Barriers to treatment success in behavioral consultation: Current limitations and future directions

1985 ◽  
Vol 23 (3) ◽  
pp. 225-239 ◽  
Author(s):  
Thomas R. Kratochwill ◽  
Kurt R. Van Someren
Keyword(s):  
Treatment Success ◽  
Behavioral Consultation ◽  
Barriers To Treatment ◽  
Future Directions

Session 4: Addressing Barriers to Treatment Success

2016 ◽  
pp. 33-40
Author(s):  
Tara S. Peris ◽  
John Piacentini
Keyword(s):  
Treatment Success ◽  
Barriers To Treatment ◽  
Secondary Gain ◽  
Treatment Progress ◽  
Potential Barriers ◽  
Family Problem ◽  
Barriers To Change ◽  
Low Motivation ◽  
At Home

This chapter describes how to assist families as they apply skills learned in earlier treatment sessions to work on specific problems at home. It begins with a review of their progress with the first family problem, and, if appropriate, guides the therapist in helping families pick a new issue to address. The therapist reviews treatment progress and discusses potential barriers to change, including secondary gain, low motivation, and noncompliance. It is important that the therapist monitors and reframes blame that may arise during these discussions. The therapist should make it clear that OCD symptoms/behaviors are not done on purpose, even if there are aspects that appear to work to the child’s advantage. Strategies for addressing these obstacles are discussed and additional interventions applied as necessary.

OCD in Ethnoracial Minorities

2017 ◽  
Author(s):  
Monnica T. Williams ◽  
Terence Ching
Keyword(s):  
Help Seeking ◽  
Minority Groups ◽  
Hispanic Americans ◽  
Treatment Success ◽  
The United States ◽  
Barriers To Treatment ◽  
Obsessive Compulsive ◽  
Cultural Attitudes ◽  
Compulsive Disorder ◽  
Attitudes Toward Mental Illness

Obsessive-compulsive disorder (OCD) is a multifaceted and functionally disabling condition involving distressing obsessions and repetitive compulsions. Although OCD rates are generally invariant across US ethnoracial minority groups, there remains a paucity of knowledge about the disorder in minorities. This could be due to underrepresentation of these groups in OCD treatment centers, a major source of symptom data for OCD research. Poor minority participation also suggests stigmatic cultural attitudes toward mental illness and related services, among other barriers to treatment, in these groups. Therefore, this chapter reviews symptom presentation, various barriers to treatment, and possible cultural considerations for treatment of OCD in three ethnoracial minority groups in the United States (African Americans, Latino/Hispanic Americans, and Asian Americans). It is hoped that this chapter can help readers better understand how cultural norms can shape the experience of OCD, as well as influence help seeking and treatment success in ethnic and racial minorities.

Behavioral Supervision of Behavioral Consultation: A Case Study and Future Directions

2019 ◽  
Vol 30 (1) ◽  
pp. 90-117
Author(s):  
Lyndsie A. Erdy ◽  
Emily M. Flowers ◽  
Colleen J. Hernan ◽  
Daniel S. Newman
Keyword(s):  
Behavioral Consultation ◽  
Future Directions

Core Elements of Consultation Service Delivery for Special Service Personnel

1996 ◽  
Vol 17 (6) ◽  
pp. 333-338 ◽  
Author(s):  
Terry B. Gutkin
Keyword(s):  
Service Delivery ◽  
Communication Technology ◽  
Behavioral Consultation ◽  
Conjoint Behavioral Consultation ◽  
Consultation Service ◽  
Future Directions ◽  
Service Personnel ◽  
School Based ◽  
Special Service ◽  
Core Elements

This article reviews core elements of school-based consultation models for special service personnel. Contemporary factors enhancing the need for consultative services are detailed, as are conceptual and procedural elements that are perceived to be central to this approach. Selected future directions are considered, including Conjoint Behavioral Consultation, communication technology, and pressing research agendas. Given the increasing number, complexity, and severity of educational problems, it is concluded that consultation will become an increasingly important role for special service personnel.

On Future Directions in Pathology

1982 ◽  
Vol 40 ◽  
pp. 274-277
Author(s):  
Benjamin F. Trump ◽  
Irene K. Berezesky ◽  
Raymond T. Jones
Keyword(s):  
Electron Microscopy ◽  
Transmission Electron Microscopy ◽  
Clinical Pathology ◽  
Future Directions ◽  
Diagnostic Pathology ◽  
The Past ◽  
Transmission Electron ◽  
Organ Systems ◽  
The Many

The role of electron microscopy and associated techniques is assured in diagnostic pathology. At the present time, most of the progress has been made on tissues examined by transmission electron microscopy (TEM) and correlated with light microscopy (LM) and by cytochemistry using both plastic and paraffin-embedded materials. As mentioned elsewhere in this symposium, this has revolutionized many fields of pathology including diagnostic, anatomic and clinical pathology. It began with the kidney; however, it has now been extended to most other organ systems and to tumor diagnosis in general. The results of the past few years tend to indicate the future directions and needs of this expanding field. Now, in addition to routine EM, pathologists have access to the many newly developed methods and instruments mentioned below which should aid considerably not only in diagnostic pathology but in investigative pathology as well.

