Terminating Therapy and Referrals

2021 ◽  
pp. 163-180
Author(s):  
Jason Gallant ◽  
Diana Joyce-Beaulieu ◽  
Brian A. Zaboski
Keyword(s):  
Behavioral Therapy ◽  
Insurance Coverage ◽  
Outpatient Clinics ◽  
Partial Hospitalization ◽  
Outpatient Services ◽  
Inpatient Hospitalization ◽  
Family Services ◽  
Booster Sessions ◽  
Treatment Facilities ◽  
The Many

Cognitive behavioral therapy (CBT) is an efficacious and efficient intervention; as such, closure encompasses an essential part of intervention planning. Chapter 9 discusses closure: how to graduate clients from CBT, arrange booster sessions, ethically terminate CBT, and, if needed, progress clients to a higher level of care. It describes reasons for why clients may become demotivated for treatment and demystifies insurance coverage and co-pays. For clients with more severe issues, Chapter 9 explains the many referral options available, like in-home family services, outpatient clinics, intensive outpatient services, partial hospitalization, acute inpatient hospitalization, and residential treatment facilities. The chapter concludes with a discussion of psychopharmacology and incorporates a multidisciplinary, consultative approach throughout.

Autism and Families' Financial Burden: The Association With Health Insurance Coverage

2015 ◽  
Vol 120 (2) ◽  
pp. 166-175 ◽  
Author(s):  
Susan L. Parish ◽  
Kathleen C. Thomas ◽  
Christianna S. Williams ◽  
Morgan K. Crossman
Keyword(s):  
Health Insurance ◽  
Medical Expenditure Panel Survey ◽  
Financial Burden ◽  
Private Insurance ◽  
Insurance Coverage ◽  
Health Insurance Coverage ◽  
Autism Spectrum ◽  
Medical Expenditure ◽  
Outpatient Services ◽  
Raising Children

Abstract We examined the relationship between family financial burden and children's health insurance coverage in families (n  =  316) raising children with autism spectrum disorders (ASD), using pooled 2000–2009 Medical Expenditure Panel Survey data. Measures of family financial burden included any out-of-pocket spending in the previous year, and spending as a percentage of families' income. Families spent an average of $9.70 per $1,000 of income on their child's health care costs. Families raising children with private insurance were more than 5 times as likely to have any out-of-pocket spending compared to publicly insured children. The most common out-of-pocket expenditure types were medications, outpatient services, and dental care. This study provides evidence of the relative inadequacy of private insurance in meeting the needs of children with ASD.

Psychoeducation

2019 ◽  
pp. 1-12
Author(s):  
Debra A. Hope ◽  
Richard G. Heimberg ◽  
Cynthia L. Turk
Keyword(s):  
Social Anxiety ◽  
Cognitive Behavioral Therapy ◽  
Therapeutic Alliance ◽  
Behavioral Therapy ◽  
Active Participation ◽  
Cognitive Behavioral ◽  
Basic Understanding ◽  
Motivation For Change ◽  
The Many

The primary purpose of this chapter is to help the client understand his or her diagnosis in the context of normal and excessive social anxiety. The therapist helps the client gain an appreciation that cognitive–behavioral therapy (CBT) is effective and also provides a basic understanding of the nature of CBT, including the investment of effort and energy required. An important aspect is socialization to help the client to understand the need for his or her active participation, including making an emotional investment in change and participating in the many activities of therapy. The therapist works to enhance motivation for change and builds the therapeutic alliance.

Psychotic disorders

2017 ◽  
Author(s):  
Johann Brink ◽  
Todd Tomita
Keyword(s):  
Best Practice ◽  
Psychotic Disorders ◽  
Behavioral Therapy ◽  
Scientific Evidence ◽  
Empirical Support ◽  
Functional Improvement ◽  
Critical Element ◽  
Schizophrenia Spectrum Disorders ◽  
Unclear Etiology ◽  
The Many

The presentation of psychotic disorders in jails and prisons can be quite complex and diverse. In addition to the schizophrenia spectrum disorders, there are the many disorders of unclear etiology or secondary to the neurotoxic effects of substance abuse. In parallel, the provision of empirically informed care for incarcerated offenders with psychotic disorders presents significant clinical, security, and administrative challenges. However, strong scientific evidence exists that a configuration of interventions offers substantial benefit in the treatment of incarcerated individuals with psychotic disorders. Such a configuration incorporates both psychotherapy and psychopharmacology. Specifically, cognitive behavioral therapy, designed and presented within a risk-needs-recovery (R-N-R) framework, when combined with appropriate pharmacological interventions, has strong empirical support as best practice in the treatment of severe mental illness in the correctional population. Further, specific issues related to care coordination, treatment engagement and adherence, implementation of best practice, and treatment fidelity each contribute to resulting symptom reduction and functional improvement. Careful attention to reducing the risks of inappropriate polypharmacy through clinician feedback and practice monitoring is another critical element. This chapter discusses the evidence basis for appropriate treatment of the psychotic disorders and the range of opportunities for both psychotherapy and psychopharmacology in correctional settings.

