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Implementation of Acceptance Commitment Therapy on a Mood Disorder Unit: A Quality Improvement Project
Summary
Implementing acceptance and commitment therapy (ACT) groups in inpatient psychiatric units improved patient perception and psychological flexibility. ACT is a valuable framework for hospitalized individuals, enhancing group session consistency.
Area of Science:
- Psychiatry
- Psychotherapy
- Quality Improvement
Background:
- Inpatient psychiatric units often face challenges with inconsistent and unstructured group therapy sessions.
- Standardized therapeutic frameworks can enhance the effectiveness of group interventions.
Purpose of the Study:
- To implement and evaluate group sessions based on the acceptance and commitment therapy (ACT) framework.
- To improve the consistency and structure of group programming on an adult, short-term inpatient psychiatric unit.
Main Methods:
- Systematic introduction of ACT-focused groups following staff education.
- Monitoring patient responses using the Acceptance and Action Questionnaire II (AAQII).
- Assessing patients' subjective perception of the group experience.
Main Results:
- Patients reported a positive perception of the newly implemented ACT-focused group programming.
- A slight improvement in patients' AAQII scores was observed, indicating enhanced psychological flexibility.
- ACT framework demonstrated feasibility and utility within the inpatient psychiatric setting.
Conclusions:
- Acceptance and commitment therapy (ACT) provides an appropriate and beneficial framework for inpatient psychiatric settings.
- Structured ACT groups can positively impact patient experience and psychological flexibility during hospitalization.
- This quality improvement project highlights the successful integration of ACT principles into routine psychiatric care.
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