“…Respondents also cited difficulty understanding the DSM language as a significant barrier to the effective implementation of the DSM-5 within institutions. These barriers were rated most significant, which is consistent with other studies conducted (Raffoul & Holmes, 1986;Ishibashi, 2005;Clemmons, Dannenfelser, & Newman, 2007;Frazer, Westhuis, Daley, & Phillips, 2009;Lyter & Lyter, 2012;Washburn, 2013;McLendon, 2014;Lyter & Lyter, 2015;and Tosone, 2015) Additionally, study findings show that the second top ranked category of barriers, as identified by social workers in Egypt and Qatar, were institutional and organizational in nature. For instance, respondents reported the infrastructure of the institution to be unsuitable for the application of DSM-5 with children.…”