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Full-Text Articles in Social and Behavioral 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 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.


Predicting Clinically Signficant Change In An Inpatient Program For People With Severe Mental Illness, Talia Gonda, Frank P. Deane, Ganapathi A. Murugesan Sep 2012

Predicting Clinically Signficant Change In An Inpatient Program For People With Severe Mental Illness, Talia Gonda, Frank P. Deane, Ganapathi A. Murugesan

Frank Deane

Objective: The first aim of this study was to assess the proportion of patients who achieved reliable and clinically significant change over the course of treatment in an inpatient psychosocial rehabilitation program. The second aim was to determine whether age, gender, length of stay, and diagnosis and co-morbid diagnosis predicted those who were classified as improved or not improved, using clinical significance criteria. Method: Three hundred and thirty-seven patients from inpatient units at Bloomfield Hospital, Orange, New South Wales, Australia were assessed at admission, 3-month reviews and discharge using the expanded Brief Psychiatric Rating Scale, the Health of the Nation …


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 …


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 …


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.


Predicting Clinically Signficant Change In An Inpatient Program For People With Severe Mental Illness, Talia Gonda, Frank P. Deane, Ganapathi A. Murugesan Jan 2012

Predicting Clinically Signficant Change In An Inpatient Program For People With Severe Mental Illness, Talia Gonda, Frank P. Deane, Ganapathi A. Murugesan

Faculty of Health and Behavioural Sciences - Papers (Archive)

Objective: The first aim of this study was to assess the proportion of patients who achieved reliable and clinically significant change over the course of treatment in an inpatient psychosocial rehabilitation program. The second aim was to determine whether age, gender, length of stay, and diagnosis and co-morbid diagnosis predicted those who were classified as improved or not improved, using clinical significance criteria. Method: Three hundred and thirty-seven patients from inpatient units at Bloomfield Hospital, Orange, New South Wales, Australia were assessed at admission, 3-month reviews and discharge using the expanded Brief Psychiatric Rating Scale, the Health of the Nation …