Mental Health and Mass Violence: Evidence-Based Early Psychological Intervention for Victims/Survivors of Mass Violence: A Workshop to Reach Consensus on Best Practices

2002 ◽  
Keyword(s):  
Mental Health ◽  
Best Practices ◽  
Psychological Intervention ◽  
Evidence Based ◽  
Mass Violence

scholarly journals Brief Behavioural Activation (Brief BA) for Adolescent Depression: A Pilot Study

2017 ◽  
Vol 46 (2) ◽  
pp. 182-194 ◽  
Author(s):  
Laura Pass ◽  
Carl W. Lejuez ◽  
Shirley Reynolds
Keyword(s):  
Mental Health ◽  
Pilot Study ◽  
Young People ◽  
Adolescent Depression ◽  
Psychological Intervention ◽  
Clinical Effectiveness ◽  
Evidence Based ◽  
Behavioural Activation ◽  
Evidence Based Treatments ◽  
The Uk

Background: Depression in adolescence is a common and serious mental health problem. In the UK, access to evidence-based psychological treatments is limited, and training and employing therapists to deliver these is expensive. Brief behavioural activation for the treatment of depression (BATD) has great potential for use with adolescents and to be delivered by a range of healthcare professionals, but there is limited empirical investigation with this group. Aims: To adapt BATD for depressed adolescents (Brief BA) and conduct a pilot study to assess feasibility, acceptability and clinical effectiveness. Method: Twenty depressed adolescents referred to the local NHS Child and Adolescent Mental Health service (CAMHs) were offered eight sessions of Brief BA followed by a review around one month later. Self- and parent-reported routine outcome measures (ROMs) were collected at every session. Results: Nineteen of the 20 young people fully engaged with the treatment and all reported finding some aspect of Brief BA helpful. Thirteen (65%) required no further psychological intervention following Brief BA, and both young people and parents reported high levels of acceptability and satisfaction with the approach. The pre–post effect size of Brief BA treatment was large. Conclusions: Brief BA is a promising innovation in the treatment of adolescent depression. This approach requires further evaluation to establish effectiveness and cost effectiveness compared with existing evidence-based treatments for adolescent depression. Other questions concern the effectiveness of delivery in other settings and when delivered by a range of professionals.

scholarly journals Mixed Reality Technology as a Delivery Mechanism for Psychological Intervention in Adolescents With Asthma: A Qualitative Protocol

2021 ◽  
Vol 20 ◽  
pp. 160940692110083
Author(s):  
Kelsey Sharrad ◽  
Zoe Kopsaftis ◽  
Andrew Tai ◽  
Nicola Spurrier ◽  
Ross Smith ◽  
...  
Keyword(s):  
Mental Health ◽  
Psychological Distress ◽  
Young People ◽  
Mixed Reality ◽  
Psychological Intervention ◽  
Low Cost ◽  
Asthma Management ◽  
Mental Wellbeing ◽  
Asthma Prevalence ◽  
Evidence Based

Australia has one of the highest asthma prevalence rates in the world, with this chronic and debilitating condition affecting one in nine people. The health and mental wellbeing of young people with asthma are worse than not only their peers without asthma but also worse than that of people with asthma at other ages. Psychological interventions could be beneficial in treating symptoms of elevated psychological distress in patients with asthma. However, evidence suggests that engagement with mental health services is low in this population. Technology-based solutions that engage youth may overcome barriers to service uptake for both mental health and asthma management. To fast-track the successful translation of evidence-based treatment into practice, interactive, mixed-reality technologies such as augmented reality (AR), virtual reality (VR) and holographic technology may provide a novel, low-cost solution, yet to date, methodological rigor in the evaluation of mixed reality for this purpose is lacking. To evaluate the perceived usability and acceptability of these technologies, mixed reality tools will be developed by the author team to deliver a component of a psychological intervention for treatment of elevated psychological distress among young people with asthma. Qualitative research will be conducted through one-on-one interviews with young people with asthma, parents/caregivers of young people with asthma, and with health professionals, during which participants will have time to interact with the resources. Moderator guides will be used to direct interviews, and will be supplemented with a questionnaire, including Likert-type measures of usability and acceptability to facilitate triangulation of data. Understanding and data obtained through this study will be used to develop version 2.0 mixed reality tools, which will be tested for feasibility in a RCT. Improving access to and uptake of evidence-based treatments for elevated psychological distress in young people with asthma may reduce the burden of this highly prevalent disease.

scholarly journals Application of the Cognitive-Behavior Therapy principles in the development of e-mental health tools

Psychologica ◽  
2020 ◽  
Vol 63 (2) ◽  
pp. 119-137
Author(s):  
Ana Fonseca ◽  
Mariana Branquinho ◽  
Maria Cristina Canavarro
Keyword(s):  
Mental Health ◽  
Behavior Therapy ◽  
Mental Health Professionals ◽  
Cognitive Behavior Therapy ◽  
Psychological Intervention ◽  
Evidence Based ◽  
Cognitive Behavior ◽  
Web Based ◽  
Treatment Delivery ◽  
Face To Face

