@article{ref1,
title="Perspectives on a stage-based treatment for posttraumatic stress disorder among dialectical behavior therapy consumers in public mental health settings",
journal="Community mental health journal",
year="2019",
author="Harned, Melanie S. and Schmidt, Sara C.",
volume="55",
number="3",
pages="409-419",
abstract="Difficulties with consumer engagement are a common barrier to implementing trauma-focused evidence-based psychotherapies (TF-EBPs). Potential methods of increasing engagement include utilizing a stage-based treatment approach, and involving consumers in implementation efforts. This mixed method study explored consumers' perspectives on a stage-based TF-EBP, Dialectical Behavior Therapy (DBT) with the DBT Prolonged Exposure (DBT PE) protocol. Nineteen DBT consumers in two public mental health agencies targeted for implementation of DBT + DBT PE participated in focus groups and completed questionnaires assessing treatment preferences and expectancies. Consumers reported positive treatment expectancies and a strong preference for DBT with DBT PE (89.5%) over DBT alone (5.3%) or PE alone (5.3%). This was primarily due to beliefs about the treatment's efficacy, a perceived need for PTSD treatment, and the stage-based approach. Consumer-focused strategies for increasing uptake and reach of TF-EBPs are discussed.<p /> <p>Language: en</p>",
language="en",
issn="0010-3853",
doi="10.1007/s10597-018-0358-1",
url="http://dx.doi.org/10.1007/s10597-018-0358-1"
}