Problem-Solving Therapy

2017 ◽  
Author(s):  
Nancy P. Kropf ◽  
Sherry M. Cummings
Keyword(s):  
Mental Health ◽  
Primary Care ◽  
Decision Making ◽  
Problem Solving ◽  
Psychosocial Intervention ◽  
Outcome Evaluation ◽  
Problem Definition ◽  
Medical Problems ◽  
Problem Solving Therapy ◽  
Solution Generation

Problem-solving therapy (PST) is a psychosocial intervention that teaches clients to cope with the stress of “here-and-now” problems in order to reduce negative health and mental health outcomes. In this chapter, the six stages of PST—problem orientation, problem definition, solution generation, decision-making, solution implementation, and outcome evaluation—are explained and exemplified via vignettes. Areas for which problem-solving therapy has been found useful are summarized, including depression, anxiety, relationship difficulties, and distress related to medical problems such as cancer and diabetes. The chapter describes contexts for practice, including primary care and home care, as well as adaptations for the use of PST with older adults. Finally, a case example of a problem-solving intervention with an unemployed depressed older man is presented to illustrate this approach.

scholarly journals Impact of Friendship Bench problem-solving therapy on adherence to ART in young people living with HIV in Zimbabwe: A qualitative study

PLoS ONE ◽  
2021 ◽  
Vol 16 (4) ◽  
pp. e0250074
Author(s):  
Ilhame Ouansafi ◽  
Dixon Chibanda ◽  
Epiphania Munetsi ◽  
Victoria Simms
Keyword(s):  
Mental Health ◽  
Primary Care ◽  
Problem Solving ◽  
Young People ◽  
People Living With Hiv ◽  
Hiv Status ◽  
Problem Solving Therapy ◽  
Care Facilities ◽  
Perinatally Acquired ◽  
Living With Hiv

Background Adolescents and young people globally are highly vulnerable to poor mental health especially depression, and they account for 36% of new HIV infections in Eastern and Southern Africa. HIV services remain inadequate for this population and their adherence to ART is low. The Friendship Bench (FB), an evidence-based model developed in Zimbabwe to bridge the mental health gap, is a brief psychological intervention delivered on benches in primary care facilities by lay health workers (“grandmothers”) trained in problem-solving therapy. This study explored the experience of young people living with HIV attending FB, and their perception of how problem-solving therapy impacted their adherence to ART. Methods Semi-structured interviews were conducted in July 2019 with 10 young people living with HIV aged 18–24 years, who had recently completed FB counselling in Harare. Participants were purposively sampled and recruited from three primary care facilities. Interviews were conducted in Shona, audio-recorded, transcribed verbatim and translated into English. Transcripts were analysed in NVivo12 using inductive thematic analysis. Results Study findings revealed a clear emotional denial towards HIV, particularly for young people infected perinatally, and a resulting low adherence to ART. The study also unpacked the issues of internal stigma and how young people living with perinatally acquired HIV are informed of their HIV status. Participants reported that FB had a critical role in helping them accept their HIV status. Grandmothers’ empathic attitude was key during counselling on adherence to ART, to demystify the disease and treatment, normalize the reality of living with HIV, encourage young people to socialize with peers and free them of guilt. Interviewees unanimously reported improved ART adherence following FB counselling, and many described enhanced health and wellbeing. Conclusion Participants saw FB as a strong contributor to their general well-being, evident in decreased symptoms of depression and improved adherence to ART. FB problem-solving therapy should be rolled out to further support young people after post-test counselling or HIV serostatus disclosure for perinatally acquired HIV, for acceptance of HIV status and adherence to ART.

scholarly journals Development of a Positive Youth Development Program: Promoting the Mental Health of Stressful Adolescents Using Principles of Problem Solving Therapy

2006 ◽  
Vol 6 ◽  
pp. 397-405
Author(s):  
Daniel T.L. Shek ◽  
Joyce T.W. Chow
Keyword(s):  
Mental Health ◽  
Problem Solving ◽  
Youth Development ◽  
Positive Youth Development ◽  
Development Program ◽  
Well Being ◽  
Outcome Evaluation ◽  
Management Style ◽  
Problem Solving Therapy ◽  
Youth Development Program

This paper outlines the proposal for the development, implementation, and evaluation of a positive youth development program that attempts to promote the mental health of stressful Chinese adolescents using principles of Problem Solving Therapy (PST). There are two general aims of PST: to help clients identify life difficulties and resolve them, as well as to teach them skills on how to deal with future problems. The proposed project will utilize the principles of PST as the guiding framework to run two mental health promotion courses for adolescents who are experiencing disturbing stressful responses and students who want to improve their stress management style. Both objective and subjective outcome evaluation strategies will be carried out to assess the effectiveness of the intervention to promote the psychological well-being in adolescents who are experiencing stress. A related sample proposal is described that can give social workers some insight on how to prepare a proposal for developing the Tier 2 Program of the Project P.A.T.H.S. (Positive Adolescent Training through Holistic Social Programs).

