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Relationship Between Therapeutic Homework And Clinical Outcomes For Individuals With Severe Mental Illness, Peter Kelly, Frank P. Deane Aug 2012

Relationship Between Therapeutic Homework And Clinical Outcomes For Individuals With Severe Mental Illness, Peter Kelly, Frank P. Deane

Frank Deane

Objective: Therapeutic homework has been recommended for use by mental health case managers to help patients with severe mental illness (SMI). The current research examined the actual use of homework by case managers working in clinical practice. Method: Case managers were trained in a systematic approach to homework administration and were provided with carbonized homework administration pads to assist with homework implementation. Hierarchical linear modelling was used to examine the relationship between homework and outcome for participants in the study (n_129). Results: The total number of homework assignments administered to each patient predicted improvement on the Health of the Nation …


Therapeutic Homework To Support Recovery From Severe Mental Illness, Peter Kelly, Frank P. Deane Aug 2012

Therapeutic Homework To Support Recovery From Severe Mental Illness, Peter Kelly, Frank P. Deane

Frank Deane

Therapeutic homework refers to activities that clients complete between their visits with mental health workers. The aim of such homework is to facilitate progress toward h'eatment goals. There is an increasing body of research indicating that homework completion is associated with improved outcomes of psychotherapy across a wide range of clinical disorders (such as depression and anxiety). However, there is limited research into the role of homework in mental health case management for people with severe mental illnesses such as schizophrenia.


Hope, Meaning And Responsibility Across Stages Of Recovery For Individuals Living With An Enduring Mental Illness, Vedrana Copic, Frank P. Deane, Trevor P. Crowe, Lindsay G. Oades Aug 2012

Hope, Meaning And Responsibility Across Stages Of Recovery For Individuals Living With An Enduring Mental Illness, Vedrana Copic, Frank P. Deane, Trevor P. Crowe, Lindsay G. Oades

Frank Deane

This study reports on the relationship between stage of recovery and hope, meaning and responsibility for individuals diagnosed with severe mental illness. Methods: Seventy-seven people with a diagnosis of a psychotic disorder of at least 6 months’ duration participated in the study. Participants completed the Self-Identified Stage of Recovery (SISR) scale, measures of component processes of recovery (Hope Scale; Positive Interpretation of Disease, SpREUK; Active Involvement, Personal Health Management Questionnaire (PHMQ) and the Recovery Assessment Scale-short (RAS). Results: Hope, meaning, Personal Confidence and Hope and Not Being Dominated by Symptoms varied significantly across stages of recovery; however, neither in a …


Increasing Research Familiarity Amongst Members Of A Clubhouse For People With Mental Illness, Sarah Louise Marshall, Frank Deane, Nicola Hancock Aug 2012

Increasing Research Familiarity Amongst Members Of A Clubhouse For People With Mental Illness, Sarah Louise Marshall, Frank Deane, Nicola Hancock

Frank Deane

No abstract provided.


Improving Therapeutic Use Of Homework: Suggestions From Mental Health Clinicians, Peter Kelly, Frank P. Deane Jul 2012

Improving Therapeutic Use Of Homework: Suggestions From Mental Health Clinicians, Peter Kelly, Frank P. Deane

Peter Kelly

Background. The majority of mental health clinicians report the use of homework to support their case management, but practitioner surveys indicate that homework is not routinely used. Aims. To examine barriers that mental health case managers experience in implementing homework and to identify strategies to promote successful homework administration. Method. One hundred thirty-four surveys were completed by mental health case managers. The survey examined their use of homework for individuals diagnosed with a severe mental health problem. It also asked them to identify barriers to regularly implement homework and describe strategies to promote more regular use of homework. Results. On …


Do Therapeutic Homework Assignments Address Areas Of Need For Individuals With Severe Mental Illness?, Peter Kelly, Frank P. Deane Jul 2012

Do Therapeutic Homework Assignments Address Areas Of Need For Individuals With Severe Mental Illness?, Peter Kelly, Frank P. Deane

