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Cognitive Behavioral Therapy for Persistent Psychosis

It is estimated that between 25 and 50 percent of the individuals affected by schizophrenia continue to experience delusions, hallucinations and other symptoms to varying degrees, despite taking antipsychotic medications as prescribed. Research from the United Kingdom has shown that when a form of Cognitive Behavioral Therapy (CBT) adapted for persistent psychotic symptoms (CBT-p) is used in combination with antipsychotic medication, symptoms can be reduced and/or function can improve.

Specifically, CBT-p has shown positive results: 

  • reducing the symptoms of schizophrenia spectrum disorders,
  • improving medication adherence,
  • promoting recovery,
  • reducing relapse rates and
  • decreasing the duration of hospital stays, should re-hospitalization be required.

However, despite its effectiveness, CBT-p is not routinely used in mental health practice sites in the United States. CBT-p requires specialized training and few clinicians have been trained in the practice, creating a barrier to its widespread use.The BeST Center and Insight CBT Partnership collaborated to develop specific techniques from CBT-p that can yield positive results as part of routine clinical care and support. These techniques are called Cognitive Behavioral techniques for Psychosis (CBt-p), and they can be delivered by clinical as well as non-licensed direct care staff and others.

The BeST Center is partnering with treatment teams from the following agencies to implement a range of CBT-p interventions:

  • Community Support Services, Inc.. Akron, Ohio;
  • Connections: Health•Wellness•Advocacy, Cleveland, Ohio; 
  •  The Centers for Families and Children, Cleveland, Ohio,
  • The Counseling Center of Wayne and Holmes Counties

In addition, all FIRST early identification and treatment of psychosis team members have been trained in CBT-p interventions.  

Team members complete intensive training and participate in ongoing individual and group follow-up and feedback related to their use of CBT-p interventions.

Collaborations with the Felton Institute 

The BeST Center and the Felton Institute in Sacramento are collaborating to develop enhanced implementation approaches that will allow for more rapid and efficient dissemination of Cognitive Behavioral Therapy for Psychosis interventions.






The Thought Record

The Thought Record, the BeST Center's newsletter for the growing number of professionals CBT-p interventions to improve the lives of people affected by schizophrenia: 

Volume 4, Issue 1 The Thought Record

Volume 3, Issue 1 The Thought Record

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