University of Washington Department of Psychiatry And Behavioral Sciences


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


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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Program fidelity and beyond: Multiple strategies and criteria for ensuring quality in ACT

The authors provide a heuristic model for administrators and providers seeking to implement and sustain high-quality ACT programs.

Publication Date: Friday, August 31, 2012

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Breathe: A pilot study of burnout reduction in mental health professionals

Staff burnout is a frequent problem for mental health providers and may be associated with negative outcomes for providers, consumers, and organizations. This study tested an intervention to reduce staff burnout.

Publication Date: Tuesday, February 1, 2011

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The TMACT: A new tool for measuring fidelity to assertive community treatment

Fidelity assessment is important for implementation of evidence-based practices (EBPs), including assertive community treatment (ACT).

Publication Date: Saturday, January 1, 2011

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