scholarly journals What is multidisciplinary cancer care like in practice? a protocol for a mixed-method study to characterise ambulatory oncology services in the Australian public sector

BMJ Open ◽  
2019 ◽  
Vol 9 (10) ◽  
pp. e031179
Author(s):  
Bróna Nic Giolla Easpaig ◽  
Gaston Arnolda ◽  
Yvonne Tran ◽  
Mia Bierbaum ◽  
Klay Lamprell ◽  
...  
Keyword(s):  
Decision Making ◽  
Clinical Decision Making ◽  
Multidisciplinary Care ◽  
Outpatient Clinics ◽  
Local Health ◽  
Outpatient Services ◽  
Or Efficiency ◽  
Ambulatory Oncology ◽  
Patient Reported ◽  
Roll Out

IntroductionAn understanding of the real-world provision of oncology outpatient services can help maintain service quality in the face of escalating demand and tight budgets, by informing the design of interventions that improve the effectiveness or efficiency of provision. The aims of this study are threefold. First, to develop an understanding of cancer services in outpatient clinics by characterising the organisation and practice of multidisciplinary care (MDC). Second, to explore the key areas of: (a) clinical decision-making and (b) engagement with patients’ supportive needs. Third, to identify barriers to, and facilitators of, the delivery of quality care in these settings.Methods and analysisA suite of mixed-methods studies will be implemented at six hospitals providing cancer outpatient clinics, with a staged roll-out. In Stage One, we will examine policies, use unstructured observations and undertake interviews with key health professionals to characterise the organisation and delivery of MDC. In Stage Two, observations of practice will continue, to deepen our understanding, and to inform two focused studies. The first will explore decision-making practices and the second will examine how staff engage with patients’ needs; both studies involve interviews, to complement observation. As part of the study of supportive care, we will examine the implications of an introduction of patient-reported measures (PRMs) into care, adding surveys to interviews before and after PRMs roll-out. Data analysis will account for site-specific and cross-site issues using an adapted Qualitative Rapid Appraisal, Rigorous Analysis approach. Quantitative data from clinician surveys will be statistically analysed and triangulated with the related qualitative study findings.Ethics and disseminationEthical approval was granted by South Eastern Sydney Local Health District Human Research Ethics Committee (no. 18/207). Findings will be shared with participating hospitals and widely disseminated through publications and presentations.

Male and Female Applicants for Alcoholism Treatment: A Study of Differential Staff Attitudes

1984 ◽  
Vol 14 (4) ◽  
pp. 677-686
Author(s):  
Cheryl Gillen Rice ◽  
Jeffrey S. Shaw
Keyword(s):  
Inpatient Rehabilitation ◽  
Individual Therapy ◽  
Outpatient Clinics ◽  
Vocational Counseling ◽  
Staff Attitudes ◽  
Alcoholism Treatment ◽  
Male And Female ◽  
Staff Members ◽  
Female Teachers ◽  
Treatment Facilities

Seventy-one staff members in four alcoholism treatment facilities were administered questionnaires regarding the appropriateness for treatment of two prospective patients described by case summaries, a thirty-eight year old teacher and a fifty-nine year old indigent homeless person. To assess whether female applicants would be less desirably received than males, for half of the respondents the teacher summary was male and the indigent female, while for the other half, the sex assignments were reversed. Female teachers were considered less appropriate for individual therapy/counseling, evening outpatient clinics were considered less appropriate for female teachers, while inpatient rehabilitation units and daytime outpatient clinics were deemed less appropriate for the female indigents. Contrary to formulated hypotheses, female indigents were considered more appropriate for admission than male indigents and were preferred for the modalities of group therapy, individual therapy, and marital and family therapy. Furthermore, female staff were less likely than male staff to consider female teachers appropriate for treatment and female staff were more likely to refer male teachers for vocational counseling. Implications of the study's findings are discussed.

scholarly journals Determining Health Insurance attributes and Levels: A Qualitative Study

2020 ◽  
Author(s):  
Mohammad Ranjbar ◽  
Ali Kazemi Karyani ◽  
Milad Shafiei ◽  
Elham Tayefi
Keyword(s):  
Health Care ◽  
Health Insurance ◽  
Qualitative Study ◽  
Health Care Services ◽  
Insurance Coverage ◽  
Health Sector ◽  
Public Hospitals ◽  
Discrete Choice Experiments ◽  
Outpatient Services ◽  
Final Design

