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The Beck Initiative

The Beck Initiative. “A Partnership in Care Planning and Positive Change” Spring 2010 Project Overview. What is The Beck Initiative?.

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The Beck Initiative

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  1. The Beck Initiative “A Partnership in Care Planning and Positive Change” Spring 2010 Project Overview Beck Initiative Spring 2010 Regina Buchhofer

  2. 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 Beck Initiative Spring 2010 Regina Buchhofer

  3. 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 Beck Initiative Spring 2010 Regina Buchhofer

  4. 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 Beck Initiative Spring 2010 Regina Buchhofer

  5. 4 Levels of Transformation Level 1: Client transformation through an EBP promoting recovery Level 2: Staff transformation through teachings of recovery-oriented treatment Level 3: Provider transformation through agency- wide dissemination Level 4: System transformation through network- wide dissemination Beck Initiative Spring 2010 Regina Buchhofer

  6. Building a CT Community Beck Initiative Spring 2010 Regina Buchhofer

  7. Beck Initiative Model Overview Part 1: 16-20 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 Beck Initiative Spring 2010 Regina Buchhofer

  8. 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 ⃗ Build CT amongst caseload Long-term commitment to learning & practicing CT model Key importance of ongoing fidelity to CT model Beck Initiative Spring 2010 Regina Buchhofer

  9. Post-Training ProgramComponents Beck Initiative Spring 2010 Regina Buchhofer

  10. Current Status of The Beck Initiative Completing 3rd year of implementation 12 agencies: CT community partners 90 clinicians across network trained in CT Approximately 300+ clients currently receiving CT Web-Based CT training program recently developed Current training in special populations, CT for: Schizophrenia, Axis II and children in an RTF setting Child & Adolescent Expansion Project planning underway to begin summer/fall of this year Beck Initiative Spring 2010 Regina Buchhofer

  11. Population Targets to Date Adults Adolescents Children Axis II Suicidal Ideation Outpatient Inpatient Depression Anxiety Forensics School Setting Substance Abuse RTF Latino Community LGBT Community Schizophrenia Beck Initiative Spring 2010 Regina Buchhofer

  12. 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) Data prepared by Shannon Wiltsey Stirman, PhD

  13. Preliminary Training Outcomes (n=38) Data prepared by Shannon Wiltsey Stirman, PhD

  14. 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 Scheduled for this year: World Congress of Beh. & Cog. Therapy Jun 10 APA Annual Conf. San Diego, CA Aug 10 Beck Initiative Spring 2010 Regina Buchhofer

  15. Online Publication : Psychiatric Services Oct 09 Beck Initiative Spring 2010 Regina Buchhofer

  16. AcknowledgementTo Our Partners John F. Kennedy MHMR Horizon House Parkside Recovery Sobriety Through Outpatient PATH, Inc Warren E Smith (WES) Community Treatment Teams (CTT/PFACT) Wedge Medical Consortium NE Community Mental Health Center Silver Springs On Behalf of The Beck Initiative Team, special thanks to our community partners in the DBHMRS network for their continued commitment and dedication: Beck Initiative Spring 2010 Regina Buchhofer

  17. Contacts For more information regarding The Beck Initiative, please contact: Regina Buchhofer, MS Beck Initiative Operations Specialist, CBH regina.buchhofer@phila.gov 215-413-8582 Beck Initiative Spring 2010 Regina Buchhofer

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