Assertive Community Treatment With CBT and SST for Schizophrenia

Veterans Medical Research Foundation

Status

Completed

Conditions

Schizophrenia

Treatments

Behavioral: Cognitive Behavioral Social Skills Training (CBSST)

Other: Assertive Community Treatment (ACT)

Study type

Interventional

Funder types

Other

NIH

Identifiers

NCT02254733

5R01MH091057 (U.S. NIH Grant/Contract)

Details and patient eligibility

About

This project is an effectiveness trial comparing two psychosocial treatments for schizophrenia: Assertive Community Treatment (ACT) + Cognitive Behavioral Social Skills Training (CBSST) v. ACT, alone.

Full description

Assertive community treatment (ACT) is one of the most well-validated treatment models for people with severe mental illness, and ACT is one of the few evidence-based practices that is widely implemented in community mental health programs; however, existing ACT approaches have little impact on functioning. The ACT model provides a unique opportunity for implementation of recovery-oriented EBPs throughout community mental health programs in the US. This project will examine the incremental effectiveness of implementing cognitive-behavioral strategies and social skills training in ACT relative to ACT, alone. The investigators will begin to examine a potential mechanism of change involving defeatist performance beliefs that can interfere with performance of community functioning behaviors, and will use qualitative methods to identify barriers and factors that contribute to successful implementation.

Enrollment

178 patients

Sex

All

Ages

18+ years old

Volunteers

No Healthy Volunteers

Inclusion criteria

DSM-IV-diagnosis of schizophrenia or schizoaffective disorder at any stage of illness

Exclusion criteria

Unstable assignment (at least 3 months) to an ACT team;
Prior exposure to SST or CBT in the past 5 years
Level of care required interferes with outpatient therapy (e.g., current hospitalization for psychiatric, substance use or physical illness).