Evidence-based psychological treatments for mental disorders: modifiable barriers to access and possible solutions

Behaviour Research and Therapy
Allison G Harvey, Nicole B Gumport

Abstract

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.

References

Mar 23, 1999·JAMA : the Journal of the American Medical Association·C M MorinD Brink
Jul 14, 1999·Behaviour Research and Therapy·D M Clark
Feb 25, 2000·Psychiatric Services : a Journal of the American Psychiatric Association·D Mechanic, D D McAlpine
Apr 13, 2000·Behaviour Research and Therapy·A Ehlers, D M Clark
Sep 29, 2000·The American Journal of Psychiatry·M Ramirez BascoV Barnett
Jan 10, 2001·Annual Review of Psychology·D L Chambless, T H Ollendick
Dec 1, 2001·Psychiatric Services : a Journal of the American Psychiatric Association·W Goldman
May 11, 2002·Behaviour Research and Therapy·Kate GillespieDavid M Clark
Jun 12, 2002·Journal of Clinical Child and Adolescent Psychology : the Official Journal for the Society of Clinical Child and Adolescent Psychology, American Psychological Association, Division 53·V Robin WeersingGeri R Donenberg
Sep 26, 2002·Behaviour Research and Therapy·Anke EhlersHeike Winter
Apr 25, 2003·Behaviour Research and Therapy·Christopher G FairburnRoz Shafran
Oct 1, 2003·Health Affairs·Colleen L BarryJeremy D Pickreign
Feb 18, 2004·Drug and Alcohol Review·Ann M Roche, Toby Freeman
Mar 31, 2004·Journal of Substance Abuse Treatment·Mark L WillenbringAndrea Postier
Jun 3, 2004·JAMA : the Journal of the American Medical Association·Koen DemyttenaereUNKNOWN WHO World Mental Health Survey Consortium
Nov 2, 2004·The British Journal of Psychiatry : the Journal of Mental Science·Traolach S BrughaHoward Meltzer
Jun 9, 2005·Psychiatric Services : a Journal of the American Psychiatric Association·Kara Zivin Bambauer
Jun 17, 2005·The New England Journal of Medicine·Ronald C KesslerAlan M Zaslavsky
Jun 18, 2005·European Neuropsychopharmacology : the Journal of the European College of Neuropsychopharmacology·Hans-Ulrich Wittchen, Frank Jacobi
Nov 17, 2005·Journal of Consulting and Clinical Psychology·Matthew K Nock, Alan E Kazdin
Aug 9, 2006·Archives of General Psychiatry·Myrna M WeissmanPriya Wickramaratne
Mar 16, 2007·The Journal of Behavioral Health Services & Research·Judith L Teich, Jeffrey A Buck
Aug 19, 2007·The New England Journal of Medicine·Julie M DonohueMeredith B Rosenthal
Aug 25, 2007·Annual Review of Clinical Psychology·Stephen P Hinshaw, Andrea Stier
Feb 8, 2008·The New England Journal of Medicine·Robert Kuttner
Dec 17, 2008·The American Journal of Psychiatry·Christopher G FairburnRobert L Palmer
Feb 24, 2009·Behaviour Research and Therapy·Gerhard Andersson
May 6, 2009·Health Affairs·Saul Feldman
Jun 17, 2009·The Australian and New Zealand Journal of Psychiatry·Philip M BurgessJane M Gunn
Jul 14, 2009·Journal of Affective Disorders·Elizabeth A NewnhamAndrew C Page
Aug 4, 2009·Behaviour Research and Therapy·David M ClarkBenjamin Wright
Aug 5, 2009·Archives of General Psychiatry·Mark Olfson, Steven C Marcus
Aug 12, 2009·Behaviour Research and Therapy·R ShafranG T Wilson
Aug 21, 2009·Social Psychiatry and Psychiatric Epidemiology·Rachel JenkinsNicola Singleton
Aug 22, 2009·Cognitive Behaviour Therapy·Allison G Harvey
Oct 3, 2009·Psychiatric Services : a Journal of the American Psychiatric Association·Kathleen C ThomasJoseph P Morrissey

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Citations

Apr 25, 2015·The Australian and New Zealand Journal of Psychiatry·Philip J BatterhamDemos Krouskos
Jan 20, 2017·The International Journal of Eating Disorders·Alan E KazdinDenise E Wilfley
Feb 27, 2016·Australasian Psychiatry : Bulletin of Royal Australian and New Zealand College of Psychiatrists·Paul CammellMichael Baigent
Feb 27, 2018·Telemedicine Journal and E-health : the Official Journal of the American Telemedicine Association·Jessica S YuMegan Oser
Dec 18, 2018·The British Journal of Clinical Psychology·Lena JelinekLevente Kriston
Jan 16, 2019·Journal of Clinical Child and Adolescent Psychology : the Official Journal for the Society of Clinical Child and Adolescent Psychology, American Psychological Association, Division 53·Irwin SandlerMichele Porter
Oct 24, 2019·Substance Abuse : Official Publication of the Association for Medical Education and Research in Substance Abuse·Josephine M DeMarceBradley E Karlin
Dec 12, 2019·Journal of Clinical Psychology·Jennie M KuckertzCourtney Beard
Apr 16, 2020·Multivariate Behavioral Research·Ben KelceyNianbo Dong
Sep 11, 2019·Telemedicine Journal and E-health : the Official Journal of the American Telemedicine Association·Sasha M RojasMark A Reger
Jun 13, 2020·International Journal of Methods in Psychiatric Research·Abdullah S Al-SubaieRonald C Kessler
Jan 31, 2020·Indian Journal of Psychological Medicine·Seema Mehrotra
Aug 20, 2020·Journal of Medical Internet Research·Laura DellazizzoAlexandre Dumais
Aug 21, 2020·Journal of Cognitive Psychotherapy·Jarrod M Leffler, Eugene J D'Angelo
Oct 20, 2017·Journal of Medical Internet Research·Zafra CooperChristopher G Fairburn
Aug 25, 2018·Archives of Suicide Research : Official Journal of the International Academy for Suicide Research·Michele S BerkClaudia Avina
Feb 23, 2019·Child and Adolescent Psychiatry and Mental Health·M DanielsonJ-O Larsson
Oct 20, 2018·Frontiers in Public Health·Michael D PullmannShannon Dorsey
Oct 28, 2018·Administration and Policy in Mental Health·Jessica F SaundersStacy L Frazier
Aug 31, 2020·Research on Social Work Practice·Lindsay A BornheimerMary M McKay
Nov 4, 2020·Asia-Pacific Psychiatry : Official Journal of the Pacific Rim College of Psychiatrists·Negin EissazadeMariana Pinto da Costa
Aug 31, 2020·Journal of Contextual Behavioral Science·Steven C HayesCory E Stanton
Dec 19, 2020·Internet Interventions : the Application of Information Technology in Mental and Behavioural Health·Carlos Quiñonez-FreireRosa M Baños
Jul 11, 2019·Children and Youth Services Review·Jason A Oliver, Jason M Lang
Dec 22, 2020·Journal of Child and Family Studies·Emily K HamovitchMadeline Galler
Jul 16, 2019·Children and Youth Services Review·Emma D WhitmyreChristianne Esposito-Smythers

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