Peter Kelly

The current study explores the types of homework assignments used in a recovery orientated case management approach. It also examines the relationship between the types of homework used and the clients’ area of need as rated on the CANSAS. There were 129 client and mental health case manager dyads that participated in the study. Written copies of all homework assignments administered during the 12-month research period were collected (N = 1,054). The homework assignments were categorised according to the ‘type’ and the ‘need domain addressed by the task’. The majority of these tasks were behavioural in nature. On a group …


Benchmarking Across Sectors: Comparisons Of Residential Dual Diagnosis And Mental Health Programs, Frank P. Deane, Peter Kelly, Talia Gonda, Ganapathi Murugesan, Robyn Jeffrey Jul 2012

Benchmarking Across Sectors: Comparisons Of Residential Dual Diagnosis And Mental Health Programs, Frank P. Deane, Peter Kelly, Talia Gonda, Ganapathi Murugesan, Robyn Jeffrey

Peter Kelly

[extract] A Question to Ponder: How does your service compare to other similar services in the industry? How would knowing this help your organisation?


Relationship Between Therapeutic Homework And Clinical Outcomes For Individuals With Severe Mental Illness, Peter Kelly, Frank P. Deane Jul 2012

Relationship Between Therapeutic Homework And Clinical Outcomes For Individuals With Severe Mental Illness, Peter Kelly, Frank P. Deane

Peter Kelly

Objective: Therapeutic homework has been recommended for use by mental health case managers to help patients with severe mental illness (SMI). The current research examined the actual use of homework by case managers working in clinical practice. Method: Case managers were trained in a systematic approach to homework administration and were provided with carbonized homework administration pads to assist with homework implementation. Hierarchical linear modelling was used to examine the relationship between homework and outcome for participants in the study (n_129). Results: The total number of homework assignments administered to each patient predicted improvement on the Health of the Nation …


Use Of Homework By Mental Health Case Managers In The Rehabilitation Of Persistent And Recurring Psychiatric Disability, Peter Kelly, Frank P. Deane, Nikolaos Kazantzis, Trevor P. Crowe, Lindsay G. Oades Jul 2012

Use Of Homework By Mental Health Case Managers In The Rehabilitation Of Persistent And Recurring Psychiatric Disability, Peter Kelly, Frank P. Deane, Nikolaos Kazantzis, Trevor P. Crowe, Lindsay G. Oades

Peter Kelly

Background: Homework refers to between-session activities that are tied to therapeutic goals. Homework has been suggested as being an important clinical adjunct to case management practices, however, to date, research has not examined case managers’ use of homework. Aims: To identify the degree that case managers use homework within their clinical practice and explore the way it is administered with people diagnosed with a persistent and recurring psychiatric illness. Method: A survey was completed by 122 case managers (63% of those approached) comprising nurses, psychologists, social workers, occupational therapists and welfare/support workers. Results: Ninety-three percent of case managers implement homework, …


Systematic Homework Administration Predicts Outcome For Individuals Diagnosed With Severe Mental Illness, Peter Kelly, Frank Deane Jul 2012

Systematic Homework Administration Predicts Outcome For Individuals Diagnosed With Severe Mental Illness, Peter Kelly, Frank Deane

Peter Kelly

No abstract provided.


Quality Of Systematic Therapeutic Homework Administration Procedures Facilitates Homework Completion In Patients With Severe And Persistent Mental Disorders, Peter Kelly, Frank Deane Jul 2012

Quality Of Systematic Therapeutic Homework Administration Procedures Facilitates Homework Completion In Patients With Severe And Persistent Mental Disorders, Peter Kelly, Frank Deane

Peter Kelly

Most clinicians who work with individuals diagnosed with psychotic disorders requiring long term treatment indicate that they use therapeutic homework regularly in treatment. However, research indicates that only 15% of clinicians consistently use a systematic approach to homework administration that involves specifying details such as where, when, how long and how often the assignment should be completed. It has been theorised that systematic implementation of homework leads to improved homework performance. Systematic homework administration procedures were part of a study evaluating the effects of the Collaborative Recovery training program. Clinicians who completed the training implemented the methods they had learned …


