Training in cognitive-behavioural therapy for mental health professionals: a pilot study of videoconferencing

2001 ◽  
Vol 7 (5) ◽  
pp. 300-303 ◽  
Author(s):  
Clare S Rees ◽  
Donelle Gillam
Keyword(s):  
Mental Health ◽  
Cognitive Behavioural Therapy ◽  
Mental Health Professionals ◽  
Health Professionals ◽  
Behavioural Therapy ◽  
Mental Health Practitioners ◽  
Rural And Remote ◽  
Knowledge Test ◽  
Cognitive Behavioural ◽  
Health Practitioners

A foundation course in cognitive-behavioural therapy (CBT) was developed specifically for delivery via videoconferencing at 256 kbit/s. A two-part, 20-week programme was evaluated at seven sites, with a total of 12 participants, in rural and remote Western Australia. Eleven of the participants completed a pre- and post-training knowledge test. There was a significant improvement in their knowledge of CBT after training. Ten participants also completed a satisfaction questionnaire. The majority were satisfied with the training they received and stated that the training had given them greater confidence in their ability to use CBT with their patients. This study lends support to the use of videoconferencing in the training of rural and remote mental health practitioners.

scholarly journals Evaluation of an Australian primary care telephone cognitive behavioural therapy pilot

2014 ◽  
Vol 20 (1) ◽  
pp. 62 ◽  
Author(s):  
Bridget Bassilios ◽  
Jane Pirkis ◽  
Kylie King ◽  
Justine Fletcher ◽  
Grant Blashki ◽  
...  
Keyword(s):  
Mental Health ◽  
Cognitive Behavioural Therapy ◽  
Mental Health Professionals ◽  
Health Professionals ◽  
Care Program ◽  
Pilot Project ◽  
Behavioural Therapy ◽  
Face To Face ◽  
Cognitive Behavioural ◽  
Minimum Dataset

A telephone-based cognitive behavioural therapy pilot project was trialled from July 2008 to June 2010, via an Australian Government-funded primary mental health care program. A web-based minimum dataset was used to examine level of uptake, sociodemographic and clinical profile of consumers, precise nature of services delivered, and consumer outcomes. Key informant interviews with 22 project officers and 10 mental health professionals elicited lessons learnt from the implementation of the pilot. Overall, 548 general practitioners referred 908 consumers, who received 6607 sessions (33% via telephone). The sessions were delivered by 180 mental health professionals. Consumers were mainly females with an average age of 37 years and had a diagnosis of depressive and/or anxiety disorders. A combination of telephone and face-to-face sessions of 1 h in duration were conducted, delivering behavioural and cognitive interventions, usually with no cost to consumers. Several implementation issues were identified by project officers and mental health professionals. Although face-to-face treatment is preferred by providers and consumers, the option of the telephone modality is valued, particularly for consumers who would not otherwise access psychological services. Evidence in the form of positive consumer outcomes supports the practice of multimodal service delivery.

Using targeted cognitive behavioural therapy in clinical work: a case study

2021 ◽  
Vol 14 ◽  
Author(s):  
Olivia Harris ◽  
Claudia Kustner ◽  
Rachel Paskell ◽  
Chris Hannay
Keyword(s):  
Mental Health ◽  
Cognitive Behavioural Therapy ◽  
Therapeutic Process ◽  
Specific Phobia ◽  
Behavioural Therapy ◽  
Mental Health Practitioners ◽  
Psychological Interventions ◽  
Cognitive Behavioural ◽  
Co Morbidity ◽  
Health Practitioners

