Search results for ‘Subject term:"mental health problems"’ Sort:
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Muss’ Rewind treatment for trauma: description and multi-site pilot study
- Authors:
- ADAMS Shona, ALLAN Steven
- Journal article citation:
- Journal of Mental Health, 27(5), 2018, pp.468-674.
- Publisher:
- Taylor and Francis
- Place of publication:
- London
Background: Rewind is a brief trauma-focussed imaginal exposure treatment for posttraumatic stress disorder (PTSD), however evidence for this treatment is limited. Aim: The aim of this paper was to provide preliminary evidence of its efficacy in the treatment of PTSD symptoms. Method: A practice-based pre-post treatment design with an intention-to-treat analysis was used. Sixty three people were treated with Rewind in three separate services. Participants were assessed using the Impact of Events Scale (IES) prior to treatment and were re-assessed at a two-week follow-up. All participants who scored above 25 on the IES were included and there were no other exclusion criteria. Results: There was an overall data capture rate of 95%. After treatment, 55 (87%) participants were below the IES clinical cut-off and, other than three participants with missing data, all participants showed reliable improvement using the IES Reliable Change Index. Conclusion: These preliminary findings suggest that Muss’ Rewind may offer a useful treatment for PTSD symptoms. Rewind may be cost-effective, given the number of sessions that were required and the relative effectiveness of newly trained therapists in delivering the therapy. Despite methodological limitations, these results suggest that a randomised controlled trial is warranted. (Publisher abstract)
When love is not enough: parenting an adopted child with mental illness
- Authors:
- HANNA Michele D., BOYCE Erin R., MULLIGAN Diane
- Journal article citation:
- Families in Society, 98(3), 2017, pp.2011-208.
- Publisher:
- The Alliance for Children and Families
This article presents the results of a qualitative study designed to explore the experiences of adoptive parents who placed an adopted child with mental illness in a residential treatment centre (RTC). Twenty-four adoptive families from across the United States who placed an adopted child in residential treatment were interviewed. The adopted children represented various types of adoption including public child welfare, domestic infant, and intercountry adoption. Parents reported feeling victimised by their child and by the very systems designed to help them, including child welfare, mental health, health care, and education. The findings reveal signs of trauma in the adoptive parents as a result of their experiences. The article concludes with recommendations from adoptive parents for adoption, mental health, and residential treatment professionals who work with adopted children and their families. (Edited publisher abstract)
The invisible intruders
- Author:
- ROMME Marius
- Journal article citation:
- Nursing Times, 4.3.98, 1998, pp.30-31.
- Publisher:
- Nursing Times
Discusses how the hearing of voices can stem from memories of unresolved emotional problems. Looks at how people can be taught how to take control of them.
An open trial of exposure therapy based on deconditioning for post-traumatic stress disorder
- Authors:
- THOMPSON J.A., et al
- Journal article citation:
- British Journal of Clinical Psychology, 34(3), September 1995, pp.407-416.
- Publisher:
- Wiley
Twenty-three patients who had experienced a major stressful event were given a debriefing session followed by eight weekly sessions of imaginal exposure and in vivo exposure. Patients recounted their traumatic experiences aloud, using the first person and the present tense, and included as much detail as possible. This account was audiotaped and patients were asked to listen to the tape between treatment sessions. The number of patients who satisfied the diagnostic criteria for post-traumatic stress disorder was halved.
The toxic trio, adverse childhood experiences and the Family Court
- Author:
- WEBB Sheena
- Journal article citation:
- Seen and Heard, 31(2), 2021, pp.56-67.
- Publisher:
- NAGALRO
- Place of publication:
- Esher
The author suggests that while professionals working in the family courts are very aware of the historical adversity experienced by the parents and the children involved in care proceedings the way professionals assess and intervene with parents within care proceedings does not reflect our understanding of the role that trauma plays in parental difficulties. The author poses the question, why do we keep doing the same thing when we know it does not work? The article also considers what the toxic trio really tells us. The toxic trio refers to problems with substance misuse, domestic abuse and mental health difficulty. The author suggests that parents are sent to different services to deal with each of the trio separately, so it is less likely that complex trauma is addressed and since the issues are interdependent, treating them separately is not effective. The author suggests that recent research points to the need for comprehensive services that are targeted to a family's multiple needs regardless of the chosen therapeutic model. The article also discusses why parents don't engage and the need for emotional safety as a prerequisite for effective psychosocial treatment. In addition, the role of diagnosis and struggle to access trauma therapy are considered along with a consideration of adversarial proceedings versus Family Drug and Alcohol Court approach. The article concludes that reframing engagement problems as trauma-related responses gives us more scope to overcome them effectively. (Edited publisher abstract)
From past trauma to post-traumatic growth: the role of self in participants with serious mental illnesses
- Authors:
- WANG Xiafei, LEE Mo Yee, YATES Nancy
- Journal article citation:
- Social Work in Mental Health, 17(2), 2019, pp.149-172.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
Studies have shown that people with serious mental illness are more likely to have experienced trauma compared to the general population. This qualitative study employed a grounded theory approach to explore how trauma histories influenced the process of triggering, developing, and recovering from serious mental illness. Findings based on in-depth interviews with 15 participants illustrated the intersection of trauma, serious mental illness, and post-traumatic growth. Experiencing trauma compromised participants’ self-functioning, causing issues such as affect dysregulation, distorted self- and other- concepts and relationship difficulties, meaninglessness, and existential fears, all of which negatively impacted participants’ mental health and behaviour. At the same time, participants with serious mental illness were able to achieve post-traumatic growth with the “transformed-self” via self-acceptance, self-exploration, self-worth, and self-fulfillment. Findings of this study have useful implications for trauma-informed care in mental health treatment. Mental health professionals should address clients’ trauma histories to prevent re-traumatization and design trauma-informed programmes that use and build clients’ inner resources and strengths to promote post-traumatic growth. (Edited publisher abstract)
The role of relationships and families in healing from trauma
- Authors:
- LOPEZ-ZERON Gabriela, BLOW Arian
- Journal article citation:
- Journal of Family Therapy, 39(4), 2017, pp.580-597.
