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Positive psychology in dual diagnosis recovery: a mixed methods study with drug and alcohol workers
- Authors:
- GOMEZ Katalin Ujhelyi, et al
- Journal article citation:
- Journal of Substance Use, 25(6), 2020, pp.663-671.
- Publisher:
- Taylor and Francis
Background: In traditional dual diagnosis treatment, the primary aim is to attend the substance use problem and tackle the mental health issues with little attention to the positive aspects of clients’ lives. This deficit-based approach, however, may bring about an ignorance of clients’ potentials. The present study primarily aimed at investigating practitioners’ views of their clients; acquiring information on how to improve a previously designed positive psychology intervention for dual diagnosis, and finding ways of integrating positive psychology with current approaches. Methods: A positive psychology intervention developed for dual diagnosis individuals was delivered to two groups of psychosocial intervention workers (n = 17) at a drug and alcohol service. The study employed a mixed methods approach with a quantitative and a qualitative element (focus group). Results: Participants reported a number of personal and professional benefits gained from the intervention, but also discussed the structure of the intervention, practitioner qualities, and difficulties of incorporation into existing treatment as challenges that may arise in terms of feasibility with this client group. Conclusions: Through a strengths-based positive approach, a more balanced treatment would enable the recognition and appreciation of both the vulnerabilities and the emerging potential of clients. This would lead to better outcomes with clients achieved by a healthier workforce. (Edited publisher abstract)
The cost of treating substance use disorders: individual versus family therapy
- Authors:
- MORGAN Triston B., et al
- Journal article citation:
- Journal of Family Therapy, 35(1), 2013, pp.2-23.
- Publisher:
- Wiley
The aim of this US study was to examine the cost of substance use disorders treatment in a large healthcare organisation. The longitudinal study used 4 years of data from Cigna (a US healthcare insurer) about treatment costs in mental health outpatient services claims, and examined data about individuals aged 12 years and older with a diagnosis of a substance use disorder. The article describes the methodology and statistical analysis and presents the results, with detailed statistical tables. It reports that family therapy used the least number of sessions when treating substance use disorders, followed by individual therapy and mixed therapy, and that family therapy was the least costly of the 3 types and had better recidivism rates. Recognising the context of an economy largely driven by healthcare costs, it concludes that family therapy is a favourable treatment option, given its low cost to healthcare insurance companies.
Mental health in substance misuse patients in Wales
- Author:
- SIMS John Barry
- Journal article citation:
- Journal of Public Mental Health, 18(4), 2019, pp.269-278.
- Publisher:
- Emerald
Purpose: The purpose of this paper is to identify and report on the mental health needs of those attending substance misuse services (SMS) adhering to the diagnostic criteria as defined in DSM 5 with reference to common mental health disorders. It also examines differences in the numbers of appropriately trained cognitive behaviour therapy (CBT) therapists and highlights the lack of provision of CBT reflected in the much smaller number of accredited therapists in Wales compared to other parts of the UK. Design/methodology/approach: This population was identified by way of an audit of data collected via the out-patient clinics conducted by the author. Findings: The paper identifies a high proportion of patients who attended SMSs as having complex psychological need as a consequence of co-morbidity. Research limitations/implications: The results of the audit may have limitations but the implications from the findings suggest potential value in looking more at clinical outcomes following evidence-based psychological interventions. Practical implications: A conclusion from the findings is suggested value in a more structured approach to looking at clinical outcomes. Originality/value: This audit was undertaken in North Wales. There is no IAPT or matrix-structured Level II CBT training programmes available in Wales. The audit identifies the need for more evidence-based psychological interventions such as CBT linked to the development of such services. The apparent lack of political will to change the status quo is also highlighted as a problem. (Edited publisher abstract)
Keyworkers’ experiences and perceptions of using psychological approaches with people experiencing homelessness
- Authors:
- BENSON Josephine, BRENNAN Michael
- Journal article citation:
- Housing Care and Support, 21(2), 2018, pp.51-63.