Abstract Research shows high levels of complex co-morbidities within psychiatric populations, and there is an increasing need for mental health practitioners to be able to draw on evidence-based psychological interventions, such as cognitive behavioural therapy (CBT), to work with this population effectively. One way CBT may be utilised when working with complexity or co-morbidity is to target treatment at a particular aspect of an individual’s presentation. This study uses a single-case A-B design to illustrate an example of using targeted diagnosis-specific CBT to address symptoms of a specific phobia of stairs in the context of a long-standing co-morbid diagnosis of schizophrenia. Results show the intervention to have been effective, with a change from a severe to mild phobia by the end of intervention. Clinical implications, limitations and areas for future research are discussed. Key learning aims (1) There are high levels of co-morbid, complex mental health problems within psychiatric populations, and an increasing need for mental health practitioners to be able to work with co-morbidity effectively. (2) Cognitive behavioural therapy (CBT) remains one of the most well-evidenced psychological interventions with a large amount of research highlighting the effectiveness of diagnosis-specific CBT. (3) One way evidence-based diagnosis-specific CBT approaches could be utilised when working with more complex co-morbidity may be to target an intervention at a specific set of symptoms. (4) An example of using a targeted CBT intervention (to tackle a specific phobia of stairs in the context of a long-standing co-morbid diagnosis of schizophrenia and ongoing hallucinations) is presented. The outcomes show significant changes in the specific phobia symptoms, suggesting that CBT can be effectively used in this targeted manner within real-world clinical settings. The impact of co-morbid mental health difficulties on therapeutic process and outcomes are highlighted. (5) The use of cognitive restructuring techniques was identified as key to engagement and therapeutic process, supporting the importance of including cognitive techniques in the treatment of phobias compared with purely behavioural exposure-based interventions.

scholarly journals Cultural adaptation of cognitive behavioural therapy (CBT) for patients with depression and anxiety in Saudi Arabia and Bahrain: a qualitative study exploring views of patients, carers, and mental health professionals

2019 ◽  
Vol 12 ◽  
Author(s):  
Haifa Mohammad Saleh Algahtani ◽  
Abdullah Almulhim ◽  
Fatema Ali AlNajjar ◽  
Mazen Khalil Ali ◽  
Muhammad Irfan ◽  
...  
Keyword(s):  
Mental Health ◽  
Saudi Arabia ◽  
Cognitive Behavioural Therapy ◽  
Mental Health Professionals ◽  
Health Professionals ◽  
Cultural Adaptation ◽  
Behavioural Therapy ◽  
Depression And Anxiety ◽  
Arab Population ◽  
Cognitive Behavioural

AbstractWestern values influence cognitive behavioural therapy (CBT) as it was primarily developed and practised in the West. As understanding the cultural context has been linked to better therapy outcomes, it has been suggested that CBT might need modification to non-Western clients’ cultural backgrounds. Previously we developed a cost-effective approach to adapt CBT for clients in China and Pakistan. In this study, we applied the same methodology for local clients suffering from depression and anxiety in the Kingdom of Saudi Arabia and Bahrain. This study aimed to understand the views of patients with depression and anxiety, caregivers and mental health professionals about CBT to develop guidelines for culturally adapting CBT for depression and anxiety. We conducted semi-structured interviews with the patients (n = 42), caregivers (n = 11), and psychiatrists and psychologists (n = 16). The data were analysed using a thematic framework analysis by identifying emerging themes and categories. The themes emerging from the analyses of interviews by each interviewer were compared and contrasted with those of other interviewers. The results highlighted barriers of access to and strengths of CBT while working with these patient groups. Patients and their caregivers in both countries use a bio-psycho-spiritual-social model of illness and seek help from multiple sources. Therapists emphasized the need for using local idioms, culturally appropriate translation and minor adjustments in therapy. There were no thematic differences between the two sites. These findings will be used to culturally adapt a CBT manual, which will be tested in a randomized controlled trial.Key learning aimsAfter reading this article, readers will be able to:(1)Understand the need for cultural adaptation of CBT.(2)Identify the necessary steps to adapt CBT for the Muslim Arab population.(3)Understand the modifications required to deliver culturally adapted CBT for the Muslim Arab population.

Mental Health Professionals' Evaluations of the Integral Intake, A Metatheory-Based, Idiographic Intake Instrument

2008 ◽  
Vol 30 (1) ◽  
pp. 67-94 ◽  
Author(s):  
Andre Marquis ◽  
Janice Holden
Keyword(s):  
Mental Health ◽  
Mental Health Professionals ◽  
Health Professionals ◽  
Integral Theory ◽  
Mental Health Counseling ◽  
Mental Health Practitioners ◽  
Health Counseling ◽  
Health Practitioners ◽  
Health Experts ◽  
Better Than

This study assessed mental health experts' comparative evaluations of the two existing published idiographic intake instruments, the Adlerian-based Life-Style Introductory Interview (LI) and the Multimodal Life History Inventory (MI), along with Marquis' (2002; in press) newly developed Integral Intake (II), grounded in Ken Wilber's (1999d) integral theory. Fifty-eight counseling/psychotherapy educators and experienced mental health practitioners perused the three instruments and then used the author-developed Evaluation Form to respond to open-ended questions, as well as to rate and rank them on 11 dimensions: the instrument's overall helpfulness, comprehensiveness, and efficiency, and 8 fundamental dimensions of clients (thoughts, emotions, behaviors, physical aspects, culture, environmental systems, spirituality, and what is most meaningful to them). Respondents evaluated the LI consistently worst, and the II better than the MI on all three instrument dimensions and four of the eight client dimensions. We discuss the II's potential to become a standard in the field of mental health counseling.

