Can Frontline Clinicians in Public Psychiatry Settings Provide Effective Psychotherapy For Psychosis?

Am J Psychother. 2016;70(3):301-328. doi: 10.1176/appi.psychotherapy.2016.70.3.301.

Abstract

This report consists of the personal reflections of seven frontline clinicians who participated in a formal training program for the psychotherapy of psychosis implemented in a large public clinic setting. The training was part of a quality improvement initiative, consisting of 12 hours of didactic presentation followed by 30 hours of weekly peer-group supervision. The clinicians comment on ways of working with patients prior to the training, and how their views and techniques changed as a result of the training. The reflections of frontline staff provide proof of the concept that psychotherapy for psychosis techniques can be added to existing clinical skills, and that it is possible to implement a program in psychotherapy for psychosis in a busy public clinic.

Publication types

  • Case Reports

MeSH terms

  • Adolescent
  • Adult
  • Child
  • Child Abuse, Sexual / diagnosis
  • Child Abuse, Sexual / psychology
  • Child Abuse, Sexual / therapy
  • Child, Preschool
  • Cognitive Behavioral Therapy / education
  • Cognitive Behavioral Therapy / methods
  • Community Mental Health Services*
  • Community Psychiatry* / education
  • Cross-Cultural Comparison
  • Curriculum
  • Hospitalization
  • Hospitals, Municipal*
  • Humans
  • Life Change Events
  • Male
  • Milieu Therapy / education
  • Milieu Therapy / methods
  • Physician-Patient Relations
  • Psychiatric Department, Hospital
  • Psychotic Disorders / diagnosis
  • Psychotic Disorders / psychology*
  • Psychotic Disorders / therapy*
  • Public Health Practice*
  • Schizophrenia / diagnosis
  • Schizophrenia / therapy
  • Schizophrenic Psychology
  • Treatment Outcome
  • United Kingdom
  • United States