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Clinical supervision in older adult mental health services
- Author:
- MERIZZI Alessandra
- Journal article citation:
- Working with Older People, 23(4), 2019, pp.241-250.
- Publisher:
- Emerald
Purpose: The purpose of this paper is to explore how supervision is applied in the context of National Health Service services for older adults, with particular regard to the profession of clinical psychology and psychotherapy. Design/methodology/approach: The clinical supervision theories that are considered in this exploration are the Seven-Eyed Model (Hawkins and Shohet, 2012) and the Cyclical Model (Page and Wosket, 2015). The discussion also integrates an overview of psychological dynamics as presented by the existing literature with the author’s reflections on the influence of ageing stereotypes in the therapeutic work with older adults. Findings: The theoretical models of clinical supervision considered can offer a robust framework and pathway for supervisory work in psychology and psychotherapy for older people. However, this alone seems insufficient and needs to be combined with the supervisor’s knowledge on psychology of ageing as well as their own self-reflection on internalised ageing stereotypes. Practical implications: The paper suggests a need for health care professionals, providing clinical supervision on older adult therapeutic work, to be familiar with the aspects analysed. Originality/value: Clinical supervision handbooks overlook aspects related to age as an issue of difference. This paper adds value to the clinical work with older people through a novel attempt to link implications of ageing stereotypes with the therapeutic and supervisory practice. (Publisher abstract)
Human-animal bonds I: the relational significance of companion animals
- Author:
- WALSH Froma
- Journal article citation:
- Family Process, 48(4), December 2009, pp.462-480.
- Publisher:
- Wiley
The importance of human-animal bonds has been documented throughout history, across cultures, and in recent research. However, attachments with companion animals have been undervalued and even pathologised in the field of mental health. The aim of this overview paper is to stimulate more attention to these vital bonds in systems-oriented theory, practice, and research. The article looks at the history of human-animal bonds, reviews research on their health and mental health benefits, and examines their profound relational significance across the life course. The emerging field of animal-assisted interventions is described, noting applications in hospital and elder care settings, and in innovative school, prison, farm, and community programmes. The author argues that human-animal bonds merit greater attention in mental health research, theory and practice, particularly in family systems and relational approaches. The article concludes that research has demonstrated increasing evidence that companion animals provide many important physiological, psychological, and relational benefits, and that clinical practice could be enriched through a more holistic and open-minded view of the potential contribution of animal bonds to human healing and well-being.
Jean Vanier and the transformational model of rehabilitation
- Authors:
- FORSTER Donna, et al
- Journal article citation:
- Mental Health Review Journal, 14(4), December 2009, pp.36-45.
- Publisher:
- Emerald
Using 3 sources of data (books by Jean Vanier, interviews with key informants from the L'Arche group homes established by Jean Vanier, and an interview with Jean Vanier), this interpretive case study was designed to examine the contributions that Jean Vanier and his work could make to rehabilitation therapy and mental health services. A set of concepts, called the Transformational Model of Rehabilitation, emerged from the data analysis, with 4 main elements: definition of the problem, the relationship between client and professional, the change process, and the outcome of the change process. The authors describe the Transformational Model of Rehabilitation, asserting that it makes a unique contribution to rehabilitation therapy in mental health services through its requirement that the professional engage in his/her own transformational process, comparing this approach to other rehabilitation models and demonstrating the relevance of transformational rehabilitation to mental health.
Use of novel unsupported and empirically supported therapies by licensed clinical social workers: an exploratory study
- Authors:
- PIGOTTI Monica, THYER Bruce A.
- Journal article citation:
- Social Work Research, 33(1), March 2009, pp.5-17.
- Publisher:
- Oxford University Press
In recent years, evidence-based practice (EBP) has been a major focus in the social work profession. Concern has been expressed regarding licensed clinical social workers (LCSWs) using novel unsupported interventions, especially those that made claims of efficacy in the absence of empirical evidence. The present exploratory study surveyed 191 LCSWs from 34 different US states with diverse clinical specialties who advertised their services on the Internet. Participants were asked about specific supported and unsupported interventions used in their practices and the reasons for their choices and attitudes toward EBP. It was found that the majority reported using interventions that had empirical support. However, three-fourths of the sample also reported using at least one novel unsupported intervention in their practice. The use of novel unsupported interventions was found to be statistically more likely among women. The entire sample scored above the midpoint on the Evidence-Based Practice Attitude Scale (EBPAS), indicating an overall positive attitude toward EBP. Moreover, the present study found a weak but significant positive correlation between number of novel unsupported interventions used and EBPAS score. It appears that a positive attitude toward EBP and the use of novel unsupported interventions are not mutually exclusive.
Moving on: a guide to good health and recovery for people with a diagnosis of schizophrenia
- Author:
- HEWITT Roz D'Ombraine
- Publisher:
- Karnac
- Publication year:
- 2007
- Pagination:
- 292p., bibliog.
