scholarly journals Nature: the cure we've been looking for

2021 ◽  
Author(s):  
◽  
Sarah Knowles
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Group Therapy ◽  
Health Services ◽  
Effective Treatment ◽  
Behavioural Therapy ◽  
Context Information ◽  
Ethical Concerns ◽  
Cognitive Behavioural ◽  
Western Psychology

Nature-based therapy is a therapeutic lens that utilizes nature as a co-therapist. This approach addresses the disconnect between land and people, a disconnect that negatively impacts the mental health of many of those seeking mental health services. Consequently, this approach is now considered an effective treatment for youth and is used as a standalone approach or integrated with cognitive behavioural therapy, gestalt, or group therapy. In either case, this nature-based lens provides a bridge between traditional Indigenous practices and Western psychology. My project highlights various activities and ideas in order to incorporate nature into one’s practice as a therapist, specifically within a northern context. Information regarding benefits, ethical concerns and various types of nature-based therapy will be discussed and guide the development of the manual. The guidebook will assist those interested in nature therapy by creating a place where tangible and realistic ideas for how to incorporate it into practice are located.

Are Depressed Adolescents Routinely Offered CBT? A Brief Review of Current Practice

2007 ◽  
Vol 36 (1) ◽  
pp. 113-117 ◽  
Author(s):  
Gill Ross ◽  
Chris Brannigan
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Health Services ◽  
Adolescent Depression ◽  
Behavioural Therapy ◽  
Postal Questionnaire ◽  
Evidence Based ◽  
Empirically Supported ◽  
Cognitive Behavioural ◽  
Research Findings

AbstractAn increasing body of research in support of cognitive-behavioural therapy (CBT) for adolescent depression has emerged during the last two decades. However, it has been suggested that empirically supported treatments are seldom carried out in clinical practice. Although the reasons for this are likely to be diverse, it is argued that mental health services have an ethical responsibility to offer evidence-based interventions. Whether empirically supported interventions, such as CBT, are consistently offered to depressed adolescents attending Child and Adolescent Mental Health Services (CAMHS) is currently unknown. A primary aim of this study was to survey the use of CBT for depression in a number of United Kingdom (UK) CAMHS settings. A postal questionnaire was sent to 117 members of the BABCP Children, Adolescents and Families Special Interest Branch, of which 44 completed questionnaires were returned. Descriptive statistics indicate that just over half of the organizations represented routinely offered CBT to depressed adolescents. CBT practice and the transportation of evidence-based research findings to CAMHS settings are discussed.

Status of Computerized Cognitive Behavioural Therapy for Adults

2007 ◽  
Vol 41 (2) ◽  
pp. 95-114 ◽  
Author(s):  
Nickolai Titov
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Health Services ◽  
Cognitive Behavioural Therapy ◽  
Cost Effective ◽  
Behavioural Therapy ◽  
Treatment Delays ◽  
Cognitive Behavioural ◽  
Key Issues ◽  
Considerable Work

A growing body of evidence supports the efficacy of computerized cognitive behavioural therapy (CCBT). This technology has the potential to increase the capacity of mental health services, and to overcome some of the barriers to accessing mental health services, including stigma, traveling time for rural patients, treatment delays, and the low availability of skilled clinicians. This review discusses key issues around the implementation of CCBT in current mental health services, and summarizes recent evidence for the efficacy of CCBT in anxiety and depression. Many CCBT systems exist, and the evidence for each varies in quality and quantity. It is concluded that CCBT, particularly guided by a therapist, represents a promising resource. However, considerable work needs to be done to develop CCBT techniques that are appropriate to Australasian populations, acceptable to patients and clinicians, easy to use, and are clinically and cost effective. Suggestions are made for further research and useful website addresses are provided to assist clinicians in familiarizing themselves with CCBT.

