Although numerous evidence-based treatments for serious mental illnesses (SMI) exist, the majority are not widely utilized in clinical settings. Cognitive enhancement therapy (CET) has been tested in randomized trials; however, knowledge regarding implementation and outcomes in naturalistic environments is scarce.

The current study is an uncontrolled, observational study describing implementation and pre- to post-outcomes of CETCleveland®, a community-based version of CET in an outpatient mental health program in the United States.

We included n = 34 diverse individuals with SMI. Data include qualitative implementation information and participant outcomes, including measures of cognition, symptoms, satisfaction and adherence.

Overall, participant satisfaction was positive, and adherence was comparable with previous studies. Implementation information includes training, clinician and setting characteristics, and barriers and solutions. Preliminary outcomes showed that participants significantly improved in areas of neurocognition and symptoms.

Overall, our results demonstrated successful early implementation of CET in a diverse, outpatient mental health program and provided preliminary support for the clinical utilization of CET. We hope these results will promote further access to CET and other evidence-based psychiatric rehabilitation programs in community clinics.

尽管存在许多针对严重精神疾病 (SMI) 的循证治疗，但大多数并未在临床环境中广泛使用。认知增强疗法 (CET) 已在随机试验中进行了测试；然而，关于自然环境中的实施和结果的知识却很少。

目前的研究是一项不受控制的观察性研究，描述了 CETCleveland® 的实施和前后结果，CETCleveland® 是美国门诊心理健康计划中基于社区的 CET 版本。

我们纳入了n = 34 名患有 SMI 的不同个体。数据包括定性实施信息和参与者结果，包括认知、症状、满意度和依从性的测量。

总体而言，参与者的满意度是积极的，并且依从性与以前的研究相当。实施信息包括培训、临床医生和环境特征，以及障碍和解决方案。初步结果表明，参与者在神经认知和症状方面有显着改善。

总体而言，我们的研究结果表明 CET 在多样化的门诊心理健康项目中的早期实施是成功的，并为 CET 的临床应用提供了初步支持。我们希望这些结果将促进社区诊所进一步获得 CET 和其他基于证据的精神科康复项目。