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IAPT practitioners’ experiences of providing therapy to people with intellectual disabilities
- Authors:
- SHANKLAND Jennifer, DAGNAN Dave
- Journal article citation:
- Advances in Mental Health and Intellectual Disabilities, 9(4), 2015, pp.206-214.
- Publisher:
- Emerald
Purpose:The purpose of this paper is to describe the views and experiences of Improving Access to Psychological Therapies (IAPT) practitioners in providing therapy to patients who have an intellectual disability in order to support IAPT services in increasing their capability in this area. Design/methodology/approach: An online survey was conducted of IAPT practitioners in four IAPT services in the north of England. The survey collected respondents demographic information and their experience, confidence and attitudes to working with people with intellectual disabilities. Qualitative responses regarding respondents attitudes, views of barriers, problems, successes and possible solutions to the delivery of therapy to people with intellectual disabilities within IAPT services were collected. The survey results were interpreted by thematic and statistical analysis. Findings: The majority of respondents report having worked with people with intellectual disabilities and identify the need to adapt therapy, but also believe that such therapy should be offered within mainstream services. Thematic analysis identifies the needs for support in training, therapy adaptation and adjustment to pathways. However, the majority of respondents could identify positive outcomes and experiences. Research limitations/implications: This data supports the further development of pathways and offers some broad frameworks for the focus of training and development work for people with intellectual disabilities within IAPT. Social implications: This project has identified a positive attitude and willingness to consider adaptation of therapy for people with intellectual disabilities in practitioners working within IAPT services. Originality/value: Until now the views and experiences of IAPT practitioners in working with this patient group were relatively unknown. (Publisher abstract)
Patient experience of negative effects of psychological treatment: results of a national survey
- Authors:
- CRAWFORD Mike J., et al
- Journal article citation:
- British Journal of Psychiatry, 208(3), 2016, pp.260-265.
- Publisher:
- Cambridge University Press
Background: To make informed choices, patients need information about negative as well as positive effects of treatments. There is little information about negative effects of psychological interventions. Aims: To determine the prevalence of and risk factors for perceived negative effects of psychological treatment for common mental disorders. Method: Cross-sectional survey of people receiving psychological treatment from 184 services in England and Wales. Respondents were asked whether they had experienced lasting bad effects from the treatment they received. Results: Of 14 587 respondents, 763 (5.2%) reported experiencing lasting bad effects. People aged over 65 were less likely to report such effects and sexual and ethnic minorities were more likely to report them. People who were unsure what type of therapy they received were more likely to report negative effects (odds ratio (OR) = 1.51, 95% CI 1.22–1.87), and those that stated that they were given enough information about therapy before it started were less likely to report them (OR = 0.65, 95% CI 0.54–0.79). Conclusions: One in 20 people responding to this survey reported lasting bad effects from psychological treatment. Clinicians should discuss the potential for both the positive and negative effects of therapy before it starts. (Publisher abstract)
Needs assessment for persons with severe mental illness: what services are needed for successful community living?
- Authors:
- FORD Janet, et al
- Journal article citation:
- Community Mental Health Journal, 28(6), December 1992, pp.491-503.
- Publisher:
- Springer
Presents the results of a survey of 90 community mental health agency case managers in Ohio, which assessed community support and residential needs of over 1400 of their clients. Medication monitoring and therapy were rated high priority needs, and psychosocial treatment, day and vocational activities also ranked high. Survey responses regarding residential services indicated a need for more supported and supervised options.
Assessing the impact and effectiveness of Hearing Voices Network self-help groups
- Authors:
- LONGDEN Eleanor, READ John, DILLON Jacqui
- Journal article citation:
- Community Mental Health Journal, 54(2), 2018, pp.184-188.
