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 Page 124 Page 124 Page 124 Page 124 Page 124 Page 124 Page 124 Page 124 Page 124 Page 124 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 Page 7 Page 7 Page 7 Page 7 Page 7 Page 7 --- USF H [3] Kip, KE, Rosenzweig L, Hernandez DF, et al. Military Medicine 2013; 178: 1298-1309. Page 1304 Page 1305 --Page 1305 --Page 1305 --Page 1305 --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 Page 124 Page 124 Page 124 Page 124 Page 124 Page 124 Page 124 Page 124 Page 124 Page 124 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 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 Page 1306 Page 1306 --Page 1306 Page 1306 Page 1306 Page 1306 Page 1306 Page 1306 Page 1306 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]
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