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Articles 1 - 11 of 11

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?


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' 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 …


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?


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, …


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 …