- Publisher:
- Wiley
The effects of trauma and its treatment have a central role in health discussions in that trauma exposure is associated with an array of mental health issues, including depression, anxiety, and substance abuse. Treatment approaches are varied, but most empirically based protocols are individually focused, targeting intrapersonal difficulties. Although these protocols are critical, they do not directly address the relationship difficulties that may arise for survivors. In addition, limited empirical evidence supports using systemic approaches in trauma treatment. This article addresses this issue by summarising the most salient individual and relational evidence-based trauma protocols and by providing a description of common factors among these approaches, while also challenging the field to generate more research that emphasizes systemic interventions as a core consideration in treatment. A case study is included to illustrate the global relevance and benefit of systemic trauma approaches. Practitioner points: 1) Trauma should be treated as an event that affects everyone in the family and is nested in societal and cultural contexts; 2) Close relationships can maintain or exacerbate problems, but they can also be a powerful source of healing; 3) Systemic protocols that not only address intrapersonal difficulties, but also focus on survivors’ relationships are critical for healing in the aftermath of trauma. (Edited publisher abstract)
Family therapy with families of holocaust survivors
- Authors:
- QUADRIO Carolyn, et al
- Journal article citation:
- Journal of Aggression Maltreatment and Trauma, 25(6), 2016, pp.618-634.
- Publisher:
- Taylor and Francis
This is a clinical review of 7 families of Holocaust survivors who presented for treatment because of problems with an adolescent of the third generation. In 3 cases the problem was anorexia, and the remaining 4 had various clinical presentations, mostly related to separation-individuation issues. A common thread in the narratives that unfolded was that the trauma of the grandparent/survivors had been transmitted across subsequent generations to exercise significant influence on the children and grandchildren. Often, a more recent death or separation crisis had been the catalyst for these difficulties or a trigger that activated the Holocaust trauma. An outline of the therapeutic intervention is presented; it was based on a combination of systemic, structural, strategic, and psychodynamic approaches. It is suggested that open acknowledgment of the transgenerational issues played a critical role in moving families toward a more differentiated outcome. (Publisher abstract)
Impact of dual disorders, trauma, and social support on quality of life among women in treatment for substance dependence
- Authors:
- BROWN Suzanne, et al
- Journal article citation:
- Journal of Dual Diagnosis, 9(1), 2013, pp.61-71.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
Objective: Women with dual disorders report lower levels of social support than women with substance dependence alone, and lower levels of social support have been associated with lower quality of life among individuals with substance use disorders. However, little is known about the impact of trauma symptoms and violence exposure on quality of life for women with dual disorders. The purpose of this study was to examine the impact of dual disorders, trauma, and social support related to recovery on various domains of quality of life among women in substance abuse treatment. Methods: This study utilised multiple standardised measures and hierarchical ordinary least squares regression to examine quality of life, trauma, and social support in women with dual disorders. Four domains of quality of life were measured (physical, psychological, social, and environmental domains). Participants (N = 369) were recruited from three inner-city women-only addiction treatment programmes. Institutional review board approval was obtained prior to sample recruitment. Results: Presence of dual disorders was significantly associated with lower quality of life in the physical and psychological domains. However, this difference was no longer significant when trauma symptoms were added to the model. Trauma symptoms and support for recovery significantly predicted quality of life across all four domains and friends’ support for abstinence across three domains. Conclusions: Findings suggest that the presence of dual disorders in women may indicate a history of trauma. They also support the importance of both friends’ support for abstinence and recovery support as predictors of quality of life in women with dual disorders. Interventions that focus on social support and quality of life in treatment with women with substance use disorders may potentially enhance treatment outcomes. (Publisher abstract)
Group-based strategies employed in the wartime and post-war treatment of psychological trauma: experience from the war in Croatia
- Authors:
- URLIC Ivan, BRITVIC Dolores
- Journal article citation:
- Clinical Social Work Journal, 40(4), 2012, pp.421-428.
- Publisher:
- Springer
- Place of publication:
- New York
The authors served as psychiatrists during the recent war in Croatia, 1991–1995. From the onset of this armed conflict in the former Yugoslavia, their group provided mental health and psychiatric care to waves of refugees, displaced persons, soldiers and former prisoners of war. Such care was also provided to civilians living under the threat of warfare. In this endeavor, the Croatian health service received considerable assistance from international non-governmental organisations. Since the war, professionals in the mental health field have continued to provide help, support and various kinds of treatment to people suffering from post-traumatic stress disorder, coping difficulties and personality changes. Four regional psychotrauma centres (RPCs) have been established in Croatia, together with a network of counseling centres set up as governmental agencies. The Regional Psychotrauma Center of Split (southern Croatia) that serves war veterans and their families will be described herein. Research data is presented and discussed. (Publisher abstract)