Search results for ‘Publisher:"emerald"’ Sort:
Results 1 - 10 of 232
A rapid evidence assessment of psychological treatment approaches for stalking behaviour
- Authors:
- LEIGH Shonagh, DAVIES Jason
- Journal article citation:
- Journal of Forensic Practice, 24(1), 2022, pp.48-62.
- Publisher:
- Emerald
Purpose: This paper aims to provide practitioners with a brief but comprehensive review of the current evidence base for psychological treatment approaches used in the UK that may be useful for stalking therapies. Design/methodology/approach: A rapid evidence assessment was conducted on papers (post the UK Protection from Harassment Act, 1997) that discuss treatments of stalking (with or without a conviction) and associated offences/disorders. Therapies reviewed were Acceptance and Commitment Therapy, Cognitive Analytic Therapy, Cognitive Behavioural Therapy, Dialectical Behaviour Therapy and Schema Therapy. Searches for Mentalization-Based Therapy and Psychodynamic Therapy in relation to stalking were also performed but yielded no results that met inclusion criteria. Findings: There is currently a severely limited evidence base for the efficacy of the psychological treatment of stalking behaviours. Some interventions show promise although a multifaceted, formulation-based approach is likely to be required. Practical implications: Future research would benefit from robust studies focused on stalking with long-term efficacy follow-ups. Originality/value: to the best of the authors’ knowledge, this is the first rapid evidence review of psychological treatments that directly address stalking behaviour. (Edited publisher abstract)
Choice, voice and collaboration: using preference accommodation and feedback in trauma therapy
- Author:
- MAHON Daryl
- Journal article citation:
- Mental Health and Social Inclusion, 25(4), 2021, pp.396-406.
- Publisher:
- Emerald
Purpose: Organisations are increasingly understanding the need to be trauma informed. However, how trauma therapies in such organisations apply the principles of choice and collaboration is less understood. The present paper applies two trans-theoretical methods for involving clients in their therapy through preference accommodation and feedback-informed treatment (FIT). A case vignette is provided demonstrating how to involve clients in trauma therapy by listening to their preferences, needs and by providing them with a voice on their experience of the process and outcome of care. Design/methodology/approach: A focused review of the literature was conducted, with relevant randomised control trials, systematic reviews and meta-analyses sourced. The resulting information informed the design and this model for working with those in trauma therapy. Findings: The research regarding trauma-specific therapies being more effective is far from conclusive. At the same time, early attrition and negative outcomes make up a large percentage of those seeking therapy. Using preference accommodation and FIT is one possibly way to mitigate against these experiences in therapy and to provide choice, preference and collaboration consisting with the principles of trauma-informed approaches. Research limitations/implications: Methods to improve the experiences of those seeking trauma therapy have been identified and discussed. According to the author’s knowledge, this is the first known paper aligning trauma therapy and trauma-informed approaches with preference accommodation and FIT. Future empirical studies may wish to examine the relative effectiveness of this approach. Practical implications: Methods to improve outcomes for those seeking trauma therapy are at the disposal of practitioners. Improving outcomes, while also providing choice, voice and collaboration is a clinical setting. Originality/value: This is a novel paper adding to value and extending how practitioners can use principles of trauma-informed approaches within trauma therapy. (Edited publisher abstract)
Commentary on “Multisensory rooms: essential characteristics and barriers to effective practice”
- Journal article citation:
- Tizard Learning Disability Review, 25(2), 2020, pp.77-81.
- Publisher:
- Emerald
The purpose of this paper is to provide a commentary on Grace’s article on multisensory rooms.Design/methodology/approach: This paper gives a historical overview of the emergence and evolution of multi-sensory environments (MSEs) together with an outline of a current research project seeking to support best practice. Findings: MSEs have become a standard feature in special educational needs schools in the UK with government building guidelines now stipulating the inclusion of at least one sensory room within any such provision. However, there is little research-based evidence from which design decisions can be informed. Instead, previous research has tended to focus on the effectiveness of MSEs for specific user groups.Originality/value: The outlined research will establish some initial design principles for MSEs. (Publisher abstract)
Multisensory rooms: essential characteristics and barriers to effective practice
- Author:
- GRACE Joanna
- Journal article citation:
- Tizard Learning Disability Review, 25(2), 2020, pp.67-75.
