Identifying the organizational innovation-specific capacity needed for exposure therapy

Becker‐Haimes, Emily M.; Byeon, Young Vivian; Frank, Hannah E.; Williams, Nathaniel J.; Kratz, Hilary E.; Beidas, Rinad S.

doi:10.1002/da.23035

Cited by 27Health Policy Implementation ScienceAnxiety, Depression, Psychometrics, Treatment, Cognitive ProcessesPsychotherapy Techniques and Applications

Identifying the organizational innovation-specific capacity needed for exposure therapy

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Becker‐Haimes, Emily M., Byeon, Young Vivian, Frank, Hannah E., Williams, Nathaniel J., Kratz, Hilary E., Beidas, Rinad S.·2020·Depression and Anxiety

DOI 10.1002/da.23035PMC PMC7822059

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Abstract

BACKGROUND: Current approaches to increasing the rates of clinician use of exposure therapy for anxiety disorders in community settings are limited. Research underscores the importance of addressing contextual variables to facilitate clinician use of evidence-based practices; however, no studies have identified the innovation-specific organizational capacity necessary to implement exposure therapy. Such work is critical to ensure that treatment-seeking individuals with anxiety receive effective care. METHODS: We used a two-step process to identify the innovation-specific organizational capacity necessary to deliver exposure. First, 24 leaders of specialty anxiety clinics in the United States (50% female, mean [M]age = 47.7 years) completed a survey about the organizational innovation-specific capacity (e.g., policies and procedures) they employ to support their providers in delivering exposure therapy. Second, 19 community clinicians (79% female, M age = 42.9 years) reported on the extent to which these characteristics were present in their settings. RESULTS: In Step 1, specialty clinic leaders unanimously endorsed six organizational characteristics as essential and five as important within the areas of organizational policies, supervisory support, and peer clinician support. These characteristics were present in more than 90% of specialty clinics. In Step 2, therapists in community clinics reported these characteristics were minimally present in their organizations. CONCLUSIONS: Specialty clinic leaders exhibited consensus on the innovation-specific organizational capacity necessary to implement exposure therapy. Identified characteristics were largely absent from community clinics. Developing fiscal, policy, or organizational strategies that enhance the organizational capacity within community settings may improve the patients' access to effective treatment for anxiety disorders.

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Appropriate supervision and peer support are relevant measures to manage side effects.
“Last but not least, appropriate supervision and peer support are relevant measures to manage side effects (Becker-Haimes et al., 2020).”
From Effective—and Tolerable: Acceptance and Side Effects of Intensified Exposure for Anxiety Disorders (2023) · cites this paper as Becker-Haimes et al., 2020
The Discussion (page not provided) recommends clinical supervision and colleagues helping one another troubleshoot challenges in delivering exposure therapy. It does not say these measures manage side effects, so the claimed purpose is unsupported. (LLM, conf=0.87)
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Authors: Becker‐Haimes, E. M., Byeon, Y. V., Frank, H. E., Williams, N. J., Kratz, H. E., & Beidas, R. S.
Affiliations: University of Pennsylvania (US)
Temple University (US)
Boise State University (US)
La Salle University (US)
Leonard Davis Institute of Health Economics (US)
Corresponding author: Becker‐Haimes, Emily M.
ORCID: Becker‐Haimes, Emily M.
Byeon, Young Vivian
Frank, Hannah E.
Williams, Nathaniel J.
Beidas, Rinad S.
Venue: Depression and Anxiety
Publisher: Wiley
Published: 2020-05-10
Volume: 37
Issue: 10
Pages: 1007-1016
ISSN: 1091-4269 (ISSN-L)
1520-6394
DOI: 10.1002/da.23035
PMC: PMC7822059
OpenAlex: W3023532086
Cited by: 27
References: 38
Citations by year: 2026: 2 · 2025: 5 · 2024: 2 · 2023: 4 · 2022: 8 · 2021: 5 · 2020: 1
FWCI: 4.70
Type: journal article
Language: en
Open access: green
europepmc.org
Licence: onlinelibrary.wiley.com/termsAndConditions#vor (vor)
doi.wiley.com/10.1002/tdm_license_1.1 (tdm)
Locations: Depression and Anxiety (publishedVersion)
PubMed (publishedVersion)
Europe PMC (PubMed Central) (acceptedVersion)
PubMed Central (acceptedVersion)
Scholar Works (Boise State University) (submittedVersion)
Funders: National Institute of Mental Health (F31MH112211, P50113840)
Topics: Health Sciences › Health Professions › General Health Professions › Health Policy Implementation Science
Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
Social Sciences › Psychology › Clinical Psychology › Psychotherapy Techniques and Applications
Keywords: exposure therapy, organizational capacity, anxiety disorders, evidence-based practice implementation, community mental health centers, supervisor support, organizational policy, access to treatment
MeSH terms: Anxiety Disorders, Female, Humans, Implosive Therapy, Male, Organizational Innovation, United States

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Identifying the organizational innovation-specific capacity needed for exposure therapy

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