scholarly journals Culture Free CBT for Diverse Groups

2021 ◽  
Author(s):  
Peter Phiri ◽  
Isabel Clarke ◽  
Lydia Baxter ◽  
Kathryn Elliot ◽  
Shanaya Rathod ◽  
...  

Traumatic experiences are known to have a significant impact upon one’s physical and mental health. Post-traumatic stress disorder (PTSD) is understood to be a common mental health consequence of trauma. However, Complex Trauma and consequences of adverse childhood experiences appear more prevalent and a serious public health concern that hinders the individual’s daily existence, thus emphasising the need to implement a culturally free treatment intervention. In this chapter, we begin by introducing traumatic experiences in several contexts and explore the treatment for trauma. It will focus on a research study that employs Comprehend, Cope and Connect (CCC), a third wave CBT approach, to deliver a culturally free form of therapy that has been adapted for individuals from diverse populations. The CCC approach’s relevance to cultural adaptation is explained and discussed through the use of two case examples from the main study. The Culture Free study found that CCC was both feasible and acceptable in diverse populations, echoing existing research on cultural adaptations which found use of mindfulness to be accepted and appreciated as an effective intervention that can elicit concrete positive change across a broad range of mental health presentations, including trauma and trans-diagnostically. Further investigations utilising a robust methodology and powered sample are warranted in particular with diverse populations presenting with complex trauma.

2020 ◽  
Vol 10 (2) ◽  
pp. 841-844
Author(s):  
Mohammad Asim ◽  
Edwin Van Teijlingen ◽  
Brijesh Sathian

The sudden outbreak of Coronavirus-19 disease (COVID-19) is transforming the psychology and interpersonal relationships of millions across the globe. In Nepal, there is a need for national mental health surveys post COVID-19. This pandemic can cause traumatic experiences to the patients, caregivers, those quarantined and frontline healthcare providers which may lead to PTSD. Special attention should be focused on high-risk individuals, including policies to implement regular screening of PTSD symptoms. 


Author(s):  
Amie R. Newins ◽  
Laura C. Wilson

Sexual assault is a worldwide public health concern, as it occurs to people of all genders at alarming rates and results in serious physical and mental health sequelae. The reactions survivors receive from formal and informal supports can significantly influence their recovery. Given the prevalence of sexual assault, all providers need to be prepared to handle disclosures of sexual assault from clients. The aim of this book is to provide guidance on how to interact with survivors of sexual assault, which the authors define as sexual contact or penetration without the explicit consent of the victim. While the book is primarily geared toward mental health professionals, the content is also relevant for professionals who work in medical settings, educational settings, law enforcement, and victim services. The authors also highlight that there are particular populations (e.g., racial and sexual minorities) and settings (e.g., military, higher education) that require particular considerations when discussing sexual violence. Overall, professionals have an instrumental role in facilitating survivor recovery, and this book provides best practices for providing services in an affirming manner. The book begins with a review of literature focused on sexual assault and survivor disclosure. Then, recommendations are provided for conducting assessments and psychotherapy with survivors of sexual assault. Case examples are presented to help illustrate specific recommendations for working with survivors of sexual assault. Finally, particular recommendations for various specific populations are provided.


BJPsych Open ◽  
2021 ◽  
Vol 7 (3) ◽  
Author(s):  
Fiona McNicholas ◽  
Ian Kelleher ◽  
Elma Hedderman ◽  
Fionnuala Lynch ◽  
Elaine Healy ◽  
...  

Background Countries worldwide are experiencing a third wave of the coronavirus disease 2019 (COVID-19) pandemic. Government-imposed restrictive measures continue with undetermined effects on physical and mental health. Aims To compare child and adolescent mental health services (CAMHS) referrals over 11 months (January–November) in 2020, 2019 and 2018 and examine any impact the different phases of the COVID-19 restrictions might have on referral rates. Method Monthly CAMHS Health Service Executive data were examined, covering a catchment population of 260 560 or 12.7% of all youth (age group 0–18 years) in Ireland. The total number of urgent and routine referrals, appointments offered, rates of non-attendances and discharge outcome are presented. Results There was a significant drop in referrals in 2020, compared with prior years (χ2 = 10.3, d.f. = 2, P = 0.006). Referrals in 2020 dropped from March to May by 11% and from June to August by 10.3%. From September, both routine and urgent referrals increased by 50% compared with previous years (2018/2019), with the highest increase in November 2020 (180%). Clinic activity also increased from September, with double the number of out-patient appointments offered, compared with previous years (χ2 = 5171.72, d.f. = 3, P < 0.001) and lower (6.6%) rates of non-attendance (χ2 = 868.35, d.f. = 3, P < 0.001). Conclusions In 2020, following an initial decline, referrals to CAMHS increased consistently from September. Such unprecedented increase in referrals places further strain on services that are already underresourced and underfunded, with the likelihood of increased waiting lists post COVID-19. It is envisaged that once the pandemic is over, resources will be even more constrained, and CAMHS will be urgently in need of additional ring-fenced funding.


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