Category: Dissemination / Implementation


Symposium 60 - Implementation of Evidence-Based Practices for Serious Mental Illness in Community Mental Health Systems

Friday, November 17
4:15 PM - 5:45 PM
Location: Indigo Ballroom A, Level 2, Indigo Level

Keywords: Implementation | Severe Mental Illness | Evidence-Based Practice
Presentation Type: Symposium

Improving the quality of recovery-oriented mental health services for people with serious mental illness could have significant personal, societal, and economic impact. Evidence-based practices (EBPs) have been identified and recommended in best practice guidelines, but these practices are rarely available to most people with serious mental illness. The field must close the gap between research and service delivery by adapting EBPs for delivery in diverse community settings. Assertive community treatment (ACT) services for serious mental illness are widely implemented in community mental health programs throughout the USA. The ACT model is a team treatment approach with shared, low caseloads, community-based service delivery, and a focus on reducing hospitalizations, maintaining housing, and improving daily living skills. As such, the ACT team provides a unique opportunity for implementation of other recovery-oriented EBPs across diverse community mental health systems in the USA. Also, lower functioning patients who are most in need of interventions to improve functioning are typically assigned to ACT teams, but existing ACT approaches have little impact on functioning. EBPs like cognitive-behavioral therapy (CBT), social skills training (SST) and Illness Management and Recovery (IMR) are well-validated EBPs that can improve functioning and are recommended in several treatment guidelines for schizophrenia. Enhancing ACT by adding these EBPs may improve the impact of ACT on recovery outcomes. This symposium will present findings from Hybrid Type 1 clinical trials that examined the effectiveness of these EBPs in the hands of frontline community providers in complex community practice settings with real world clients, and used qualitative methods to identify barriers and facilitators to successful implementation of EBPs on ACT teams from the perspectives of stakeholders from the service system, organizations, therapists, and patients involved. The symposium will inform both the effectiveness of these interventions in diverse community settings and potential future wider dissemination of EBPs in the ACT system of care that is widely available across the USA.

Learning Objectives:

Eric Granholm

Professor of Psychiatry and Chief, Psychology Service,
University of California, San Diego and Veterans Affairs San Diego Healthcare System


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Gary Morse

Associate Executive Director
Places for People: Community Alternatives for Hope, Health and Recovery


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    Send Email for Gregory Aarons

    Send Email for Kim Mueser

    Maria Monroe-DeVita

    Assistant Professor
    University of Washington


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    Sarah L. Kopelovich

    Acting Assistant Professor
    University of Washington School of Medicine


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    Symposium 60 - Implementation of Evidence-Based Practices for Serious Mental Illness in Community Mental Health Systems

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