A decade of evidence-based training for work with people with serious mental health problems: Progress in the development of psychosocial interventions

2001 ◽  
Vol 10 (1) ◽  
pp. 17-31 ◽  
Author(s):  
Charlie Brooker
Author(s):  
Farooq Naeem ◽  
Tasneem Khan ◽  
Kenneth Fung ◽  
Lavanya Narasiah ◽  
Jaswant Guzder ◽  
...  

Research into social determinants of mental and emotional health problems highlighted the need to understand the cultural factors. Mental health of immigrants is influenced by a variety of cultural, psychological, social, and economic factors. There is some evidence to suggest that South Asian people have higher rates of mental and emotional health problems than the rest of the Canadian population. Limited research also suggests that psycho-social factors are highly likely to be responsible for these high rates of mental health problems. These psychosocial factors may be impeding access and engagement with the services. These socially determined emotional and mental health problems are more likely to respond to psychosocial interventions than biological treatments. Evidence-based psychosocial interventions such as Cognitive Behaviour Therapy (CBT) and Acceptance and Commitment Therapy (ACT) might offer the way forward. CBT can be offered in a low-cost, low intensity format in a variety of settings, thus addressing the attached stigma. However, these interventions need to be culturally adapted, as these are underpinned by a Western value system. CBT has been culturally adapted and found to be effective in this group elsewhere. This opinion paper describes the need to enhance research on psychosocial determinants of the mental and emotional health problems, status, and the psychosocial determinants of health amongst South Asians in Canada to inform our understanding of the cultural specificity of psychosocial interventions.


2021 ◽  
Author(s):  
Cassie M Hazell ◽  
Jeremy Niven ◽  
Laura Chapman ◽  
Paul Roberts ◽  
Sam Cartwright-Hatton ◽  
...  

Doctoral Researchers (DRs) are an important part of the academic community and, after graduating, make substantial social and economic contributions. Despite this importance, DR wellbeing has long been of concern. Recent studies have concluded that DRs may be particularly vulnerable to poor mental health problems, but direct comparisons of the prevalence of mental health problems between them and a control group is lacking. Here, by comparing DRs with educated working controls, we show that DRs report significantly greater anxiety and depression, and that this difference is not explained by a higher rate of pre-existing mental health problems. Moreover, most DRs perceive poor mental health as a ‘normal’ part of the PhD process. Thus, our findings suggest a hazardous impact of PhD study on mental health, with DRs being particularly at risk of developing common mental health problems. This provides an evidence-based mandate for universities and funders to reflect upon practices related to DR training and mental health. Our attention should now be directed towards understanding what factors may explain heightened anxiety and depression among DRs so as to inform preventative measures and interventions.


2011 ◽  
Vol 26 (S2) ◽  
pp. 1307-1307
Author(s):  
R. Gearing ◽  
C. Schwalbe

IntroductionThe exponential growth of evidence-based practice (EBP) interventions offers clinicians a growing number of empirically-supported psychosocial treatments for youth mental disorders. These interventions are likely to be ineffective with clients who drop out of treatment prematurely or who fail to adhere to the required intervention protocols. However, despite the critical role of client adherence, systematic evidence about strategies to support client adherence is lacking.ObjectivesThe primary aim of this present study is to establish an empirical base for developing adjunctive adherence promoters to enhance client participation in psychosocial interventions.MethodsMental health child and adolescent intervention researchers who published RCT on three psychosocial interventions (CBT, IPT. Psycho-ed) were surveyed on type, use, and efficacy of intervention adherence promoters.ResultsInterventions included an average of 13.4 sessions (SD = 7.8) across 5 months. Most researchers reported using multiple adherence promoting interventions throughout their studies. On average, respondents reported using little more than one promoter per session and devoting approximately 12.4 minutes per session on all adherence promoters.ConclusionsResults of this study will assist practitioners and researchers in improving adherence to psychiatric interventions for children and adolescents. Specifically, study results fill gaps in the literature on active efforts to sustain and increase client adherence to treatment for childhood and adolescent mental health disorders. Findings of this study support best practices for adherence promotion and open new avenues for research into the tailoring of adherence to EBP interventions for child and adolescent mental health problems.


Sign in / Sign up

Export Citation Format

Share Document