Assessment of Egg and Sperm Donors

2017 ◽  
pp. 660-666
Author(s):  
Adam J. Rodríguez
Keyword(s):  
Mental Health ◽  
Mental Health Professionals ◽  
Health Professionals ◽  
Assisted Reproductive Technologies ◽  
Reproductive Technologies ◽  
Mental Health Practitioners ◽  
Egg Donation ◽  
Sperm Donors ◽  
Health Practitioners ◽  
Niche Area

The assessment of egg and sperm donors is an important area of niche practice for mental health professionals. With the appropriate training, mental health practitioners can offer these much-needed services to prospective parents who are using assisted reproductive technologies (ART) to deal with infertility. Due to the invasiveness of these procedures, as well as their physical and emotional ramifications, many clinics and hospitals require a psychological evaluation of any individual who provides egg donation or becomes a gestational carrier or surrogate. This chapter describes the details of this niche area of practice and how the author developed an interest in it. The author covers its joys and challenges, the business aspects of this area of practice, guidance on developing this niche area of practice, and resources to assist in this process.

Fitness and Competency Issues in Canadian Criminal Courts: Elucidating the Standards for Mental Health Professionals

1994 ◽  
Vol 39 (4) ◽  
pp. 198-210 ◽  
Author(s):  
Karen E. Whittemore ◽  
James R.P. Ogloff
Keyword(s):  
Mental Health ◽  
Mental Health Professionals ◽  
Health Professionals ◽  
Legal Issue ◽  
Mental Health Practitioners ◽  
Criminal Courts ◽  
Criminal Proceedings ◽  
Legal Proceedings ◽  
Health Practitioners

The issue of competency arises at various stages of criminal proceedings in an effort to protect those individuals who are unable to participate in the legal process. The competency question is a legal issue ultimately decided by a judge. However, mental health professionals are often called upon to provide insight into an individual's level of competence. To date, the standards by which an individual is found competent have remained far from clear. This creates a problem for clinicians who are requested to make competency evaluations. This article addresses the competency issues as they arise at various stages of legal proceedings in order to determine the standards that are applied by the courts. Furthermore, given the importance placed on mental health evaluations of competency, the role of mental health practitioners will be addressed as it pertains to the competency question at each juncture in the criminal justice system.

Firearms and cultural competence: considerations for mental health professionals

2018 ◽  
Vol 10 (1) ◽  
pp. 61-70 ◽  
Author(s):  
Gianni Pirelli ◽  
Philip Witt
Keyword(s):  
Mental Health ◽  
Cultural Competence ◽  
Mental Health Professionals ◽  
Health Professionals ◽  
Mental Health Practitioners ◽  
Conceptual Approach ◽  
Content Type ◽  
Forensic Practice ◽  
Increased Risk ◽  
Health Practitioners

Purpose Although cultural competence is gaining increased attention among mental health practitioners, such primarily has centered on race, religion, ethnicity, language, and nationality. Thus far, there has been relatively little recognition of specific socialized subcultures aside from the aforementioned groups, and virtually no discussion regarding those associated with various firearm-related subcultures. This topic is particularly relevant to mental health practitioners, as positions on firearm use and ownership frequently split across political party lines, and mental health professionals and academics are more likely to espouse liberal rather than conservative views. It follows that practitioners may understand little about firearms culture and, therefore, are at increased risk for biased decision making when working with clients for whom firearms have relevance. The paper aims to discuss these issues. Design/methodology/approach This paper takes a conceptual approach to reviewing potential areas of bias in both clinical and clinical-forensic practice in the US context. Findings The authors detail the prevalence of firearm-related issues in the USA, contextualize firearm-related issues in forensic treatment and evaluation scenarios, delineate a number of firearm subgroups, and recommend considerations for mental health professionals to develop cultural competence as it relates to firearms and associated subcultures. Originality/value This is an original conceptual study of cultural competence and various firearm-related subcultures.

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