The transfer of CBT education from classroom to work setting: getting it right or wasting the opportunities?

2008 ◽  
Vol 1 (1) ◽  
pp. 27-44 ◽  
Author(s):  
Alec Grant ◽  
Michael Townend ◽  
Graham Sloan
Keyword(s):  
Clinical Evidence ◽  
Service Providers ◽  
Evidence Base ◽  
Service Planning ◽  
Psychological Services ◽  
Work Setting ◽  
Practice Setting ◽  
Skills Transfer ◽  
Cognitive Behavioural ◽  
Recent Policy

AbstractRecent policy, service and financial drivers that are aimed at improving access to psychological services with a particular focus on cognitive behavioural approaches have resulted in a number local and national service planning initiatives. The extent to which these developments ought to be informed by theory and research regarding the transfer of classroom-based learning to the work setting is made clear. The existing evidence base has implications for how education providers develop collaborative curricula with NHS employers in order to prepare students for the practice setting, and for how service providers support the students' knowledge, skills development, skills transfer and consolidation of these within the practice setting. The dangers of assuming that the dissemination of the clinical evidence base is straightforward within complex organizations and the structure of the NHS are also critically discussed.

scholarly journals MYELODYSPLASTIC SYNDROMES AND IRON CHELATION THERAPY

2017 ◽  
Vol 9 (1) ◽  
pp. e2017021 ◽  
Author(s):  
Emanuele Angelucci ◽  
Silvana Anna Maria Urru ◽  
Federica Pilo ◽  
Alberto Piperno
Keyword(s):  
Iron Overload ◽  
Myelodysplastic Syndromes ◽  
Tissue Damage ◽  
Clinical Evidence ◽  
New Technologies ◽  
Iron Chelation ◽  
Organ Damage ◽  
Evidence Base ◽  
Toxic Damage ◽  
The Relationship

Over recent decades we have been fortunate to witness the advent of new technologies and of an expanded knowledge and application of chelation therapies to the benefit of patients with iron overload. However, extrapolation of learnings from thalassemia to the myelodysplastic syndromes (MDS) has resulted in a fragmented and uncoordinated clinical evidence base. We’re therefore forced to change our understanding of MDS, looking with other eyes to observational studies that inform us about the relationship between iron and tissue damage in these subjects. The available evidence suggests that iron accumulation is prognostically significant in MDS, but levels of accumulation historically associated with organ damage (based on data generated in the thalassemias) are infrequent. Emerging experimental data have provided some insight into this paradox, as our understanding of iron-induced tissue damage has evolved from a process of progressive bulking of organs through high-volumes iron deposition, to one of ‘toxic’ damage inflicted through multiple cellular pathways. Damage from iron may therefore occur prior to reaching reference thresholds, and similarly, chelation may be of benefit before overt iron overload is seen. In this review, we revisit the science and clinical evidence for iron overload in MDS to better characterise the iron overload phenotype in these patients, which is distinct from the classical transfusional and non-transfusional iron overload syndrome. We hope this will provide a conceptual framework to better understand the complex associations between anemia, iron and clinical outcomes, to accelerate progress in this area.

scholarly journals Better data, better knowledge, better society: Developing an ideal homelessness data system drawing on lessons from global practice

2019 ◽  
Vol 4 (3) ◽  
Author(s):  
Ian Thomas ◽  
Peter Mackie
Keyword(s):  
Data Collection ◽  
Central Government ◽  
Service Providers ◽  
Data Access ◽  
Evidence Base ◽  
Data System ◽  
Policy And Practice ◽  
Good Data ◽  
Ideal System ◽  
Health And Social Care

The aim of this paper is to set out the principles of an ideal data system. Good data is crucial to effective policy and practice development in all social policy spheres and this is a particular challenge in the context of homelessness policy. Policy makers, practitioners and researchers have been highly critical of the current state of homelessness data across the globe, with concerns largely focused on the incompleteness of the data. Most research has narrowly focused on the strengths and weaknesses of different data collection techniques, such as Point-In-Time counts. However, good data does not only derive from the data collection method - consideration must also be given to the wider data system, including how data are generated, reported, analysed, and crucially, how they are made accessible and to who. The evidence base for the paper is a desk-based review of 49 data collection systems from 8 countries, including systems in health and social care settings—where data are being increasingly used to drive more effective care. The different systems are synthesised to generate 8 areas of design, being: data architecture, governance, data quality, ethical and legal, privacy/security, data access, and importantly, purpose. Drawing these elements together, the paper concludes that data collection should adopt a common data standard shared across the sector, enabling inter-organisational information sharing and improving collaboration; reporting to local and central government must not be one-sided, instead data providers should receive some tangible benefit for their engagement; the focus of analysis needs to shift from statistics toward evaluation into the effectiveness of interventions; and access must be available to a range of sector actors, including service providers and academia. Importantly, the paper also concludes that in delivering the ideal system, care must be taken not to interrupt the delivery of effective homelessness interventions.

