Search results for ‘Subject term:"mental health problems"’ Sort:
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Developing a theoretical understanding of therapy techniques: an illustrative analogue study
- Authors:
- FREEMAN Daniel, et al
- Journal article citation:
- British Journal of Clinical Psychology, 44(2), June 2005, pp.241-254.
- Publisher:
- Wiley
In psychological interventions, clients are often asked to review unhelpful beliefs. Surprisingly, there is no theoretical understanding of how beliefs are reviewed in therapy. Moreover, by understanding a therapeutic technique, potential interactions with symptom processes can be considered. An analogue study assessing the feasibility of researching therapy techniques is described, in which links between symptoms, reasoning style, and an experimental version of the cognitive therapy technique of belief evaluation are examined. Thirty individuals without psychiatric illness completed (i) dimensional measures of depression, anxiety, and delusions, (ii) a measure of confirmatory reasoning both before and after instruction in disconfirmatory reasoning, and (iii) a belief evaluation task. Compared with individuals with a confirmatory reasoning style, individuals with a disconfirmatory reasoning style were less hasty in their data gathering, considered a greater number of hypotheses during the task, had higher intellectual functioning, and had lower levels of depressive symptoms. Conversely, the individuals with the strongest confirmatory reasoning had higher levels of depression and preoccupation with delusional ideation. Successful adoption of disconfirmatory reasoning was associated with less hasty decision-making and lower levels of preoccupation and distress by delusional ideation. Individuals with a disconfirmatory reasoning style reported more evidence both for and against their beliefs in the belief evaluation task. In the context of clinical research indicating that individuals with delusions are hasty in their data gathering and have difficulty considering alternatives, a potential implication of the findings is that individuals with delusions may find belief evaluation in therapy.
Postpsychiatry
- Authors:
- BRACKEN Patrick, THOMAS Philip
- Publisher:
- Oxford University Press
- Publication year:
- 2005
- Pagination:
- 304p., bibliog.
- Place of publication:
- Oxford
The book asks, is madness best thought of as a medical condition? Psychiatrists and the drug industry maintain that psychoses are brain disorders amenable to treatment with drugs. There is no convincing evidence that the brain is disordered in psychosis, yet governments across the world are investing huge sums of money on mental health services that take for granted the idea that psychosis is an illness to be treated with medication. Although some people who use mental health services find medication helpful, many do not, and resist the idea that their experiences are symptoms of illnesses like schizophrenia. Consequently they are forced into having treatment against their wishes. The authors examine the conflicting ways in which politicians, academics, and mental health professionals appear to understand madness, and contrast this with voices and experiences that are usually excluded - those of the people who use mental health services. They then examine the power of psychiatry to shape how we understand ourselves and our emotions, before considering some of the basic limitations of psychiatry as science to make madness meaningful. In the final section of the book they draw on evidence from service users and survivors, the humanities and anthropology, to point out a new direction for mental health practice.
Maximizing treatment effectiveness in clinical practice: an outcome-informed, collaborative approach
- Author:
- SAGGESE Michael L.
- Journal article citation:
- Families in Society, 86(4), December 2005, pp.558-564.
- Publisher:
- The Alliance for Children and Families
Clinicians need easy-to-use, practical, systematic methods of evaluating, informing, and reporting the effectiveness of treatment. Practicing clinicians no longer have to rely on the DSM for treating their clients, but by making use of both outcome and process measures they can create a more collaborative and effective therapy with their clients. The findings from over 40 years of psychotherapy outcome research literature emphasize the importance of common factors as the curative elements central to all forms of therapy regardless of theoretical orientation. Methods discussed here offer practitioners the means to identify which clients are responding to treatment and those for which treatment is not working so that adjustments can be made to the therapy. The goal is to decrease dropout rates, increase levels of customer satisfaction, and document and improve the overall effectiveness of treatment.
Integrated versus non-integrated management and care for clients with co-occuring mental health and substance use disorders: a qualitative systematic review of randomised controlled trials
- Authors:
- DONALD Maria, DOWER Jo, KAVANAGH David
- Journal article citation:
- Social Science and Medicine, 60(6), March 2005, pp.1371-1383.
- Publisher:
- Elsevier
Ten articles were identified for inclusion in this systematic review, which compares the use of integrated and non-integrated treatment approaches with this ‘challenging client group’. The findings do not demonstrate clear evidence of the superior efficacy of integrated treatments, but the many limitations of the studies need to be considered in understanding the implications of this finding. It is difficult to engage and retain members of this group in intervention research, and the complexity and variability of their problems make control particularly difficult. Much remains to be investigated with regard to the management and care of people with co-occurring mental health and substance use disorders, especially for specific combinations of dual diagnosis, and giving consideration to the level of inter-relatedness between the disorders.
