Category: Treatment - CBT


Symposium 134 - Meeting People Where They Are: Innovative Strategies for Expanding Access to CBT

Sunday, November 19
10:15 AM - 11:45 AM
Location: Indigo Ballroom E, Level 2, Indigo Level

Keywords: Treatment-CBT | Evidence-Based Practice | Technology / Mobile Health
Presentation Type: Symposium

Many people who could benefit from evidence-based CBT treatments are unable to access them.  Health care systems often lack the treatment capacity to meet growing demand for mental health services.  This is due in large part to the ongoing shortage of licensed mental health providers (National Center for Health Statistics, 2014) though stigma surrounding mental illness and practical issues such as budget limitations are also notable contributing factors (Kantor et al, 2017).  Training more CBT providers is only part of the answer, as clinical programs also have limited capacity to take on new students.

Expanding access to CBT typically involves moving beyond the boundaries of the mental health clinic, and taking CBT to other settings where services are in high demand. Researchers have developed a diverse array of innovative strategies to facilitate access to evidence-based CBT treatments in such settings.  Although many of these strategies leverage different types of technologies, the symposium focuses not on the technologies themselves, but rather the context in which they are used, and how these interventions must be adapted and supported in order to be successfully implemented and sustained. 

Dr. Carolyn Greene will present the results of a recent study of student veterans that used peer mentors to support engagement with an online problem solving intervention. The intervention was originally developed as a stand-alone web based course, but has been embedded in a college counseling center. Dr. Jan Lindsay will share the results of technology mediated CBT intervention for Depression and Anxiety that is being adapted for delivery in rural outpatient clinics. The system originally developed for urban primary care centers, and the team is using qualitative methods to identify targets for adaptation.  Dr. Jeff Cully will discuss his findings regarding an integrated brief cognitive behavioral therapy (bCBT), delivered  by mental health providers in primary care, and his experience adapting CBT interentions for use in this context. Finally, Dr. Leslie Morland will describe the results of a four-year study that literally brings Prolonged Exposure treatment for PTSD into client’s homes using a tele-health platform. She will discuss the ways in which PE was optimized for telehealth delivery.

Chair Dr. Ken Weingardt has 15 years of experience working at the intersection of technology and mental health, and previously served as a National Director for VA Mental Health Web Services. Other presenters are senior investigators at their institutions and have extensive real-world experience with implementing CBT in non-traditional settings.

Learning Objectives:

Kenneth R. Weingardt

Associate Professor
Northwestern University


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Amanda Stewart

National Center for Telehealth and Technology


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    Carolyn J. Greene

    Associate Professor
    University of Arkansas for Medical Sciences


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    Jan Lindsay

    VA South Central MIRECC


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    Jeffrey Cully

    Associate Professor, Menninger Department of Psychiatry and Behavioral Sciences
    Baylor College of Medicine


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    Leslie Morland

    Director of TMH for San Diego VA Health Care System (VASDHCS); Associate Professor of Psychiatry
    San Diego VA Health Care System; University of CA, San Diego


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    Symposium 134 - Meeting People Where They Are: Innovative Strategies for Expanding Access to CBT

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