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A review of the efficacy and effectiveness of cognitive-behaviour therapy and short-term psychodynamic therapy in the treatment of major depression: implications for mental health social work practice
- Authors:
- O'NEAL Paul D., JACKSON Alun, MCDERMOTT Fiona
- Journal article citation:
- Australian Social Work, 67(2), 2014, pp.197-213.
- Publisher:
- Taylor and Francis
A systematic review of the literature regarding the efficacy and effectiveness of cognitive-behaviour therapy and short-term psychodynamic therapy in the treatment of major depression in adults was conducted. This search of electronic databases (PsycArticles, PsycINFO, Social Services Abstracts and PsycLIT) was conducted between August and October 2011 and resulted in full text review of 13 publications. On balance the evidence, largely derived from randomised controlled trials, supported cognitive-behaviour therapy as the more efficacious treatment. The evidence for the efficacy of short-term psychodynamic therapy was somewhat fragmented due to the paucity of controlled studies, with the evidence base for short-term psychodynamic therapy relying heavily upon meta-analyses. There was comparable evidence for the effectiveness of cognitive-behaviour therapy and short-term psychodynamic therapy on the basis of standardised clinical outcome measures. More high-quality randomised controlled trials are required to assess the efficacy of short-term psychodynamic therapy for treating major depression, while the methodological challenges of meta-analyses need to be acknowledged where this methodology forms the primary evidence base for efficacy studies. (Publisher abstract)
Using social work theory and values to investigate the implementation of community treatment orders
- Authors:
- BROPHY Lisa, MCDERMOTT Fiona
- Journal article citation:
- Australian Social Work, 66(1), 2013, pp.72-85.
- Publisher:
- Taylor and Francis
In Victoria, Australia, involuntary psychiatric treatment in the community is authorised by Community Treatment Orders (CTOs). CTOs are an increasingly common feature of mental health legislation in Australia. This paper establishes the value of a social work investigation of good practice with people on CTOs in the context of social work's longstanding interest in the ethical challenges of working with involuntary clients. Critical social work theory provided an important theoretical base. A mixed methods approach was undertaken, including a cluster analysis and case studies. Five principles of good social work practice emerged from the qualitative data: use and develop direct practice skills; take a human rights perspective; focus on goals and desired outcomes; aim for quality of service delivery; and enhance and enable the role of key stakeholders. These principles are presented along with recommendations for practice.