The rationale for a clinical evidence base

2021 ◽  
pp. 6-32
Author(s):  
Lisa de Rijk ◽  
Richard Gray ◽  
Phil Parker
Keyword(s):  
Clinical Evidence ◽  
Evidence Base

Supporting low intensity interventions using the telephone

2010 ◽  
pp. 275-280 ◽  
Author(s):  
Karina Lovell
Keyword(s):  
Cognitive Behavioural Therapy ◽  
Evidence Base ◽  
Behavioural Therapy ◽  
Practical Application ◽  
Low Intensity ◽  
Cognitive Behavioural ◽  
Therapy Interventions

Chapter 27 discusses LI interventions using the telephone, and aims to provide the rationale, evidence base, challenges, solutions and practical application of delivering low intensity psychological (mainly cognitive behavioural therapy) interventions by telephone.

Counseling and Psychotherapy in the School Context

2010 ◽  
pp. 77-93 ◽  
Author(s):  
Rosemary Flanagan ◽  
Jeff A. Miller
Keyword(s):  
Substance Abuse ◽  
Physical Health ◽  
School Psychologists ◽  
School Context ◽  
Interpersonal Problems ◽  
Academic Failure ◽  
Psychological Services ◽  
Dropping Out ◽  
Practice Setting ◽  
Vocational Success

Chapter 5 discusses the increased awareness of the need for expanded psychological services in schools to address issues that include academic failure, bullying, interpersonal problems, substance abuse, dropping out of school, limited vocational success, problems with physical health, and suicide. It also covers how counseling and psychotherapy are delivered by school psychologists according to their credentials and practice setting.

Before you meet someone with obsessive-compulsive disorder: understanding the problem

2017 ◽  
pp. 1-50
Author(s):  
Victoria Bream ◽  
Fiona Challacombe ◽  
Asmita Palmer ◽  
Paul Salkovskis
Keyword(s):  
Obsessive Compulsive Disorder ◽  
Current Knowledge ◽  
Evidence Base ◽  
Background Information ◽  
Clear Understanding ◽  
Obsessive Compulsive ◽  
Case Examples ◽  
Compulsive Disorder ◽  
Recommended Treatment ◽  
Cognitive Behavioural

This chapter provides detailed background information on obsessive-compulsive disorder (OCD) that will give the therapist a clear understanding of current knowledge about the context and causes of this problem. Research evidence on the epidemiology of OCD, impact, and causal factors is presented. Here we introduce the cognitive-behavioural model of OCD, offering a discussion of the key elements of this model. The chapter will also include case examples to illustrate different manifestations of OCD (including contamination, checking, rumination, just-right feelings) and common processes that are key in the maintenance of obsessional problems (for example, reassurance-seeking and magical thinking). This chapter reviews the evidence base for the treatment of OCD, including medication, and identifies cognitive-behavioural therapy (CBT) as the recommended treatment.

Treatment of anxiety disorders

2020 ◽  
pp. 961-966
Author(s):  
David S. Baldwin ◽  
Nathan T.M Huneke
Keyword(s):  
Anxiety Disorders ◽  
Previous Treatment ◽  
Patient Characteristics ◽  
Evidence Base ◽  
Behavioural Therapy ◽  
Physical Symptoms ◽  
Need For Treatment ◽  
Cognitive Behavioural ◽  
Choice Of Treatment ◽  
Characteristic Features

The personal and societal burden associated with anxiety disorders is considerable, but many individuals who might benefit from treatment are not recognized. Recognition relies on awareness of psychological and physical symptoms common to all anxiety disorders, and accurate diagnosis on identifying specific features of particular disorders. The need for treatment is determined by the severity and persistence of symptoms, the impact of symptoms on everyday life, the presence of coexisting depressive symptoms, and other features such as response to previous treatment approaches. Patient characteristics and patient and doctor preferences influence the choice of treatment. There is much overlap between anxiety disorders in evidence-based and effective therapies (such as the prescription of a selective serotonin reuptake inhibitor or a course of individual cognitive behavioural therapy), but there are also important differences, so it helps to be familiar with the characteristic features and evidence base for each condition.

