Evidence-based psychological treatments for mental disorders: modifiable barriers to access and possible solutions
Open accessAbstract
The prevalence of mental disorders is high and appears to be growing, yet the majority of individuals who meet diagnostic criteria for a mental disorder are not able to access an adequate treatment. While evidence-based psychological treatments (EBPTs) are effective single or adjunctive treatments for mental disorders, there is also evidence that access to these treatments is diminishing. We seek to highlight modifiable barriers to these problems at the patient, therapist, treatment, organization and government-levels of analysis. A range of solutions to each set of contributors is offered and domains for future research are highlighted. In particular, we focus on the need to continue to work toward innovation in treatment development while also solving the difficulties relating to the dissemination of EBPTs. Several relatively new concepts in the field will be discussed (implementation cliff, program drift, voltage drop and deployment treatment development) and we contrast America and England as examples of government-level processes that are in the process of major change with respect to EBPTs. We conclude that there is a need for people in our field to become more knowledgeable about, and get involved in, shaping public policy.
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Overall, MAST-V helps to address patient-, therapist-, and treatment-level barriers to mental health care access.
“Overall, MAST-V helps to address patient-, therapist-, and treatment-level barriers to mental health care access (Harvey & Gumport, 2015).”
From Brief modular anxiety intervention for primary care: Hybrid I pilot randomized controlled trial of feasibility, acceptability, effectiveness, and implementation potential (2024) · cites this paper as Harvey & Gumport, 2015
The Patient-Level, Therapist-Level, and Treatment-Level sections discuss barriers to accessing evidence-based psychological treatment and possible ways to address them. They do not identify MAST-V or establish that it addresses those barriers, so the claim about MAST-V is not supported by this source. (LLM, conf=0.86)
Experimental — accuracy not yet measuredEffective psychological treatments for depression and anxiety exist but are difficult to access for many individuals.
“Although effective psychological treatments for depression and anxiety exist, they are difficult to access for many individuals [5,6].”
From Blended care-cognitive behavioral therapy for depression and anxiety in real-world settings: Pragmatic retrospective study (2020) · cites this paper as [5]
Under-treatment of mental disorders such as depression contributes to limited receipt of evidence-based treatment.
“This is caused both by under-treatment of mental disorders such as depression (Demyttenaere et al., 2004, Harvey and Gumport, 2015) and therapist drift from evidence-based treatment protocols (Waller, 2009).”
From Development and initial evaluation of blended cognitive behavioural treatment for major depression in routine specialized mental health care (2016) · cites this paper as Harvey and Gumport, 2015
Only a limited amount of patients in routine practise actually receives evidence-based treatment.
“Research suggests that only a limited amount of patients in routine practise actually receives evidence-based treatment (Gyani et al., 2014, Harvey and Gumport, 2015).”
From Development and initial evaluation of blended cognitive behavioural treatment for major depression in routine specialized mental health care (2016) · cites this paper as Harvey and Gumport, 2015
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“Hence, there is a need to simplify and establish a definitive source of EBPTs, perhaps a source that is equivalent to the US Food and Drug Administration, albeit for EBPTs (Olfson & Marcus, 2010).”
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“Also, using the Organizational Social Context (OSC) questionnaire, Aarons et al. (2012) found that organizational climate within community mental health clinics was associated with individual clinician attitudes toward utilizing EBPTs and clinicians working in more stressful environments were less…”
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“Indeed, progress toward establishing EBPTs for most mental disorders has been excellent (Chambless & Ollendick, 2001; Layard & Clark, 2014; Silverman & Hinshaw, 2008).”
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“In the Australian National Survey of Mental Health and Wellbeing described earlier, general practitioners were the most commonly reported providers of mental health services with 76% of those receiving any mental health care reporting using their general practitioner (Parslow & Jorm, 2000).”
BackgroundComer, J. S., Olfson, M., & Mojtabai, R. (2010) · Journal of the American Academy of Child & Adolescent Psychiatry · doi:10.1016/j.jaac.2010.07.007 · Cited by 251 · see citing works
Weisz, J. R., Ng, M. Y., & Bearman, S. K. (2013) · Clinical Psychological Science · doi:10.1177/2167702613501307 · Cited by 246 · cited 1× · see citing works
“Second, Weisz et al. (2014) have proposed ‘deployment treatment development’ in which interventions are developed and tested with the patients and the therapists who will receive and deliver the intervention and within the organizations in which they will be delivered.”
BackgroundCost-benefit analysis of psychological therapy
Layard, R., Clark, D. M., Knapp, M. R. J., & Mayraz, G. (2007) · National Institute Economic Review · doi:10.1177/0027950107086171 · Cited by 234 · see citing works
Insomnia, Psychiatric Disorders, and the Transdiagnostic Perspective
Harvey, A. G. (2008) · Current Directions in Psychological Science · doi:10.1111/j.1467-8721.2008.00594.x · Cited by 232 · cited 1× · see citing works
“…2013; Weisz et al., 2012), across all of the eating disorders (Fairburn et al., 2009) as well as for schizophrenia (Bentall et al., 2009), bipolar disorder (Ellard, Deckersbach, Sylvia, Nierenberg, & Barlow, 2012) and sleep problems (Harvey, 2008, 2009; Harvey, Murray, Chandler, & Soehner, 2011).”
BackgroundSelf-citationGillespie, K., Duffy, M., Hackmann, A., & Clark, D. M. (2002) · Behaviour Research and Therapy · doi:10.1016/s0005-7967(02)00004-9 · Cited by 230 · see citing works
Treatment preference and patient satisfaction in chronic insomnia
Vincent, N., & Lionberg, C. (2001) · SLEEP · doi:10.1093/sleep/24.4.411 · Cited by 221 · cited 1× · see citing works
“Fifth, there is evidence that psychosocial interventions can be more acceptable to patients relative to medication treatments (e.g., Vincent & Lionberg, 2001).”
BackgroundTrends in Antipsychotic Drug Use by Very Young, Privately Insured Children
Olfson, M., Crystal, S., Huang, C., & Gerhard, T. (2010) · Journal of the American Academy of Child & Adolescent Psychiatry · doi:10.1016/j.jaac.2009.09.003 · Cited by 211 · see citing works
Pinto, M. D., Logsdon, M. C., & Myers, J. A. (2011) · Social Science & Medicine · doi:10.1016/j.socscimed.2011.04.006 · Cited by 203 · see citing works
The Impact of National Health Care Reform on Adults With Severe Mental Disorders
Garfield, R. L., Zuvekas, S. H., Lave, J. R., & Donohue, J. M. (2011) · American Journal of Psychiatry · doi:10.1176/appi.ajp.2010.10060792 · Cited by 197 · see citing works
Weersing, V. R., Weisz, J. R., & Donenberg, G. R. (2002) · Journal of Clinical Child & Adolescent Psychology · doi:10.1207/s15374424jccp3102_03 · Cited by 189 · see citing works
Dissemination of CBTI to the Non-Sleep Specialist: Protocol Development and Training Issues
Manber, R., Carney, C., Edinger, J., Epstein, D., Friedman, L., Haynes, P. L., Karlin, B. E., Pigeon, W., Siebern, A. T., & Trockel, M. (2012) · Journal of Clinical Sleep Medicine · doi:10.5664/jcsm.1786 · Cited by 178 · cited 2× · see citing works
“In addition, this initiative has yielded documented robust effects from VA therapists trained to deliver cognitive behavior therapy for insomnia (Karlin, Trockel, Taylor, Gimeno, & Manber, 2013; Manber et al., 2012) and cognitive therapy for depression (Karlin et al., 2012).”
BackgroundComer, J. S., & Barlow, D. H. (2013) · American Psychologist · doi:10.1037/a0033582 · Cited by 177 · cited 2× · see citing works
“There is evidence that medications are being prescribed, often off-label and with serious side effects, for disorders for which an EBPT is well established (Comer & Barlow, 2014; Comer, Mojtabai, & Olfson, 2011; Comer, Olfson, & Mojtabai, 2010; Olfson, Crystal, Huang, & Gerhard, 2010).”
