Adapting cognitive behavioral therapy for psychosis for case managers: increasing access to services in a community mental health agency.
OBJECTIVE
The purpose of this article is twofold: (a) to describe the adaptation of an evidence-based practice and, (b) using a dissemination framework, to describe the process of implementing the practice at a community mental health agency.


METHODS
The authors describe the training concept and dissemination framework of implementing an emerging practice: high-yield cognitive behavioral techniques for psychosis, which is rooted in cognitive behavioral therapy.


RESULTS
Thirteen case managers who represented teams from across the agency delivered the adapted practice at a community mental health agency. Implementation required buy in from all stakeholders, communication across disciplines, persistence, and flexibility.


CONCLUSIONS
It appears that the use of a dissemination framework that is grounded in the literature, yet flexible, eases the process of implementing an adapted practice. Further research focusing on the effectiveness of this approach, along with the impact of implementing a full spectrum of cognitive behavioral therapy services for individuals with persistent psychotic symptoms, based on cognitive behavioral therapy principles, is indicated.
Best Practices in Schizophrenia Treatment (BeST) Center, Department of Psychiatry, Northeast Ohio Medical University.
Vicki L
VL
Montesano
Best Practices in Schizophrenia Treatment (BeST) Center, Department of Psychiatry, Northeast Ohio Medical University.
Harry J
HJ
Sivec
Best Practices in Schizophrenia Treatment (BeST) Center, Department of Psychiatry, Northeast Ohio Medical University.
Mark R
MR
Munetz
NHS Foundation Trust.
Jeremy R
JR
Pelton
Institute of Neurosciences, Newcastle University.
Douglas
D
Turkington
D000328:Adult; D019090:Case Management; D015928:Cognitive Behavioral Therapy / Q000193:education / Q000379:methods*; D003156:Community Mental Health Services; D003299:Cooperative Behavior; D004059:Diffusion of Innovation; D055317:Evidence-Based Practice / Q000193:education / Q000379:methods; D005260:Female; D006297:Health Services Accessibility; D006801:Humans; D007318:Inservice Training; D007373:Interinstitutional Relations; D008297:Male; D011618:Psychotic Disorders / Q000628:therapy*; D012559:Schizophrenia / Q000628:therapy*; D016896:Treatment Outcome; D006113:United Kingdom; D014481:United States