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Psychology And The Enhancement Of Medication Adherence, Mitchell Byrne, Frank Deane Nov 2012

Psychology And The Enhancement Of Medication Adherence, Mitchell Byrne, Frank Deane

Mitchell K Byrne

This paper reports on a new approach to the enhancement of medication adherence - Medication Alliance. Medication Alliance was developed and piloted by a project team that includes Mitch Byrne as project leader, Frank Deane as research supervisor, and two consultants, Tim Coombs and Gordon Lambert. Because Medication Alliance borrows heavily from psychological principles such as functional analysis and cognitive therapy, this presentation is entitled 'Psychology and the Enhancement of Medication Adherence '. However, Medication Alliance is a non-discipline specific therapy approach that fits well within the purview of any clinician delivering psychosocial interventions. The theoretical underpinnings of the various …


Enhancing Patient Adherence: Outcomes Of Medication Alliance Training On Therapeutic Alliance, Insight, Adherence, And Psychopathology With Mental Health Patients, Mitchell Byrne, Frank Deane Nov 2012

Enhancing Patient Adherence: Outcomes Of Medication Alliance Training On Therapeutic Alliance, Insight, Adherence, And Psychopathology With Mental Health Patients, Mitchell Byrne, Frank Deane

Mitchell K Byrne

The results of interventions to enhance patient adherence to medication have been inconsistent. This research investigated the utility of an enhanced adherence training programme to ascertain its effectiveness and the possible mechanisms of that effect. Forty-six clinicians were trained in 'medication alliance', and data were collected from 51 patients matched to the clinician. Data on clinician changes in skills, knowledge, and attitudes, in relation to enhancing patient adherence and patient changes in adherence, insight, and psychopathology were collected at baseline and at 6 and 12 months. The quality of the therapeutic relationship between the clinician and the patient was also …


Eeg In Adults With Attention-Deficit/Hyperactivity Disorder, Patrick Heaven, Robert Barry, Mitchell Byrne, Adam Clarke, Rory Mccarthy, Mark Selikowitz Nov 2012

Eeg In Adults With Attention-Deficit/Hyperactivity Disorder, Patrick Heaven, Robert Barry, Mitchell Byrne, Adam Clarke, Rory Mccarthy, Mark Selikowitz

Mitchell K Byrne

Attention-Deficit/Hyperactivity Disorder (AD/HD) is the most common psychiatric disorder of childhood, but it is becoming increasingly more apparent that more than half the childhood sufferers will continue to manifest symptoms of the disorder as adults. While EEG coherence in children with AD/HD has been examined extensively, no studies have investigated coherence in adults with the disorder. This study investigated EEG coherence in adults with AD/HD. EEG was recorded from 18 adult males with AD/HD, and an age- and gender-matched control group, during an eyes-closed resting condition. Waveshape coherence was calculated for 8 intrahemispheric electrode pairs (4 in each hemisphere), and …


Nurse's Beliefs And Knowledge About Medications Are Associated With Their Difficulties Using Patient Treatment Adherence Strategies, Mitchell Byrne, Frank Deane, Tim Coombs Nov 2012

Nurse's Beliefs And Knowledge About Medications Are Associated With Their Difficulties Using Patient Treatment Adherence Strategies, Mitchell Byrne, Frank Deane, Tim Coombs

Mitchell K Byrne

Background: The attitudes and beliefs of patients toward their treatment have been found to be an important factor in treatment outcome, particularly as it relates to treatment adherence. There are also suggestions that knowledge, attitudes and beliefs held by nurses about treatments may also be important influences on treatment outcome but there has been little research relating these to specific clinical behaviour. Aims: This study explored the knowledge and beliefs of nurses toward neuroleptic medications in the treatment of severe mental ill health with the view to identifying specific nurse training needs. Method: A convenience sample of 64 nurses was …


Training Models For Psychiatry In Primary Care: A New Frontier, Mitchell Byrne, Rachael Murrihy Nov 2012

Training Models For Psychiatry In Primary Care: A New Frontier, Mitchell Byrne, Rachael Murrihy

Mitchell K Byrne

No abstract provided.


Can Volunteer Counsellors Help Prevent Psychological Trauma? A Preliminary Communication On Volunteers Skills Using The 'Orienting Approach' To Trauma, Mitchell Byrne, Frank Deane, Andrew Phipps Nov 2012

Can Volunteer Counsellors Help Prevent Psychological Trauma? A Preliminary Communication On Volunteers Skills Using The 'Orienting Approach' To Trauma, Mitchell Byrne, Frank Deane, Andrew Phipps

Mitchell K Byrne

The capacity of 73 volunteer telephone counsellors to administer a brief and early intervention for secondary trauma was assessed. The counsellors participated in a 1-day training programme in the ‘Orienting Approach’ to Trauma Counselling (Phipps & Byrne, 2003). Volunteer counsellors showed significant improvements in both knowledge and skills from pre- to post-training. The potential benefits of this intervention to the community and professional health services are discussed.


