Measuring Clinical Progress with the OQ-45 in a Private Practice Setting

2017 ◽  
pp. 78-93
Author(s):  
Michael J. Lambert
Keyword(s):  
Mental Health ◽  
Private Practice ◽  
Progress Monitoring ◽  
Social Role ◽  
Self Report ◽  
Practice Setting ◽  
Outcome Questionnaire ◽  
Mental Health Functioning ◽  
Health Functioning ◽  
Difficult Time

This chapter makes a case for the value of tracking mental health functioning over the course of psychotherapy. The need for progress monitoring in psychotherapy arises from the fact that about 8% of clients worsen during treatment, and clinicians have a difficult time identifying such treatment failures. A tracking measure (Outcome Questionnaire-45 [OQ-45]) consisting of 45 self-report items used to rate symptoms, interpersonal problems, and social role dysfunction is described and recommended for use in private practice with adults. The consequences for clients identified as at-risk cases in several clinical trials are presented. The data show that by using these outcome measures, deterioration rates can be substantially reduced and positive outcomes are doubled.

Sexual Functioning as a Moderator of the Relationship Between Masculinity and Men's Adjustment Following Treatment for Prostate Cancer

2007 ◽  
Vol 2 (1) ◽  
pp. 6-16 ◽  
Author(s):  
Shaun Michael Burns ◽  
James R. Mahalik
Keyword(s):  
Mental Health ◽  
Prostate Cancer ◽  
Sexual Functioning ◽  
Social Role ◽  
Treatment Interventions ◽  
Masculine Norms ◽  
Mental Health Functioning ◽  
Health Functioning ◽  
Traditional Norms ◽  
The Relationship

Men's enactment of traditional masculine norms may contribute to their adjustment to changes in sexual functioning following treatment for prostate cancer. In the present investigation, the authors test this hypothesis by examining the moderating role of sexual functioning on the relationship between men's adherence to masculine norms and their social, role, and mental health functioning. Results of regression analyses indicate that men with poor sexual functioning evince poor social, role, and mental health functioning when they more strongly adhere to traditional masculine norms. Participants with good sexual functioning, in contrast, exhibit positive social, role, and mental health functioning when they more strongly adhere to traditional norms of masculinity. Directions for future clinical research and treatment interventions are provided.

Heterogeneous Mental Health Consequences of COVID-19: Costs and Benefits

2020 ◽  
Author(s):  
Anthony D Mancini
Keyword(s):  
Mental Health ◽  
Health Impact ◽  
Costs And Benefits ◽  
Substantial Variation ◽  
Mental Health Functioning ◽  
Health Functioning ◽  
The Social ◽  
Mental Health Costs ◽  
Long Term Impact

In this commentary, I argue that the mental health impact of COVID-19 will show substantial variation across individuals, contexts, and time. Further, one key contributor to this variation will be the proximal and long-term impact of COVID-19 on the social environment. In addition to the mental health costs of the pandemic, it is likely that a subset of people will experience improved social and mental health functioning.

scholarly journals Simple methods for enhancing patient outcome in routine care: Measuring, monitoring, and feedback

2014 ◽  
Vol 16 (2) ◽  
pp. 93-101
Author(s):  
Michael J. Lambert ◽  
Gianluca Lo Coco
Keyword(s):  
Mental Health ◽  
Feedback System ◽  
Daily Practice ◽  
Routine Care ◽  
Psychotherapy Outcome ◽  
Substantial Portion ◽  
Client Feedback ◽  
Mental Health Functioning ◽  
Health Functioning ◽  
Meta Analyses

While highly effective, psychotherapy outcome studies suggest 5?14% of clients worsen while in treatment and that therapists are unable to identify a substantial portion of such cases. Methods to systematically track client mental health functioning over the course of treatment and adjust treatment through the use of problem-solving tools are described. We summarize meta-analyses of the effects of a feedback system indicating that the number of psychotherapy patients who deteriorate can be cut in half. We conclude with a series of practice implications, including that clinicians seriously consider making formal methods of collecting client feedback a routine part of their daily practice.

scholarly journals Levels and Prevalence of Mental Health Functioning in Canadian University Student-Athletes

