chair: m. joris corthouts symposium discussant: dr. eric morris presenters: m. sc. psych. mareike...
TRANSCRIPT
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Chair:M. Joris Corthouts
Symposium Discussant:Dr. Eric Morris
Presenters:M. Sc. Psych. Mareike Pleger & M. Sc. Psych. Karolin Treppner
M. Sc. Psych.Marten TyrbergM. Arne Lillelien & M. Trym Nordstrand Jacobsen
Implementing 3rd Wave Therapies in Multidisciplinary Psychiatric Settings –
Is it Feasible, is it Working?
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ACT for psychotic inpatients and staff
Past, present, future
Mårten Tyrberg, M Sc, Tobias Lundgren, Phd, Per Carlbring, ProfessorStockholm University/Karolinska Institutet
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Past
Ambition to improve inpatient care More content, different content Small pilot RCT, graduate thesis Aim to replicate Bach & Hayes/Gaudiano & Herbert
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Past
Can a brief ACT intervention reduce need for inpatient care in a group of psychotic patients?
Will the intervention improve quality of life? Will it work in Sweden, as it has in the US?
21 inpatients, psychosis spectrum ACT or ACT + TAU
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Past
Quality of life/values-measure
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Past
ACT group TAU group0
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Not rehospital-izedRehospitalized
Percentage rehospitalized during the follow-up period (4 months). 9% in the ACT group, 40% in the TAU group. Odds ratio 6,7.Difference not significant, based on Fisher’s exact test.
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Past
Pretreatment Post treatment Follow-up8
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ACTTAU
Mean Bull’s-Eye-scores over the three measurement points, ITT data.
Within group effect size in the ACT group d=1.63, between group at follow-up d=1.58.
Difference in mean change shown significant.
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Present
Training staff Supervising staff on a weekly basis
Will it affect work-related acceptance? Will it increase actual ACT-consistent behavior?
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Present
Workshop content
Day 1: Introduction to ACT as a general model. Day 2: Applying ACT in daily work on the ward.
Based on open-aware-active throughout.
Focus on both patient assessment and self assessment.
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Present
Weekly supervision
Case presentations, reflections, questions. Ambition to connect back to open-aware-active.
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Future
Training ward staff therapists.
Recruiting patients for RCT.
ACT 4 session protocol vs TAU + attention.
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Future
The protocol
Session 1: Open Session 2: Aware Session 3: Active Session 4: Summary
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Future
The protocol
Ambition to keep it simple yet ACT consistent
Is it possible to speed-train non-therapists and make them effective?
Ambition to release therapeutic potential.
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Future
Even more general ambition:
Discussing what psychotherapy is and could be? What are the boundaries, what are the possibilities?
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Take home message
Co-operation is everything?