The impact of mental health treatment intensity on the emotional and behavioral problems of youth in a residential treatment facility
- Authors:
- CONNER Tod, KOESKE Gary
- Journal article citation:
- Journal of Evidence-Based Social Work, 2(3/4), 2005, pp.35-47.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
This study focused on the growing number of juvenile delinquents who enter the juvenile justice system presenting severe mental health issues that often go undetected by juvenile justice professionals. The sample consisted of 163 court ordered juvenile delinquents at a residential treatment facility in northwestern Pennsylvania. The sample was required to complete two surveys in an attempt to measure presenting mental health symptoms, emotional, and behavioral problems while at the facility, mental health service intensity, and severity of prior delinquent behaviors. This study is intended to examine the impact treatment intensity had on the emotional and behavioral problems the delinquent experiences while at the facility controlling for presenting mental health issues and severity of prior delinquent activity. The results show a not significant relationship between treatment intensity and emotional problems while at the facility. However, greater service intensity was related to the amount of behavioral problems the youth experiences while at the facility. Severity of prior delinquent activity and presenting mental health issues are strong predictors of increased behavioral problems while at the facility, while high levels of mental health symptoms can predict elevated emotional problems. (Copies of this article are available from: Haworth Document Delivery Centre, Haworth Press Inc., 10 Alice Street, Binghamton, NY 13904-1580).
What can the Human Rights Act 1998 do for my mental health?
- Author:
- HALE Brenda
- Journal article citation:
- Child and Family Law Quarterly, 17(3), 2005, pp.295-305.
- Publisher:
- Jordan Publishing
This article explores the potential use the Human Rights Act 1998 in the field of mental health. It is based on the text of the Paul Sieghart Memorial Lecture, presented at the British Institute of Human Rights on 7 July 2004.
The Integrated Co-Occurring Treatment (ICT) model: a promising practice for youth with mental health and substance abuse disorders
- Authors:
- CLEMINSHAW Helen K., SHEPLER Richard, NEWMAN Isadore
- Journal article citation:
- Journal of Dual Diagnosis, 1(3), 2005, pp.85-94.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
While integrated treatment programs have been developed and researched nationally for adults with co-occurring disorders of substance abuse and mental illness, little movement has been made on developing and field testing integrated programmes that address the needs of youth with co-occurring disorders. This article presents one treatment model that has been developed and piloted in Ohio. The Integrated Co-Occurring Treatment (ICT) model focuses on youth with co-occurring disorders of mental health and substance abuse who have also been involved with the juvenile justice system. To date, the use of the ICT model has resulted in positive outcomes for both the youth and their families.(Copies of this article are available from: Haworth Document Delivery Centre, Haworth Press Inc., 10 Alice Street, Binghamton, NY 13904-1580)
Cannabis-related problems and their management
- Author:
- COPELAND Jan
- Journal article citation:
- Drugs and Alcohol Today, 5(2), August 2005, pp.20-25.
- Publisher:
- Emerald
Despite being the most common illicit drug in the Western world, treatment for cannabis use is not readily available. Primary health care and even specialist drug treatment services have often under-recognised, and under-treated, cannabis-related problems. The author outlines the most effective models for treating cannabis and how they can be applied to other services. She also looks at treatments for the specialist populations of young people and those with mental health problems.
Patients' characteristics and treatment outcome in a group-analytic psychotherapeutic community
- Authors:
- TZIOTZIOU Anna, et al
- Journal article citation:
- Therapeutic Communities: the International Journal of Therapeutic Communities, 26(3), Autumn 2005, pp.245-260.
- Publisher:
- Emerald
This study aimed to record the characteristics of all 816 patients treated in the Psychotherapeutic Community of the Open Psychotherapy Centre (OPC) from 1980 to 1999 and the discussion of the parameters which influence outcome. It is a retrospective study, based mainly on archives of the therapeutic sector of the OPC. The data recorded concerns the epidemiological characteristics: demographic, and the psychiatric clinical. The findings indicate some factors which are statistically correlated to the outcome, such as previous hospitalization, duration of therapy, medication, diagnosis and gender. Finally a patients profile is described, based on those characteristics which are the most common.
Creative partnerships for promoting physical activity
- Authors:
- CRONE Diane, et al
- Journal article citation:
- A Life in the Day, 9(1), February 2005, pp.21-23.
- Publisher:
- Emerald
Describes a collaboration between a university sport and exercise science department and the local mental health trust that not only resulted in a number of practice-based research projects looking at the health benefits of physical activity but also directly improved sports and other physical activity options for mental health service users. It has also provided final year degree students with vocational experiences, improving their career prospects.