BackgroundDuffy, M., Gillespie, K., & Clark, D. M. (2007) · BMJ · doi:10.1136/bmj.39021.846852.be · Cited by 171 · see citing works
A Clinical Guide to Pediatric Sleep: Diagnosis and Management of Sleep Problems
Rosen, D. (2010) · JAMA · doi:10.1001/jama.2010.419 · Cited by 170 · see citing works
Glenn, D., Golinelli, D., Rose, R. D., Roy-Byrne, P., Stein, M. B., Sullivan, G., Bystritksy, A., Sherbourne, C., & Craske, M. G. (2013) · Journal of Consulting and Clinical Psychology · doi:10.1037/a0033403 · Cited by 166 · cited 1× · see citing works
“In addition, there are barriers related to having the motivation to seek out, and attend sessions and then adhere to the treatment recommendations, all of which are core to a successful treatment (Glenn et al., 2013).”
BackgroundFalling behind: life expectancy in US counties from 2000 to 2007 in an international context
Kulkarni, S. C., Levin-Rector, A., Ezzati, M., & Murray, C. (2011) · Population Health Metrics · doi:10.1186/1478-7954-9-16 · Cited by 154 · see citing works
Norton, P. J. (2011) · The Behavior Therapist · doi:10.1016/j.beth.2010.08.011 · Cited by 149 · cited 1× · see citing works
“…processes across the anxiety disorders and depression in adults (Craske et al., 2011; Farchione et al., 2012; McManus, Shafran, & Cooper, 2010; Norton, 2012), across anxiety, depression, and conduct problems in youth (Bilek & Ehrenreich-May, 2012; Fraire & Ollendick, 2013; Weisz et al.,…”
BackgroundBrief interventions: good in theory but weak in practice
ROCHE, A. M., & Freeman, T. (2004) · Drug and Alcohol Review · doi:10.1080/09595230410001645510 · Cited by 145 · cited 1× · see citing works
“However, we do know that disillusionment/ skepticism that a new treatment will help is one identified organizational barrier (Roche & Freeman, 2004).”
BackgroundRiley, C., Lee, M., Cooper, Z., Fairburn, C. G., & Shafran, R. (2007) · Behaviour Research and Therapy · doi:10.1016/j.brat.2006.12.003 · Cited by 142 · see citing works
Craske, M. G., Stein, M. B., Sullivan, G., Sherbourne, C., Bystritsky, A., Rose, R. D., Lang, A. J., Welch, S., Campbell-Sills, L., Golinelli, D., et al. (2011) · Archives of General Psychiatry · doi:10.1001/archgenpsychiatry.2011.25 · Cited by 132 · cited 2× · see citing works
“There has been progress in developing transdiagnostic treatments that target transdiagnostic processes across the anxiety disorders and depression in adults (Craske et al., 2011; Farchione et al., 2012; McManus, Shafran, & Cooper, 2010; Norton, 2012), across anxiety, depression, and conduct problems in youth (Bilek &…”
BackgroundKarlin, B. E., Trockel, M., Taylor, C. B., Gimeno, J., & Manber, R. (2013) · Journal of Consulting and Clinical Psychology · doi:10.1037/a0032554 · Cited by 131 · see citing works
Salkovskis, P. M. (2002) · Behavioural and Cognitive Psychotherapy · doi:10.1017/s1352465802001029 · Cited by 129 · cited 1× · see citing works
“Clark (1999) and Salkovskis (2002) proposed four steps for developing an effective treatment for mental disorders.”
BackgroundWhat does a transdiagnostic approach have to offer the treatment of anxiety disorders?
McManus, F., Shafran, R., & Cooper, Z. (2010) · British Journal of Clinical Psychology · doi:10.1348/014466509x476567 · Cited by 128 · see citing works
Hansen, N. B., & Lambert, M. (2003) · Mental Health Services Research · doi:10.1023/a:1021751307358 · Cited by 127 · cited 1× · see citing works
“Declines also occurred in annual psychotherapy visits per psychotherapy patient (9.7 sessions down to 7.9 sessions), a finding that raises particular concern as it appears that 16 sessions are needed for one-half of patients to be classified into a ‘recovered’ category (Hansen & Lambert, 2003).”
BackgroundInfluentialThrive: the power of evidence-based psychological therapies
Rustin, M. (2015) · European Journal of Psychotherapy & Counselling · doi:10.1080/13642537.2014.1001163 · Cited by 119 · see citing works
Using evidence-based treatments: The experiences of youth providers working under a mandate.
Jensen‐Doss, A., Hawley, K. M., Lopez, M. A., & Osterberg, L. D. (2009) · Professional Psychology Research and Practice · doi:10.1037/a0014690 · Cited by 117 · see citing works
The Mark of Shame: The Stigma of Mental Illness and an Agenda for Change
Fischoff, S. (2007) · PsycEXTRA Dataset · doi:10.1037/e542142009-012 · Cited by 116 · see citing works
Trends in service use and treatment for mental disorders in adults throughout Great Britain
Brugha, T. S., Bebbington, P. E., Singleton, N., Melzer, D., Jenkins, R., Lewis, G., Farrell, M., Bhugra, D., Lee, A., & Meltzer, H. (2004) · British Journal of Psychiatry · doi:10.1192/bjp.185.5.378 · Cited by 114 · cited 1× · see citing works
“Over the same period, the overall prevalence of mental disorders did not change markedly and the use of EBPTs did not increase significantly (Brugha et al., 2004).”
BackgroundKarlin, B. E., Brown, G. K., Trockel, M., Cunning, D., Zeiss, A. M., & Taylor, C. B. (2012) · Journal of Consulting and Clinical Psychology · doi:10.1037/a0029328 · Cited by 113 · cited 2× · see citing works
“In addition, this initiative has yielded documented robust effects from VA therapists trained to deliver cognitive behavior therapy for insomnia (Karlin, Trockel, Taylor, Gimeno, & Manber, 2013; Manber et al., 2012) and cognitive therapy for depression (Karlin et al., 2012).”
BackgroundBilek, E. L., & Ehrenreich-May, J. (2012) · Behavior Therapy · doi:10.1016/j.beth.2012.04.007 · Cited by 108 · cited 1× · see citing works
“…et al., 2011; Farchione et al., 2012; McManus, Shafran, & Cooper, 2010; Norton, 2012), across anxiety, depression, and conduct problems in youth (Bilek & Ehrenreich-May, 2012; Fraire & Ollendick, 2013; Weisz et al., 2012), across all of the eating disorders (Fairburn et al., 2009) as well as…”
BackgroundA transdiagnostic approach to treating sleep disturbance in psychiatric disorders
Harvey, A. G. (2009) · Cognitive Behaviour Therapy · doi:10.1080/16506070903033825 · Cited by 105 · cited 1× · see citing works
“…2013; Weisz et al., 2012), across all of the eating disorders (Fairburn et al., 2009) as well as for schizophrenia (Bentall et al., 2009), bipolar disorder (Ellard, Deckersbach, Sylvia, Nierenberg, & Barlow, 2012) and sleep problems (Harvey, 2008, 2009; Harvey, Murray, Chandler, & Soehner, 2011).”
BackgroundSelf-citationNewnham, E. A., Hooke, G. R., & Page, A. C. (2009) · Journal of Affective Disorders · doi:10.1016/j.jad.2009.06.005 · Cited by 101 · see citing works
Stinson, K., Tang, N. K. Y., & Harvey, A. G. (2006) · SLEEP · doi:10.1093/sleep/29.12.1643 · Cited by 99 · see citing works
Self-citationTransdiagnostic Treatment of Bipolar Disorder and Comorbid Anxiety With the Unified Protocol
Ellard, K. K., Deckersbach, T., Sylvia, L. G., Nierenberg, A. A., & Barlow, D. H. (2012) · Behavior Modification · doi:10.1177/0145445512451272 · Cited by 99 · see citing works
de Jong, K., Timman, R., Roijen, L. H., Vermeulen, P., Kooiman, K., Passchier, J., & Busschbach, J. J. V. (2014) · Psychotherapy Research · doi:10.1080/10503307.2013.871079 · Cited by 99 · cited 1× · see citing works
“Indeed, the use of progress monitoring results in fewer patients deteriorating during or after treatment (De Jong et al., 2013).”
BackgroundToward a Cognitive-Behavioral Classification System for Mental Disorders
Hofmann, S. G. (2014) · Behavior Therapy · doi:10.1016/j.beth.2014.03.001 · Cited by 93 · cited 1× · see citing works
“Finally, diagnostic systems are regularly reviewed and updated (Kupfer, Kuhl, & Regier, 2013) and may be based on an entirely different system in the future (Hofmann, 2014; Insel et al., 2010).”
