scholarly journals Development and Evaluation of Acceptance and Commitment Therapy Delivered by Psychologists and Non-Psychologists in an NHS Community Adult Mental Health Service: a Preliminary Analysis

2017 ◽  
Vol 46 (1) ◽  
pp. 121-127
Author(s):  
Thomas Richardson ◽  
Lorraine Bell ◽  
Helen Bolderston ◽  
Sue Clarke
Keyword(s):  
Mental Health ◽  
Mental Health Service ◽  
Health Service ◽  
Acceptance And Commitment Therapy ◽  
Preliminary Evaluation ◽  
Community Mental Health Service ◽  
Commitment Therapy ◽  
Acceptance And Commitment ◽  
Post Therapy

Background: Previous studies have demonstrated that acceptance and commitment therapy (ACT) is effective for depression and may be useful for complex transdiagnostic clients. Aims: To conduct a preliminary evaluation of whether ACT is feasible and effective when delivered by psychologists and non-psychologists for complex clients in a National Health Service (NHS) community mental health service for adults. Method: Staff were trained in ACT and conducted one-to-one therapy with clients. Measures on general mental health, depression, fusion and values were given pre-therapy, post-therapy and at 3-month follow-up. Results: Standardized measures showed significant improvements post-therapy for global mental health, depression, cognitive fusion and values post-treatment. These were partially maintained at follow-up and remained after an intent-to-treat analysis. There were no differences in outcomes between psychologists and non-psychologists. Conclusions: ACT may be delivered effectively with limited training for complex cases in secondary care, though further research is needed.

scholarly journals Achieving evidence-based prescribing practice in an adult community mental health service

2006 ◽  
Vol 30 (2) ◽  
pp. 51-55 ◽  
Author(s):  
Maria Moran ◽  
Bangaru Raju ◽  
Jean Saunders ◽  
David Meagher
Keyword(s):  
Mental Health ◽  
Mental Health Service ◽  
Community Mental Health ◽  
Health Service ◽  
Evidence Based ◽  
Community Mental Health Service ◽  
Prescribing Practice ◽  
Evidence Based Guidelines ◽  
The Impact

Aims and MethodPrescribing in everyday practice frequently deviates from evidence-based guidelines. Previous work compared practice in a community mental health service with evidence-based guidelines and identified factors related to suboptimal prescribing. This study reports the impact of a multifaceted intervention on prescribing practice. A Prescribing Practice Quality (PPQ) score was generated from six key aspects of prescribing at initial assessment and again 1 year later after an intervention to reduce suboptimal prescribing practices.ResultsA total of 264 patients were attending the service at both the initial and follow-up phase and were thus exposed to the prescribing intervention. In this population, PPQ scores were significantly lower at follow-up (0.96v.0.67,P<0.001). Improved prescribing practice was predicted by receipt of adjunctive supportive inputs, such as anxiety management (P=0.003).Similarly, mean PPQ scores substantially decreased when the total patient population was considered at each time point (0.75 in 2001 and 0.52 in 2002). These results suggest a reduction in both the initiation and continuation of suboptimal practices.Clinical ImplicationsPrescribing in real-world settings can be improved by interventions that target multiple aspects of service activity. The provision of supportive inputs is a key factor in improving practice.

Effects of Community Mental Health Service in Subjects with Early Psychosis: One-Year Prospective Follow Up

2015 ◽  
Vol 52 (6) ◽  
pp. 724-730 ◽  
Author(s):  
Eun-Jin Na ◽  
Nam-In Kang ◽  
Mi-Young Kim ◽  
Yin Cui ◽  
Hee-Eon Choi ◽  
...  
Keyword(s):  
Mental Health ◽  
Mental Health Service ◽  
Community Mental Health ◽  
Health Service ◽  
Early Psychosis ◽  
Community Mental Health Service ◽  
One Year

The effect of acceptance and commitment therapy on the mental health of students with an emotional breakdown

2019 ◽  
Vol 0 (0) ◽  
Author(s):  
Seyedeh Maryam Noormohamadi ◽  
Mokhtar Arefi ◽  
Karim Afshaini ◽  
Keivan Kakabaraee
Keyword(s):  
Mental Health ◽  
Acceptance And Commitment Therapy ◽  
Educational Institutions ◽  
Control Groups ◽  
Commitment Therapy ◽  
Acceptance And Commitment ◽  
And Control ◽  
The Impact ◽  
Experimental Group

