Feasibility and Usefulness of Training Assertive Community Treatment Team in Cognitive Behavioral Therapy

Abstract

Individuals with Serious mental illness require psychosocial treatments as adjunct to pharmacotherapy to promote recovery. An ACT team was trained in CBT interventions and charts were reviewed to identify sessions where CBT was utilized. Subjects who received at least 3 sessions of CBT went from 10% before training to 44% after training and 54% in the follow up period. All team members including bachelor’s level staff provided CBT interventions. Results show that ACT Team members including those at bachelor’s level can be trained in CBT and they utilize these interventions after training is completed.

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References

  1. Barkham, M., Shapiro, D. A., et al. (1999). Psychotherapy in two-plus-one sessions: Outcomes of a randomized controlled trial of cognitive-behavioral and psychodynamic-interpersonal therapy for subsyndromal depression. Journal of Consulting and Clinical Psychology, 67, 210–211.

    Article  Google Scholar 

  2. Blackburn, I. M., James, I. A., et al. (2001). The revised cognitive therapy scale (CTS-R): Psychometric properties. Behavioural and cognitive psychotherapy, 29, 431–446.

    Article  Google Scholar 

  3. Clark, R. E., & Samnaliev, M. (2005). Psychosocial treatment in the 21st century. International Journal of Law and Psychiatry, 28(5), 532–544.

    Article  PubMed  Google Scholar 

  4. Corrigan, P. W., Mueser, K. T., Bond, G. R., Drake, R. E., & Solomon, P. (2008). Principles and practice of psychiatric rehabilitation. The Guildford Press: New York.

    Google Scholar 

  5. Cunningham, R. (2002). Living with schizophrenia and thriving in remission: 10 years of stress and crises. Brief Treatment and Crisis Intervention, 2, 247–260.

    Article  Google Scholar 

  6. Dilk, M. N., & Bond, G. R. (1996). Meta-analytic evaluation of skills training research for individuals with severe mental illness. Journal of Consulting and Clinical Psychology, 64(6), 1337–1346.

    Article  CAS  PubMed  Google Scholar 

  7. Drake, R. E., Merrens, M. R., & Lynde, D. W. (2005). Evidenced based mental health practice: A textbook. Norton and Company: New York.

    Google Scholar 

  8. Lehman, A. F., & Steinwachs, D. M. (2003). Evidence-based psychosocial treatment practices in schizophrenia: Lessons from the patient outcomes research team (PORT) project. The journal of the American Academy of Psychoanalysis and Dynamic Psychiatry, 31(1), 141–154.

    Article  PubMed  Google Scholar 

  9. NACM (1997). Technical assistance collaborative (1996): Managed care: Case management, care management roles and responsibilities. Boston, MA, p. 87.

  10. NICE (2008). Schizophrenia: Core interventions in the treatment and management of schizophrenia in adults in primary and secondary care.

  11. (NFCMH), P. s. N. f. c. o. m. h. (2003). Achieving the promise: Transforming the mental health care in America. Rockville,MD. DHSS Publication No. SMA-03-3832.

  12. Patterson, T. L., & Leeuwenkamp, O. R. (2008). Adjunctive psychosocial therapies for the treatment of schizophrenia. Schizophrenia Research, 100(1–3), 108–119.

    Article  PubMed  Google Scholar 

  13. Pilling, S., Bebbington, P., Kuipers, E., Garety, P., Geddes, J., Martindale, B., et al. (2002). Psychological treatments in schizophrenia: I. Meta-analysis of family intervention and cognitive behaviour therapy. Psychological Medicine, 32, 763–782.

    CAS  PubMed  Google Scholar 

  14. Rosen, A., Mueser, K. T., et al. (2007). Assertive community treatment-Issues from scientific and clinical literature with implications for practice. Journal of Rehabilitation Research and Development, 44(6), 813–826.

    Article  PubMed  Google Scholar 

  15. Salyers, M. P., & Tsemberis, S. (2007). ACT and recovery: Integrating evidence-based practice and recovery orientation on assertive community treatment teams. Community Mental Health Journal, 43(6), 619–641.

    Article  PubMed  Google Scholar 

  16. Turkington, D., Kingdon, D., et al. (2002). Effectiveness of a brief cognitive-behavioural therapy intervention in the treatment of schizophrenia. British Journal of Psychiatry, 180, 523–527.

    Article  PubMed  Google Scholar 

  17. WHO. (1999). World Health Organization. World health report 1999: making a difference. From Available at: http://www.who.int/whr/1999/en/index.html.

  18. Wykes, T., Steel, C., et al. (2008). Cognitive behavior therapy for schizophrenia: Effect sizes, clinical models, and methodological rigor. Schizophrenia Bulletin, 34(3), 523–537.

    Article  PubMed  Google Scholar 

Download references

Acknowledgments

The authors thank SBCS Inc for access to data, Crystal Scaffidi for helping in data collection and Faith Dickerson for her review of the manuscript and critical comments.

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Correspondence to Narsimha R. Pinninti.

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Pinninti, N.R., Fisher, J., Thompson, K. et al. Feasibility and Usefulness of Training Assertive Community Treatment Team in Cognitive Behavioral Therapy. Community Ment Health J 46, 337–341 (2010). https://doi.org/10.1007/s10597-009-9271-y

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Keywords

  • Assertive community team
  • Cognitive behavior therapy
  • Serious mental illness
  • Case management
  • Psychosocial treatments
  • Evidence based practice and outcomes