Therapeutic Homework To Support Recovery From Severe Mental Illness, Peter Kelly, Frank Deane Jul 2012

Therapeutic Homework To Support Recovery From Severe Mental Illness, Peter Kelly, Frank Deane

Peter Kelly

Therapeutic homework refers to activities that clients complete between their visits with mental health workers. The aim of such homework is to facilitate progress toward h'eatment goals. There is an increasing body of research indicating that homework completion is associated with improved outcomes of psychotherapy across a wide range of clinical disorders (such as depression and anxiety). However, there is limited research into the role of homework in mental health case management for people with severe mental illnesses such as schizophrenia.


Clinician Optimism: Development And Psychometric Analysis Of A Scale For Mental Health Clinicians, Mitchell K. Byrne, Nichole L. Sullivan, Stephen J. Elsom May 2012

Clinician Optimism: Development And Psychometric Analysis Of A Scale For Mental Health Clinicians, Mitchell K. Byrne, Nichole L. Sullivan, Stephen J. Elsom

Mitchell K Byrne

Clinician optimism is an important factor in achieving treatment outcomes in psychotherapy. Currently there are no measures of mental health clinician optimism which report substantial psychometric validation. This study sought to assesses the validity and reliability of the Therapeutic Optimism Scale (TOS). 223 mental health clinicians working in a range of clinical settings were administered the TOS and convergent and discriminate validity were established. Test-retest reliability was established over a period of one month. The Therapeutic Optimism Scale was found to achieve acceptable reliability (Chronbach's alpha = .68) and yielded consistent scores over a one month period (r = .68, …


Exploring Identity Within The Recovery Process Of People With Serious Mental Illnesses, Kellie Buckley-Walker, Trevor P. Crowe, Peter Caputi Jan 2012

Exploring Identity Within The Recovery Process Of People With Serious Mental Illnesses, Kellie Buckley-Walker, Trevor P. Crowe, Peter Caputi

Trevor Crowe

Objective: To examine self-identity within the recovery processes of people with serious mental illnesses using a repertory grid methodology. Method: Cross-sectional study involving 40 mental health service consumers. Participants rated different "self" and "other" elements on the repertory grid against Constructs related to recovery, as well as other recovery focused measures. Results: Perceptions of one's "ideal self" represented more advanced recovery in contrast to perceptions of "a person mentally unwell." Current perceptions of self were most similar to perceptions of "usual self" and least similar to "a Person who is mentally unwell." Increased identification with one's "ideal self" reflected increased …


Australian Mental Health Consumers' Contributions To The Evaluation And Improvement Of Recoveryoriented Service Provision, Sarah L. Marshall, Lindsay G. Oades, Trevor P. Crowe Jan 2012

Australian Mental Health Consumers' Contributions To The Evaluation And Improvement Of Recoveryoriented Service Provision, Sarah L. Marshall, Lindsay G. Oades, Trevor P. Crowe

Trevor Crowe

No abstract provided.


Collaborative Recovery: An Integrative Model For Working With Individuals Who Experience Chronic And Recurring Mental Illness, Lindsay G. Oades, Frank P. Deane, Trevor P. Crowe, Gordon Lambert, David Kavanagh, Christopher Lloyd Jan 2012

Collaborative Recovery: An Integrative Model For Working With Individuals Who Experience Chronic And Recurring Mental Illness, Lindsay G. Oades, Frank P. Deane, Trevor P. Crowe, Gordon Lambert, David Kavanagh, Christopher Lloyd

Trevor Crowe

Objectives: Recovery is an emerging movement in mental health. Evidence for recovery-based approaches is not well developed and approaches to implement recovery-oriented services are not well articulated. The collaborative recovery model (CRM) is presented as a model that assists clinicians to use evidencebased skills with consumers, in a manner consistent with the recovery movement. A current 5 year multisite Australian study to evaluate the effectiveness of CRM is briefly described. Conclusion: The collaborative recovery model puts into practice several aspects of policy regarding recovery-oriented services, using evidence-based practices to assist individuals who have chronic or recurring mental disorders (CRMD). It …


