RT Article
T1 Cognitive adaptation training for forensic psychiatry inpatients with schizophrenia spectrum diagnoses
JF The journal of forensic psychiatry & psychology
VO 33
IS 2
SP 252
OP 266
A1 Brennan, Courtney
A1 Adams, Kerri
A1 Saikaly, Riley
A1 Lichtenstein, Sidney
A1 Spavor, John
A1 Penney, Stephanie
A1 Simpson, Sandy
A1 Kidd, Sean A.
A2 Adams, Kerri
A2 Saikaly, Riley
A2 Lichtenstein, Sidney
A2 Spavor, John
A2 Penney, Stephanie
A2 Simpson, Sandy
A2 Kidd, Sean A.
LA English
YR 2022
UL https://krimdok.uni-tuebingen.de/Record/1797084240
AB 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.
K1 Environment
K1 Cognitive adaptation training
K1 Forensic Psychiatry
K1 Organization
K1 Self-care
DO 10.1080/14789949.2022.2046133