treatments are the first steps in procuring EBPTs for oneself and can be improved by direct communication [ 11 , 120 , 124 , 131 ]. Awareness campaigns in clinicians’ waiting rooms, through information websites, or using social or traditional media can be considered [ 60 , 90 , 123 , 124 , 132 ], with some authors advocating highly targeted direct-to-consumer marketing for specific forms of psychotherapy [ 43 , 120 , 123 , 124 ]. While possibly controversial, direct-to-consumer marketing may lead to consultations enabling clinicians to detect anxiety disorders and convince patients to try CBT even when they were initially reluctant [ 124 ].…”

Section: Resultsmentioning

confidence: 99%

“…For some people, information about anxiety disorders and their treatments will not translate into treatment-seeking behaviors unless it also increases their perceived acceptability and motivation to engage in CBT . Several authors suggest that general efforts should be undertaken to reduce stigma regarding mental health issues and their treatment [ 11 , 120 , 123 , 124 , 131 , 133 ]. Pervasive ideas to address include that mental disorders equate to moral failure or that people living with anxiety ought to cope with their symptoms by themselves [ 11 , 133 ].…”

Section: Resultsmentioning

confidence: 99%

“…Standards contributing to the evidence base include rules for publicly financed research to consider the dissemination of interventions in real-world situations [ 132 ]. Standards identifying CBT delivery modalities to adopt in practice include the homologation of EBPTs by an authoritative body at the national level [ 11 , 69 , 80 , 120 , 121 ]. Regulations on new treatment delivery modalities such as iCBT can also be access-oriented as long as they take their particular nature into account and avoid making them prohibitively expensive to develop or impossible to access between jurisdictions [ 61 , 69 , 94 ].…”

Section: Resultsmentioning

confidence: 99%

See 4 more Smart Citations

Strategies to improve access to cognitive behavioral therapies for anxiety disorders: A scoping review

et al. 2022

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Background Strategies to improve access to evidence-based psychological treatments (EBPTs) include but are not limited to implementation strategies. No currently available framework accounts for the full scope of strategies available to allow stakeholders to improve access to EBPTs. Anxiety disorders are common and impactful mental conditions for which EBPTs, especially cognitive-behavioral therapies (CBT), are well-established yet often hard to access. Objective Describe and classify the various strategies reported to improve access to CBT for anxiety disorders. Methods Scoping review with a keyword search of several databases + additional grey literature documents reporting on strategies to improve access to CBT for anxiety disorders. A thematic and inductive analysis of data based on grounded theory principles was conducted using NVivo. Results We propose to classify strategies to improve access to CBT for anxiety disorders as either "Contributing to the evidence base," "Identifying CBT delivery modalities to adopt in practice," "Building capacity for CBT delivery," "Attuning the process of access to local needs," "Engaging potential service users," or "Improving programs and policies." Each of these strategies is defined, and critical information for their operationalization is provided, including the actors that could be involved in their implementation. Implications This scoping review highlights gaps in implementation research regarding improving access to EBPTs that should be accounted for in future studies.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

See 3 more Smart Citations

Strategies to improve access to cognitive behavioral therapies for anxiety disorders: A scoping review

et al. 2022

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Public perceptions of behavioral health care and psychotherapy for youth: Promotion and product dimensions.

Atasuntseva

Basile

Prade

et al. 2020

Professional Psychology: Research and Practice

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Increasing utilization of behavioral health services for distressed youth and their families is a compelling public health imperative. Public perceptions and attitudes toward child therapy impact behavioral health care utilization rates. This study investigated adults’ attitudes toward child psychotherapy using a new survey method and instrument. A real-world intercept survey design where data is collected from individuals while they are entering or exiting common locations such as malls and retail stores was employed. Respondents were asked to complete the Attitudes and Perceptions of Child Psychotherapy Scale, which is an 18-item consumer-centric instrument. One hundred adult individuals completed the survey focusing on the perceived value of services/providers (product dimension) and the types of providers preferred by the public (promotion dimension). The findings yielded several compelling results. Pediatricians, psychologists, and psychiatrists were seen as the most trustworthy and effective clinical providers. Further, pediatricians were viewed as the most necessary health care provider for children. Reputation, utilization of treatments that work, and being referred by a trusted source were the top reasons for choosing a behavioral health provider. Finally, clinical improvement and children’s relationship with the provider were the most highly rated factors to consider when receiving treatment. Implications are discussed in terms of increasing mental health literacy and developing materials that engage potential consumers of pediatric behavioral health care.

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Psychotherapy in decline: what steps are needed to promote evidence-based practice?

Cited by 2 publications

References 15 publications

Strategies to improve access to cognitive behavioral therapies for anxiety disorders: A scoping review

Strategies to improve access to cognitive behavioral therapies for anxiety disorders: A scoping review

Public perceptions of behavioral health care and psychotherapy for youth: Promotion and product dimensions.

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