Context Matters: Team and Organizational Factors Associated with Reach of Evidence-Based Psychotherapies for PTSD in the Veterans Health Administration

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 Admini...

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Autores principales: Sayer, Nina A., Rosen, Craig S., Bernardy, Nancy C., Cook, Joan M., Orazem, Robert J., Chard, Kathleen M., Mohr, David C., Kehle-Forbes, Shannon M., Eftekhari, Afsoon, Crowley, Jill, Ruzek, Josef I., Smith, Brandy N., Schnurr, Paula P.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer US 2017
Materias:
Original Article
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5640758/
https://www.ncbi.nlm.nih.gov/pubmed/28597238
http://dx.doi.org/10.1007/s10488-017-0809-y
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author Sayer, Nina A.
Rosen, Craig S.
Bernardy, Nancy C.
Cook, Joan M.
Orazem, Robert J.
Chard, Kathleen M.
Mohr, David C.
Kehle-Forbes, Shannon M.
Eftekhari, Afsoon
Crowley, Jill
Ruzek, Josef I.
Smith, Brandy N.
Schnurr, Paula P.
author_facet Sayer, Nina A.
Rosen, Craig S.
Bernardy, Nancy C.
Cook, Joan M.
Orazem, Robert J.
Chard, Kathleen M.
Mohr, David C.
Kehle-Forbes, Shannon M.
Eftekhari, Afsoon
Crowley, Jill
Ruzek, Josef I.
Smith, Brandy N.
Schnurr, Paula P.
author_sort Sayer, Nina A.
collection PubMed
description 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. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (doi:10.1007/s10488-017-0809-y) contains supplementary material, which is available to authorized users.
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spelling pubmed-56407582017-10-26 Context Matters: Team and Organizational Factors Associated with Reach of Evidence-Based Psychotherapies for PTSD in the Veterans Health Administration Sayer, Nina A. Rosen, Craig S. Bernardy, Nancy C. Cook, Joan M. Orazem, Robert J. Chard, Kathleen M. Mohr, David C. Kehle-Forbes, Shannon M. Eftekhari, Afsoon Crowley, Jill Ruzek, Josef I. Smith, Brandy N. Schnurr, Paula P. Adm Policy Ment Health Original Article 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. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (doi:10.1007/s10488-017-0809-y) contains supplementary material, which is available to authorized users. Springer US 2017-06-09 2017 /pmc/articles/PMC5640758/ /pubmed/28597238 http://dx.doi.org/10.1007/s10488-017-0809-y Text en © The Author(s) 2017 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made.
spellingShingle Original Article
Sayer, Nina A.
Rosen, Craig S.
Bernardy, Nancy C.
Cook, Joan M.
Orazem, Robert J.
Chard, Kathleen M.
Mohr, David C.
Kehle-Forbes, Shannon M.
Eftekhari, Afsoon
Crowley, Jill
Ruzek, Josef I.
Smith, Brandy N.
Schnurr, Paula P.
Context Matters: Team and Organizational Factors Associated with Reach of Evidence-Based Psychotherapies for PTSD in the Veterans Health Administration
title Context Matters: Team and Organizational Factors Associated with Reach of Evidence-Based Psychotherapies for PTSD in the Veterans Health Administration
title_full Context Matters: Team and Organizational Factors Associated with Reach of Evidence-Based Psychotherapies for PTSD in the Veterans Health Administration
title_fullStr Context Matters: Team and Organizational Factors Associated with Reach of Evidence-Based Psychotherapies for PTSD in the Veterans Health Administration
title_full_unstemmed Context Matters: Team and Organizational Factors Associated with Reach of Evidence-Based Psychotherapies for PTSD in the Veterans Health Administration
title_short Context Matters: Team and Organizational Factors Associated with Reach of Evidence-Based Psychotherapies for PTSD in the Veterans Health Administration
title_sort context matters: team and organizational factors associated with reach of evidence-based psychotherapies for ptsd in the veterans health administration
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5640758/
https://www.ncbi.nlm.nih.gov/pubmed/28597238
http://dx.doi.org/10.1007/s10488-017-0809-y
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