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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 (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
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“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]
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“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
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“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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Citations
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“Also, Shafran et al. (2009) highlight how little we actually know about how to best train providers of EBPTs.”
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“Identifying ‘weak treatments’, such as advice from a physician or nurse, and nontraditional service providers are other important approaches that are being adopted to reach more people in need (Kazdin & Blase, 2011; Kazdin & Rabbitt, 2013).”
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“…treatments (EBPTs) are effective The Director of the National Institutes of Mental Health in the USA observed that ‘while psychosocial interventions have received much less marketing attention than pharmacological treatments, the results are arguably more encouraging’ (p. 29) (Insel, 2009).”
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“Training—Lack of training in EBPTs (e.g., Weissman et al., 2006) and lack of time to review the new literature independently (National Research Council, 2010) are additional key problems to therapists being equipped to deliver EBPTs.”
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“For example, as of May 2010, the VA had provided training to over 2,700 VA mental health staff in the delivery of Cognitive Processing Therapy (CPT) and Prolonged Exposure therapy (PE) for PTSD, with impressive outcomes (Eftekhari et al., 2013; Karlin, et al., 2010).”
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“9%) meeting criteria for a mental disorder made use of any services for a mental health problem (Burgess et al., 2009).”
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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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“…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 al., 2009), bipolar disorder (Ellard, Deckersbach, Sylvia, Nierenberg, & Barlow, 2012) and sleep problems (Harvey, 2008, 2009; Harvey,…”
BackgroundAarons, G. A., Glisson, C. A., Green, P. D., Hoagwood, K., Kelleher, K. J., & Landsverk, J. A. (2012) · Implementation Science · doi:10.1186/1748-5908-7-56 · Cited by 289 · cited 1×
“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).”
BackgroundThe Case Formulation Approach to Cognitive-Behavior Therapy
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“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.”
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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).”
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 250
Insomnia, Psychiatric Disorders, and the Transdiagnostic Perspective
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“…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
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×
“Fifth, there is evidence that psychosocial interventions can be more acceptable to patients relative to medication treatments (e.g., Vincent & Lionberg, 2001).”
BackgroundPinto, M. D., Logsdon, M. C., & Myers, J. A. (2011) · Social Science & Medicine · doi:10.1016/j.socscimed.2011.04.006 · Cited by 213
Trends 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
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
Weersing, V. R., Weisz, J. R., & Donenberg, G. R. (2002) · Journal of Clinical Child & Adolescent Psychology · doi:10.1207/s15374424jccp3102_03 · Cited by 189
Comer, J. S., & Barlow, D. H. (2013) · American Psychologist · doi:10.1037/a0033582 · Cited by 180 · cited 2×
“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).”
BackgroundDissemination 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×
“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).”
BackgroundDuffy, M., Gillespie, K., & Clark, D. M. (2007) · BMJ · doi:10.1136/bmj.39021.846852.be · Cited by 171
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
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×
“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. J. L. (2011) · Population Health Metrics · doi:10.1186/1478-7954-9-16 · Cited by 154
Norton, P. J. (2011) · The Behavior Therapist · doi:10.1016/j.beth.2010.08.011 · Cited by 149 · cited 1×
“…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 144 · cited 1×
“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
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×
“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
Salkovskis, P. M. (2002) · Behavioural and Cognitive Psychotherapy · doi:10.1017/s1352465802001029 · Cited by 128 · cited 1×
“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
Hansen, N. B., & Lambert, M. (2003) · Mental Health Services Research · doi:10.1023/a:1021751307358 · Cited by 127 · cited 1×
“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
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
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
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×
“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×
“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).”
Backgroundde 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 110 · cited 1×
“Indeed, the use of progress monitoring results in fewer patients deteriorating during or after treatment (De Jong et al., 2013).”
BackgroundBilek, E. L., & Ehrenreich-May, J. (2012) · Behavior Therapy · doi:10.1016/j.beth.2012.04.007 · Cited by 108 · cited 1×
“…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…”
BackgroundNewnham, E. A., Hooke, G. R., & Page, A. C. (2009) · Journal of Affective Disorders · doi:10.1016/j.jad.2009.06.005 · Cited by 106
A 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×
“…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-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 105
Stinson, K., Tang, N. K. Y., & Harvey, A. G. (2006) · SLEEP · doi:10.1093/sleep/29.12.1643 · Cited by 99
Self-citationToward 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×
“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
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
Kupfer, D. J., Kuhl, E. A., & Regier, D. A. (2013) · JAMA · doi:10.1001/jama.2013.2298 · Cited by 82
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×
“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 79 · cited 1×
“Fourth, patient choice enhances treatment effectiveness (Geers et al., 2013).”
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
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×
“A uthor M anuscript A uthor M anuscript A uthor M anuscript A uthor M anuscript barriers (Willenbring et al., 2004).”
BackgroundBaumann, B., Kolko, D. J., Collins, K. S., & Herschell, A. D. (2006) · Child Abuse & Neglect · doi:10.1016/j.chiabu.2006.01.002 · Cited by 75
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 73 · cited 1×
“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.”
BackgroundLindsley, C. W. (2012) · ACS Chemical Neuroscience · doi:10.1021/cn3000923 · Cited by 69 · cited 1×
“Together, this represents an increase of $2.1 billion over 2010 and 57 million prescriptions (Lindsley, 2012).”
BackgroundInfluentialRadhakrishnan, 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×
“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
Lessons 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
Increases 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×
“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×
“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×
“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
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
The case formulation approach to cognitive-behavior therapy
Arnow, B. A. (2012) · Psychotherapy Research · doi:10.1080/10503307.2011.638678 · Cited by 59
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 57 · cited 1×
“…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…”
BackgroundMarket-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×
“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. I., Karlin, B. E., & Zeiss, A. M. (2015) · Oxford University Press eBooks · doi:10.1093/med:psych/9780195389050.003.0005 · Cited by 48
National 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
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×
“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
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
Teachman, B. A. (2014) · Perspectives on Psychological Science · doi:10.1177/1745691613512659 · Cited by 28
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
Chor, K. H. B., Olin, S.-C. S., & Hoagwood, K. (2014) · Clinical Psychology Science and Practice · doi:10.1111/cpsp.12068 · Cited by 22
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
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 19
Ku, L. C., Richard, P., Dor, A., Tan, E., Shin, P., & Rosenbaum, S. (2010) · Cited by 19
The Future of Clinical Science Training
LEVENSON, R. W. (2013) · Clinical Psychological Science · doi:10.1177/2167702613499330 · Cited by 16 · cited 1×
“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×
“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×
“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×
“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×
“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×
“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
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
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×
“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
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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
“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
Beatty, C., Malik, T., Meheli, S., & Sinha, C. (2022) · Frontiers in Digital Health · doi:10.3389/fdgth.2022.847991 · Cited by 224
“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 241
Carroll, K. M., & Kiluk, B. D. (2017) · Psychology of Addictive Behaviors · doi:10.1037/adb0000311 · Cited by 227
“…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,…”
Background
Metadata
- 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
- Health Sciences › Medicine › Psychiatry and Mental health › 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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