Experiences of empowerment in a community cognitive enhancement therapy program: an exploratory qualitative study

Faith, Laura A.; Collins, Jen O.; Decker, J.; Grove, Amber; Jarvis, Stephen; Rempfer, Melisa

doi:10.1080/17522439.2019.1632920

Cited by 12 publications

(9 citation statements)

References 48 publications

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“…The study findings may further have important implications for subjective recovery and clinical practice, as TA is a significant component of subjective recovery (Moran et al, 2014). One way that TA might impact recovery is through shared decision‐making, which can decrease power differentials between client and therapist (Faith et al, 2019; Hamann et al, 2016). Related to this, preference for treatment involvement is related to treatment satisfaction (Klingaman et al, 2015) and shared decision‐making is related to better outcomes (Lindhiem et al, 2014).…”

Section: Discussionmentioning

confidence: 99%

Longitudinal changes in therapeutic alliance with people with psychosis: Relationship between client and therapist assessments

Hasson‐Ohayon

Jong

Igra

et al. 2021

Clin Psychology and Psychoth

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Although the clinical significance of therapeutic alliance with people with psychosis is well established, the agreement between client and therapist assessments of therapeutic alliance and the longitudinal changes of both assessments have been rarely addressed. The current study examined client and therapist assessments of therapeutic alliance longitudinally and sought to determine whether insight and severity of symptoms moderated the degree to which therapist and client assessments were in agreement with one another. Forty‐five participants diagnosed with a schizophrenia spectrum disorder and their therapists were administered a therapeutic alliance questionnaire (Working Alliance Inventory‐Short Form) monthly for 6 months. Baseline symptoms were assessed using the PANSS. Results did not produce evidence that insight into illness moderated the relationship between agreement on the therapeutic alliance. However, symptoms of emotional discomfort at baseline predicted differences in agreement between clients and therapists on the relationship aspect of therapeutic alliance over the course of therapy. These results suggest that the ability to express symptoms of emotional discomfort may affect whether clients and therapists form similar appraisals of the strength of the therapeutic alliance.

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Section: Discussionmentioning

confidence: 99%

Longitudinal changes in therapeutic alliance with people with psychosis: Relationship between client and therapist assessments

Hasson‐Ohayon

Jong

Igra

et al. 2021

Clin Psychology and Psychoth

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“…We further extend existing CET data with a racially and ethnoculturally diverse sample, as published CET studies include majority Caucasian samples. Participants reported positive satisfaction rates, adding to a recently published study describing CET as an empowering experience (Faith et al, 2019). Additionally, CET appeared to be utilized as intended by participants with high attendance and acceptable retention.…”

Section: Discussion and Implications For Practicementioning

confidence: 75%

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

Faith

Grove

Jarvis

et al. 2022

Behav. Cogn. Psychother.

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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.

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“…This improvement in self-acceptance and environmental mastery may have important clinical repercussions in the context of psychiatric rehabilitation, favoring a better functioning or a more proactive attitude toward the achievement of their personal goals. The intervention's improvement of environmental mastery is remarkable, because, after a long involvement in the mental health system, people with SPC usually have high levels of powerlessness (Galderisi et al, 2013) and can have a great impact on mental health (Faith et al, 2019). Actually, recovery from a mental disorder is partially built on the basis of empowerment (Slade, 2012) that is also a characteristic of positive functioning (Van Eck et al, 2018).…”

Section: Discussionmentioning

confidence: 99%

“…The intervention’s improvement of environmental mastery is remarkable, because, after a long involvement in the mental health system, people with SPC usually have high levels of powerlessness (Galderisi et al, 2013) and can have a great impact on mental health (Faith et al, 2019). Actually, recovery from a mental disorder is partially built on the basis of empowerment (Slade, 2012) that is also a characteristic of positive functioning (Van Eck et al, 2018).…”

Section: Discussionmentioning

confidence: 99%

A multicomponent positive psychology group intervention for people with severe psychiatric conditions; a randomized clinical trial.

Valiente¹,

Espinosa²,

Contreras³

et al. 2022

Psychiatric Rehabilitation Journal

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Objective: The aim of this study was to examine the efficacy and effectiveness of a theory-driven multicomponent positive psychology intervention to improve well-being for individuals with severe psychiatric conditions (SPCs) in comparison with treatment as usual (TAU). This intervention moves away from the traditional psychiatric perspectives that focused on symptoms and deficits, promoting a broader view of outcomes such as noncritical self-acceptance, strengths, and positive relationships with others, among other things. Method: A two-arm randomized and outcome-blinded trial with pre-post and 6-month follow-up evaluations was conducted to assess the intervention. A total of 141 participants were allocated to either the experimental condition or the waiting list group receiving their TAU. A mixed-effect model was used to examine the efficacy of the intervention and a repeated-measures Student's t-test for the follow-up effectiveness analysis. Results: The intervention protocol was highly acceptable for participants, showing very high participant satisfaction as well as good attendance and adherence rates. At the end of the group therapy, participants reported a significant improvement in self-acceptance and environmental mastery and, these changes were maintained in the follow-up assessment after 6 months. Conclusions and Implications for Practice: The results of this randomized control trial provide further evidence supporting that positive psychology approaches can be a powerful complementary strategy to promote more comprehensive psychiatric rehabilitation services for people with SPCs. Impact and ImplicationsNew psychosocial approaches for people with severe psychiatric conditions pursuing recovery should incorporate practices to promote well-being, as the two are mutually enhancing processes. The current multicomponent positive psychology intervention had a high level of feasibility and acceptability which facilitates its implementation. Significant improvements in self-acceptance and environmental mastery were maintained after 6 months, providing evidence that this intervention can be a great complementary strategy to traditional psychiatric rehabilitation practices.

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Experiences of empowerment in a community cognitive enhancement therapy program: an exploratory qualitative study

Cited by 12 publications

References 48 publications

Longitudinal changes in therapeutic alliance with people with psychosis: Relationship between client and therapist assessments

Longitudinal changes in therapeutic alliance with people with psychosis: Relationship between client and therapist assessments

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

A multicomponent positive psychology group intervention for people with severe psychiatric conditions; a randomized clinical trial.

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