Developing mental health interventions

2015 ◽  
Author(s):  
Abhijit Nadkarni ◽  
Mary J. De Silva ◽  
Vikram Patel
Keyword(s):  
Mental Health ◽  
Complex Interventions ◽  
Intervention Development ◽  
Health Interventions ◽  
Theory Of Change ◽  
Complex Process ◽  
Mrc Framework ◽  
Mental Health Interventions ◽  
Structured Approach

Most mental health interventions are complex as they are made up of a number of interconnected components, acting both independently and interdependently. This inherent complexity makes the development and evaluation of such interventions a complex process. Following a structured approach to the development and evaluation of complex interventions helps ensure that the process is systematic, rigorous, and replicable. In this chapter we demonstrate how systematically conducted formative research, consistent with the MRC framework, will ensure that due consideration is given to the sociocultural and health systems context. We use the case study of an ongoing complex intervention development and evaluation program in India (PREMIUM) to illustrate the application of the development and feasibility/piloting phases of the MRC framework. We describe two complementary frameworks, the Normalization Process Theory and the Theory of Change that can be used to strengthen the MRC framework for the development of mental health interventions.

(A65) Stress & Trauma Studies Program (STSP): Theoretical & Practical Emergency Mental Health Interventions Studies for BA Social Work Students

2011 ◽  
Vol 26 (S1) ◽  
pp. s18-s18
Author(s):  
M.U. Farchi
Keyword(s):  
Mental Health ◽  
Social Work ◽  
Real Time ◽  
Complex Interventions ◽  
First Responders ◽  
Social Work Students ◽  
Health Interventions ◽  
Emergency Mental Health ◽  
Mental Health Interventions ◽  
Community Trauma

The Tel Hai college Department of Social Work established this program as part of its community commitment to ensure that persons with skills in emergency mental health / trauma intervention will be available to the community as first responders when needed. The main goal of the STSP: Training Social work students As First Responders with Very High Professional Standards of Emergency as well as Long Term Mental Health Interventions Qualifications. This program enables the students to integrate between theory and hands-on basic and advanced skills in stress & trauma interventions – from the help to a single traumatized person to mass disasters involving more complex interventions. In addition, program underlines and empowers the students self efficacy and resilience. The studies are carried out in 4 main channels: A. Academic studies and advanced professional workshops. B. Outdoor drills with other help and rescue units: MDA (EMS), IDF, Police, Israel fire and rescue services, local and national rescue units) C. Volunteering in community trauma / first responder units D. Emergency mental health interventions during real time events (Last one: Emergency interventions among the evacuated families during the mount Carmel bushfire) Student's Skills Acquired During the STSP • Theoretical & practical knowledge of the stress & trauma development process. • Differentional diagnosis of the trauma stages (From ASR to C-PTSD). • Identifying all sources of resilience and coping strategies. • Basic & advanced crisis and disaster intervention methods. • Crisis & disaster management & command • Professional self confidence, Independency & Creativity, leadership and leading capabilities. The program, its benefits and latest drills and real time intervention will be discussed as well as demonstrated with videos.

Creating Capabilities through Maternal Mental Health Interventions: A Case Study at Hanover Park, Cape Town

2015 ◽  
Vol 27 (2) ◽  
pp. 234-250 ◽  
Author(s):  
Ingrid Meintjes ◽  
Sally Field ◽  
Thandi Van Heyningen ◽  
Simone Honikman
Keyword(s):  
Mental Health ◽  
Maternal Mental Health ◽  
Cape Town ◽  
Health Interventions ◽  
Mental Health Interventions

scholarly journals Developing a theory-informed complex intervention to improve nurse–patient therapeutic engagement employing Experience-based Co-design and the Behaviour Change Wheel: an acute mental health ward case study

BMJ Open ◽  
2021 ◽  
Vol 11 (5) ◽  
pp. e047114
Author(s):  
Sarah McAllister ◽  
Alan Simpson ◽  
Vicki Tsianakas ◽  
Nick Canham ◽  
Vittoria De Meo ◽  
...  
Keyword(s):  
Mental Health ◽  
Behaviour Change ◽  
Design Process ◽  
Complex Interventions ◽  
Intervention Development ◽  
Behaviour Change Techniques ◽  
Service Users ◽  
Therapeutic Engagement ◽  
Behaviour Change Wheel

