Transforming Group Treatment in Acute Psychiatry: The CPA Model
DOI:
https://doi.org/10.61841/1keph851Keywords:
inpatient psychiatric rehabilitation, person-centered care, CPA Model, Road to Home, group treatment efficacyAbstract
In acute psychiatry, regulatory guidelines require a shorter length of stay which demands greater organiz- ation of group treatment that serves a patient's individual treatment goals. Kings County Hospital, in re- sponse to a federal mandate, developed the Central Program Area (“CPA”) group program to provide cat- egorized interdisciplinary group treatment that delivers a skill building approach to help patients in their recovery process. Through a commitment to person-centered care, the CPA, a person-centered group programming model was developed. Within the CPA model, group therapy approaches to curriculum such as the Road to Home, which provides group treatment for patients with substance abuse issues, are discussed. Efficacy measures on program implementation indicate that providing CPA group program- ming increased patient engagement in prescribed group treatment from 47% to 69%, and through the re- view of the Group Notes weekly group programming summary in treatment team meetings, staff report that patients practiced and reinforced new recovery skills.
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References
Adams, N., & Grieder, D. M. (2005). Treatment planning for person-centered care. London: Elsevier Academic Press.
Adams, N., & Grieder, D. M. (2013). Treatment planning for person-centered care, second edition: Shared decision making for whole health. London: Elsevier Academic Press.
Anthony, W. A. (1993). Recovery from mental illness: The guiding vision of the mental health service system in the 1990s. Psychosocial Rehabilitation Journal, 16 (4), 11-23.
Anthony, W. A., Buell, G. J., Sharratt, S., & Althoff, M. E. (1972). Efficacy of psychiatric rehabilitation. Psycho- logical Bulletin, 78 (6), 447-456.
Bellack, A. S., Mueser, K. T., Gingerich, S., & Agresta, J. (1997). Social skills training for Schizophrenia. New York: The Guilford Press.
Chang, Y-C., Heller, T., Pickett, S., & Chen, M-D. (2013). Recovery of people with psychiatric disabilities living in the community and associated factors. American Psychological Association, 36, (2), 80 – 85.
Cook, J. A., Jonikas, J. A, Hamilton, M. M., Goldrick, V., Steigman, P. J., Grey, D. D., Burke, L., Carter, T. M., Razzano, L. A., & Copeland., M. E. (2013). Impact of wellness recovery action planning on service utilization and need in a randomized controlled trial. American Psychological Association, 36, (4), 250–257.
Dhillion, A. S., & Dollieslager, L. P. (2000). Rehab rounds: Overcoming barriers to individualized psychosocial re- habilitation in an acute treatment unit of a state hospital. Published online: http://dx.doi.org/10.1176/appi.ps.51.3.313
Hamann, J., Cohen, R., Leucht, S., Busch, R., & Kissling, W. (2005). Do patients with schizophrenia wish to be in- volved in their medical treatment? Am J Psychiatry, 162: 2382–2384.
Johnson, D. E. (1999). Essays on the creative arts therapies: Imaging the birth of a profession. Illinois: Charles C. Thomas Publishers.
Kings County 2016 Community Health Needs Assessment. (2016). Retrieved from http://www.nychealthandhos- pitals.org/wp-content/uploads/2016/07/chna-kings-county.pdf
Liberman, R. P., & Fuller, T. R. (2000). Generalization of social skills training in schizophrenia. In J. Meder (Ed.). Rehabilitation of patients with schizophrenia. (pp. 7-14). Krakow: Biblioteka Polish Psychiatry.
Liberman, R. P. (2007). Dissemination and adoption of social skills training: Social validation of an evidence based treatment for the mentally disabled. Journal of Mental Health, 16(5): 595-623.
McNiff, S. (1981).The Arts in Psychotherapy, Illinois: Charles C. Thomas Publisher.
Merlino, J. P., Omi, J., & Bowen, J. (2014). Lean behavioral health: The Kings County Hospital story. New York: Oxford University Press.
Miller, W. R., & Rollnick, S. (1991). Motivational interviewing: Preparing people to change addictive behavior. NY: Guilford Press.
Miller, W. R., & Rollnick, S. (2002). Motivational interviewing, Second edition: Preparing people to change. NY: Guilford Press.
National Coalition of Creative Arts Therapies Associations, Inc. (2012). Retrieved from http://www.nccata.org
/aboutnccata
Prochaska, J., & DiClemente, C. (1983). Stages and processes of self-change in smoking: Toward an integrative model of change. Journal of Consulting and Clinical Psychology, 5, 390–395.
Reinhart-Wood, D., L., & Kinter, K.,T. (2016). Inpatient psychiatric rehabilitation: An alternative to bringing back the asylum dawn. International Journal of Psychosocial Rehabilitation. 20 (2) 55-58.
Rogers, C. (2007). The necessary and sufficient conditions of therapeutic personality change. Psychotherapy: Theory, Research, Practice, Training, 44(3), 240-248.
Swarbrick, M. (2009). A wellness and recovery model for state psychiatric hospitals. Occupational Therapy in Mental Health, 2, 343-351.
Swarbrick, M. (2006). A wellness approach. Psychiatric Rehabilitation Journal, 29, 311-314.
Swarbrick, M. (2012). Recovery of people with mental illness. In A. Rudnick (Ed.). A wellness approach to men- tal health recovery. (pp. 30-38). New York: Oxford University Press.
Wallace, C. J., Liberman, R. P., MacKain, S.J., Blackwell, G., & Eckman, T. A. (1992). Effectiveness and replic- ability of modules for teaching social and instrumental skills training to the severely mental ill. Am J Psychiatry, 149, 654-658.
Womack, J. P., Jones, D.T., (2005). Lean Solutions: How companies and customers can create value and wealth to- gether. New York: Free Press.
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