How Online Counselling Is Utilised, Evaluated, and Received

This chapter covers the broad range of online counselling work, using the COVID-19 era as a point of reference. It provides an overview of online applications of counselling and psychotherapy at pre-COVID-19 time and informs the reader of how online counselling provision has been accelerated during the pandemic. A theoretical overview of the key counselling and therapeutic processes as conceptualised in the cyberspace which considers six distinct modes of online communication are provided. An evaluation and the review of the latest efficacy and effectiveness research evidence of online counselling is also provided. The key benefits and challenges of digitalised therapeutic interventions from the clients' and therapists' perspectives covering pre and during COVID-19 are identified. Attention is drawn to existing studies on counselling engagement, adherence, outreach, non-stigmatising counselling practices, power imbalances in the counselling process, and therapy outcomes.

Multi-Family Therapy for First Episode Psychosis: Experiences of Families in Singapore

Aim: This qualitative study examined the experiences of families with Multi-Family Therapy (MFT) provided by the Early Psychosis Intervention Programme (EPIP) in Singapore. The MFT was piloted over a period of 2 years and findings from this study were used to further refine the MFT to better meet the needs of Singaporean families in the service.Methods: Families who completed the MFT were invited to participate in the study. Nine clients and ten carers who consented to participate in the study were allocated to two client and two carer Focus Group Discussions (FGDs) respectively. A semi-structured interview schedule was used to facilitate the discussions. The FGDs were audio recorded, transcribed, and anonymised. The data was analysed using thematic analysis.Results: Four main themes emerged from the analysis: (1) therapeutic processes of MFT, (2) positive changes in family relationships, (3) improvements in coping with psychosis, and (4) suggestions for improvement in MFT. The families suggested some structural changes to the MFT, and more carers than clients would prefer therapists to offer more expert advice.Conclusions: Findings suggest that a Western-based MFT can be adapted to work with Singaporean families. This study sheds light on the therapeutic processes that may be related to the changes in family relationships and coping with psychosis. In addition, it suggests that therapists taking an expert and authoritative approach may not fit with the needs of younger generations in Singapore. It advocates for therapists to take a flexible and fluid stance to work with Singaporean families.

BPM Support for Patient-Centred Clinical Pathways in Chronic Diseases

Epidemiological trends over the past decade show a significant worldwide increase in the burden of chronic diseases. At the same time, the human resources of health care are becoming increasingly scarce and expensive. One of the management concepts that can help in solving this problem is business process management (BPM). The results of research conducted in the healthcare sector thus far prove that BPM is an effective tool for optimizing clinical processes, as it allows for the ongoing automatic tracking of key health parameters of an individual patient without the need to involve medical personnel. The aim of this article is to present and evaluate the redesign of diagnostic and therapeutic processes enabling the patient-centric organization of therapy thanks to the use of new telemedicine techniques and elements of hyperautomation. By using an illustrative case study of one of the most common chronic diseases, Chronic Obstructive Pulmonary Disease (COPD), we discuss the use of clinical pathways (CPs) prepared on the basis of the current version of the Global Initiative for Chronic Obstructive Lung Disease (GOLD) as a communication tool between healthcare professionals, the patient and his or her caregivers, as well as the method of identifying and verifying new knowledge generated on an ongoing basis in diagnostic and therapeutic processes. We also show how conducting comprehensive, patient-focused primary health care relieves the health care system, and at the same time, thanks to the use of patient engagement and elements of artificial intelligence (predictive analyses), reduces the significant clinical risk of therapy.

