Effects of a recovery-oriented cognitive therapy training program on inpatient staff attitudes and incidents of seclusion and restraint

Community Mental Health Journal
Nadine A ChangAaron T Beck

Abstract

We investigated the feasibility of implementing a recovery-oriented cognitive therapy (CT-R) milieu training program in an urban acute psychiatric inpatient unit. Over a 1-month period, 29 staff members learned short-term CT-R strategies and techniques in an 8-h workshop. Trainees' perceptions of CT-R, beliefs about the therapeutic milieu, and attitudes about working with individuals with psychosis were evaluated both before the workshop and 6 months after the workshop had been completed. Incidents of seclusion and restraint on the unit were also tallied prior to and after the training. Results indicate that staff perceptions of CT-R and their beliefs about the therapeutic environment significantly improved, whereas staff attitudes towards individuals with psychosis remained the same. Incidents of seclusion and restraint also decreased after the training. These findings provide evidence that CT-R training is feasible and can improve the therapeutic milieu of an acute psychiatric inpatient unit.

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Citations

Apr 29, 2016·Journal of the American Psychiatric Nurses Association·Jose Guzman-ParraFermin Mayoral-Cleries
Aug 1, 2019·Journal of Child and Adolescent Psychiatric Nursing : Official Publication of the Association of Child and Adolescent Psychiatric Nurses, Inc·Amanda Eblin
Jan 10, 2019·Community Mental Health Journal·Sarah L KopelovichValerie Kreider
Apr 20, 2021·Clinical Psychology & Psychotherapy·Gamze ElvatNaomi Glover
Oct 17, 2020·International Journal of Mental Health Nursing·Leonie LorienWendy Madsen
Jul 8, 2021·International Journal of Mental Health Nursing·Tahani HawsawiKatherine Gill

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