E-mental health tools are a new format of treatment delivery that can increase population’s access to mental health services. Its effectiveness is higher when grounded on evidence-based therapeutic protocols, such as Cognitive-Behavior Therapy (CBT). We aim to understand how CBT principles can be applied in the development of e-mental health tools, more specifically, in web-based interventions. We use the case example of the Be a Mom program, a web-based psychological intervention, grounded on the principles of CBT, designed to prevent postpartum depression and targeting high-risk postpartum women in the Portuguese population. We describe how the design of Be a Mom was grounded in CBT, by addressing: a) general CBT principles; b) its therapeutic mechanisms; and c) organization of sessions. Also, we discuss the relevance of the therapeutic alliance in web-based interventions and the importance of evidence-based interventions. By providing insight on how the principles of CBT can be operationalized in an innovative delivery format, we can contribute to the further development of web-based interventions, as well as to increase awareness and knowledge among mental health professionals about the similarities between the principles underlying web-based and face-to-face CBT interventions.

scholarly journals Frontline yet at the back of the queue – improving access and adaptations to CBT for Black African and Caribbean communities

2021 ◽  
Vol 14 ◽  
Author(s):  
Leila Lawton ◽  
Melissa McRae ◽  
Lorraine Gordon
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Health Services ◽  
Psychological Intervention ◽  
Evidence Based ◽  
List Type ◽  
Black African ◽  
Psychological Therapies ◽  
The Impact ◽  
Minority Ethnic

Abstract This paper focuses on the Black minority ethnic population (Black British, Black African, Black Caribbean) and uses the term BME in reference to this group. Only 6.2% of BME people access psychological intervention for common mental disorders. In provision of cognitive behavioural therapy (CBT) the diversity in global majority populations1 requires culturally specific informed and responsive approaches. The Improving Access to Psychological Therapies (IAPT) programme needs to be accountable, culturally congruent and strategic, to ensure accessibility and improve outcomes for BME people. According to the Mental Health Foundation (2019), a higher percentage of Black, Asian and other minority ethnic populations (BAME) are diagnosed with common, severe and complex mental health disorders. Despite the weight of literature on this, little has changed. The NHS Implementation Plan outlines trajectories for increased access and reduced attrition within mental health services, addressing inequalities for BAME populations. Evidence-based guidance and audits for provision of culturally sensitive and adapted therapies are presented in the pioneering (IAPT) BAME Positive Practice Guide (PPG). However, there are no funding arrangements or formal integrated frameworks to support implementation. The COVID-19 global pandemic and the high-profile death of George Floyd tragically exposed and highlighted the consequences of systemic racism. Understanding of the importance of service and clinical anti-racist practice is imperative for CBT therapists. Implementation of the BAME PPG audit tool ensures review of race equity in access, engagement, adaptation and workforce within IAPT and other mental health services. This could transform lives. Key learning aims (1) To understand the barriers (individual, societal and systemic) to accessing psychological therapies such as CBT and the impact on CBT treatment outcomes specifically for black minority ethnic (BME) populations. (2) To recognise barriers to implementation of formal frameworks for equitable access to psychological therapies such as CBT for BME communities. (3) To assist services and therapists to implement evidence-based learning, on cultural adaptations, to address barriers in access, retention and completion of CBT. (4) To provide examples of services that have taken successful actions to address the issues identified in the earlier points.

scholarly journals A Roadmap to Inform the Implementation of Evidence-Based Collaborative Care Interventions in Communities: Insights From the Michigan Mental Health Integration Partnership

2021 ◽  
Vol 9 ◽  
Author(s):  
Amy Rusch ◽  
Lindsay M. DeCamp ◽  
Celeste M. Liebrecht ◽  
Seo Youn Choi ◽  
Gregory W. Dalack ◽  
...  
Keyword(s):  
Mental Health ◽  
Best Practices ◽  
Collaborative Care ◽  
Project Teams ◽  
Successful Implementation ◽  
Evidence Based ◽  
Structured Interviews ◽  
Community Based ◽  
Mental Health Integration ◽  
Implementation Steps

