Trauma-focused skills training for practitioners

Author(s):  
David Bolton

This Chapter looks in detail at the development of a training and workforce development programme at the Northern Ireland Centre for Trauma and Transformation (NICTT), in Omagh. With particular reference to one of the courses developed at the Centre, the author concludes that more often than not, the pre-existing services, skills set and capabilities of a community will be insufficient to address the distinctive trauma-related needs that emerge during and following war and conflict. He argues that the trauma skills of pre-existing services should be enhanced by introducing additional and relevant theoretical and evidence-based approaches to understanding and addressing mental health needs. Where trauma exposure is a major concern, the development of trauma informed and trauma focused systems and services will be required. He argues for a unifying therapeutic literacy that connects all endeavours to address the mental health consequences of conflict. The role of service commissioners and funders (for example, the SEUPB) in building capacity in existing services, is discussed.

2017 ◽  
Vol 4 ◽  
Author(s):  
S. U. Hamdani ◽  
P. Akhtar ◽  
Zill-e-Huma ◽  
H. Nazir ◽  
F. A. Minhas ◽  
...  

Background.Development disorders and delays are recognised as a public health priority and included in the WHO mental health gap action programme (mhGAP). Parents Skills Training (PST) is recommended as a key intervention for such conditions under the WHO mhGAP intervention guide. However, sustainable and scalable delivery of such evidence based interventions remains a challenge. This study aims to evaluate the effectiveness and scaled-up implementation of locally adapted WHO PST programme delivered by family volunteers in rural Pakistan.Methods.The study is a two arm single-blind effectiveness implementation-hybrid cluster randomised controlled trial. WHO PST programme will be delivered by ‘family volunteers’ to the caregivers of children with developmental disorders and delays in community-based settings. The intervention consists of the WHO PST along with the WHO mhGAP intervention for developmental disorders adapted for delivery using the android application on a tablet device. A total of 540 parent-child dyads will be recruited from 30 clusters. The primary outcome is child's functioning, measured by WHO Disability Assessment Schedule – child version (WHODAS-Child) at 6 months post intervention. Secondary outcomes include children's social communication and joint engagement with their caregiver, social emotional well-being, parental health related quality of life, family empowerment and stigmatizing experiences. Mixed method will be used to collect data on implementation outcomes. Trial has been retrospectively registered at ClinicalTrials.gov (NCT02792894).Discussion.This study addresses implementation challenges in the real world by incorporating evidence-based intervention strategies with social, technological and business innovations. If proven effective, the study will contribute to scaled-up implementation of evidence-based packages for public mental health in low resource settings.Trial registration.Registered with ClinicalTrials.gov as Family Networks (FaNs) for Children with Developmental Disorders and Delays. Identifier: NCT02792894 Registered on 6 July 2016.


2017 ◽  
Vol 37 (2_suppl) ◽  
pp. 3S-13S ◽  
Author(s):  
Diane L. Smith ◽  
Katie Atmatzidis ◽  
Marisa Capogreco ◽  
Dominic Lloyd-Randolfi ◽  
Victoria Seman

Title I of the Americans With Disabilities Act prohibits discrimination in employment; however, 26 years later, employment rates for persons with disabilities hover at 34%. This systematic review investigates the effectiveness of evidence-based interventions to increase employment for people with various disabilities. Forty-six articles met the inclusion criteria for evidence-based interventions. The majority of studies assessed interventions for persons with mental health disabilities. Strong evidence was found for ongoing support and work-related social skills training prior to and during competitive employment for persons with mental health disabilities. Moderate evidence supported simulation and use of assistive technology, especially apps for cueing and peer support to increase work participation for persons with intellectual disabilities, neurological/cognitive disabilities, and autism spectrum disorder. Many of the strategies to increase work participation were appropriate for occupational therapy intervention. Suggestions were made for research, specifically looking at more rigorous evaluation of strategies in the long term.


2011 ◽  
Vol 17 (5) ◽  
pp. 372-380 ◽  
Author(s):  
Julian Mason ◽  
Adetokunbo Adeshina

SummaryA recommendation of the UK's National Dementia Strategy is to develop the skills of the care workers who provide day-to-day care for people with dementia. On the basis of a systematic review of the literature, we suggest evidence-based areas in which the skills of care workers can be developed to reduce the incidence of difficult behaviour and the use of antipsychotic medication in dementia. We discuss core features of carer training, education and practice. Psychiatrists involved in the training of carers can teach new skills to carers. Psychiatrists in community mental health teams can, through leadership and clinical liaison, reinforce and enable these skills in care homes, domiciliary services and in-patient settings serving people with dementia.


Author(s):  
Marlys Staudt

The primary focus of the entry is service utilization. As background, the risks for and prevalence of childhood mental disorders are summarized. Then, the current children's mental health services system is described, including the role of nonspecialty sectors of care and informal support systems. Service use barriers and disparities, pathways to services, and strategies to increase service use are discussed. The conclusion notes other current issues in child mental health, including the need to implement evidence-based treatments.


Author(s):  
David Bolton

This Chapter seeks to draw together the key messages from the book into a form which the reader can consider, use, adapt or reject, to respond to his or her circumstances. The author shares his own conclusions from the work he and colleagues - and others - have done in relation to Northern Ireland and the years of violence and conflict. The importance of planning with an informed perspective on the impact of major traumatic stressors (such as conflict) on communities is discussed. Also the the contribution of leadership, ritual, politics, therapy, peace making, and the central importance of listening to victims and survivors. Again the author highlights the need to bring considerations about the mental health impact and burden of war and conflict into the early stages of the peace project, when wars and conflicts are being brought to an end.


2014 ◽  
Vol 6 (5) ◽  
pp. 563-573 ◽  
Author(s):  
Dana Rose Garfin ◽  
Roxane Cohen Silver ◽  
Virginia Gil-Rivas ◽  
Javier Guzmán ◽  
J. Michael Murphy ◽  
...  

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