Implementing cognitive remediation and social cognitive interaction training into standard psychosis care
Abstract Background To evaluate the planned implementation of group based Cognitive Remediation therapy (CR) and Social Cognitive Interaction Training (SCIT) into routine psychosis care in a mental health service in Australia. Method The study was conducted over 3 years in a mental health service in...
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| Format: | Article |
| Language: | English |
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BMC
2018-06-01
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| Series: | BMC Health Services Research |
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| Online Access: | http://link.springer.com/article/10.1186/s12913-018-3240-5 |
| _version_ | 1818864456869871616 |
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| author | Frances Dark Meredith Harris Victoria Gore-Jones Ellie Newman Harvey Whiteford |
| author_facet | Frances Dark Meredith Harris Victoria Gore-Jones Ellie Newman Harvey Whiteford |
| author_sort | Frances Dark |
| collection | DOAJ |
| description | Abstract Background To evaluate the planned implementation of group based Cognitive Remediation therapy (CR) and Social Cognitive Interaction Training (SCIT) into routine psychosis care in a mental health service in Australia. Method The study was conducted over 3 years in a mental health service in a metropolitan city in Australia. Participants were 22 program facilitators and 128 patients attending the programs. Implementation outcomes were assessed using administrative data, staff surveys and program audits. Results There was fidelity to the particular therapies at a program level. Programs were assessed as being feasible within the study setting with each hospital district developing a capacity to run CR and SCIT. The establishment of new programs improved the reach, but waiting lists indicate a need to expand capacity. There was a relatively high dropout and several factors impacted on completion of the programs - notably, acute exacerbation of psychosis. Once initiated the therapies were acceptable with no-one ceasing SCIT due to loss of interest and only 10% of participants ceasing CR due to loss of interest. Annual audits of programs found programs established were maintained and facilitators were retained. Conclusion SCIT and CR programs were successfully implemented in three hospital districts. Several factors impeded participants receiving the recommended “dose” of the programs. The maintenance of the programs in the short term is encouraging in regards to organisational fit. Dissemination of cognitive rehabilitation programs to a service population takes planning. An implementation plan is essential for guiding development and maintenance of programs. These therapies are best suited to people in a stable phase of illness. Service user co-production is recommended to improve recruitment in future studies. |
| first_indexed | 2024-12-19T10:31:57Z |
| format | Article |
| id | doaj.art-cf310ce14c2244e1ae23891697ed1213 |
| institution | Directory Open Access Journal |
| issn | 1472-6963 |
| language | English |
| last_indexed | 2024-12-19T10:31:57Z |
| publishDate | 2018-06-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Health Services Research |
| spelling | doaj.art-cf310ce14c2244e1ae23891697ed12132022-12-21T20:25:44ZengBMCBMC Health Services Research1472-69632018-06-011811710.1186/s12913-018-3240-5Implementing cognitive remediation and social cognitive interaction training into standard psychosis careFrances Dark0Meredith Harris1Victoria Gore-Jones2Ellie Newman3Harvey Whiteford4Rehabilitation Academic Clinical Unit, Metro South Addiction and Mental Health ServiceSchool of Public Health, The University of QueenslandRehabilitation Academic Clinical Unit, Metro South Addiction and Mental Health ServiceRehabilitation Academic Clinical Unit, Metro South Addiction and Mental Health ServiceSchool of Public Health, The University of QueenslandAbstract Background To evaluate the planned implementation of group based Cognitive Remediation therapy (CR) and Social Cognitive Interaction Training (SCIT) into routine psychosis care in a mental health service in Australia. Method The study was conducted over 3 years in a mental health service in a metropolitan city in Australia. Participants were 22 program facilitators and 128 patients attending the programs. Implementation outcomes were assessed using administrative data, staff surveys and program audits. Results There was fidelity to the particular therapies at a program level. Programs were assessed as being feasible within the study setting with each hospital district developing a capacity to run CR and SCIT. The establishment of new programs improved the reach, but waiting lists indicate a need to expand capacity. There was a relatively high dropout and several factors impacted on completion of the programs - notably, acute exacerbation of psychosis. Once initiated the therapies were acceptable with no-one ceasing SCIT due to loss of interest and only 10% of participants ceasing CR due to loss of interest. Annual audits of programs found programs established were maintained and facilitators were retained. Conclusion SCIT and CR programs were successfully implemented in three hospital districts. Several factors impeded participants receiving the recommended “dose” of the programs. The maintenance of the programs in the short term is encouraging in regards to organisational fit. Dissemination of cognitive rehabilitation programs to a service population takes planning. An implementation plan is essential for guiding development and maintenance of programs. These therapies are best suited to people in a stable phase of illness. Service user co-production is recommended to improve recruitment in future studies.http://link.springer.com/article/10.1186/s12913-018-3240-5Implementation outcomesCognitive remediationSocial cognitive interaction trainingSchizophreniaMental health services |
| spellingShingle | Frances Dark Meredith Harris Victoria Gore-Jones Ellie Newman Harvey Whiteford Implementing cognitive remediation and social cognitive interaction training into standard psychosis care BMC Health Services Research Implementation outcomes Cognitive remediation Social cognitive interaction training Schizophrenia Mental health services |
| title | Implementing cognitive remediation and social cognitive interaction training into standard psychosis care |
| title_full | Implementing cognitive remediation and social cognitive interaction training into standard psychosis care |
| title_fullStr | Implementing cognitive remediation and social cognitive interaction training into standard psychosis care |
| title_full_unstemmed | Implementing cognitive remediation and social cognitive interaction training into standard psychosis care |
| title_short | Implementing cognitive remediation and social cognitive interaction training into standard psychosis care |
| title_sort | implementing cognitive remediation and social cognitive interaction training into standard psychosis care |
| topic | Implementation outcomes Cognitive remediation Social cognitive interaction training Schizophrenia Mental health services |
| url | http://link.springer.com/article/10.1186/s12913-018-3240-5 |
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