The Detection Of Malingered Psychopathology And Cognitive Deficits: Employing The Fake Bad Scale And The Raven's Standard Progressive Matricies, Mitchell Byrne, Peter Golus, Steven Sellers Nov 2012

The Detection Of Malingered Psychopathology And Cognitive Deficits: Employing The Fake Bad Scale And The Raven's Standard Progressive Matricies, Mitchell Byrne, Peter Golus, Steven Sellers

Mitchell K Byrne

No abstract provided.


Enhancing Medication Adherence: Clinician Outcomes From The Medication Alliance Training Program, Mitchell Byrne, Frank Deane, William Lambert, Timothy Coombs Nov 2012

Enhancing Medication Adherence: Clinician Outcomes From The Medication Alliance Training Program, Mitchell Byrne, Frank Deane, William Lambert, Timothy Coombs

Mitchell K Byrne

OBJECTIVE: Patient nonadherence to psychiatric medication is a key cause of relapse but clinicians do not appear to possess specific adherence skills. We sought to demonstrate that a brief training program on medication adherence strategies could improve the adherence skills, attitudes and knowledge of mental health clinicians. METHODS: Twenty-three Tasmanian mental health workers were provided a 3 day training workshop on strategies to enhance patient adherence to medications (Medication Alliance). Pre- and post-training measures were taken of clinician knowledge about adherence strategies, ability to identify predictors of nonadherence, attitudes toward working with nonadherent patients, and optimism about treatment outcomes for …


Mental Health Clinicians' Beliefs About Medicines, Attitudes, And Expectations Of Improved Medication Adherence In Patients, Mitchell Byrne, Peter Caputi, Frank Deane Nov 2012

Mental Health Clinicians' Beliefs About Medicines, Attitudes, And Expectations Of Improved Medication Adherence In Patients, Mitchell Byrne, Peter Caputi, Frank Deane

Mitchell K Byrne

Nonadherence to antipsychotic medications remains a major factor in poor clinical outcomes. This study sought to identify clinician beliefs about patients who do not adhere to treatment, the clinicians' own beliefs about medicines, and the impact of beliefs on efforts to enhance patient adherence. In total, 292 clinicians responded to an anonymous questionnaire that included questions about their beliefs and their efforts to enhance adherence. Results indicated that clinicians' beliefs about their own adequacy to enhance adherence significantly predicted actual efforts to enhance adherence. Both pessimism about outcomes and empathy for the patient predicted outcome expectancy. It was concluded that …


Predicting Vicarious Traumatization In Those Indirectly Exposed To Bushfires, Mitchell Byrne, Doukessa Lerias, Nichole Sullivan Nov 2012

Predicting Vicarious Traumatization In Those Indirectly Exposed To Bushfires, Mitchell Byrne, Doukessa Lerias, Nichole Sullivan

Mitchell K Byrne

No abstract provided.


Medication Alliance: Enhancing Adherance And Therapeutic Outcomes For People With Psychosis, Frank Deane, Mitchell Byrne Nov 2012

Medication Alliance: Enhancing Adherance And Therapeutic Outcomes For People With Psychosis, Frank Deane, Mitchell Byrne

Mitchell K Byrne

No abstract provided.


The Level Of Service Inventory-Revised (Lsi-R) And Australian Offenders: Factor Structure, Sensitivity, And Specificity, Ching-I Hsu, Peter Caputi, Mitchell Byrne Nov 2012

The Level Of Service Inventory-Revised (Lsi-R) And Australian Offenders: Factor Structure, Sensitivity, And Specificity, Ching-I Hsu, Peter Caputi, Mitchell Byrne

Mitchell K Byrne

No abstract provided.


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, …


Undergraduate Psychology Training And Workplace Needs: Student Perspectives On The Extent To Which Their Education Prepares Them For Their Chosen Career, G Stoyles, P Caputi, M Byrne, T Crowe May 2012

Undergraduate Psychology Training And Workplace Needs: Student Perspectives On The Extent To Which Their Education Prepares Them For Their Chosen Career, G Stoyles, P Caputi, M Byrne, T Crowe

Mitchell K Byrne

The current study surveyed 195 first to fourth year psychology students at a regional university in New South Wales about the amount of applied content in undergraduate psychology training and post-graduate opportunities for employment as a psychologist. Eighty-nine percent of students believed that the level of applied psychological training was either nonexistent or inadequate, and therefore did not equip them for finding work as a psychologist. Ninety-six percent of students who wished to become intern psychologists believed that opportunities for working as intern generalist psychologists were either non-existent or insufficient. Concerns around employment and registration opportunities reflected this group’s disillusionment …