Search results for ‘Subject term:"mental health problems"’ Sort:
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Significant therapy events with clients with intellectual disabilities
- Authors:
- WILLS Sarah, et al
- Journal article citation:
- Advances in Mental Health and Intellectual Disabilities, 12(5-6), 2018, pp.173-183.
- Publisher:
- Emerald
Purpose: The purpose of this paper is to explore significant events in psychotherapy with clients with intellectual disabilities (IDs). Design/methodology/approach: Four therapy dyads, each consisting of one client and one therapist, were recruited. Following the brief structured recall procedure (Elliott and Shapiro, 1988), semi-structured interviews focused on helpful events in psychotherapy, using video of particular sessions as a stimulus to help prompt recall of that session. Findings: Using interpretative phenomenological analysis, five super-ordinate themes were identified: “The Uniqueness of the Therapeutic Relationship”; “Using adaptations to Express Emotions”; “Client Behaviour/Therapist Behaviour”; “Hope and Paternalism”; and “Meaning-Making”. The results provide additional evidence that significant therapy events occur for clients with IDs. Furthermore, the research enabled insights to be gained about the process of therapy for this client group and for exploration of therapeutic factors that may be involved in facilitating a significant therapy event. Research limitations/implications: This study highlights the need for therapists to work in such a way as to facilitate significant events in therapy. Whilst this study was a necessary first step, owing to the non-existence of research in this area, the sample size and qualitative design may limit any wider generalisation of the findings. Originality/value: Significant events have not previously been explored in psychotherapy with clients with IDs. This research could therefore make an important contribution to our understanding of the process of psychotherapy for this client group. (Publisher abstract)
Six critical questions for brief therapeutic interventions
- Authors:
- DULMUS Catherine N., WODARSKI John S.
- Journal article citation:
- Brief Treatment and Crisis Intervention, 2(4), Winter 2002, pp.279-285.
- Publisher:
- Oxford University Press
Brief therapy strategies and techniques are used by professionals from various disciplines who use a variety of techniques are characterized by design to be short term, directive, and change focused in the delivery of mental health treatment. Outlines six critical questions related to brief therapeutic interventions that must be considered in treatment planning and subsequent future research. Looks at when a brief therapeutic intervention is appropriate; who should deliver the intervention; what interventions are most effective with which clients; in what setting should the intervention take place; how long should the intervention continue; and how behaviour change can be maintained.
Families with parental mental illness: studying a home-based intervention program
- Authors:
- OPPENHEIM-WELLER Shani, SHTARK Tammi, ALDOR Roy
- Journal article citation:
- Child and Family Social Work, 26(4), 2021, pp.617-628.
- Publisher:
- Wiley
This study is the first to systematically examine the implementation of the BROSH program, a therapeutic intervention program developed in Israel for families in which one or both parents suffer from mental illness. The program is multidisciplinary, encompassing the collaboration of four different services. It aims to engage the families into therapy by building a strong working alliance and helping in emotional stress regulation. Further, the program aims to prevent parental hospitalization and children's out-of-home placement. This study conducted an in-depth investigation of the functioning of parents and children participating in the program. This study analysed protocols that followed 11 families throughout the multidisciplinary professionals' meetings. The findings indicate that the functioning of parents and children showed positive changes - improved stress regulation by parents and children and more familial engagement in the treatment program. It seems that both parents and children participating in the BROSH program benefitted from it by establishing coping abilities and being able to receive therapeutic help. (Edited publisher abstract)
An open trial of psychodynamic psychotherapy for people with mild-moderate intellectual disabilities with waiting list and follow up control
- Authors:
- SKELLY Allan, McGEEHAN Caoimhe, USHER Robert
- Journal article citation:
- Advances in Mental Health and Intellectual Disabilities, 12(5-6), 2018, pp.153-162.
