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Published in: Administration and Policy in Mental Health and Mental Health Services Research 6/2007

01-11-2007 | Original Paper

The Factor Structure of the Barriers to Treatment Participation Scale (BTPS): Implications for Future Barriers Scale Development

Authors: Courtney Colonna-Pydyn, Christopher D. Gjesfjeld, Catherine G. Greeno

Published in: Administration and Policy in Mental Health and Mental Health Services Research | Issue 6/2007

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Abstract

Untreated mental disorder is a major problem, and barriers to care are not well understood. Four hundred and sixty-two mothers bringing children to community mental health centers reported barriers on the BTPS. Exploratory factor analysis (EFA) was performed on the first split-half sample to identify factor structure. Confirmatory factor analysis (CFA) was performed on the remaining half sample using structural equation modeling. EFA revealed two factors measuring “treatment expectations” and “external demands.” CFA revealed good model fit for this two-factor solution. This analysis contributes to ongoing empirical validation of barriers measures in community settings, emphasizing the development of a short, community applicable measure.
Literature
go back to reference Anderson, C. M., Robins, C. S., Greeno, C. G., Cahalane, H., Copeland, V. C., & Andrews, R. M. (2006). Why low-income mothers do not engage with the formal mental health care system: Perceived barriers to care. Qualitative Health Journal, 16, 926–943.CrossRef Anderson, C. M., Robins, C. S., Greeno, C. G., Cahalane, H., Copeland, V. C., & Andrews, R. M. (2006). Why low-income mothers do not engage with the formal mental health care system: Perceived barriers to care. Qualitative Health Journal, 16, 926–943.CrossRef
go back to reference Armbruster, P., & Fallon, T. (1994). Clinical, sociodemographic, and systems risk factors for attrition in a children’s mental health clinic. American Journal of Orthopsychiatry, 64, 577–585.PubMedCrossRef Armbruster, P., & Fallon, T. (1994). Clinical, sociodemographic, and systems risk factors for attrition in a children’s mental health clinic. American Journal of Orthopsychiatry, 64, 577–585.PubMedCrossRef
go back to reference Armbruster, P., & Kazdin, A. E. (1994). Attrition in child psychotherapy. Advances in Clinical Child Psychology, 16, 81–108. Armbruster, P., & Kazdin, A. E. (1994). Attrition in child psychotherapy. Advances in Clinical Child Psychology, 16, 81–108.
go back to reference Bentler, P. M. (2004). EQS 6 structural equations program manual. Encino, CA: Multivariate Software. Bentler, P. M. (2004). EQS 6 structural equations program manual. Encino, CA: Multivariate Software.
go back to reference Child and Adolescent Health Measurement Initiative (2005). National survey of children with special health care needs. Data Resource Center on Child and Adolescent Health website. Retrieved 01/25/06 from www.cshcndata.org. Child and Adolescent Health Measurement Initiative (2005). National survey of children with special health care needs. Data Resource Center on Child and Adolescent Health website. Retrieved 01/25/06 from www.cshcndata.org.
go back to reference Compton, M. T. (2005). Barriers to initial outpatient treatment engagement following first hospitalization for a first episode of nonaffective psychosis: A descriptive case series. Journal of Psychiatric Practice, 11, 62–69.PubMedCrossRef Compton, M. T. (2005). Barriers to initial outpatient treatment engagement following first hospitalization for a first episode of nonaffective psychosis: A descriptive case series. Journal of Psychiatric Practice, 11, 62–69.PubMedCrossRef
go back to reference Craske, M. G., Edlund, M. J., Sullivan, G., Roy-Byrne, P., Sherbourne, C., Bystritsky, A., & Stein, M. B. (2005). Perceived unmet need for mental health treatment and barriers to care among patients with panic disorder. Psychiatric Services, 56, 988–994.PubMedCrossRef Craske, M. G., Edlund, M. J., Sullivan, G., Roy-Byrne, P., Sherbourne, C., Bystritsky, A., & Stein, M. B. (2005). Perceived unmet need for mental health treatment and barriers to care among patients with panic disorder. Psychiatric Services, 56, 988–994.PubMedCrossRef
go back to reference Flisher, A. J., Kramer, R. A., Grosser, R. C., Alegria, M., Bird, H. R., Bourdon, K. H., Goodman, S. H., Greenwald, S., Horwitz, S. M., Moore, R. E., Narrow, W. E., & Hoven, C. W. (1997). Correlates of unmet needs for mental health services by children and adolescents. Psychological Medicine, 27, 1145–1154.PubMedCrossRef Flisher, A. J., Kramer, R. A., Grosser, R. C., Alegria, M., Bird, H. R., Bourdon, K. H., Goodman, S. H., Greenwald, S., Horwitz, S. M., Moore, R. E., Narrow, W. E., & Hoven, C. W. (1997). Correlates of unmet needs for mental health services by children and adolescents. Psychological Medicine, 27, 1145–1154.PubMedCrossRef
