Search results for ‘Subject term:"mental health problems"’ Sort:
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Psychodynamic psychotherapy: a quantitative, longitudinal perspective
- Authors:
- ROSEBOROUGH David J., MCLEOD Jeffrey T., BRADSHAW William H.
- Journal article citation:
- Research on Social Work Practice, 22(1), January 2012, pp.54-67.
- Publisher:
- Sage
The effectiveness of long-term psychodynamic psychotherapy has gathered international media attention. This quantitative study investigated the course of treatment over time and the outcomes associated with psychodynamic psychotherapy for a sample of 1,050 people undertaking in a community setting in state of Utah, United States. The treatment occurred over the course of 4 years, and was measured at 3-month intervals, using the Outcome Questionnaire (OQ)-45.2. Multilevel modelling was used to look at the longitudinal nature of change and at potentially meaningful moderating variables. Findings indicated a strong general improvement, though a more moderate one than described in other meta-analyses including primarily prospective studies. The treatment was followed by broad improvements, over time, with a general trend and few notable interaction effects. The treatment involved little deterioration, particularly in the first year. Further analysis suggested that clients with higher initial symptom severity showed greater improvement, and a unique course of recovery with clients who stayed over a year. Implications for practice are discussed.
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.
Individual community-based treatment of offenders with mental illness: relationship to recidivism
- Authors:
- ABRACEN Jeffrey, et al
- Journal article citation:
- Journal of Interpersonal Violence, 31(10), 2016, pp.1842-1858.
- Publisher:
- Sage
This study explores the effectiveness of psychological intervention at reducing the risk of recidivism among a group of high-risk, high-need offenders housed in a Community Correctional Centre (CCC) operated by the Correctional Service of Canada (CSC). File reviews on 136 male federal offenders living in a CCC in a large metropolitan area were included in the present investigation. Previous research on this sample by our team indicated that the majority of this sample met diagnostic criteria for a variety of psychiatric conditions. Data on the number of individual counselling sessions received and progress in treatment were collected from official file information for the purpose of the present investigation. After accounting for actuarially assessed risk, moderate doses of treatment were found to be associated with 7.7 times less likelihood of recidivism, and high doses of treatment were found to be associated with 11.6 times less likelihood of recidivism, when compared with offenders who received no treatment or were only assessed for treatment. These results are discussed in the context of correctional models of offender risk assessment and rehabilitation. It is notable that a very simple measure of global mental health treatment attendance, with no consideration of such factors as responsiveness, added considerable incremental predictive validity to the results after having statistically accounted for actuarially assessed risk of recidivism. (Publisher abstract)
The effectiveness of mental health interventions for adult female survivors of sexual assault: a systematic review
- Authors:
- PARCESEPE Angela M., et al
- Journal article citation:
- Aggression and Violent Behavior, 25(Part A), 2015, pp.15-25.
- Publisher:
- Elsevier
Objective: Sexual assault is a common global problem and is associated with poor mental health. Given the high prevalence of sexual assault, it is important to understand which interventions may help survivors. This systematic review examines the effectiveness of mental health interventions for adult female survivors of sexual assault, focusing on 1) methods used to study the interventions; 2) effectiveness of interventions compared to no treatment; and 3) comparative effectiveness of interventions. Methods: Published scientific literature was searched to identify manuscripts that investigated the effects of mental health interventions on adult female survivors of sexual assault. Articles were included if they: were in English, Spanish, or French; were published between January 1985 and December 2012; evaluated a mental health intervention; implemented the intervention with adult female survivors of sexual assault; evaluated the effectiveness of the intervention on mental health symptoms or diagnoses; and included a comparison group. Findings: Cognitive-behavioural interventions, exposure interventions, and eye movement desensitisation and reprocessing interventions were typically more effective at improving mental health than no treatment. Statistical tests of comparative effectiveness did not demonstrate that one intervention was significantly more effective than another. Conclusions: Health providers should refer survivors of sexual assault to mental health treatments shown to be effective. Additional research on comparative effectiveness of mental health interventions is warranted. (Edited publisher abstract)
One-session exposure treatment for social anxiety with specific fear of public speaking
- Authors:
- HINDO Cindy S., GONZÁLEZ-PRENDES A. Antonio
- Journal article citation:
- Research on Social Work Practice, 21(5), September 2011, pp.528-538.
