Community Mental Health Journal

, Volume 53, Issue 4, pp 432–437 | Cite as

Common Barriers to the Dissemination of Exposure Therapy for Youth with Anxiety Disorders

  • Adam M. Reid
  • Maria I. Bolshakova
  • Andrew G. Guzick
  • Alyka G. Fernandez
  • Catherine W. Striley
  • Gary R. Geffken
  • Joseph P. McNamara
Brief Report

Abstract

This study investigated the prevalence of common barriers to the use of exposure therapy (ET) in the treatment of youth with anxiety disorders, specifically examining both logistical limitations and negative beliefs about ET. Results from 230 practicing clinicians who treat youth with anxiety disorders found that the top three barriers were session length (56%), lack of training (48%), and concern about parent reaction (47%). Endorsement of barriers to ET was associated with less ET utilization and less optimal implementation of ET. Results suggest that several barriers, especially logistical limitations, must be addressed in order to improve the dissemination of ET.

Keywords

Cognitive-behavioral therapy Session length Training Community Evidenced-based practice 

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Copyright information

© Springer Science+Business Media New York 2017

Authors and Affiliations

  • Adam M. Reid
    • 1
  • Maria I. Bolshakova
    • 2
  • Andrew G. Guzick
    • 2
    • 3
  • Alyka G. Fernandez
    • 2
  • Catherine W. Striley
    • 2
    • 3
  • Gary R. Geffken
    • 2
    • 3
  • Joseph P. McNamara
    • 2
    • 3
    • 4
  1. 1.OCD Institute for Children and Adolescents, McLean HospitalHarvard Medical SchoolMiddleboroughUSA
  2. 2.College of MedicineUniversity of FloridaGainesvilleUSA
  3. 3.College of Public Health and Health ProfessionsUniversity of FloridaGainesvilleUSA
  4. 4.College of Liberal Arts and SciencesUniversity of FloridaGainesvilleUSA

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