An intervention mapping process to increase evidence-based psychotherapy within a complex healthcare system

Area of Science:

• Mental Health
• Healthcare Policy
• Psychotherapy Implementation

Background:

• Posttraumatic stress disorder (PTSD) treatment requires effective and accessible evidence-based psychotherapies (EBPs).
• The Veterans Health Administration (VHA) sought to enhance the reach and fidelity of EBPs for veterans.
• Previous recommendations highlighted the need for improved EBP implementation strategies.

Purpose of the Study:

• To identify strategies for improving the reach and fidelity of EBPs within the VHA.
• To outline recommendations for implementing VHA/Department of Defense (VA/DoD) treatment guidelines.
• To describe the Intervention Mapping process used by a VHA workgroup.

Main Methods:

• A VHA workgroup utilized the Intervention Mapping process, incorporating theory, evidence, and stakeholder input.
• Stakeholders from various VHA roles contributed to the strategy development.
• The process focused on aligning with recent VA/DoD treatment guidelines.

Main Results:

• Four broad recommendations were made: enhancing leadership support, aligning policies/programs, using clinical data for decision-making, and increasing veteran/stakeholder education.
• Recommendations emphasize measurement-based care and shared decision-making.
• Implementation support alongside EBP training was advised.

Conclusions:

• The Intervention Mapping process provided a structured approach to developing EBP implementation strategies.
• The VHA is committed to improving PTSD care through guideline implementation and enhanced EBP delivery.
• Sustained efforts in leadership, policy, data utilization, and education are crucial for successful EBP reach and fidelity.