Themes | Subthemes | Examples |
---|---|---|
Challenges associated with providing clinical support | Barriers to treatment seeking and engagement: sociodemographic | Homelessness |
Lack of transportation | ||
Legal issues | ||
High relapse | ||
Unemployment | ||
Barriers to treatment engagement and process | Complex trauma histories | |
Diversity of patients | ||
Integrating culture into services | ||
Lack of motivation | ||
Stigma of treatment | ||
Challenges associated with the infrastructure of treatment settings | Frontline worker challenges: fatigue and burnout | Emotional and personal investment |
High caseloads | ||
Paperwork and administrative responsibilities | ||
Professional boundaries | ||
Shortage of staff | ||
Lack of program and treatment resources | Inadequate length of treatment | |
Lack of office supplies and space | ||
Challenges associated with the service/treatment system | Barriers associated with providing | Limited housing options |
Adequate aftercare | Limited transportation resources | |
Limited treatment options | ||
Appropriateness of treatments | Pressure to use Evidence-Based Treatments (EBTs) | |
Excessive and unconstructive paperwork | Interference with clinical care | |
Not pragmatic or useful |