Open AccessMixed Methods Analysis of Implementation of Interpersonal Psychotherapy (IPT) for Major Depressive Disorder in Prisons in a Hybrid Type I Randomized Trial
Author(s) -
Jennifer E. Johnson,
Maji Hailemariam,
Caron Zlotnick,
Fallon Richie,
J. Walter Sinclair,
Adam Chuong,
Shan Wiltsey Stirman
Publication year - 2019
Publication title -
administration and policy in mental health
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.909
H-Index - 68
eISSN - 1573-3289
pISSN - 0894-587X
DOI - 10.1007/s10488-019-00996-1
Subject(s) - prison , interpersonal psychotherapy , interpersonal communication , psychology , population , randomized controlled trial , clinical psychology , psychiatry , nursing , psychotherapist , medicine , social psychology , surgery , criminology , environmental health
This article describes a mixed methods evaluation of implementation of interpersonal psychotherapy (IPT) in the first fully-powered trial of any treatment for major depressive disorder in an incarcerated population. Assessments in this Hybrid Type I trial included surveys of prison providers and administrators (n = 71), measures of feasibility and acceptability to prison patients (n = 90), and a planned document review (n = 460) to assess potential determinants of implementation. Quantitative and qualitative results indicated that IPT was a good fit for prisoners, and that prisoners and providers were enthusiastic about IPT. Providers were open to feedback, open to learning evidence-based practices, and committed to helping their clients. Limited treatment staff and variable supervision and collegial support may pose implementation challenges. For widespread prison implementation, scalable models for ongoing IPT training and supervision are needed.