Citation

Wolitzky-Taylor K, Fenwick K, Lengnick-Hall R, Grossman J, Bearman SK, Arch J, Miranda J, Chung B. Community Ment. Health J. 2018; 54(7): 899-911.

Affiliation

Department of Psychiatry and Biobehavioral Sciences, University of California-Los Angeles, Los Angeles, USA.

Copyright

(Copyright © 2018, Holtzbrinck Springer Nature Publishing Group)

DOI

10.1007/s10597-018-0252-x

PMID

29524078

Abstract

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.

Language: en

Keywords

Anxiety disorders; Cognitive behavioral therapy; Community mental health; Mixed methods