Search results for ‘Subject term:"mental health problems"’ Sort:
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Long-term psychodynamic psychotherapy in complex mental disorders: update of a meta-analysis
- Authors:
- LEICHSENRING Falk, RABUNG Sven
- Journal article citation:
- British Journal of Psychiatry, 199(1), July 2011, pp.15-22.
- Publisher:
- Cambridge University Press
Psychodynamic psychotherapy is an umbrella concept encompassing treatments that include supportive-interpretive psychotherapeutic interventions. This meta-analysis focused on its use in complex mental disorders (defined as personality disorders, chronic mental disorders or multiple mental disorders). A literature search was used to identify relevant studies, and 10 controlled trial studies were identified as meeting the inclusion criteria, including psychodynamic psychotherapy lasting for at least one year or 50 sessions. The article discusses the analysis of the studies, including comparison of the effects of long-term psychodynamic psychotherapy with other forms of psychotherapy. The authors conclude that the analysis showed that long-term psychodynamic psychotherapy was superior to less intensive methods of psychotherapy in complex mental disorders, and that there were positive correlations between outcome and duration of therapy. They note that further research on long-term psychotherapy is needed.
Online counseling and therapy for mental health problems: a systematic review of individual synchronous interventions using chat
- Authors:
- DOWLING Mitchell, RICKWOOD Debra
- Journal article citation:
- Journal of Technology in Human Services, 31(1), 2013, pp.1-21.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
The rapid growth of online services provided by psychologists, counsellors, and social workers means it is becoming critical to ensure that these interventions are supported by research evidence. This systematic review looks at the outcomes of individual synchronous online chat counselling and therapy which is said to closely match face-to-face therapy. A broad literature search produced only six relevant studies. Together they showed that although there is emerging evidence supporting the use of online chat, the overall quality of the studies is poor; few were randomised control trials. All six studies revealed a significant positive effect of online chat counselling: two found that it was equivalent to face-to-face help; one found that it was better than telephone delivered care; one that it was equivalent to a phone delivered service; one that it was better than a wait-list control; and one that it was effective but less so than a phone delivered service. Online chat appears to be effective despite the relatively slow pace of the sessions and the absence of face-to-face cues. The authors suggest that this may be due to the anonymity and invisibility that can be gained through textual conversation. They point to an urgent need for further research to support the widespread implementation of this form of mental health service delivery.
The status of psychiatric inpatient group therapy: past, present, and future
- Authors:
- EMOND Seija, RASMUSSEN Brian
- Journal article citation:
- Social Work with Groups, 35(1), 2012, pp.68-91.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
The purpose of this article is to review the history and development of psychiatric inpatient groups. Attention is directed toward exploring the purpose, structure, theoretical perspectives, and empirical research of inpatient group therapy. The article begins by reviewing the purpose of inpatient groups. Of particular interest is the expressed nature of curative goals in the early literature. More recent practice has focused on goals related to ward stability, cognitive and behavioural outcomes, interpersonal skills, symptom reduction, and discharge preparation. The article then reviews the influence of various theoretical perspectives (including psychodynamic, interpersonal, educative, cognitive behavioural, systems, creative, and integrative models) on inpatient practice models. Next, it critically reviews the research literature on inpatient groups, highlighting the paucity of empirical study regarding its effectiveness. The discussion and speculations about future directions incorporate considerations of the politics of mental health care. Future challenges to the viability of inpatient groups, including fiscal pressures, high patient acuity, shorter stays, and pressures for evidence-based practices, are considered. Despite these challenges, the article argues that inpatient group therapy has a strong potential for continuing to be a valued and important part of acute care psychiatry.
Dropout from internet-based treatment for psychological disorders
- Authors:
- MELVILLE Katherine M., CASEY Leanne M., KAVANAGH David J.
- Journal article citation:
- British Journal of Clinical Psychology, 49(4), November 2010, pp.455-471.
- Publisher:
- Wiley
The internet is becoming an important tool for delivering mental health interventions, including online therapy involving exchanges via e-mail or chat between client and therapist and internet-based treatment programmes delivered by structured web pages that the participant works through. This paper reviews evidence on the extent of dropout from internet-based treatments involving minimal face-to-face therapist contact and examines available research on variables associated with dropout. Following a literature search, a total of 19 studies published between 1990 and April 2009 were identified and included in the review. The review found that dropout ranged from 2% to 83% and a weighted average of 31% of the participants dropped out of treatment, but that despite the numerous variables explored, evidence on any specific variables that may make an individual more likely to drop out of internet-based treatment is currently limited. The authors conclude that the review highlights the need for more rigorous and theoretically guided research exploring the variables associated with dropping out of internet-based treatment for psychological disorders.
SCIE research briefing 38: mental health, employment and the social care workforce
- Authors:
- SOCIAL CARE INSTITUTE FOR EXCELLENCE, SEYMOUR Linda, et al
- Publisher:
- Social Care Institute for Excellence
- Publication year:
- 2011
- Pagination:
- 23p.
- Place of publication:
- London
This research briefing draws on research, policy and guidance to summarise the evidence on what prevents people with mental health problems from working or retaining work in social care and what can be done to enable them to work. In particular it looks at evidence about discriminatory practice against people with mental health problems; and the evidence about recruitment and retention practices that can help in securing and retaining employment in the social care workforce. The implications for the policy community, practitioners, primary care, employees and for taking therapies are also provided.
