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Full-Text Articles in Medicine and Health Sciences

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 Jul 2013

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

Peter Kelly

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.


"Taking Care Of Yourself" -A Student Programme For Personal And Professional Development Using Reflective Journaling In The University Of Wollongong Graduate School Of Medicine, Lyndal Parker-Newlyn, Coralie Wilson, Peter Kelly Jul 2013

"Taking Care Of Yourself" -A Student Programme For Personal And Professional Development Using Reflective Journaling In The University Of Wollongong Graduate School Of Medicine, Lyndal Parker-Newlyn, Coralie Wilson, Peter Kelly

Peter Kelly

No abstract provided.


Predicting Dropout In The First 3 Months Of 12-Step Residential Drug And Alcohol Treatment In An Australian Sample, Frank P. Deane, David J. Wootton, Ching-I Hsu, Peter J. Kelly Jul 2013

Predicting Dropout In The First 3 Months Of 12-Step Residential Drug And Alcohol Treatment In An Australian Sample, Frank P. Deane, David J. Wootton, Ching-I Hsu, Peter J. Kelly

Peter Kelly

Objective: Premature termination from treatment is a major factor associated with poorer drug and alcohol treatment outcomes. The present study investigated client-related baseline predictors of dropout at 3 months from a faith-based 12-step residential drug treatment program. Method: Data were collected over a period of 14 months from eight residential drug and alcohol treatment programs run by The Australian Salvation Army. The final sample consisted of 618 participants, including 524 men (84.8%) and 94 women (15.2%). Predictor variables of interest were age, gender, primary drug of concern, criminal involvement, psychological distress, drug cravings, self-efficacy to abstain, spirituality, forgiveness of self …


Using The Theory Of Planned Behavior To Examine Residential Substance Abuse Workers' Intention To Use Evidence-Based Practices, Peter Kelly, Frank Deane, Megan Lovett Jul 2013

Using The Theory Of Planned Behavior To Examine Residential Substance Abuse Workers' Intention To Use Evidence-Based Practices, Peter Kelly, Frank Deane, Megan Lovett

Peter Kelly

There is considerable discrepancy between what is considered evidence-based practice (EBP) and what is actually delivered in substance abuse treatment settings. The Theory of Planned Behavior (TpB) is a well-established model that may assist in better understanding clinician’s intentions to use EBPs. A total of 106 residential substance abuse workers employed by The Salvation Army participated in the current study. The workers completed an anonymous survey that assessed attitudes toward EBP and examined the constructs within the TpB. A linear regression analysis was used to predict clinicians’ intentions to use EBPs. Overall, the model accounted for 41% of the variance …


'Do More, Smoke Less!' Harm Reduction In Action For Smokers With Mental Health/Substance Use Problems Who Cannot Or Will Not Quit, Amanda Baker, Robin Callister, Peter Kelly, Kypros Kypri Jul 2013

'Do More, Smoke Less!' Harm Reduction In Action For Smokers With Mental Health/Substance Use Problems Who Cannot Or Will Not Quit, Amanda Baker, Robin Callister, Peter Kelly, Kypros Kypri

Peter Kelly

Although smoking rates among mental health/substance abusing populations are very high, the focus of treatment and research has tended to be on substances other than tobacco.A range of harm-reduction strategies is needed, including long-term nicotine maintenance, smokeless tobacco and ‘clean’ nicotine products. For those who cannot or will not quit, assistance in reducing smoking should be given. Interventions for smoking among people with mental health/substance use problems may best be delivered by addressing multiple health-risk behaviours, especially physical activity, around the same time. [Baker AL, Callister R, Kelly PJ, Kypri K. ‘Do more, smoke less!’ Harm reduction in action for …


Clinically Signficant Change To Establish Benchmarks In Residential Drug And Alcohol Treatment Services, Daniel Billingham, Peter Kelly, Frank Deane, Trevor Crowe, Mark Buckingham, Fiona Craig Jul 2013

Clinically Signficant Change To Establish Benchmarks In Residential Drug And Alcohol Treatment Services, Daniel Billingham, Peter Kelly, Frank Deane, Trevor Crowe, Mark Buckingham, Fiona Craig

Peter Kelly

There is increasing emphasis on the use routine outcome assessment measures to inform quality assurance initiatives. The calculation of reliable and clinically significant change indices is one strategy that organizations could use to develop both internal and externally focused benchmarking processes. The current study aimed to develop reliable and clinically significant change indices for a range of commonly used outcome measures in the substance abuse field. Participants were attending Kedesh Rehabilitation Services, an Australian residential substance abuse service that also accepts people with co-occurring mental health problems (n0595). A range of mental health and substance use measures were administered to …