ObjectivesOur objectives were threefold: (1) describe a collaborative, theoretically driven approach to co-designing complex interventions; (2) demonstrate the implementation of this approach to share learning with others; and (3) develop a toolkit to enhance therapeutic engagement on acute mental health wards.Design and participantsWe describe a theory-driven approach to co-designing an intervention by adapting and integrating Experience-based Co-design (EBCD) with the Behaviour Change Wheel (BCW). Our case study was informed by the results of a systematic integrative review and guided by this integrated approach. We undertook 80 hours of non-participant observations, and semistructured interviews with 14 service users (7 of which were filmed), 2 carers and 12 clinicians from the same acute ward. The facilitated intervention co-design process involved two feedback workshops, one joint co-design workshop and seven small co-design team meetings. Data analysis comprised the identification of touchpoints and use of the BCW and behaviour change technique taxonomy to inform intervention development.SettingThis study was conducted over 12 months at an acute mental health organisation in England.ResultsThe co-designed Let’s Talk toolkit addressed four joint service user/clinician priorities for change: (1) improve communication with withdrawn people; (2) nurses to help service users help themselves; (3) nurses to feel confident when engaging with service users; (4) improving team relations and ward culture. Intervention functions included training, education, enablement, coercion and persuasion; 14 behaviour change techniques supported these functions. We detail how we implemented our integrated co-design-behaviour change approach with service users, carers and clinicians to develop a toolkit to improve nurse–patient therapeutic engagement.ConclusionsOur theory-driven approach enhanced both EBCD and the BCW. It introduces a robust theoretical approach to guide intervention development within the co-design process and sets out how to meaningfully involve service users and other stakeholders when designing and implementing complex interventions.

scholarly journals Engagement and Clinical Improvement Among Older Adult Primary Care Patients Using a Mobile Intervention for Depression and Anxiety: Case Studies (Preprint)

2019 ◽  
Author(s):  
L Casey Orr ◽  
Andrea K Graham ◽  
David C Mohr ◽  
Carolyn J Greene
Keyword(s):  
Mental Health ◽  
Older Adults ◽  
Primary Care ◽  
Health Interventions ◽  
Depression And Anxiety ◽  
Health Technologies ◽  
Mental Health Interventions ◽  
Mobile Intervention ◽  
Study Participants

BACKGROUND Technology-based mental health interventions are an increasingly attractive option for expanding access to mental health services within the primary care system. Older adults are among the groups that could potentially benefit from the growing ubiquity of technology-based mental health interventions; however, older adults are perceived to be averse to using technology and have reported barriers to use. OBJECTIVE The aim of this paper is to present a case study of 3 participants from a clinical trial evaluating IntelliCare, an evidence-based mobile intervention for depression and anxiety, among adults recruited from primary care clinics. Our report of these 3 participants, who were aged 60 years or older, focuses on their engagement with the IntelliCare service (ie, app use, coach communication) and clinical changes in depression or anxiety symptoms over the intervention period. METHODS The 3 case study participants were offered IntelliCare with coaching for 8 weeks. The intervention consisted of 5 treatment intervention apps that support a variety of psychological skills, a <i>Hub</i> app that contained psychoeducational content and administered weekly assessments, and coaching for encouragement, accountability, and technical assistance as needed. The 3 case study participants were selected to reflect the overall demographics of participants within the trial and because their interactions with IntelliCare provided a good illustration of varied experiences regarding engagement with the intervention. RESULTS The 3 participants’ unique experiences with the intervention are described. Despite potential barriers and experiencing some technical glitches, the participants showed proficient ability to use the apps, high levels of participation through frequent app use and coach interaction, and decreased depression and anxiety scores. At the end of the 8-week intervention, each of these 3 participants expressed great enthusiasm for the benefit of this program through feedback to their coach, and they each identified a number of ways they had seen improvements in themselves. CONCLUSIONS These 3 cases provide examples of older individuals who engaged with and benefitted from the IntelliCare service. Although the results from these 3 cases may not generalize to others, they provide an important, informed perspective of the experiences that can contribute to our understanding of how older adults use and overcome barriers to mental health technologies. The findings also contribute toward the ultimate goal of ensuring that the IntelliCare intervention is appropriate for individuals of all ages.

scholarly journals Engagement and Clinical Improvement Among Older Adult Primary Care Patients Using a Mobile Intervention for Depression and Anxiety: Case Studies

10.2196/16341 ◽  
2020 ◽  
Vol 7 (7) ◽  
pp. e16341
Author(s):  
L Casey Orr ◽  
Andrea K Graham ◽  
David C Mohr ◽  
Carolyn J Greene
Keyword(s):  
Mental Health ◽  
Older Adults ◽  
Primary Care ◽  
Health Interventions ◽  
Depression And Anxiety ◽  
Health Technologies ◽  
Mental Health Interventions ◽  
Mobile Intervention ◽  
Study Participants

