Context Matters: Team and Organizational Factors Associated with Reach of Evidence-Based Psychotherapies for PTSD in the Veterans Health Administration.
Adm Policy Ment Health
; 44(6): 904-918, 2017 Nov.
Article
en En
| MEDLINE
| ID: mdl-28597238
ABSTRACT
Evidence-based psychotherapies for PTSD are often underused. The objective of this mixed-method study was to identify organizational and clinic factors that promote high levels of reach of evidence-based psychotherapies for PTSD 10 years into their dissemination throughout the Veterans Health Administration. We conducted 96 individual interviews with staff from ten outpatient PTSD teams at nine sites that differed in reach of evidence-based psychotherapies for PTSD. Major themes associated with reach included clinic mission, clinic leader and staff engagement, clinic operations, staff perceptions, and the practice environment. Strategies to improve reach of evidence-based psychotherapies should attend to organizational and team-level factors.
Palabras clave
Texto completo:
1
Bases de datos:
MEDLINE
Asunto principal:
Trastornos por Estrés Postraumático
/
Terapia Cognitivo-Conductual
/
Instituciones de Atención Ambulatoria
/
Terapia Implosiva
/
Servicios de Salud Mental
Tipo de estudio:
Prognostic_studies
/
Risk_factors_studies
Límite:
Humans
País/Región como asunto:
America do norte
Idioma:
En
Revista:
Adm Policy Ment Health
Asunto de la revista:
PSICOLOGIA
/
SAUDE PUBLICA
/
SERVICOS DE SAUDE
Año:
2017
Tipo del documento:
Article
País de afiliación:
Estados Unidos