Development and feasibility assessment of a collaborative stepped care intervention for management of depression in the mental health in primary care (MeHPriC) project, Lagos, Nigeria

2018 ◽  
Vol 49 (13) ◽  
pp. 2149-2157 ◽  
Author(s):  
Abiodun O. Adewuya ◽  
Tomilola Adewumi ◽  
Olufisayo Momodu ◽  
Olushola Olibamoyo ◽  
Olabanji Adesoji ◽  
...  
Keyword(s):  
Mental Health ◽  
Primary Care ◽  
Health Workers ◽  
Psychological Intervention ◽  
Stepped Care ◽  
Theoretical Development ◽  
Intervention Package ◽  
Problem Solving Therapy ◽  
Adherence Support ◽  
Local Stakeholders

AbstractBackgroundThis study aimed to develop and test the feasibility of a primary care worker-led psychological intervention as the main feature of a collaborative stepped care for depression that is effective, affordable, culturally acceptable, tailored to patients’ clinical condition and easily integrate-able into the primary care schedule in Nigeria.MethodsUsing the Medical Research Council framework, in the first stage (modelling/theoretical development), experts reviewed and distilled evidence from literature to form the intervention components. In the second (formative) stage, local stakeholders were consulted on the practical application and feasibility of the proposed intervention. The third (piloting) stage involved testing for the clinical efficacy and acceptability of the components of the draft interventionResultsThe final intervention components included a 2-stage screening (red-flagging and further evaluation), psychoeducation, low-intensity psychological therapy (problem-solving therapy for primary care), antidepressant prescription, proactive mobile telephony adherence support and referral to the mental health specialist if needed. At 3 months, 71.6% of depressed patients on the intervention improved. The intervention was perceived to be acceptable and useful by over 70% of health workers and clients and had high ratings (>70% score) by expert panels on intervention simplicity, facilitation strategies, and quality of delivery.ConclusionsThe development and feasibility testing of our integrated intervention encompassed review of current literature, expert opinions and consultation with local stakeholders and end users. Our intervention package was largely deemed acceptable, relevant, useful, and feasible. Important lessons learnt with this process will help in future intervention developments.

scholarly journals Adaptation of problem-solving therapy for primary care to prevent late-life depression in Goa, India: the ‘DIL’ intervention

2019 ◽  
Vol 12 (1) ◽  
pp. 1420300
Author(s):  
Amit Dias ◽  
Fredric Azariah ◽  
Miriam Sequeira ◽  
Revathi Krishna ◽  
Jennifer Q. Morse ◽  
...  
Keyword(s):  
Primary Care ◽  
Problem Solving ◽  
Late Life ◽  
Late Life Depression ◽  
Problem Solving Therapy

scholarly journals Integrated TRIZ-AHP Support System for Conceptual Design

2014 ◽  
Vol 548-549 ◽  
pp. 1998-2002 ◽  
Author(s):  
M.U. Rosli ◽  
M.K.A. Ariffin ◽  
S.M. Sapuan ◽  
S. Sulaiman
Keyword(s):  
Problem Solving ◽  
Conceptual Design ◽  
Support System ◽  
Material Selection ◽  
Problem Definition ◽  
Design Stage ◽  
Root Cause ◽  
Solution Generation ◽  
Computer Based ◽  
Root Cause Identification

.Amid the fierce rising competition in the market, accelerating the problem solving and decision making process have become major issues in product design especially in conceptual design stage. For years, Theory of Inventive Problem Solving (TRIZ) has been extensively applied in problem solving. In this paper, Analytical Hierarchy Process (AHP) was proposed to strengthen three major steps in TRIZ methodology namely as problem definition, root cause identification and solution generation. The integration was then structured in the form of computer-based system. The integration, application and software in AHP and TRIZ method have been discussed in this paper. This proposed support system not only provided evidence that TRIZ methodologies improved by the support of AHP and also aided the designers in early design phase such as concept, process and material selection.

Rehabilitation staff perspectives on training for problem-solving therapy for primary care in a low vision service

2015 ◽  
Vol 34 (1) ◽  
pp. 26-41 ◽  
Author(s):  
Bonnie Adele Sturrock ◽  
Edith Holloway ◽  
Jill Keefe ◽  
Mark Hegel ◽  
Robin Casten ◽  
...  
Keyword(s):  
Primary Care ◽  
Problem Solving ◽  
Low Vision ◽  
Problem Solving Therapy
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