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Six critical questions for brief therapeutic interventions
- Authors:
- DULMUS Catherine N., WODARSKI John S.
- Journal article citation:
- Brief Treatment and Crisis Intervention, 2(4), Winter 2002, pp.279-285.
- Publisher:
- Oxford University Press
Brief therapy strategies and techniques are used by professionals from various disciplines who use a variety of techniques are characterized by design to be short term, directive, and change focused in the delivery of mental health treatment. Outlines six critical questions related to brief therapeutic interventions that must be considered in treatment planning and subsequent future research. Looks at when a brief therapeutic intervention is appropriate; who should deliver the intervention; what interventions are most effective with which clients; in what setting should the intervention take place; how long should the intervention continue; and how behaviour change can be maintained.
Lost in space
- Author:
- -
- Journal article citation:
- Mental Health Today, September 2002, pp.8-9.
- Publisher:
- Pavilion
- Place of publication:
- Hove
Discusses what is being done to help damaged and vulnerable young people in the youth justice system.
Survey highlights crisis in services for children and young people
- Author:
- DOWNEY Rachel
- Journal article citation:
- Community Care, 1.8.02, 2002, pp.20-21.
- Publisher:
- Reed Business Information
Outlines steps professionals believe need to be taken to improve mental health treatment.
Becoming verbal: autism trauma and playfulness
- Author:
- BARROWS Paul
- Journal article citation:
- Journal of Child Psychotherapy, 28(1), April 2002, pp.53-72.
- Publisher:
- Routledge
This paper will describe work in progress with a boy who was 3.4 years old at the time of referral. At this time he had no speech and there were a number of marked autistic features in his presentation, although no formal diagnosis had been made. He had suffered the trauma of a life-threatening illness requiring major medical interventions at the age of 5 months and again at 18 months, which may have been the precipitating factor for his disturbance. He is from an intact family with an older sister and a younger brother and no apparent significant family pathology. During the course of his treatment - which has now been on-going for nearly three years - he has acquired a capacity for play and has become very talkative. Using extensive clinical material, the paper explores the factors which may have contributed to his improvement, especially the modifications in technique introduced by the therapist in order to make contact with this little boy. Special attention will be given to the role of playfulness, as introduced by the therapist, with particular reference to the way in which this may facilitate the emergence and expression of aggressive feelings and phantasies. The links with the development of the capacity for speech will be explored.
Towards women-sensitive mental health services
- Authors:
- BARNES Marian, et al
- Journal article citation:
- Mental Health Review, 7(1), March 2002, pp.19-21.
- Publisher:
- Pier Professional
Looks at women only mental health services, and draws on existing knowledge and research evidence about women's experiences of mental distress and of the mental health systems.
Psychosocial and clinical predictors of unipolar depression outcome in older adults
- Authors:
- BOSWORTH Hayden B., et al
- Journal article citation:
- International Journal of Geriatric Psychiatry, 17(3), March 2002, pp.238-246.
- Publisher:
- Wiley
Depression in old age is widespread, affecting at least one in six patients' in general medical practice and even higher percentage in nursing homes and hospitals. Impairment and disability associated with depression is equal to that attribute to cardiovascular disease, and greater than that due to other chronic physical disorders such as hypertension, diabetes, and arthritis. Response to treatment among depressed individuals may vary greatly. While some of the treatment variation can be explained in terms of differences in the severity of the depression, much of it remains to be explained. Because of the significant personal, clinical, and societal implications associated with depression, it is important to understand what factors, especially those amenable to clinical intervention, are associated with better outcomes. This article focuses on a variety of psychosocial, demographic, and clinical factors to identify those that predict better depression outcome among initially depressed elderly adults.
The Brief Adult Assessment Scale: a validation study
- Authors:
- SMITH Michael A., et al
- Journal article citation:
- Research on Social Work Practice, 12(1), January 2002, pp.176-197.
