Handout 1 (PDF)

January 6, 2014
Program Review Committee
Substance Abuse and Mental Health Services Administration (SAMHSA)
National Registry of Evidence-Based Programs and Practices (NREPP)
Subject:
Application for Evidence Based Practice: Accelerated Resolution Therapy (ART)
Dear Review Committee:
As the formal point of contact, I am requesting that Accelerated Resolution Therapy (ART) be
formally evaluated as an Evidence Based Practice (EBP) with the SAMHSA NREPP. Provided
below is a description and empirical evidence of the merits of this therapy with respect to the
formal criteria for approval required by the NREPP.
Criterion 1: The intervention has produced one or more positive behavioral outcomes (p ≤ .05) in
mental health or substance abuse among individuals, communities, or populations. Significant
differences between groups over time must be demonstrated for each outcome.
To date, 2 federally-funded empirical studies of ART have been conducted at the
University of South Florida (USF) under the direction of the Principal Investigator, Kevin
E. Kip, Ph.D. These 2 studies have resulted in 4 peer-reviewed publications. The table
below shows positive behavioral outcomes (at p < 0.05) observed after initial treatment
and at various follow-up intervals. A large cohort study (n=200) of ART has just been
initiated at USF under the direction of Kevin E. Kip, Ph.D., and is being registered with
Clinical Trials.gov.
Peer-Reviewed Publication
[1]
Kip KE, Elk CA,
Sullivan KL, et al.
Behavioral Sciences
2012; 2(2): 115-134.
Behavioral Outcome
(at p < 0.05)
Initial Treatment Effect
Post-traumatic stress disorder
Trauma-related growth
Post-traumatic growth
Depression
Somatic anxiety
Cognitive anxiety
Sleep quality
Self-compassion
Aggression
Alcohol use
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COLLEGE OF NURSING
[2]
Kip KE, Sullivan KL,
Lengacher CA, et al.
Frontiers in Psychiatry
2013; Mar 8;4:11. doi:
10.3389/fpsyt.2013.00011.
Page 7
Page 7
Page 7
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---
USF H
[3]
Kip, KE, Rosenzweig
L, Hernandez DF, et
al. Military Medicine
2013; 178: 1298-1309.
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--Not reported
•
EALTH
University of South Florida • 12901 Bruce B. Downs Blvd. MDC22 • Tampa, FL 33612-4766
813-974-2191 • 813-974-5418 • health.usf.edu/nursing
2-Month Follow-Up
Post-traumatic stress disorder
Trauma-related growth
Post-traumatic growth
Depression
Somatic anxiety
Cognitive anxiety
Sleep quality
Self-compassion
Aggression
Alcohol use
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Page 7
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---
Not reported
Not reported
Not reported
Not reported
Not reported
Not reported
Not reported
Not reported
Not reported
Not reported
3-Month Follow-Up
Post-traumatic stress disorder
Trauma-related growth
Post-traumatic growth
Depression
Somatic anxiety
Cognitive anxiety
Sleep quality
Self-compassion
Aggression
Alcohol use
Not reported
Not reported
Not reported
Not reported
Not reported
Not reported
Not reported
Not reported
Not reported
Not reported
Not reported
Not reported
Not reported
Not reported
Not reported
Not reported
Not reported
Not reported
Not reported
Not reported
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4-Month Follow-Up
Post-traumatic stress disorder
Trauma-related growth
Post-traumatic growth
Depression
Somatic anxiety
Cognitive anxiety
Sleep quality
Self-compassion
Aggression
Alcohol use
Not reported
Not reported
Not reported
Not reported
Not reported
Not reported
Not reported
Not reported
Not reported
Not reported
Page 7
Page 7
Page 7
Page 7
Page 7
Page 7
Page 7
Page 7
Page 7
Page 7
Not reported
Not reported
Not reported
Not reported
Not reported
Not reported
Not reported
Not reported
Not reported
Not reported
An additional non-databased publication on the theoretical basis of ART has been recently
published in the journal Military Medicine.
Kip KE, Shuman A, Hernandez DF, Diamond DM, Rosenzweig L. Case report and
theoretical description of Accelerated Resolution Therapy (ART) for military-related posttraumatic stress disorder. Military Medicine 2014; 179:31-37.