- Publisher:
- Emerald
Purpose: The purpose of this paper is to examine the outcome of psychodynamic psychotherapy for people with intellectual disabilities (ID), which has a limited but supportive evidence base. Design/methodology/approach: The study is a systematic open trial of flexible-length psychodynamic therapy offered in an urban community to 30 people with mild and moderate ID, presenting with significant emotional distress on the Psychological Therapies Outcome Scale for people with intellectual disabilities (PTOS-ID). Allocation to therapy was made according to an established stepped care approach according to need, and the mean number of sessions was 22.03 (range 7–47). Treatment fidelity was checked via notes review and cases excluded from analysis where there were other significant psychological interventions. Findings: On both self-report (PTOS-ID) and independent ratings (Health of the Nation Outcome Scales-Learning Disability (HoNOS-LD)) recipients of therapy: did not improve while waiting for therapy; improved significantly during therapy, with large pre–post effect sizes; and retained improvements at six-month follow-up. Research limitations/implications: While it is important to conduct further controlled trials, the findings provide support for previous studies. High rates of abuse and neglect were found in the sample, suggesting that more trauma-informed and relational approaches should be explored for this client group. Originality/value: No other study of this size has been completed which used dedicated standardised outcome measures, with this therapy type, with both waiting list and follow-up control and with account of model fidelity. (Publisher abstract)
Humour-related interventions for people with mental illness: a randomised controlled pilot study
- Authors:
- RUDNICK Abraham, et al
- Journal article citation:
- Community Mental Health Journal, 50(6), 2014, pp.737-742.
- Publisher:
- Springer
This study explored the feasibility and effects of humour-related interventions for mentally ill adults. Twelve, randomly assigned, participated in each of 3 arms: stand up comedy training (the experimental arm), discussing comedy videos (the active control arm), and no humour-related intervention (the passive control arm). Quantitative and qualitative data were collected at baseline, end of interventions (3 months) and follow up (after another 3 months). Scale comparisons were largely negative, although self-esteem marginally increased in the experimental arm. Interview responses indicated benefits for the interventions, including improved self-esteem in the experimental arm. These results, though mixed, justify further study. (Publisher abstract)
The impact of participating in a poetry workshop
- Authors:
- HILSE Christine, GRIFFITHS Sue, CORR Susan
- Journal article citation:
- British Journal of Occupational Therapy, 70(10), October 2007, pp.431-438.
- Publisher:
- Sage
Poetry writing is a creative activity and, as such, may contribute to intervention. The aim of this study was to explore the impact of poetry writing on individuals who had experienced mental health problems in the past. A qualitative approach, that of grounded theory, was used, including observations of a poetry writing group and in-depth semi-structured interviews with two group participants who had a previous history of mental health problems. The main categories that emerged during data analysis were creation, communication, connection and awareness; these categories were unified by a central concept of personal meaning. The findings suggest that poetry writing creates and communicates meaning. In addition, internal connection (with self) and external connection (with others) may be facilitated through the communication of poetry. Communication and experiences of connection can lead to a greater awareness of self and others. Personal meaning is central to human life in symbolisation processes, which contribute to identity building. The positive and negative impacts on mental health through the writing of poetry and participating in a group were identified. This is a small study and the findings are valid only in the immediate context of the study, but it provides a basis for further research.
Abnormal and clinical psychology: an introductory textbook
- Author:
- BENNETT Paul
- Publisher:
- Open University Press
- Publication year:
- 2006
- Pagination:
- 508p., bibliog.
- Place of publication:
- Maidenhead
- Edition:
- 2nd
What are the causes of mental health problems? What are the best treatments for mental health problems? How do the experiences of people with mental health problems compare with the academic models of disorders? Building on the success of the first edition, this textbook has been updated to include the latest research and therapeutic approaches as well as developments in clinical practice. This book now contains: Expanded coverage of the aetiology of conditions; Assessment of the DSM-IV diagnostic criteria; Analysis of cross-cultural issues; Case studies that include patient perspectives; A new chapter on somatoform disorders; and, Improved pedagogy such as research boxes and thinking about features that encourage readers to think critically about what they are learning. The book maintains the structure of the first edition with two main sections: the first introduces and critically evaluates the conceptual models of mental health problems and their treatment; the second contains in-depth analysis of a variety of disorders such as schizophrenia, trauma-related conditions and addictions. In the second section, chapters are restructured to give a comprehensive aetiology of the disorder as well as analysis of treatments for the condition. Each disorder is viewed from psychological, social, and biological perspectives and different intervention types are investigated.
