Oncologists have been driven to face the need to reach their primary goal of patient recovery by reducing or preventing as much as possible late effects in cancer survivors of developmental age as a result of improved oncological treatments, increased survival rates, and their awareness that they are acting in a crucial phase of life. Late effects involve various systems of individual functioning: cardiovascular, respiratory, reproductive and neurocognitive. The aim of this study was to draw attention to late cognitive effects and underline the importance and usefulness of rehabilitation interventions in reducing not only learning difficulties, but also the problems related to socialisation and psychological unease. Neurocognitive outcomes are influenced by the type of cancer treatment, the time that has passed since its administration, surgery, tumour location, and the patient's age and gender. Late effects are generally more severe in cases of radiotherapy, which seems to affect IQ, whereas chemotherapy only seems to affect neuropsychological abilities such as attention, concentration, memory, and executive and visuo-spatial functions. Cognitive outcomes therefore affect not only intellectual and educational functioning, but also social and psychological functioning.It is widely acknowledged that Butler and Copeland's tripartite Cognitive Remediation Program (CRP) can benefit children and adolescents with neurocognitive difficulties due to oncological treatment. It not only improves attention and learning abilities, but also the ability to manage post-treatment cognitive dysfunction more effectively.
Despite international guidelines, cognitive behavioural therapy for early psychosis (CBTep) is still under-used in daily clinical practice, mainly due to the lack of specific skills among mental health professionals. The aim of the study was to evaluate the feasibility and efficacy of a CBTep training course and to investigate the impact of trainees’ variables on the level of skills acquisition. An intensive and graded CBTep training programme consisting of 112 hours of plenary lectures, 30 hours of group supervision and 3 months of practical training was offered to mental health professionals of 65 Italian community Mental Health Centers (CMHCs). CBT expert psychologists were used as the comparison group. Participants underwent pre-planned exams to test the level of skills acquisition and were requested to complete a satisfaction survey. The vast majority of participants (93%) completed the training with medium–high evaluation scores and reported to be highly satisfied with the course. CMHCs staff members achieved high scores in the examinations and no major differences between them and CBT expert psychologists were found in most of the final exam scores. Our results support the feasibility and the efficacy of the training to build specific CBTep capacity in a large cohort of professionals working in Italian Generalist Mental Health Services. Key learning aims (1) To understand the capacity building of a short training programme in CBT for early psychosis dedicated to community mental health professionals. (2) To consider the optimal characteristics of a CBT training programme for early psychosis. (3) To reflect on the feasibility of a CBT training programme for early psychosis in the context of Italian Community Mental Health Services.
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