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Full-Text Articles in Social and Behavioral Sciences

The Dual Diagnosis Capability Of Residential Addiction Treatment Centres: Priorities And Confidence To Improve Capability Following A Review Process, Harold Matthews, Peter Kelly, Frank P. Deane Jul 2012

The Dual Diagnosis Capability Of Residential Addiction Treatment Centres: Priorities And Confidence To Improve Capability Following A Review Process, Harold Matthews, Peter Kelly, Frank P. Deane

Peter Kelly

Abstract Introduction and Aims. The Dual Diagnosis Capability of Addiction Treatment (DDCAT) index is used to assess the capacity of substance abuse services to work with individuals with co-occurring mental health problems. The current study aimed to: (i) examine the dual diagnosis capability of residential substance abuse programs in Australia; (ii) identify managers’ perceptions regarding both priorities and confidence for change following the completion of the DDCAT; and (iii) to examine the usefulness of the DDCAT to residential substance abuse programs. Design and Methods. The DDCAT was completed across 16 residential substance abuse units.An external researcher administered and scored the …


Benchmarking In The Non-Government Sector, Peter Kelly, Frank Deane, Trevor Crowe, Carla Morgan Jul 2012

Benchmarking In The Non-Government Sector, Peter Kelly, Frank Deane, Trevor Crowe, Carla Morgan

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?


Spirituality And The Treatment Of Substance Use Disorders: An Exploration Of Forgiveness, Resentment And Purpose In Life, Geoffrey Lyons, Frank Deane, Peter Caputi, Peter Kelly Jul 2012

Spirituality And The Treatment Of Substance Use Disorders: An Exploration Of Forgiveness, Resentment And Purpose In Life, Geoffrey Lyons, Frank Deane, Peter Caputi, Peter Kelly

Peter Kelly

Faith-based treatment programs are a viable treatment option for many individuals with substance use disorders; however, the psychological mechanisms that explain the relationship between spirituality and a recovery from substance use disorders have not been established. The Spirituality, Forgiveness, and Purpose (SFP) model of recovery proposes that forgiveness and purpose in life may mediate the spirituality–recovery relationship. As a preliminary step in exploring this theory, a cross-sectional investigation of 277 clients of the Australian Salvation Army Rehabilitation Service Centres was performed. A multiple regression found that forgiveness of others, forgiveness of self, receiving forgiveness from others, and receiving forgiveness from …


Calculating Clinically Significant Change: Applications Of The Clinical Global Impressions (Cgi) Scale To Evaluate Client Outcomes In Private Practice, Peter Kelly Jul 2012

Calculating Clinically Significant Change: Applications Of The Clinical Global Impressions (Cgi) Scale To Evaluate Client Outcomes In Private Practice, Peter Kelly

Peter Kelly

The Clinical Global Impressions (CGI) scale is a therapist-rated measure of client outcome that has been widely used within the research literature. The current study aimed to develop reliable and clinically significant change indices for the CGI, and to demonstrate its application in private psychological practice. Following the guidelines developed by Clement, a file review was conducted of the authors’ first six years working in private practice. A reliable change on the CGI required the participants score to change by 2-points. Depending on the method used to calculate the clinical change indices, between 23% and 50% of the total participants …


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% …


Five Personality Factors And Sex: Preliminary Findings, Patrick Heaven, Jean Fitzpatrick, Fiona Craig, Peter Kelly, Gareth Sebar Jul 2012

Five Personality Factors And Sex: Preliminary Findings, Patrick Heaven, Jean Fitzpatrick, Fiona Craig, Peter Kelly, Gareth Sebar

Peter Kelly

This study assessed the relationships between the Big Five personality domains, attitudes to sex, and three specific sexual behaviours. Respondents were 123 undergraduate students (51 males; 72 females). Men were found to score significantly higher than women on measures of sexual curiosity and sexual excitement, while women were higher on sexual satisfaction. Neuroticism (N) and Extraversion (E) appeared to be the most important predictors of attitudes to sex, although Conscientiousness (C) and Openness to experience (O) were also implicated. N, C, and Agreeableness (A) were implicated in sexual behaviours. Some suggestions for future research are made.