- Publisher:
- Emerald
This paper aims to identify the characteristics practitioners consider essential to effective multisensory rooms and the barriers they experience when trying to realise the potential of such rooms. Design/methodology/approach: The paper presents semi-structured interviews with 27 multisensory room practitioners from a range of backgrounds followed by analysis to identify key characteristics and barriers. Findings: Eleven positive room characteristics were identified. The three deemed most significant were that the rooms are dark, activity associated and uninterrupted spaces. Two negative room characteristics were identified: inaccessible design and broken equipment. Ten barriers to effective multisensory room practice were identified and grouped according to themes of logistics, suboptimal usage and practitioner capabilities.Research limitations/implications: The research focuses on a small self-selecting sample, coded by one person acting independently of any institution. This is an under researched area which would benefit from further more rigorous investigation. Practical implications: This research enables practitioners to remove barriers to effective multisensory room practice and to focus on the characteristics most significant in generating benefits for room users. Understanding of the essential characteristics and potential barriers to effective practice will allow practitioners to better exploit limited resources of time, money and staffing.Originality/value: Past research into multisensory rooms has focused on specific user groups or specific multisensory environments. This research examined multisensory room practice across both a range of environments and a range of users, giving an original overview of current multisensory room usage in the UK. (Publisher abstract)
Mental health in substance misuse patients in Wales
- Author:
- SIMS John Barry
- Journal article citation:
- Journal of Public Mental Health, 18(4), 2019, pp.269-278.
- Publisher:
- Emerald
Purpose: The purpose of this paper is to identify and report on the mental health needs of those attending substance misuse services (SMS) adhering to the diagnostic criteria as defined in DSM 5 with reference to common mental health disorders. It also examines differences in the numbers of appropriately trained cognitive behaviour therapy (CBT) therapists and highlights the lack of provision of CBT reflected in the much smaller number of accredited therapists in Wales compared to other parts of the UK. Design/methodology/approach: This population was identified by way of an audit of data collected via the out-patient clinics conducted by the author. Findings: The paper identifies a high proportion of patients who attended SMSs as having complex psychological need as a consequence of co-morbidity. Research limitations/implications: The results of the audit may have limitations but the implications from the findings suggest potential value in looking more at clinical outcomes following evidence-based psychological interventions. Practical implications: A conclusion from the findings is suggested value in a more structured approach to looking at clinical outcomes. Originality/value: This audit was undertaken in North Wales. There is no IAPT or matrix-structured Level II CBT training programmes available in Wales. The audit identifies the need for more evidence-based psychological interventions such as CBT linked to the development of such services. The apparent lack of political will to change the status quo is also highlighted as a problem. (Edited publisher abstract)
Staff perceptions of PRN medication in a residential care setting
- Authors:
- STUBBINGS Daniel Robert, HUGHES Kyle, LIMBERT Caroline
- Journal article citation:
- Journal of Mental Health Training Education and Practice, 14(6), 2019, pp.469-479.
- Publisher:
- Emerald
Purpose: The purpose of this paper is to explore the perceptions of staff towards psychotropic Pro Re Nata (PRN) medication in a residential care setting. Design/methodology/approach: Three male and seven female participants were interviewed using a semi-structured interview. Transcripts were analysed using thematic analysis. Findings: Four themes pertaining to PRN medication emerged from the data: behaviour change, calming effect, importance of timing and perceived uniqueness. Research limitations/implications: The participant group was not homogenous and findings may have been different in a more qualified cohort. This care setting may not be representative of other environments where PRN medication is administered. The findings do, however, highlight some of the challenges facing the administration of PRN medication in mental health and care settings. Practical implications: The awareness of these themes is significant for improving staff knowledge, training practices and policies towards the use and administration of psychotropic PRN medication. Originality/value: This is the first study to engage in a thematic analysis of staff views towards the administration of PRN medication. (Publisher abstract)
The alumni club: interpersonal contact and the exchange of recovery oriented helping in a sample of former residents of a therapeutic community for women
- Authors:
- LINLEY Jessica Veneskey, WARREN Keith
- Journal article citation:
- Therapeutic Communities: the International Journal of Therapeutic Communities, 40(1), 2019, pp.42-50.
