Use of Self: Follow-Up and Re-Engagement in Treatment

2021 ◽  
pp. 108-118
Author(s):  
Lauren Reid
Keyword(s):  
Use Of Self ◽  
Engagement In Treatment

scholarly journals The Use of Self-Information and Environment in Counseling Process

2019 ◽  
Vol 19 (1) ◽  
pp. 69-88
Author(s):  
Muhammad Fatchurahman
Keyword(s):  
Decision Making ◽  
Problem Solving ◽  
Information Sources ◽  
Environmental Information ◽  
Real Problem ◽  
Use Of Self ◽  
Time Saving ◽  
Counseling Process ◽  
Available Information

Counseling as one of the forms and techniques of assistance provided by schools in the context of implementing overall guidance, this is given to help students in their efforts to solve all problems. The availability of this information makes it easy for students to obtain the information needed for example to implement a decision, want to know about something both in terms of themselves and their environment. The use of self and environmental information in the counseling process occurs in the creation of rapport, in exploring, discovering the real problem, exploring and studying alternative problem solving, decision making, implementation of decisions taken and in evaluation and follow-up. Therefore the information used must meet the requirements: that is, careful and not prejudiced, up to date, comprehensive and available information sources. In addition to the above conditions, the principles of time saving, non-authoritarian and feedback are also taken into account, so that this can cause self and environmental information in the counseling process to be very important material for both the counselor and the client.

A Survey of the Use of Self-Acupuncture in Pain Clinics - a Safe Way to Meet Increasing Demand?

2004 ◽  
Vol 22 (3) ◽  
pp. 137-140 ◽  
Author(s):  
Michele Orpen ◽  
Gale Harvey ◽  
Jeff Millard
Keyword(s):  
Waiting Time ◽  
Patient Selection ◽  
Acupuncture Treatment ◽  
Pain Clinic ◽  
Use Of Self ◽  
Average Waiting Time ◽  
Pain Clinics ◽  
Increasing Demand ◽  
Published Research

An acupuncture service is well established within a pain clinic in Nottingham, England, and is now unable to meet the increasing demand for treatment despite recent expansion. Patients used to be offered training in self-acupuncture. This was withdrawn because of safety concerns, but is being considered again as a way of meeting the demand. There is little published research on the topic, so a survey of 42 English hospitals was conducted to establish whether acupuncture services are provided, and to discover whether others were offering training in self-acupuncture to patients. Thirty hospitals replied, 23 of which offer an acupuncture service. The average waiting time for the first acupuncture treatment was 18.5 weeks, and the average waiting time for follow up treatments was nine weeks. One hospital taught patients auricular self-acupuncture, another was planning to teach patients, and a third hospital had previously taught patients but stopped. Discussing these findings, concerns are raised about the safety of self-acupuncture, and issues about patient selection, training, information, supervision and supply of materials are reviewed. A debate on these issues would be valuable.

Counseling Adolescents with Hearing Loss with the Use of Self-Assessment/Significant Other Questionnaires

2003 ◽  
Vol 14 (09) ◽  
pp. 485-499 ◽  
Author(s):  
Judy Elkayam ◽  
Kris English
Keyword(s):  
Hearing Loss ◽  
Peer Relationships ◽  
Social Impact ◽  
Significant Other ◽  
Use Of Self ◽  
Self Assessment ◽  
Item Questionnaire ◽  
Age Appropriate ◽  
Counseling Adolescents

After adapting a pair of adult Self-Assessment/Significant Other questionnaires, the first author explored the value of the modified questionnaires in providing counseling to adolescents with hearing loss. Twenty adolescents with hearing loss served as subjects; peers with normal hearing were selected as their Significant Other to capitalize on the importance of peer relationships and opinions during adolescence. Each dyad completed a 12-item questionnaire designed to explore the communicative, emotional, and social impact of hearing loss. Responses to each pair of questionnaires were reviewed by the adolescent and the audiologist and served as a basis for counseling. Subsequent dialogues revealed recurring themes as the teens attempted to face age-appropriate developmental challenges as individuals with hearing loss. Based on their responses to a follow-up questionnaire, most of the adolescents found the counseling process beneficial.

scholarly journals Understanding the Underestimation of Self-report Weight: The Roles of Narcissism and Accountability

