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Four separate training endeavors with common training elements are briefly presented. Common implementation facilitators observed across efforts include organizational support for training, therapist interest, openness to learning a structured trauma\u2010focused intervention, and flexible training plans responsive to therapists\u2019 needs. Common observed challenges include program schedules that did not allow ample time for consultation; a lack of weekly therapy appointment slots; and therapists\u2019 concerns that a brief, exposure\u2010based treatment for PTSD may not be a good fit for patients. Many of the observed barriers were related to issues with implementing an evidence\u2010based psychotherapy (EBP) in community clinics that have high patient demands, high therapist turnover, and limited therapist training time, rather than issues specific to WET. The results of these training and implementation endeavors underscore factors that may impact success and subsequent reach of an EBP for PTSD.<\/jats:p>","DOI":"10.1002\/jts.70084","type":"journal-article","created":{"date-parts":[[2026,7,10]],"date-time":"2026-07-10T06:57:03Z","timestamp":1783666623000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Lessons learned regarding challenges and facilitators of implementing written exposure therapy across different community settings"],"prefix":"10.1002","author":[{"given":"Joan M.","family":"Cook","sequence":"first","affiliation":[{"name":"Yale School of Medicine, Department of Psychiatry  New Haven Connecticut USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vanessa","family":"Simiola","sequence":"additional","affiliation":[{"name":"Kaiser Permanente Hawaii, Center for Integrated Health Care Research  Honolulu, Hawai\u02bbi USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stefanie T.","family":"LoSavio","sequence":"additional","affiliation":[{"name":"Department of Psychiatry and Behavioral Sciences The University of Texas at San Antonio  San Antonio Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amanda","family":"Devane","sequence":"additional","affiliation":[{"name":"Kaiser Permanente Northern California  Fairfield California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lisa","family":"Meredith","sequence":"additional","affiliation":[{"name":"RAND, Santa Monica  California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Katherine A.","family":"Dondanville","sequence":"additional","affiliation":[{"name":"Department of Psychiatry and Behavioral Sciences The University of Texas at San Antonio  San Antonio Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Denise M.","family":"Sloan","sequence":"additional","affiliation":[{"name":"National Center for PTSD at VA Boston Healthcare System  Boston Massachusetts USA"},{"name":"Boston University Chobanian &amp; Avedisian School of Medicine  Boston Massachusetts USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,7,9]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1037\/ser0000621"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10488\u2010023\u201001279\u20106"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cbpra.2021.05.004"},{"key":"e_1_2_10_5_1","unstructured":"American Psychological Association. (2025).APA clinical practice guideline for the treatment of posttraumatic stress disorder (PTSD) in adults.https:\/\/www.apa.org\/ptsd\u2010guideline\/ptsd.pdf"},{"key":"e_1_2_10_6_1","volume-title":"Treating survivors of childhood abuse and interpersonal trauma: STAIR Narrative Therapy","author":"Cloitre M.","year":"2020"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1186\/1748\u20105908\u20107\u201059"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.1186\/1748\u20105908\u20104\u201050"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13012\u2010022\u201001245\u20100"},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.janxdis.2013.04.006"},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10597\u2010020\u201000676\u20107"},{"key":"e_1_2_10_12_1","doi-asserted-by":"crossref","DOI":"10.1093\/med-psych\/9780190926939.001.0001","volume-title":"Prolonged exposure therapy for PTSD: Emotional processing of traumatic experiences: Therapist guide","author":"Foa E. B.","year":"2019"},{"key":"e_1_2_10_13_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamapsychiatry.2025.2962"},{"key":"e_1_2_10_14_1","doi-asserted-by":"publisher","DOI":"10.3389\/fpubh.2019.00064"},{"key":"e_1_2_10_15_1","doi-asserted-by":"publisher","DOI":"10.2105\/ajph.89.9.1322"},{"key":"e_1_2_10_16_1","doi-asserted-by":"publisher","DOI":"10.1080\/20008066.2025.2484063"},{"key":"e_1_2_10_17_1","doi-asserted-by":"publisher","DOI":"10.1080\/20008198.2017.1353383"},{"key":"e_1_2_10_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.beth.2018.03.007"},{"key":"e_1_2_10_19_1","doi-asserted-by":"publisher","DOI":"10.1037\/pro0000224"},{"key":"e_1_2_10_20_1","doi-asserted-by":"publisher","DOI":"10.1037\/tra0001148"},{"key":"e_1_2_10_21_1","doi-asserted-by":"publisher","DOI":"10.1037\/ser0000890"},{"key":"e_1_2_10_22_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cct.2024.107435"},{"key":"e_1_2_10_23_1","volume-title":"Cognitive processing therapy for PTSD: A comprehensive therapist manual","author":"Resick P. 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Psychological Trauma: Theory Research Practice and Policy."},{"key":"e_1_2_10_27_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.beth.2024.02.004"},{"key":"e_1_2_10_28_1","doi-asserted-by":"crossref","DOI":"10.1037\/0000441-000","volume-title":"Written exposure therapy for PTSD: A brief treatment approach for mental health professionals","author":"Sloan D. M.","year":"2025"},{"key":"e_1_2_10_29_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamapsychiatry.2023.2810"},{"key":"e_1_2_10_30_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamapsychiatry.2017.4249"},{"key":"e_1_2_10_31_1","doi-asserted-by":"crossref","unstructured":"Stade E. C. Eichstaedt J. C. Kaysen D. L. Salesha A. Greenberger A. Singhvi S. &Wiltsey Stirman S.(2025).TherapyTrainer: Using AI to train therapists in written exposure therapy.Cognitive and Behavioral Practice. 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