- Publisher:
- Emerald
Purpose: Aftercare is an important predictor of outcomes following treatment for substance abuse. Despite this, there is evidence that the great majority of substance abusing clients choose not to participate in aftercare. Aftercare programs that are tied to specific residential treatment facilities, sometimes known as alumni groups or alumni clubs, might increase participation by offering former residents the opportunity to maintain treatment oriented social networks. Therapeutic communities (TCs), which emphasize mutual aid between residents, are ideal candidates for such programs. The paper aims to discuss these issues. Design/methodology/approach: In total, 100 randomly chosen former TC residents were randomly surveyed regarding their contact with fellow alumni and their exchange of recovery oriented helping behaviors. A thirty day timeline follow-back methodology was used. Findings: Contact was primarily through electronic means, particularly phone calls, texts and the alumni club Facebook page. Participants who reported more electronic contact also reported more days in which they offered and received recovery oriented help. Participants who were African American or had spent more time in TC treatment offered and received recovery oriented help on more days. Research limitations/implications: While this is an exploratory study limited to one TC, this alumni club allows for the maintenance of a mutual aid network after termination. That network primarily consists of electronic forms of contact. A longer time spent in TC treatment may allow for the internalization of the practice of mutual aid. Further research on alumni clubs is warranted. Originality/value: This is the first survey of TC alumni club members. (Edited publisher abstract)
Consumer participation in drug treatment: a systematic review
- Authors:
- GOODHEW Mark, STEIN-PARBURY Jane, DAWSON Angela
- Journal article citation:
- Drugs and Alcohol Today, 19(2), 2019, pp.97-112.
- Publisher:
- Emerald
Purpose: It is unclear how consumer participation (CP) can be optimised to transform drug and alcohol treatment services and improve health outcomes. The purpose of this paper is to present the findings of a systematic review examining the types and benefits of activities, and the factors that facilitate CP in drug treatment services. Design/methodology/approach: A structured search of four databases was undertaken to identify peer reviewed primary research literature in English. Screened articles were appraised. A content analysis was applied to examine the types and outcomes of CP and the associated factors affecting the process. In total, 16 articles were included for review. Findings: A range of CP activities were identified, and benefits included increased consumer satisfaction, and improved health service delivery. Factors that facilitated the process of CP included positive attitudes of both consumers and providers and employment of people with a lived experience of drug use. However, the lack of consumer and organisational capacity, negative attitudes of providers and power imbalances between consumers and providers constrained CP efforts. Practical implications: To maximise the benefits of CP in drug and alcohol treatment services, negative attitudes about CP and power dynamics between consumers and health providers need to be addressed. This can be achieved by the strategic use of strengths-based interventions and consumer led education to enhance social capital. Originality/value: This is the first known review to examine the benefits and facilitators of CP in drug treatment services. (Edited publisher abstract)
Are there preferred coping and communication strategies while undergoing IVF, and do cognitive behavioral interventions help?
- Authors:
- CZAMANSKI-COHEN Johanna, et al
- Journal article citation:
- Journal of Mental Health Training Education and Practice, 14(1), 2019, pp.20-32.