Background Technology-based mental health interventions are an increasingly attractive option for expanding access to mental health services within the primary care system. Older adults are among the groups that could potentially benefit from the growing ubiquity of technology-based mental health interventions; however, older adults are perceived to be averse to using technology and have reported barriers to use. Objective The aim of this paper is to present a case study of 3 participants from a clinical trial evaluating IntelliCare, an evidence-based mobile intervention for depression and anxiety, among adults recruited from primary care clinics. Our report of these 3 participants, who were aged 60 years or older, focuses on their engagement with the IntelliCare service (ie, app use, coach communication) and clinical changes in depression or anxiety symptoms over the intervention period. Methods The 3 case study participants were offered IntelliCare with coaching for 8 weeks. The intervention consisted of 5 treatment intervention apps that support a variety of psychological skills, a Hub app that contained psychoeducational content and administered weekly assessments, and coaching for encouragement, accountability, and technical assistance as needed. The 3 case study participants were selected to reflect the overall demographics of participants within the trial and because their interactions with IntelliCare provided a good illustration of varied experiences regarding engagement with the intervention. Results The 3 participants’ unique experiences with the intervention are described. Despite potential barriers and experiencing some technical glitches, the participants showed proficient ability to use the apps, high levels of participation through frequent app use and coach interaction, and decreased depression and anxiety scores. At the end of the 8-week intervention, each of these 3 participants expressed great enthusiasm for the benefit of this program through feedback to their coach, and they each identified a number of ways they had seen improvements in themselves. Conclusions These 3 cases provide examples of older individuals who engaged with and benefitted from the IntelliCare service. Although the results from these 3 cases may not generalize to others, they provide an important, informed perspective of the experiences that can contribute to our understanding of how older adults use and overcome barriers to mental health technologies. The findings also contribute toward the ultimate goal of ensuring that the IntelliCare intervention is appropriate for individuals of all ages.

Evaluation of mental health services

2012 ◽  
pp. 1463-1473
Author(s):  
Michele Tansella ◽  
Graham Thornicroft
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Health Services ◽  
Health Services ◽  
Complex Interventions ◽  
Health Interventions ◽  
People With Mental Illness ◽  
Mental Health Interventions ◽  
Evaluative Research ◽  
Combined Interventions

Evaluation is the basis for improving care to people with mental illness. It is vital to know whether interventions are beneficial or harmful, and whether they offer value for money. Mental health interventions need to be understood both in terms of their active ingredients and how they fit within their context. Such combined interventions, often including pharmacological, psychological, and social elements, are the epitome of ‘complex interventions’ and their evaluation poses considerable challenges. In this chapter we shall discuss definitions of evaluation, and go on to discuss why evaluate, what to evaluate, and how to evaluate mental health services. In our conclusion we shall offer an indication of the most important trends in this field in the coming years. The overall approach that we take is centred upon the idea that ongoing evaluative research is of fundamental importance in discovering which interventions are effective, neutral, or harmful, and that such information is essential to deliver better mental health care.

scholarly journals A Multiple Case Study of Mental Health Interventions in Middle Income Countries: Considering the Science of Delivery

PLoS ONE ◽  
2016 ◽  
Vol 11 (3) ◽  
pp. e0152083 ◽  
Author(s):  
Sean A. Kidd ◽  
Athena Madan ◽  
Susmitha Rallabandi ◽  
Donald C. Cole ◽  
Elisha Muskat ◽  
...  
Keyword(s):  
Mental Health ◽  
Multiple Case Study ◽  
Health Interventions ◽  
Middle Income ◽  
Middle Income Countries ◽  
Mental Health Interventions ◽  
Multiple Case

scholarly journals Child Disaster Mental Health Interventions: Therapy Components

2014 ◽  
Vol 29 (5) ◽  
pp. 494-502 ◽  
Author(s):  
Betty Pfefferbaum ◽  
Jennifer L. Sweeton ◽  
Pascal Nitiéma ◽  
Mary A. Noffsinger ◽  
Vandana Varma ◽  
...  
Keyword(s):  
Mental Health ◽  
Intervention Development ◽  
Cultural Influences ◽  
Health Interventions ◽  
Future Research ◽  
Disaster Mental Health ◽  
Publication Type ◽  
Intervention Delivery ◽  
Mental Health Interventions ◽  
The Individual

AbstractChildren face innumerable challenges following exposure to disasters. To address trauma sequelae, researchers and clinicians have developed a variety of mental health interventions. While the overall effectiveness of multiple interventions has been examined, few studies have focused on the individual components of these interventions. As a preliminary step to advancing intervention development and research, this literature review identifies and describes nine common components that comprise child disaster mental health interventions. This review concluded that future research should clearly define the constituent components included in available interventions. This will require that future studies dismantle interventions to examine the effectiveness of specific components and identify common therapeutic elements. Issues related to populations studied (eg, disaster exposure, demographic and cultural influences) and to intervention delivery (eg, timing and optimal sequencing of components) also warrant attention.PfefferbaumB, SweetonJL, NitiémaP, NoffsingerMA, VarmaV, NelsonSD, NewmanE. Child disaster mental health interventions: therapy components. Prehosp Disaster Med. 2014;29(5):1-9.

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