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Implementation and preliminary outcomes of cognitive enhancement therapy for serious mental illness in an outpatient mental health program

Published online by Cambridge University Press:  02 February 2022

Laura A. Faith Open the ORCID record for Laura A. Faith [Opens in a new window] ,
Amber Grove ,
Stephen P. Jarvis  and
Melisa V. Rempfer
Laura A. Faith*
Affiliation:
Richard L Roudebush VA Medical Center, Health Services Research and Development (HSR&D) Center for Health Information and Communication (CHIC), 1481 West 10th Street, Indianapolis, IN 46202, USA
Amber Grove
Affiliation:
Department of Psychology, University of Missouri, Kansas City, 5030 Cherry Street, #324, Kansas City, MO 64110, USA
Stephen P. Jarvis
Affiliation:
University Health Behavioral Health, 300 West 19th Terrace, Kansas City, MO 64108, USA Department of Psychiatry, University of Missouri, Kansas City, 1000 E. 24th Street, Kansas City, MO 64108, USA
Melisa V. Rempfer
Affiliation:
Department of Psychology, University of Missouri, Kansas City, 5030 Cherry Street, #324, Kansas City, MO 64110, USA
*
*Corresponding author. Email: lafn74@mail.umkc.edu
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Abstract

Background:

Although numerous evidence-based treatments for serious mental illnesses (SMI) exist, the majority are not widely utilized in clinical settings. Cognitive enhancement therapy (CET) has been tested in randomized trials; however, knowledge regarding implementation and outcomes in naturalistic environments is scarce.

Aims:

The current study is an uncontrolled, observational study describing implementation and pre- to post-outcomes of CETCleveland®, a community-based version of CET in an outpatient mental health program in the United States.

Method:

We included n = 34 diverse individuals with SMI. Data include qualitative implementation information and participant outcomes, including measures of cognition, symptoms, satisfaction and adherence.

Results:

Overall, participant satisfaction was positive, and adherence was comparable with previous studies. Implementation information includes training, clinician and setting characteristics, and barriers and solutions. Preliminary outcomes showed that participants significantly improved in areas of neurocognition and symptoms.

Conclusions:

Overall, our results demonstrated successful early implementation of CET in a diverse, outpatient mental health program and provided preliminary support for the clinical utilization of CET. We hope these results will promote further access to CET and other evidence-based psychiatric rehabilitation programs in community clinics.

Keywords

cognitive rehabilitationcognitive remediationcognitive therapyimplementationpsychosisserious mental illness
Type
Brief Clinical Report
Information
Behavioural and Cognitive Psychotherapy , Volume 50 , Issue 3 , May 2022 , pp. 345 - 350
Copyright
© The Author(s), 2022. Published by Cambridge University Press on behalf of the British Association for Behavioural and Cognitive Psychotherapies

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