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Feasibility of Dissemination of Cognitive Behavioral Therapy to Texas Community Mental Health Centers

The Journal of Behavioral Health Services & Research volume 38, pages 91–104 (2011)Cite this article

Abstract

State mental health systems are actively seeking to disseminate empirically supported treatment approaches to improve the outcomes of adults with serious mental illnesses. However, many of these interventions have not been studied within public mental health settings. Cognitive behavioral therapy (CBT) has been shown to be effective for major depression in well-controlled trials, but its effectiveness in public mental health settings is less known. The present study examines the feasibility of dissemination of CBT in the Texas public mental health system. Seven clinicians were trained by a CBT expert and supervised for 5 months, during which time their skills approached competency levels of therapists in randomized controlled trials. Forty clients were treated during the therapists’ training phase, attending an average of ten sessions and experiencing a significant reduction in depressive symptoms. Study results are compared with previously published studies of CBT.

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Acknowledgements

This study was supported by grant 1 R24 MH068705-01 from the National Institute of Mental Health and the Substance Abuse and Mental Health Services Administration. We would like to acknowledge the contributions and support of patients, therapists, administrators, and staff at the Department of State Health Services and at all participating study sites, which include Mental Health Mental Retardation of Tarrant County, Texas Panhandle MHMR, Lubbock Regional Mental Health Mental Retardation Center, and Hill Country Community MHMR Center. We would also like to thank Dr. Marcia Toprac, Dr. A. John Rush and Ms. Katherine Voges for their contributions to this research project.

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Affiliations

  1. Addiction Research Institute, University of Texas at Austin, School of Social Work, 1717 W. 6th Street, Suite 335, Austin, TX, 78703, USA

    Molly A. Lopez PhD

  2. Department of Psychology, University of Texas at Arlington, Life Science Building, Room 407, 501 S. Nedderman Drive, Arlington, TX, 76019, USA

    Monica Ramirez Basco PhD

Authors
  1. Molly A. Lopez PhD
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  2. Monica Ramirez Basco PhD
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Correspondence to Molly A. Lopez PhD.

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Lopez, M.A., Basco, M.R. Feasibility of Dissemination of Cognitive Behavioral Therapy to Texas Community Mental Health Centers. J Behav Health Serv Res 38, 91–104 (2011). https://doi.org/10.1007/s11414-009-9209-8

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  • DOI: https://doi.org/10.1007/s11414-009-9209-8

Keywords

  • Major Depressive Disorder
  • Cognitive Behavioral Therapy
  • Community Mental Health
  • Community Mental Health Center
  • Public Mental Health