A Comparison Of Treatment Outcomes For Individuals With Substance Use Disorder Alone And Individuals With Probable Dual Diagnosis, Elizabeth K. Cridland, Frank P. Deane, Ching-I Hsu, Peter J. Kelly Jul 2013

A Comparison Of Treatment Outcomes For Individuals With Substance Use Disorder Alone And Individuals With Probable Dual Diagnosis, Elizabeth K. Cridland, Frank P. Deane, Ching-I Hsu, Peter J. Kelly

Peter Kelly

The co-occurrence of substance use and mental health problems, often referred to as dual diagnosis (DD), is increasingly recognised as commonplace within substance abuse treatment programs. Two-hundred and thirty-four individuals from 9 Australian Salvation Army drug and alcohol rehabilitation programs completed a 3-month post-discharge telephone follow-up. Using a cut-off score from the Psychiatric Subscale of the Addiction Severity Index (5th ed.), 66.7% were classified as likely to have DD and 33.3% as substance use disorder only (SUD). Both groups reported comparable and decreased substance use levels at follow-up, yet DD individuals perceived less improvement in substance use problems. Comparable improvements …


Prevalence Of Smoking And Other Health Risk Factors In People Attending Residential Substance Abuse Treatment, Peter J. Kelly, Amanda L. Baker, Frank P. Deane, Frances Kay-Lambkin, Billie Bonevski, Jenna Tregarthen Jul 2013

Prevalence Of Smoking And Other Health Risk Factors In People Attending Residential Substance Abuse Treatment, Peter J. Kelly, Amanda L. Baker, Frank P. Deane, Frances Kay-Lambkin, Billie Bonevski, Jenna Tregarthen

Peter Kelly

Introduction and Aims. People attending substance abuse treatment have an elevated risk of developing cardiovascular disease (CVD) and cancer. Consequently, there have been increasing calls for substance abuse treatment services to address smoking.The current study examined smoking behaviours of people attending residential substance abuse treatment. Additionally, the study examined rates of other potentially modifiable health risk factors for the development of CVD and cancer. Design and Methods. A cross-sectional survey was completed by participants attending Australian Salvation Army residential substance abuse treatment services (n = 228). Rates of smoking, exercise, dietary fat intake, body mass index and depression were identified …


Establishing The Need For Multiple Health Behaviour Change Interventions Within Residential Substance Abuse Services: Results From A Participant Survey, Peter Kelly, A Baker, Frances Kay-Lambkin, Frank Deane, Billie Bonevski Jul 2013

Establishing The Need For Multiple Health Behaviour Change Interventions Within Residential Substance Abuse Services: Results From A Participant Survey, Peter Kelly, A Baker, Frances Kay-Lambkin, Frank Deane, Billie Bonevski

Peter Kelly

No abstract provided.


Study Protocol: A Randomized Controlled Trial Of A Computer-Based Depression And Substance Abuse Intervention For People Attending Residential Substance Abuse Treatment, Peter J. Kelly, Frances Kay-Lambkin, Amanda Baker, Frank P. Deane, Adam C. Brooks, Alexandra Mitchell, Sarah Marshall, Meredith Whittington, Genevieve A. Dingle Jul 2013

Study Protocol: A Randomized Controlled Trial Of A Computer-Based Depression And Substance Abuse Intervention For People Attending Residential Substance Abuse Treatment, Peter J. Kelly, Frances Kay-Lambkin, Amanda Baker, Frank P. Deane, Adam C. Brooks, Alexandra Mitchell, Sarah Marshall, Meredith Whittington, Genevieve A. Dingle

Peter Kelly

"Background: A large proportion of people attending residential alcohol and other substance abuse treatment have a co-occurring mental illness. Empirical evidence suggests that it is important to treat both the substance abuse problem and co-occurring mental illness concurrently and in an integrated fashion. However, the majority of residential alcohol and other substance abuse services do not address mental illness in a systematic way. It is likely that computer delivered interventions could improve the ability of substance abuse services to address co-occurring mental illness. This protocol describes a study in which we will assess the effectiveness of adding a computer delivered …


Coping Skill Acquisition During Computer-Based Cbt For Co-Occurring Substance Dependence And Depression, A Mitchell, Peter Kelly, Frank Deane, Frances Kay-Lambkin, A Baker Jul 2013

Coping Skill Acquisition During Computer-Based Cbt For Co-Occurring Substance Dependence And Depression, A Mitchell, Peter Kelly, Frank Deane, Frances Kay-Lambkin, A Baker

Peter Kelly

No abstract provided.