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198 records – page 1 of 20.

A 2-year follow-up study of people with severe mental illness involved in psychosocial rehabilitation.

https://arctichealth.org/en/permalink/ahliterature257843
Source
Nord J Psychiatry. 2014 Aug;68(6):401-8
Publication Type
Article
Date
Aug-2014
Author
Petra Svedberg
Bengt Svensson
Lars Hansson
Henrika Jormfeldt
Author Affiliation
Petra Svedberg, Associate Professor, School of Social and Health Sciences, Halmstad University , Sweden.
Source
Nord J Psychiatry. 2014 Aug;68(6):401-8
Date
Aug-2014
Language
English
Publication Type
Article
Keywords
Adult
Female
Follow-Up Studies
Humans
Male
Mental Disorders - psychology - rehabilitation
Mental health services
Middle Aged
Power (Psychology)
Prospective Studies
Psychotherapy - methods
Quality of Life
Sweden
Treatment Outcome
Young Adult
Abstract
BACKGROUNDS. A focus on psychiatric rehabilitation in order to support recovery among persons with severe mental illness (SMI) has been given great attention in research and mental health policy, but less impact on clinical practice. Despite the potential impact of psychiatric rehabilitation on health and wellbeing, there is a lack of research regarding the model called the Psychiatric Rehabilitation Approach from Boston University (BPR).
The aim was to investigate the outcome of the BPR intervention regarding changes in life situation, use of healthcare services, quality of life, health, psychosocial functioning and empowerment.
The study has a prospective longitudinal design and the setting was seven mental health services who worked with the BPR in the county of Halland in Sweden. In total, 71 clients completed the assessment at baseline and of these 49 completed the 2-year follow-up assessments.
The most significant finding was an improved psychosocial functioning at the follow-up assessment. Furthermore, 65% of the clients reported that they had mainly or almost completely achieved their self-formulated rehabilitation goals at the 2-year follow-up. There were significant differences with regard to health, empowerment, quality of life and psychosocial functioning for those who reported that they had mainly/completely had achieved their self-formulated rehabilitation goals compared to those who reported that they only had to a small extent or not at all reached their goals.
Our results indicate that the BPR approach has impact on clients' health, empowerment, quality of life and in particular concerning psychosocial functioning.
PubMed ID
24228778 View in PubMed
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Active multimodal psychotherapy in children and adolescents with suicidality: description, evaluation and clinical profile.

https://arctichealth.org/en/permalink/ahliterature92095
Source
Clin Child Psychol Psychiatry. 2008 Jul;13(3):435-48
Publication Type
Article
Date
Jul-2008
Author
Högberg Goran
Hällström Tore
Author Affiliation
Karolinska Institute, Stockholm, Sweden. gor.hogberg@gmail.com
Source
Clin Child Psychol Psychiatry. 2008 Jul;13(3):435-48
Date
Jul-2008
Language
English
Publication Type
Article
Keywords
Adolescent
Age Factors
Ambulatory Care Facilities - statistics & numerical data
Child
Combined Modality Therapy
Desensitization, Psychologic - methods
Eye Movements - physiology
Female
Follow-Up Studies
Humans
Male
Program Evaluation - methods
Psychiatric Status Rating Scales - statistics & numerical data
Psychodrama - methods
Psychotherapy - methods
Stress Disorders, Post-Traumatic - epidemiology - psychology - therapy
Suicide - prevention & control - psychology - statistics & numerical data
Sweden - epidemiology
Treatment Outcome
Abstract
The aim of this study was to describe and evaluate the clinical pattern of 14 youths with presenting suicidality, to describe an integrative treatment approach, and to estimate therapy effectiveness. Fourteen patients aged 10 to 18 years from a child and adolescent outpatient clinic in Stockholm were followed in a case series. The patients were treated with active multimodal psychotherapy. This consisted of mood charting by mood-maps, psycho-education, wellbeing practice and trauma resolution. Active techniques were psychodrama and body-mind focused techniques including eye movement desensitization and reprocessing. The patients were assessed before treatment, immediately after treatment and at 22 months post treatment with the Global Assessment of Functioning Scale. The clinical pattern of the group was observed. After treatment there was a significant change towards normality in the Global Assessment of Functioning scale both immediately post-treatment and at 22 months. A clinical pattern, post trauma suicidal reaction, was observed with a combination of suicidality, insomnia, bodily symptoms and disturbed mood regulation. We conclude that in the post trauma reaction suicidality might be a presenting symptom in young people. Despite the shortcomings of a case series the results of this study suggest that a mood-map-based multimodal treatment approach with active techniques might be of value in the treatment of children and youth with suicidality.
PubMed ID
18783125 View in PubMed
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Activities of counsellors in a hospice/palliative care environment.

