Lecture #17: Dissemination of ESTs

Broader health context

• dramatic increases in mental health cost

• Decisions and power shifting the 3rd parties, insurance rather than doctors

• mental health field changing

  • increase in care accessibilities

The dissemination process

• New interventions show promise

• Many people who need help not getting it

  • 20% in the last year

  • 40% lifetime

• Most received care not evidence-based

Science-practice gap

when the research lit and best practice is not lining up with what’s actually being done

“Therapeutic Relationships will be compromised by ESTs”

• worry manuals will destroy bonds

• manuals actually associated with strong relationships between provider and consumer

“Client needs will be unmet with ESTs”

• manuals will ignore the specific differences and needs of clients

• Literally no (that what the therapist is for)

“Manuals will lead to lower job satisfaction amongst therapists”

• Manual don’t allow therapists creativity/fulfillment

• evidence thus far shows the opposite

“There is a lack of motivation to learn manuals”

• valid concern

• therapists believe their services are good enough as it

• evidence showed most therapists have their biases about abilities

“ESTs will restrict clinician innovation”

• the creative process will be replaced

• slow the development of new therapies/theories

• nah

“Manual treatment is not feasible”

• Manuals are too expensive

• too time consuming

• too training intensive

• clients won’t accept them

• First 3 legit, last one limited evidence

Training barriers to EST adoption

• Therapist “self-study” insufficient

• in person/online training better, still limited effect

• training is better when followed by a consultation

• multi component training better