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The clinical and occupational effectiveness of condition management for Incapacity Benefit recipients
- Authors:
- KELLET Stephen, et al
- Journal article citation:
- British Journal of Clinical Psychology, 50(2), June 2011, pp.164-177.
- Publisher:
- Wiley
Condition Management Programmes (CMP) were established with the goal of helping Incapacity Benefit recipients manage their health conditions more effectively and thus return to work. The aim of this study was to evaluate the effectiveness of CMP by examining the clinical and employment outcomes from 2,064 participants with a variety of physical and mental health conditions. In a prospective cohort design, measures of employment status and psychological well-being were taken at 3 time points; prior to CMP, immediately following CMP, and 3-months after completing CMP. The participants voluntarily attended a 7 session cognitive-behaviourally informed psychoeducational group intervention. The psychological measures used were the Clinical Outcomes in Routine Evaluation-Outcome Measure, Work and Social Adjustment Scale, Self-Efficacy Scale, and the Intrinsic Motivation Scale. The findings showed that following CMP, 50% of participants experienced a reliable improvement in psychological well-being and 26% had either taken some steps towards work or returned to work at follow-up. Participants with a mental health condition were more likely to experience a reliable improvement in psychological well-being compared to those with physical health conditions. The results suggest that participation in CMP may be helpful in facilitating more effective self-management of the health conditions contributing to unemployment.
Single case experimental evaluations of psychodynamic and cognitive-behavioural psychotherapy: examples of methods and outcomes
- Authors:
- KELLET Stephen, et al
- Journal article citation:
- Advances in Mental Health and Learning Disabilities, 3(4), December 2009, pp.36-44.
- Publisher:
- Emerald
Single case experimental design (SCED) is a well established tradition in evaluating the effectiveness of behavioural interventions for people with learning difficulties and behavioural problems. However, the use of SCED is severely hampered once the focus is shifted to other psychological modalities such as psychodynamic psychotherapy, or differing presenting problems such as interpersonal problems. This paper examines the application of single case experimental design methodologies in the evaluation of treatment for three particular clients. Case one describes the psychodynamic psychotherapy of hypochondriasis in an A/B design. Case two describes the psychodynamic psychotherapy of ambulophobia in an A/B design. Case three describes a cognitive-behavioural therapy of anger and aggression in a shifting criterion design. Statistical analysis of the data shows the hypochondriasis and anger cases responded to treatment, whereas the ambulophobia case shows a degree of deterioration during the intervention. Discussing each case in turn, the strengths and weaknesses of the methodologies are explained, and the relative merits of SCED in accruing evidence in the evaluation of the plethora of psychological modalities are now being made available to clients with learning disabilities.