scholarly journals Introducing Feedback Informed Preference Accommodation (FIPA): A Case Study in Clinical Practice

2020 ◽  
Author(s):  
Daryl Mahon
Keyword(s):  
Clinical Practice ◽  
Routine Practice ◽  
Attrition Rates ◽  
Extant Literature ◽  
Case Load ◽  
Initial Preference ◽  
Process And Outcome ◽  
Informed Treatment ◽  
Feedback Informed Treatment

Psychotherapy is a successful modality for those who engage in and complete a course of treatment. However, attrition rates and negative outcomes make up a significant and under discussed proportion of clinicians’ case load in routine practice. Innovative and novel methods to address these issues have been identified within the extant literature. However, their uptake can be impacted by issues such as utility and brevity. The present paper seeks to establish a framework for integrating Feedback Informed Treatment (FIT) and the Cooper-Norcross Inventory of Preferences (C-NPI) in clinical practice. That is, using the C-NPI for initial preference accommodation and following this up on a session to session basis to monitor the process and outcome of therapy. An overview of both approaches is provided, and a rationale for their integration elucidated. The author terms this integration, Feedback Informed Preference Accommodation (FIPA). A Case Study is put forward to demonstrate this process in clinical practice.

scholarly journals The Role of Practice-Based Evidence and Feedback Informed Treatment for Improving Therapy Outcomes

2020 ◽  
Author(s):  
Daryl Mahon
Keyword(s):  
Routine Practice ◽  
Therapy Outcomes ◽  
Attrition Rates ◽  
Psychological Therapies ◽  
Empirically Supported ◽  
Informed Treatment ◽  
Poor Outcomes ◽  
Psychotherapy Clients ◽  
Feedback Informed Treatment

Attrition rates and deterioration of counselling and psychotherapy clients are two major concerns for those delivering psychological therapies across differential modalities. While a variety of correlations are said to contribute to attrition and deterioration such as, client, therapist and clinical level, identifying and improving outcomes for this cohort of people in routine practice is difficult. Even with the addition of hundreds of empirically supported treatments added to the profession, outcomes have not improved in line with these new approaches. Methods to limit the extent of poor outcomes has been established in the extent literature, thus, practice-based evidence is put forward focusing on Feedback Informed Treatment (FIT).

Feedback informed treatment: An empirically supported case study of psychodynamic treatment

2017 ◽  
Vol 73 (11) ◽  
pp. 1499-1509 ◽  
Author(s):  
Stephanie Winkeljohn Black ◽  
Jesse Owen ◽  
Norah Chapman ◽  
Kelly Lavin ◽  
Joanna M. Drinane ◽  
...  
Keyword(s):  
Psychodynamic Treatment ◽  
Empirically Supported ◽  
Informed Treatment ◽  
Feedback Informed Treatment

Role of Vaitarana Basti in the management of Gridhrasi w.s.r. to Sciatica

2018 ◽  
Vol 3 (5) ◽  
Author(s):  
Dr. Suresh N. Hakkandi ◽  
Dr. Manjunath Akki ◽  
Dr. Bhavana KS
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Clinical Practice ◽  
Routine Activity ◽  
Daily Routine ◽  
Low Back ◽  
Common Condition ◽  
Locomotor System

Vata Vyadhi is one of the most prevailing health problems in our day today clinical practice, Gridhrasi is one among them. Gridhrasi is Shoola Pradhana Nanatmaja Vatavyadhi, affecting the locomotor system and disable from daily routine activity. Gridhrasi the name itself indicates the way of gait shown by the patient due to extreme pain i.e. like Gridhra or Vulture. Gridhrasi is a condition characterized by Ruk, Toda, Stambha, Spandana in Sphik Pradesha and radiates downwards to Kati, Prusta, Uru, Janu, Jangha and Pada. Gridhrasi can be compared with Sciatica. Pain is the chief cause of person to visit a doctor. Although low back pain is a common condition that affects as many as 80 to 90 percent of people during their lifetime. Gridhrasi can be cured by the help of Vaitarana Basti. Hence in the case study of male patient of age 30 yrs presenting with cardinal clinical sign and symptoms of Gridhrasi are Ruka, Toda and Muhu Spandana in the Sphika, Kati, Uru, Janu, Jangha and Pada in order and Sakthikshepanigraha that is restricted lifting of the leg.

Impact of neuropsychiatry screening in neurological in-patients: comparison with routine clinical practice

2011 ◽  
Vol 23 (6) ◽  
pp. 297-301 ◽  
Author(s):  
Justin Earl ◽  
Olimpia Pop ◽  
Kate Jefferies ◽  
Niruj Agrawal
Keyword(s):  
Mental Illness ◽  
Clinical Practice ◽  
Neurological Disorders ◽  
Psychiatric Comorbidity ◽  
Screening Programme ◽  
Psychiatric Symptoms ◽  
Routine Clinical Practice ◽  
Routine Practice ◽  
Sustained Effect

Earl J, Pop O, Jefferies K, Agrawal N. Impact of neuropsychiatry screening in neurological in-patients: comparison with routine clinical practiceBackground: It is now well recognised that the rate of psychiatric comorbidity is high in patients with neurological disorders. Psychiatric comorbidity has a significant impact on quality of life and often goes undetected in routine clinical practice.Objectives: To compare the rate of detection of psychiatric illness in routine clinical practice with the prevalence of mental illness established using a dedicated screening programme at a regional neuroscience centre and to assess if the screening programme had any enduring impact on routine clinical practice after its completion.Methods: Consecutive admissions to a neurology ward in the 3-month period before (n = 160) and after (n = 158) a dedicated neuropsychiatric screening programme was carried out were identified. Case notes were then reviewed to establish if symptoms of mental illness were identified by the treating neurologists and if patients were referred for neuropsychiatric assessment. Rates of detection of neuropsychiatric problems and rates of referral for treatment were compared with those identified during the screening programme.Results: In routine clinical practice, over two 3-month study periods, psychiatric symptoms were identified in 23.7% of patients and only 10.6% received neuropsychiatric interventions. This is much lower as compared with rates identified (51.3%) and treated (51.3%) during dedicated screening. Detection of mood symptoms decreased from 14.7% pre-screening to 3.8% in the post-screening period.Conclusion: Rate of detection and treatment of neuropsychiatric problems remain low in neurology in-patients in routine clinical practice. Neuropsychiatric screening is effective but does not have sustained effect once it stops. Hence we suggest that active ongoing screening should be incorporated into routine practice.

Integrating lived experience into clinical practice: a case study of young peer providers in pediatric rehabilitation

2021 ◽  
pp. 1-9
Author(s):  
Yukari Seko ◽  
Anna Oh ◽  
Dolly Menna-Dack ◽  
C. J. Curran ◽  
Joanne Maxwell ◽  
...  
Keyword(s):  
Clinical Practice ◽  
Lived Experience ◽  
Pediatric Rehabilitation

scholarly journals Predictors of medical student interest in Indigenous health learning and clinical practice: a Canadian case study

2018 ◽  
Vol 18 (1) ◽  
Author(s):  
Sharon Yeung ◽  
Amy Bombay ◽  
Chad Walker ◽  
Jeff Denis ◽  
Debbie Martin ◽  
...  
Keyword(s):  
Clinical Practice ◽  
Medical Student ◽  
Indigenous Health ◽  
Student Interest
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