2019 ◽  
Author(s):  
Menna Price ◽  
Erica Hepper ◽  
Laura L. Wilkinson
Keyword(s):  
Social Desirability ◽  
Significant Interaction ◽  
Self Report ◽  
Objective Measures ◽  
Use Of Self ◽  
Obesity Research ◽  
Crucial Information ◽  
Improved Accuracy ◽  
Weight Data

Background/objectives: Obesity research frequently makes use of self-reported height and weight to calculate Body Mass Index (BMI), but this is often unreliable. This study investigated motivational characteristics – narcissism and social desirability - that influence the accuracy of self-reported weight and how they interact with accountability (telling participants that their weight will be verified). Subjects/Methods: In a two-way between-subjects design (accountable vs not accountable) with motivational moderators (narcissism and social desirability), participants (N=80) were randomly allocated to accountable (told that their weight would be verified in a follow-up lab session) or not-accountable (no information given) conditions. In Session 1, participants self-reported motivational (social desirability and narcissism) and anthropometric (height and weight) measures online. In Session 2 (24 hours later), objective measures of height and weight were taken in the lab. Results: There was a significant interaction between condition and maladaptive narcissism level. Being told that weight would be later verified improved accuracy of self-reported weight, but only for those low in maladaptive narcissism. Conclusions: Accountability improves the accuracy of self-report weight data, but not for individuals high in narcissism. These findings provide crucial information for researchers collecting and interpreting self-report weight data.

Clinical use of Self-Assessment Pain-Scales in the Follow-up of Children With Migraine

Cephalalgia ◽  
1995 ◽  
Vol 15 (16_suppl) ◽  
pp. 91-91
Author(s):  
M. Hämäläinen ◽  
K. Hoppu ◽  
P. Santavuori
Keyword(s):  
Clinical Use ◽  
Use Of Self ◽  
Self Assessment ◽  
Pain Scales

The use of self-expanding metallic Wallstents (SMW) in ab-extrinsic ureteral obstructions: Preliminary results

1995 ◽  
Vol 62 (3) ◽  
pp. 380-382
Author(s):  
B. Rovereto ◽  
P. Quaretti ◽  
F. La Marca ◽  
A. Tronci ◽  
D. Cappelli ◽  
...  
Keyword(s):  
Retroperitoneal Fibrosis ◽  
Uterine Cancer ◽  
The Other ◽  
Use Of Self ◽  
Preliminary Results ◽  
The Third ◽  
First Case ◽  
Limited Experience ◽  
Pelvic Relapse

We report the preliminary results of ureteral obstruction treatment with self-expanding metallic Wallstents (SMWs) in 3 women. The causes of the obstructions were: in the first case pelvic relapse of an ovario carcinoma, in the second retroperitoneal fibrosis, and in the third pelvic fibrosis due to uterine cancer radiotherapy. In one patient only one SMW was placed, while in the other two, two SMWs were placed in the same ureter. At follow-up sonography, urography, and CT scan the ureters showed no sign of obstruction. In our limited experience, the SMW device is effective, easy to insert and minimally invasive.

scholarly journals The Course of Self-Efficacy for Therapeutic Use of Self in Norwegian Occupational Therapy Students: A 10-Month Follow-Up Study

2018 ◽  
Vol 2018 ◽  
pp. 1-5 ◽  
Author(s):  
Kathrin Schwank ◽  
Tove Carstensen ◽  
Farzaneh Yazdani ◽  
Tore Bonsaksen
Keyword(s):  
Occupational Therapy ◽  
Self Efficacy ◽  
Repeated Measures ◽  
Therapeutic Use ◽  
Use Of Self ◽  
Repeated Measures Anova ◽  
Follow Up Study ◽  
Occupational Therapy Students ◽  
Interpersonal Characteristics

Background. Occupational therapy students need to develop self-efficacy for managing the therapeutic relationship in practice. This study examined the 10-month trajectories of Norwegian students’ self-efficacy for use of self. Methods. Eighty-nine students completed self-efficacy questionnaires related to the use of self after a workshop and at 3- and 10-month follow-up. Changes on the three outcome measures (self-efficacy for therapeutic mode use, for recognizing clients’ interpersonal characteristics, and for managing interpersonal events) were analyzed with repeated measures ANOVA. Results. Across the follow-up period, the students improved their self-efficacy for therapeutic mode use (partial η2 = 0.44, p<0.001), for recognizing clients’ interpersonal characteristics (partial η2 = 0.81, p<0.001), and for managing interpersonal events (partial η2=0.32, p<0.001). Conclusion. The increased self-efficacy for use of self that was found at 3-month follow-up was maintained at 10-month follow-up. The results indicate that students may experience a boost in self-efficacy for therapeutic use of self after a brief workshop and that these changes can be sustained over time.

