Mental Health: Practice Interventions

Author(s):  
Phyllis Solomon

This entry focuses on services for adults with severe mental illness, specifically the five psychosocial interventions considered evidence-based practices. The emergence of psychiatric rehabilitation, the only professional discipline designed to serve a specified population, is described. The primary historical practice approaches, which are the foundation for psychiatric rehabilitation, are discussed. Each of the five evidence-based practices is then described with the empirical supporting evidence. The emphasis on this population and interventions were selected as social workers are the major providers for this population and frequent implementers and developers of these interventions.

2016 ◽  
Vol 35 (2) ◽  
pp. 226-243 ◽  
Author(s):  
Desmond U. Patton ◽  
Ninive Sanchez ◽  
Dale Fitch ◽  
Jamie Macbeth ◽  
Patrick Leonard

Trauma-based interventions are common in mental health practice, and yet there is a gap in services because social media has created new ways of managing trauma. Practitioners identify treatments for traumatic experiences and are trained to implement evidence-based practices, but there is limited research that uses social media as a data source. We use a case study to explore over 400 Twitter communications of a gang member in Chicago’s Southside, Gakirah Barnes, who mourned the death of her friend on Twitter. We further explore how, following her own death, members of her Twitter network mourn her. We describe expressions of trauma that are difficult to uncover in traditional trauma-based services. We discuss practice and research implications regarding using Twitter to address trauma among gang-involved youth.


2019 ◽  
Vol 37 (1) ◽  
pp. 90-98 ◽  
Author(s):  
Alana Iglewicz ◽  
M. Katherine Shear ◽  
Charles F. Reynolds ◽  
Naomi Simon ◽  
Barry Lebowitz ◽  
...  

Sexual Abuse ◽  
2019 ◽  
Vol 32 (6) ◽  
pp. 679-705
Author(s):  
Adam Deming ◽  
Jerry L. Jennings

Despite a continued evolution of the field of sexual abuser treatment toward a distinct professional discipline with clinicians using an increasing variety of treatment approaches, there is no consensus regarding the strength of our various clinical interventions as evidence-based practices (EBPs). This article provides a brief history of the development and goals of EBPs in medicine and mental health, and a review of the earnest efforts of researchers within the field to establish treatment approaches with sexual abusers as evidence-based. An appraisal of the current status of EBP’s with sexual abusers is provided. Although there have been improvements in the methodological quality of treatment outcome research with sexual abusers, divergent opinions about treatment effectiveness remain, and the field has not yet agreed on a system or set of criteria for what constitutes “evidence.” We contend that clinical practice has been influenced as much, or more, by new paradigms that are intuitively meaningful and perceived as needed than it has by what has been determined to be scientifically efficacious. This trend and other processes in our field that seem to be slowing the development of EBPs with sexual abusers are discussed. Recommendations for conducting evidence-based reviews and moving the field of sexual abuser treatment toward the use of a true EBP model are provided.


The Handbook of Evidence-Based Mental Health Practice with Sexual and Gender Minorities represents the first compendium of evidence-based approaches to sexual and gender minority (SGM)-affirmative mental health practice. In the past several years, clinical researchers have begun developing and adapting evidence-based mental health treatment approaches to be affirmative of SGM individuals’ unique mental health. Because these approaches draw on research documenting unique psychosocial processes underlying SGM individuals’ mental health as well as adapt existing evidence-based treatments to impact these processes, these treatments can be considered evidence-based. Because these approaches promote effective coping with stigma-related stress and are often developed with feedback from SGM community members, these treatments can also be considered SGM-affirmative. This handbook compiles these approaches, including evidence-based treatments for specific populations within the SGM community (e.g., youth, transgender individuals, same-sex couples, parents, and bisexuals), for specific mental health problems (e.g., anxiety, depression, substance abuse, trauma, eating disorders, sexual health), and using novel modalities (e.g., group therapy; acceptance-based, dialectical behavior therapy; attachment-based, transdiagnostic therapy). Each chapter includes conceptual background and practical guidance so that mental health practitioners, researchers, educators, and students can both understand how to implement each of these approaches and develop future tests of their efficacy and the efficacy of other SGM-affirmative approaches.


Author(s):  
Andrew Young Choi ◽  
Tania Israel

Bisexuals represent the largest sexual minority group, and they experience disproportionate mental and behavioral health risks compared to monosexuals. There is a dearth of psychotherapy and intervention research focused specifically on bisexuals, although evidence-based practice for this population can draw on professional expertise, qualitative and analog research, quantitative descriptive studies, and randomized controlled trials that include bisexual participants. This chapter reviews these literatures and offers guidance for practice and future directions for research. Informed and reflective practice is recommended to develop a strong working alliance, enhance case conceptualization and collaboration, and adapt manualized treatments. Validation, social support, and attention to bisexual-specific mental health stressors may be especially important, given the pervasiveness of binegativity, bisexual stereotypes, and invisibility of bisexuality. Evidence-based practice with this population will be strengthened by future research that specifically investigates bisexuality in mental health practice.


2003 ◽  
Vol 66 (4) ◽  
pp. 168-170 ◽  
Author(s):  
Hilary Mairs

This opinion piece considers the profile of occupational therapy within the literature informing the evidence base for current mental health practice. It highlights a number of concerns for occupational therapists practising in this field and advocates that it is time to engage with the available evidence base and generate a research agenda to support the activity of mental health occupational therapists.


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