Books, Articles, and Handouts
"Over 100 million people in the US identify as belonging to a racial/ethnic minority group. Individuals with a serious mental illness who also identify as a racial/ethnic minority tend to receive poorer quality of care, have less access to services, and experience higher dropout rates and poorer outcomes when compared to their White counterparts (Maura & Weisman de Mamani, 2015). These differences have spurred initiatives to integrate cultural perspectives into evidence-based treatments.
This practice brief, prepared by Jessica Maura, PhD and Sarah Kopelovich, PhD, is intended to help clinicians —particularly those who administer Cognitive Behavioral Therapy for individuals with serious mental illness—to enhance their cultural awareness and incorporate culturally-relevant practices into their formulation and treatment approach."
Click HERE to access the full brief via the Northwest Mental Health Technology Transfer Center Network.
"Cognitive Behavioral Therapy for psychosis (CBTp) is an accepted evidence-based treatment aimed at reducing the distress and impairment associated with psychotic symptoms. CBTp has been incorporated in national Canadian and United States schizophrenia treatment guidelines. It is also a mode of treatment that can sometimes be perceived by providers as lacking emphasis on human relationships, though the basis of CBT is built upon relational factors including: validation, optimism, recovery-orientated practice and collaboration. As a result of this perception, CBTp may not be as attractive to some practitioners, resulting in fewer trained clinicians, in turn, impacting client access to this evidence based treatment"
Click HERE to access the full brief--written by Alison Brabban, Rory Byrne, Eleanor Longden, and Anthony P. Morrison via the Northwest Mental Health Technology Transfer Center Network.
This fact sheet written by Dr. Kate Hardy provides an explanation of CBT, CBT for psychosis, and early intervention principles as it relates to CBTp; a case example of using CBTp with a client presenting with concerns related to auditory hallucinations; and training requirements for clinicians who are interested in practicing CBTp. It was developed for SAMHSA/CMHS under Contract Reference: HHSS283201000021/Task Order No. HHSS28342002T. Click here to be access the NASMHPD website and here for the resource.
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. The current paper describes how the stepped care model can be applied to CBT for psychosis in the US to increase access to the intervention in community mental health settings by leveraging the multidisciplinary team. Click here for access to the article.
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). Click here for the article.
While CBTp has been established as an evidence-based treatment for psychosis, most randomized controlled trials (RCTs) take a broad approach in designing CBTp interventions, given the significant heterogeneity of psychotic symptoms. There may be utility in looking at more symptom-specific, tailored CBTp interventions. This paper reviews effect sizes from CBTp interventions in RCTs that specifically targeted either persecutory delusions or auditory hallucinations, and identifies some that are particularly efficacious. You can read the article here.