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Moving an evidence-based intervention into routine mental health care: a multifaceted case example
- Authors:
- RUFFOLO Mary C., CAPOBIANCO Jeff
- Journal article citation:
- Social Work in Health Care, 51(1), January 2012, pp.77-87.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
Many evidence-based interventions fail to translate into routine care for individuals experiencing significant mental health disorders. In the United States, the movement to bring evidence-based mental health interventions into the public mental health system to enhance consumer recovery and improve outcomes has been a major thrust of federal and state efforts over the past 10 years. This article describes one state's efforts to implement an evidence-based intervention, Family Group Psychoeducation (FPE), into routine care for individuals living with schizophrenia and their families. This multifaceted case example involved 11 regions in the state engaged in bringing FPE into routine care. Initially over 75% of the regions did not have an active focus on dissemination of evidence-based intervention. The article uses the Consolidated Framework for Implementation Research (CFIR) to guide the discussion of the implementation process. This CFIR framework involves examining 5 major domains: intervention characteristics; outer setting; inner setting; characteristics of the individuals involved; and the process of implementation. Using the CFIR framework is valuable in uncovering the multiple contexts that need to be addressed in bringing any evidence-based intervention to scale. The initial implementation was successful in getting regions to commit to the delivery of an evidence-based practice with fidelity; the next step is helping these regions continue to commit to the practice and minimise drift over time.
What are the benefits of evidence-based supported employment for patients with first-episode psychosis?
- Authors:
- RINALDI Miles, et al
- Journal article citation:
- Psychiatric Bulletin, 28(8), August 2004, pp.281-284.
- Publisher:
- Royal College of Psychiatrists
The aim was to examine the effectiveness of integrating evidence-based supported employment into an early intervention service for young people with first-episode psychosis. Demographic, clinical and vocational data were collected over a 12-month period to evaluate the effect on vocational outcomes at 6 months and 12 months of the employment of a vocational specialist, and to assess model fidelity. Following vocational profiling and input from the vocational specialist and the team, there were significant increases in the proportion of clients engaged in work or educational activity over the first 6 months of the intervention, and in a subsample over a second 6-month period. The evidence-based Supported Employment Fidelity Scale was used to measure the degree of implementation, which scored 71, signifying ‘good implementation’. The results suggest that implementing evidence-based supported employment within an early intervention service increases employment and education opportunities for patients within the service.
Recovery in mental illness: broadening our understanding of wellness
- Editors:
- RALPH Ruth O., CORRIGAN Patrick W.
- Publisher:
- American Psychological Association
- Publication year:
- 2005
- Pagination:
- 282p.,bibliog.
- Place of publication:
- Washington, DC
In the early 20th century, when the course of serious illness was first described, scientists offered little hope of recovery for people diagnosed with illnesses like schizophrenia. They were told to expect only continuing psychotic symptoms and progressive dementia and were given no hope of working and living independently. Since then, research has suggested more positive outcomes. This book explores what recovery means from various perspectives, including sociological models as well as qualitative studies that incorporate mental health consumers' subjective experiences. The mental health professional seeking to better understand the nature of recovery as well as what interventions and services might enhance well being and quality of life, will find a discussion of recovery as process, outcome, and natural occurrence, and an examination of evidence-based services as well as consumer-endorsed practices that may not be measurable by traditional quantitative methodologies.
Clinical evidence: mental health; the international source of the best available evidence for effective mental health care
- Editor:
- GODLEE Fiona
- Publisher:
- BMJ Publishing,|Gaskell
- Publication year:
- 2004
- Pagination:
- 264p.bibliog.
- Place of publication:
- London
This book is designed to make the best available evidence easily accessible to mental health practitioners, general practitioners and students. The content is maintains standards of rigorous quality control and ease of access to relevant evidence. For each of the following conditions the literature has been thoroughly searched, appraised and condensed into concise but comprehensive summaries: Alzheimer's disease, Anorexia nervosa, Attention deficit hyperactivity disorder in children, Bulimia nervosa, Chronic fatigue syndrome, Depression in children and adolescents, Depressive disorders, Generalised anxiety disorder, Obsessive compulsive disorder, Panic disorder, Post-traumatic stress disorder, and Schizophrenia.
