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Healthcare 2017, 5(2), 23;

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

Butler Hospital, Providence, RI 02906, USA
Warren Alpert Medical School, Brown University, Providence, RI 02912, USA
College of Human Medicine, Michigan State University, Flint, MI 48502, USA
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
Full-Text   |   PDF [901 KB, uploaded 5 May 2017]   |  


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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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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