https://arctichealth.org/en/permalink/ahliterature191781
Source
J Palliat Care. 2001;17(4):229-35
Publication Type
Article
Date
2001
Author
M. Thompson
C. Rose
W. Wainwright
L. Mattar
M. Scanlan
Author Affiliation
Victoria Hospice Society, Royal Jubilee Hospital, Victoria, British Columbia, Canada.
Source
J Palliat Care. 2001;17(4):229-35
Date
2001
Language
English
Publication Type
Article
Keywords
Canada
Female
Hospices
Humans
Male
Palliative Care - methods
Professional-Family Relations
Psychotherapy - methods
Social Support
Task Performance and Analysis
Abstract
This study examined activities related to the provision of psychosocial care by counsellors in the hospice/palliative care setting. A qualitative design using written reports was used in an urban Canadian hospice/palliative care program. A convenient sample of 13 counsellors indicated the activities they typically performed in their work with patients and families. Thematic analysis of the activities directly related to patient and family care was performed and then validated by presenting these activities back to the counsellors in a group setting. Seven themes resulted: 1) companioning; 2) psychosocial assessment, planning, and evaluation; 3) counselling interventions; 4) facilitation and advocacy; 5) patient and family education; 6) consultation and reporting; and 7) team support. These thematic findings confirmed those of previous studies and also highlighted two additional findings. Team support was seen as an activity that directly affected client care, and there was a strong emphasis on the activity of companioning the dying and their families. Also discussed are implications of these results, as well as suggestions for further research.
PubMed ID
11813339 View in PubMed
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[Agents, methods and environments against suicide]

https://arctichealth.org/en/permalink/ahliterature68447
Source
Lakartidningen. 1997 Apr 16;94(16):1525-7
Publication Type
Article
Date
Apr-16-1997
Author
J. Thorson
Author Affiliation
Karolinska institutet, Riksförsäkringsverkets sjukhus, Nynäshamn.
Source
Lakartidningen. 1997 Apr 16;94(16):1525-7
Date
Apr-16-1997
Language
Swedish
Publication Type
Article
Keywords
Antidepressive Agents - administration & dosage
Environment
Humans
Psychotherapy - methods
Risk factors
Suicide - prevention & control
Sweden
PubMed ID
9173201 View in PubMed
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[Alternative forms of treatment of psychiatric patients]

https://arctichealth.org/en/permalink/ahliterature57219
Source
Ugeskr Laeger. 1991 Mar 11;153(11):782-4
Publication Type
Article
Date
Mar-11-1991
Author
H. Raben
K H Aggernaes
Author Affiliation
Psykiatrisk afdeling D, Frederiksberg Hospital.
Source
Ugeskr Laeger. 1991 Mar 11;153(11):782-4
Date
Mar-11-1991
Language
Danish
Publication Type
Article
Keywords
Adolescent
Adult
Age Factors
Aged
Complementary Therapies - statistics & numerical data
Costs and Cost Analysis
Denmark
English Abstract
Female
Humans
Male
Mental Disorders - therapy
Middle Aged
Psychotherapy - methods
Sex Factors
Abstract
In the Psychiatric Department of Frederiksberg Hospital, 115 of all 153 admitted patients were interviewed about their use of alternative treatment. Information obtained from the interviews was compared with data in the case records. Of the 115 patients interviewed, 42% had used alternative treatment at least once, while 17% had used alternative treatment within the past three months before the interview. Herbal medicine was the most frequent type of treatment. Nearly one half of the patients wanted treatment because of somatic problems. The frequency of alternative treatment decreased with age. Compared to the entire investigation group, those diagnosed as manic-depressive used alternative treatment more frequently, while schizophrenic patients used this kind of treatment less often. The patients most satisfied with the psychiatric department used alternative treatment less frequently. Use of alternative treatment was not related to duration of disease, or whether the patients were in the ward 24 hours or only during day-time. Only 19 of the 48 patients who had used alternative treatment had paid more than 1,000 Dkr. (approximately pounds 85) in all for the treatment, and only three patients had paid more than 1,000 Dkr. during the past three months. Women had paid relatively more for their treatment than men.
PubMed ID
2008728 View in PubMed
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[An additional voice on psychiatric treatment methods].

