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Outcomes of Cognitive Behavioral Therapy (CBT) Interventions Provided by Unlicensed Professionals

Depression Clinical Trial

Official title:
Outcomes of Cognitive Behavioral Therapy (CBT) Interventions Provided by Unlicensed Professionals in a General Hospital Setting

Clinical Trial Summary

To examine the effectiveness and clinical care outcomes of cognitive-behavioral therapy interventions at Massachusetts General Hospital (MGH).

Clinical Trial Description

Cognitive behavioral interventions are the most widely studied and evidenced-based psychosocial treatment approaches for mental health and health related behavioral problems. Despite their documented efficacy, there is a scarcity of licensed mental health professionals who are available to treat patients with problems that would be amenable to Cognitive Behavioral Therapy (CBT). While CBT interventions have a strong base in terms of efficacy in randomized trials, effectiveness and dissemination studies are lacking in comparison, and hence, these interventions are not reaching the patients in most need of services. Complicating the problem further, insurance companies typically do not reimburse for services provided by trainees who are not licensed. This is a public mental health problem because it limits the degree to which CBT clinicians can be trained to deliver these treatments, and a particular problem at MGH because referring providers do not have a place to send their patient for CBT services, as trainees constitute a large portion of clinical staff. To address this issue, the current study seeks to document outcomes of CBT interventions delivered by credentialed but not licensed trainees. This information can be used to guide policy and reimbursement guidelines for trainees, as well as promote the ability to disseminate efficacious interventions. Information gained from this project will be used to provide feedback to insurance companies, licensing boards, and mental health community stakeholders regarding decision making re: reimbursement for care provided by supervised trainees. Additionally, this may be used as a pilot study for a comparative effectiveness study comparing trainees to licensed staff psychologists. ;

Study Design

Related Conditions & MeSH terms

  • Anxiety Disorders
  • Attention Deficit Disorder with Hyperactivity
  • Attention Deficit Hyperactivity Disorder
  • Body Dysmorphic Disorder
  • Body Dysmorphic Disorders
  • Depression
  • Disease
  • Eating Disorder
  • Feeding and Eating Disorders
  • General Medical Condition
  • Generalized Anxiety Disorder
  • Obsessive Compulsive Disorder
  • Obsessive-Compulsive Disorder
  • Panic Disorder
  • Phobia, Social
  • Phobic Disorders
  • Post-Traumatic Stress Disorder
  • Social Phobia
  • Specific Phobia
  • Stress Disorders, Post-Traumatic
  • Stress Disorders, Traumatic
  • Tourette Syndrome
  • Trichotillomania
Clinical Trial Details
NCT number NCT01075672
Study type Interventional
Source Massachusetts General Hospital
Contact
Status Active, not recruiting
Phase N/A
Start date January 2010
Completion date January 2025
View Details
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