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Psychosis. 2013 Jan 1;5(3). doi: 10.1080/17522439.2012.704932.

Cognitive Behavioral Therapy for Psychosis - Training Practices and Dissemination in the United States.

Author information

1
Department of Psychiatry, Columbia University, New York, NY ; New York State Psychiatric Institute, New York, NY.
2
Department of Psychology, Institute of Psychiatry, King's College, London, United Kingdom.
3
Department of Psychiatry, New York University Medical Center, New York, NY.
4
Department of Psychiatry, University of Pennsylvania, Philadelphia, PA.

Abstract

OBJECTIVE:

Cognitive-Behavioral Therapy for psychosis (CBTp) is an evidence-based treatment for psychosis-related disorders. However, despite the strong evidence-base and inclusion in national treatment guidelines, CBTp remains poorly disseminated in the US. It is proposed that this state is a product of lack of CBTp knowledge among clinical training leaders along with limited availability of training opportunities.

METHOD:

We surveyed training directors in US psychiatry residency and clinical psychology doctoral programs to characterize the penetration of CBTp training and to assess their familiarity with basic CBTp facts.

RESULTS:

Directors displayed limited knowledge of CBTp effectiveness, with only 50% of psychiatry and 40% of psychology directors believing that CBTp is efficacious. Only 10% of psychiatry and 30% of psychology directors were aware that the CBTp evidence-base is based on meta-analyses. While 45% of all directors reported that their program offer CBTp training, trainees received limited training - 4 hours of didactics, 21 hours of treatment, and 12 hours of supervision.

CONCLUSIONS:

CBTp dissemination in the US is characterized by training directors' minimal awareness of the CBTp evidence-base along with training opportunities that are so limited, as to be unlikely to be adequate to provide CBTp effectively, hence unlikely to improve patients' psychoses.

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