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The Beck Initiative

The Beck Initiative. “A Partnership in Care Planning and Positive Change” Winter 2011 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” Winter 2011 Project Overview Beck Initiative Winter 2011 Regina Xhezo

  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 Winter 2011 Regina Xhezo

  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 Winter 2011 Regina Xhezo

  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 Winter 2011 Regina Xhezo

  5. 4 Levels of Transformation Level 1: Client transformation through an evidence based practice 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 Winter 2011 Regina Xhezo

  6. Building a CT Community Beck Initiative Winter 2011 Regina Xhezo

  7. Beck Initiative Model Overview Part 1: 22 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 Winter 2011 Regina Xhezo

  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 Winter 2011 Regina Xhezo

  9. Post-Training ProgramComponents Beck Initiative Winter 2011 Regina Xhezo

  10. Current Status of The Beck Initiative Completing 4th year of implementation 15 agencies: CT community partners 140 clinicians across network trained in CT Web-Based CT training available Current training in special populations, CT for: outreach workers & case managers who work with the chronically homeless population Child & Adolescent Expansion Project currently underway with 6 network providers Beck Initiative Winter 2011 Regina Xhezo

  11. Population Targets to Date Adults Adolescents Children Axis II Suicidal Ideation Outpatient Inpatient Depression Anxiety Forensics School Setting RTF Substance Abuse Homelessness Latino Community LGBT Community Schizophrenia Beck Initiative Winter 2011 Regina Xhezo

  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) Beck Initiative Winter 2011 Regina Xhezo

  13. Preliminary Training Outcomes (n=38) Beck Initiative Winter 2011 Regina Xhezo

  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 World Congress of Beh. & Cog. Therapy Jun 10 APA Annual Conf. San Diego, CA Aug 10 Beck Initiative Winter 2011 Regina Xhezo

  15. Online Publication : Psychiatric Services Oct 09 Beck Initiative Winter 2011 Regina Xhezo

  16. AcknowledgementTo Our Partners John F. Kennedy MHMR Horizon House Parkside Recovery Sobriety Through Outpatient PATH, Inc Warren E Smith Community Treatment Teams Wedge Medical Consortium NE Community Mental Health Center Silver Springs Comhar, Inc Children’s Crisis Treatment Center Northern Home for Children Intercultural Family Services 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 Winter 2011 Regina Xhezo

  17. Contacts For more information regarding The Beck Initiative, please contact: Regina Xhezo, MS Beck Initiative Operations Specialist, CBH regina.xhezo@phila.gov 215-413-8582 Beck Initiative Winter 2011 Regina Xhezo

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