MethodThrive: The Power of Evidence-Based Psychological Therapies
Layard, R. (2014) · Cited by 89 · see citing works
National Trends in the Antipsychotic Treatment of Psychiatric Outpatients With Anxiety Disorders
Comer, J. S., Mojtabai, R., & Olfson, M. (2011) · American Journal of Psychiatry · doi:10.1176/appi.ajp.2011.11010087 · Cited by 84 · see citing works
Kupfer, D. J., Kuhl, E. A., & Regier, D. A. (2013) · JAMA · doi:10.1001/jama.2013.2298 · Cited by 82 · see citing works
The British Mental Health Survey Programme: achievements and latest findings
Jenkins, R., Meltzer, H., Bebbington, P., Brugha, T. S., Farrell, M., McManus, S., & Singleton, N. (2009) · Social Psychiatry and Psychiatric Epidemiology · doi:10.1007/s00127-009-0112-7 · Cited by 81 · cited 1× · see citing works
“A national survey of 16–64 year olds in Great Britain over a 7-year period (1993–2000) reported that only a quarter of people with a mental disorder were receiving some kind of treatment in 2007, unchanged from 2000 (Jenkins et al., 2009).”
BackgroundGeers, A. L., Rose, J. P., Fowler, S. L., Rasinski, H. M., Brown, J. A., & Helfer, S. G. (2013) · Journal of Personality and Social Psychology · doi:10.1037/a0034005 · Cited by 80 · cited 1× · see citing works
“Fourth, patient choice enhances treatment effectiveness (Geers et al., 2013).”
Baumann, B. L., Kolko, D., Collins, K., & Herschell, A. (2006) · International Journal of Child Abuse & Neglect · doi:10.1016/j.chiabu.2006.01.002 · Cited by 80 · see citing works
Trends in Antipsychotic Drug Use by Very Young, Privately Insured Children
Olfson, M., Crystal, S., Huang, C. S., et al. (2010) · Journal of the American Academy of Child & Adolescent Psychiatry · doi:10.1097/00004583-201001000-00005 · Cited by 78 · see citing works
Willenbring, M. L., Kivlahan, D. R., Kenny, M. E., Grillo, M., Hagedorn, H., & Postier, A. C. (2004) · Journal of Substance Abuse Treatment · doi:10.1016/s0740-5472(03)00161-2 · Cited by 75 · cited 1× · see citing works
“A uthor M anuscript A uthor M anuscript A uthor M anuscript A uthor M anuscript barriers (Willenbring et al., 2004).”
BackgroundRadhakrishnan, M., Hammond, G., Jones, P. B., Watson, A., McMillan-Shields, F., & Lafortune, L. (2013) · Behaviour Research and Therapy · doi:10.1016/j.brat.2012.10.001 · Cited by 69 · cited 1× · see citing works
“Also, the data collected from progress monitoring helps to adjust and advance treatment, helps patients to choose a service that has good outcomes and the data also helps those who fund the service (Layard & Clark, 2014; Radhakrishnan et al., 2013).”
BackgroundComputer-Assisted Therapies: Examination of Therapist-Level Barriers to Their Use
Becker, E. M., & Jensen-Doss, A. (2013) · Behavior Therapy · doi:10.1016/j.beth.2013.05.002 · Cited by 68 · see citing works
The evidence-based practice of psychotherapy: Facing the challenges that lie ahead
Gaudiano, B. A., & Miller, I. W. (2013) · Clinical Psychology Review · doi:10.1016/j.cpr.2013.04.004 · Cited by 67 · cited 1× · see citing works
“We will then extend several excellent recent discussions of these problems (e.g., Gaudiano & Miller, 2013; Kazdin & Blase, 2011; Lilienfeld, Ritschel, Lynn, Cautin, & Latzman, 2013; Shafran © 2015 Published by Elsevier Ltd.”
BackgroundLessons from a 10-year global programme against stigma and discrimination because of an illness 1
Sartorius, N. (2006) · Psychology Health & Medicine · doi:10.1080/13548500600595418 · Cited by 66 · see citing works
Lindsley, C. W. (2012) · ACS Chemical Neuroscience · doi:10.1021/cn3000923 · Cited by 66 · cited 1× · see citing works
“Together, this represents an increase of $2.1 billion over 2010 and 57 million prescriptions (Lindsley, 2012).”
BackgroundInfluentialIncreases in Behavioral Health Screening in Pediatric Care for Massachusetts Medicaid Patients
Kuhlthau, K. A. (2011) · Archives of Pediatrics and Adolescent Medicine · doi:10.1001/archpediatrics.2011.18 · Cited by 64 · cited 1× · see citing works
“For example, in Massachusetts, within a year of primary care physicians being required to screen children on Medicaid insurance for mental health problems at “well-child visits,” mental health visits for the children increased markedly (Kuhlthau et al., 2011).”
BackgroundCooper, C., Bebbington, P., McManus, S., Meltzer, H., Stewart, R. J., Farrell, M., King, M., Jenkins, R., & Livingston, G. (2010) · Journal of Affective Disorders · doi:10.1016/j.jad.2010.04.020 · Cited by 64 · cited 1× · see citing works
“Also, ethnic minorities were less likely to be taking antidepressants and were less likely to have seen their GP in the last year about their mental health (Cooper et al., 2010).”
BackgroundDesign of mental health benefits: Still unequal after all these years
Barry, C. L., Gabel, J. R., Frank, R. G., Hawkins, S., Whitmore, H. H., & Pickreign, J. D. (2003) · Health Affairs · doi:10.1377/hlthaff.22.5.127 · Cited by 64 · cited 1× · see citing works
“Moreover, Barry et al. (2003) reported that the only benefit that was equal with general medical insurance was coverage for prescription drugs, a likely contributor to the rise in drug treatments over EBPTs that has already been noted.”
BackgroundDrug abuse treatment through collaboration: Practice and research partnerships that work.
(2003) · American Psychological Association eBooks · doi:10.1037/10491-000 · Cited by 64 · see citing works
The U.S. Health Care Spending: Comparison With Other OECD Countries
Peterson, C. L., & Burton, R. A. (2008) · University of North Texas Digital Library (University of North Texas) · Cited by 61 · see citing works
The case formulation approach to cognitive-behavior therapy
Arnow, B. A. (2012) · Psychotherapy Research · doi:10.1080/10503307.2011.638678 · Cited by 59 · see citing works
Market-Based Failure — A Second Opinion on U.S. Health Care Costs
Kuttner, R. E. (2008) · New England Journal of Medicine · doi:10.1056/nejmp0800265 · Cited by 53 · cited 1× · see citing works
“The rise in costs have been attributed to ‘resources being increasingly allocated in response to profit opportunities rather than medical need’ (p. 550) (Kuttner, 2008).”
BackgroundImplementation of evidence-based psychological treatments in the Veterans Health Administration.
Ruzek, J., Karlin, B., & Zeiss, A. (2012) · Oxford University Press eBooks · doi:10.1093/med:psych/9780195389050.003.0005 · Cited by 51 · see citing works
Anxiety and oppositional defiant disorder: A transdiagnostic conceptualization
Fraire, M. G., & Ollendick, T. H. (2012) · Clinical Psychology Review · doi:10.1016/j.cpr.2012.11.004 · Cited by 49 · cited 1× · see citing works
“…al., 2012; McManus, Shafran, & Cooper, 2010; Norton, 2012), across anxiety, depression, and conduct problems in youth (Bilek & Ehrenreich-May, 2012; Fraire & Ollendick, 2013; Weisz et al., 2012), across all of the eating disorders (Fairburn et al., 2009) as well as for schizophrenia (Bentall et…”
BackgroundNational Survey on Drug Use and Health, 2005: Archival Version
United States Department of Health and Human Services. Substance Abuse and Mental Health Services Administration. Office of Applied Studies (2006) · ICPSR Data Holdings · doi:10.3886/icpsr04596 · Cited by 42 · see citing works
Economic Grand Rounds: Is There a Shortage of Psychiatrists?
Goldman, W. (2001) · Psychiatric Services · doi:10.1176/appi.ps.52.12.1587 · Cited by 36 · cited 3× · see citing works
“Therapist beliefs and preferences—Research on therapist-level barriers is critically important given the challenge of mounting a workforce skilled in the delivery of EBPTs and who deliver EBPTs with fidelity (Goldman, 2001; Shafran, et al., 2009; Thomas, Ellis, Konrad, Holzer, & Morrissey, 2009).”