go back to reference Garcia, J. A., & Weisz, J. R. (2002). When youth mental health care stops: Therapeutic relationship problems and other reasons for ending youth outpatient treatment. Journal of Consulting and Clinical Psychology, 70, 439–443.PubMedCrossRef Garcia, J. A., & Weisz, J. R. (2002). When youth mental health care stops: Therapeutic relationship problems and other reasons for ending youth outpatient treatment. Journal of Consulting and Clinical Psychology, 70, 439–443.PubMedCrossRef
go back to reference Gorsuch, R. L. (1983). Factor Analysis (2nd ed.). Hillsdale, NJ: Erlbaum. Gorsuch, R. L. (1983). Factor Analysis (2nd ed.). Hillsdale, NJ: Erlbaum.
go back to reference Greeno, C. G., Anderson, C. M., Stork, E., Kelleher, K. J., Shear, M. K., & Mike, G. (2002). Return to treatment after assessment in a community children’s mental health clinic. Psychiatric Services, 53, 624–626.PubMedCrossRef Greeno, C. G., Anderson, C. M., Stork, E., Kelleher, K. J., Shear, M. K., & Mike, G. (2002). Return to treatment after assessment in a community children’s mental health clinic. Psychiatric Services, 53, 624–626.PubMedCrossRef
go back to reference Greeno, C., Colonna-Pydyn, C., & Shumway, M. (in press). The need to adapt standardized outcomes measures for community mental health. Journal of Health and Social Policy. Greeno, C., Colonna-Pydyn, C., & Shumway, M. (in press). The need to adapt standardized outcomes measures for community mental health. Journal of Health and Social Policy.
go back to reference Howard, K. I., Cornille, T. A., & Lyons, J. S. (1996). Patterns of mental health service utilization. Archives of General Psychiatry, 53, 696–703.PubMed Howard, K. I., Cornille, T. A., & Lyons, J. S. (1996). Patterns of mental health service utilization. Archives of General Psychiatry, 53, 696–703.PubMed
go back to reference Katon, W. J., & Ludman, E. J. (2003). Improving services for women with depression in primary care settings. Psychology of Women Quarterly, 27, 114–120.CrossRef Katon, W. J., & Ludman, E. J. (2003). Improving services for women with depression in primary care settings. Psychology of Women Quarterly, 27, 114–120.CrossRef
go back to reference Kazdin, A. E., Holland, L., & Crowley, M. (1997a). Family experience of barriers to treatment and premature termination from child therapy. Journal of Consulting and Clinical Psychology, 65, 453–463.PubMedCrossRef Kazdin, A. E., Holland, L., & Crowley, M. (1997a). Family experience of barriers to treatment and premature termination from child therapy. Journal of Consulting and Clinical Psychology, 65, 453–463.PubMedCrossRef
go back to reference Kazdin, A. E., Holland, L., Crowley, M., & Breton, S. (1997b). Barriers to treatment participation scale: Evaluation and validation in the context of child outpatient treatment. Journal of Child Psychology and Psychiatry, 38, 1051–1062.PubMedCrossRef Kazdin, A. E., Holland, L., Crowley, M., & Breton, S. (1997b). Barriers to treatment participation scale: Evaluation and validation in the context of child outpatient treatment. Journal of Child Psychology and Psychiatry, 38, 1051–1062.PubMedCrossRef
go back to reference Kendall, P. C., & Sugarman, A. (1997). Attrition in the treatment of childhood anxiety disorders. Journal of Consulting and Clinical Psychology, 65, 883–888.PubMedCrossRef Kendall, P. C., & Sugarman, A. (1997). Attrition in the treatment of childhood anxiety disorders. Journal of Consulting and Clinical Psychology, 65, 883–888.PubMedCrossRef
go back to reference Kline, P. (1998). The new psychometrics. New York, NY: Routledge. Kline, P. (1998). The new psychometrics. New York, NY: Routledge.
go back to reference Kline, R. B. (2005). Principles and practice of structural equation modeling (2nd ed.). New York, NY: Guilford Press. Kline, R. B. (2005). Principles and practice of structural equation modeling (2nd ed.). New York, NY: Guilford Press.
go back to reference Kouyoumdjian, H., Zamboanga, B. L., & Hansen, D. J. (2003). Barriers to community mental health services for Latinos: Treatment considerations. Clinical Psychology: Science and Practice, 10, 394–422.CrossRef Kouyoumdjian, H., Zamboanga, B. L., & Hansen, D. J. (2003). Barriers to community mental health services for Latinos: Treatment considerations. Clinical Psychology: Science and Practice, 10, 394–422.CrossRef