scholarly journals Adapting Digital Social Prescribing for Suicide Bereavement Support: The Findings of a Consultation Exercise to Explore the Acceptability of Implementing Digital Social Prescribing within an Existing Postvention Service

2019 ◽  
Vol 16 (22) ◽  
pp. 4561 ◽  
Author(s):  
Karen Galway ◽  
Trisha Forbes ◽  
Sharon Mallon ◽  
Olinda Santin ◽  
Paul Best ◽  
...  
Keyword(s):  
Service Providers ◽  
Evidence Base ◽  
Health Issues ◽  
Bereavement Support ◽  
Social Prescribing ◽  
Mental Health Issues ◽  
Care And Support ◽  
Suicide Bereavement ◽  
Engagement Process ◽  
Improve Access

This paper describes a consultation exercise to explore the acceptability of adapting digital social prescribing (DSP) for suicide bereavement support. Bereavement by suicide increases the risk of suicide and mental health issues. Social prescribing improves connectedness and empowerment and can provide digital outcomes-based reporting to improve the capacity for measuring the effectiveness of interventions. Our aim was to consult on the acceptability and potential value of DSP for addressing the complexities of suicide bereavement support. Our approach was underpinned by implementation science and a co-design ethos. We reviewed the literature and delivered DSP demonstrations as part of our engagement process with commissioners and service providers (marrying evidence and context) and identified key roles for stakeholders (facilitation). Stakeholders contributed to a co-designed workshop to establish consensus on the challenges of providing postvention support. We present findings on eight priority challenges, as well as roles and outcomes for testing the feasibility of DSP for support after suicide. There was a consensus that DSP could potentially improve access, reach, and monitoring of care and support. Stakeholders also recognised the potential for DSP to contribute substantially to the evidence base for postvention support. In conclusion, the consultation exercise identified challenges to facilitating DSP for support after suicide and parameters for feasibility testing to progress to the evaluation of this innovative approach to postvention.

Oxygen therapy: evidence base

2020 ◽  
Vol 29 (Sup5b) ◽  
pp. S11-S22
Author(s):  
John Lantis
Keyword(s):  
Systematic Reviews ◽  
Oxygen Therapy ◽  
Clinical Evidence ◽  
Case Series ◽  
Evidence Base ◽  
Common Thread ◽  
Meta Analyses

The evidence base for the different methods of oxygen therapy ranges from systematic reviews and meta-analyses to case series evaluations. A common thread running through the assorted evidence is that oxygen therapy accelerates healing and reduces healing times. This article summarises the clinical evidence produced on this therapy

Rehabilitation Approaches to the Management of Aggressive Behaviour Disorders after Acquired Brain Injury

2013 ◽  
Vol 14 (1) ◽  
pp. 5-20 ◽  
Author(s):  
Nick Alderman ◽  
Caroline Knight ◽  
Jennifer Brooks
Keyword(s):  
Brain Injury ◽  
Aggressive Behaviour ◽  
Acquired Brain Injury ◽  
Evidence Base ◽  
Behavioural Therapy ◽  
Limiting Factor ◽  
Behaviour Disorder ◽  
Behaviour Therapy ◽  
Behavioural Interventions ◽  
Cognitive Behavioural

Symptoms of neurobehavioural disability acquired through brain injury, especially aggression, are associated with severe social handicap. Differences in terminology have resulted in varying estimates, but aggressive behaviour disorder appears to be characteristic of survivors at some point in their recovery journey. This paper provides a brief review regarding the prevalence, development and causes of aggression associated with acquired brain injury (ABI), and what can be done to help manage them. The advantages of using standardised measures conceptualised for ABI in the assessment and formulation of aggressive behaviour disorders are especially highlighted. A range of treatment methods and the evidence base relating to these are described. The contribution of pharmacological therapies, cognitive behavioural therapy and behavioural interventions are explored. It is argued that the strongest evidence base is associated with behaviour therapy, especially when carried out in the context of neurobehavioural rehabilitation, and two case studies are described to illustrate the clinical advantages of interventions derived from operant theory. Comparative lack of ABI experts trained in the management of post-acute behaviour disorders remains a limiting factor.

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