Implementing Cognitive Remediation Feasible in Large Systems of Care

by Sushma Rao on May 4, 2018 at 10:39 AM
 Implementing Cognitive Remediation Feasible in Large Systems of Care

Patients with mental illnesses can receive cognitive remediation, an evidence-based, recovery-oriented behavioral intervention to improve attention, memory and cognitive flexibility in large systems of psychiatric care, say researchers at the New York State Psychiatric Institute and Columbia University Irving Medical Center. The findings were published in CNS Spectrums.

Cognitive remediation, which targets the information processing skills that underlie thinking, is used to enhance cognitive skills so that people with serious mental illnesses function better in everyday life. There is increasing enthusiasm to provide cognitive remediation as an evidence-based practice, but relatively little is known about how to best implement it in mental health care systems. The exact steps of implementation remain a mystery to many stakeholders, making a process paper timely.


"This paper describes the work that has been done to implement cognitive remediation throughout New York State's psychiatric hospital system, the first statewide implementation of this treatment in the USA," noted lead author Alice Medalia, Ph.D., a research psychologist at New York State Psychiatric Institute and professor of medical psychology at Columbia University Vagelos College of Physicians and Surgeons.

"Our goal was to better understand the implementation issues which care providers are likely to face when bringing cognitive remediation services to their patients."

In 2014, the researchers set up a Cognitive Health Service that could be offered to patients throughout the state-operated system of care. This service was intended to broadly address cognitive health, to assure that the cognitive deficits (such as problems with attention, memory, and processing speed) commonly associated with psychiatric illnesses are recognized and addressed, and to make sure that cognitive health is embedded in the vocabulary of wellness.

By 2017, New York State offered cognitive remediation to patients with serious mental illness at 13 of 16 adult psychiatric centers. The embedded quality assurance program evaluation tools indicated that cognitive remediation was sustainable and effective.

Along with hundreds of state licensed facilities, these adult psychiatric centers are an essential part of the New York State Office of Mental Health, which oversees the care of more than 700,000 patients annually in both urban and rural areas, including almost 20,000 unique adult patients. "To implement the service, we first needed to create a mechanism to train staff to recognize how cognitive health could be prioritized in treatment planning," said Dr. Medalia.

The success of this project shows that cognitive remediation can feasibly be implemented in large systems of care. Dr. Medalia maintains that "the systems must provide a multi-level system of supports, a training program that educates broadly about cognitive health (and specifically about the delivery of cognitive remediation), and an embedded, ongoing program evaluation that is linked to staff supervision."

Source: Eurekalert
Font : A-A+



Latest Mental Health News

Smartphone Overuse in Adolescents Impacts Mental Health
Teens using smartphones for more than 4 hours per day had adverse mental health issues than those who used them for fewer hours a day.
New Suicide Crisis Helpline in Canada
The Canadian government has launched 988, a new three-digit suicide crisis helpline to provide suicide prevention support.
Pickling Positivity: Lactobacillus Guards Against Anxiety, Depression
Lactobacillus unveils new avenues for therapies targeting anxiety, depression, and various mental health conditions.
Can Obsessive-Compulsive Disorder Therapy Alter Brain Activity?
Neuroimaging exposes alterations in connectivity among individuals dealing with obsessive-compulsive disorder (OCD), stated study.
How Stress Induce Emotional Overeating?
Proenkephalin, a chemical molecule present in the brain's hypothalamus, is linked to emotionally driven overeating in response to stress and threats.
View All
This site uses cookies to deliver our services.By using our site, you acknowledge that you have read and understand our Cookie Policy, Privacy Policy, and our Terms of Use  Ok, Got it. Close

Implementing Cognitive Remediation Feasible in Large Systems of Care Personalised Printable Document (PDF)

Please complete this form and we'll send you a personalised information that is requested

You may use this for your own reference or forward it to your friends.

Please use the information prudently. If you are not a medical doctor please remember to consult your healthcare provider as this information is not a substitute for professional advice.

Name *

Email Address *

Country *

Areas of Interests