Improving Access to Psychosocial Treatments—Integrating Patient, Provider, and Systems Approaches

Parikh, Sagar V.

doi:10.1177/070674371506000602

Cited by 3 publications

(2 citation statements)

References 21 publications

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“…11,12,14 One of the reasons may be the cost and limited access to high-quality psychotherapy, even in developed countries. 59,60 Another is perhaps a lack of awareness in the general population that pain is not only a medical problem. 61 Despite the evidence that PT may be helpful in treating CP, it might not be very popular among CP patients.…”

Section: Discussionmentioning

confidence: 99%

Treatment of last resort? Psychological therapy seeking in chronic pain patients

et al. 2023

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Objective Our goal was to assess how many chronic pain patients seek psychological treatment for their condition and what psychological and demographic characteristics are associated with that decision. Methods The association between pain intensity, quality of life and psychological treatment seeking was tested in two hypothetical models which differed according to beliefs about either external or internal control over pain. Results A minority of patients had experience with psychological treatment of chronic pain. Patients who had that experience were younger, suffered from more intense pain, and applied many more coping strategies than patients who never tried this kind of treatment. Intense pain and low quality of life motivated chronic pain patients to seek psychological treatment only if they believed that doctors could control their pain. Discussion The study results stress the importance of diversifying the methods used to treat chronic pain and educating patients about the benefits of psychological treatment. Low numbers of chronic pain patients who take advantage of psychological treatment indicate that encouragement from medical professionals might be necessary.

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Section: Discussionmentioning

confidence: 99%

Treatment of last resort? Psychological therapy seeking in chronic pain patients

et al. 2023

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“…Poor access to treatment is a major issue precluding effective public health initiatives in anxiety and depression management, with a substantial proportion of individuals not receiving treatment despite a perceived need [16, 17]. Offering brief, low-intensity CBT within a stepped care model is one strategy aimed at improving CBT access in Canada [18]. Examples include self-help books, website based therapies, and, of particular interest to our study, large psychoeducational groups [19].…”

Section: Introductionmentioning

confidence: 99%

An evaluation of large group cognitive behaviour therapy with mindfulness (CBTm) classes

et al. 2019

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Background Ensuring equitable and timely access to Cognitive Behaviour Therapy (CBT) is challenging within Canada’s service delivery model. The current study aims to determine acceptability and effectiveness of 4-session, large, Cognitive Behaviour Therapy with Mindfulness (CBTm) classes. Methods A retrospective chart review of adult outpatients ( n = 523) who attended CBTm classes from 2015 to 2016. Classes were administered in a tertiary mental health clinic in Winnipeg, Canada and averaged 24 clients per session. Primary outcomes were (a) acceptability of the classes and retention rates and (b) changes in anxiety and depressive symptoms using Generalized Anxiety Disorder 7-item (GAD-7) and Patient Health Questionnaire 9-item (PHQ-9) scales. Results Clients found classes useful and > 90% expressed a desire to attend future sessions. The dropout rate was 37.5%. A mixed-effects linear regression demonstrated classes improved anxiety symptoms (GAD-7 score change per class = − 0.52 [95%CI, − 0.74 to − 0.30], P < 0.001) and depressive symptoms (PHQ-9 score change per class = − 0.65 [95%CI, − 0.89 to − 0.40], P < 0.001). Secondary analysis found reduction in scores between baseline and follow-up to be 2.40 and 1.98 for the GAD-7 and PHQ-9, respectively. Effect sizes were small for all analyses. Conclusions This study offers preliminary evidence suggesting CBTm classes are an acceptable strategy to facilitate access and to engage and maintain clients’ interest in pursuing CBT. Clients attending CBTm classes experienced improvements in anxiety and depressive symptoms. Symptom improvement was not clinically significant. Study limitations, such as a lack of control group, should be addressed in future research.

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Individualizing and Socializing the Mental Health Monoculture

Strong

2017

Medicalizing Counselling

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Improving Access to Psychosocial Treatments—Integrating Patient, Provider, and Systems Approaches

Abstract: CanJPsychiatry 2015;60(6):242-244

Cited by 3 publications

References 21 publications

Treatment of last resort? Psychological therapy seeking in chronic pain patients

Treatment of last resort? Psychological therapy seeking in chronic pain patients

An evaluation of large group cognitive behaviour therapy with mindfulness (CBTm) classes

Individualizing and Socializing the Mental Health Monoculture

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