Barriers to disseminating brief CBT for voices from a lived experience and clinician perspective

PloS One
Cassie M HazellMark Hayward


Access to psychological therapies continues to be poor for people experiencing psychosis. To address this problem, researchers are developing brief interventions that address the specific symptoms associated with psychosis, i.e., hearing voices. As part of the development work for a brief Cognitive Behaviour Therapy (CBT) intervention for voices we collected qualitative data from people who hear voices (study 1) and clinicians (study 2) on the potential barriers and facilitators to implementation and engagement. Thematic analysis of the responses from both groups revealed a number of anticipated barriers to implementation and engagement. Both groups believed the presenting problem (voices and psychosis symptoms) may impede engagement. Furthermore clinicians identified a lack of resources to be a barrier to implementation. The only facilitator to engagement was reported by people who hear voices who believed a compassionate, experienced and trustworthy therapist would promote engagement. The results are discussed in relation to how these barriers could be addressed in the context of a brief intervention using CBT techniques.


Mar 1, 1995·The British Journal of Psychiatry : the Journal of Mental Science·I al-Issa
Feb 1, 1994·The British Journal of Psychiatry : the Journal of Mental Science·P Chadwick, M Birchwood
May 1, 1997·Psychological Medicine·A P Morrison, G Haddock
May 30, 1998·British Dental Journal·F Dean
May 2, 2000·The Journal of Nervous and Mental Disease·M B HamnerG W Arana
Jul 7, 2000·Journal of Consulting and Clinical Psychology·D J MartinM K Davis
Apr 1, 1957·Journal of Consulting Psychology·C R ROGERS
Jul 22, 2004·Journal of the American Academy of Child and Adolescent Psychiatry·Barbara J BurnsJohn Landsverk
Jan 22, 2005·The Australian and New Zealand Journal of Psychiatry·UNKNOWN Royal Australian and New Zealand College of Psychiatrists Clinical Practice Guidelines Team for the Treatment of Schizophren
Sep 2, 2005·The British Journal of Psychiatry : the Journal of Mental Science·Wolfgang GaebelJohn S McIntyre
Jul 5, 2006·CMAJ : Canadian Medical Association Journal = Journal De L'Association Medicale Canadienne·Anthony HodsmanUNKNOWN Writing Group on the Systematic Review of Parathyroid Hormone for the Treatment of Osteoporosis
Jul 22, 2006·BMJ : British Medical Journal·Daryl Freeman, David Price
Oct 21, 2006·Canadian Journal of Psychiatry. Revue Canadienne De Psychiatrie·Gail Myhr, Krista Payne
May 23, 2009·Implementation Science : IS·Carl R MayVictor M Montori
Sep 5, 2009·Behavioural and Cognitive Psychotherapy·Catherine Evans-JonesChris Barker
Apr 12, 2011·Psychotherapy Research : Journal of the Society for Psychotherapy Research·Paul ChadwickLyn Ellett
Sep 4, 2012·Journal of Behavior Therapy and Experimental Psychiatry·H WallerT Craig
May 21, 2013·The Medical Journal of Australia·Robert M Parker
Jan 18, 2014·Journal of Mental Health·Gillian HaddockChristine Barrowclough
Feb 14, 2014·BMJ : British Medical Journal·Elizabeth KuipersTim Kendall
Aug 6, 2015·BMC Health Services Research·Frances DarkEllie Newman
Apr 7, 2016·Clinical Psychology Review·Cassie M HazellClara Strauss

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