- Place of publication:
- London
About one person in a hundred will be diagnosed with schizophrenia at some time in their life. The condition can be severe and debilitating with symptoms such as delusions, hallucinations and the loss of concentration, motivation and social skills. But schizophrenia is not a degenerative or life-threatening condition and in recent years improved knowledge and understanding, psychological treatments and more tolerable medication have greatly increased people's ability to manage their symptoms and live a 'normal' life. This straightforward, accessible and inspiring guide provides information on: the myths and misconceptions surrounding schizophrenia; the possible causes and how the illness is diagnosed; medication and other treatment options; sources of support; improving health and well-being; employment - paid and voluntary; complementary therapies; counselling and psychotherapy.
Mindfulness and mental health: therapy, theory and science
- Author:
- MACE Chris
- Publisher:
- Routledge
- Publication year:
- 2008
- Pagination:
- 188p.
- Place of publication:
- Hove
Being mindful can help people feel calmer and more fully alive. "Mindfulness and Mental Health" examines other effects it can also have and presents a significant new model of how mindful awareness may influence different forms of mental suffering, The book assesses current understandings of what mindfulness is, what it leads to, and how and when it can help. It looks at the roots and significance of mindfulness in Buddhist psychology and at the strengths and limitations of recent scientific investigations. A survey of relationships between mindfulness practice and established forms of psychotherapy introduces evaluations of recent clinical work where mindfulness has been used with a wide range of psychological disorders. As well as considering current 'mindfulness-based' therapies, future directions for the development of new techniques, their selection, how they are used and implications for professional training are discussed. Finally, mindfulness' future contribution to positive mental health is examined with reference to vulnerability to illness, adaptation and the flourishing of hidden capabilities. As a cogent summary of the field that addresses many key questions, "Mindfulness and Mental Health" is likely to help therapists from all professional backgrounds in getting to grips with developments that are becoming too significant to ignore.
We need to talk: the case for psychological therapy on the NHS
- Author:
- BIRD Anna
- Publisher:
- Mental Health Foundation
- Publication year:
- 2007
- Pagination:
- 22p.
- Place of publication:
- London
The Mental Health Foundation, Mind, Rethink, The Sainsbury Centre for Mental Health and Young Minds have collaborated on We Need To Talk - The case for psychological therapy on the NHS. It calls on the Government to provide psychological therapy through the NHS in line with NICE guidance. It also says that the NHS should introduce waiting time measures for access to mental health treatments.
Social problem-solving plus psychoeducation for adults with personality disorder
- Authors:
- HUBAND Nick, et al
- Journal article citation:
- British Journal of Psychiatry, 190(4), April 2007, pp.307-313.
- Publisher:
- Cambridge University Press
Social problem-solving therapy may be relevant in the treatment of personality disorder, although assessments of its effectiveness are uncommon. The aim was to determine the effectiveness of a problem-solving intervention for adults with personality disorder in the community under conditions resembling routine clinical practice. Participants were randomly allocated to brief psychoeducation plus 16 problem-solving group sessions (n=87) or to waiting-list control (n=89). Primary outcome was comparison of scores on the Social Problem Solving Inventory and the Social Functioning Questionnaire between intervention and control arms at the conclusion of treatment, on average at 24 weeks after randomisation. In intention-to-treat analysis, those allocated to intervention showed significantly better problem-solving skills (P<0.001), higher overall social functioning (P=0.031) and lower anger expression (P=0.039) compared with controls. No significant differences were found on use of services during the intervention period. Problem-solving plus psychoeducation has potential as a preliminary intervention for adults with personality disorder.
Psychosocial treatment for medical conditions: principles and techniques
- Editors:
- SCHEIN Leon A., et al, (eds.)
- Publisher:
- Brunner-Routledge
- Publication year:
- 2003
- Pagination:
- 456p.
- Place of publication:
- Hove
Mental Health and Physical Health are undeniably connected. One cannot recover physically, if there is still mental suffering and vice versa. The essays collected here examine the relationship between mental and physical health, and how that relationship flourishes or suffers in a managed care environment. Understanding more about how the psychological after effects of an illness and the best ways to respond to them, will ultimately enhance the care offered to patients. The contributors offer a wide range of examples of linked physical and mental illnesses with advice on how best to responsibly address and treat both.
The future of mental health: a vision for 2015
- Author:
- SAINSBURY CENTRE FOR MENTAL HEALTH
- Publisher:
- Sainsbury Centre for Mental Health
- Publication year:
- 2006
- Pagination:
- 19p., bibliog.
- Place of publication:
- London
The next decade should be the one in which mental health becomes everybody’s business. The report sets out a radical but realistic agenda for the next 10 years. It says that by 2015 mental wellbeing should be promoted in all schools. Employers should be able to compete to become ‘wellbeing workplaces’. Talking therapies should be available as a matter of routine when people need them along with advice on staying in work and maintaining an ordinary life. People with severe mental health conditions should have their own budgets for the services they want, including a range of alternatives to hospital admission, and an ‘associate’ to help them manage their lives.