Behind closed doors: acute mental health care in the UK: the current state and future vision of acute mental health care in the UK
- Authors:
- RETHINK, et al
- Publisher:
- Rethink
- Publication year:
- 2004
- Pagination:
- 23p.
- Place of publication:
- London
This report reveals that, despite some 650 national strategies, guidelines, frameworks and protocols issued by the government over the last five years, much still needs to be done to improve the harrowing conditions under which some of society’s most vulnerable people are treated. The report found that there are too many people in our psychiatric units, particularly those – like the psychiatric intensive care units (PICUs), that work with those most severely ill. The report shows, that there is a crisis in psychiatric in-patient care with wards over-crowded, treatment taking place in “bleakness and squalor” and staff left feeling demoralised and unsupported. The report also highlights developments that may improve this situation.
Expert briefings in mental health: putting research evidence within your reach
- Author:
- GREAT BRITAIN. Department of Health. National Institute for Mental Health in England
- Publisher:
- Great Britain. Department of Health. National Institute for Mental Health in Eng
- Publication year:
- 2003
- Pagination:
- loose leaves
- Place of publication:
- London
Series of research briefings consisting of literature reviews and consultations with a panels of experts, Briefings include: women-only and women-sensitive mental health services; employment for people with mental health problems; early intervention in psychosis; post qualifying training; self help interventions.
Schizophrenia
- Authors:
- WILSON Paul, et al
- Journal article citation:
- Health Service Journal, 14.9.00, 2000, pp.36-37.
- Publisher:
- Emap Healthcare
A number of non-pharmacological interventions for people with schizophrenia may reduce the risk of relapse and cut hospital admission rates. Reports on current evidence.
Reducing risks for mental disorders
- Editors:
- MRAZEK Patricia J., HAGGERTY Robert J.
- Publisher:
- National Academy Press
- Publication year:
- 1994
- Pagination:
- 632p.,bibliogrs.
- Place of publication:
- Washington, DC
Outlines a model of preventative medicine in physical illness and suggests this can be applied to mental illness. Defines five illustrative mental disorders with relevant risk factors. Lists and reviews an extensive series of preventive interventions aimed at people at different life stages. Ends with suggestions as to how a programme of further research can be instituted and its findings put into practice.
Evidence-based practices for social workers: an interdisciplinary approach
- Author:
- O'HARE Thomas
- Publisher:
- Oxford University Press USA
- Publication year:
- 2020
- Pagination:
- 832
- Place of publication:
- New York
- Edition:
- 3rd ed
Within the context of the growing demands for ethical, legal, and fiscal accountability in psychosocial practices, this book provides a comprehensive resource for social workers and other human service professionals. Examining both adult disorders and problems and disorders of couples, children, and families, the book looks at how to 1) conduct clinical assessments informed by current human behaviour science; 2) implement interventions supported by current outcome research; and 3) engage in evaluation as part of daily practice to ensure effective implementation of evidence-based practices. Sample assessment/evaluation instruments (contributed by leading experts) allow practitioners and students to better understand their use as both assessment and evaluation tools. Case studies and sample treatment plans help the reader bridge the gap between clinical research and everyday practice. Overall, the book provides practitioners and students with a thoroughly researched yet practice-oriented resource for learning and implementing effective assessment, intervention and evaluation methods for a wide array of psychosocial disorders and problems-in-living in adults, children and families. (Edited publisher abstract)
What works for whom? a critical review of treatments for children and adolescents
- Authors:
- FONAGY Peter, et al
- Publisher:
- Guilford Press
- Publication year:
- 2002
- Pagination:
- 525p.,bibliog.
- Place of publication:
- New York
This books explains the principles of evidence based medicine and addresses methodological concerns examining the prevalence, stability and outcomes of mental health problems in youth. Chapters offer coverage of what is known about treating such problems as anxiety, ADHD, Touraines's disorder and psychotic and pervasive development disorders.