Context Matters: Team and Organizational Factors Associated with Reach of Evidence-Based Psychotherapies for PTSD in the Veterans Health Administration
Open accessAbstract
Evidence-based psychotherapies for PTSD are often underused. The objective of this mixed-method study was to identify organizational and clinic factors that promote high levels of reach of evidence-based psychotherapies for PTSD 10 years into their dissemination throughout the Veterans Health Administration. We conducted 96 individual interviews with staff from ten outpatient PTSD teams at nine sites that differed in reach of evidence-based psychotherapies for PTSD. Major themes associated with reach included clinic mission, clinic leader and staff engagement, clinic operations, staff perceptions, and the practice environment. Strategies to improve reach of evidence-based psychotherapies should attend to organizational and team-level factors.
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In VA mental health teams, shared mission differentiated teams with sustained high reach of EBPs from those with low reach.
“In VA mental health teams, shared mission differentiated teams with sustained high reach of EBPs from those with low reach [84].”
From Teamwork and implementation of innovations in healthcare and human service settings: a systematic review (2024) · cites this paper as [84]
Commitment to a shared goal consistent with the EBP supported sustainment.
“Commitment to a shared goal consistent with the EBP supported sustainment [84].”
From Teamwork and implementation of innovations in healthcare and human service settings: a systematic review (2024) · cites this paper as [84]
The Department of Veterans Affairs has sponsored national implementation of evidence-based psychotherapy for post-traumatic stress disorder.
“The Department has also sponsored the national implementation of evidence-based psychotherapy for post-traumatic stress disorder 88 .”
From Measuring and improving the quality of mental health care: a global perspective (2018) · cites this paper as [88]
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References 58 · Cited by 68
Research works printed but not linked: 6
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- Authors
- Sayer, N. A., Rosen, C. S., Bernardy, N. C., Cook, J. M., Orazem, R. J., Chard, K. M., Mohr, D. C., Kehle-Forbes, S. M., Eftekhari, A., Crowley, J., Ruzek, J. I., Smith, B. N., & Schnurr, P. P.
- Affiliations
- University of Minnesota (US)
- VA Palo Alto Health Care System (US)
- Dartmouth College (US)
- Yale University (US)
- Minneapolis VA Health Care System (US)
- Veterans Health Administration (US)
- Boston University (US)
- Palo Alto University (US)
- Corresponding author
- Sayer, Nina A.
- ORCID
- Venue
- Administration and Policy in Mental Health and Mental Health Services Research
- Published
- 2017-06-09
- Volume
- 44
- Issue
- 6
- Pages
- 904-918
- ISSN
- 0894-587X (ISSN-L)
- 1573-3289
- PMC
- PMC5640758
- OpenAlex
- W2623023444
- Cited by
- 68
- References
- 58
- Citations by year
- 2026: 3 · 2025: 7 · 2024: 4 · 2023: 5 · 2022: 8 · 2021: 11 · 2020: 10 · 2019: 9 · 2018: 11
- FWCI
- 13.25
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Locations
- Administration and Policy in Mental Health and Mental Health Services Research (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Funders
- Department of Veterans Affairs (CRE 12-021)
- Topics
- Health Sciences › Health Professions › General Health Professions › Health Policy Implementation Science
- Social Sciences › Psychology › Clinical Psychology › Posttraumatic Stress Disorder Research
- Social Sciences › Psychology › Clinical Psychology › Psychotherapy Techniques and Applications
- Keywords
- post-traumatic stress disorder, evidence-based psychotherapy, dissemination, Veterans Health Administration, organizational factors, team factors, employee engagement, practice environment, veterans
- MeSH terms
- Work Engagement, Ambulatory Care Facilities, Attitude of Health Personnel, Environment, Humans, Implosive Therapy, Mental Health Services, Stress Disorders, Post-Traumatic, United States, United States Department of Veterans Affairs, Organizational Culture, Cognitive Behavioral Therapy, Evidence-Based Medicine
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