Abstract Background Mental health is a significant part of one’s health and it is very important to pay attention to mental health. Objectives The aim of the study was to examine the effect of acceptance and commitment therapy (ACT) on the mental health of adolescents with an emotional breakdown (EB). Methods This was a semi-experimental study, in which the students with an EB were divided into two groups: the experimental and control groups. Twenty people were selected using the convenience sampling method and randomly assigned to the ACT and control groups (each with 10 people). After obtaining consent to participate in the study, they were asked to fill the questionnaires as a pre-test. Then, the experimental group was treated for nine individual sessions (weekly one session). As this was a repeated measurement method, in sessions 3, 6 and 9, the questionnaires were completed again and the follow-up period was 1 month after the end of the interventions. Results Before the intervention, there was no difference between the score of the impact of love and rumination among the students in the experimental and control groups (p > 0.05); but after the intervention, the score of the impact of love and rumination in the experimental group decreased (p < 0.05). Conclusions It is suggested that ACT should be used at counseling centers of universities and educational institutions.

Patient-controlled benzodiazepine dose reduction in a community mental health service

2005 ◽  
Vol 22 (2) ◽  
pp. 42-45 ◽  
Author(s):  
Bangaru Raju ◽  
David Meagher
Keyword(s):  
Mental Health ◽  
Mental Health Service ◽  
Community Mental Health ◽  
Health Service ◽  
Dose Reduction ◽  
Community Mental Health Service ◽  
Anxiety Management ◽  
Valuable Adjunct ◽  
Benzodiazepine Use

AbstactObjectives: We report a patient-controlled benzodiazepine discontinuation programme in a generic multidisciplinary community mental health service.Method: A prescribing audit identified suboptimal benzodiazepine use which stimulated a discontinuation programme [prescribing policy, psychoeducation, anxiety management] to encourage benzodiazepine cessation. Benzodiazepine status was re-assessed at 12 and 24 month follow-ups.Results: 158 patients were receiving benzodiazepines at study onset. At 12 month follow-up, 68 of these were still receiving benodiazepines. This was due to discontinuation (n = 32), dose reduction (n = 26) and service dropout (n = 71). Benzodiazepine status at follow-up was predicted by attendance at anxiety management sessions (p = 0.01) and shorter duration of benzodiazepine use (p = 0.005). Patients attending anxiety management sessions were 2.5 times more likely to reduce use. Discontinuation followed four patterns: (a) rapid and complete discontinuation (n = 19); (b) total discontinuation in a gradual manner (n = 13); (c) partial dose reduction without total discontinuation (n = 18) and (d) almost total discontinuation with continued low-dose use (n = 8). The patients that achieved total discontinuation were younger (p = 0.01) and in receipt of benzodiazepine agents for a shorter duration (p = 0.009). At 24 month follow-up only three patients had relapsed into benzodiazepine use and a further 13 had achieved total discontinuation.Conclusions: Many chronic benzodiazepine users can achieve lasting discontinuation with patient-controlled dose tapering. Patient refusal and service dropout are common during discontinuation programmes. Anxiety management is a valuable adjunct to discontinuation.

School Settings

2018 ◽  
Author(s):  
Melissa K. Holt ◽  
Jennifer Greif Green ◽  
Javier Guzman
Keyword(s):  
Mental Health ◽  
Mental Health Service ◽  
Mental Health Services ◽  
Health Service ◽  
Health Services ◽  
Service Provision ◽  
Community Mental Health Service ◽  
Health Service Provision ◽  
School Settings ◽  
Mental Health Service Provision

Schools are a primary setting for mental health service provision to youth and are also main sources of referral to community mental health service providers. This chapter examines the school context and its key role in the child and adolescent mental health services system. The chapter first provides information about the association of emotional and behavioral disorders with school experiences, including academic performance. Next, the chapter presents a framework for mental health service provision and assessment in schools, including describing methods for identifying students who might need mental health services and tracking their progress. Further, several evidence-based interventions are highlighted as examples of effective practices in schools. The chapter concludes with recommendations for clinical practice in school settings.

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