The appropriateness and necessity of short term therapy in the context of the employee assistance programme
- Author:
- TAUTE Florinda
- Journal article citation:
- Social Work Maatskaplike Werk, 40(1), March 2004, pp.15-24.
Discusses critically the concept of short-term therapy within the EAP context, focusing on its appropriateness and necessity. The role of homework during short-term therapy for the employee as a client in EAP is highlighted. Definitions of short term therapy are provided for a better understanding of this work. The types of problems that can be addressed by short-term therapy in the workplace will be discussed.
Impacts of therapeutic horticulture on happiness and loneliness in institutionalized clients with mental health conditions
- Authors:
- MOURAO Isabel, et al
- Journal article citation:
- British Journal of Occupational Therapy, 85(2), 2022, pp.111-119.
- Publisher:
- Sage
Introduction: Therapeutic horticulture (TH) can be considered a non-pharmacological approach to support psychiatric treatments for the improvement of physical and mental health, but information is lacking on whether it has advantages as compared to more conventional occupational therapies (OTs). Method: The study focused on institutionalized 25 clients attending TH among other OTs and 15 clients attending OT other than TH. The measures used were the 'Subjective Happiness Scale' (SHS) and the 'Social and Emotional Loneliness Scale for Adults' (SELSA-S), along with sociodemographic and clinical data. The study design was descriptive, observational and cross-sectional. Results: Scores obtained from the SHS and SELSA-S were generally similar for both groups, although 40% of clients in the TH group perceived relaxation. These are in agreement with previous studies performed with chronic schizophrenia clients reporting that TH might effectively decrease depression/anxiety symptoms, but the feeling of hopelessness and quality of life did not change, probably due to long-term institutionalization and required medication that may limit other effects. Within the TH group, clients preferred specific horticultural tasks and more days/week attending activities decreased loneliness and increased happiness. Conclusion: TH interventions as an integrative treatment option merits further study on both process and outcome evaluation, to maximize its effectiveness. (Edited publisher abstract)
A systematic review of psychosocial interventions for adult refugees and asylum seekers
- Authors:
- TRIBE Rachel H., SENDT Kyra-Verena, TRACY Derek K.
- Journal article citation:
- Journal of Mental Health, 28(6), 2019, pp.662-676.
- Publisher:
- Taylor and Francis
- Place of publication:
- London
Background: Europe is in the midst of the largest refugee migration since the Second World War; there is an urgent need to provide an updated systematic review of the current best evidence for managing mental distress in refugee populations. Aims: The aim of this review is to provide an exhaustive summary of the current literature on psychosocial interventions, both trauma- and non-trauma-focused, for refugee populations experiencing post-traumatic stress disorder (PTSD), depressive or anxiety symptoms. To produce recommendations for future research and current clinical practice. Method: Searches were conducted in PubMed, PsychINFO (Hosted by Ovid), PILOTS and Social Services Abstracts; 5305 articles were screened and 40 were included. Results: This review found medium to high quality evidence supporting the use of narrative exposure therapy (NET). A lack of culturally adapted treatments was apparent and there was less evidence to support standard cognitive behavioural therapy (CBT), Eye Movement Desensitisation and Reprocessing (EMDR) and multidisciplinary treatments. Conclusion: NET produced positive outcomes in refugees from a diverse range of backgrounds and trauma types. There is a general dearth of research in all intervention types: further research should include more “real-world” multidisciplinary interventions that better model clinical practice. Recommendations for evaluating local need, and creating a culturally sensitive workforce are discussed. (Edited publisher abstract)