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A Taxonomy For Homework Used By Mental Health Case Managers When Working With Individuals Diagnosed With Severe Mental Illness, Peter Kelly, Frank P. Deane, Robert King, Nikolaos Kazantzis, Trevor P. Crowe Nov 2012

A Taxonomy For Homework Used By Mental Health Case Managers When Working With Individuals Diagnosed With Severe Mental Illness, Peter Kelly, Frank P. Deane, Robert King, Nikolaos Kazantzis, Trevor P. Crowe

Trevor Crowe

A survey was completed by 122 case managers describing the types of homework assignments commonly used with individuals diagnosed with severe mental illness (SMI). Homework types were categorized using a 12-item homework description taxonomy and in relation to the 22 domains of the Camberwell Assessment of Need (CAN). Case managers predominately reported using behaviourally based homework tasks such as scheduling activities and the development of personal hygiene skills. Homework focused on CAN areas of need in relation to Company, Psychological Distress, Psychotic Symptoms and Daytime Activities. The applications of the taxonomy for both researchers and case managers are discussed.


Group Cohesion And Homework Adherence In Multi-Family Group Therapy For Schizophrenia, Frank P. Deane, Joanne Mercer, Anahita Talyarkhan, Gordon Lambert, Judy Pickard Oct 2012

Group Cohesion And Homework Adherence In Multi-Family Group Therapy For Schizophrenia, Frank P. Deane, Joanne Mercer, Anahita Talyarkhan, Gordon Lambert, Judy Pickard

Frank Deane

This study examined the relationship between levels of group cohesion, defined as whole group relationships, and between-session therapeutic homework adherence in a multi-family group therapy (MFGT) for people with schizophrenia. Participants from 18 consenting families attending MFGT groups completed weekly homework adherence ratings, group cohesion and spontaneous between-session activity measures. Levels of group cohesion at each session were compared with measures of scheduled and spontaneous homework adherence reported at the next session. It was hypothesised that higher levels of group cohesion would be related to homework adherence and other spontaneous between-session therapeutic activity completed by group members. Results show higher …


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 Sep 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

Frank Deane

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, …


Case Managers' Use Of Homework Assignments, Peter Kelly, Frank P. Deane Aug 2012

Case Managers' Use Of Homework Assignments, Peter Kelly, Frank P. Deane

Frank Deane

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 comprising of nurses, psychologists, social workers, occupational therapists and welfare/support workers. Results: Ninety-three percent of case managers implement homework, but only 15% …


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

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

Frank Deane

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 …


A Taxonomy For Homework Used By Mental Health Case Managers When Working With Individuals Diagnosed With Severe Mental Illness, Peter Kelly, Frank P. Deane, Robert King, Nikolaos Kazantzis, Trevor P. Crowe Aug 2012

A Taxonomy For Homework Used By Mental Health Case Managers When Working With Individuals Diagnosed With Severe Mental Illness, Peter Kelly, Frank P. Deane, Robert King, Nikolaos Kazantzis, Trevor P. Crowe

Frank Deane

A survey was completed by 122 case managers describing the types of homework assignments commonly used with individuals diagnosed with severe mental illness (SMI). Homework types were categorized using a 12-item homework description taxonomy and in relation to the 22 domains of the Camberwell Assessment of Need (CAN). Case managers predominately reported using behaviourally based homework tasks such as scheduling activities and the development of personal hygiene skills. Homework focused on CAN areas of need in relation to Company, Psychological Distress, Psychotic Symptoms and Daytime Activities. The applications of the taxonomy for both researchers and case managers are discussed.


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.


Case Managers' Attitudes Toward The Use Of Homework For People Diagnosed With A Severe Psychiatric Disability, Peter Kelly, Frank Deane, Nikolaos Kazantzis, Trevor Crowe Jul 2012

Case Managers' Attitudes Toward The Use Of Homework For People Diagnosed With A Severe Psychiatric Disability, Peter Kelly, Frank Deane, Nikolaos Kazantzis, Trevor Crowe

Peter Kelly

The study examined mental health case managers' attitudes toward the use of homework and explored the relationship between clinician attitudes and systematic homework administration practices. A survey examining attitudes toward the use of homework was completed by 122 Australian mental health case managers. Case managers who held more positive attitudes reported better client responses to homework. Systematic homework administration was predicted by the degree to which case managers felt that homework enhanced client outcomes and the importance that case managers placed on the use of homework for severe psychiatric disabilities. The use of training and supervision programs to promote systematic …


Case Managers' Use Of Homework Assignments, Peter Kelly, Frank P. Deane Jul 2012

Case Managers' Use Of Homework Assignments, Peter Kelly, Frank P. Deane

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 comprising of nurses, psychologists, social workers, occupational therapists and welfare/support workers. Results: Ninety-three percent of case managers implement homework, but only 15% …


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 …


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.


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, …


Group Cohesion And Homework Adherence In Multi-Family Group Therapy For Schizophrenia, Frank P. Deane, Joanne Mercer, Anahita Talyarkhan, Gordon Lambert, Judy Pickard Jan 2012

Group Cohesion And Homework Adherence In Multi-Family Group Therapy For Schizophrenia, Frank P. Deane, Joanne Mercer, Anahita Talyarkhan, Gordon Lambert, Judy Pickard

Faculty of Health and Behavioural Sciences - Papers (Archive)

This study examined the relationship between levels of group cohesion, defined as whole group relationships, and between-session therapeutic homework adherence in a multi-family group therapy (MFGT) for people with schizophrenia. Participants from 18 consenting families attending MFGT groups completed weekly homework adherence ratings, group cohesion and spontaneous between-session activity measures. Levels of group cohesion at each session were compared with measures of scheduled and spontaneous homework adherence reported at the next session. It was hypothesised that higher levels of group cohesion would be related to homework adherence and other spontaneous between-session therapeutic activity completed by group members. Results show higher …