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Healthcare 2017, 5(2), 23; doi:10.3390/healthcare5020023

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

1
Butler Hospital, Providence, RI 02906, USA
2
Warren Alpert Medical School, Brown University, Providence, RI 02912, USA
3
College of Human Medicine, Michigan State University, Flint, MI 48502, USA
4
Center for Psychiatric Rehabilitation, Boston University, Boston, MA 02215, USA
*
Author to whom correspondence should be addressed.
Academic Editor: Sampath Parthasarathy
Received: 17 March 2017 / Revised: 31 March 2017 / Accepted: 3 May 2017 / Published: 5 May 2017
View Full-Text   |   Download PDF [901 KB, uploaded 5 May 2017]   |  

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 (c) conduct a pilot randomized controlled trial in preparation for a future fully-powered clinical trial testing the effectiveness of ACT. View Full-Text
Keywords: hospitalization; psychotic disorders; psychotherapy; pilot projects hospitalization; psychotic disorders; psychotherapy; pilot projects
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MDPI and ACS Style

Gaudiano, B.A.; Davis, C.H.; Epstein-Lubow, G.; Johnson, J.E.; Mueser, K.T.; Miller, I.W. Acceptance and Commitment Therapy for Inpatients with Psychosis (the REACH Study): Protocol for Treatment Development and Pilot Testing. Healthcare 2017, 5, 23.

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