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Evaluation ViewAttendees 5

Panel Discussions

Schizophrenia / Psychotic Disorders

Cognitive Behavioral Therapies for psychosis: Innovative person-affirming care to improve assessment, intervention, and dissemination

Panel Discussion 9 - Cognitive Behavioral Therapies for Psychosis: Innovative Person-affirming Care to Improve Assessment, Intervention, and Dissemination

Friday, November 21, 2025
5:00 PM - 6:30 PM CST
Location: Bolden 5, Level 2
Earn 1.5 Credit
Keywords: Psychosis / Psychotic Disorders, Mental Health Disparities, Implementation
Recommended Readings: Humensky, J. L., Bello, I., Malinovsky, I., Nossel, I., Patel, S., Jones, G., Cabassa, L. J., Radigan, M., Sobeih, T., Tobey, C., Basaraba, C., Scodes, J., Smith, T., Wall, M., Labouliere, C., Stanley, B., & Dixon, L. B. (2020). OnTrackNY’s learning healthcare system. Journal of Clinical and Translational Science, 4(4), 301–306. https://doi.org/10.1017/cts.2020.35,   Moussa-Tooks, A., Sheffield, J., Freeman, D., & Brinen, A. (2023) Disentangling the Consequences of Systemic Racism and Clinical Paranoia to Promote Effectiveness of a Cognitive-Behavioral Intervention for Persecutory Delusions in Minoritized Individuals: A Case-Example. Clinical Case Studies. doi: 10.1177/15346501231190920,   Millman ZB, West ML, Thibeau H, Sanders AS, Guyer M, Keshavan M, Lilly M, Friedman-Yakoobian M, Woodberry KA, Johnson KA, Kline ER. Changes in community providers' screening behaviours, referral practices, and clinical confidence following participation in an early psychosis educational campaign. Early Interv Psychiatry. 2022 07; 16(7):744-751. PMID: 34532946; PMCID: PMC10591393.,   ,  
The era of professional psychology has seen a substantial evolution in what and who gets labeled as psychotic. Community-driven movements, starting in the 1970s, have exposed system gaps, prejudices, and inequities, including for people labeled psychotic. As a result, there is a gap between the engrained systems of assessment and ‘treatment as usual’ on the one hand, and the transdiagnostic, etiological models of CBT and ecologically-informed care models such as coordinated specialty care (CSC) on the other. This panel will describe current challenges and effective tools for how we assess, treat, and engage the community regarding psychosis, particularly through CBT models. Panelists will address these efforts from intersecting perspectives of researcher, clinician, and lived experience. We will first introduce a critical content analysis of the DSM-5-TR to highlight standardization inconsistencies regarding psychosis and consider how this may contribute to stigma and impede access to evidence-based care. Next, we will highlight the influence of demographic disparities in psychosis assessment and the role of skillful cultural adaptation to CBT to maintain high fidelity, efficacy, and accessibility for minoritized individuals. We will then explore how the OnTrackNY CSC model moves beyond the medical model to deliver recovery-oriented, person-centered services. We will discuss how providers tailor CBT-based interventions to promote autonomy and self-determination through individual goal attainment. We will consider how Peer Specialists in OnTrackNY CSC teams use lived experience to shift the focus from assessment and treatment to meaning making. Finally, we will explore strategies for disseminating CSC models to professionals working with youth in CSC and community settings, through an online course and video series. These resources integrate lived experience and professional perspectives to enhance training and implementation.

Learning Objectives:

At the end of this session, the learner will be able to:
  1. Identify 2+ ways DSM standardization discriminates how psychosis is identified and treated.
  2. Recognize racial disparities in assessment and name cultural adaptations to CBT interventions.
  3. Identify 3+ ways CBT-based interventions in CSC support goal attainment and meaning making.
  4. Identify 2+ effective strategies to disseminate evidence-based CSC models to the healthcare community.