Adult Behavioral Health (WIMHRT)

Washington State Cognitive Behavioral Therapy for Psychosis (CBTp) Learning Collaborative

Cognitive Behavioral Therapy for Psychosis (CBTp) is an individualized, first-line intervention for adults with schizophrenia and other serious mental illness (Wood et al, 2013).  CBTp includes the application of cognitive skills aimed toward changing thoughts to improve feelings and behaviors, as well as behavioral strategies, often used to address negative symptoms. CBTp is often used in conjunction with antipsychotic medications.  

Peer Employment Support Group: Training Peers to Facilitate the Development of Readiness for Employment

The intention of the Peer Employment Support Group (PESG) approach is to offer a place for discussion and exploration about employment for consumers unsure about seeking employment.  It is intended to be a low barrier point of entry to employment services. Participants can work through their ambivalence without pressure and talk about whatever concerns they may have about employment in a supportive atmosphere. PESG can and does help attendees develop their readiness to pursue a vocational goal and say “yes” to employment.

Washington State Integrated Dual Disorder Treatment (IDDT) Pilots

The Integrated Dual Disorder Treatment (IDDT) model is an evidence-based practice for people with co-occurring severe mental illness and substance use disorders by combining substance abuse services with mental health services. It helps people address both disorders at the same time—in the same service organization by the same team of treatment providers.  IDDT emphasizes that individuals achieve big changes like sobriety, symptom management, and an increase in independent living via a series of small, overlapping, incremental changes that occur over time.

Washington State Illness Management and Recovery (IMR) Pilots

The Illness Management and Recovery (IMR) program was developed in order to help people with schizophrenia or major mood disorders learn how to manage their illnesses more effectively in the context of pursuing their personal goals.  Five empirically supported strategies were identified and incorporated into the program, including psychoeducation about mental illness and its treatment, cognitive-behavioral approaches to medication adherence (e.g., incorporating cues for taking medication into daily routines), developing a relapse prevention plan, strengthening social support by social skill

Washington State Program of Assertive Community Treatment (PACT) training, consultation and fidelity reviews

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).  Ideally, services are available 24/7 and are directed to consumer needs with most (70%) treatment services

Integration of Illness Management and Recovery within Assertive Community Treatment (ACT+IMR)

The goals of this multi-site, linked R34 research and development grant are to develop and evaluate the feasibility of a novel psychosocial approach for improving the mental health of people with severe mental illness while obtaining preliminary pilot data needed to plan a subsequent R01 research application to further evaluate this intervention.  Specifically, we plan to adapt and pilot an approach for integrating two evidence-based practices for adults with serious mental illness: Illness Management and Recovery (IMR) and Assertive Community Treatment (ACT).  This project has three specif

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