BackgroundInfluentialInterpersonal processes affecting early alliance formation in experiential therapy for depression
Wong, K. K. Y., & Pos, A. E. (2012) · Psychotherapy Research · doi:10.1080/10503307.2012.708794 · Cited by 34 · see citing works
Wiborg, J. F., Knoop, H., Wensing, M., & Bleijenberg, G. (2012) · Behaviour Research and Therapy · doi:10.1016/j.brat.2012.03.002 · Cited by 31 · see citing works
Teachman, B. A. (2014) · Perspectives on Psychological Science · doi:10.1177/1745691613512659 · Cited by 27 · see citing works
National Survey on Drug Use and Health, 2005
United States Department Of Health And Human Services. Substance Abuse And Mental Health Services Administration. Office Of Applied Studies (2006) · ICPSR Data Holdings · doi:10.3886/icpsr04596.v2 · Cited by 23 · see citing works
Legislating Clinical Practice: Counselor Responses to an Evidence-Based Practice Mandate
Rieckmann, T. R., Bergmann, L., & Rasplica, C. (2011) · Journal of Psychoactive Drugs · doi:10.1080/02791072.2011.601988 · Cited by 21 · see citing works
Chor, K. H. B., Olin, S.-C. S., & Hoagwood, K. (2014) · Clinical Psychology Science and Practice · doi:10.1111/cpsp.12068 · Cited by 21 · see citing works
Ku, L. C., Richard, P., Dor, A., Tan, E., Shin, P., & Rosenbaum, S. (2010) · Cited by 19 · see citing works
The Changing Face of U.S. Mental Health Care
Druss, B. G. (2010) · American Journal of Psychiatry · doi:10.1176/appi.ajp.2010.10091258 · Cited by 18 · see citing works
The Future of Clinical Science Training
LEVENSON, R. W. (2013) · Clinical Psychological Science · doi:10.1177/2167702613499330 · Cited by 14 · cited 1× · see citing works
“Training is a ripe, and critically important, domain for innovation in the coming decade (Levenson, 2014).”
BackgroundHardy, K. V., Moore, M., Rose, D., Bennett, R. W., Jackson-Lane, C., Gause, M., Jackson, A., & Loewy, R. L. (2011) · Early Intervention in Psychiatry · doi:10.1111/j.1751-7893.2011.00310.x · Cited by 11 · cited 2× · see citing works
“A uthor M anuscript A uthor M anuscript A uthor M anuscript A uthor M anuscript Prevention and Recovery from Early Psychosis (PREP) program was developed with these funds (Hardy et al., 2011).”
BackgroundDelivery Systems Can Determine Therapy Cost, and Effectiveness, More Than Type of Therapy
Yates, B. T. (2011) · Perspectives on Psychological Science · doi:10.1177/1745691611416994 · Cited by 11 · cited 1× · see citing works
“Hence, there is a need to develop more ‘spoons’ (Yates, 2011) for delivering effective treatments to a broader range of patients via the internet, telephone, smartphone, self-help book, text message as well as by television and radio (Kazdin & Blase, 2011) and perhaps also via home visits.”
BackgroundThe ‘Millionaires Tax’ And Mental Health Policy In California
Feldman, S. D. (2009) · Health Affairs · doi:10.1377/hlthaff.28.3.809 · Cited by 9 · cited 1× · see citing works
“The ballot achieved broad support and has provided much needed funds for a broad range of important mental health initiatives such as improving access to services, the development of prevention programs, providing supported housing, and integrating mental health with other services (Feldman, 2009).”
BackgroundMental Health Benefits in Employer-sponsored Health Plans, 1997–2003
Teich, J. L., & Buck, J. A. (2007) · The Journal of Behavioral Health Services & Research · doi:10.1007/s11414-006-9050-2 · Cited by 8 · cited 2× · see citing works
“Teich and Buck (2007) concluded that ‘it is unlikely that universal parity in employer-based plans will be achieved through a legislative strategy’ (p. 343).”
BackgroundMethodState Mental Health Policy: Proposition 63: Should Other States Follow California's Lead?
Zivin, K. (2005) · Psychiatric Services · doi:10.1176/appi.ps.56.6.642 · Cited by 8 · cited 1× · see citing works
“Discussion as to whether the same path may yield the same positive outcome in other states is being considered (Bambauer, 2005).”
BackgroundTransformation of mental health services for children and young people in England
Shafran, R., Fonagy, P., Pugh, K., & Myles, P. J. (2014) · UCL Discovery (University College London) · Cited by 8 · see citing works
PPACA: A Brief Overview of the Law, Implementation, and Legal Challenges
Redhead, C. S., Staman, J., Burrows, V. K., & Fernandez, B. (2011) · Cited by 5 · see citing works
Behavioral Health Screening and Intervention in Primary Care
Trupin, E. W. (2011) · Archives of Pediatrics and Adolescent Medicine · doi:10.1001/archpediatrics.2011.19 · Cited by 2 · cited 1× · see citing works
“Third, screening in primary care also facilitated earlier detection and referral for mental health problems, particularly for children and adolescents, whose parents frequently talk about behavioral issues with their child’s pediatrician (Trupin, 2011).”
BackgroundACA: A Brief Overview of the Law, Implementation, and Legal Challenges [July 3, 2012]
Redhead, C. S., Fernandez, B., Staman, J., & Chaikind, H. (2012) · Library of Congress. Congressional Research Service · Cited by 1 · see citing works
(2009)
Flagged first, then by citations
Research works printed but not linked: 2
- Institute of Medicine Committee on Crossing the Quality Chasm Improving the quality of health care for mental and substance-use conditions:Natl Academy Pr 2006 20669433
- National Research Council Provision of Mental Health Counseling Services Under TRICARE 2010 Washington, DC The National Academies Press 25506964
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Addressing critical gaps in the treatment of eating disorders
Kazdin, A. E., Fitzsimmons‐Craft, E. E., & Wilfley, D. E. (2017) · International Journal of Eating Disorders · doi:10.1002/eat.22670 · Cited by 389 · see citing works
“Importantly, it is not known the extent to which the treatments delivered were EBPIs but tempting to speculate that it might be a small proportion (Harvey & Gumport, 2015).”
BackgroundNorwood, C., Moghaddam, N. G., Malins, S., & Sabin‐Farrell, R. (2018) · Clinical Psychology & Psychotherapy · doi:10.1002/cpp.2315 · Cited by 324 · see citing works
Beatty, C., Malik, T., Meheli, S., & Sinha, C. (2022) · Frontiers in Digital Health · doi:10.3389/fdgth.2022.847991 · Cited by 224 · see citing works
“Digital mental health interventions, including internet and smartphone-delivered services, hold promise for overcoming significant barriers that are traditionally associated with faceto-face mental health care, such as stigma (2, 3), accessibility (4) and cost (5).”
BackgroundLipschitz, J. M., Pike, C. K., Hogan, T. P., Murphy, S. A., & Burdick, K. E. (2023) · Current Treatment Options in Psychiatry · doi:10.1007/s40501-023-00297-3 · Cited by 230 · see citing works
Carroll, K. M., & Kiluk, B. D. (2017) · Psychology of Addictive Behaviors · doi:10.1037/adb0000311 · Cited by 218 · see citing works
“…practitioners, limited focus on sustainability, and several others (Addis & Krasnow, 2000; Crits-Christoph, Frank, Chambless, Brody, & Karp, 1995; Harvey & Gumport, 2015; Hoffman & McCarty, 2013; Institute of Medicine, 1998; McHugh & Barlow, 2010; McLellan, Carise, & Kleber, 2003; Olmstead,…”
BackgroundEvidence on Virtual Reality-Based Therapies for Psychiatric Disorders: Meta-Review of Meta-Analyses
Dellazizzo, L., Potvin, S., Luigi, M., & Dumais, A. (2020) · Journal of Medical Internet Research · doi:10.2196/20889 · Cited by 135 · see citing works
“Although pharmacological treatments have received more attention, they may likely be less acceptable to patients, and a proportion of individuals will experience adverse effects or will not respond adequately to this approach [12-14].”
BackgroundAssociation of Childhood Lead Exposure With Adult Personality Traits and Lifelong Mental Health
Reuben, A., Schaefer, J. D., Moffitt, T. E., Broadbent, J. M., Harrington, H., Houts, R., Ramrakha, S., Poulton, R., & Caspi, A. (2019) · JAMA Psychiatry · doi:10.1001/jamapsychiatry.2018.4192 · Cited by 134 · see citing works
Cognitive-Behavioral Therapy in the Digital Age: Presidential Address
Wilhelm, S., Weingarden, H. M., Ladis, I., Braddick, V., Shin, J. Y., & Jacobson, N. C. (2019) · Behavior Therapy · doi:10.1016/j.beth.2019.08.001 · Cited by 122 · see citing works
“For instance, individuals often report logistical barriers, including a lack of transportation to attend appointments, an inability to take time off from work to attend appointments, and/or a lack of child care (Harvey & Gumport, 2015).”
