Empirically Supported Treatments in Rural Community Mental Health Centers: A Preliminary Report on Current Utilization and Attitudes Toward Adoption
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Rural community mental health centers (CMHCs) face numerous problems that might be alleviated by the dissemination of empirically supported treatments (ESTs). The current study lays the groundwork for EST dissemination by examining current treatment practices in rural clinics as well as the attitudes of decision makers toward ESTs and perceived barriers to their adoption. Twenty-five rural and 38 non-rural clinical directors responded to a mailed survey. Rural respondents were as likely as non-rural respondents to report EST use in their clinic for most anxiety disorders, and more likely to report use of an EST for major depressive disorder and obsessive-compulsive disorder. However, ESTs represent a relatively small proportion of the treatments reported for depression and anxiety disorders. Attitudes toward manualized ESTs did not differ between groups. Further, rural and nonrural clinics did not see the barriers to the adoption of ESTs as insurmountable. These preliminary results suggest that rural CMHCs are open to the use of ESTs and should be included in widespread dissemination initiatives.
KeywordsRural environments Evidence-based practices Community mental health services Psychologists
- Craske, M. G., Barlow, D. H., & Meadows, E. A. (2000). Mastery of your anxiety and panic: Therapist guide for anxiety, panic, and agoraphobia. San Antonio, TX: Graywind Publications.Google Scholar
- Department of Health and Human Services Substance Abuse and Mental Health Services Administration. (2009) . Mental health services locator. Retrieved July 9, 2009, from http://mentalhealth.samhsa.gov/databases/.
- O’Hare, W., & Bishop, B. (2006). U.S. rural soldiers account for a disproportionately high share of casualties in Iraq and Afghanistan (Fact Sheet No. 3). Durham, NH: University of New Hampshire, Carsey Institute.Google Scholar
- Tyson, A. S. (2005). Youths in rural U.S. are drawn to military. Washington Post, p. A01.Google Scholar
- United States Department of Agriculture Economic Research Service. (2003). Measuring rurality: Rural-urban continuum codes. Retrieved March 19, 2006, from http://www.ers.usda.gov/briefing/rurality/RuralUrbCon/.