- Publisher:
- Emerald
Purpose: Coping and communication strategies affect how one perceives potentially stressful life events, such as infertility. Cognitive behavioral interventions (CBI) can reduce the distress related to undergoing in vitro fertilization (IVF). The purpose of this paper is to examine the effect of CBI on the coping and communication skills as well as perceived stress and depressive symptoms of women undergoing IVF treatment. The authors also explored the relationship between coping strategies and pregnancy rates. Design/methodology/approach: The authors conducted a randomized controlled trial of CBI in 50 women undergoing IVF (NCT00685282). Findings; The authors found that CBI was associated with reductions in active-confrontive coping among over 50 percent of participants, which was also found to be positively related to depressive symptoms. Furthermore, high meaning-based coping at baseline and high-avoidant coping at the end of IVF treatment were associated with increased pregnancy rates. Research limitations/implications: CBI can be helpful in reducing the perceived stress of women undergoing IVF; however, the adaptiveness of individual coping skills and communication skills vary. Since different coping strategies seem to be of benefit at different time points, further studies might benefit from the examination of engaging in context-dependent coping strategies. Practical implications: Integrating mental health care on infertility units may assist in reducing the stress and thus quality of care in women undergoing IVF. Mental health care can be tailored to meet the individual needs of infertility patients based on their preferred coping strategies and communication style. Further research is needed to examine the cost benefit of reducing perceived stress in fertility patients. Social implications: Infertility is a social and medical problem that has vast implications on the mental health of individuals. Providing support along with practical tools for stress reduction and improved coping and communication can result in reduced stress and improved coping. Originality/value: This paper examined the effect of a cognitive behavioural intervention on the coping strategies and communication skills of women undergoing IVF and can contribute to our understanding of the value of integrating mental health and medical care.
The multi-component model of harmful sexual behaviour for people with autism and co-morbid intellectual disabilities – a theory and practice guide
- Author:
- WORTHINGTON Rachel
- Journal article citation:
- Journal of Forensic Practice, 21(1), 2019, pp.1-13.
- Publisher:
- Emerald
Purpose: The purpose of this paper is to explore to what extent neuro-typical theories of sexual offending apply to clients with Levels 2 and 3 autism with a co-morbid intellectual disability (ID). The paper develops a model of harmful sexual behaviour (HSB) for this client group and makes suggestions for how these behaviours can be understood and reduced. Design/methodology/approach: The revised Integrated Theory of Sexual Offending (ITSO) (Ward and Beech, 2016) is used as a starting framework to understand HSB in this client group. This attends to specific neuropsychological systems, brain development, motivation and emotional processing. Findings: The revised ITSO has some utility in understanding HSB in this client group. This is improved when neuro-atypical specific state factors are identified. Practical ways of establishing these state factors are made which attend to the function of the behaviour in line with “Good Lives” model of rehabilitation. Research limitations/implications: Recommendations for ways in which the function of HSB in this client group can be identified are made as well as recommendations for how treatment can be tailored dependent on the function of behaviour in this client group. Practical implications: The paper makes practical recommendations for how interventions for people with ID and autism in line with Ward, Clack and Haig’s (2016) Abductive Theory of Method which noted that interventions should be adopted to consider wider explanations for offending thus acknowledging that treatment could extend beyond cognitive behavioural therapy for clinical phenomena. Future treatments for clients with autism and LD are suggested which attend to sensory needs, teaching alternative communication strategies for seeking out “deep pressure” or attention in ways that do not involve sexual offending, using picture communication, information technology or Makaton to communicate needs or using social stories to explain the consequences of behaviour. In addition, neuro-atypical interventions which attend to the neuropsychological functioning of clients could also be included in treatment for neuro-typical clients, thus ensuring that interventions attend to every aspect of the ITSO and not purely clinical phenomena. Social implications: Enhancing treatment interventions for clients with ID and autism could both reduce risk and enhance quality of life for this client group. Originality/value: Much of the work to date exploring HSB in clients with autism has attended to clients with Level 1 autism or those without an additional ID. This paper provides practitioners with a theory upon which to understand HSB in clients with a dual diagnosis of Levels 2/3 autism and an ID as well as practical recommendations for reducing HSB in this client group. (Edited publisher abstract)