BackgroundImprov experience promotes divergent thinking, uncertainty tolerance, and affective well-being
Felsman, P., Gunawardena, S., & Seifert, C. M. (2020) · Thinking Skills and Creativity · doi:10.1016/j.tsc.2020.100632 · Cited by 124 · see citing works
Kooistra, L. C., Ruwaard, J., Wiersma, J. E., van Oppen, P., van der Vaart, R., van Gemert-Pijnen, J. E. W. C., & Riper, H. (2016) · Internet Interventions · doi:10.1016/j.invent.2016.01.003 · Cited by 92 · see citing works
“Research suggests that only a limited amount of patients in routine practise actually receives evidence-based treatment (Gyani et al., 2014; Harvey and Gumport, 2015).”
BackgroundGual-Montolio, P., Jaén, I., Martínez-Borba, V., Castilla, D., & Suso-Ribera, C. (2022) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph19137737 · Cited by 93 · see citing works
“In fact, studies globally indicate that often only one in four individuals with EDs receives psychological treatment and, in many cases, these interventions are not evidence-based [13,14].”
BackgroundCognitive behavioral group therapy for anxiety: recent developments
Wolgensinger, L. (2015) · Dialogues in Clinical Neuroscience · doi:10.31887/dcns.2015.17.3/lwolgensinger · Cited by 84 · see citing works
Lungu, A., Jun, J. J., Azarmanesh, O., Leykin, Y., & Chen, C. E.-J. (2020) · Journal of Medical Internet Research · doi:10.2196/18723 · Cited by 75 · see citing works
Developing a roadmap for the translation of e-mental health services for depression
Batterham, P. J., Sunderland, M., Calear, A. L., Davey, C. G., Christensen, H., Teesson, M., Kay-Lambkin, F., Andrews, G., Mitchell, P. B., Herrman, H., et al. (2015) · Australian & New Zealand Journal of Psychiatry · doi:10.1177/0004867415582054 · Cited by 77 · see citing works
“In addition, mental disorders are under-diagnosed (Goldman et al., 1999; Kessler et al., 2002; Mann et al., 2005), and use of evidence-based treatments is inadequate (Burgess et al., 2009; Goldman et al., 1999; Gyani et al., 2012; Harvey and Gumport, 2015).”
BackgroundWhat Is the Current and Future Status of Digital Mental Health Interventions?
Baños, R. M., Herrero, R., & Vara, M. D. (2022) · The Spanish Journal of Psychology · doi:10.1017/sjp.2022.2 · Cited by 82 · see citing works
“Inaddition to the investmentandresourceproblems and lack of available services noted above, other problems include stigma, difficulty affording services, and geographical or time limitations (Harvey & Gumport, 2015).”
BackgroundVindel, A. C., Muñoz‐Navarro, R., Moriana, J. A., Ruiz‐Rodríguez, P., Medrano, L. A., & González‐Blanch, C. (2021) · Psychological Medicine · doi:10.1017/s0033291720005498 · Cited by 68 · see citing works
“Nonetheless, several barriers to dissemination of psychological treatments have been identified (Harvey & Gumport, 2015), including the growing number of disorder-specific treatment guidelines (Newby, McKinnon, Kuyken, Gilbody, & Dalgleish, 2015), which may be particularly relevant in primary care…”
Berk, M. S., Starace, N. K., Black, V. P., & Avina, C. (2020) · Archives of Suicide Research · doi:10.1080/13811118.2018.1509750 · Cited by 57 · see citing works
“Multiple barriers to the successful implementation of evidence-based treatments into the community have been identified (for reviews, see Harvey & Gumport, 2015; Shafran et al., 2009; Weisz, Ugueto, Cheron, & Herren, 2013).”
BackgroundThe use of improvisational theater training to reduce social anxiety in adolescents
Felsman, P., Seifert, C. M., & Himle, J. A. (2018) · The Arts in Psychotherapy · doi:10.1016/j.aip.2018.12.001 · Cited by 57 · see citing works
Alexopoulos, G. S., Raue, P. J., Banerjee, S., Marino, P., Renn, B. N., Solomonov, N., Adeagbo, A., Sirey, J. A., Hull, T. D., Kiosses, D. N., et al. (2021) · Molecular Psychiatry · doi:10.1038/s41380-020-0832-3 · Cited by 56 · see citing works
Human Support in App-Based Cognitive Behavioral Therapies for Emotional Disorders: Scoping Review
Bernstein, E. E., Weingarden, H. M., Wolfe, E. C., Hall, M. D., Snorrason, Í., & Wilhelm, S. (2022) · Journal of Medical Internet Research · doi:10.2196/33307 · Cited by 55 · see citing works
“Smartphone-delivered therapies offer clear potential for addressing some of the most critical barriers to accessing mental health care, including prohibitive costs of treatment [5,6], patient-level logistical barriers (eg, need for time off work, transportation, and childcare) [7], and lack of access to providers who…”
BackgroundLiterasi Kesehatan Mental dan Sikap Komunitas sebagai Prediktor Pencarian Pertolongan Formal
Novianty, A., & Hadjam, M. N. R. (2017) · Jurnal Psikologi · doi:10.22146/jpsi.22988 · Cited by 46 · see citing works
“…kecil dari faktor-faktor lainnya, salah satunya hambatan eksternal yang sering terjadi di lapangan yaitu faktor geografis, akses transportasi, dan faktor ekonomi JURNAL PSIKOLOGI 59 (Harvey & Gumport, 2015), serta kemampuan identifikasi tenaga kesehatan terkait kesehatan mental (Marastuti, 2014).”
BackgroundEissazade, N., Shalbafan, M., Eftekhar Ardebili, M., & Pinto da Costa, M. (2021) · Asia-Pacific Psychiatry · doi:10.1111/appy.12434 · Cited by 43 · see citing works
“Access to psychotherapeutic treatment for patients can be attained by improving the training of psychotherapists (Harvey & Gumport, 2015).”
BackgroundThe WHO International Classification of Diseases 11th Revision (ICD-11)
Dawson-Squibb, J.-J., Davids, E. L., Viljoen, M., Rice, K., & Stein, D. J. (2023) · Autism and child psychopathology series · doi:10.1007/978-3-031-24926-6_4 · Cited by 42 · see citing works
Hayes, S. C., Hofmann, S. G., & Stanton, C. E. (2020) · Journal of Contextual Behavioral Science · doi:10.1016/j.jcbs.2020.08.009 · Cited by 39 · see citing works
Sandler, I. N., Wolchik, S. A., Mazza, G. L., Gunn, H., Tein, J., Berkel, C., Jones, S. L., & Porter, M. M. (2019) · Journal of Clinical Child & Adolescent Psychology · doi:10.1080/15374416.2018.1540008 · Cited by 44 · see citing works
“…sizes from efficacy to effectiveness trials are common when psychosocial interventions are implemented in community settings (Chambers, Glasgow, & Stange, 2013; Harvey & Gumport, 2015) and may be due to differences in the implementation of the intervention or characteristics of the participants.”
BackgroundLong‐term efficacy of Metacognitive Training for Depression (D‐ MCT ): A randomized controlled trial
Jelinek, L., Faissner, M., Moritz, S., & Kriston, L. (2018) · British Journal of Clinical Psychology · doi:10.1111/bjc.12213 · Cited by 39 · see citing works
O'Connor, M. E., Morgan, K. E., Bailey‐Straebler, S., Fairburn, C. G., & Cooper, Z. (2018) · Journal of Medical Internet Research · doi:10.2196/10386 · Cited by 36 · see citing works
“This progress has highlighted two important issues: the need to disseminate these treatments developed in controlled settings to routine clinical care [1,2] and the need to ensure that more people in need of care actually receive effective treatment [3].”
BackgroundMonfaredi, Z., Malakouti, J., Farvareshi, M., & Mirghafourvand, M. (2022) · BMC Psychiatry · doi:10.1186/s12888-022-03768-8 · Cited by 36 · see citing works
“Due to the side effects of long-term use of drug treatments, alternative psychological therapies can be used [38].”