Therapeutic communities and group analysis
- Authors:
- LEES Jan, HAIGH Rex, TUCKER Sarah
- Journal article citation:
- Therapeutic Communities: the International Journal of Therapeutic Communities, 38(2), 2017, pp.87-107.
- Publisher:
- Emerald
Purpose: The purpose of this paper is to highlight theoretical and clinical similarities between therapeutic communities (TCs) and group analysis (GA). Design/methodology/approach: Literature review shows comparison of TC and group-analytic concepts with illustrative case material. Findings: Findings reveal many similarities between TCs and GA, but also significant divergences, particularly in practice. Practical implications: This paper provides theoretical basis for TC practice, and highlights the need for greater theorising of TC practice. Social implications: This paper highlights the importance of group-based treatment approaches in mental health. Originality/value: This is the first paper to review the relevant literature and compare theory and practice in TCs and GA, highlighting their common roots in the Northfields Experiments in the Second World War. (Publisher abstract)
Applying the Buddhist four immeasurables to mental health care: a critical review
- Authors:
- CHENG Fung Kei, TSE Samson
- Journal article citation:
- Journal of Religion and Spirituality in Social Work, 34(1), 2015, pp.24-50.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
With the advent of the use of Buddhist teachings in therapy, including the four immeasurables (loving-kindness, compassion, empathetic joy, and equanimity), mental health scholars have achieved encouraging results. For this critical review relevant literature was sourced through ProQuest, an electronic database, which consists of 68 major resources, including MEDLINE, PsycARTICLES, and PsycINFO. A total of 16 empirical studies on this theory with regard to their relation to mental health care were identified and analysed, focusing on compassion-focused approaches, programmes for caring professionals, and a psychometric instrument. The data displayed positive indicators in this new research theme; however, many results are tentative due to small sample sizes, or nonrandomised design, and so further investigation is needed. Moreover, existing studies have largely emphasized compassion, which undermines the effectiveness of the four premises as a whole, along with their interplay for therapeutic purposes. Thus, suggestions for future research are proposed here. (Edited publisher abstract)
How psychological telehealth can alleviate society's mental health burden: a literature review
- Authors:
- PERLE Jonathan G., NIERENBERG Barry
- Journal article citation:
- Journal of Technology in Human Services, 31(1), 2013, pp.22-41.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
The authors believe that with the current and growing prevalence of mental illness a major shift and expansion of clinical practice must occur to overcome the mental health burden and facilitate positive change. This article offers an outline of, and case for, incorporating telehealth in mental health practice. For the purposes of this review, telehealth specifically refers to synchronous web camera-based interventions. Novel options, including mHealth (mobile) and the use of computer tablets, are discussed. The implications for practice including training are considered, as well as potential future directions for the field. It is concluded that the available data supports telehealth as an effective mode for the treatment of clients who are unable to pursue mental health services as they are available. It appears that with careful planning, telehealth systems can significantly impact the quality, timeliness, and availability of services in almost any mental health care system. The authors emphasise that the goal is not to substitute for a “real” person but to integrate telehealth into overall provision. In some cases a consistent face-to-face interaction may be the best care but this may not always be possible. The authors conclude by emphasising the importance of appropriate training for the mental health professionals if telehealth is to be effectively.
What works with children, adolescents, and adults?: a review of research on the effectiveness if psychotherapy
- Author:
- CARR Alan
- Publisher:
- Routledge
- Publication year:
- 2009
- Pagination:
- 400p.
- Place of publication:
- London
With a focus on outcomes with psychodynamic, humanistic, cognitive behavioural and systemic psychotherapies, this book provides a review of research on the effectiveness of psychotherapy and psychological interventions with children, adolescents and adults. It looks at the overall effectiveness and cost-effectiveness of psychotherapy, the contribution of common factors to the outcome of successful psychotherapy, the effectiveness of psychotherapy and psychological interventions with specific problems in children, adults, and people with intellectual disabilities and pervasive developmental disorders, and the effectiveness of psychotherapy and psychological interventions with specific problems in adulthood and later life. The author concludes from the research available that psychotherapy is effective for both adults and children, and provides an analysis of this with respect to a wide range of mental health conditions.
Mental health assessment and intervention for people with complex communication needs associated with developmental disabilities
- Authors:
- Di MARCO Mark, IACONO Teresa
- Journal article citation:
- Journal of Policy and Practice in Intellectual Disabilities, 4(1), March 2007, pp.40-59.
- Publisher:
- Wiley
This paper addresses the issues of assessment and psychological interventions of mental health in people with complex communication needs of people with intellectual disability and/or cerebral palsy. The literature indicates that research data have been lacking in this area, with a dearth of appropriate assessment tools and information on how to adapt evidence-based psychological interventions for this group. Existing psychological intervention research has been characterized by case studies and quasi-experimental designs with adults with mild intellectual disability who possess relatively good communication skills. In addition, there have been a few experimental studies with a focus on anger management with this group. In light of the lack of an empiric base, clinical practice for people with complex communication needs must draw on the evidence base for the general population, and adaptations of key elements of psychological therapies. Given the paucity of research addressing the mental health issues of people with complex communication needs, there is a need for the development of mental health assessment tools that enable clinicians to directly obtain information from the individual and for building the evidence base for counselling people with complex communication needs.