Effectiveness of Cognitive Behavioral Therapy in Public Mental Health: Comparison to Treatment as Usual for Treatment-Resistant Depression

State mental health systems have been leaders in the implementation of evidence-based approaches to care for individuals with severe mental illness. Numerous case studies of the wide-scale implementation of research-supported models such as integrated dual diagnosis treatment and assertive community...

Full description

Saved in:
Bibliographic Details
Published in:Administration and policy in mental health and mental health services research 2015-01, Vol.42 (1), p.87-98
Main Authors: Lopez, Molly A., Basco, Monica A.
Format: Article
Language:English
Subjects:
Adult
Age Factors
Antidepressive Agents - therapeutic use
Behavior modification
Clinical Psychology
Clinical trials
Cognition
Cognitive Behavioral Therapy
Community Mental Health Services
Comorbidity
Depression (Psychology)
Depressive Disorder, Major - drug therapy
Depressive Disorder, Major - therapy
Drug therapy
Evidence Based Practice
Female
Health Administration
Health Informatics
Humans
Male
Medicine
Medicine & Public Health
Mental depression
Mental disorders
Mental Health
Mental Illness
Middle Aged
Original Article
Personality Disorders
Psychiatric Status Rating Scales
Psychiatry
Psychotherapy
Public Health
Severity of Illness Index
Sex Factors
Socioeconomic Factors
Texas
Treatment Outcomes
Trials
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:State mental health systems have been leaders in the implementation of evidence-based approaches to care for individuals with severe mental illness. Numerous case studies of the wide-scale implementation of research-supported models such as integrated dual diagnosis treatment and assertive community treatment are documented. However, relatively few dissemination efforts have focused on cognitive behavioral therapy (CBT) for individuals with major depression despite evidence indicating its efficacy with this population. A multi-site effectiveness trial of CBT was conducted within the Texas public mental health system. Eighty-three adults with major depression received CBT from community clinicians trained through a workshop and regular consultation with a master clinician. Outcomes were compared to a matched sample of individuals receiving pharmacotherapy. Outcome measures used included the quick inventory of depressive symptomatology and beck depression inventory. Individuals receiving CBT showed greater improvements in depression symptoms than those in the comparison group. Greater pre-treatment symptom severity predicted better treatment response, while the presence of comorbid personality disorders was associated with poorer outcomes.
ISSN:0894-587X
1573-3289
DOI:10.1007/s10488-014-0546-4