BackgroundAdaptation, Personalization and Capacity in Mental Health Treatments: A Balancing Act?
Bennett, S. D., & Shafran, R. (2023) · Current Opinion in Psychiatry · doi:10.1097/yco.0000000000000834 · Cited by 36 · see citing works
“Many people still do not access evidence-based interventions [19], and there are many barriers to the dissemination of evidence-based psychological treatments [20].”
BackgroundTreatment agreement, adherence, and outcome in cognitive behavioral treatments for insomnia.
Dong, L., Soehner, A. M., Bélanger, L., Morin, C. M., & Harvey, A. G. (2018) · Journal of Consulting and Clinical Psychology · doi:10.1037/ccp0000269 · Cited by 33 · see citing works
“Poor patient adherence has been highlighted as an important barrier to the implementation of psychological treatments (Callan et al., 2012; Harvey & Gumport, 2015).”
Self-citationSandplayAR: Evaluation of psychometric game for people with generalized anxiety disorder
Xiong, Z., Weng, X., & Wei, Y. (2022) · The Arts in Psychotherapy · doi:10.1016/j.aip.2022.101934 · Cited by 32 · see citing works
Using the Internet to Train Therapists: Randomized Comparison of Two Scalable Methods
Cooper, Z., Bailey-Straebler, S., Morgan, K. E., O'Connor, M. E., Caddy, C., Hamadi, L., & Fairburn, C. G. (2017) · Journal of Medical Internet Research · doi:10.2196/jmir.8336 · Cited by 29 · see citing works
“Therapist training in general has been relatively neglected as a research topic until recently [22,23], and few studies have used validated competence measures [24].”
BackgroundImplementing Evidence-Based Treatments for Youth in Acute and Intensive Treatment Settings
Leffler, J. M., & D’Angelo, E. J. (2020) · Journal of Cognitive Psychotherapy · doi:10.1891/jcpsy-d-20-00018 · Cited by 30 · see citing works
“As a result they can often be viewed as having limited real-world applicability (Harvey & Gumport, 2015).”
BackgroundThe impact of mindfulness apps on psychological processes of change: a systematic review
Macrynikola, N., Mir, Z., Gopal, T., Rodriguez, E., Li, S., Cox, M., Yeh, G. Y., & Torous, J. B. (2024) · npj Mental Health Research · doi:10.1038/s44184-023-00048-5 · Cited by 31 · see citing works
DeMarce, J. M., Gnys, M., Raffa, S. D., Kumpula, M. J., & Karlin, B. E. (2019) · Substance Abuse · doi:10.1080/08897077.2019.1674238 · Cited by 30 · see citing works
“are too structured or that they may have a negative impact on the therapeutic relationship.(14,16,21) In addition, compe-”
BackgroundBerking, M., Eichler, E., Naumann, E., & Svaldi, J. (2022) · British Journal of Clinical Psychology · doi:10.1111/bjc.12371 · Cited by 29 · see citing works
Training Models for Implementing Evidence-Based Psychological Treatment
Wilfley, D. E., Agras, W. S., Fitzsimmons‐Craft, E. E., Bohon, C., Eichen, D. M., Welch, R. R., Jo, B., Raghavan, R., Proctor, E. K., & Wilson, G. T. (2019) · JAMA Psychiatry · doi:10.1001/jamapsychiatry.2019.3483 · Cited by 29 · see citing works
Bernstein, E. E., Bentley, K. H., Nock, M. K., Stein, M. B., Beck, S., & Kleiman, E. M. (2021) · Behavior Therapy · doi:10.1016/j.beth.2021.09.001 · Cited by 29 · see citing works
Moriuchi, E. (2022) · Journal of Technology in Behavioral Science · doi:10.1007/s41347-022-00277-z · Cited by 28 · see citing works
Zeka, F., Clemmensen, L., Valmaggia, L., Veling, W., Hjorthøj, C. R., & Glenthøj, L. B. (2024) · Acta Psychiatrica Scandinavica · doi:10.1111/acps.13777 · Cited by 28 · see citing works
“Nonetheless, mental disorders continue to be significantly undertreated on a global scale [4], with access to mental health services remaining disproportionate, particularly in low and middle-income nations [5].”
Jelinek, L., Zielke, L., Hottenrott, B., Miegel, F., Cludius, B., Sure, A., & Demiralay, C. (2018) · Zeitschrift für Neuropsychologie · doi:10.1024/1016-264x/a000211 · Cited by 26 · see citing works
Enrique, Á., Duffy, D. J., Lawler, K., Richards, D., & Jones, S. H. (2020) · Clinical Psychology & Psychotherapy · doi:10.1002/cpp.2480 · Cited by 24 · see citing works
“Despite the benefits of psychosocial interventions, there is an enormous gap between demand and availability of treatment that prevent patients to access treatments (Harvey & Gumport, 2015; Mohr et al., 2010).”
BackgroundTaylor, K. M., Bradley, J., & Cella, M. (2022) · Psychology and Psychotherapy Theory Research and Practice · doi:10.1111/papt.12395 · Cited by 22 · see citing works
“Practical barriers to accessing face- to- face therapy (e.g. scheduling conflicts, transportation, childcare; Harvey & Gumport, 2015) may therefore be overcome by this approach.”
BackgroundRao, K., John, S., Kulandesu, A., Karthick, S., Senthilkumar, S. N., Gunaselvi, T., Raghavan, V., & THARA, R. (2022) · Journal of Psychosocial Rehabilitation and Mental Health · doi:10.1007/s40737-022-00275-7 · Cited by 22 · see citing works
“ing symptoms and help the persons with SMD return to premorbid self, medications alone may not be sufficient to address the psychosocial impairments associated with severe mental disorders [3].”
BackgroundHiranandani, S., Ipek, S. I., Wilhelm, S., & Greenberg, J. L. (2023) · Journal of Obsessive-Compulsive and Related Disorders · doi:10.1016/j.jocrd.2022.100765 · Cited by 21 · see citing works
Have Phobias, Will Travel: Addressing One Barrier to the Delivery of an Evidence-Based Treatment
Ollendick, T. H., Ryan, S. M., Capriola-Hall, N. N., Austin, K. E., & Fraire, M. G. (2017) · Behavior Therapy · doi:10.1016/j.beth.2017.11.003 · Cited by 21 · see citing works
Yu, J. S., Szigethy, E., Wallace, M., Solano, F., & Oser, M. (2018) · Telemedicine and e-Health · doi:10.1089/tmj.2017.0280 · Cited by 15 · see citing works
Cunningham, P. B., Gilmore, J., Naar, S., Preston, S. D., Eubanks, C. F., Hubig, N., McClendon, J. L., Ghosh, S., & Ryan-Pettes, S. R. (2023) · Clinical Child and Family Psychology Review · doi:10.1007/s10567-023-00451-6 · Cited by 21 · see citing works
“This issue, known as the implementation cliff (Harvey & Gumport, 2015), is in part, due to therapist-level factors, such as limited training and resources and inadequate psychotherapy process skills in treating multi-stressed, multi-problem families.”
BackgroundPullmann, M. D., Lucid, L., Harrison, J. P., Martin, P., Deblinger, E., Benjamin, K. S., & Dorsey, S. (2018) · Frontiers in Public Health · doi:10.3389/fpubh.2018.00280 · Cited by 20 · see citing works
“We use the ICC here to indicate “validity” rather than “reliability” because the clustering of implementation climate ratings by members of the same office indicates that climate is a shared perception at the office level (53, 54).”
BackgroundInfluentialAdapting empirically supported treatments in the era of integrated care: A roadmap for success.
Strosahl, K. D., & Robinson, P. J. (2018) · Clinical Psychology Science and Practice · doi:10.1111/cpsp.12246 · Cited by 21 · see citing works
Minding my brain: Fourteen neuroscience‐based principles to enhance psychotherapy responsiveness
Faustino, B. (2022) · Clinical Psychology & Psychotherapy · doi:10.1002/cpp.2719 · Cited by 19 · see citing works
Carrier, J., Gallagher, F., Vanasse, A., & Roberge, P. (2022) · PLoS ONE · doi:10.1371/journal.pone.0264368 · Cited by 20 · see citing works
“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].”