- Publisher:
- Emerald
Purpose: The purpose of this paper is to explore keyworkers’ experience and perceptions working with people experiencing homelessness and the use of psychologically informed approaches in an Irish context. Design/methodology/approach: In this paper a qualitative descriptive methodology was employed and face-to-face in-depth semi-structured interviews were conducted. Data collected were analysed using a thematic framework and transcribed by the researcher. Findings: It was the view of the keyworkers psychological approaches allowed them greater understanding of psychological trauma and its effects promotes safe physical and emotional environments builds rapport between staff and clients and enables keyworkers to work more effectively with people with complex needs. There was also convincing evidence staff are quite receptive to training. Originality/value: Given there is no research exploring the use of psychologically informed approaches in homelessness service settings, this study researched an area that has not yet been explored in Ireland. This qualitative descriptive research provides a platform from which further research can be conducted. It is hoped that highlighting the psychological issues of homeless people, the data obtained will help improve Irish homeless services, and the findings extracted beneficial in terms of future service developments, professional training and education. (Publisher abstract)
Supporting the mental health of children in care: evidence based practice
- Author:
- McCALL Suzanne
- Editors:
- GUISHARD-PINE Jeune, COLEMAN-OLUWABUSOLA Gail
- Publisher:
- Jessica Kingsley
- Publication year:
- 2017
- Pagination:
- 248
- Place of publication:
- London
Combining research with practice findings, this book brings together contributions from a range of experts on improving the mental health of children in care. Chapters describe the difficulties children in care often experience, such as vulnerability to self-harm, substance misuse or inappropriate sexual behaviour. Chapters also explore therapeutic interventions, such as art therapy or integrative therapy, which can be used to address the root of these behaviours. The book also makes recommendations for further training for foster carers, for reinforcing professional support networks and for all agencies to have a developed understanding of cultural considerations when working with children in care. The book will be especially useful for psychologists, psychiatrists, CAMHS professionals and social workers working with children and young people in care. (Edited publisher abstract)
Application of e-therapy programs to the social work practice
- Authors:
- WODARSKI John, FRIMPONG Jaime
- Journal article citation:
- Journal of Human Behavior in the Social Environment, 23(1), 2013, pp.29-36.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
The purpose of this article is to review the many applications of the use of e-therapy in social work practice. It argues that e-therapy can offer many different beneficial aspects for the client and the social worker. Previous research has shown that e-therapy has the capacity to reach clients in rural settings, is cost-effective, can provide supplemental help to those involved in the mental health system, and can reach those who are in disfranchised and minority populations. Most significantly, e-therapy provides means of reaching 85% of clients who need services yet do not receive them. However technology can bring complexity, and the ethical dilemmas relating to e-therapy still need to be addressed. The applications of e-therapy discussed in the article include the treatment of substance abuse, anxiety disorders, depression, and other mental health diagnoses. The article concludes that investment in research, trainings, and setting guidelines relating to e-therapy will benefit agencies, social workers, and clients.
"It's the little things": women, trauma, and strategies for healing
- Authors:
- STENIUS Vanja M.K., VEYSEY Bonita M.
- Journal article citation:
- Journal of Interpersonal Violence, 20(10), October 2005, pp.1155-1174.
- Publisher:
- Sage
Women recover and heal from traumatic violent experiences in many different ways. This study, which is part of the Franklin County Women and Violence Project in the United States, explores the healing experiences of 18 women who have histories of violence, substance abuse, and involvement in the mental health and/or substance abuse treatment system. Ethnographic interviews suggest that while professional intervention can be beneficial, it may not be adequate. In fact, it can be retruamatizing. The means of service delivery and treatment by individuals, service providers and others, may be more important than the actual service. Often women find that caring individuals and a safe environment yield the greatest benefit. It is not so much what people do to help, but how they do it.
Comprehensive services for complex needs: a summary of the evidence
- Authors:
- REVOLVING DOORS AGENCY, CENTRE FOR MENTAL HEALTH
- Publisher:
- Revolving Doors Agency
- Publication year:
- 2015
- Pagination:
- 11
- Place of publication:
- London
Summarises evidence for three ways of working with people with multiple and complex needs: Multisystemic Therapy; wraparound; and the link worker model. The needs of this group often includes mental health problems, offending, homelessness and substance misuse. These models seek to address repeated failures to help people facing multiple needs and address interrelated outcomes such as reducing reoffending, improving mental health and preventing further exclusion. Section one introduces the models and highlights common features developed for work with people with multiple and complex needs. Section two summarises the evidence for all three models, focusing on outcomes relevant to commissioners' responsibilities. Section three outlines the financial case for the models, which focus on preventing costly outcomes such as offending and homelessness. Section four raises some key considerations and recommendations for commissioners and for further research. (Edited publisher abstract)
A multicultural approach to HIV prevention within a residential chemical dependency treatment program: the positive steps program
- Authors:
- HARRIS Elizabeth, et al
- Journal article citation:
- Journal of Evidence-Based Social Work, 7(1-2), January 2010, pp.58-68.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
Positive Steps is a 6 month residential programme in southeastern Los Angeles County. The programme seeks to assist residents in recovery from chemical dependency and to prevent sexual and other risk factors which promote HIV transmission. The residents are considered at risk for HIV transmission because of risky sexual behaviours, and HIV positive women are also welcomed into the programme. Motivational interviewing serves as the foundation for chemical dependency treatment and HIV transmission risk reduction. Motivational interviewing occurs weekly in a one-to-one setting with the chemical dependency counsellor, and is based on the principles of empathy, a focus on self-efficacy, acceptance or and working with resistance to change, and facilitating discrepancy. Positive Steps also provides intensive group education. Individual counselling with a licensed mental health professional is provided for HIV positive residents. The article documents the programme impact among residents who participated in the comprehensive assessment at baseline, 6 months post-baseline, and follow up. The programme outcomes include statistically significant reductions in substance use, sexual risk behaviours, and symptoms of mental distress.
Mental health and deafness
- Editors:
- HINDLEY Peter, KITSON Nick
- Publisher:
- Whurr
- Publication year:
- 2000
- Pagination:
- 582p.
- Place of publication:
- London
Designed as an introductory text on mental health and deafness for care workers and mental health workers. Covers a wide range of mental health issues as they relate to deafness and is divided into two sections. The first, Assessment, includes topics such as child and adolescent psychiatry, adult psychiatry, children who are deaf and have multiple disabilities, deafness and learning disability, addictive behaviour and deafness, forensic psychiatry, acquired deafness, and abuse of deaf children. The second section, Management and Intervention, discusses interpreters in mental health settings, educational interventions, different forms of psychotherapy, family therapy, rehabilitation, and drug treatments.