Assessment and treatment of violence-prone forensic clients: an integrated approach

2008 ◽  
Vol 2008 ◽  
pp. 114-115
Author(s):  
Richard J. Frances
Keyword(s):  
Integrated Approach ◽  
Assessment And Treatment ◽  
Forensic Clients

scholarly journals Assessment and treatment of violence-prone forensic clients: an integrated approach

2007 ◽  
Vol 190 (S49) ◽  
pp. s66-s74 ◽  
Author(s):  
Stephen C. P. Wong ◽  
Audrey Gordon ◽  
Deqiang Gu
Keyword(s):  
Personality Disorder ◽  
Integrated Approach ◽  
Control Programme ◽  
Outcome Evaluation ◽  
Violence Risk ◽  
Violence Reduction ◽  
Treatment Readiness ◽  
Assessment And Treatment ◽  
Risk Need Responsivity ◽  
Forensic Clients

BackgroundA risk-reduction treatment programme complemented by a focused assessment, both guided by the risk–need–responsivity principles, is suggested as the preferred treatment for violence-prone individuals with personality disorder.AimsViolence Reduction Programme (VRP) and Violence Risk Scale (VRS) were used to illustrate the design and implementation of such an approach. Participants from a similarly designed Aggressive Behaviour Control Programme were used to illustrate the principles discussed and to test programme efficacy.MethodThe VRS was used to assess risk/need and treatment readiness, and DSM–III/IV psychiatric diagnoses of 203 federal offenders.ResultsParticipants had a high probability of violent recidivism and many violence-linked criminogenic needs, similar to offenders with high PCL–R scores. Most had antisocial personality disorder and substance use disorders; in terms of treatment-readiness, most were in the contemplation stage of change. Outcome evaluation results support the objectives of the VRP.ConclusionsIntegrating risk–need–responsivity principles in assessment and treatment can provide useful guidelines for intervention with violence-prone forensic clients with personality disorder.

Integrated Physiotherapy and Speech Pathology Dysphagia Assessment and Treatment: A Single Pediatric Case Study

2016 ◽  
Vol 1 (13) ◽  
pp. 17-25
Author(s):  
Emma Godwin ◽  
Katrina Rogers
Keyword(s):  
Integrated Approach ◽  
Core Stability ◽  
Speech Pathology ◽  
Retrospective Case ◽  
Pediatric Case ◽  
Sensory Awareness ◽  
Assessment And Treatment ◽  
Postural Assessment ◽  
Retrospective Case Study

Purpose The purpose of this study was to explore the effectiveness of an integrated physiotherapy, and speech pathology approach to pediatric dysphagia assessment and treatment. Method A single retrospective case study design was used for a 3:2 year old child (Y) with a dysphagia only diagnosis over a 2:8 year period. An integrated feeding and postural assessment was completed. Treatment for Y then included the use of speech pathology techniques, core stability and adapted Shaker et al. (2002) exercises, and elastic therapeutic taping (ETT). Results Reassessment suggested that due to the exercises Y had improved core stability and supra-hyoid muscle strength. Videofluoroscopy (VFSS) results indicated that there was increased anterior tilt during hyolaryngeal excursion leading to reduced valleculae post swallow residue, with residue remaining at the level of the cricopharyngeus and pyriform sinuses. Elastic therapeutic taping (ETT) was then used with the aim of supporting an increase in superior hyolaryngeal movement. Results showed that in the absence of being able to create change in superior hyo-laryngeal excursion, ETT potentially altered Y's swallow pattern positively. It was hypothesized this was due to improved sensory awareness. Conclusion In summary, an integrated approach allowed holistic assessment and treatment of the varied aspects of Y's dysphagia.

Co-Occurring Disorders: An integrated approach to treatment

2018 ◽  
Vol 1 (2) ◽  
pp. 2
Author(s):  
Sonia M Roschelli ◽  
Torresy J Smith
Keyword(s):  
Integrated Approach ◽  
Clinical Issues ◽  
The Past ◽  
Assessment And Treatment ◽  
Dual Diagnoses ◽  
Recommendations For Assessment

Treating and overcoming co-occurring disorders can be complex and challenging for clinicians and clients. In the past, the field has attempted to treat co-occurring disorders separately, but evidence in recent years suggests that treating both disorders at the same time yields the best results. This presentation will offer an overview of the challenges and clinical issues that are present in helping people with dual diagnoses. Recommendations for assessment and treatment of co-occurring disorders will be provided, and a case example will be presented to assist with application of information.

scholarly journals Integrating Screening and Treatment of Unhealthy Alcohol Use and Depression with Screening and Treatment of Anxiety, Pain, and Other Substance Use Among People with HIV and Other High-Risk Persons

