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BMC Health Services Research
Published in: BMC Health Services Research 1/2018

Open Access 01-12-2018 | Research article

Implementing cognitive remediation and social cognitive interaction training into standard psychosis care

Authors: Frances Dark, Meredith Harris, Victoria Gore-Jones, Ellie Newman, Harvey Whiteford

Published in: BMC Health Services Research | Issue 1/2018

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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.
Appendix
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Literature
1.
Galletly C, Castle D, Dark F, Humberstone V, Jablensky A, Killackey E, Kulkarni J, McGorry P, Nielssen O, Tran N. Royal Australian and New Zealand College of Psychiatrists clinical practice guidelines for the management of schizophrenia and related disorders. Aust N Z J Psychiatry. 2016;50(5):410–72.CrossRefPubMed
2.
Kuipers E, Yesufu-Udechuku A, Taylor C, Kendall T. Management of psychosis and schizophrenia in adults: summary of updated NICE guidance. BMJ. 2014;348:g1173.CrossRefPubMed
3.
Barbui C, Girlanda F, Ay E, Cipriani A, Becker T, Koesters M. Implementation of treatment guidelines for specialist mental health care. Schizophr Bull. 2014;40(4):737–9.CrossRefPubMedPubMedCentral
4.
Michie S, Berentson-Shaw J, Pilling S, Feder G, Dieppe P, Raine R, Cluzeau F, Alderson P, Ellis S. Turning evidence into recommendations: protocol of a study guideline development groups. Implement Sci. 2007;2:29.CrossRefPubMedPubMedCentral
5.
Corrigan PW, Steiner L, McCracken SG, Blaser B, Barr M. Strategies for disseminating evidence based practices to staff who treat people with serious mental illness. Psychiatr Serv. 2001;52(12):1598–606.CrossRefPubMed
6.
Proctor EK. Implementation research in mental health services: an emerging science with conceptual, methodological, and training challenges. J Adm Policy Mental Health. 2009;36(1):1–17.CrossRef
7.
Fixsen D, Naoom S, Blase K, Friedman R, Wallace F. Implementation research: a synthesis of the literature. Tampa: University of South Florida, Louis de la parte Florida mental heath Institue, National Implementation Research Network; 2005.
8.
Keefe RS, Eesley CE, Poe MP. Defining a cognitive function decrement in schizophrenia. Biol Psychiatry. 2005;57(6):688–91.CrossRefPubMed
9.
Bowie CR, Harvey PD. Cognition in schizophrenia: impairments, determinants, and functional importance. Psychiatr Clin North Am. 2005;28(3):613–633, 626.CrossRefPubMed
10.
Fioravanti M, Bianchi V, Cinti ME. Cognitive deficits in schizophrenia: an updated metanalysis of the scientific evidence. BMC Psychiatry. 2012;12(1):64.CrossRefPubMedPubMedCentral
11.
Wykes T, Huddy V, Cellard C, McGurk SR, Czobor P. A meta-analysis of cognitive remediation for schizophrenia: methodology and effect sizes. Am J Psychiatr. 2011;168(5):472–85.CrossRefPubMed
12.
Kurtz MM, Richardson CL. Social cognitive training for schizophrenia: a meta-analytic investigation of controlled research. Schizophr Bull. 2012;38(5):1092–104.CrossRefPubMed
13.
Combs DR, Adams SD, Penn DL, Roberts D, Tiegreen J, Stem P. Social cognition and interaction training (SCIT) for inpatients with schizophrenia spectrum disorders: preliminary findings. Schizophr Res. 2007;91(1):112–6.CrossRefPubMed
14.
Bartholomeusz CF, Allott K, Killackey E, Liu P, Wood SJ, Thompson A. Social cognition training as an intervention for improving functional outcome in first-episode psychosis: a feasibility study. Early Interv Psychiatry. 2013;7(4):421–6.CrossRefPubMed
15.
Parker S, Foley S, Walker P, Dark F. Improving the social cognitive deficits of schizophrenia: a community trial of social cognition and interaction training (SCIT). Australas Psychiatry. 2013;21(4):346–51.CrossRefPubMed
16.
Cairns A, Dark F, Batts M. Implementing cognitive remediation therapy: lessons from two public mental health services. Australas Psychiatry. 2013;21(5):476–80.CrossRefPubMed
17.
Dark F, Whiteford H, Ashkanasy NM, Harvey C, Crompton D, Newman E. Implementing cognitive therapies into routine psychosis care: organisational foundations. BMC Health Serv Res. 2015;15:310.CrossRefPubMedPubMedCentral
18.
Dark F, Newman E, Harris M, Cairns A, Simpson M, Gore-Jones V, Whiteford H, Harvey C, Crompton D. Implementing cognitive remediation therapy (CRT) in a mental health service: staff training. Australas Psychiatry. 2016;24(2):185–9.CrossRefPubMed
19.
Reeder C, Huddy V, Cella M, Taylor R, Greenwood K, Landau S, Wykes T. A new generation computerised metacognitive cognitive remediation programme for schizophrenia (CIRCuiTS): a randomised controlled trial. Psychol Med. 2017;47(15):2720–30.CrossRefPubMedCentral
20.
Medalia A, Freilich B: The Neuropsychological Educational Approach to Cognitive Remediation (NEAR) Model: Practice Principles and Outcome Studies, vol. 11; 2008.
21.
Roberts DL, Penn DL, Labate D, Margolis SA, Sterne A. Transportability and feasibility of social cognition and interaction training (SCIT) in community settings. Behav Cogn Psychother. 2009;38(1):35–47.CrossRefPubMed
22.
Amado I, Sederer LI. Implementing cognitive remediation programs in France: the “secret sauce”. Psychiatr Serv (Washington, DC). 2016;67(7):707–9.CrossRef
23.
McGurk SR, Mueser KT, Watkins MA, Dalton CM, Deutsch H. The feasibility of implementing cognitive remediation for work in community based psychiatric rehabilitation programs. Psychiatr Rehabil J. 2017;40(1):79–86.CrossRefPubMed
24.
John AP, Yeak K, Ayres H, Dragovic M. Successful implementation of a cognitive remediation program in everyday clinical practice for individuals living with schizophrenia. Psychiatr Rehabil J. 2017;40(1):87–93.CrossRefPubMed
25.
Damschroder L, Aron D, Keith R, Krish S, Alexander J, Lowery J. Fostering implementation of health service research findings into practice: a consolidation framework for advancing implementation science. Implement Sci. 2009;4:1–15.CrossRef
26.
Ennis L, Wykes T. Impact of patient involvement in mental health research: longitudinal study. Br J Psychiatry. 2013;203(5):381–6.CrossRefPubMed
27.
Reeder C, Harris V, Pickles A, Patel A, Cella M, Wykes T. Does change in cognitive function predict change in costs of care for people with a schizophrenia diagnosis following cognitive remediation therapy? Schizophr Bull. 2014;40(6):1472–81.CrossRefPubMedPubMedCentral
Metadata
Title
Implementing cognitive remediation and social cognitive interaction training into standard psychosis care
Authors
Frances Dark
Meredith Harris
Victoria Gore-Jones
Ellie Newman
Harvey Whiteford
Publication date
01-12-2018
Publisher
BioMed Central
Published in
BMC Health Services Research / Issue 1/2018
Electronic ISSN: 1472-6963
DOI
https://doi.org/10.1186/s12913-018-3240-5

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