- Publisher:
- Sage
Social anxiety disorder (SAD) is a mental health problem consisting of a persistent fear of social or performance situations in which embarrassment may occur. This pilot study assessed the effectiveness of one-session exposure-based therapy to treat SAD with specific fear of public speaking. A pre-test/post-test design with repeated measures sample t-tests was used to compare pre-test, post-test and one month follow-up scores. Thirty two individuals, aged 18 to 51, participated in three hours of graduated exposure to group public speaking exercises followed by homework between post and follow-up. Findings revealed significant changes from pre-test to post-test, and pre-test to follow-up for all measures. In ending, the authors discuss the advantages of brief treatment for SAD. Implications for practice and research are presented.
The interaction of co-occurring mental disorders and recovery management checkups on substance abuse treatment participation and recovery
- Authors:
- RUSH Brian R., et al
- Journal article citation:
- Evaluation Review, 32(1), February 2008, pp.7-38.
- Publisher:
- Sage
This article examines the effectiveness of quarterly Recovery Management Checkups (RMCs) for people with substance disorders by level of co-occurring mental disorders (34% none, 27% internalizing disorders, and 39% internalizing and externalizing) across two randomized experiments with 92% to 97% follow-up. The 865 participants are 82% African American, 53% female, and age 37 on average. RMC involves identification of those in need of treatment, motivational interviews, and treatment linkage assistance. It is effective in linking participants in need to treatment, with equal or better outcomes among those with more mental disorders. The data support the utility of monitoring and re-intervention for clients with co-occurring disorders.
The impact of participating in a poetry workshop
- Authors:
- HILSE Christine, GRIFFITHS Sue, CORR Susan
- Journal article citation:
- British Journal of Occupational Therapy, 70(10), October 2007, pp.431-438.
- Publisher:
- Sage
Poetry writing is a creative activity and, as such, may contribute to intervention. The aim of this study was to explore the impact of poetry writing on individuals who had experienced mental health problems in the past. A qualitative approach, that of grounded theory, was used, including observations of a poetry writing group and in-depth semi-structured interviews with two group participants who had a previous history of mental health problems. The main categories that emerged during data analysis were creation, communication, connection and awareness; these categories were unified by a central concept of personal meaning. The findings suggest that poetry writing creates and communicates meaning. In addition, internal connection (with self) and external connection (with others) may be facilitated through the communication of poetry. Communication and experiences of connection can lead to a greater awareness of self and others. Personal meaning is central to human life in symbolisation processes, which contribute to identity building. The positive and negative impacts on mental health through the writing of poetry and participating in a group were identified. This is a small study and the findings are valid only in the immediate context of the study, but it provides a basis for further research.
Abnormal and clinical psychology: an introductory textbook
- Author:
- BENNETT Paul
- Publisher:
- Open University Press
- Publication year:
- 2006
- Pagination:
- 508p., bibliog.
- Place of publication:
- Maidenhead
- Edition:
- 2nd
What are the causes of mental health problems? What are the best treatments for mental health problems? How do the experiences of people with mental health problems compare with the academic models of disorders? Building on the success of the first edition, this textbook has been updated to include the latest research and therapeutic approaches as well as developments in clinical practice. This book now contains: Expanded coverage of the aetiology of conditions; Assessment of the DSM-IV diagnostic criteria; Analysis of cross-cultural issues; Case studies that include patient perspectives; A new chapter on somatoform disorders; and, Improved pedagogy such as research boxes and thinking about features that encourage readers to think critically about what they are learning. The book maintains the structure of the first edition with two main sections: the first introduces and critically evaluates the conceptual models of mental health problems and their treatment; the second contains in-depth analysis of a variety of disorders such as schizophrenia, trauma-related conditions and addictions. In the second section, chapters are restructured to give a comprehensive aetiology of the disorder as well as analysis of treatments for the condition. Each disorder is viewed from psychological, social, and biological perspectives and different intervention types are investigated.
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.
Response to antidepressant treatment in a community mental health center
- Author:
- BASTIAENS Leo
- Journal article citation:
- Community Mental Health Journal, 40(6), December 2004, pp.561-567.
- Publisher:
- Springer
This study examines anti-depressant response after 6 months of treatment in 75 depressed patients in a community mental health clinic. Symptomatic and functional outcome measures were administered. A pharmacotherapy algorithm was followed.Many patients presented with chronic depressive disorders complicated by psychosocial problems and co-morbidity with substance use and other psychiatric and medical conditions. Level of functioning was seriously impaired. Attrition rate after 6 months was high (49%). Response rate after 6 months of treatment was 24%. Research studies cannot predict the response potential in the real world because of numerous complicating factors in the presentation and treatment of depression in the community.