title: Mental health experts' perspectives on barriers to dissemination of couples treatment for alcohol use disorders.
abstract: Despite evidence supporting the efficacy of couples-based approaches to treating alcohol problems, provision of such treatments has been limited. To better understand the limited use of this treatment, the current study explored barriers to the adoption of couples treatment for alcohol use disorders. Experts in alcohol treatment, couples treatment, and behavioral couples treatment for alcohol problems (n = 12) were interviewed on this topic; interview transcripts were analyzed using grounded theory qualitative procedures. All mental health experts endorsed the perspective that implementation and acceptance of couples treatment posed difficulties for providers. Four themes (logistical barriers at the provider level, logistical barriers at the system levels, provider treatment preferences, and lack of appropriate training) were identified. Results from the current study provide guidance in addressing barriers to the adoption of couples-based treatments.
authors.affiliation: Butler Hospital, Warren Alpert Medical School of Brown University, 345 BlackstoneBoulevard, Providence, RI 02906, USA. Yael_Chatav_Schonbrun@Brown.edu
authors.forename: Yael Chatav
authors.initials: YC
authors.lastname: Schonbrun
authors.forename: Gregory L
authors.initials: GL
authors.lastname: Stuart
authors.forename: Terrie
authors.initials: T
authors.lastname: Wetle
authors.forename: Tiffany R
authors.initials: TR
authors.lastname: Glynn
authors.forename: Elise N
authors.initials: EN
authors.lastname: Titelius
authors.forename: David
authors.initials: D
authors.lastname: Strong
mesh_terms: D019973:Alcohol-Related Disorders / Q000628:therapy*; D001291:Attitude of Health Personnel; D019546:Couples Therapy; D005260:Female; D006801:Humans; D007407:Interviews as Topic; D008297:Male; D008875:Middle Aged