2018 ◽  
Vol 48 (2) ◽  
pp. 149-168 ◽  
Author(s):  
Krista J. Van Slingerland ◽  
Natalie Durand-Bush ◽  
Scott Rathwell
Keyword(s):  
Mental Health ◽  
Mental Illness ◽  
Alcohol Use ◽  
Student Athletes ◽  
Online Survey ◽  
Well Being ◽  
Living Situation ◽  
Mental Health Functioning ◽  
Health Functioning ◽  
The Impact

We examined the level and prevalence of mental health functioning (MHF) in intercollegiate student-athletes from 30 Canadian universities, and the impact of time of year, gender, alcohol use, living situation, year of study, and type of sport on MHF. An online survey completed in November 2015 (N = 388) and March 2016 (n = 110) revealed that overall, MHF levels were moderate to high, and more student-athletes were flourishing than languishing. MHF levels did not significantly differ across time based on gender, alcohol use, living situation, year of study, and type of sport. Eighteen percent reported a previous mental illness diagnosis and yet maintained moderate MHF across time. These findings support Keyes’ (2002) dual-continua model, suggesting that the presence of mental illness does not automatically imply low levels of well-being and languishing. Nonetheless, those without a previous diagnosis were 3.18 times more likely to be flourishing at Time 1 (November 2015).  

Is Private Practice for You?

2017 ◽  
pp. 5-14
Author(s):  
Jeffrey E. Barnett ◽  
Jeffrey Zimmerman
Keyword(s):  
Mental Health ◽  
Graduate School ◽  
Private Practice ◽  
Personal Characteristics ◽  
Health Professions ◽  
Private Practitioner ◽  
Practice Setting ◽  
Career Option ◽  
Practice Models ◽  
Pros And Cons

This chapter provides useful guidance on the nature and characteristics of private practice in the mental health professions. Unique features of the private practice setting, differences from other practice settings, and the personal characteristics the practitioner needs to be happy and successful in private practice are discussed. Essential features of private practice are explained, the roles a private practitioner will serve in are reviewed, and different practice models and options for the business entrepreneur are described. Pros and cons of private practice are reviewed to assist the reader in making an informed decision about the appropriateness of choosing a career as a private practitioner. Recommendations are provided for what one may do while in graduate school and after graduation to prepare to be a successful private practitioner. Resources and suggested readings are provided to further educate the reader on private practice as a career option.

scholarly journals Victimization Experiences and Mental Health Outcomes Among Grades 7 to 12 Students in Manitoba, Canada

2019 ◽  
Author(s):  
Ashley Stewart-Tufescu ◽  
Samantha Salmon ◽  
Tamara Taillieu ◽  
Janique Fortier ◽  
Tracie O. Afifi
Keyword(s):  
Mental Health ◽  
Health Outcomes ◽  
Well Being ◽  
Mental Health Outcomes ◽  
Youth Health ◽  
Effective Prevention ◽  
Mental Health Functioning ◽  
Health Functioning ◽  
The Life Course ◽  
Canada Data

AbstractVictimization experiences, including traditional forms of bullying, discriminatory harassment, and cyber victimization, are associated with numerous detrimental consequences in adolescence and over the life course. The objective of the current study was to understand the relationships between nine experiences of victimization and mental health outcomes among students in grades 7 to 12 in Manitoba, Canada. Data were drawn from the 2012–2013 Manitoba Youth Health Survey (N = 64,174; response rate = 67%). Mental health outcomes included mental health functioning and emotional well-being, and feelings of sadness and hopelessness. The prevalence of moderate/languishing mental health functioning and emotional well-being ranged from 35.2% (boys in grades 7 to 9) to 51.0% (girls in grades 10 to 12). The prevalence of feeling sad and hopeless ranged from 31.4% (boys in grades 7 to 9) to 57.7% (girls in grades 10 to 12). All nine victimization types were associated with increased odds of having moderate/languishing mental health functioning and emotional well-being and feeling sad and hopeless for both boys and girls in grades 7 to 9 and 10 to 12, although some gender and grade differences were noted. A dose-response trend was found with increased odds of moderate/languishing mental health functioning and emotional well-being corresponding with increased frequency of being victimized. A similar trend was noted for girls only for feeling sad and hopeless. Effective prevention and intervention strategies targeting boys and girls and across grades 7 to 12 are needed to improve mental health functioning and emotional well-being, and reduce feelings of sadness and hopelessness among adolescents with victimization experiences.

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