- Publisher:
- Sage
The Brief Adult Assessment Scale (BAAS) is a multidimensional assessment scale designed for use by practitioners and researchers that measures the severity of client problems in 16 areas of adult personal and social functioning. This article describes the BAAS; provides information about its administration, scoring, and interpretation; and reports findings with regard to the psychometric characteristics of the scale. Data from 291 adult participants were collected and used to assess the scale's psychometric properties. Findings suggest that the BAAS has strong internal consistency, good factorial and content validities, and preliminary construct validity. Concludes that although further research must examine the scale's known-groups concurrent validity and clinical cutting scores, the BAAS appears to be appropriate for use by social workers as an aid to diagnosis, treatment planning, and evaluation.
Implementing early intervention in psychosis: a guide to establishing early psychosis services
- Authors:
- EDWARDS Jane, MCGORRY Patrick D
- Publisher:
- Martin Dunitz
- Publication year:
- 2002
- Pagination:
- 186p.
- Place of publication:
- London
The authors have gained experience directing the Early Psychosis Prevention and Intervention Center (EPPIC) at the Department of Psychiatry, University of Melbourne. This centre was started in 1984 as an inpatient service and gradually evolved into an excellent paradigm of service for first episode psychosis. Chapter 1 summarizes the benefits of early detection of new cases, of early intervention, and of providing optimal and sustained treatment during the highly vulnerable “critical period” following recovery, which can extend for up to 5 subsequent years. Chapters 2 to 4 detail key service elements, including early recognition, initial assessment and treatment, and promotion of recovery. In these chapters, the authors draw on their experience with EPPIC to emphasize the pivotal role of effective engagement; of the first experience with medication; of treatment at home, if resources permit it, or of minimizing negative impact on the individual, if hospitalization is required; and of psychoeducation and cognitive therapy. Subsequent outpatient case management, family work, social treatment, and vocational rehabilitation are detailed. Chapter 5 describes 5 different models of early psychosis services, starting with EPPIC. The other 4 services were developed in the mid-1990s and comprise a service in Norway and Denmark, a service in Birmingham and in West Midlands, UK; and 2 services in Canada, namely, the Early Psychosis Program (EPP) in Calgary and the Prevention and Early Intervention Program for Psychosis (PEPP) in London, Ontario, both of which began in 1996. Chapters 6 to 9 constitute the second half of the book and deal with strategies for an early psychosis service development, a process that may take 2 to 3 years, according to the authors. Chapter 6 describes a 9-step model for service development and includes examples from several services. Chapter 7 deals with evaluation, which is essential to service survival. Chapter 8 discusses the advantages and disadvantages of the specialist vs the generalist service model. The First Episode Psychosis Program at the Centre for Addiction and Mental Health at the University of Toronto, developed in 1992, is described as an example of an integrated inpatient–outpatient program. The chapter ends with organizational and professional development issues. Chapter 9 contains a consensus statement on the principles and practice of treating first- episode psychosis.
Clinical guidelines in old age psychiatry
- Authors:
- BURNS Alistair, DENING Tom, LAWLOR Brian
- Publisher:
- Martin Dunitz
- Publication year:
- 2002
- Pagination:
- 208p.,bibliog.
- Place of publication:
- London
Clinical guidelines have been defined as systematically developed statements which assist clinicians and patients in making decisions about appropriate treatment for specific conditions. This book aims to bring material together in the field of old age psychiatry in order to form judgements about which guidelines are "better". Topics include, dementia, depression, other disorders.
Gender differences among children with externalising behaviour disorders in a clinic population
- Author:
- ANDRERSSON Helle Wessel
- Journal article citation:
- Child Care in Practice, 8(4), October 2002, pp.282-290.
- Publisher:
- Taylor and Francis
Reports on a Norwegian research study to compare the referral patterns for males and females with externalising disorders who were admitted for specialised psychiatric treatment. Looks at the number of males and females who have externalised behaviour symptoms as their primary reasons for referral to specialist mental health care. Also examined gender differences in the sample with regard to age at referral; referring agency; secondary symptoms; and number of children classified as having hyperkinetic disorders or conduct disorders. Discusses whether the results reflect the true prevalence in the child and adolescent population or alternatively indicate a gender-related bias in the referral process.