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Evaluation ViewAttendees 2

Mini Workshop

Program / Treatment Design

Empower, Engage & Evolve: How Patient-Centered Clinical Tracks Can Support the Future of CBT Implementation

Mini Workshop 5 - Empower, Engage & Evolve: How Patient-centered Clinical Tracks Can Support the Future of CBT Implementation

Friday, November 15, 2024
8:30 AM – 10:00 AM EST
Location: Grand Ballroom C, Level 5, Downtown Marriott
Earn 1.5 Credit
Keywords: Underserved Populations, Implementation, Community-Identified Problems
Level of Familiarity: All
Recommended Readings: Siber-Sanderowitz S, Gallo L. From Pathways to Partnerships: Building Patient-Centered Clinical Tracks (PCCT) in Outpatient Community Mental Health Settings. Community Ment Health J. 2023 Dec 27. doi: 10.1007/s10597-023-01214-x.

https://link.springer.com/epdf/10.1007/s10597-023-01214-x?sharing_token=f9XPbKpN9LXa_00G_Ddudfe4RwlQNchNByi7wbcMAY6X1S9_3mq745JTLAmAf4bC-YnacuS8uPn3X8u__6uLrsuov8m8g-iKBAzSum2szRz_Pbf0XlvgEEcnsTHDWX17nycjCr-l2HIjCethDsK986eeFueY8NV9wo9ivc84aQA=,   Wolitzky-Taylor K, Fenwick K, Lengnick-Hall R, Grossman J, Bearman SK, Arch J, Miranda J, Chung B. A Preliminary Exploration of the Barriers to Delivering (and Receiving) Exposure-Based Cognitive Behavioral Therapy for Anxiety Disorders in Adult Community Mental Health Settings. Community Ment Health J. 2018 Oct;54(7):899-911. doi: 10.1007/s10597-018-0252-x. Epub 2018 Mar 9. PMID: 29524078; PMCID: PMC6129437.,   Elwyn, G., Frosch, D., Thomson, R., Joseph-Williams, N., Lloyd, A., Kinnersley, P., Cording, E., Tomson, D., Dodd, C., Rollnick, S., Edwards, A., & Barry, M. (2012). Shared decision making: A model for clinical practice. Journal of General Internal Medicine, 27(10), 1361–1367. https:// doi. org/ 10. 1007/ s11606- 012- 2077-6,   ,  

    Presenter(s)

  • Shaina Siber-Sanderowitz, LCSW

    Owner, Director of Clinical and Continuing Education Services
    Arizona State University
    Gilbert, AZ, Arizona, United States

  • Laurie Gallo, Ph.D.

    Assistant Professor of Psychiatry and Behavioral Sciences
    Albert Einstein College of Medicine
    New Haven, Connecticut, United States

This workshop tackles barriers to implementing Cognitive Behavioral Therapy (CBT) in community mental health settings, examining obstacles at multiple levels—patient, clinician, administrative, organizational, and systemic. The proposed solution is the introduction of "Patient-Centered Clinical Tracks" (PCCT), an innovative model aimed at overcoming these barriers in U.S. community mental health settings. PCCT is rooted in Trauma-Informed Care and the Shared Decision-Making Model, emphasizing the availability of high-quality, evidence-based mental health care while respecting patient values and preferences. The PCCT Clinical Tracks encompass CBT, DBT, ACT, Supportive, Medication & Engagement, providing a diverse range of psychotherapeutic care pathways. The workshop utilizes didactic presentations, clinical vignettes, and role plays to instruct attendees on the implementation of PCCT. Key components covered include defining each clinical track, sharing patient-facing educational tools, incorporating evidence-based assessments into patient discussions, and integrating clinical tracks into treatment planning and documentation. Moreover, the workshop addresses administrative and organizational barriers, such as staff burnout, high caseloads, paperwork demands, and inadequate staff training by aligning PCCT with these concerns. It also considers systemic forces, including resource allocation and institutional racism, aiming to provide a holistic approach. The tools and strategies offered in the workshop have been developed over four years within an urban community mental health clinic. The overarching goal is to empower participants with the knowledge and skills necessary to increase the dissemination and implementation of CBT in community mental health settings, with a particular focus on underserved and marginalized communities.

Outline:
• Overview of the Patient-Centered Clinical Tracks (PCCT) model
• Creating programmatic infrastructure to support CBT dissemination through clinical pathways
• Description of each clinical track
• Clinical vignettes: Collaborative decision-making/Group discussion
• Breakout Group: What would this look like in your system?

Learning Objectives:

At the end of this session, the learner will be able to:
  1. Identify 3 barriers to CBT implementation in community mental health settings.
  2. Describe at least two ways in which the Patient-Centered Clinical Tracks emphasize trauma-informed care.
  3. Explain the differences between the six identified clinical tracks.
  4. Demonstrate how to engage a patient in a shared decision-making discussion related to evidence-based psychotherapy options.
  5. List 3 ways the Patient-Centered Clinical Track model differs from the Medical Model in community mental health settings.
  6. Long-term Goal: consider the implementation of clinical pathways into their therapeutic context for optimizing CBT dissemination.