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.

SB 5732: Improving behavioral health services provided to adults in Washington State

  • SB 5732 directs the Department of Social and Health Services (DSHS) to develop a strategy for the improvement of the adult behavioral health system.
  • Requires the DSHS to issue a request for proposals for enhanced services facilities
  • Requires Regional Support Networks to develop an individualized discharge plan for certain patients and arrange for his or her transistion to the community within 21 days of the determination that he or she no longer needs inpatient, active psychiatric treatment

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

Evidence Based Supported Employment: Individual Placement and Support Model of Supported Employment

IPS (Individual Placement and Support) is an evidence-based practice that was developed to help promote the recovery of people who have serious mental illness through work. This model is well defined by eight practice principles and a 25-item fidelity scale.
IPS supported employment helps people with severe mental illness work at regular jobs of their choosing. Although variations of supported employment exist, IPS (Individual Placement and Support) refers to the evidence-based practice of supported employment.

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