TY  - JOUR
PY  - 2019//
TI  - Perspectives on a stage-based treatment for posttraumatic stress disorder among dialectical behavior therapy consumers in public mental health settings
JO  - Community mental health journal
A1  - Harned, Melanie S.
A1  - Schmidt, Sara C.
SP  - 409
EP  - 419
VL  - 55
IS  - 3
N2  - 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>
LA  - en
SN  - 0010-3853
UR  - http://dx.doi.org/10.1007/s10597-018-0358-1
ID  - ref1
ER  -