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Healthcare (Basel). 2017 May 5;5(2). pii: E23. doi: 10.3390/healthcare5020023.

Acceptance and Commitment Therapy for Inpatients with Psychosis (the REACH Study): Protocol for Treatment Development and Pilot Testing.

Author information

1
Butler Hospital, Providence, RI 02906, USA. brandon_gaudiano@brown.edu.
2
Warren Alpert Medical School, Brown University, Providence, RI 02912, USA. brandon_gaudiano@brown.edu.
3
Butler Hospital, Providence, RI 02906, USA. chdavis@butler.org.
4
Butler Hospital, Providence, RI 02906, USA. gary_epstein-lubow_MD@brown.edu.
5
Warren Alpert Medical School, Brown University, Providence, RI 02912, USA. gary_epstein-lubow_MD@brown.edu.
6
College of Human Medicine, Michigan State University, Flint, MI 48502, USA. jennifer.johnson@hc.msu.edu.
7
Center for Psychiatric Rehabilitation, Boston University, Boston, MA 02215, USA. mueser@bu.edu.
8
Butler Hospital, Providence, RI 02906, USA. ivan_miller@brown.edu.
9
Warren Alpert Medical School, Brown University, Providence, RI 02912, USA. ivan_miller@brown.edu.

Abstract

Patients with schizophrenia-spectrum disorders frequently require treatment at inpatient hospitals during periods of acute illness for crisis management and stabilization. Acceptance and Commitment Therapy (ACT), a "third wave" cognitive-behavioral intervention that employs innovative mindfulness-based strategies, has shown initial efficacy in randomized controlled trials for improving acute and post-discharge outcomes in patients with psychosis when studied in acute-care psychiatric hospitals in the U.S. However, the intervention has not been widely adopted in its current form because of its use of an individual-only format and delivery by doctoral-level research therapists with extensive prior experience using ACT. The aim of the Researching the Effectiveness of Acceptance-based Coping during Hospitalization (REACH) Study is to adapt a promising acute-care psychosocial treatment for inpatients with psychosis, and to pilot test its effectiveness in a routine inpatient setting. More specifically, we describe our plans to: (a) further develop and refine the treatment and training protocols, (b) conduct an open trial and make further modifications based on the experience gained, and.

KEYWORDS:

hospitalization; pilot projects; psychotherapy; psychotic disorders

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