Search results for ‘Subject term:"mental health problems"’ Sort:
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The neurobiology of affective interventions: a cross-theoretical model
- Author:
- BAYLIS Peter J.
- Journal article citation:
- Clinical Social Work Journal, 34(1), Spring 2006, pp.61-81.
- Publisher:
- Springer
- Place of publication:
- New York
The integration of information from neuroscience with the practice of psychotherapy presents with numerous challenges. However, neuroscience research can guide practitioners in the purposeful use of the therapeutic relationship to enhance clinical outcomes. This article reviews such research pertinent to mental health and psychotherapy, and presents an a-theoretical model of intervention, guided by this information that can be incorporated into various therapeutic orientations.
Beyond components: using fidelity scales to measure and assure choice in programme implementation and quality assurance
- Authors:
- PAULSON Robert I., et al
- Journal article citation:
- Community Mental Health Journal, 38(2), April 2002, pp.119-128.
- Publisher:
- Springer
Fidelity scales have become an accepted part of intervention research. Initially, fidelity scales focused on critical components of an intervention. In this paper we argue that the next generation of fidelity scales should include key process variables such as choice. Since choice is an essential element in all empowerment and recovery driven intervention models, a fidelity scale for an enhanced version of the Individual Placement and Support (IPS) supported employment model that incorporates choice as a fundamental component was developed as part of a SAMHSA community action grant. The process for developing the choice component and the dimensions measured are also described.
Theoretical and practical considerations for combating mental illness stigma in health care
- Authors:
- UNGAR Thomas, KNAAK Stephanie, SZETO Andrew C.H.
- Journal article citation:
- Community Mental Health Journal, 52(3), 2016, pp.262-271.
- Publisher:
- Springer
Reducing the stigma and discrimination associated with mental illness is becoming an increasingly important focus for research, policy, programming and intervention work. While it has been well established that the healthcare system is one of the key environments in which persons with mental illnesses experience stigma and discrimination there is little published literature on how to build and deliver successful anti-stigma programs in healthcare settings, towards healthcare providers in general, or towards specific types of practitioners. This paper addresses this gap by providing a set of theoretical considerations for guiding the design and implementation of anti-stigma interventions in healthcare. (Edited publisher abstract)
Development of the REFOCUS intervention to increase mental health team support for personal recovery
- Authors:
- SLADE Mike, et al
- Journal article citation:
- British Journal of Psychiatry, 207(6), 2015, pp.544-550.
- Publisher:
- Cambridge University Press
Background: There is an emerging evidence base about best practice in supporting recovery. This is usually framed in relation to general principles, and specific pro-recovery interventions are lacking. Aims: To develop a theoretically based and empirically defensible new pro-recovery manualised intervention, called the REFOCUS intervention. Method: Seven systematic and two narrative reviews were undertaken. Identified evidence gaps were addressed in three qualitative studies. The findings were synthesised to produce the REFOCUS intervention, manual and model. Results: The REFOCUS intervention comprises two components: recovery-promoting relationships and working practices. Approaches to supporting relationships comprise coaching skills training for staff, developing a shared team understanding of recovery, exploring staff values, a Partnership Project with people who use the service and raising patient expectations. Working practices comprise the following: understanding values and treatment preferences; assessing strengths; and supporting goal-striving. The REFOCUS model describes the causal pathway from the REFOCUS intervention to improved recovery. Conclusions: The REFOCUS intervention is an empirically supported pro-recovery intervention for use in mental health services. It will be evaluated in a multisite cluster randomised controlled trial (Publisher abstract)
Extended day treatment: a comprehensive model of after school behavioral health services for youth
- Authors:
- VANDERPLOEG Jeffrey J., et al
- Journal article citation:
- Child and Youth Care Forum, 38(1), February 2009, pp.5-18.
- Publisher:
- Springer
Extended day treatment (EDT) is an innovative intermediate-level service for children and adolescents with serious emotional and behavioural disorders delivered during the after school hours. This paper describes the core components of the EDT model of care within the context of state-wide systems of care, including its core service components, levels of care, focus on evidence-based practices, workforce composition and staff training, and data collection and reporting mechanisms. Recommendations are provided for state-wide implementation, followed by discussion of model development as an approach to systems reform for treating children and youth with emotional and behavioural disorders.
A tiered model of psychogeriatric service delivery: an evidence-based approach
- Authors:
- DRAPER Brian, BRODATY Henry, LOW Lee-Fay
- Journal article citation:
- International Journal of Geriatric Psychiatry, 21(7), July 2006, pp.645-653.
- Publisher:
- Wiley
Previous models of mental health care for older persons have not considered the full spectrum of mental disorders. The aim was to describe a tiered model for comprehensive evidence-based planning of service delivery for mental disorders in late life. The model depicts tiers of mental disorders in ascending order of severity and consequent interventions required. Interventions aim both to avert individuals from moving up tiers (prevention) and to move individuals down tiers (treatment). Individuals in the lower tiers have no mental disorders and prevention strategies are targeted at known risk factors. In the middle tiers, individuals with mild-moderate mental disorders will mainly be treated in primary care, often in collaboration with specialist mental health services for older people. Individuals in the top tiers with severe mental disorders usually require institutional care. The tiered model provides a basis for planning comprehensive service delivery.
An audit of interventions for dual diagnosis in a psychiatric unit
- Author:
- SAUNDER Lorna
- Journal article citation:
- Nursing Times, 8.7.03, 2003, pp.34-36.
- Publisher:
- Nursing Times
Reports on a dual diagnosis training programme for mental health nurses working in an acute psychiatric unit, based on the recommendations in the Dual Diagnosis Good Practice Guide from the Department of Health. An audit of key standards were carried out to examine the interventions offered to patients with a dual diagnosis. An audit was repeated on month later. Concludes that although an improvement was observed in the standard of care, the sample size was small and without further statistical anlaysis it would be difficult to determine whether the improvement was statistically significant.
Alternatives to the biomedical model of mental health crisis
- Authors:
- MICHAELSON John, WALLCRAFT Jan
- Journal article citation:
- Breakthrough, 1(3), 1997, pp.31-50.
Critically examines the biomedical model of mental health crisis and reviews several alternative models. Other models considered include the Crisis Intervention Model, the Self-organising Complexity Model and Self-advocacy Model.
Coping with challenge in adolescence: a conceptual model and psycho-educational intervention
- Authors:
- RICE Kenneth G., et al
- Journal article citation:
- Journal of Adolescence, 16(3), September 1993, pp.235-251.
- Publisher:
- Academic Press
Presents a conceptual model for understanding the nature, timing, synchronicity and impact of developmental stressors and their implications for adolescent mental health trajectories.
A model without a model
- Author:
- SONE Kendra
- Journal article citation:
- Community Care, 7.5.92, 1992, pp.12-14.
- Publisher:
- Reed Business Information
Following the Italian Reform Act 1978, which ordered the closure of mental hospitals and psychiatric intervention on community based services, services are now provided by local mental health centres in rural and urban areas.