Original paper

Administration and Policy in Mental Health and Mental Health Services Research

, Volume 36, Issue 2, pp 83-90

First online:

Barriers to Adoption of New Treatments: An Internet Study of Practicing Community Psychotherapists

  • Joan M. CookAffiliated withDepartment of Psychiatry, Yale University School of MedicineNational Center for PTSD Email author 
  • , Tatyana BiyanovaAffiliated withDivision of Mental Health Services and Outcomes Research, Yale University School of Medicine
  • , James C. CoyneAffiliated withUniversity of Pennsylvania

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Over 1,600 North American psychotherapists from a wide range of disciplines and practice settings completed an open-ended question on perceived barriers to adoption of new treatments as part of an internet survey. Content analysis indicated that there were five overall themes: clinician attitudes, client characteristics, contextual or institutional factors, training issues and other. The most frequently endorsed theme revolved around training issues, particularly, insufficient time and cost for training, lack of confidence in mastering the technique, and lack of opportunities for refining skills. Specific ideas for overcoming these barriers are identified.


Psychotherapy Education Evidence-based medicine