BackgroundInfluentialReducing social anxiety and intolerance of uncertainty in adolescents with improvisational theater
Felsman, P., Seifert, C. M., Sinco, B. R., & Himle, J. A. (2022) · The Arts in Psychotherapy · doi:10.1016/j.aip.2022.101985 · Cited by 19 · see citing works
The Development of Human Personality: A Comprehensive Overview
Alzeer, J., Alzeer, J., & Benmerabet, H. (2023) · Psychological Disorders and Research · doi:10.31487/j.pdr.2023.01.01 · Cited by 19 · see citing works
Rojas, S. M., Carter, S. P., McGinn, M. M., & Reger, M. A. (2019) · Telemedicine Journal and e-Health · doi:10.1089/tmj.2019.0083 · Cited by 18 · see citing works
Antipsoriatic Effect of Silymarin NLCs Based Gel: In Vitro and In Vivo Activity
Momin, F., Kevlani, V., Rawal, S. U., Patel, R., Acharya, S. P., & Shah, S. (2024) · AAPS PharmSciTech · doi:10.1208/s12249-024-02910-x · Cited by 17 · see citing works
“Finding the most effective treatment involves trial and error; rotated treatments may provide the best outcomes with fewer side effects in severe conditions [8–11].”
Carpallo-González, M., Muñoz‐Navarro, R., González‐Blanch, C., & Vindel, A. C. (2023) · International Journal of Clinical and Health Psychology · doi:10.1016/j.ijchp.2023.100379 · Cited by 18 · see citing works
“Nonetheless, dropout rates (DR) in patients undergoing psychological treatment are generally high and thus many patients do not benefit from the proven efficacy of these interventions (Harvey& Gumport, 2015; Swift& Greenberg, 2012).”
BackgroundLifetime treatment of DSM‐IV mental disorders in the Saudi National Mental Health Survey
Al‐Subaie, A. S., Altwaijri, Y. A., Alhabeeb, A. A., Bilal, L., Almeharish, A., Sampson, N. A., Liu, H., & Kessler, R. C. (2020) · International Journal of Methods in Psychiatric Research · doi:10.1002/mpr.1837 · Cited by 17 · see citing works
“Little is known about these patterns and predictors, as most mental health services research focuses on recent treatment of current episodes rather than initial treatment of incident cases (Harvey & Gumport, 2015; Olfson, Blanco, & Marcus, 2016).”
BackgroundPeros, O. M., Webb, L. E., Fox, S., Bernstein, A., & Hoffman, L. J. (2021) · Cognitive and Behavioral Practice · doi:10.1016/j.cbpra.2021.04.001 · Cited by 16 · see citing works
“…utilized to provide evidence-based treatments for a broad spectrum of disorders (Gros et al., 2013) and have been shown to increase accessibility to providers and decrease associated costs with in-person treatment (e.g., transportation, missed work; Harvey & Gumport, 2015; Trott & Blignault, 1998).”
BackgroundCastilla, D., Navarro-Haro, M., Suso-Ribera, C., Díaz-García, A., Zaragozá, I., & García-Palacios, A. (2022) · BMC Psychiatry · doi:10.1186/s12888-022-03800-x · Cited by 15 · see citing works
“people receive psychological treatment and, in many cases, these interventions are not evidence-based [104, 105].”
BackgroundBurr, C. M., Schnackenberg, J., & Weidner, F. (2022) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2022.983999 · Cited by 16 · see citing works
Braund, T. A., O’Dea, B., Bal, D., Maston, K., Larsen, M. E., Werner‐Seidler, A., Tillman, G., & Christensen, H. M. (2023) · JMIR Mental Health · doi:10.2196/44986 · Cited by 16 · see citing works
“Despite the existence of evidence-based treatments, few adolescents who seek professional help receive effective treatment [4].”
Tripković, K., Santric-Milicevic, M. M., & Odalović, M. (2019) · Slovenian Journal of Public Health · doi:10.2478/sjph-2020-0007 · Cited by 16 · see citing works
“Although coping with stress is stressful by itself, psychotherapy, meditation, and other relaxing techniques are showed as helpful (31).”
BackgroundRojas, S. M., Gold, S. D., Bryan, C. J., Pruitt, L. D., Felker, B. L., & Reger, M. A. (2021) · Cognitive and Behavioral Practice · doi:10.1016/j.cbpra.2020.12.001 · Cited by 16 · see citing works
Danielson, M., Månsdotter, A., Fransson, E., Dalsgaard, S., & Larsson, J. (2019) · Child and Adolescent Psychiatry and Mental Health · doi:10.1186/s13034-019-0269-0 · Cited by 15 · see citing works
Porter, C. M., Galloghly, E., & Burbach, F. (2022) · The Cognitive Behaviour Therapist · doi:10.1017/s1754470x22000216 · Cited by 16 · see citing works
“VCT can overcome potential barriers to therapy, including geographic location, time and convenience, and limited access to transport (Carpenter et al ., 2018; Harvey and Gumport, 2015; Murphy et al ., 2020).”
Jin, S., Kim, B., & Han, K. (2025) · CHI Conference on Human Factors in Computing Systems · doi:10.1145/3706598.3713732 · Cited by 15 · see citing works
“As a complement to traditional mental health services, digital device-based mental health support has gained attention as a potential solution to overcome these barriers [9, 11, 12, 62, 63, 78, 97, 98, 134, 135, 163, 207].”
Brinsley, J., Singh, B., & Maher, C. A. (2023) · Archives of Physical Medicine and Rehabilitation · doi:10.1016/j.apmr.2023.04.023 · Cited by 15 · see citing works
Meaklim, H., Meltzer, L., Rehm, I., Junge, M., Monfries, M., Kennedy, G., Bucks, R., Graco, M., & Jackson, M. (2023) · medRxiv · doi:10.1093/sleep/zsad169 · Cited by 12 · see citing works
“…(e.g. case-based training tools and structured oral examination), integration of sleep interventions on clinical placements, or ongoing professional consultation (e.g. group supervision/telephone consultation) appears crucial for bridging the CBT-I evidence-practice gap [60, 61, 72, 94, 118, 122].”
BackgroundResultMikkonen, K., Helminen, E.-E., Saarni, S. I., & Saarni, S. E. (2024) · Journal of Medical Internet Research · doi:10.2196/54473 · Cited by 14 · see citing works
“However, access to evidence-based psychotherapy in public health care settings is often overly difficult and the supply and demand of evidence-based methods do not align [5].”
Gumport, N. B., Yu, S. H., & Harvey, A. G. (2020) · Psychiatry Research · doi:10.1016/j.psychres.2020.113443 · Cited by 14 · see citing works
Self-citationJelinek, L., Peth, J., Runde, A., Arlt, S., Scheunemann, J., & Gallinat, J. (2020) · Clinical Psychology & Psychotherapy · doi:10.1002/cpp.2529 · Cited by 14 · see citing works
Barakat, S., & Maguire, S. (2022) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph20010119 · Cited by 13 · see citing works
“Due to the scalable and cost-effective nature of self-help interventions (supported and pure self-help), researchers and policy makers have endorsed these treatments as being well suited to a stepped-care model of healthcare delivery [142].”
BackgroundMental health in the virtual world: Challenges and opportunities in the metaverse era
del Hoyo, Y. L., Elices, M., & García‐Campayo, J. (2024) · World Journal of Clinical Cases · doi:10.12998/wjcc.v12.i17.2939 · Cited by 14 · see citing works
Timko, C., Nash, A., Owens, M. D., Taylor, E. N., & Finlay, A. K. (2020) · Substance Abuse Research and Treatment · doi:10.1177/1178221819901281 · Cited by 13 · see citing works
Wilfley, D. E., Fitzsimmons‐Craft, E. E., Eichen, D. M., Buren, D. J. V., Welch, R. R., Robinson, A. H., Jo, B., Raghavan, R., Proctor, E. K., Wilson, G. T., et al. (2018) · Contemporary Clinical Trials · doi:10.1016/j.cct.2018.07.002 · Cited by 12 · see citing works
Photorealistic avatars to enhance the efficacy of Selfattachment psychotherapy
Ghaznavi, I., Gillies, D. F., Nicholls, D., & Edalat, A. (2020) · IEEE International Conference on Artificial Intelligence and Virtual Reality (AIVR) · doi:10.1109/aivr50618.2020.00022 · Cited by 13 · see citing works
“The traditional approach to CBT is collaborative, highly structured and needs to be administered by a trained clinician which makes it less costeffective, limits its accessibility and thus makes it less scalable [3].”
