Authors: John Farhall
Event: 2001 TheMHS Conference
Subject: cognitive behavioral therapy, research, intervention, book of proceedings
Type of resource: Conference Presentations and Papers
Abstract: A wide gap exists between successful research trials of a new therapy and its translation into routine practice. Recent research suggests that cognitive behavioral therapy (CBT) for psychosis is efficacious. This paper reports a study that explored whether a CBT for psychosis intervention might be effective and acceptable in routine practice. Thirty-three consumers were referred, of whom 22 received an intervention. Acceptance of the therapy by consumers was high, and both positive symptom ratings and global functioning scores improved following therapy. Eleven of 14 area psychologists availed themselves of training and support. Uptake of cases was variable, with two therapists accounting for 79% of registered cases. However, 50% of area psychologists claimed to be implementing CBT principles to consumers who were not in the study. Although service managers saw the therapy as effective and considered 36% of service users to be potential candidates, it was not seen as a high priority and psychologists were allocated little additional time in which to provide the service. These findings raise issues about the dissemination of innovation into routine practice, including management of change and the need to research the utility of more limited versions of efficacious treatments.
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