Evidence map›Paper›PMID 41613750›Full record

ArticleFocus (American Psychiatric Publishing)2025

From Theory to Therapy: The Evolution and Future of Cognitive-Behavioral Therapy for Psychosis in U.S. Mental Health Care.

Sarah L Kopelovich, Poppy Brown, Kate Hardy

Abstract read
In one paragraph

Article in Focus (American Psychiatric Publishing), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Sarah L KopelovichDepartment of Psychiatry and Behavioral Sciences, University of Washington School of Medicine, Seattle.ORCID https://orcid.org/0000-0003-1047-2952
Poppy BrownDepartment of Psychiatry and Behavioral Sciences, Stanford University, Stanford, California.ORCID https://orcid.org/0000-0003-3105-2420
Kate HardyDepartment of Psychiatry and Behavioral Sciences, Stanford University, Stanford, California.ORCID https://orcid.org/0000-0002-2019-5090

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Cognitive-behavioral therapy for psychosis (CBTp) is an evidence-based intervention targeting distress and impairment associated with psychotic symptoms. Despite strong empirical support and international endorsement, it remains underutilized in U.S. psychiatric and forensic settings. This article traces CBTp's theoretical foundations and chronicles its U.S. development, highlighting key milestones, policy shifts, and clinical applications. A narrative review of cognitive-behavioral models, landmark trials, and federal and state implementation initiatives reveals CBTp's evolution from educational and behavioral intervention models into a flexible approach incorporating cognitive, behavioral, motivational, and environmental strategies for the full psychosis spectrum. Recent years have seen diversification into group-based, low-intensity, and digital formats, with growing access via state-sponsored training. Persistent barriers include clinician training, reimbursement, and integration into routine care. Understanding CBTp's theoretical roots, evidence base, and U.S. history can help mental health practitioners advance its integration. Psychiatrists are well positioned to advocate for and participate in enhancing access.

Indexed as

Cognitive Behavioral Therapy for PsychosisEvidence-Based PsychotherapyImplementationPsychosisSchizophreniaSerious Mental Illness

Identifiers

PMID41613750
PMCPMC12818709

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.