Implementing Prolonged Exposure Therapy in a Community Substance Use Treatment Program: A Qualitative Study.
Drug Alcohol RevSep 1, 2026
Steven Curto, Tasha Bulgin, Jordan A Gette et al.
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In 30 seconds
This qualitative study explored staff perspectives on the feasibility and acceptability of integrating massed Prolonged Exposure (M-PE) therapy into a community-based substance use disorder (SUD) program. Interviews with 15 clinic staff revealed that while M-PE was seen as a promising intervention, concerns about client readiness and logistical challenges were significant. The study is part of a Hybrid Type 1 effectiveness-implementation trial.
Key findings
- Most staff were familiar with EMDR, but had limited knowledge of PE/M-PE.
- M-PE was viewed as a promising intervention fitting the pacing of SUD care.
- Staff anticipated improvements in PTSD and SUD symptoms through trauma-focused treatment.
- Logistical barriers and client readiness were identified as potential implementation challenges.
Why it matters
Understanding staff perspectives on integrating trauma-focused therapies like M-PE into SUD programs is crucial for improving treatment outcomes for patients with co-occurring PTSD and substance use disorders.