Low intensity CBT interventions: a revolution in mental health care

2010 ◽  
pp. 3-18 ◽  
Author(s):  
James Bennett-Levy ◽  
David A. Richards ◽  
Paul Farrand
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Health Services ◽  
Behavioural Therapy ◽  
New Paradigm ◽  
Psychological Treatments ◽  
Guiding Principle ◽  
Low Intensity ◽  
Cognitive Behavioural ◽  
The Right

Chapter 1 provides an overview of this title, suggesting that low intensity cognitive behavioural therapy (LI CBT) represents a revolution in the delivery of mental health services; the dawning of a new values-based paradigm, which places improving access to effective psychological treatments as the guiding principle for the endeavour. The historical underpinnings of LI CBT are traced and defined. In the remainder of the chapter, a variety of ways in which LI CBT represents a quantum shift in the way mental health services and psychological treatments are delivered is illustrated, earning it the right to be truly termed a ‘new paradigm’

scholarly journals Protocol for a multi-phase, mixed methods study to develop and evaluate culturally adapted CBT to improve community mental health services for Canadians of south Asian origin

Trials ◽  
2021 ◽  
Vol 22 (1) ◽  
Author(s):  
Farooq Naeem ◽  
Andrew Tuck ◽  
Baldev Mutta ◽  
Puneet Dhillon ◽  
Gary Thandi ◽  
...  
Keyword(s):  
Mental Health ◽  
Mixed Methods ◽  
Mental Health Services ◽  
Health Services ◽  
South Asian ◽  
Behavioural Therapy ◽  
Mixed Methods Study ◽  
Depression And Anxiety ◽  
Culturally Adapted ◽  
Cognitive Behavioural

Abstract Background Canadians of South Asian (SA) origin comprise the largest racialized group in Canada, representing 25.6% of what Statistics Canada terms “visible minority populations”. South Asian Canadians are disproportionately impacted by the social determinants of health, and this can result in high rates of mood and anxiety disorders. These factors can negatively impact mental health and decrease access to care, thereby increasing mental health inequities. Cognitive Behavioural Therapy (CBT) in its current form is not suitable for persons from the non-western cultural backgrounds. Culturally adapted Cognitive Behavioural Therapy (CaCBT) is an evidence-based practice. CaCBT is more effective than standard CBT and can reduce dropouts from therapy compared with standard CBT. Thus, CaCBT can increase access to mental health services and improve outcomes for immigrant, refugee and ethno-cultural and racialized populations. Adapting CBT for growing SA populations in Canada will ensure equitable access to effective and culturally appropriate interventions. Methods The primary aim of the study is to develop and evaluate CaCBT for Canadian South Asian persons with depression and anxiety and to gather data from stakeholders to develop guidelines to culturally adapt CBT. This mixed methods study will use three phases: (1) cultural adaptation of CBT, (2) pilot feasibility of CaCBT and (3) implementation and evaluation of CaCBT. Phase 1 will use purposive sampling to recruit individuals from four different groups: (1) SA patients with depression and anxiety, (b) caregivers and family members of individuals affected by anxiety and depression, (c) mental health professionals and (d) SA community opinion leaders. Semi-structured interviews will be conducted virtually and analysis of interviews will be informed by an ethnographic approach. Phase 2 will pilot test the newly developed CaCBT for feasibility, acceptability and effectiveness via quantitative methodology and a randomized controlled trial, including an economic analysis. Phase 3 will recruit therapists to train and evaluate them in the new CaCBT. Discussion The outcome of this trial will benefit health services in Canada, in terms of helping to reduce the burden of depression and anxiety and provide better care for South Asians. We expect the results to help guide the development of better services and tailor existing services to the needs of other vulnerable groups. Trial registration ClinicalTrials.gov NCT04010890. Registered on July 8, 2019

scholarly journals CBT: making effective plans

2016 ◽  
Vol 22 (1) ◽  
pp. 53-54 ◽  
Author(s):  
David Osborne ◽  
Chris Williams
Keyword(s):  
Mental Health ◽  
Effective Treatment ◽  
Cognitive Behavioural Therapy ◽  
Behavioural Therapy ◽  
Planned Change ◽  
Practical Approach ◽  
Cognitive Behavioural ◽  
Mental Health Difficulties ◽  
Shared Goals

SummaryWorking with people who are experiencing mental health difficulties brings many challenges about how best to progress towards shared goals. The cognitive-behavioural therapy (CBT) approach can provide a structure and framework for effective treatment. It aims to help people identify goals and work towards them. We describe a practical approach that provides a structure for step-by-step planning, engaging the patient and promoting planned change.

