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Case Report : Successful Implementation of Integrative Cognitive Remediation for Early Psychosis

Case Report : Successful Implementation of Integrative Cognitive Remediation for Early Psychosis


Title: Case Report : Successful Implementation of Integrative Cognitive Remediation for Early Psychosis
Author: Vidarsdottir, Olina G.
Roberts, David L.
Twamley, Elizabeth W.
Guðmundsdóttir, Berglind
Sigurðsson, Engilbert
Magnúsdóttir, Brynja Björk
Date: 2021-01-14
Language: English
Scope: 624091
University/Institute: Landspitali - The National University Hospital of Iceland
Reykjavik University
Department: Faculty of Medicine
Mental Health Services
Series: Frontiers in Psychiatry; 11()
ISSN: 1664-0640
DOI: https://doi.org/10.3389/fpsyt.2020.624091
Subject: Geðklofi; Endurhæfing; Meðferð; compensatory cognitive training; functional outcome; rehabilitation; schizophrenia; social cognition and interaction training; Psychiatry and Mental Health
URI: https://hdl.handle.net/20.500.11815/3215

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Citation:

Vidarsdottir , O G , Roberts , D L , Twamley , E W , Guðmundsdóttir , B , Sigurðsson , E & Magnúsdóttir , B B 2021 , ' Case Report : Successful Implementation of Integrative Cognitive Remediation for Early Psychosis ' , Frontiers in Psychiatry , vol. 11 , 624091 , pp. 624091 . https://doi.org/10.3389/fpsyt.2020.624091

Abstract:

Many individuals demonstrate functionally relevant impairment in neurocognition as well as social cognition early on in the course of their psychotic disorder. There is robust evidence supporting cognitive remediation as an effective treatment of cognitive dysfunction in schizophrenia. Increasingly it is accepted that earlier treatment is associated with better outcome and that it is important to systematically assess and treat cognitive dysfunction before the cognitive and functional disabilities are fully realized. However, the clinical availability of these interventions remains sparse. As we move forward with implementing evidence-based interventions into multi-component treatment for early psychosis, it is important to reflect on experience as well as evidence. This case report aims to describe the implementation of an integrative cognitive remediation program in coordinated specialty care (CSC) for early psychosis in Iceland and investigate whether the intervention is sustainable in a CSC setting. Data on the number of patients treated, facilitators trained, groups conducted, and funding was used to assess the sustainability. The results show that since initial implementation in 2016, the intervention has been routinely available as part of standard care, with over 100 patients having received the treatment. The report discusses key factors in the successful implementation of the program.

Description:

Funding text Since the first ICR groups were conducted in 2016, ICR has been running twice a year since the fall of 2016. Sustainability outcomes are shown in Table 2. Ongoing organizational and financial support from LUH was secured. The EIP service would continue to provide program facilitators to deliver ICR as part of their clinical work and space to run the groups. LUH would cover all other costs, including purchasing iPads and access to online computer programs. Publisher Copyright: © Copyright © 2021 Vidarsdottir, Roberts, Twamley, Gudmundsdottir, Sigurdsson and Magnusdottir.

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