Skip to main content
Full access
Articles
Published Online: 15 May 2015

Barriers to and Facilitators in the Implementation of Cognitive-Behavioral Therapy for Youth Anxiety in the Community

Abstract

Objective:

The study examined, from the perspective of therapists, the barriers to and facilitators in implementing cognitive-behavioral therapy (CBT) for anxious youths in community settings.

Methods:

Fifty therapists (43% of the original training sample of 115 providers) participated in a follow-up interview two years after training and consultation. They reported on barriers to and facilitators in implementation of CBT for youths with anxiety.

Results:

Qualitative analyses identified numerous barriers and facilitators, including client factors (for example, motivated clients facilitated the use of CBT, whereas clients with complex issues and numerous psychosocial stressors hindered its use), intervention factors (the structure of CBT helped facilitate its use for some providers, whereas others reported feeling constrained by such structure), and organizational factors (for example, the absence of support within one’s institution served as a barrier, whereas supervision supporting the use of CBT facilitated implementation).

Conclusions:

Findings of this implementation trial align with conceptual implementation frameworks and may guide the tailoring of future implementation efforts in order to overcome barriers and maximize facilitators.

Formats available

You can view the full content in the following formats:

Information & Authors

Information

Published In

Go to Psychiatric Services
Go to Psychiatric Services

Cover: Autumn Afternoon, Giverny, by Lilla Cabot Perry, 1905–1909. Oil on canvas. Daniel J. Terra Collection, 1999.106. Terra Foundation for American Art, Chicago. Photo Credit Terra Foundation/Art Resource, New York City.

Psychiatric Services
Pages: 938 - 945
PubMed: 25975886

History

Received: 26 March 2014
Revision received: 7 September 2014
Revision received: 15 November 2014
Accepted: 5 January 2015
Published online: 15 May 2015
Published in print: September 01, 2015

Authors

Details

Vanesa A. Ringle, B.A.
Ms. Ringle is with the Department of Psychology, University of Miami, Coral Gables, Florida (e-mail: [email protected]). Ms. Read, Mr. Brodman, and Dr. Kendall are with the Department of Psychology, Temple University, Philadelphia. Dr. Edmunds is with Judge Baker Children’s Center, Boston. Dr. Barg is with the Department of Family Medicine and Community Health and Dr. Beidas is with the Department of Psychiatry, both at the University of Pennsylvania Perelman School of Medicine, Philadelphia.
Kendra L. Read, M.A.
Ms. Ringle is with the Department of Psychology, University of Miami, Coral Gables, Florida (e-mail: [email protected]). Ms. Read, Mr. Brodman, and Dr. Kendall are with the Department of Psychology, Temple University, Philadelphia. Dr. Edmunds is with Judge Baker Children’s Center, Boston. Dr. Barg is with the Department of Family Medicine and Community Health and Dr. Beidas is with the Department of Psychiatry, both at the University of Pennsylvania Perelman School of Medicine, Philadelphia.
Julie M. Edmunds, Ph.D.
Ms. Ringle is with the Department of Psychology, University of Miami, Coral Gables, Florida (e-mail: [email protected]). Ms. Read, Mr. Brodman, and Dr. Kendall are with the Department of Psychology, Temple University, Philadelphia. Dr. Edmunds is with Judge Baker Children’s Center, Boston. Dr. Barg is with the Department of Family Medicine and Community Health and Dr. Beidas is with the Department of Psychiatry, both at the University of Pennsylvania Perelman School of Medicine, Philadelphia.
Douglas M. Brodman, M.A.
Ms. Ringle is with the Department of Psychology, University of Miami, Coral Gables, Florida (e-mail: [email protected]). Ms. Read, Mr. Brodman, and Dr. Kendall are with the Department of Psychology, Temple University, Philadelphia. Dr. Edmunds is with Judge Baker Children’s Center, Boston. Dr. Barg is with the Department of Family Medicine and Community Health and Dr. Beidas is with the Department of Psychiatry, both at the University of Pennsylvania Perelman School of Medicine, Philadelphia.
Philip C. Kendall, Ph.D., A.B.P.P.
Ms. Ringle is with the Department of Psychology, University of Miami, Coral Gables, Florida (e-mail: [email protected]). Ms. Read, Mr. Brodman, and Dr. Kendall are with the Department of Psychology, Temple University, Philadelphia. Dr. Edmunds is with Judge Baker Children’s Center, Boston. Dr. Barg is with the Department of Family Medicine and Community Health and Dr. Beidas is with the Department of Psychiatry, both at the University of Pennsylvania Perelman School of Medicine, Philadelphia.
Frances Barg, Ph.D.
Ms. Ringle is with the Department of Psychology, University of Miami, Coral Gables, Florida (e-mail: [email protected]). Ms. Read, Mr. Brodman, and Dr. Kendall are with the Department of Psychology, Temple University, Philadelphia. Dr. Edmunds is with Judge Baker Children’s Center, Boston. Dr. Barg is with the Department of Family Medicine and Community Health and Dr. Beidas is with the Department of Psychiatry, both at the University of Pennsylvania Perelman School of Medicine, Philadelphia.
Rinad S. Beidas, Ph.D.
Ms. Ringle is with the Department of Psychology, University of Miami, Coral Gables, Florida (e-mail: [email protected]). Ms. Read, Mr. Brodman, and Dr. Kendall are with the Department of Psychology, Temple University, Philadelphia. Dr. Edmunds is with Judge Baker Children’s Center, Boston. Dr. Barg is with the Department of Family Medicine and Community Health and Dr. Beidas is with the Department of Psychiatry, both at the University of Pennsylvania Perelman School of Medicine, Philadelphia.

Funding Information

National Institute of Mental Health10.13039/100000025: MH083333, MH086438, MH099179, R25 MH080916
Dr. Kendall receives royalties from Guilford Press and Workbook Publishing. Dr. Beidas receives royalties from Oxford University Press and has served as a consultant for Kinark Child and Family Services. The other authors report no financial relationships with commercial interests.

Metrics & Citations

Metrics

Citations

Export Citations

If you have the appropriate software installed, you can download article citation data to the citation manager of your choice. Simply select your manager software from the list below and click Download.

For more information or tips please see 'Downloading to a citation manager' in the Help menu.

Format
Citation style
Style
Copy to clipboard

View Options

View options

PDF/EPUB

View PDF/EPUB

Full Text

View Full Text

Login options

Already a subscriber? Access your subscription through your login credentials or your institution for full access to this article.

Personal login Institutional Login Open Athens login
Purchase Options

Purchase this article to access the full text.

PPV Articles - Psychiatric Services

PPV Articles - Psychiatric Services

Not a subscriber?

Subscribe Now / Learn More

PsychiatryOnline subscription options offer access to the DSM-5-TR® library, books, journals, CME, and patient resources. This all-in-one virtual library provides psychiatrists and mental health professionals with key resources for diagnosis, treatment, research, and professional development.

Need more help? PsychiatryOnline Customer Service may be reached by emailing [email protected] or by calling 800-368-5777 (in the U.S.) or 703-907-7322 (outside the U.S.).

Media

Figures

Other

Tables

Share

Share

Share article link

Share