Meeting the Best Practice for Hearing Aid Verification in Children: Challenges and Future Directions

2019 ◽  
Vol 28 (4) ◽  
pp. 877-894
Author(s):  
Nur Azyani Amri ◽  
Tian Kar Quar ◽  
Foong Yen Chong
Keyword(s):  
Clinical Practice ◽  
Hearing Aids ◽  
Best Practice ◽  
Hearing Aid ◽  
Evidence Based ◽  
Future Directions ◽  
Major Barrier ◽  
Klang Valley ◽  
Age Range ◽  
Fitting Hearing Aids

Purpose This study examined the current pediatric amplification practice with an emphasis on hearing aid verification using probe microphone measurement (PMM), among audiologists in Klang Valley, Malaysia. Frequency of practice, access to PMM system, practiced protocols, barriers, and perception toward the benefits of PMM were identified through a survey. Method A questionnaire was distributed to and filled in by the audiologists who provided pediatric amplification service in Klang Valley, Malaysia. One hundred eight ( N = 108) audiologists, composed of 90.3% women and 9.7% men (age range: 23–48 years), participated in the survey. Results PMM was not a clinical routine practiced by a majority of the audiologists, despite its recognition as the best clinical practice that should be incorporated into protocols for fitting hearing aids in children. Variations in practice existed warranting further steps to improve the current practice for children with hearing impairment. The lack of access to PMM equipment was 1 major barrier for the audiologists to practice real-ear verification. Practitioners' characteristics such as time constraints, low confidence, and knowledge levels were also identified as barriers that impede the uptake of the evidence-based practice. Conclusions The implementation of PMM in clinical practice remains a challenge to the audiology profession. A knowledge-transfer approach that takes into consideration the barriers and involves effective collaboration or engagement between the knowledge providers and potential stakeholders is required to promote the clinical application of evidence-based best practice.

The Link Between Verbal Short-Term Memory and Anomia Treatment Gains

2019 ◽  
Vol 28 (3) ◽  
pp. 1039-1052
Author(s):  
Reva M. Zimmerman ◽  
JoAnn P. Silkes ◽  
Diane L. Kendall ◽  
Irene Minkina
Keyword(s):  
Short Term Memory ◽  
Controlled Trial ◽  
Treatment Success ◽  
Linear Regression Models ◽  
Language Performance ◽  
Short Term ◽  
Term Memory ◽  
Treatment Gains ◽  
Post Hoc

Purpose A significant relationship between verbal short-term memory (STM) and language performance in people with aphasia has been found across studies. However, very few studies have examined the predictive value of verbal STM in treatment outcomes. This study aims to determine if verbal STM can be used as a predictor of treatment success. Method Retrospective data from 25 people with aphasia in a larger randomized controlled trial of phonomotor treatment were analyzed. Digit and word spans from immediately pretreatment were run in multiple linear regression models to determine whether they predict magnitude of change from pre- to posttreatment and follow-up naming accuracy. Pretreatment, immediately posttreatment, and 3 months posttreatment digit and word span scores were compared to determine if they changed following a novel treatment approach. Results Verbal STM, as measured by digit and word spans, did not predict magnitude of change in naming accuracy from pre- to posttreatment nor from pretreatment to 3 months posttreatment. Furthermore, digit and word spans did not change from pre- to posttreatment or from pretreatment to 3 months posttreatment in the overall analysis. A post hoc analysis revealed that only the less impaired group showed significant changes in word span scores from pretreatment to 3 months posttreatment. Discussion The results suggest that digit and word spans do not predict treatment gains. In a less severe subsample of participants, digit and word span scores can change following phonomotor treatment; however, the overall results suggest that span scores may not change significantly. The implications of these findings are discussed within the broader purview of theoretical and empirical associations between aphasic language and verbal STM processing.

Translating Principles of Speech Science to Clinical Practice: Current and Future Trends in Craniofacial Disorders

2008 ◽  
Vol 18 (1) ◽  
pp. 31-40 ◽  
Author(s):  
David J. Zajac
Keyword(s):  
Clinical Practice ◽  
Speech Intelligibility ◽  
Current Practice ◽  
Computer Assisted ◽  
Behavioral Management ◽  
Single Word ◽  
Future Directions ◽  
Speech Science ◽  
The Impact ◽  
Opinion Article

Abstract The purpose of this opinion article is to review the impact of the principles and technology of speech science on clinical practice in the area of craniofacial disorders. Current practice relative to (a) speech aerodynamic assessment, (b) computer-assisted single-word speech intelligibility testing, and (c) behavioral management of hypernasal resonance are reviewed. Future directions and/or refinement of each area are also identified. It is suggested that both challenging and rewarding times are in store for clinical researchers in craniofacial disorders.

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