Can paraprofessionals deliver cognitive-behavioral therapy to treat anxiety and depressive symptoms?
Many studies support the effectiveness of paraprofessionals in administering psychotherapy. However, no review has compared the utility/efficacy of paraprofessionals versus professionals in administering cognitive-behavioral therapies (CBT). This article systematically reviews published trials comparing outcomes of paraprofessional to professional therapists using CBT to treat anxiety and depressive symptoms. Four studies met inclusion criteria and are critiqued using evidence-based quality parameters. The authors conclude that paraprofessionals can be effective in delivering CBT to these patients, with outcomes comparable to those of professionals.
Houston Center for Quality of Care & Utilization Studies (MEDVAMC 152), 2002 Holcombe Blvd., Houston, TX 77030, USA.
Erica C
EC
Montgomery
Mark E
ME
Kunik
Nancy
N
Wilson
Melinda A
MA
Stanley
Brandon
B
Weiss
D001008:Anxiety Disorders / Q000175:diagnosis / Q000523:psychology / Q000628:therapy*; D015928:Cognitive Behavioral Therapy / Q000379:methods*; D003866:Depressive Disorder / Q000175:diagnosis / Q000523:psychology / Q000628:therapy*; D006282:Health Personnel / Q000706:statistics & numerical data*; D006801:Humans; D011361:Professional Competence