TCC in PT Practice

1. Low Self Efficacy

1.1. Training/ knowledge of CPGs

1.2. Practice/ experience

1.3. Anticipated patient resistance

2. Perceived Professional Roles

2.1. Relevance of TCC to Treatment Goals

2.2. Psychological vs Physical Factors

2.3. Time Management/ Productivity

3. Lack of Perceived Effectiveness

3.1. Patient lack of motivation/ desire

3.2. Addiction treatment vs patient education alone

3.3. questionable impact on immediate treatment outcomes

4. Lack of Administrative Support

4.1. not part of EMR/ no prompt

4.2. not a billable service

4.3. no printed patient ed materials