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Training and Implementation

Project Introduction

We have developed an innovative continuity of CT-R program. CT-R can be introduced at an agency or service level, but it also can be implemented across a network of care. For instance, psychiatric hospital staff, community behavioral health workers, Assertive Community Treatment teams, specialty care teams, integrated healthcare teams, peer specialists and support, direct care staff, etc. Multidisciplinary staff learn effective ways to understand and facilitate recovery and resiliency for individuals diagnosed with schizophrenia and other serious mental health conditions. Staff learn approaches that help individuals access motivation, develop powerful aspirations, and actively pursue the life of their choosing, all the while strengthening their adaptive mode of living with empowering skills related to challenges of daily living. This program has been adaptively implemented in the States of Georgia, New York, Massachusetts, Montana, New Jersey, Vermont, and Pennsylvania, helping individuals with serious mental health conditions move from languishing to flourishing.

Training delivered by our team is flexible and individualized, catering to specific needs, staffing requirements, and clinical setting. Prior to implementation, we conduct an assessment to collaboratively develop a comprehensive implementation plan. Each site has its own unique needs and requirements. Typical timelines for sustainable implementation involve intensive upfront training with tapering as staff demonstrates proficiency. Below are examples of the form.

Types of Training

  • Webinar: Provides a basic introduction to the principles of CT-R through an online platform (1-3 hours).
  • Workshops: Provides an in-depth introduction to CT-R that delivers the basics through experiential learning and expert demonstration of skills (2-30 hours, in-person).
  • Consultations: Typically follows a workshop and focuses on tailoring strategies, building skills, and promoting enduring recovery for the myriad of challenges (1-2 hours, weekly, 6 to 12 months).
    • Challenges: Expert consultation helps trainees promote progress for individuals who present challenges to staff. Demonstrates benefits of CT-R and invigorates staff via results.
    • Key-personnel: Therapists, psychiatrists, nurses, social workers, drug/alcohol specialists, case managers, and peer specialists can be trained to become agents for change. Trainees develop competency in therapeutic strategies to promote recovery. 
    • Milieu-wide: This is a full team-wide, unit-wide approach to training that involves tailored workshops and consultation to transform the therapeutic milieu to a recovery orientation.
    • Therapist: Trainees learn to formulate individual cases to promote progress toward recovery and resiliency with respect to challenges (negative, positive symptoms, aggression, etc.). The process includes an assessment of competency using a standardized measures.
  • Innovative Program Evaluation: Operationalized recovery principles are measured to inform treatment and track progress.
  • Train-the-Trainer: Beck Center staff train trainees to direct implementation of sustainability efforts to continue the work.

Training Settings to Date

  • State hospital (civil & forensic)
  • Jail diversion team
  • Long-term (so-called “extended acute care”) and acute psychiatric hospital
  • Assertive community treatment teams (fidelity and non-fidelity)
  • Locked (long-term structured residences) and unlocked (residential treatment facility for adults) programmatic residences
  • Supported housing
  • Individual and group therapy (community, hospital, veterans administration)
  • 1st Episode Teams
  • Ultra highrisk youth
  • Day treatment programs

Training Locations to Date

  • Delaware
  • Georgia
  • Massachusetts
  • Montana
  • New Jersey
  • New York
  • Pennsylvania
  • Philadelphia
  • Vermont
  • Virginia
  • Utah

Interested in Moving Foward?

Please contact Dr. Paul Grant at Please describe your location, type of services, population you are serving, staff to be trained, need as you see it, etc. Also, what are some ideas regarding the scale of the project.