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Arts and Humanities

2012

Therapeutic

Articles 1 - 13 of 13

Full-Text Articles in Life Sciences

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 …


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.


Therapeutic Alliance In Vocational Rehabilitation, Frank P. Deane, Trevor P. Crowe, Lindsay G. Oades Aug 2012

Therapeutic Alliance In Vocational Rehabilitation, Frank P. Deane, Trevor P. Crowe, Lindsay G. Oades

Frank Deane

The chapter begins by providing a brief description of the components thought to be important in the therapeutic relationship and in developing a strong therapeutic or working alliance. Many decades of research have established that a good therapeutic alliance is related to better treatment outcomes for people engaged in psychotherapy. However, there has been relatively little of this research which has focused on individuals with severe mental illnesses such as schizophrenia. A brief review of these studies indicates 'promising' findings with regard to the link between therapeutic alliance and more positive treatment outcomes, but it is argued that a strength-based …


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 …


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.


Exploring Outcomes Of Employing A Multiple Complex Needs Nurse In A Residential Aod Therapeutic Community Treatment Setting, Jo Lunn, Peter Kelly Jul 2012

Exploring Outcomes Of Employing A Multiple Complex Needs Nurse In A Residential Aod Therapeutic Community Treatment Setting, Jo Lunn, Peter Kelly

Peter Kelly

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 …


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 …


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.


Therapeutic Alliance In Vocational Rehabilitation, Frank P. Deane, Trevor P. Crowe, Lindsay G. Oades Jan 2012

Therapeutic Alliance In Vocational Rehabilitation, Frank P. Deane, Trevor P. Crowe, Lindsay G. Oades

Trevor Crowe

The chapter begins by providing a brief description of the components thought to be important in the therapeutic relationship and in developing a strong therapeutic or working alliance. Many decades of research have established that a good therapeutic alliance is related to better treatment outcomes for people engaged in psychotherapy. However, there has been relatively little of this research which has focused on individuals with severe mental illnesses such as schizophrenia. A brief review of these studies indicates 'promising' findings with regard to the link between therapeutic alliance and more positive treatment outcomes, but it is argued that a strength-based …