CBT Skills for Assertive Community Treatment Teams

Training clinicians to implement cognitive behavioral skills for people with serious mental illness

The Challenge

A state administrator received results from fidelity reviews that teams were scoring lower in the areas of implementing manualized interventions and providing empirically supported psychotherapy.

The Process

Our team worked closely with another expert in the field to design a series of trainings for Assertive Community Treatment teams to train them to implement cognitive behavioral skills for persons with serious mental illness.

The Solution

We designed a series of three trainings on evidence-based psychotherapy interventions. In the first training, Assertive Community Treatment clinicians learned a short intervention to provide trauma-informed care. They practiced using a manualized intervention with individuals on the team and received additional support to implement the intervention through our consultation process. The second training focused on teaching the fundamentals of cognitive behavioral interventions to the team’s psychotherapy providers. The clinicians participated in hands-on training and are receiving ongoing consultation as they implement these approaches with individuals on their caseload. The third training will focus on training clinicians in cognitive behavioral therapy for psychosis to address the specialized needs of persons with schizophrenia and psychosis.

The Result

Currently in progress, the Assertive Community Treatment teams have completed the first two trainings in trauma-informed care and the fundamentals of cognitive behavioral therapy. Clinicians are using the trauma-informed care intervention with several people on their caseloads, along with cognitive behavioral approaches to help them progress toward their goals and reduce distressing symptoms.