beck initiative winter 2011 regina xhezo 1 the beck initiative “a partnership in care planning and...

Beck Initiative Winter 2011 Regina Xhezo

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The Beck Initiative

“A Partnership in Care Planning and Positive Change”

Winter 2011 Project Overview


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What is The Beck Initiative?

A public academic partnership between UPENN & DBH/MRS to make the Evidence Based Practice (EBP) of Cognitive Therapy

(CT) available to all persons in recovery throughout DBH/MRS’ network of

providers in the City of Philadelphia


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Major Goals of The Beck Initiative

To promote the sustained implementation of CT

Establishing CT as a standard practice of care

To improve outcomes for persons in recovery

To improve the professional lives of therapists

To conduct program evaluation to examine outcomes


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Major Goals Continued…

To utilize the evidence-based practice of CT Result in one of the first large-scale

implementation of an evidence-based psychotherapy in a public mental health system

To serve as a model for other large mental health systems


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4 Levels of Transformation

Level 1: Client transformation through an evidence based practice promoting recoveryLevel 2: Staff transformation through teachings of recovery-oriented treatmentLevel 3: Provider transformation through agency- wide disseminationLevel 4: System transformation through network- wide dissemination


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Building a CT Community

P ro ject N ew sletter A n n ual M eet & G reet L un ch eon Q uarterly M eetin gs

CT Com m unity B u ild ing

This past fall, The Beck Initiative team partnered with Project HOME, Women of Change and SELF Inc, Safe Haven to develop a cognitive therapy training program for case managers and outreach workers who work with the chronically homeless population with behavioral health concerns. The main objective of this exciting new program is to increase the client’s engagement in the recovery process by increasing staff’s ability to work effectively with the clients by providing psycho education and foundational cognitive therapy training. This innovative training program consists of 16 hours of didactic training and 4 months of consultation, including real-time consultation for case managers.

This partnership has been truly extraordinary and a learning process for all involved. Prior to the start of the program, PENN shadowed the outreach workers to learn more about what their daily work looks like and understand their struggles and much strength. Currently, the outreach workers and case managers are learning such important skills as: building commitments, problem solving, understanding trauma reactions and self-care to reduce burnout. It is our goal that The Beck Initiative’s Homelessness Project will grow overtime and benefit more staff working with those in recovery and also the persons in recovery themselves.

For more information about Project HOME or SELF, Inc, please visit:

http://www.projecthome.org/ and http://www.self-inc.org/home

The Beck Initiative Community Newsletter

Winter 2010-2011

THE BECK INITIATIVE

Exciting New Project: Cognitive Therapy for Philadelphia’s Homeless Population

The Child & Adolescent OP Expansion Project Well Under Way!

The past 3 months have been very busy for The Child OP Expansion. Six agencies from across the network have joined the project and are already proving themselves to be dedicated and strong partners: Wedge Medical, Children’s Crisis Treatment Center, Northern Home for Children, Warren E. Smith, Intercultural Family Services and PATH, Inc. Under the lead direction of Dr Torrey Creed, four of the six agencies have completed the rigorous 22-hour workshop series and are in the in the 6-month, 2-hours per week consultation phase. The remaining two agencies are scheduled to complete their workshop series in early February of 2011. The Beck Initiative Team is very excited about the Child Expansion and being a part of helping transform the lives of children and adolescents in the CBH network.


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Beck Initiative Model Overview

• Part 1: 22 workshop hours on fundamentals of CT

• Part 2: 6 months of ongoing consultation with PENN, including: session tape review, group & 1:1 consultation, ongoing didactics

• Part 3: Ongoing agency peer led CT consultation group

• Part 4: CT model growth within the agency overtime


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Training Model Components

• Competency Rating by CT Rating Scale (CTS)• Certification eligibility as a “Skilled Cognitive

Therapist in a Community Mental Health Setting”

• Training similar to graduate level class• Record and share CT sessions for feedback • Start with 4-5 CT training cases 8 Build CT amongst caseload • Long-term commitment to learning &

practicing CT model• Key importance of ongoing fidelity to CT model


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Post-Training Program Components

Agency’s InternalOngoing CT Group

PENN & CBH Continued Support

Submit Group Audio

For Feedback

Submit Group Summary Reports


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Current Status of The Beck Initiative

• Completing 4th year of implementation• 15 agencies: CT community partners• 140 clinicians across network trained in CT• Web-Based CT training available• Current training in special populations, CT

for: outreach workers & case managers who work with the chronically homeless population

• Child & Adolescent Expansion Project currently underway with 6 network providers


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Population Targets to Date

Schizophrenia LGBT

CommunityLatino

Community

HomelessnessSubstance AbuseSchool Setting

RTF

ForensicsDepression

Anxiety OutpatientInpatient

Suicidal IdeationAxis II Adults

AdolescentsChildren


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Preliminary Training Outcomes

• Overall, 84% therapists achieved competence (CTS=40+)

• Practicum Model (n=19): 79% competent

• Individual Feedback Model (n=37): 87% competent

• 93% scored over a 35 by their final session

• Change pre- to post-training M= 16 (sd=10)

• Change from first score to highest score M=19 (sd=7)


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Preliminary Training Outcomes (n=38)


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Major Publications & Appearances

• Hong Kong Delegates Pres. Oct 08• DBHMRS Exec Mgmt Pres Jan 09• Phila. Alliance Annual Conf. Pres. Apr 09• Temple’s College of Health Physicians Apr 09• Psychiatry Online Publication Oct 09• ABCT Annual Conf. In NY Pres. Oct 09• Professional Psychology: Research & Practice

Journal Publication Oct 09 • World Congress of Beh. & Cog. Therapy Jun 10• APA Annual Conf. San Diego, CA Aug 10


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Online Publication : Psychiatric Services Oct 09


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Acknowledgement To Our Partners

John F. Kennedy MHMR Horizon House Parkside Recovery Sobriety Through Outpatient PATH, Inc Warren E Smith Community Treatment Teams Wedge Medical

Consortium NE Community Mental

Health Center Silver Springs Comhar, Inc Children’s Crisis Treatment

Center Northern Home for Children Intercultural Family

Services

On Behalf of The Beck Initiative Team, special thanks to our community

partners in the DBHMRS network for their continued commitment and

dedication:


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Contacts

For more information regarding The Beck Initiative, please contact:

Regina Xhezo, MS Beck Initiative Operations Specialist, CBH

[email protected]

beck initiative winter 2011 regina xhezo 1 the beck initiative “a partnership in care planning and...

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