https://arctichealth.org/en/permalink/ahliterature252313
Source
Tidskr Sver Sjukskot. 1975 Apr 24;42(8):9, 11
Publication Type
Article
Date
Apr-24-1975
Author
P. Eliasson
Source
Tidskr Sver Sjukskot. 1975 Apr 24;42(8):9, 11
Date
Apr-24-1975
Language
Swedish
Publication Type
Article
Keywords
Humans
Longitudinal Studies
Psychotherapy - methods
Sweden
PubMed ID
1039173 View in PubMed
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An Auto-Ethnographic Study of "Open Dialogue": The Illumination of Snow.

https://arctichealth.org/en/permalink/ahliterature276392
Source
Fam Process. 2015 Dec;54(4):716-29
Publication Type
Article
Date
Dec-2015
Author
Mary Olson
Source
Fam Process. 2015 Dec;54(4):716-29
Date
Dec-2015
Language
English
Publication Type
Article
Keywords
Anthropology, Cultural
Communication
Finland
Humans
Massachusetts
Mental Disorders - etiology - therapy
Psychological Theory
Psychotherapy - methods
Abstract
This auto-ethnographic study describes the changes in the author's thinking and clinical work connected to her first-hand experience of Open Dialogue, which is an innovative, psychosocial approach to severe psychiatric crises developed in Tornio, Finland. In charting this trajectory, there is an emphasis on three interrelated themes: the micropolitics of U.S. managed mental health care; the practice of "dialogicality" in Open Dialogue; and the historical, cultural, and scientific shifts that are encouraging the adaptation of Open Dialogue in the United States. The work of Gregory Bateson provides a conceptual framework that makes sense of the author's experience and the larger trends. The study portrays and underscores how family and network practices are essential to responding to psychiatric crises and should not be abandoned in favor of a reductionist, biomedical model.
PubMed ID
26133053 View in PubMed
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Apples don't fall far from the tree: influences on psychotherapists' adoption and sustained use of new therapies.

https://arctichealth.org/en/permalink/ahliterature151212
Source
Psychiatr Serv. 2009 May;60(5):671-6
Publication Type
Article
Date
May-2009
Author
Joan M Cook
Paula P Schnurr
Tatyana Biyanova
James C Coyne
Author Affiliation
Northeast Program Evaluation Center, Department of Veterans Affairs (VA), Connecticut Healthcare System, 950 Campbell Ave., West Haven, CT 06516, USA. joan.cook@yale.edu
Source
Psychiatr Serv. 2009 May;60(5):671-6
Date
May-2009
Language
English
Publication Type
Article
Keywords
Adult
Canada
Demography
Female
Health Personnel
Humans
Male
Mental Health Services - organization & administration
Middle Aged
Organizational Innovation
Physician's Practice Patterns - organization & administration
Psychotherapy - methods
Time Factors
United States
Abstract
The purpose of this investigation was to identify influences on the current clinical practices of a broad range of mental health providers as well as influences on their adoption and sustained use of new practices.
U.S. and Canadian psychotherapists (N=2,607) completed a Web-based survey in which they rated factors that influence their clinical practice, including their adoption and sustained use of new treatments.
Empirical evidence had little influence on the practice of mental health providers. Significant mentors, books, training in graduate school, and informal discussions with colleagues were the most highly endorsed influences on current practice. The greatest influences on psychotherapists' willingness to learn a new treatment were its potential for integration with the therapy they were already providing and its endorsement by therapists they respected. Clinicians were more often willing to continue to use a new treatment when they were able to effectively and enjoyably conduct the therapy and when their clients liked the therapy and reported improvement.
Implications for dissemination and sustained use of new psychotherapies by community psychotherapists are discussed. For example, evidence-based treatments may best be promoted through therapy courses and workshops, beginning with graduate studies; to ensure future use of new therapies, developers of training workshops should emphasize ways to integrate their approaches into clinicians' existing practices.
Notes
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Cites: Am Psychol. 1986 Feb;41(2):188-973963612
Cites: Am Psychol. 1986 Feb;41(2):198-2063963613
Cites: J Clin Psychol. 2007 Jul;63(7):643-5517551937
Cites: Am Psychol. 2006 May-Jun;61(4):271-8516719673
Cites: Adm Policy Ment Health. 2006 May;33(3):398-40916755398
Cites: Clin Psychol Rev. 2006 Sep;26(5):600-2516820252
Cites: Psychiatr Serv. 2007 Mar;58(3):342-817325107
Cites: Am Psychol. 1995 Dec;50(12):984-948561382
PubMed ID
19411356 View in PubMed
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Are improvements in shame and self-compassion early in eating disorders treatment associated with better patient outcomes?

