Investigation about Adherence and Effectiveness of CBTp’s Components in an Early Intervention Program

Poster B92, Friday, October 21, 11:30 am - 1:00 pm, Le Baron

Laura Bislenghi1, Alessandro Segurini1, Alessia Pisano1, Chiara Acerbi1, Anna Meneghelli1; 1Programma 2000, Milan, Italy

Purpose Clinical experiences, scientific literature and guidelines show that CBTp represents a well-structured set of procedures and techniques able to facilitate recovery in onset of psychosis. CBTp is a set of procedures that, acting within a dynamic and collaborative process between patient and therapist, promote change, adhering to effectiveness and validity criteria. Verifying adherence of psychotherapists to CBTp’s evidence-based protocols is essential. The aim of this study is verifying fidelity for 12 CBT psychotherapists working in an Early Intervention Service (Programma 2000, Milano), investigating adherence to protocol and highlighting the most frequently used and most effective procedures. Materials and Methods After a precise analysis of the most frequently used instruments to measure fidelity in CBTp protocols (CTPAS, CTS, CTS-R, CTARPAS, CTSP), a checklist named CBTP Checklist has been prepared. This instrument, consisting in a self-report questionnaire on a 5-level Likert Scale and 28 items, enables each psychotherapist to evaluate the frequency of use of components of CBTp protocol, in the following areas: Engagement and building of therapeutic relationship, Psychoeducation and formulation, general CBT techniques, specific CBTp interventions. Each therapist could express, through a 5-level Likert Scale, the level of perceived effectiveness in applying CBTp protocol. Results and Conclusions The 12 interviewed therapists (referring to about 170 patients treated with CBTp) show a good adherence to CBTp protocol, recommended by scientific literature. CBTp’s components, particularly case formulation, anxiety, depression and specific symptoms management as well as relapse prevention are constantly employed in clinical practice and felt effective by the interviewed psychotherapists.

Topic Area: Psychosocial Interventions

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