go back to reference Matthews, A. K., & Peterman, A. H. (1998). Improving provision of effective treatment for racial and cultural minorities. Psychotherapy, 35, 291–305. Matthews, A. K., & Peterman, A. H. (1998). Improving provision of effective treatment for racial and cultural minorities. Psychotherapy, 35, 291–305.
go back to reference Mitrani, V. B., Prado, G., Feaster, D. J., Robinson-Batista, C., & Szapocznik, J. (2003). Relational factors and family treatment engagement among low-income, HIV-positive African American mothers. Family Process, 42, 31–45.PubMedCrossRef Mitrani, V. B., Prado, G., Feaster, D. J., Robinson-Batista, C., & Szapocznik, J. (2003). Relational factors and family treatment engagement among low-income, HIV-positive African American mothers. Family Process, 42, 31–45.PubMedCrossRef
go back to reference Nock, M. K., & Kazdin, A. E. (2001). Parent expectancies for child therapy: Assessment and relation to participation in treatment. Journal of Child and Family Studies, 10, 155–180.CrossRef Nock, M. K., & Kazdin, A. E. (2001). Parent expectancies for child therapy: Assessment and relation to participation in treatment. Journal of Child and Family Studies, 10, 155–180.CrossRef
go back to reference Norquist, G. S., & Regier, D. A. (1996). The epidemiology of psychiatric disorders and the de facto mental health care system. Annual Review of Medicine, 47, 473–479.PubMedCrossRef Norquist, G. S., & Regier, D. A. (1996). The epidemiology of psychiatric disorders and the de facto mental health care system. Annual Review of Medicine, 47, 473–479.PubMedCrossRef
go back to reference Owens, P. L., Hoagwood, K., Horwitz, S. M., Leaf, P. J., Poduska, J. M., Kellam, S. G., & Ialongo, N. S. (2002). Barriers to children’s mental health services. Journal of the American Academy of Child and Adolescent Psychiatry, 41, 731–738.PubMedCrossRef Owens, P. L., Hoagwood, K., Horwitz, S. M., Leaf, P. J., Poduska, J. M., Kellam, S. G., & Ialongo, N. S. (2002). Barriers to children’s mental health services. Journal of the American Academy of Child and Adolescent Psychiatry, 41, 731–738.PubMedCrossRef
go back to reference Sanders Thompson, V. L., Bazile, A., & Akbar, M. (2004). African Americans’ perceptions of psychotherapy and psychotherapists. Professional Psychology: Research and Practice, 35, 19–26.CrossRef Sanders Thompson, V. L., Bazile, A., & Akbar, M. (2004). African Americans’ perceptions of psychotherapy and psychotherapists. Professional Psychology: Research and Practice, 35, 19–26.CrossRef
go back to reference Swartz, H. A., Shear, M. K., Wren, F. J., Greeno, C. G., Sales, E., Sullivan, B. K., & Ludewig, D. P. (2005). Depression and anxiety among mothers who bring their children to a pediatric mental health clinic. Psychiatric Services, 56, 1077–1083.PubMedCrossRef Swartz, H. A., Shear, M. K., Wren, F. J., Greeno, C. G., Sales, E., Sullivan, B. K., & Ludewig, D. P. (2005). Depression and anxiety among mothers who bring their children to a pediatric mental health clinic. Psychiatric Services, 56, 1077–1083.PubMedCrossRef
go back to reference Thompson, B. (2004). Exploratory and confirmatory factor analysis: Understanding concepts and applications. Washington, DC: American Psychological Association. Thompson, B. (2004). Exploratory and confirmatory factor analysis: Understanding concepts and applications. Washington, DC: American Psychological Association.
go back to reference Wells, K. B., Miranda, J., Bauer, M. S., Bruce, M. L., Durham, M., Escobar, J., Ford, D., Gonzalez, J., Hoagwood, K., Horwitz, S. M., Lawson, W., Lewis, L., McGuire, T., Pincus, H., Scheffler, R., Smith, W. A., & Unützer, J. (2002). Overcoming barriers to reducing the burden of affective disorders. Biological Psychiatry, 52, 655–675.PubMedCrossRef Wells, K. B., Miranda, J., Bauer, M. S., Bruce, M. L., Durham, M., Escobar, J., Ford, D., Gonzalez, J., Hoagwood, K., Horwitz, S. M., Lawson, W., Lewis, L., McGuire, T., Pincus, H., Scheffler, R., Smith, W. A., & Unützer, J. (2002). Overcoming barriers to reducing the burden of affective disorders. Biological Psychiatry, 52, 655–675.PubMedCrossRef
Metadata
Title
The Factor Structure of the Barriers to Treatment Participation Scale (BTPS): Implications for Future Barriers Scale Development
Authors
Courtney Colonna-Pydyn
Christopher D. Gjesfjeld
Catherine G. Greeno
Publication date
01-11-2007
Publisher
Springer US
Published in
Administration and Policy in Mental Health and Mental Health Services Research / Issue 6/2007
Print ISSN: 0894-587X
Electronic ISSN: 1573-3289
DOI
https://doi.org/10.1007/s10488-007-0139-6

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