title: Effects of a recovery-oriented cognitive therapy training program on inpatient staff attitudes and incidents of seclusion and restraint.
abstract: We investigated the feasibility of implementing a recovery-oriented cognitive therapy (CT-R) milieu training program in an urban acute psychiatric inpatient unit. Over a 1-month period, 29 staff members learned short-term CT-R strategies and techniques in an 8-h workshop. Trainees' perceptions of CT-R, beliefs about the therapeutic milieu, and attitudes about working with individuals with psychosis were evaluated both before the workshop and 6 months after the workshop had been completed. Incidents of seclusion and restraint on the unit were also tallied prior to and after the training. Results indicate that staff perceptions of CT-R and their beliefs about the therapeutic environment significantly improved, whereas staff attitudes towards individuals with psychosis remained the same. Incidents of seclusion and restraint also decreased after the training. These findings provide evidence that CT-R training is feasible and can improve the therapeutic milieu of an acute psychiatric inpatient unit.
authors: Perelman School of Medicine, University of Pennsylvania, 3535 Market Street, Room 2032, Philadelphia, PA, 19104, USA.
authors: Nadine A
authors: NA
authors: Chang
authors: Paul M
authors: PM
authors: Grant
authors: Lauren
authors: L
authors: Luther
authors: Aaron T
authors: AT
authors: Beck
mesh_terms: D001291:Attitude of Health Personnel; D015928:Cognitive Behavioral Therapy / Q000193:education* / Q000379:methods*; D004493:Education / Q000379:methods; D005260:Female; D006801:Humans; D008297:Male; D001523:Mental Disorders / Q000628:therapy*; D008875:Middle Aged; D010356:Patient Isolation / Q000706:statistics & numerical data*; D011567:Psychiatric Department, Hospital / Q000706:statistics & numerical data; D011618:Psychotic Disorders / Q000628:therapy; D012074:Remission Induction; D012149:Restraint, Physical / Q000706:statistics & numerical data*