University of Washington Department of Psychiatry And Behavioral Sciences

Scholarship

Facilitating pathways to care: A qualitative study of the self‐reported needs and coping skills of caregivers of young adults diagnosed with early psychosis

Caregivers play a critical role in detecting and managing psychotic symptoms before young people diagnosed with early psychosis present to care. Little is known about the specific needs of caregivers in navigating pathways to care for their loved one. The purpose of this study is to understand the needs of family caregivers and their ways of coping on the pathway to care for early psychosis.Twenty family caregivers of individuals diagnosed with early psychosis participated in three focus groups that explored caregiving needs provision for early psychosis. Thematic analysis was conducted.

Publication Date: Sunday, January 12, 2020

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Preliminary Evaluation of Washington State’s Early Intervention Program for First-Episode Psychosis

Early intervention programs are designed to address the needs of youths experiencing first-episode psychosis (FEP). Washington State developed New Journeys, a network of coordinated specialty care programs for FEP. In this study, the authors have outlined components of the New Journeys model and preliminary findings since its initial implementation.Youths and young adults diagnosed as having psychosis (N=112) completed measures at and after intake on a range of mental health assessments and functional outcomes for the first 12 months of treatment.

Publication Date: Wednesday, December 18, 2019

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A Technology-Assisted Life of Recovery from Psychosis

Developments in digital health technologies have the potential to expedite and strengthen the path towards recovery for people with psychosis. This perspective piece provides a snapshot of how a range of digital technologies can be deployed to support a young adult’s efforts to cope with schizophrenia-spectrum illness. In conjunction with a day in the life of this individual, we provide examples of innovations in digital health research designed for this clinical population, as well as brief summaries of the evidence supporting the usability, feasibility, or effectiveness of each approach. From early detection to ongoing symptom management and vocational rehabilitation, this day-in-the-life vignette provides an overview of the ways in which digital health innovations could be used in concert to augment, scaffold, and enhance schizophrenia-spectrum illness management and recovery.

Publication Date: Thursday, August 29, 2019

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Stepped Care as an Implementation and Service Delivery Model for Cognitive Behavioral Therapy for Psychosis

Cognitive behavioral therapy for schizophrenia spectrum disorders is an evidence-based treatment that is recommended by United States schizophrenia treatment guidelines. Based on recent estimates, only 0.3% of individuals with a primary psychotic disorder are able to access this treatment in the United States. Stepped care interventions have shown promise as an applied treatment delivery model in other settings and for other psychotherapeutic interventions.

Publication Date: Tuesday, January 8, 2019

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Statewide Implementation of Cognitive Behavioral Therapy for Psychosis Through a Learning Collaborative Model

Few CBTp implementation studies have applied a framework to CBTp implementation. The authors adapted the Learning Collaborative model in an attempt to promote adoption of CBTp in community mental health clinics across a large, populous state with poor access to mental health services. Fifty-six providers attended an in-person training followed by six months of biweekly consultation sessions (Phase 1). Twenty-one providers participated in an additional six months of consultation (Phase 2).

Publication Date: Wednesday, October 24, 2018

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Emotional fMR Auditory Paradigm Demonstrates Normalization of Limbic Hyperactivity After Cognitive Behavior Therapy for Auditory Hallucinations

Researchers investigated the possible effect of Cognitive Behavioral Therapy (CBT) for auditory hallucinations on activation within the brain. They compared 17 patients with schizophrenia who received CBT for auditory hallucinations, 24 receiving treatment as usual, and 14 healthy controls with functional magnetic resonance (fMRI) imaging. They found significant reduction in several brain areas in patients receiving CBT: left and right amygdalae, left middle temporal gyrus, left superior temporal gyrus, and right superior frontal gyrus.

Publication Date: Sunday, July 15, 2018

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Implementing Illness Management and Recovery Within Assertive Community Treatment: A Pilot Trial of Feasibility and Effectiveness

Objective

In a pilot feasibility and effectiveness study, illness management and recovery (IMR), a curriculum-based program to help people with serious mental illness pursue personal recovery goals, was integrated into assertive community treatment (ACT) to improve participants’ recovery and functioning.

Publication Date: Thursday, February 15, 2018

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ACT and recovery: What we know about their compatibility

A literature search identified 16 empirical articles studying recovery and ACT. These 16 studies were classified as involving stakeholder perceptions, interventions, or fidelity measurement.

Publication Date: Sunday, February 1, 2015

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A comparison of assertive community treatment fidelity and person-centered medical home standards

This study compared programmeasures of assertive community treatment (ACT) with standards of accreditation for the patient-centered medical home (PCMH) to determine whether there were similarities in the infrastructure of the two methods of service delivery and whether high- fidelity ACT teams would qualify for medical home accreditation.

Publication Date: Friday, November 1, 2013

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Evaluating integrated treatment within assertive community treatment programs: A new measure

The TMACT is described with particular detail provided for items that assess integrated dual disorders treatment and a case example is presented to illustrate how the TMACT is used to guide consultation for ensuring effective integrated dual disorders treatment implementation within ACT.

Publication Date: Monday, May 13, 2013

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