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.


Predictors Of Burnout Amongst Australian Drug And Alcohol Workers, M Dimartino, Peter Kelly, Frank Deane Jul 2012

Predictors Of Burnout Amongst Australian Drug And Alcohol Workers, M Dimartino, Peter Kelly, Frank Deane

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 …


Case Note Practices, Daniel Billingham, Trevor Crowe, Peter Kelly, Frank Deane Jul 2012

Case Note Practices, Daniel Billingham, Trevor Crowe, Peter Kelly, Frank Deane

Peter Kelly

No abstract provided.


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?


Examining Cancer And Cardiovascular Risk Behaviours In People Attending Residential Substance Abuse Treatment, Peter Kelly, A Baker, Frances Kay-Lambkin, Frank Deane, Billie Bonevski Jul 2012

Examining Cancer And Cardiovascular Risk Behaviours In People Attending Residential Substance Abuse Treatment, Peter Kelly, A Baker, Frances Kay-Lambkin, Frank Deane, Billie Bonevski

Peter Kelly

No abstract provided.


Do Spirituality And Religiosity Help In The Management Of Cravings In Substance Abuse Treatment?, Sarah Mason, Frank Deane, Peter Kelly, Trevor Crowe Jul 2012

Do Spirituality And Religiosity Help In The Management Of Cravings In Substance Abuse Treatment?, Sarah Mason, Frank Deane, Peter Kelly, Trevor Crowe

Peter Kelly

The purpose of this study was to examine the relationship of spirituality, religiosity and self-efficacy with drug and/or alcohol cravings. A cross-sectional survey was completed by 77 male participants at an Australian Salvation Army residential rehabilitation service in 2007. The survey included questions relating to the participants’ drug and/or alcohol use and also measures for spirituality, religiosity, cravings, and self-efficacy. The sample included participants aged between 19 and 74 years, with more than 57% reporting a diagnosis for a mental disorder and 78% reporting polysubstance misuse with alcohol most frequently endorsed as the primary drug of concern (71%). Seventy-five percent …


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 …


Exploring Spiritual Growth And Forgiveness In Drug And Alcohol Recovery, Geoffrey Lyons, Frank Deane, Peter Kelly Jul 2012

Exploring Spiritual Growth And Forgiveness In Drug And Alcohol Recovery, Geoffrey Lyons, Frank Deane, Peter Kelly

Peter Kelly

No abstract provided.


Drop Out From Residential Treatment: Is It All Bad News?, C Morgan, Peter Kelly, Frank Deane, Trevor Crowe Jul 2012

Drop Out From Residential Treatment: Is It All Bad News?, C Morgan, Peter Kelly, Frank Deane, Trevor Crowe

Peter Kelly

No abstract provided.


What Role Does Religious And Spiritual Coping Have In Substance Abuse Treatments?, Sarah Mason, Frank Deane, Peter Kelly Jul 2012

What Role Does Religious And Spiritual Coping Have In Substance Abuse Treatments?, Sarah Mason, Frank Deane, Peter Kelly

Peter Kelly

No abstract provided.


Forgiveness And Purpose In Life As Spiritual Mechanisms Of Recovery From Substance Use Disorders, Geoffrey Lyons, Frank Deane, Peter Kelly Jul 2012

Forgiveness And Purpose In Life As Spiritual Mechanisms Of Recovery From Substance Use Disorders, Geoffrey Lyons, Frank Deane, Peter Kelly

Peter Kelly

Spirituality has often been associated with recovery from substance use disorders through its emphasis in faith-based rehabilitation programs. The purpose of this article is to describe some psychological dynamics that may explain how spirituality aids in the treatment of substance abuse and dependence. Forgiveness and purpose in life are proposed as ‘‘spiritual mechanisms’’ that partially mediate a spiritually directed recovery. Recent empirical studies on spirituality and recovery from substance use disorders are discussed in relation to 12-steps of Alcoholics Anonymous and Christian principles in order to describe how forgiveness and purpose in life interact with spiritual development in substance use …


Benchmarking Client Improvement Within Substance Abuse Treatment, Peter Kelly, Frank Deane Jul 2012

Benchmarking Client Improvement Within Substance Abuse Treatment, Peter Kelly, Frank Deane

Peter Kelly

No abstract provided.


