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>
Getting ready for recovery: reconciling mandatory treatment with the recovery vision.
*Commitment of Mentally Ill; *Convalescence; Community Participation; Decision Making; Humans; Mental Health Services/*organization & administration; Psychotic Disorders/*therapy
Considering treatment of serious mental illnesses, it might appear that the recovery model would be incompatible with any form of mandatory treatment. The authors suggest that this is not so. With individuals whose psychotic illness substantially impairs decision making, mandatory treatment may offer the best hope of getting well enough for recovery to be possible. It is essential, however, that any program involving involuntary community treatment involves recovering individuals who have themselves experienced a serious mental illness. The authors propose the use of a consumer-run guardianship program and a capacity review panel as two possible ways to achieve such participation.
Munetz M R; Frese F J 3rd
Psychiatric rehabilitation journal
2001
1905-06
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/h0095052" target="_blank" rel="noreferrer noopener">10.1037/h0095052</a>