Psychotherapists' Perspectives and Support Needs in Treating Patients With Disabilities: Results From an Online Survey

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Main Authors: Bastian Hardt, Merit Donauer, Kristina Dürr, Johannes Michalak
Format: Artículo Open Access
Published: Wiley 2025
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author Bastian Hardt
Merit Donauer
Kristina Dürr
Johannes Michalak
author_facet Bastian Hardt
Merit Donauer
Kristina Dürr
Johannes Michalak
Bastian Hardt
Merit Donauer
Kristina Dürr
Johannes Michalak
collection Wiley Open Access
contents Psychotherapists' Perspectives and Support Needs in Treating Patients With Disabilities: Results From an Online Survey Bastian Hardt Merit Donauer Kristina Dürr Johannes Michalak Clinical Psychology & Psychotherapy ABSTRACT Objectives Persons with disabilities are at elevated risk for mental disorders, yet little is known about the experiences, attitudes and needs of psychotherapists regarding this population. This study is among the first to examine outpatient psychotherapists' experiences in treating patients with disabilities and to explore their perspectives on accessibility and therapists' support needs. Design An exploratory cross‐sectional online survey was conducted in collaboration with a regional statutory health association. Methods A total of N  = 371 licensed outpatient psychotherapists in Germany participated in the study. All were qualified to treat adult patients under statutory health insurance. The survey included self‐constructed items assessing treatment experiences, perceived accessibility and support needs, as well as a questionnaire for measuring explicit attitudes towards disability. Results Most participants ( n  = 340; 91.6%) reported prior experience treating patients with disabilities. Attitudes were generally positive and significantly associated with the quality—but not the quantity—of treatment experience. Psychotherapists perceived greater efforts in treating patients with intellectual and hearing impairments, and 357 (96.2%) identified barriers in their own outpatient settings. Only 93 (25.1%) considered themselves experts in disability‐related topics. A strong demand for further training was expressed, particularly for working with specific types of impairments, with a preference for professional development programmes offered both online and in person. Conclusions The findings highlight the need for enhanced training, improved structural accessibility and informed policy development. Despite positive attitudes, notable gaps remain in preparedness and environmental access, emphasizing the importance of integrating disability‐related content into psychotherapist training and professional development. 10.1002/cpp.70159 http://creativecommons.org/licenses/by/4.0/
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spellingShingle Psychotherapists' Perspectives and Support Needs in Treating Patients With Disabilities: Results From an Online Survey
Bastian Hardt
Merit Donauer
Kristina Dürr
Johannes Michalak
Clinical Psychology & Psychotherapy
Psychotherapists' Perspectives and Support Needs in Treating Patients With Disabilities: Results From an Online Survey Bastian Hardt Merit Donauer Kristina Dürr Johannes Michalak Clinical Psychology & Psychotherapy ABSTRACT Objectives Persons with disabilities are at elevated risk for mental disorders, yet little is known about the experiences, attitudes and needs of psychotherapists regarding this population. This study is among the first to examine outpatient psychotherapists' experiences in treating patients with disabilities and to explore their perspectives on accessibility and therapists' support needs. Design An exploratory cross‐sectional online survey was conducted in collaboration with a regional statutory health association. Methods A total of N  = 371 licensed outpatient psychotherapists in Germany participated in the study. All were qualified to treat adult patients under statutory health insurance. The survey included self‐constructed items assessing treatment experiences, perceived accessibility and support needs, as well as a questionnaire for measuring explicit attitudes towards disability. Results Most participants ( n  = 340; 91.6%) reported prior experience treating patients with disabilities. Attitudes were generally positive and significantly associated with the quality—but not the quantity—of treatment experience. Psychotherapists perceived greater efforts in treating patients with intellectual and hearing impairments, and 357 (96.2%) identified barriers in their own outpatient settings. Only 93 (25.1%) considered themselves experts in disability‐related topics. A strong demand for further training was expressed, particularly for working with specific types of impairments, with a preference for professional development programmes offered both online and in person. Conclusions The findings highlight the need for enhanced training, improved structural accessibility and informed policy development. Despite positive attitudes, notable gaps remain in preparedness and environmental access, emphasizing the importance of integrating disability‐related content into psychotherapist training and professional development. 10.1002/cpp.70159 http://creativecommons.org/licenses/by/4.0/
title Psychotherapists' Perspectives and Support Needs in Treating Patients With Disabilities: Results From an Online Survey
topic Clinical Psychology & Psychotherapy
url https://onlinelibrary.wiley.com/doi/10.1002/cpp.70159