Staff Attitudes Towards Evidence Based Practice In A Residential Drug And Alcohol Rehabilitation Service, M Lovett, Peter Kelly, Frank Deane, Trevor Crowe Jul 2012

Staff Attitudes Towards Evidence Based Practice In A Residential Drug And Alcohol Rehabilitation Service, M Lovett, Peter Kelly, Frank Deane, Trevor Crowe

Peter Kelly

No abstract provided.


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, …


Faith-Based Substance Abuse Treatment: Is It Just About God? Exploring Treatment Providers' Attitudes Toward Spirituality, Forgiveness And Secular Components Of Treatment, Geoffrey Lyons, Frank Deane, Peter Kelly Jul 2012

Faith-Based Substance Abuse Treatment: Is It Just About God? Exploring Treatment Providers' Attitudes Toward Spirituality, Forgiveness And Secular Components Of Treatment, Geoffrey Lyons, Frank Deane, Peter Kelly

Peter Kelly

Although spirituality and forgiveness components of substance abuse treatment programs ar'e viewed as important by faithbased substance abuse treatment providers researchers have not compared their relative importance to other treatment components. This study evaluated the perceived importance of spiritually and forgiveness-based treatment components in comparison to other secular psycho-educational components in faith-based treatment programs. A brief survey was completed by 99 Salvation Army drug and alcohol treatment providers employed within Australian residential rehabilitation programs. The survey examined the relative importance treatment providers' placed on spiritual and secular components of treatment. Attitudes towards spiritual components of treatment, such as Christian education …


Using The Theory Of Planned Behavior And Barriers To Treatment To Predict Intention To Enter Further Treatment Following Residential Drug And Alcohol Detoxification: A Pilot Study, Peter J. Kelly, Frank P. Deane, Zoe Mccarthy, Trevor P. Crowe Jul 2012

Using The Theory Of Planned Behavior And Barriers To Treatment To Predict Intention To Enter Further Treatment Following Residential Drug And Alcohol Detoxification: A Pilot Study, Peter J. Kelly, Frank P. Deane, Zoe Mccarthy, Trevor P. Crowe

Peter Kelly

There has been limited research examining the impact of clients’ behavioural beliefs on whether they intend to access further treatment following residential drug and alcohol detoxification. Treatment post-detoxification is generally recommended to reduce relapse and for more sustained positive outcomes. The present pilot study examined the extent to which (1) primary components of the Theory of Planned Behaviour (TPB), (2) perceived barriers to accessing treatment and (3) the participants’ previous involvement in substance abuse treatment predicted intentions to enter further treatment following residential detoxification. One hundred and sixty eight participants accessing Salvation Army detoxification units in Australia completed a survey …


Working With Substance Misuse Problems In Private Practice, Peter Kelly Jul 2012

Working With Substance Misuse Problems In Private Practice, Peter Kelly

Peter Kelly

Individuals experiencing alcohol and other drug (AOD) problems have typically been under represented within private practice. For example, in the general population the prevalence of substance use disorders (7.7%) is comparable to that of anxiety (9.7%) and affective disorders (5.8%; Andrews, Hall, Teesson & Henderson, 1999). However, a recent APS survey showed that while 48 per cent of people treated by psychologists under the Better Access initiative presented with anxiety or depression, only 6 per cent presented for assistance with substance misuse problems (Giese, Littlefield & Mathews, 2008). Recent changes to the Medicare system have largely reduced financial barriers, presenting …


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.