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Evaluation ViewAttendees 1

Treatment - CBT
Session Type:: Symposia

Symposium 55 - Making a Research Contribution Using Data Collected in Routine Practice

Sunday, November 23, 2025
12:15 PM - 1:15 PM CST
Location: Celestin G, Level 3
CE: 1

Keywords: CBT, Assessment, Research Methods
Level of Familiarity: Basic
Recommended Readings: Persons, J. B. (2001). Conducting effectiveness studies in the context of evidence-based clinical practice. Clinical Psychology: Science and Practice, 8, 168-172.,   Van Swearingen, Kristen M., and John E. Lothes. “Symptom Reduction in DBT-Informed Partial Hospital, Intensive Outpatient, and Step-down Programs: Mindfulness Matters.” Psychotherapy Research 32, no. 5 (July 4, 2022): 640–51. https://doi.org/10.1080/10503307.2021.2001602.,   Neacsiu, A. D., S. L. Rizvi, and M. M. Linehan. “Dialectical Behavior Therapy Skills Use as a Mediator and Outcome of Treatment for Borderline Personality Disorder.” Behaviour Research and Therapy 48, no. 9 (February 24, 2015): 832–39. https://doi.org/10.1016/j.brat.2010.05.017.,   ,  

To increase the generalizability and translational impact of our findings, and to promote the integration of science and practice, scientist-clinicians can collect data in routine practice both to guide treatment and to contribute to science. Data collected during routine care can test important hypotheses about the effectiveness and mechanisms of action of cognitive and behavioral therapies.

This symposium presents three examples of this research strategy implemented in three treatment settings: inpatient care, partial hospital and intensive outpatient treatment, and outpatient private practice. With regard to private practice in particular, very little is known about the outcome of treatment in private practice despite the fact that nearly 40% of patients receiving outpatient mental health care receive it in a private practice setting.

One presenter, an academic and experienced clinician, will present data collected during routine care of patients receiving DBT in intensive outpatient and partial hospital settings. He will present symptom data and also some data examining proposed change mechanisms, such as mindfulness.

A second presenter, an intern collaborating with medical center academics, will present data from an uncontrolled trial of a novel single session CBT intervention for inpatients with psychosis (SS-CBTp). Referrals for the SS-CBTp were solicited from unit psychiatrists or from the unit CBTp groups. To evaluate the primary components of the intervention, the authors conducted a chart audit. Data evaluate the effects of the intervention on psychological flexibility, psychological recovery, and progress on the patient’s intervention goal.

A third presenter, a postdoctoral fellow and co-author with an experienced clinician, will present data from a large uncontrolled trial of depressed patients who received naturalistic case formulation-guided CBT in private practice.

An experienced clinician and academic will serve as discussant.

Learning Objectives:

At the end of this session, the learner will be able to:
  1. Understand how DBT principles can be adhered to while delivering DBT in a intensive outpatient or partial hospital setting.
  2. Identify how the effectiveness, efficiency, and acceptability of CBT for depression in private practice compares to findings from RCTs.
  3. Understand core components and clinical effectiveness of SS-CBTp sessions delivered in routine inpatient psychiatric care.

Presentations:

  • 12:18 PM - 12:37 PM CST
    (SYM 55) DBT in Intensive Outpatient and Partial Hospital Settings, Examining Patient Clinical Outcomes and Mindfulness

    Speaker: John Lothes, II, Ed.D (he/him/his) – University of North Carolina Wilmington

    Co-author: John Lothes, II, Ed.D (he/him/his) – University of North Carolina Wilmington

  • 12:37 PM - 12:56 PM CST
    (SYM 55) Effectiveness, Efficiency, and Acceptability of Cognitive Behavior Therapy in Private Practice

    Speaker: Stephanie Haft, Ph.D. (she/her/hers) – University of California San Francisco

  • 12:56 PM - 1:15 PM CST
    (SYM 55) Single-session Cognitive Behavioral Therapy for Psychosis in a Psychiatric Inpatient Setting

    Speaker: Emma M. Parrish, M.S. (she/her/hers) – University of Washington School of Medicine

    Co-author: Emma M. Parrish, M.S. (she/her/hers) – University of Washington School of Medicine

    Co-author: Kelsey Straub, PhD (she/her/hers) – University of washington school of medicine

    Co-author: Sarah L. Kopelovich, Ph.D. (she/her/hers) – University of Washington School of Medicine