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Published Online: November 2011

Implementing Interpersonal and Social Rhythm Therapy for Mood Disorders Across a Continuum of Care

Holly A. Swartz, M.D., Ellen Frank, Ph.D., Kelly O'Toole, L.C.S.W., Nathan Newman, L.C.S.W., Helen Kiderman, L.C.S.W., Scott Carlson, Psy.D., Janis W. Fink, R.N., L.C.S.W., Yu Cheng, Ph.D., Catherine C. Maihoefer, L.P.C., Kelly Forster Wells, L.C.S.W., Patricia R. Houck, M.S., Tiffany Painter, L.C.S.W., Sara H. Ortenzio, R.N., M.S.N., Stacy L. Simon, Ph.D., Perry Henschke, Ph.D., and Frank Ghinassi, Ph.D.Authors Info & Affiliations

Publication: Psychiatric Services

Volume 62, Number 11

https://doi.org/10.1176/ps.62.11.pss6211_1377

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Abstract

Objective:

Interpersonal and social rhythm therapy (IPSRT) is an evidence-based psychotherapy for mood disorders. The goal of this quality improvement initiative was to demonstrate feasibility of implementing IPSRT across the continuum of outpatient and inpatient care within an academic medical center.

Methods:

A multidisciplinary work group was convened to implement IPSRT in outpatient (N=48), inpatient (N=602), and intensive outpatient (N=68) programs of an academic medical center. Quality improvement performance markers (including symptoms and group attendance rates) were collected.

Results:

Institutional preference for group treatments required adaptation of IPSRT from an individual to group psychotherapy format. Iterative problem solving and protocol development resulted in models of group IPSRT appropriate for each level of care. Performance outcome markers were favorable, indicating feasibility of implementation.

Conclusions:

At a single, multisite, urban, academic medical center, IPSRT proved a feasible evidence-based psychotherapy for implementation across levels of care in routine practice. (Psychiatric Services 62:1377–1380, 2011)

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Table 1 Characteristics of three patient groups receiving treatment from an academic medical center involved in a quality improvement initiative

Information & Authors

Information

Published In

Go to Psychiatric Services

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Psychiatric Services

Volume 62 • Number 11 • November 2011

Pages: 1377 - 1380

PubMed: 22211221

History

Published in print: November 2011

Published online: 13 January 2015

Authors

Affiliations

Holly A. Swartz, M.D.

With the exception of Dr. Cheng and Ms. Houck, the authors are affiliated with the Western Psychiatric Institute and Clinic (WPIC), Pittsburgh, Pennsylvania.

Ms. Houck is with the UPMC Health System, Pittsburgh.

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Ellen Frank, Ph.D.

With the exception of Dr. Cheng and Ms. Houck, the authors are affiliated with the Western Psychiatric Institute and Clinic (WPIC), Pittsburgh, Pennsylvania.

Ms. Houck is with the UPMC Health System, Pittsburgh.

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Kelly O'Toole, L.C.S.W.

With the exception of Dr. Cheng and Ms. Houck, the authors are affiliated with the Western Psychiatric Institute and Clinic (WPIC), Pittsburgh, Pennsylvania.

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Nathan Newman, L.C.S.W.

With the exception of Dr. Cheng and Ms. Houck, the authors are affiliated with the Western Psychiatric Institute and Clinic (WPIC), Pittsburgh, Pennsylvania.

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Helen Kiderman, L.C.S.W.

With the exception of Dr. Cheng and Ms. Houck, the authors are affiliated with the Western Psychiatric Institute and Clinic (WPIC), Pittsburgh, Pennsylvania.

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Scott Carlson, Psy.D.

With the exception of Dr. Cheng and Ms. Houck, the authors are affiliated with the Western Psychiatric Institute and Clinic (WPIC), Pittsburgh, Pennsylvania.

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Janis W. Fink, R.N., L.C.S.W.

With the exception of Dr. Cheng and Ms. Houck, the authors are affiliated with the Western Psychiatric Institute and Clinic (WPIC), Pittsburgh, Pennsylvania.

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Yu Cheng, Ph.D.

Dr. Cheng is with the Department of Psychiatry, University of Pittsburgh School of Medicine, where Dr. Swartz, Dr. Frank, and Dr. Ghinassi are also affiliated.

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Catherine C. Maihoefer, L.P.C.

With the exception of Dr. Cheng and Ms. Houck, the authors are affiliated with the Western Psychiatric Institute and Clinic (WPIC), Pittsburgh, Pennsylvania.

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Kelly Forster Wells, L.C.S.W.

With the exception of Dr. Cheng and Ms. Houck, the authors are affiliated with the Western Psychiatric Institute and Clinic (WPIC), Pittsburgh, Pennsylvania.

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Patricia R. Houck, M.S.

Ms. Houck is with the UPMC Health System, Pittsburgh.

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Tiffany Painter, L.C.S.W.

With the exception of Dr. Cheng and Ms. Houck, the authors are affiliated with the Western Psychiatric Institute and Clinic (WPIC), Pittsburgh, Pennsylvania.

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Sara H. Ortenzio, R.N., M.S.N.

With the exception of Dr. Cheng and Ms. Houck, the authors are affiliated with the Western Psychiatric Institute and Clinic (WPIC), Pittsburgh, Pennsylvania.

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Stacy L. Simon, Ph.D.

With the exception of Dr. Cheng and Ms. Houck, the authors are affiliated with the Western Psychiatric Institute and Clinic (WPIC), Pittsburgh, Pennsylvania.

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Perry Henschke, Ph.D.

With the exception of Dr. Cheng and Ms. Houck, the authors are affiliated with the Western Psychiatric Institute and Clinic (WPIC), Pittsburgh, Pennsylvania.

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Frank Ghinassi, Ph.D.

With the exception of Dr. Cheng and Ms. Houck, the authors are affiliated with the Western Psychiatric Institute and Clinic (WPIC), Pittsburgh, Pennsylvania.

Dr. Cheng is with the Department of Psychiatry, University of Pittsburgh School of Medicine, where Dr. Swartz, Dr. Frank, and Dr. Ghinassi are also affiliated.

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Notes

Send correspondence to Dr. Swartz, WPIC, 3811 O'Hara St., Pittsburgh, PA 15213 (e-mail: [email protected]).

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