- Publisher:
- Springer
The Hearing Voices Network (HVN) is an influential service-user led organisation that promotes self-help as an important aspect of recovery. This study presents the first systematic assessment of the impact and effectiveness of HVN self-help groups. A customized 45-item questionnaire, the Hearing Voices Groups Survey, was sent to 62 groups affiliated with the English HVN. 101 responses were received. Group attendance was credited with a range of positive emotional, social and clinical outcomes. Aspects that were particularly valued included: opportunities to meet other voice hearers, provision of support that was unavailable elsewhere, and the group being a safe and confidential place to discuss difficult issues. Participants perceived HVN groups to facilitate recovery processes and to be an important resource for helping them cope with their experiences. Mental health professionals can use their expertise to support the successful running of these groups. (Publisher abstract)
Survey of community mental health services 2010: full national results tables
- Author:
- CARE QUALITY COMMISSION
- Publisher:
- Care Quality Commission
- Publication year:
- 2010
- Pagination:
- 45p., tables
- Place of publication:
- London
This document provides the full national results tables from a 2010 survey of people who use community mental health services. The 2010 survey comprises a sample of service users aged 16 and over who had been in contact with NHS community mental health services in the period 1 July 2009 to 30 September 2009 and who were receiving specialist help for a mental health condition. The survey involved 66 NHS trusts in England. A total of 17,199 questionnaires were returned, a response rate of 32%. The survey aimed to find out about the experiences of people using mental health services in the community. These services provide care and treatment to people who have been referred to a psychiatric outpatient clinic, local community mental health team, or other community-based mental health services. The survey results are presented separately for those on Care Programme Approach (CPA) and those not on CPA. The survey questions relate to: health and social care workers; medications; talking therapies; care coordinators or lead professionals; care plans; care reviews; day to day living; and crisis care.
Survey of expert second opinions in a tertiary psychiatric out-patient clinic in the Yorkshire region between 1988 and 2000
- Authors:
- NIRODI Pratibha, et al
- Journal article citation:
- Psychiatric Bulletin, 27(10), November 2003, pp.416-420.
- Publisher:
- Royal College of Psychiatrists
A medical second opinion is an expert clinical case evaluation requested by a colleague for a patient already under specialist care. There is no literature on the provision for second opinions in psychiatric practice other than those relating to the Mental Health Act 1983, and the availability of clinics offering second opinions varies greatly from one area to another. The authors undertook a survey of an expert second opinion service in Leeds over the period 1988-2000 and examined the case notes of 103 referred patients, of whom 71 were included in the analysis data. In the majority of cases diagnoses were not changed, but alternative treatment strategies were suggested. The exception was for patients with a diagnosis of personality disorder, in whom neither a new diagnosis nor alternative management was commonly suggested. Half of the assessments were completed in a single visit, but a substantial minority required further evaluation as outpatients, close follow-up or even hospital admission for detailed review. The authors believe that a second opinion service offers clinicians valuable support and expertise, especially in sector psychiatry. Evidence presented suggests that further therapeutic options are available for many patients regarded as 'difficult to treat'. In some cases this may involve a period of observation free of all psychotropic medication. As in other specialities, psychiatrists should be aware of the value of further advice for patients with particularly refractory or unusual disorders.
Core: clinical outcomes in routine evaluation
- Authors:
- EVANS Chris, et al
- Journal article citation:
- Journal of Mental Health, 9(3), June 2000, pp.247-255.
- Publisher:
- Taylor and Francis
- Place of publication:
- London
Can different therapists, motivated by different theories and working in different settings, find a single measure - a 'core' - for monitoring their work. This paper introduces the Clinical Outcomes in Routine Evaluation (CORE) outcome measure, its philosophy, practice and utility. The measure is brief and acceptable to clients and therapists. It covers well being, problems/symptoms, life functioning and risk to self and others. It is easy to score by hand and is computer scannable. It measures individual differences on entry into therapy and change. Analyses of over 2,000 responses show good reliability and convergent validity against longer and less general measures; small gender effects; large clinical/non-clinical differences and good sensitivity to change. Referential clinical and non-clinical distributions and reliability enable calculation of clinically significant and reliable change criteria. Two short forms are available for frequent use within therapy and a centrally supported system will scan questionnaires and provide standardised reports and raw data.
Barriers to an alliance between family and professional caregivers in chronic schizophrenia
- Authors:
- WINEFIELD Helen R., BURNETT Peter L.
- Journal article citation:
- Journal of Mental Health, 5(3), July 1996, pp.223-232.
- Publisher:
- Taylor and Francis
- Place of publication:
- London
Informal caregiving by relatives is an important component of the daily environment for many sufferers from chronic mental illness. This paper considers some possible reasons for the uncomfortable relations which often seem to occur between the family and the professional caregivers. Some of the barriers to an effective therapeutic alliance may be system-wide inadequacies in resources for an area of health care which is still somewhat stigmatised. However, other barriers seem to be attitudinal in nature. Proposes several ways in which the mental health professionals and family caregivers may work together more constructively as co-therapists.