Cognitive adaptation training for forensic psychiatry inpatients with schizophrenia spectrum diagnoses

Cognitive deficits affect 70–75% of individuals with schizophrenia and significantly impact functioning. Cognitive Adaptation Training (CAT) is an evidence-based compensatory intervention that improves functioning through personalized environmental supports. Research has explored adaptations to CAT...

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Bibliographic Details
Main Author: Brennan, Courtney (Author)
Contributors: Adams, Kerri ; Saikaly, Riley ; Lichtenstein, Sidney ; Spavor, John ; Penney, Stephanie ; Simpson, Sandy ; Kidd, Sean A.
Format: Electronic Article
Language:English
Published: 2022
In: The journal of forensic psychiatry & psychology
Year: 2022, Volume: 33, Issue: 2, Pages: 252-266
Online Access: Volltext (lizenzpflichtig)
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Keywords:
Environment
Cognitive adaptation training
Forensic Psychiatry
Organization
Self-care
Description
Summary:Cognitive deficits affect 70–75% of individuals with schizophrenia and significantly impact functioning. Cognitive Adaptation Training (CAT) is an evidence-based compensatory intervention that improves functioning through personalized environmental supports. Research has explored adaptations to CAT for specific contexts and sub-populations. The present study explored the feasibility and preliminary outcome data for CAT adapted for inpatient forensic psychiatry settings (finCAT). This study employed a single group mixed-method design collecting data at baseline, post-intervention, and 2-months follow-up. Forensic psychiatry inpatients with schizophrenia spectrum diagnoses (N = 18) participated. Outcomes included room organization, self-care, goal attainment, and qualitative interviews with patients (n = 4) and staff (n = 4), as well as secondary measures of unit climate and clinician attitudes. Data analyses with repeated-measures ANOVA revealed a significant effect of time on blind-rated room organization, with significant improvements at post-intervention sustained during follow-up. There were no significant changes to self-care ratings or secondary measures. Qualitative themes identified included (1) improvement in patients’ self-care and organization; (2) clinicians’ increased awareness of the relationship between cognitive deficits and functional outcomes; (3) improvements beyond self-care and room organization; and (4) increased opportunities for interprofessional collaboration. These results support the feasibility of adapting CAT for inpatient forensic psychiatry settings.
ISSN:1478-9957
DOI:10.1080/14789949.2022.2046133