Background: Despite increasing calls for further spread of evidence-based collaborative care interventions (EBIs) in community-based settings, practitioner-driven efforts are often stymied by a lack of experience in addressing barriers to community-based implementation, especially for those not familiar with implementation science. The Michigan Mental Health Integration Partnership (MIP) is a statewide initiative that funds projects that support implementation and uptake of EBIs in community-based settings. MIP also provides an in situ implementation laboratory for understanding barriers to the uptake of EBIs across a variety of settings. We report findings from a statewide qualitative study of practitioners involved in MIP projects to garner their perspectives of best practices in the implementation of EBIs.Methods: Twenty-eight semi-structured interviews of practitioners and researchers from six MIP Projects were conducted with individuals implementing various MIP EBI projects across Michigan, including stakeholders from project teams, implementation sites, and the State of Michigan, to identify common barriers, challenges, and implementation strategies deployed by the project teams, with the purpose of informing a set of implementation steps and milestones.Results: Stakeholders identified a number of barriers to and strategies for success, including the need for tailoring program deployment and implementation to specific site needs, development of web-based tools for facilitating program implementation, and the importance of upper-level administration buy-in. Findings informed our resultant community-based Implementation Roadmap, which identifies critical steps across three implementation phases—pre-implementation, implementation, and sustainability—for implementation practitioners to use in their EBI implementation efforts.Conclusion: Implementation practitioners interested in community-based EBI implementation often lack access to operationalized implementation “steps” or “best practices” that can facilitate successful uptake and evaluation. Our community-informed MIP Implementation Roadmap, offering generalized steps for reaching successful implementation, uses experiences from a diverse set of MIP teams to guide practitioners through the practices necessary for scaling up EBIs in community-based settings over pre-implementation, implementation and sustainability phases.

scholarly journals Best Practices for Working with Latinx Older Adults in Mental Healthcare

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 857-857
Author(s):  
Kendall Weber ◽  
Lisa Stone
Keyword(s):  
Mental Health ◽  
Older Adults ◽  
Best Practices ◽  
Mental Health Professionals ◽  
Mental Healthcare ◽  
Later Life ◽  
The United States ◽  
Evidence Based ◽  
Health Providers ◽  
Starting Point

Abstract Background The number of older adults in the United States is growing rapidly. The percentage of individuals from ethnic minority groups that make up this population is also rapidly increasing, with Latinx older adults comprising the fastest growing subgroup. However, Latinx older adults historically underutilize mental health services, in large part due to the lack of culturally sensitive and informed care provided by mental health professionals (de Guzman et al., 2015). However, to date, comprehensive, evidence-based best practices for mental healthcare for Latinx older adults do not exist. Method: A literature review was conducted of research on the developmental, social, cognitive, biological, and affective bases of behavior among Latinx older adults. Results Taking an integrated, evidence-based psychological approach with cultural considerations, we found that the literature could broadly be organized into six best practice guidelines. We propose assessing for and incorporating the following topics into mental health treatment of Latinx older adults: immigration status, acculturation, attitudes towards mental health, physical and cognitive health disparities, discrimination, and unique preferences for care structure in later life. Discussion These guidelines are intended to represent basic principles to incorporate into practice and do not represent an exhaustive list of factors to consider for a heterogenous group of older adults. Instead, the six, empirically-based guidelines proposed in this study can serve as a starting point for increasing mental health providers’ awareness of the unique experiences of Latinx older adults, with the aim of improving the experience of this historically underserved population in mental healthcare treatment.

scholarly journals Informing the Design of Mental Health Smartphone Apps for Adolescents

2020 ◽  
Vol 9 (1) ◽  
pp. 218-222
Author(s):  
Crystal Fausett ◽  
Jenny Lee ◽  
Eryn Godwin ◽  
Evan Palmer ◽  
Sarah Fouquet
Keyword(s):  
Mental Health ◽  
Best Practices ◽  
Development Process ◽  
Relevant Literature ◽  
Professional Support ◽  
Evidence Based ◽  
Smartphone Apps ◽  
User Centered Design ◽  
Smartphone Applications ◽  
Evidence Based Treatments

The purpose of this work is to obtain a set of best practices for the design of mental health smartphone applications (MHSAs) for an adolescent user base. The authors carried out a systematic literature review combined with a bibliographic coupling analysis to identify relevant literature, and then a thematic analysis of the literature to identify core principles. These efforts led to a framework of nine general principles for the creation and design of MHSAs. The nine core principles identified were: Using evidence-based treatments, encouraging intrinsic motivation in users, using extrinsic behavior triggers, providing professional support, enabling social support, engaging users during the development process, using user-centered design principles, including a parental mode, and protecting patients’ privacy.

scholarly journals Using Surrogate Partner Therapy in Counseling: Treatment Considerations

2019 ◽  
pp. 105-113
Author(s):  
Kelly Emelianchik-Key ◽  
Kimberleigh Stickney
Keyword(s):  
Mental Health ◽  
Best Practices ◽  
Health Professional ◽  
Mental Health Professional ◽  
Treatment Approach ◽  
Professional Associations ◽  
Evidence Based ◽  
Ethical Considerations ◽  
Lack Of Information ◽  
Treatment Considerations

When working with clients on issues of sexuality, clinicians often avoid the treatment approach of surrogate partner therapy due to lack of information and understanding. Surrogate partner therapy is a grey area within legal and ethical boundaries of various mental health professional associations. This article offers an intensive exploration of surrogate partner therapy, including its history, ethical considerations, benefits, and challenges. Best practices and treatment considerations when working with a surrogate partner therapist are discussed. Although there is a lack of research and evidence-based practice information, the available literature demonstrates that surrogate partner therapy is an effective intervention that can enhance treatment for clients struggling with sexuality and intimacy issues.

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