2021 ◽  
Author(s):  
Ellen C. Caniglia ◽  
Maria Khan ◽  
Kaoon Ban ◽  
R. Scott Braithwaite
Keyword(s):  
Substance Use ◽  
Depressive Symptoms ◽  
Alcohol Use ◽  
Integrated Approach ◽  
Pain Interference ◽  
Unhealthy Alcohol Use ◽  
Unhealthy Alcohol ◽  
Assessment And Treatment ◽  
Potential Impact ◽  
Anxiety Depression

AbstractWe review and synthesize results from a series of analyses estimating the benefit of screening for unhealthy alcohol use, depression, and tobacco to detect individuals at heightened risk for co-occurring anxiety, pain, depression, unhealthy alcohol use, and other substance use among people with HIV and HIV-uninfected individuals in the Veterans Aging Cohort Study. We also examine the potential impact of reducing unhealthy alcohol use and depressive symptoms on the incidence of co-occurring conditions. We found that screening for alcohol and depression may help identify co-occurring symptoms of anxiety, depression, and pain interference, treating unhealthy alcohol use may improve co-occurring pain interference and substance use, and improving depressive symptoms may improve co-occurring anxiety, pain interference, and smoking. We propose that an integrated approach to screening and treatment for unhealthy alcohol use, depression, anxiety, pain, and other substance use may facilitate diagnostic assessment and treatment of these conditions, improving morbidity and mortality.

The Need for a Broad-Based Model of Phonological Disorders

1992 ◽  
Vol 23 (3) ◽  
pp. 261-268 ◽  
Author(s):  
Alan G. Kamhi
Keyword(s):  
Speech Production ◽  
Phonological Disorders ◽  
Production Processes ◽  
Assessment And Treatment ◽  
Speech Delays ◽  
Explanatory Adequacy ◽  
State Of Affairs ◽  
Assessment Procedures ◽  
Treatment Procedures

My response to Fey’s article (1985; reprinted 1992, this issue) focuses on the confusion caused by the application of simplistic phonological definitions and models to the assessment and treatment of children with speech delays. In addition to having no explanatory adequacy, such definitions/models lead either to assessment and treatment procedures that are similarly focused or to procedures that have no clear logical ties to the models with which they supposedly are linked. Narrowly focused models and definitions also usually include no mention of speech production processes. Bemoaning this state of affairs, I attempt to show why it is important for clinicians to embrace broad-based models of phonological disorders that have some explanatory value. Such models are consistent with assessment procedures that are comprehensive in nature and treatment procedures that focus on linguistic, as well as motoric, aspects of speech.

Assessment and Intervention for Children With Limited English Proficiency and Language Disorders

1994 ◽  
Vol 3 (3) ◽  
pp. 77-88 ◽  
Author(s):  
Celeste Roseberry-McKibbin
Keyword(s):  
Public Schools ◽  
Limited English Proficiency ◽  
English Proficiency ◽  
Language Disorders ◽  
Speech Language Pathologists ◽  
Academic Difficulties ◽  
Language Differences ◽  
Language Impaired ◽  
Number Of Children ◽  
Assessment And Treatment

The number of children with limited English proficiency (LEP) in U.S. public schools is growing dramatically. Speech-language pathologists increasingly receive referrals from classroom teachers for children with limited English proficiency who are struggling in school. The speech-language pathologists are frequently asked to determine if the children have language disorders that may be causing or contributing to their academic difficulties. Most speech-language pathologists are monolingual English speakers who have had little or no coursework or training related to the needs of LEP children. This article discusses practical, clinically applicable ideas for assessment and treatment of LEP children who are language impaired, and gives suggestions for distinguishing language differences from language disorders in children with limited English proficiency.

Telepractice for Adult Speech-Language Pathology Services: A Systematic Review

2020 ◽  
Vol 5 (1) ◽  
pp. 326-338 ◽  
Author(s):  
Kristen Weidner ◽  
Joneen Lowman
Keyword(s):  
Systematic Review ◽  
Primary Progressive Aphasia ◽  
Future Research ◽  
Service Delivery Model ◽  
Speech Language Pathology ◽  
Review Of The Literature ◽  
Research Designs ◽  
Assessment And Treatment ◽  
Language Pathology ◽  
Screening Assessment

Purpose We conducted a systematic review of the literature regarding adult telepractice services (screening, assessment, and treatment) from approximately 2014 to 2019. Method Thirty-one relevant studies were identified from a literature search, assessed for quality, and reported. Results Included studies illustrated feasibility, efficacy, diagnostic accuracy, and noninferiority of various speech-language pathology services across adult populations, including chronic aphasia, Parkinson's disease, dysphagia, and primary progressive aphasia. Technical aspects of the equipment and software used to deliver services were discussed. Some general themes were noted as areas for future research. Conclusion Overall, results of the review continue to support the use of telepractice as an appropriate service delivery model in speech-language pathology for adults. Strong research designs, including experimental control, across multiple well-described settings are still needed to definitively determine effectiveness of telepractice services.

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