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Issues in the dissemination of cognitive-behavior therapy
C Barr Taylor1, Vickie Y Chang
1Stanford University School of Medicine, Dept of Psychiatry & Behavioral Sciences, Stanford, CA 94305-5722, USA. btaylor@stanford.edu
Nordic Journal of Psychiatry
|September 9, 2008
Summary
Cognitive-behavior therapy (CBT) is a leading treatment for depression and anxiety. This paper examines CBT dissemination strategies, challenges, and future success factors like mandated outcomes and leadership.
Area of Science:
- Psychiatry
- Psychology
- Health Services Research
Background:
- Cognitive-behavior therapy (CBT) is a primary treatment for mild to moderate depression and anxiety disorders.
- Dissemination and implementation of CBT face various challenges in diverse practice settings.
Purpose of the Study:
- To discuss issues related to CBT dissemination and implementation.
- To review key aspects, models, obstacles, and facilitators of CBT dissemination.
- To explore technological aids and stepped-care approaches for CBT delivery.
Main Methods:
- Literature review of CBT dissemination and implementation strategies.
- Analysis of factors influencing CBT reach, including patient interest and therapist training.
- Examination of manualized programs, computer-assisted therapy, and stepped-care models.
Main Results:
- CBT dissemination is influenced by patient factors, therapist training, and research priorities.
- Manualized CBT and computer-assisted therapies show increasing sophistication.
- Stepped-care approaches offer solutions to implementation barriers.
Conclusions:
- Successful CBT implementation in the 21st century depends on mandated outcomes and strong leadership.
- Examples like 'Staying Free' and 'Improving Access to Psychological Therapies' demonstrate successful dissemination models.
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