Cognitive Behavioral Therapy for Psychosis (CBT-p) Delivered in a Community Mental Health Setting: A Case Comparison of Clients Receiving CBT Informed Strategies by Case Managers Prior to Therapy.
*Case Managers; *CBT-p; *Cognitive behavioral techniques for psychosis; *Cognitive behavioral therapy for psychosis; *Community Mental Health Services; *Continuum of care; *Schizophrenia; Adult; Case Management; Case-Control Studies; Cognitive Behavioral Therapy/*methods; Cognitive Therapy – Methods; Community Mental Health Services; Comparative Studies; Continuity of Patient Care; Evidence-Based; Exploratory Research; Female; Human; Humans; Male; Middle Aged; Outcome Assessment; Professional Practice; Program Implementation – Methods; Psychotic Disorders – Therapy; Psychotic Disorders/*therapy; Schizophrenia; Surveys and Questionnaires
This exploratory case comparison examines the influence of case management activities on engagement and progress in psychotherapy for clients with schizophrenia. Six clients were recruited to participate in ten sessions of Cognitive Behavioral Therapy for psychosis (CBT-p). Three clients who had received Cognitive Behavioral techniques for psychosis (CBt-p, a low-intensity case management intervention) prior to receiving therapy were selected from referrals. A comparison group of three clients who had received standard case management services was selected from referrals. Cases within and across groups were compared on outcome measures and observations from case review were offered to inform future research. Delivering CBT-p services on a continuum from low- to high-intensity is discussed.
Sivec Harry J; Montesano Vicki L; Skubby David; Knepp Kristen A; Munetz Mark R
Community mental health journal
2017
2017-02
Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
<a href="http://doi.org/10.1007/s10597-015-9930-0" target="_blank" rel="noreferrer noopener">10.1007/s10597-015-9930-0</a>
Adapting cognitive behavioral therapy for psychosis for case managers: increasing access to services in a community mental health agency.
*Community Mental Health Services; *Diffusion of Innovation; *Health Services Accessibility; Adult; Case Management; Case Managers; Cognitive Behavioral Therapy/education/*methods; Cognitive Therapy – Methods; Collaboration; Community Mental Health Services – United States; Cooperative Behavior; Evidence-Based; Evidence-Based Practice/education/methods; Female; Human; Humans; Inservice Training; Interinstitutional Relations; Male; Pilot Studies; Professional Practice; Program Implementation – Methods; Psychotic Disorders/*therapy; Questionnaires; Scales; Schizophrenia – Rehabilitation; Schizophrenia/*therapy; Staff Development; Thematic Analysis; Treatment Outcome; United Kingdom; United States
OBJECTIVE: The purpose of this article is twofold: (a) to describe the adaptation of an evidence-based practice and, (b) using a dissemination framework, to describe the process of implementing the practice at a community mental health agency. METHOD: The authors describe the training concept and dissemination framework of implementing an emerging practice: high-yield cognitive behavioral techniques for psychosis, which is rooted in cognitive behavioral therapy. RESULTS: Thirteen case managers who represented teams from across the agency delivered the adapted practice at a community mental health agency. Implementation required buy in from all stakeholders, communication across disciplines, persistence, and flexibility. CONCLUSIONS AND IMPLICATIONS FOR PRACTICE: It appears that the use of a dissemination framework that is grounded in the literature, yet flexible, eases the process of implementing an adapted practice. Further research focusing on the effectiveness of this approach, along with the impact of implementing a full spectrum of cognitive behavioral therapy services for individuals with persistent psychotic symptoms, based on cognitive behavioral therapy principles, is indicated.
Montesano Vicki L; Sivec Harry J; Munetz Mark R; Pelton Jeremy R; Turkington Douglas
Psychiatric rehabilitation journal
2014
2014-03
Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
<a href="http://doi.org/10.1037/prj0000037" target="_blank" rel="noreferrer noopener">10.1037/prj0000037</a>