Megan Hamm1, Kelly Williams1, Cara Nikolajski1, Karen L Celedonia1, Ellen Frank1, Holly A Swartz1, Susan L Zickmund1, Bradley D Stein1. 1. Dr. Hamm and Ms. Williams are with the Center for Research on Health Care Data Center, University of Pittsburgh, Pittsburgh, Pennsylvania. Ms. Nikolajski is with the Center for High-Value Health Care, University of Pittsburgh Medical Center, Pittsburgh. Ms. Celedonia and Dr. Stein are with RAND Corporation, Pittsburgh. Dr. Stein is also with the Department of Psychiatry, University of Pittsburgh School of Medicine, Pittsburgh, where Dr. Frank and Dr. Swartz are affiliated. Dr. Zickmund is with the Center for Health Equity Research and Promotion, U.S. Department of Veterans Affairs Pittsburgh Healthcare System, Pittsburgh. Send correspondence to Dr. Stein (e-mail: stein@rand.org ).
Abstract
OBJECTIVE: Using evidence-based psychotherapies in community mental health clinics could significantly improve patient functioning. This study explored perceived facilitators and barriers related to implementing interpersonal and social rhythm therapy (IPSRT), an evidence-based psychotherapy for bipolar disorder. METHODS: The authors conducted 30-minute semistructured interviews with clinic administrators, supervisors, and clinicians from five community mental health clinics focusing on anticipated barriers and facilitators related to implementing IPSRT. RESULTS: Seventeen participants (four administrators, three supervisors, and ten clinicians) completed the interviews. Important barriers to effective implementation included frequent client no-shows, difficulties transitioning from training to practice, and time constraints. Facilitators included support from supervisors and other clinicians, decreased productivity requirements or compensation for time spent while learning IPSRT, and reference materials. CONCLUSIONS: Administrators and clinicians expressed similar beliefs about facilitators and barriers related to implementing IPSRT. The challenge of high no-show rates was not identified as a barrier in previous research.
OBJECTIVE: Using evidence-based psychotherapies in community mental health clinics could significantly improve patient functioning. This study explored perceived facilitators and barriers related to implementing interpersonal and social rhythm therapy (IPSRT), an evidence-based psychotherapy for bipolar disorder. METHODS: The authors conducted 30-minute semistructured interviews with clinic administrators, supervisors, and clinicians from five community mental health clinics focusing on anticipated barriers and facilitators related to implementing IPSRT. RESULTS: Seventeen participants (four administrators, three supervisors, and ten clinicians) completed the interviews. Important barriers to effective implementation included frequent client no-shows, difficulties transitioning from training to practice, and time constraints. Facilitators included support from supervisors and other clinicians, decreased productivity requirements or compensation for time spent while learning IPSRT, and reference materials. CONCLUSIONS: Administrators and clinicians expressed similar beliefs about facilitators and barriers related to implementing IPSRT. The challenge of high no-show rates was not identified as a barrier in previous research.
Authors: Jim Lyng; Michaela A Swales; Richard P Hastings; Tracy Millar; Daniel J Duffy; Richard Booth Journal: Community Ment Health J Date: 2019-10-31