https://arctichealth.org/en/permalink/ahliterature106757
Source
Int J Eat Disord. 2014 Jan;47(1):54-64
Publication Type
Article
Date
Jan-2014
Author
Allison C Kelly
Jacqueline C Carter
Sahar Borairi
Author Affiliation
Department of Psychology, University of Waterloo, Waterloo, Ontario, N2L 3G1, Canada.
Source
Int J Eat Disord. 2014 Jan;47(1):54-64
Date
Jan-2014
Language
English
Publication Type
Article
Keywords
Adolescent
Adult
Canada - epidemiology
Eating Disorders - psychology - therapy
Female
Humans
Male
Middle Aged
Patient Participation - psychology - statistics & numerical data
Personality Inventory
Predictive value of tests
Psychotherapy - methods
Questionnaires
Self Concept
Shame
Treatment Outcome
Young Adult
Abstract
Compassion-focused therapy (CFT; Gilbert, 2005, 2009) is a transdiagnostic treatment approach focused on building self-compassion and reducing shame. It is based on the theory that feelings of shame contribute to the maintenance of psychopathology, whereas self-compassion contributes to the alleviation of shame and psychopathology. We sought to test this theory in a transdiagnostic sample of eating disorder patients by examining whether larger improvements in shame and self-compassion early in treatment would facilitate faster eating disorder symptom remission over 12 weeks. Participants were 97 patients with an eating disorder admitted to specialized day hospital or inpatient treatment. They completed the Eating Disorder Examination-Questionnaire, Experiences of Shame Scale, and Self-Compassion Scale at intake, and again after weeks 3, 6, 9, and 12. Multilevel modeling revealed that patients who experienced greater decreases in their level of shame in the first 4 weeks of treatment had faster decreases in their eating disorder symptoms over 12 weeks of treatment. In addition, patients who had greater increases in their level of self-compassion early in treatment had faster decreases in their feelings of shame over 12 weeks, even when controlling for their early change in eating disorder symptoms. These results suggest that CFT theory may help to explain the maintenance of eating disorders. Clinically, findings suggest that intervening with shame early in treatment, perhaps by building patients' self-compassion, may promote better eating disorders treatment response.
PubMed ID
24115289 View in PubMed
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Are therapists uniformly effective across patient outcome domains? A study on therapist effectiveness in two different treatment contexts.

https://arctichealth.org/en/permalink/ahliterature280038
Source
J Couns Psychol. 2016 Jul;63(4):367-78
Publication Type
Article
Date
Jul-2016
Author
Helene A Nissen-Lie
Simon B Goldberg
William T Hoyt
Fredrik Falkenström
Rolf Holmqvist
Stevan Lars Nielsen
Bruce E Wampold
Source
J Couns Psychol. 2016 Jul;63(4):367-78
Date
Jul-2016
Language
English
Publication Type
Article
Keywords
Adolescent
Adult
Counseling - methods
Female
Health Personnel
Humans
Male
Mental Disorders - psychology - therapy
Mental health
Middle Aged
Psychotherapy - methods
Surveys and Questionnaires
Sweden
Treatment Outcome
United States
Young Adult
Abstract
As established in several studies, therapists differ in effectiveness. A vital research task now is to understand what characterizes more or less effective therapists, and investigate whether this differential effectiveness systematically depends on client factors, such as the type of mental health problem. The purpose of the current study was to examine whether therapists are universally effective across patient outcome domains reflecting different areas of mental health functioning. Data were obtained from 2 sites: the Research Consortium of Counseling and Psychological Services in Higher Education (N = 5,828) in the United States and from primary and secondary care units (N = 616) in Sweden. Outcome domains were assessed via the Outcome Questionnaire-45 (Lambert et al., 2004) and the CORE-OM (Evans et al., 2002). Multilevel models with observations nested within patients were used to derive a reliable estimate for each patient's change (which we call a multilevel growth d) based on all reported assessment points. Next, 2 multilevel confirmatory factor analytic models were fit in which these effect sizes (multilevel ds) for the 3 subscales of the OQ-45 (Study 1) and 6 subscales of CORE-OM (Study 2) were indicators of 1 common latent factor at the therapist level. In both data sets, such a model, reflecting a global therapist effectiveness factor, yielded large factor loadings and excellent model fit. Results suggest that therapists effective (or ineffective) within one outcome domain are also effective within another outcome domain. Tentatively, therapist effectiveness can thus be conceived of as a global construct. (PsycINFO Database Record
PubMed ID
27124549 View in PubMed
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198 records – page 1 of 20.