Harrisburg, PA, United States
Harrisburg, PA, United States

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Gibbons M.B.C.,University of Pennsylvania | Thompson S.M.,University of Pennsylvania | Scott K.,University of Pennsylvania | Schauble L.A.,University of Pennsylvania | And 5 more authors.
Psychotherapy | Year: 2012

The goal of the current article is to present the results of a randomized pilot investigation of a brief dynamic psychotherapy compared with treatment-as-usual (TAU) in the treatment of moderate-to-severe depression in the community mental health system. Forty patients seeking services for moderate-to-severe depression in the community mental health system were randomized to 12 weeks of psychotherapy, with either a community therapist trained in brief dynamic psychotherapy or a TAU therapist. Results indicated that blind judges could discriminate the dynamic sessions from the TAU sessions on adherence to dynamic interventions. The results indicate moderate-to-large effect sizes in favor of the dynamic psychotherapy over the TAU therapy in the treatment of depression. The Behavior and Symptom Identification Scale-24 showed that 50% of patients treated with dynamic therapy moved into a normative range compared with only 29% of patients treated with TAU. © 2012 American Psychological Association.

Goldstein L.A.,University of Pennsylvania | Gibbons M.B.C.,University of Pennsylvania | Thompson S.M.,University of Pennsylvania | Scott K.,University of Pennsylvania | And 4 more authors.
Journal of Behavioral Health Services and Research | Year: 2011

Computerized administration of mental health-related questionnaires has become relatively common but little research has explored this mode of assessment in "real-world" settings. In the current study 200 consumers at a community mental health center completed the BASIS-24 via handheld computer as well as paper and pen. Scores on the computerized BASIS-24 were compared with scores on the paper BASIS-24. Consumers also completed a questionnaire which assessed their level of satisfaction with the computerized BASIS-24. Results indicated that the BASIS-24 administered via handheld computer was highly correlated with pen and paper administration of the measure and was generally acceptable to consumers. Administration of the BASIS-24 via handheld computer may allow for efficient and sustainable outcomes assessment adaptable research infrastructure and maximization of clinical impact in community mental health agencies. © 2010 National Council for Community Behavioral Healthcare.

Stein B.D.,RAND Corporation | Celedonia K.L.,RAND Corporation | Swartz H.A.,University of Pittsburgh | Burns R.M.,University of Pittsburgh | And 3 more authors.
Psychiatric Services | Year: 2015

Objective: Nonphysician mental health clinicians were surveyed to understand their knowledge about bipolar disorder, treatment approaches, and perceived barriers to optimal treatment. Methods: Nonphysician mental health clinicians (N555) from five community mental health clinics reported on their therapeutic approach, knowledge, and skill related to treatment of bipolar disorder. Chi square and t tests were used to detect differences in responses by clinician characteristics. Results: Most clinicians wished to improve their treatment for bipolar disorder. They felt best prepared to provide counseling and least prepared to identify medication side effects. Among psychotherapies, CBT was the most familiar to clinicians. Although knowledgeable overall about bipolar disorder, the clinicians were less knowledgeable about pharmacotherapy. The most commonly reported treatment barrier was comorbid substance use disorders. Conclusions: Clinicians would benefit from additional training in effective therapeutic approaches for bipolar disorder as well as information about pharmacotherapy and supporting individuals with comorbid substance use problems.

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