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Integrating Recovery-Oriented Cognitive Therapy Into Medication Management Visits: Feasibility and Acceptability
Aaron P Brinen1, Ali Sloan2, Lauren M Hall3
1Department of Psychiatry and Behavioral Sciences, Vanderbilt University Medical Center, Nashville.
Psychiatric Services (Washington, D.C.)
|March 17, 2026
Summary
Integrating recovery-oriented cognitive therapy (CT-R) into medication checks for schizophrenia improved symptoms and social functioning. The IMPACT program demonstrated feasibility and acceptability in this patient group.
Area of Science:
- Psychiatry
- Clinical Psychology
- Mental Health Treatment
Background:
- Psychotherapy integration into medication management has declined.
- Recovery-oriented cognitive therapy (CT-R) offers significant benefits.
Purpose of the Study:
- To evaluate the feasibility and acceptability of integrating CT-R into psychiatric medication management.
- To assess the IMPACT program for individuals with schizophrenia spectrum disorders.
Main Methods:
- The IMPACT program integrated CT-R elements into medication visits.
- 22 participants with schizophrenia spectrum disorders completed the 12-month study.
- Psychiatrists delivered CT-R elements in 74% of sessions.
Main Results:
- All participants completed the 12-month treatment.
- Significant improvements observed in overall symptoms (Cohen's d=0.83) and social functioning (Cohen's d=0.88).
- Moderate improvement in beliefs about recovery.
Conclusions:
- The IMPACT program is a feasible and acceptable treatment for schizophrenia spectrum disorders.
- Preliminary evidence supports the integration of CT-R into medication management.
- A randomized controlled trial of the IMPACT program is warranted.
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