Dissemination and Implementation of Cognitive Behavioral Therapy for Depression in the Kaiser Permanente Health Care System: Evaluation of Initial Training and Clinical Outcomes.

Dissemination and Implementation of Cognitive Behavioral Therapy for Depression in the Kaiser Permanente Health Care System: Evaluation of Initial Training and Clinical Outcomes. Behav Ther. 2019 Mar;50(2):446-458 Authors: Karlin BE, Brown GK, Jager-Hyman S, Green KL, Wong M, Lee DS, Bertagnolli A, Ross TB Abstract Notwithstanding its empirical status and strong recommendation in clinical practice guidelines, cognitive behavioral therapy (CBT) continues to be delivered infrequently and with low fidelity on the clinical front lines. Recently, organized efforts and policies within the public sector to disseminate and implement CBT and other evidence-based psychotherapies have yielded encouraging results and provided optimism for bridging the research-to-practice-gap. Following from these efforts, the current article examines the initial impact and experience of the implementation of an individualized approach to CBT training and treatment within the Kaiser Permanente health care system. Initial training outcomes, including changes in general and specific competencies, were assessed using divergent assessment methods within the initial cohort of therapists undergoing training. Initial patient outcomes, including changes in depression and anxiety, were assessed among patients receiving treatment from therapists in training. Results revealed training in and implementation of CBT-D was associated with overall large improvements in therapist competencies and in...
Source: Behavior Therapy - Category: Psychiatry & Psychology Authors: Tags: Behav Ther Source Type: research

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ConclusionsAssessment of HrQoL and psychosocial outcomes was well received by consumers. Results alleviate concern regarding possible patient burden imposed by longer more in-depth surveys. The importance placed on assessment brevity should not outweigh the need to assess outcomes that consumers consider important.
Source: Quality of Life Research - Category: Health Management Source Type: research
Children who were exposed to any amount of alcohol in the womb are more likely to be impulsive and diagnosed with separation anxiety and oppositional defiant disorder compared with children who were not exposed to alcohol in the womb, reports astudy inAJP in Advance.“To our knowledge, this is the largest examination of prenatal alcohol exposure and psychological, behavioral, and neurodevelopmental outcomes in preadolescence,” wrote Briana Lees, B.Psych., of the University of Sydney, Australia, and colleagues. The authors noted their study reaffirmed the man y risks of heavy drinking during pregnancy, but &ldquo...
Source: Psychiatr News - Category: Psychiatry Tags: ABCD study ajp in advance alcohol impulsivity oppositional defiant disorder pregnancy prenatal exposure separation anxiety Source Type: research
There is a considerable increase in self-harm behavior in the school population, and there are few studies with psychological instruments that study the situation in our environment, especially in younger adolescents, who often keep it secret. The objectiv...
Source: SafetyLit - Category: International Medicine & Public Health Tags: Age: Adolescents Source Type: news
BACKGROUND: The relationship between life stress and depression and anxiety is well characterized in adolescents and adults. Further, research has shown that adolescents and adults with a history of childhood maltreatment are more likely to develop depress...
Source: SafetyLit - Category: International Medicine & Public Health Tags: Age: Infants and Children Source Type: news
MONDAY, Sept. 28, 2020 -- Seniors who take depression and anxiety drugs shouldn't be prescribed opioid painkillers by their dentist because it puts them at increased risk for problems, researchers warn. They analyzed 2011-15 dental and medical data...
Source: Drugs.com - Daily MedNews - Category: General Medicine Source Type: news
Conditions:   Depression;   Anxiety;   Stress, Emotional;   Quality of Life;   Psychological Flexibility;   Social Connecedness Intervention:   Behavioral: Acceptance and commitment therapy video game Sponsor:   Swansea University Not yet recruiting
Source: ClinicalTrials.gov - Category: Research Source Type: clinical trials
Conditions:   Stroke;   CVA (Cerebrovascular Accident);   Anxiety;   Depression Intervention:   Behavioral: Helping Ease Anxiety and Depression following Stroke Sponsor:   Glasgow Caledonian University Not yet recruiting
Source: ClinicalTrials.gov - Category: Research Source Type: clinical trials
A suicide survivor shares her story of how an online community helped her overcome anxiety and depression. Credit: Unsplash / Dan M By Fairuz AhmedNEW YORK, Sep 28 2020 (IPS) Romana Hoque had it all, a comfortable life, a happy family. Despite this, the 43-year-old second-generation immigrant from Indonesia living in the United States was depressed enough to contemplate suicide. Hoque, in an exclusive interview with Inter Press Service (IPS), said despite her comfortable life, not being able to conceive resulted in her feeling so depressed that she tried to take her own life. She shared her story during September – ...
Source: IPS Inter Press Service - Health - Category: International Medicine & Public Health Authors: Tags: Aid Featured Gender Global Headlines Health TerraViva United Nations Fuzia 2020 Source Type: news
DiscussionOur scoping review will synthesise the evidence on the impacts of racism and discrimination in relation to the physical and mental health of Aboriginal and Torres Strait Islander peoples living in Australia. These findings could guide future health interventions by addressing the exposure of racism and racial discrimination in order to reduce health disparity. It is anticipated the findings to be of interest to policymakers, researchers, Aboriginal and Torres Strait Islander communities and community health organisations and other stakeholders interested in optimising public health interventions for and in partne...
Source: Systematic Reviews - Category: International Medicine & Public Health Source Type: research
AbstractThe purpose of this study was to explore exposure to trauma as well as demographic and psychosocial factors as predictors of mental health symptoms among Somali refugees in Kenya. Participants were recruited via snowball sampling to complete a survey and included 86 Somali refugee youth, aged 15 to 34  years, who were living in Eastleigh. We measured trauma using a total traumas experienced variable as well as four trauma types categories (pre-migration/migration trauma, post-migration trauma, family trauma, and individual trauma). We measured anxiety and depression symptoms using the Hopkins Sy mptom Checklis...
Source: Journal of Child and Adolescent Trauma - Category: Child Development Source Type: research
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