Background: Health insurance is one of the financing mechanisms in the health sector that reduces expensive and unforeseen costs of health care for households and converts these costs into predictable premiums. The purpose of this study was to identify the appropriate attributes and levels, using the discrete choice experiments for health insurance, which can describe health care services appropriately. Methods: The present study was a qualitative study that involved several stages. First, the literature was reviewed through a search of valid sites and related features were identified. Then, through interviews with 8 health insurance and health policy makers sampled by snowball method, specific health insurance weighting characteristics were assessed. Eventually the research team decided to include traits and levels in the final design after several panel meetings with experts. Results: The findings of this study showed that the most important attributes of health insurance include Public hospitals, and private hospitals benefits, outpatient services, dental insurance coverage, Para clinical services, medication and medical equipment cost coverage, and finally monthly premium. Conclusion: Policymakers and health insurance organizations need to focus on health and premium benefit packages appropriate to people's ability to pay and community inflation to improve and improve insurance in this area. Emphasizing these attributes can help individuals' preferences and willingness to pay for health insurance and lead to changes in the insurance system of the country, planning to improve basic insurance and increasing the benefits of insurance packages.

Psychotic disorders

2015 ◽  
Author(s):  
Johann Brink ◽  
Todd Tomita
Keyword(s):  
Best Practice ◽  
Psychotic Disorders ◽  
Behavioral Therapy ◽  
Scientific Evidence ◽  
Empirical Support ◽  
Functional Improvement ◽  
Critical Element ◽  
Schizophrenia Spectrum Disorders ◽  
Unclear Etiology ◽  
The Many

The presentation of psychotic disorders in jails and prisons can be quite complex and diverse. In addition to the schizophrenia spectrum disorders, there are the many disorders of unclear etiology or secondary to the neurotoxic effects of substance abuse. In parallel, the provision of empirically informed care for incarcerated offenders with psychotic disorders presents significant clinical, security, and administrative challenges. However, strong scientific evidence exists that a configuration of interventions offers substantial benefit in the treatment of incarcerated individuals with psychotic disorders. Such a configuration incorporates both psychotherapy and psychopharmacology. Specifically, cognitive behavioral therapy, designed and presented within a risk-needs-recovery (R-N-R) framework, when combined with appropriate pharmacological interventions, has strong empirical support as best practice in the treatment of severe mental illness in the correctional population. Further, specific issues related to care coordination, treatment engagement and adherence, implementation of best practice, and treatment fidelity each contribute to resulting symptom reduction and functional improvement. Careful attention to reducing the risks of inappropriate polypharmacy through clinician feedback and practice monitoring is another critical element. This chapter discusses the evidence basis for appropriate treatment of the psychotic disorders and the range of opportunities for both psychotherapy and psychopharmacology in correctional settings.

CBT Applications in Schools

2021 ◽  
pp. 1-24
Author(s):  
Diana Joyce-Beaulieu ◽  
Brian A. Zaboski ◽  
Alexa R. Dixon
Keyword(s):  
Behavioral Therapy ◽  
Symptom Assessment ◽  
Conduct Disorders ◽  
Outcome Data ◽  
Background Information ◽  
School Based ◽  
Tiered System ◽  
Flexible Applications ◽  
The Many

Anxiety, depression, substance use, conduct disorders, attention-deficit/hyperactivity disorder, and learning disorder are but a subset of problems that youth experience throughout their lives. Chapter 1 presents the school-based practitioner as a first-line interventionist for these difficulties. Framing school-based care within a multi-tiered system of support, Chapter 1 introduces cognitive behavioral therapy (CBT), an evidence-based intervention with flexible applications for children and adolescents. It acknowledges the complex intersection between CBT, 504 plans, and Individualized Education Programs; discusses the many ways students may receive services under the law (and otherwise); and highlights the details of school-based practice integral to evaluating these plans. Chapter 1 ends with a thorough case presentation complete with background information, interviews, behavior and symptom assessment, CBT session planning, and outcome data.

3RT INTERVENTION ON COGNITIVE DISTORSIONS REGARDING THE JUSTIFICATION OF SEXUAL OFFENDERS

2022 ◽  
Vol 4 (1) ◽  
Author(s):  
Mădălina Liliana Pop
Keyword(s):  
Cognitive Behavioral Therapy ◽  
Sexual Offenders ◽  
Behavioral Therapy ◽  
Psychological Aspects ◽  
Cognitive Behavioral ◽  
Adaptive Skills ◽  
Psychological Resilience ◽  
Complex Process ◽  
Inner World ◽  
The Many

Mean-making is a very complex process, involving social, moral and psychological aspects. When it comes to trauma or crimes, the ability to “make sense” of the events and to find meaning in the midst of chaos is associated with greater psychological resilience (Chan et al., 2006). However, when it comes to sexual offenders, the existence of a usual stuck-point in mean-making. Specifically, given the many levels of the crime the offender is usually not able to access all these levels, as some are deeper than their awareness. At that moment, the talk therapy and cognitive behavioral therapy for developing adaptive skills are crucial, as they have to create a safe context, in which the person can think freely and explore their inner world.

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