A Review Of Engagement Of Indigenous Australians Within Mental Health And Substance Abuse Services., Stacey Berry, Trevor P. Crowe Jan 2012

A Review Of Engagement Of Indigenous Australians Within Mental Health And Substance Abuse Services., Stacey Berry, Trevor P. Crowe

Trevor Crowe

Substance misuse is a significant issue in Australia, and a large proportion of individuals with substance misuse disorders have co-existing mental health disorders. There is evidence that Indigenous Australians are more likely than non-Indigenous Australians to experience the adverse effects of alcohol consumption, and that mental health disorders are more prevalent in Indigenous communities than non-Indigenous communities. Indigenous Australians currently do not access mental health and substance abuse services at a level which is consistent with their level of need, and this is largely due to inconsistent or insufficient culturally respectful mental health services. This paper provides a review of …


Hope And Improvements In Mental Health Service Providers' Recovery Attitudes Following Training, Janaka D. Salgado, Frank P. Deane, Trevor P. Crowe, Lindsay G. Oades Jan 2012

Hope And Improvements In Mental Health Service Providers' Recovery Attitudes Following Training, Janaka D. Salgado, Frank P. Deane, Trevor P. Crowe, Lindsay G. Oades

Trevor Crowe

No abstract provided.


Mental Health Consumers' Perceptions Of Receiving Recovery-Focused Services, Sarah Marshall, Lindsay G. Oades, Trevor P. Crowe Jan 2012

Mental Health Consumers' Perceptions Of Receiving Recovery-Focused Services, Sarah Marshall, Lindsay G. Oades, Trevor P. Crowe

Trevor Crowe

Method: A self-report questionnaire was developed drawing on key aspects of the Collaborative Recovery Model (CRM) (responsibility, collaboration, autonomy, motivation, needs, goals, homework). Ninety-two adult consumers from metropolitan, regional and rural non-government organizations and public mental health services in eastern Australian states completed the questionnaire. Results: Consumers using services provided by CRM trained workers identified significant changes to service delivery in relation to frequency with which they were encouraged to take responsibility for their recovery, degree to which they collaborated with staff and the extent to which they were encouraged to complete homework activities to assist them to achieve their …


Use Of Homework By Mental Health Case Managers In The Rehabilitation Of Persistent And Recurring Psychiatric Disability, Peter Kelly, Frank P. Deane, Nikolaos Kazantzis, Trevor P. Crowe, Lindsay G. Oades Jan 2012

Use Of Homework By Mental Health Case Managers In The Rehabilitation Of Persistent And Recurring Psychiatric Disability, Peter Kelly, Frank P. Deane, Nikolaos Kazantzis, Trevor P. Crowe, Lindsay G. Oades

Trevor Crowe

Background: Homework refers to between-session activities that are tied to therapeutic goals. Homework has been suggested as being an important clinical adjunct to case management practices, however, to date, research has not examined case managers’ use of homework. Aims: To identify the degree that case managers use homework within their clinical practice and explore the way it is administered with people diagnosed with a persistent and recurring psychiatric illness. Method: A survey was completed by 122 case managers (63% of those approached) comprising nurses, psychologists, social workers, occupational therapists and welfare/support workers. Results: Ninety-three percent of case managers implement homework, …


Predicting Clinically Signficant Change In An Inpatient Program For People With Severe Mental Illness, Talia Gonda, Frank P. Deane, Ganapathi A. Murugesan Jan 2012

Predicting Clinically Signficant Change In An Inpatient Program For People With Severe Mental Illness, Talia Gonda, Frank P. Deane, Ganapathi A. Murugesan

Faculty of Health and Behavioural Sciences - Papers (Archive)

