- Your organization will be viewed as an innovator by your clients, their families and your funders for providing CETCLEVELAND®, a state-of-the-art, evidence-based practice.
- Clinical staff are able to see clients’ disabilities in an entirely new and more accurate fashion
- CETCLEVELAND® training increases clinical staff morale because it gives them new therapy tools and staff notice significant, long term recovery with their clients.
- An 80 to 90% attendance rate (the norm for CETCLEVELAND® groups) means that your organization will have
- clients with improved functioning
- more engaged clients and families
- increased client retention after CETCLEVELAND®
- increased productivity among staff
- a steady, predictable income stream
- By becoming a certified CETCLEVELAND® site your agency will be part of the Community of Treatment.
The best way to implement our program in your organization is to have a CETCLEVELAND® Trainer co-lead CET groups with your staff. Our trainer conducts the initial training of your staff at your site. During the first 6 months, our trainer visits your organization 1 week each month to co-lead your CET groups and provide additional staff training. During the other 3 weeks of the month, our trainer conducts additional training and supervision via Internet video conferencing. After the first six months, our trainer conducts a video conference every other week so that your organization’s coaches can conduct CET groups on their own.
CETCLEVELAND® is a 48 week course in which participants receive 3.5 hours of treatment per week. Each session includes computer-based cognitive exercises, social cognition learning group activities, and one-on-one coaching session with a CET coach. The comprehensive curriculum focuses on a different topic each week that provides a focal point for participants to practice, exercise, and master cognitive and social cognitive processes. Small groups of 8 to 12 participants allow participants to develop supportive peer-relationships and networks, along with 2 coaches who provide personalized attention to each participant.
In addition to the professional expertise of our CETCLEVELAND® trainers and on-site training and video-conferencing, we provide each of your staff our 500+ page CETCLEVELAND® curriculum manual, a set of 50 companion classroom posters, materials for group exercises, computer software for cognitive exercises, and access to our videoconferencing system. Organizations are also invited to attend our Annual CETCLEVELAND® Conference in the Fall.
The CETCLEVELAND® curriculum is a challenging treatment methodology, in which success is best achieved with a certified CETCLEVELAND® Trainer to instruct and mentor staff. Therefore, we do not sell our manual separately from the total dissemination package.
We suggest that coaches are individuals who:
- are likely to be with your organization for the foreseeable future since you will be investing time and energy into their training
- can bill for their services as widely as possible
- can think abstractly and outside of the normal therapy box
- are open to learning new things and changing the way they practice
- have sufficient time in their schedule to learn the CETCLEVELAND® curriculum.
We recommend that four to six individuals be trained as coaches so that you will have a solid group to support the program. Within this group, we ask that one individual be identified as the organization’s “CETCLEVELAND® Coordinator” or “Lead CETCLEVELAND® Coach” whose role is to ensure the implementation of the program.
During the start-up phase, we budget 8 to 10 hours per coach per week to cover running a group. Once staff are trained in CETCLEVELAND®, the time needed typically decreases to 6-7 hours per week. This includes prep time for each session, running the group, seeing clients individually, and training and supervision.
We suggest involving clients who meet the following characteristics:
- Individuals who meet criteria for cognitive disability (schizophrenia, bipolar disorder, chronic depression, high level autism spectrum disorder, schizoaffective disorder
- 16 years of age or older
- In recovery phase of treatment
- Stable symptoms
- Medication compliant
- Does not have a substance use disorder, or are abstinent if there is an SUD
- IQ of 80 or above
- Able to read at a fourth-grade level
- English or Spanish speaking
Our CETCLEVELAND® trainer can help you choose group members.
You will need a group meeting room that can comfortably hold 14 to 16 people (8 to 12 clients, 2 coaches, the CETCLEVELAND® Trainer and 1 or 2 visitors). This space can also be used to conduct the computer training either by having desktop or laptop computer workstations or available on movable carts. If you have a computer room at your agency, that can be used for the once per week, hourly computer group.
The CETCLEVELAND® program requires the following:
- 5 to 6 computers with Internet connection
- A white board for lectures and exercises
- A method to hang classroom posters for lecture notes and treatment plans (some sites use large, permanently mounted clip hangers that are easily installed and inexpensive.)
- An Internet video conferencing system for training and supervision (which we provide)
- An Information Technology (IT) staff person or contractor from your organization to help coordinate video conferencing and respond to any IT issues that arise.
- A video camera is also recommended to record all CET sessions. This helps staff with assessments and supervision, and for clients who miss a session. It’s also a great way to show the before and after results to your clients, families and/or funders.
Our experience has been that Medicaid, and to a lesser extent, Medicare and other 3rd party payers are able to cover the costs of CETCLEVELAND®. Medicaid does pay for CET as group therapy and individual therapy or as case management services (CPST individual and group services). We can work with you on your specific state Medicaid issues since each state runs its Medicaid program differently. This can be a significant source of income for your organization.
Yes, we have helped several agencies apply for major foundation grants that cover part of or the full cost of the training, or to write contracts for state departments of mental health. This consultation is offered at no charge.
Yes, we would be glad to give you contact information for our dissemination partners.