The Story of the Evolution of CBTp in Washington State
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.
Presently, more than 250 clinicians across 17 counties in Washington State have been trained in CBTp from the UW CBTp implementation team. One hundred and sixteen providers have successfully completed certificate requirements, which includes a required number of consultation sessions and a CBTp session fidelity review, depending on the level of services provided. The UW CBTp implementation team recognizes that, in order to effectively address the science-to-practice gap, we must exponentially increase the number of trained CBTp providers while maintaining high standards for competence and adherence. Two recent implementation enhancements permit the expansion of dissemination and implementation efforts: introducing CBTp Stepped Care and the CBTp ECHO Clinic. See the Map of Current Sites to locate a CBTp-trained agency in your county.