scholarly journals Short-term changes in occupational therapy students’ self-efficacy for therapeutic use of self

2018 ◽  
Vol 81 (5) ◽  
pp. 276-284 ◽  
Author(s):  
Ratna A Hussain ◽  
Tove Carstensen ◽  
Farzaneh Yazdani ◽  
Brian Ellingham ◽  
Tore Bonsaksen
Keyword(s):  
Occupational Therapy ◽  
Outcome Measures ◽  
Self Efficacy ◽  
Therapeutic Use ◽  
Use Of Self ◽  
Short Term ◽  
Factors Associated ◽  
Occupational Therapy Students ◽  
Dependent Samples

Introduction Self-efficacy concerned with the therapeutic use of self is important for occupational therapists, and students need to develop the skills and the self-efficacy required to meet interpersonal challenges in practice. This study examined short-term changes in occupational therapy students’ self-efficacy for using therapeutic modes, for recognizing clients’ interpersonal characteristics, and for managing interpersonal events. Factors associated with such changes were also examined. Method A sample of 89 Norwegian occupational therapy students from two universities was used, and the students completed three questionnaires 2–3 weeks after a workshop and at 3 months’ follow-up. Changes on the outcome measures were analyzed with t-tests for dependent samples, and factors associated with the outcome changes were analyzed with linear regression analyses. Results During the follow-up period, the students improved their self-efficacy scores on all three outcome measures. Higher age was associated with more improvement on two of the outcome measures. Conclusion The occupational therapy students improved their self-efficacy for therapeutic use of self during the brief follow-up period. Thus, the time in education, either university-based or practice-based, seems to add to students’ self-efficacy for clinical skills in this area. Higher age appears to be a resource for gaining more self-efficacy from attending educational courses.

scholarly journals A Resident-Led Intervention to Increase Initiation of Buprenorphine Maintenance for Hospitalized Patients With Opioid Use Disorder

2021 ◽  
Vol 16 (6) ◽  
Author(s):  
Ashish P Thakrar ◽  
David Furfaro ◽  
Sara Keller ◽  
Ryan Graddy ◽  
Megan Buresh ◽  
...  
Keyword(s):  
Internal Medicine ◽  
Methadone Maintenance ◽  
Internal Medicine Resident ◽  
Opioid Use Disorder ◽  
Hospitalized Patients ◽  
Opioid Use ◽  
Medicine Resident ◽  
Clinician Education ◽  
Engagement In Treatment

BACKGROUND: Hospitalized patients with opioid use disorder (OUD) are rarely started on buprenorphine or methadone maintenance despite evidence that these medications reduce all-cause mortality, overdoses, and hospital readmissions. OBJECTIVE: To assess whether clinician education and a team of residents and hospitalist attendings waivered to prescribe buprenorphine increased the rate of starting patients with OUD on buprenorphine maintenance. DESIGN, SETTING, PARTICIPANTS: Quality improvement study conducted at a large, urban, academic hospital in Maryland involving hospitalized patients with OUD on internal medicine resident services. INTERVENTION: We developed a protocol for initiating buprenorphine maintenance, presented an educational conference, and started the resident-led Buprenorphine Bridge Team of residents and attendings waivered to prescribe buprenorphine to bridge patients from discharge to follow-up. MEASUREMENTS: The percent of eligible inpatients with OUD initiated on buprenorphine maintenance, 24 weeks before and after the intervention; engagement in treatment after discharge; and resident knowledge and comfort with buprenorphine. RESULTS: The rate of starting buprenorphine maintenance increased from 10% (30 of 305 eligible patients) to 24% (64 of 270 eligible patients) after the intervention, with interrupted time series analysis showing a significant increase in rate (14.4%; 95% CI, 3.6%-25.3%; P = .02). Engagement in treatment after discharge was unchanged (40%-46% engaged 30 days after discharge). Of 156 internal medicine residents, 89 (57%) completed the baseline survey and 66 (42%) completed the follow-up survey. Responses demonstrated improved resident knowledge and comfort with buprenorphine. CONCLUSION: Internal medicine resident teams were more likely to start patients on buprenorphine maintenance after clinician education and implementation of a Buprenorphine Bridge Team.

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