Objective: The first aim of this study was to assess the proportion of patients who achieved reliable and clinically significant change over the course of treatment in an inpatient psychosocial rehabilitation program. The second aim was to determine whether age, gender, length of stay, and diagnosis and co-morbid diagnosis predicted those who were classified as improved or not improved, using clinical significance criteria. Method: Three hundred and thirty-seven patients from inpatient units at Bloomfield Hospital, Orange, New South Wales, Australia were assessed at admission, 3-month reviews and discharge using the expanded Brief Psychiatric Rating Scale, the Health of the Nation …


Stimulating An Interest In Mental Health Nursing, Lorna Moxham, Renee Brighton, Terry Froggatt, Susan Liersch, Patrea Andersen Jan 2012

Stimulating An Interest In Mental Health Nursing, Lorna Moxham, Renee Brighton, Terry Froggatt, Susan Liersch, Patrea Andersen

Faculty of Health and Behavioural Sciences - Papers (Archive)

A team of researchers at the University of Wollongong are currently examining the experiences of Bachelor of Nursing (BN) students as they engage in a stimulating learning experience in mental health.


Recovery In Mental Health: A Movement Towards Well-Being And Meaning In Contrast To An Avoidance Of Symptoms, Samantha Clarke, Lindsay G. Oades, Trevor Patrick Crowe Jan 2012

Recovery In Mental Health: A Movement Towards Well-Being And Meaning In Contrast To An Avoidance Of Symptoms, Samantha Clarke, Lindsay G. Oades, Trevor Patrick Crowe

Faculty of Health and Behavioural Sciences - Papers (Archive)

Objective: This paper examines the types of goals being set by individuals in the context of Australian mental health services and whether goal type differs across the stages of recovery. Methods: Goal records of 144 individuals accessing services were reviewed to examine goal content, ratio of approach and avoidance oriented goals and changes across stages of psychological recovery. Results: Individuals further along in their recovery set significantly more approach goals and types of goals set appeared to reflect broader life roles. Conclusions and Implications for Practice: Setting approach goals and goals that reflect broader life roles tends to support the …


Distress And Metacognition In Psychosis Prone Individuals: Comparing High Schizotypes To The At-Risk Mental State, Emma Barkus, John Stirling, Paul French, Anthony Morrison, Richard Bentall, Shon Lewis Dec 2011

Distress And Metacognition In Psychosis Prone Individuals: Comparing High Schizotypes To The At-Risk Mental State, Emma Barkus, John Stirling, Paul French, Anthony Morrison, Richard Bentall, Shon Lewis

Emma Barkus

Both schizotypy and at-risk mental states (ARMS: prodromal states) define individuals at risk for psychotic symptoms. However, the relationship between the 2 is unclear. ARMS individuals are, by definition, help-seeking and therefore at greater risk. We tested whether high schizotypes and ARMS exist along the same continuum by examining maladaptive metacognitions and distress. About 95 healthy volunteers (39% male; mean age, 22.8 years) completed the Schizotypal Personality Questionnaire, the Launay-Slade Hallucinations Scale, Metacognitions Questionnaire (MCQ), and the General Health Questionnaire, and 58 help seeking individuals with ARMS status (41% male; mean age, 22.2 years) completed the Metacognitions Questionnaire and General …


Do Therapeutic Homework Assignments Address Areas Of Need For Individuals With Severe Mental Illness?, Peter Kelly, Frank P. Deane Jan 2011

Do Therapeutic Homework Assignments Address Areas Of Need For Individuals With Severe Mental Illness?, Peter Kelly, Frank P. Deane

Faculty of Health and Behavioural Sciences - Papers (Archive)

The current study explores the types of homework assignments used in a recovery orientated case management approach. It also examines the relationship between the types of homework used and the clients’ area of need as rated on the CANSAS. There were 129 client and mental health case manager dyads that participated in the study. Written copies of all homework assignments administered during the 12-month research period were collected (N = 1,054). The homework assignments were categorised according to the ‘type’ and the ‘need domain addressed by the task’. The majority of these tasks were behavioural in nature. On a group …


Hope, Meaning And Responsibility Across Stages Of Recovery For Individuals Living With An Enduring Mental Illness, Vedrana Copic, Frank P. Deane, Trevor P. Crowe, Lindsay G. Oades Jan 2011

