Adapting cognitive behavioral therapy for psychosis for case managers: increasing access to services in a community mental health agency.

Adapting cognitive behavioral therapy for psychosis for case managers: increasing access to services in a community mental health agency.

Montesano Vicki L; Sivec Harry J; Munetz Mark R; Pelton Jeremy R; Turkington Douglas

Psychiatric rehabilitation journal

2014

2014-03

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.

*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

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