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Community Implementation Successes and Challenges of a Cognitive-Behavior Therapy Group for Individuals with a First Episode of Psychosis
Authors:Alicia Spidel  Tania Lecomte  Claude Leclerc
Affiliation:(1) Department of Psychology, University of British Columbia, Vancouver, BC, Canada;(2) Department of Psychiatry, University of British Columbia, Vancouver, BC, Canada;(3) Department of Nursing, University of Quebec at Trois-Rivieres, Vancouver, Canada;(4) Ph.D., Assistant Professor of Psychiatry, University of British Columbia, 828 West 10th Avenue, Room 214, Vancouver, BC, V5Z 1L8, Canada
Abstract:CBT for psychosis has recently been called a best practice, suggesting that studies have demonstrated its efficacy with many populations. Community settings are encouraged to implement best practices such as CBT yet many factors can make the implementation of CBT challenging. Issues such as clinician resistance, setting, as well as client variables (refusal, denial of symptoms, etc.) come into play. Examples of successes and challenges of a community based study of CBT groups for first episodes will be described. The strategies used to overcome these challenges and the successes of the program will be presented.
Keywords:schizophrenia  CBT  first episodes  implementation
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