University of Washington Department of Psychiatry And Behavioral Sciences

First Episode Psychosis (FEP)

Approximately 100,000 adolescents and young adults in the United States experience First Episode Psychosis (FEP) each year (calculated from McGrath, Saha, Chant, et al., 2008). With a peak onset occurring between 15-25 years of age, psychotic disorders such as schizophrenia can derail a young person’s social, academic, and vocational development and initiate a trajectory of accumulating disability.

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Cognitive Behavioral Therapy for psychosis (CBTp)

Despite an evidence base that spans more than 20 years, CBTp is not widely available in community mental health settings in the United States. Nationally, it’s estimated that only 0.1% of all licensed clinicians in the United States are trained in CBTp. There are nearly 60,000 Washingtonians who are diagnosed with schizophrenia. Prior to 2015, CBT for psychosis was unavailable among the state’s 375 community mental health agencies and, if resources did exist, few people knew where to access it. Recognizing this unmet need within the State, in 2014 Dr. Monroe-DeVita secured funding from the Division of Behavioral Health and Recovery (DBHR) and an anonymous donor to begin to train the Washington State mental health workforce in CBTp. In 2015, Dr. Kopelovich joined the UW implementation team and successfully renewed the public-private funding that has permitted for a rapid expansion of CBTp dissemination and implementation. 

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Program for Assertive Community Treatment (PACT)

PACT is an effective, evidence-based, recovery-oriented mental health service delivery model that utilizes a trans-disciplinary team approach providing intensive outreach-oriented services to individuals with severe and persistent mental illnesses and co-occurring disorders.  Utilizing a client-centered approach, team members are responsibilities for addressing the needs of consumers and carry low caseloads to allow for individualized care and frequent contracts (1:10 staffing ratio). Ensuring that PACT teams in Washington State are trained and regularly evaluated using effective tools helps to provide useful quality improvement recommendations and ultimately improves outcomes for the people they serve.

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Other Areas of Training and Consultation in Evidence-Based Practice

Evidence Based Practices for Adults currently provides Training, Consultation, and Evaluation in the following areas:

  • Illness Management and Recovery (IMR) Pilots in Washington State
  • Integrated Dual Disorder Treatment (IDDT) Pilots in Washington State
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