Using daily objects as material primes of valorisation and control in psychiatric facilities

As part of the built environment objects and interior design features can affect thoughts, emotions and behaviour in various ways. Referring to the concept of material and conceptual priming (Kay et al., 2004; Berger & Fitzsimons, 2008), these objects can provoke associations and by that subconsciously activate mental concepts which influence emotional states, judgements and subsequent behaviours. In many healthcare facilities, the formal-aesthetic design of the built environment visually conveys the concept of institutionalisation through clinical and sterile styles, impersonal and standardised configurations and a lack of individualisation. This applies in particular to the setting of psychiatric facilities in which from a clinical point of view sterile and impersonal aesthetics are not required and might even be detrimental to the therapeutic processes. However, there is reason to believe that the use of everyday objects can support therapeutic processes and thus be seen as an element of psychosocially supportive design (Ulrich, 1997) in two ways. Firstly, everyday objects derived from domestic contexts refer to aesthetics that are contrary to the concept of institutionalisation. Instead by communicating features of comfort and subtle luxury they might activate the mental concept of valorisation which can be seen as an important resource in therapeutic settings that strengthens commitment and trusts. Secondly, offering choice of a variety of everyday objects in psychiatric settings enables patients to exert control in a context that otherwise is characterised by total loss of control. This increased sense of control is an important part of Antonovsky's sense of coherence (1979) and a valuable asset for recovery and empowerment of psychiatric patients.

Substance related offending behaviour programme (SROBP): exploring male prisoner’s experiences of treatment and application of learning

Purpose Cognitive-behavioural interventions, such as the substance related offending behaviour programme (SROBP), are being implemented across forensic contexts in an attempt to address the detrimental economic, social and personal impacts of substance use and offending. Whilst support exists for the effectiveness of such treatment, there remains to be limited knowledge of offenders’ experiences of treatment and factors that promote treatment efficacy and support desistance. This study aims to develop an idiographical understanding of those processes. Design/methodology/approach Six prisoners who had completed the SROBP were interviewed via a semi-structured schedule to collate their individual experiences of engaging in treatment. Interviews transcripts were analysed by the lead researcher using interpretative phenomenological analysis, and external auditing analysis was conducted by the research supervisors. Findings Three superordinate themes resulted: “Therapeutic processes and relationships,” “Therapeutic outcomes” and “Threats to post treatment recovery.” Participants identified factors which facilitated the effectiveness of treatment and were effective in meeting their needs, although there were other factors that required improvement. Practical implications The important role of motivation at various stages of treatment as this engenders commitment to treatment aims and longer-term recovery. Treatment efficacy is linked with perceived relevance and value of treatment outcomes in supporting desistence from substance use. Pro-social peer relationships are important for effective application of learning and recovery. Attentiveness to participants specific needs is required. The lack of post-programme support has the potential to threaten therapeutic alliances and reinforce experiences of rejection and abandonment. The management of the exit phase from programmes is critical. Originality/value Results are discussed in light of their implications for future working practices in supporting therapeutic processes and rehabilitative culture.

Essential oil content and composition in various ecotypes of damask rose from different ecological regions

Rosa damascena as a holy ancient plant with modern uses in perfumery and therapeutic processes, should be more investigated due to its utilization in food ingredients, preclinical and clinical studies, and cosmetics industry. Here, we have evaluated the proline content, total phenol of sepal and petal, oil content, and essential oil (EO) composition in different damask rose ecotypes [(Oroumieh; OR), (Golab; GB), (Oskou; OS), (London; LN), and (Mahallat; MT)]. The highest proline and oil content produced in GB ecotype. There was a positive correlation between oil content and proline production in ecotypes (r2 = 0.8064). The major compounds of rose EOs in OR, GB, OS, and MT ecotypes were nonadecane, heneicosane, citronellol, and geraniol. Whereas the main compounds in LN oil were heneicosane (11.43%), Z-5-nonadecene (10.34%), citronellol (8.84%), and geraniol (6.97%). The highest content of Terpenes + Sesquiterpenes were produced in GB followed by MT, while the lowest Terpenes + Sesquiterpenes content were in OR and LN, respectively. Based on the uses of rose oil for cosmetics, medicine, and/or therapeutic processes, the specific ecotype with distinct oil profile can be proposed.