Criterion 2: Evidence of the positive behavioral outcome(s) has been demonstrated in at least
one study using an experimental or quasi-experimental design. Experimental designs include
random assignment of participants, a control or comparison group in addition to the
intervention group, and pre- and posttest assessments. Quasi-experimental designs include a
control or comparison group and pre- and posttest assessments but do not use random
assignment. Studies with single-group, pretest/posttest designs do not meet this requirement.
For the 2 federally-funded empirical studies of ART conducted to date, references [1] and
[2] refer to a prospective single-group pretest/posttest design with 2- and 4-month posttreatment follow-up. Reference [3] is a randomized controlled trial (i.e. experimental
design) that compared the active intervention (ART) versus an Attention Control (AC)
comparison group. Reference [4] is a case report and detailed description of the theoretical
basis of ART.
Criterion 3: The results of these studies have been published in a peer-reviewed journal or
other professional publication (e.g., a book volume) or documented in a comprehensive
evaluation report. Comprehensive evaluation reports must include the following sections or
their equivalent: a review of the literature, theoretical framework, purpose, methodology,
findings/results (with statistical analysis and p values for significant outcomes), discussion,
and conclusions. Information must be included to enable rating of the six Quality of Research
criteria.
As stated above, 4 peer-reviewed papers have been published from the 2 federally-funded
empirical studies of ART. The full citations are as follows:
[1] Kip KE, Elk CA, Sullivan KL, Kadel R, Lengacher CA, Long CJ, Rosenzweig L,
Shuman A, Hernandez DF, Street JD, Girling SA, Diamond DM. Brief treatment of
symptoms of post-traumatic stress disorder (PTSD) by use of Accelerated Resolution
Therapy (ART). Behavioral Sciences 2012; 2(2): 115-134.
[2] Kip KE, Sullivan KL, Lengacher CA, Rosenzweig L, Hernandez DF, Kadel R, Kozel
FA, Shuman A, Girling SA, Hardwick MJ, Diamond DM. Brief treatment of co-occurring
post-traumatic stress and depressive symptoms by use of accelerated resolution therapy.
Frontiers in Psychiatry 2013; Mar 8;4:11. doi: 10.3389/fpsyt.2013.00011.
[3] Kip, KE, Rosenzweig L, Hernandez DF, Shuman A, Sullivan KL., Long CJ, Taylor J,
McGhee S, Girling SA, Wittenberg, T, Sahebzamani, FM, Lengacher CA, Kadel R,
Diamond DM. Randomized controlled trial of accelerated resolution therapy (ART) for
symptoms of combat-related post-traumatic stress disorder (PTSD). Military Medicine
2013; 178: 1298-1309.
[4] Kip KE, Shuman A, Hernandez DF, Diamond DM, Rosenzweig L. Case report and
theoretical description of Accelerated Resolution Therapy (ART) for military-related posttraumatic stress disorder. Military Medicine 2014; 179:31-37.
Criterion 4: Implementation materials, training and support resources, and quality assurance
procedures have been developed and are ready for use by the public.
Formal training of licensed mental health professionals in ART has been ongoing since
2010. This training has been conducted for research purposes by the University of South
Florida, and for mainstream clinical application through the Rosenzweig Center for Rapid
Recovery (RCRR) (http://www.acceleratedresolutiontherapy.com/). To insure purity to the
ART model, all trainings have been conducted by the founder of ART, Laney Rosenzweig.
In this regard, ART is registered and trademarked with the United States government, and
no clinicians trained in ART are permitted to train other clinicians without express consent
and supervision from the developer, Laney Rosenzweig. To date, approximately 300
mental health clinicians have been trained in ART. Internationally, this includes 4
registered nurse mental health professionals associated with the University of Stirling in
Scotland as part of research study evaluating use of ART for treatment of PTSD and
British veterans. As part of the training in ART, all clinicians receive theory and
supervised practice of the ART model, and are provided with a 100+ page ART clinical
practice manual that describes the standardized ART model in detail, and a range of
intervention techniques that can be applied in clinical practice settings. For the trainings
conducted by both USF and RCRR, continuing education credits have been provided.
Respectfully submitted:
January 6, 2014
Kevin E. Kip, Ph.D., FAHA
Professor and Executive Director, Research Center
University of South Florida, College of Nursing
Professor, College of Public Health
Department of Epidemiology and Biostatistics
Associate Member, Byrd Alzheimer’s Institute
Morsani College of Medicine
MDN, Room 2010
12901 Bruce B. Downs Blvd.
Tampa, FL 33612-4476
(813) 974-9266 (phone)
(813) 974-7903 (fax)
[email protected]