There was a significant correlation between the early change in BADS-SF and clinician-rated MADRS posttreatment (r = -.637, p = .04) but not the MADRS-S. There was no significant correlation between working alliance on the WAI and depression outcome on the MADRS-S (r = .219). Each participant’s average homework compliance score was calculated and related to depression outcome (residualized gain scores for MADRS-S), producing

a correlation of .487 (nonsignificant). This paper describes a BA intervention starting after admission into acute psychiatric inpatient units with the goal of continuing after discharge to bridge the critical gap between services. BA was chosen for evaluation on the basis of being parsimonious, flexible, and promising for severe and diverse populations. The treatment context required significant click here adaptations of the contents and format of therapy. We also reported preliminary data regarding feasibility, therapy processes, and their relation to outcome in a small sample of depressed inpatients with psychiatric comorbidity. Multiple sources of data from the pilot study provided encouraging preliminary www.selleckchem.com/products/PD-0332991.html support for the feasibility of the BA protocol in the current context. First, none of the approached patients declined the invitation to participate, indicating that initiating a brief treatment during inpatient admission was experienced

as a credible idea. Second, treatment retention was high and participants attended sessions both in the inpatient and the outpatient setting. The low dropout rate is very encouraging given how common treatment disengagement is after discharge from hospital care (Boyer et al., 2000). Third, patients

rated credibility (at Session 3) and satisfaction (posttreatment) highly. Fourth, participants had a positive experience of the working alliance as indicated by repeated ratings. A fifth indicator of the acceptability of BA was the positive comments following treatment. And finally, participants were able to agree on and largely adhered to homework, indicating that the core purpose of BA (i.e., activation) was experienced Dynein as meaningful. It is noteworthy that credibility and acceptability of our BA protocol was high in this sample with such wide variety of comorbidity, complexity, and problem behaviors. Although BA was initially developed for depression, there are many adaptations for different groups of patients (Dimidjian et al., 2011). Our study lends further preliminary support for the feasibility of BA for both severe problems and heterogeneous populations. The quick and gradual improvement of activation/avoidance observed in our pilot study lends preliminary support to the hypothesized mechanisms of BA. Furthermore, these findings are of particular interest for the inpatient milieu, where social disengagement prevails (Sharac et al., 2010) and attenuates outcomes (Wing & Brown, 1970).