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. 2017 May 5;5(2):23.
doi: 10.3390/healthcare5020023.

Acceptance and Commitment Therapy for Inpatients with Psychosis (the REACH Study): Protocol for Treatment Development and Pilot Testing

Brandon A Gaudiano  1   2 , Carter H Davis  3 , Gary Epstein-Lubow  4   5 , Jennifer E Johnson  6 , Kim T Mueser  7 , Ivan W Miller  8   9
Affiliations

Acceptance and Commitment Therapy for Inpatients with Psychosis (the REACH Study): Protocol for Treatment Development and Pilot Testing

Brandon A Gaudiano et al. Healthcare (Basel). .

Abstract

Patients with schizophrenia-spectrum disorders frequently require treatment at inpatient hospitals during periods of acute illness for crisis management and stabilization. Acceptance and Commitment Therapy (ACT), a "third wave" cognitive-behavioral intervention that employs innovative mindfulness-based strategies, has shown initial efficacy in randomized controlled trials for improving acute and post-discharge outcomes in patients with psychosis when studied in acute-care psychiatric hospitals in the U.S. However, the intervention has not been widely adopted in its current form because of its use of an individual-only format and delivery by doctoral-level research therapists with extensive prior experience using ACT. The aim of the Researching the Effectiveness of Acceptance-based Coping during Hospitalization (REACH) Study is to adapt a promising acute-care psychosocial treatment for inpatients with psychosis, and to pilot test its effectiveness in a routine inpatient setting. More specifically, we describe our plans to: (a) further develop and refine the treatment and training protocols, (b) conduct an open trial and make further modifications based on the experience gained, and

Keywords: hospitalization; pilot projects; psychotherapy; psychotic disorders.

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Conflict of interest statement

Brandon A. Gaudiano has received book royalties from Oxford University Press related to mindfulness/acceptance therapies for psychosis. The authors have no other conflicts of interest to declare.

Figures

Figure 1
Figure 1
Study design.
Figure 2
Figure 2
The Acceptance and Commitment Therapy (ACT) model.
Figure 3
Figure 3
ACT for Inpatients (ACT-IN) components, targets, and outcomes.
See this image and copyright information in PMC

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