Hope, Meaning And Responsibility Across Stages Of Recovery For Individuals Living With An Enduring Mental Illness, Vedrana Copic, Frank P. Deane, Trevor P. Crowe, Lindsay G. Oades

Faculty of Health and Behavioural Sciences - Papers (Archive)

This study reports on the relationship between stage of recovery and hope, meaning and responsibility for individuals diagnosed with severe mental illness. Methods: Seventy-seven people with a diagnosis of a psychotic disorder of at least 6 months’ duration participated in the study. Participants completed the Self-Identified Stage of Recovery (SISR) scale, measures of component processes of recovery (Hope Scale; Positive Interpretation of Disease, SpREUK; Active Involvement, Personal Health Management Questionnaire (PHMQ) and the Recovery Assessment Scale-short (RAS). Results: Hope, meaning, Personal Confidence and Hope and Not Being Dominated by Symptoms varied significantly across stages of recovery; however, neither in a …


Implementation Of A Major In Mental Health Nursing In Australian Universities, Brenda Happell, Lorna Moxham, Karen-Ann Clarke Jan 2011

Implementation Of A Major In Mental Health Nursing In Australian Universities, Brenda Happell, Lorna Moxham, Karen-Ann Clarke

Faculty of Health and Behavioural Sciences - Papers (Archive)

The difficulty recruiting and retaining an adequate mental health nursing workforce is acknowledged. The major in mental health nursing has been identified as a strategy to promote this specialist area of practice as desirable for students’ future careers. Measuring its success requires the collection of detailed data about the structure, content, and uptake of these programmes. A survey was specifically developed to elicit descriptive information about the structure and content of a major in mental health nursing programmes. Fourteen universities participated in this research. Eight had implemented a major, one intends to do so in 2011, and five had abandoned …


Improving Therapeutic Use Of Homework: Suggestions From Mental Health Clinicians, Peter Kelly, Frank P. Deane Jan 2011

Improving Therapeutic Use Of Homework: Suggestions From Mental Health Clinicians, Peter Kelly, Frank P. Deane

Faculty of Health and Behavioural Sciences - Papers (Archive)

Background. The majority of mental health clinicians report the use of homework to support their case management, but practitioner surveys indicate that homework is not routinely used. Aims. To examine barriers that mental health case managers experience in implementing homework and to identify strategies to promote successful homework administration. Method. One hundred thirty-four surveys were completed by mental health case managers. The survey examined their use of homework for individuals diagnosed with a severe mental health problem. It also asked them to identify barriers to regularly implement homework and describe strategies to promote more regular use of homework. Results. On …


A Strong Commitment To Mental Health Nursing, Renee Brighton, Angela Brown, Terence Froggatt, Susan Liersch Jan 2011

A Strong Commitment To Mental Health Nursing, Renee Brighton, Angela Brown, Terence Froggatt, Susan Liersch

Faculty of Health and Behavioural Sciences - Papers (Archive)

The School of Nursing, Midwifery and Indigenous Health (SNMIH) at the University of Wollongong, places great emphasis on providing nursing students with fundamental education and knowledge in mental health nursing. There are two dedicated undergraduate mental health subjects delivered within the Bachelor of Nursing (BN) program. Both subjects are placed in adjacent sessions to provide a consolidated speciality experience for all BN students. The two subjects incorporate core values and principles to guide the teaching of mental health nursing, learning outcomes that reflect the Australian Nursing and Midwifery Council (ANMC) competencies and are based on recommendations from the Mental Health …


Australian Mental Health Consumers' Contributions To The Evaluation And Improvement Of Recoveryoriented Service Provision, Sarah L. Marshall, Lindsay G. Oades, Trevor P. Crowe Jan 2010

Australian Mental Health Consumers' Contributions To The Evaluation And Improvement Of Recoveryoriented Service Provision, Sarah L. Marshall, Lindsay G. Oades, Trevor P. Crowe

Faculty of Health and Behavioural Sciences - Papers (Archive)

No abstract provided.