BackgroundKarlin, B. E., & Brenner, L. A. (2020) · Clinical Psychology Science and Practice · doi:10.1111/cpsp.12344 · Cited by 12 · see citing works
The novel rapid-acting neurosteroid-based antidepressant generation
Günay, A., & Pinna, G. (2022) · Current Opinion in Endocrine and Metabolic Research · doi:10.1016/j.coemr.2022.100340 · Cited by 12 · see citing works
Hobbs, T., de Lima, E. S., Bevington, D., Preece, C., Allen, K., Barna, P., Berry, V., Booker, T. L., Davies, K., Davis, G. D., et al. (2023) · Wellcome Open Research · doi:10.12688/wellcomeopenres.20095.1 · Cited by 12 · see citing works
Alsalem, M., Alamri, R., & Hejazi, S. (2020) · Neuropsychiatric Disease and Treatment · doi:10.2147/ndt.s236148 · Cited by 12 · see citing works
Kelcey, B., Xie, Y., Spybrook, J. K., & Dong, N. (2020) · Multivariate Behavioral Research · doi:10.1080/00273171.2020.1738910 · Cited by 12 · see citing works
“…along multiple levels including the patient-level (e.g., adherence, motivation, engagement), therapist-level (e.g., beliefs, preferences, cognitive biases, fidelity), the clinic-level (e.g., leader skepticism, lack of training time), and government-level (e.g., policies; Harvey & Gumport, 2015).”
BackgroundInfluentialWolf, M., Kraft, S., Tschauner, K., Bauer, S., Becker, T. M., & Puschner, B. (2016) · Mental Health & Prevention · doi:10.1016/j.mhp.2016.02.003 · Cited by 12 · see citing works
Lock, J., Grange, D. L., Accurso, E. C., Welch, H. A., Mondal, S., & Agras, W. S. (2020) · Journal of Behavioral and Cognitive Therapy · doi:10.1016/j.jbct.2020.03.002 · Cited by 12 · see citing works
Norwood, C., Sabin‐Farrell, R., Malins, S., & Moghaddam, N. G. (2021) · Journal of Clinical Psychology · doi:10.1002/jclp.23112 · Cited by 12 · see citing works
“Although the relative paucity of evidence for a link between WA and outcome in remote psychotherapy, remote delivery of psychotherapy is growing in popularity and evidence base (Hollis et al., 2015).”
BackgroundBraun-Koch, K., & Rief, W. (2022) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2022.836227 · Cited by 11 · see citing works
Bailey‐Straebler, S., Glasofer, D. R., Ojeda, J., & Attia, E. (2024) · The Cognitive Behaviour Therapist · doi:10.1017/s1754470x24000023 · Cited by 11 · see citing works
“Guidance on improving the equity of access to evidence-based care for patients with EDs and low income is lacking for real-world therapists; it is therefore crucial to explore and develop solutions (Harvey and Gumport, 2015; Kazdin, 2017; Kazdin et al ., 2017).”
BackgroundDisordered Society: Women in Eating Disorder Recovery Advise Policymakers on Change
Saunders, J. F., Eaton, A. A., & Frazier, S. L. (2018) · Administration and Policy in Mental Health and Mental Health Services Research · doi:10.1007/s10488-018-0903-9 · Cited by 11 · see citing works
Chapdelaine, A., Vasiliadis, H., Provencher, M. D., Norton, P. J., & Roberge, P. (2023) · Psychological Medicine · doi:10.1017/s0033291722003920 · Cited by 11 · see citing works
“…income and/or lack of supplementary health insurance, cannot afford consultation in the private sector (Gulliver, Griffiths, & Christensen, 2010; Harvey & Gumport, 2015; Mojtabai, 2005; Perreault et al., 2013; Walker, Cummings, Hockenberry, & Druss, 2015) face long wait times for access to…”
BackgroundOliver, J. A., & Lang, J. M. (2018) · Children and Youth Services Review · doi:10.1016/j.childyouth.2018.10.004 · Cited by 11 · see citing works
Ford, P. A., & Keane, C. A. (2024) · Heliyon · doi:10.1016/j.heliyon.2024.e29114 · Cited by 11 · see citing works
“There is strong indication that evidence-based psychological treatment provided by mental health professionals (i.e., formal help-seeking) can greatly aid recovery from psychological illness [32 – 34].”
BackgroundDevelopment and preliminary validation of the treatment adherence rating scale
Gumport, N. B., Dong, L., Lee, J. Y., Zhao, X., & Harvey, A. G. (2022) · Journal of Behavior Therapy and Experimental Psychiatry · doi:10.1016/j.jbtep.2022.101832 · Cited by 11 · see citing works
Self-citationJacobson, N. C., Quist, R. E., Lee, C. M., & Marsch, L. A. (2022) · Elsevier eBooks · doi:10.1016/b978-0-323-90045-4.00005-8 · Cited by 10 · see citing works
Gual-Montolio, P., Suso-Ribera, C., García-Palacios, A., Castilla, D., Zaragozá, I., & Bretón-López, J. (2023) · Internet Interventions · doi:10.1016/j.invent.2023.100601 · Cited by 7 · see citing works
“In addition, research also indicates that only one in four people with emotional disorders are estimated to receive psychotherapy and, in many cases, these interventions are not evidence-based (Harvey and Gumport, 2015).”
BackgroundCOVID-19 mitigation policies and psychological distress in young adults
Jackson, M., & Williams, J. L. (2021) · SSM - Mental Health · doi:10.1016/j.ssmmh.2021.100027 · Cited by 9 · see citing works
“Professional treatment of psychological distress is known to be effective in young people (National Research Council, 2015), but it is underutilized (Harvey & Gumport, 2015; National Academies of Sciences, Engineering, and Medicine, 2019), meaning that population-based initiatives are also required.”
Understanding Health-Promoting Behaviors and Influential Factors in Schizophrenia Patients
Yu, H.-J. (2024) · Nutrients · doi:10.3390/nu16101490 · Cited by 8 · see citing works
Awareness of and attitudes toward CBT, DBT, and ACT in an acute psychiatric sample
Kuckertz, J. M., Silverman, A. L., Bullis, J. R., Björgvinsson, Þ., & Beard, C. (2019) · Journal of Clinical Psychology · doi:10.1002/jclp.22908 · Cited by 8 · see citing works
Kooistra, L. C., Wiersma, J., Ruwaard, J., Riper, H. M., Penninx, B. W. J. H., & van Oppen, P. (2018) · Journal of Affective Disorders · doi:10.1016/j.jad.2018.07.072 · Cited by 8 · see citing works
Quiñonez-Freire, C., Vara, M. D., Herrero, R., Mira, A., García‐Palacios, A., Botella, C., & Baños, R. (2020) · Internet Interventions · doi:10.1016/j.invent.2020.100352 · Cited by 8 · see citing works
The Prospect of Focal Ultrasound in the Treatment of Mental Disorders
Trenado, C., Pedroarena‐Leal, N., & Ruge, D. (2023) · Psychiatry International · doi:10.3390/psychiatryint4030029 · Cited by 8 · see citing works
- Authors
- Harvey, A. G., & Gumport, N. B.
- Affiliations
- University of California, Berkeley (US)
- Corresponding author
- Harvey, Allison G.
- Venue
- Behaviour Research and Therapy
- Publisher
- Elsevier BV
- Published
- 2015-05
- Volume
- 68
- Pages
- 1-12
- ISSN
- 0005-7967 (ISSN-L)
- PMC
- PMC4395546
- OpenAlex
- W2075286177
- Cited by
- 221
- References
- 149
- Citations by year
- 2026: 21 · 2025: 27 · 2024: 24 · 2023: 31 · 2022: 29 · 2021: 10 · 2020: 24 · 2019: 20 · 2018: 19 · 2017: 9 · 2016: 5 · 2015: 2
- FWCI
- 21.28
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Behaviour Research and Therapy (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- eScholarship (California Digital Library) (submittedVersion)
- Funders
- National Institute of Mental Health (1 R01 MH105513-01)
- Topics
- Health Sciences › Health Professions › General Health Professions › Health Policy Implementation Science
- Social Sciences › Psychology › Social Psychology › Mental Health Treatment and Access
- Social Sciences › Psychology › Clinical Psychology › Psychotherapy Techniques and Applications
- Keywords
- evidence-based psychotherapy, mental illness, access to mental health care, barriers to treatment access, voltage drop, mental health policy, public policy, mental health services
- MeSH terms
- Mental Disorders, England, Humans, Mental Health Services, Evidence-Based Medicine
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