{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,25]],"date-time":"2026-08-25T10:23:31Z","timestamp":1787653411625,"version":"build-2736575974"},"reference-count":58,"publisher":"Cambridge University Press (CUP)","license":[{"start":{"date-parts":[[2026,8,25]],"date-time":"2026-08-25T00:00:00Z","timestamp":1787616000000},"content-version":"unspecified","delay-in-days":236,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["tCBT"],"published-print":{"date-parts":[[2026]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Violence risk is elevated during the early phase of psychosis and can have significant consequences for engagement, recovery, and safety. BRAVE (Behavioral Response Against Violence Engagement) is a cognitive-behavioural intervention adapted from the PICASSO model for use in early intervention services (EIS) that targets dynamic, modifiable mechanisms associated with psychosis-related violence. This open pilot trial evaluated the feasibility, acceptability, fidelity, and preliminary target engagement of BRAVE when delivered by clinicians within routine EIS care. Seven clinician\u2013client dyads were enrolled across OnTrackNY sites; five completed the intervention, with a mean of 11.4 sessions. Feasibility and acceptability were high: clinicians rated BRAVE as useful and deliverable within standard visit structures. Fidelity ratings were high across both clinician and client checklists. Although violent behaviour was infrequent at baseline, exploratory clinical outcomes suggested reductions in violent ideation over time. The primary hypothesized mechanistic target, impulsivity, remained stable but secondary mechanistic outcomes showed directionally positive movement across the affective, cognitive, behavioural, and physiological domains expected to shift with BRAVE, including reductions in hostility, negative self-appraisal, persecutory thinking, substance use, and sleep disturbance, alongside increased coping self-efficacy. Overall, findings indicate that BRAVE can be implemented with high fidelity and strong acceptability within participating clinician\u2013client dyads in EIS settings, and offer preliminary descriptive patterns consistent with the hypothesized mechanistic model.<\/jats:p>\n                  <jats:p>\n                    <jats:list list-type=\"number\">\n                      <jats:title>Key learning aims<\/jats:title>\n                      <jats:list-item>\n                        <jats:label>(1)<\/jats:label>\n                        <jats:p>To describe how BRAVE was adapted for early intervention services (EIS) and delivered by clinicians within routine care, including considerations of feasibility, acceptability, and fidelity.<\/jats:p>\n                      <\/jats:list-item>\n                      <jats:list-item>\n                        <jats:label>(2)<\/jats:label>\n                        <jats:p>To summarize descriptive, pre\u2013post observations from an open pilot trial of BRAVE, including changes in impulsivity and related affective, cognitive, behavioral, and physiological processes.<\/jats:p>\n                      <\/jats:list-item>\n                      <jats:list-item>\n                        <jats:label>(3)<\/jats:label>\n                        <jats:p>To identify implications for future implementation and evaluation, including lessons learned about fidelity measurement, patient-facing materials, and considerations for a larger pragmatic trial.<\/jats:p>\n                      <\/jats:list-item>\n                    <\/jats:list>\n                  <\/jats:p>","DOI":"10.1017\/s1754470x26100816","type":"journal-article","created":{"date-parts":[[2026,8,25]],"date-time":"2026-08-25T09:59:41Z","timestamp":1787651981000},"source":"Crossref","is-referenced-by-count":0,"title":["A pilot study of BRAVE, a CBT intervention to reduce violence risk in early psychosis"],"prefix":"10.1017","volume":"19","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0415-2840","authenticated-orcid":false,"given":"Stephanie Alexia","family":"Rolin","sequence":"first","affiliation":[{"name":"Columbia University Vagelos College of Physicians and Surgeons"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Samantha E.","family":"Jankowski","sequence":"additional","affiliation":[{"name":"Columbia University Vagelos College of Physicians and Surgeons"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Megan G.","family":"Flores","sequence":"additional","affiliation":[{"name":"Columbia University Vagelos College of Physicians and Surgeons"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ilana","family":"Nossel","sequence":"additional","affiliation":[{"name":"Columbia University Vagelos College of Physicians and Surgeons"},{"name":"New York State Psychiatric 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