Cognitive-Behavioural Assessment and Treatment of Maladaptive Help-Seeking Behaviour in a Patient with Schizophrenia

2000 ◽  
Vol 34 (4) ◽  
pp. 688-691 ◽  
Author(s):  
Gus Norris ◽  
Roy Laube
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Health Services ◽  
Help Seeking ◽  
Service Providers ◽  
Public Mental Health ◽  
Chronic Schizophrenia ◽  
Cognitive Behavioural ◽  
Public Mental Health Services ◽  
Help Seeking Behaviour

Objective: Maladaptive help-seeking behaviour in psychiatric patients is a significant problem for public mental health services, yet it is not addressed in the mainstream literature. We present a report on the successful treatment of a person with schizophrenia who displayed this common dilemma for patients and clinicians. Clinical picture: A 31-year-old man with borderline intellectual functioning had a 10-year history of schizophrenia marked by negative features. He frequently presented in crisis to public mental health services, the local hospital, and his general practitioner; this resulted in excessive use of services, including admissions. Treatment: The patient was reassessed from a cognitive-behavioural perspective rather than a syndromal perspective. Specific behaviours were modified, cognitions were identified, challenged and restructured, and other service providers were provided with an alternative to admission or acute community care. Outcome: At 24 months the maladaptive behaviour remains in remission. Conclusions: Behavioural problems in persons with chronic schizophrenia may be effectively treated by reconceptualising the behaviour as distinct from the major diagnosis.

scholarly journals Inpatient Mental Healthcare before and during the COVID-19 Pandemic

Healthcare ◽  
2021 ◽  
Vol 9 (12) ◽  
pp. 1613
Author(s):  
Alan B. McGuire ◽  
Mindy E. Flanagan ◽  
Marina Kukla ◽  
Angela L. Rollins ◽  
Laura J. Myers ◽  
...  
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Group Therapy ◽  
Health Services ◽  
Mental Healthcare ◽  
Individual Therapy ◽  
Veterans Health ◽  
Inpatient Mental Health ◽  
Therapeutic Services ◽  
Relapse Rates

Prior studies have demonstrated disruption to outpatient mental health services after the onset of the COVID-19 pandemic. Inpatient mental health services have received less attention. The current study utilized an existing cohort of 33 Veterans Health Affairs (VHA) acute inpatient mental health units to examine disruptions to inpatient services. It further explored the association between patient demographic, clinical, and services variables on relapse rates. Inpatient admissions and therapeutic services (group and individual therapy and peer support) were lower amongst the COVID-19 sample than prior to the onset of COVID-19 while lengths of stay were longer. Relapse rates did not differ between cohorts. Patients with prior emergent services use as well as substance abuse or personality disorder diagnoses were at higher risk for relapse. Receiving group therapy while admitted was associated with lower risk of relapse. Inpatient mental health services saw substantial disruptions across the cohort. Inpatient mental health services, including group therapy, may be an important tool to prevent subsequent relapse.

scholarly journals Demographic Equality of Access to Cognitive Behavioural Treatment for Early Psychosis in Community Mental Healthcare in Greater London

2021 ◽  
Vol 8 (3) ◽  
pp. 149-170
Author(s):  
Pawel D. Mankiewicz ◽  
Jordan Reid ◽  
Eleonore Ann Hughes
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Health Services ◽  
Equal Access ◽  
Empirical Literature ◽  
Behavioural Treatment ◽  
Cognitive Behavioural Treatment ◽  
Cognitive Behavioural ◽  
Treatment Provision ◽  
Equality Of Access

Individuals experiencing psychosis have been described as one of the most stigmatised, disadvantaged and socially excluded groups in modern societies. Despite the development of evidence-based psychological treatments for psychosis, the access to such intervention remains debateable. In metropolitan areas, where clinical caseloads of mental health services should reflect the ethnic diversity of local populations, equal provision of recommended therapies might be further confounded, while empirical literature investigating this appears limited. The present study inspects equality of access to cognitive behavioural therapy for psychosis across four specialist healthcare teams located in Greater London. Subsequent acceptance and participation in treatment are also examined. A retrospective analysis of electronic medical records of 244 patients was conducted using binary logistic regression and multiple linear regression. Participants were shown to have received treatment offers equally across demographic variables. Likewise, once the treatment commenced, engagement was equally distributed. However, despite having equal access to the offered treatment, patients of Black ethnic group seemed less likely to accept such offer, hence appeared disadvantaged in terms of treatment provision. This study demonstrates that, in multicultural communities, equal access to core interventions for psychosis is achievable, however does not on its own merits ensure equitable treatment provision. Thus mental health services need to proactively focus on specific ethnic groups requiring further efforts to increase treatment uptake. Keywords: mental health, psychosis, cognitive behavioural treatment, diversity, equal access to healthcare

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