Rhythms of learning — a model of practice supporting youth mental health in the era of COVID-19

The COVID-19 pandemic has led to a significant increase in demand for mental health services for young people. This demand comes on top of a preexisting surge in mental health presentations for our youth, and it places extraordinary demand on support services and the professionals who deliver them. Concurrently, it is recognised that engaging and working with young people and their mental health has its own unique challenges, and that many young people find direct ‘talk-based’ therapies confronting. This article examines the use of a model of group work practice combining the benefits of rhythmic music with reflective discussions as a response to the dual challenges of workplace burnout and client engagement. It reflects on the important role music has to play in young lives and how this can be extended into therapy in a fun and uplifting manner. It draws attention to the long history of rhythmic music within traditional healing practices and the emerging scientific evidence supporting this approach.

Negotiating System Requirements to Secure Client Engagement – Therapist Strategies in Adolescent Psychotherapy Initiated by Others

Background: Many adolescent clients come to treatment reluctantly, at the initiative of others. Adolescents also quit therapy prematurely more often than adult clients do. This points to the value of finding good ways to engage adolescent clients in treatment and understanding more of what therapists do to achieve this task.Methods: We used focus group methodology to explore therapist strategies and behaviors to engage adolescent clients who come to therapy at the initiative of others. Ten focus group interviews with a total of 51 therapists were conducted with existing treatment teams from seven different clinics in community mental health care for children and youth. Reflexive thematic analysis was used as a framework to guide the analytical process.Findings: Navigating a position allowing the therapist and adolescent to meet and work toward a shared understanding of the situation and what could help was considered the main gateway to client engagement. To do this, therapists had to manage the pull between system requirements and their obligation to the individual adolescent client, represented by the theme Managing system requirements. The process of working with the adolescent to ensure engagement is represented by the four themes: Counteracting initial obstacles for client engagement – “You are not trapped here”; Sharing definitional power – “What does it look like to you?”; Practicing transparency – “I want you to know what I see”; and Tailoring as ideal – “I will design this therapy for you.”Implication and conclusion: Therapists want to understand their adolescent clients’ position better, and subsequently adjust the treatment goals and techniques to establish sufficient common ground to allow both the therapist and adolescent to find the therapeutic project worthwhile. However, system requirements and service organization were found to obstruct and influence these processes in several ways, pointing to the significance of exploring the interplay between system organization and therapeutic practice more thoroughly. There was also a variation between therapist behaviors described by different therapists within the same treatment teams, as well as systematic differences between treatment teams, pointing to the importance of future research differentiating wanted from unwanted variation in treatment.

B40 Online Business Platform: E-Commerce and Life Cycle Model Considerations

A new online business platform is needed in Malaysia. The proposed system aims to provide B40 household income group with the necessary knowledge for increasing readiness in online business, and equip them with access to available financing, e-commerce, and logistic solutions. Prior to project commencement, a review is performed on e-commerce and development life cycle models. The adopted approach includes issues such as client engagement, development team, duration of project, requirement of prototype, and scale of deployment. In this case, a modified Rapid Application Development model is suitable for monitoring project progress and delivery.

IPV Perpetrator Groups: Client Engagement, and the Role of Facilitators

Based on the emerging literature being developed in Motivational Interviewing that suggests certain group process factors and facilitator attributes predict treatment outcomes, this study sought to investigate the relationship between both client and facilitator ratings of the batterer intervention group experience. This study presents data from 16 group facilitators drawn from five agencies and 175 clients being served by these facilitators. The data gathered included both facilitator ratings of clients (i.e., Group Engagement Measure-GEM) and client ratings of facilitators and the group experience (i.e., Client Rating of Facilitator-CRF, Client Perceived Benefits of Group-CPBG). Results indicate that facilitators rated clients as being engaged in the group process across all the domains assessed by the GEM and that clients viewed the facilitators and group experiences favorably as assessed by the CRF and CPBG. There was no significant correlation between the GEM and CRF or the GEM and CPBG, but there was a strong, positive correlation between the CRF and CPBG. The results here support previous research findings suggesting a strong correlation between client engagement in the therapeutic process, based on their perception of the facilitator, and their perceived benefits of the group experience. Implications of the findings for improving empirical investigations of the batterer intervention group experience were explored and discussed.

Basic Counseling Skills: Working With People With Aphasia and Their Families

Purpose People with aphasia (PWA) and their families experience dramatic changes to many facets of life following stroke or other brain injury. With these changes comes complex loss and grief that can lead to chronic stress and depression, and impact recovery and rehabilitation. Clinicians working with PWA are often unsure how to best address these experiences and reactions. This tutorial introduces an approach to building the therapeutic alliance and navigating challenging conversations with clients and families using basic counseling skills that can be adapted to varying situations and clinical contexts. In addition to demonstrating each skill using example scenarios (Part 1), these skills are applied to the evolving stages of crisis and recovery experienced by many clients with communication impairment and their families—from injury onset to adjustment to chronic aphasia (Part 2). Conclusions Clinicians can adapt a set of basic counseling skills to promote effective therapeutic relationships and change in the lives of their clients across the contexts of recovery and rehabilitation. Although the clinician and client may work together for a relatively limited period of time, these flexible skills can help galvanize client engagement and participation in clinical activities, yield high-quality client information for treatment planning, and motivate clients as they navigate life with aphasia.

‘Never let a good crisis go to waste’ – The 2020 Business Information Review Survey: Part III

Part III of the 2020 Business Information Review survey, this is the world’s longest running conversation about business information services and their management, which is celebrating its 30th anniversary. The third installment of the 2020 survey captures the participants’ reflections on a range of topics that are shaping their operations including supplier relations, client engagement as well as providing a summary of their 2021 priorities.

The tripartite efficacy beliefs model in vocational rehabilitation: Implications for working alliance and client engagement

BACKGROUND: Given the importance of working alliance to client engagement and outcomes in vocational rehabilitation, there is a need to better understand predictors of the client counselor relationship. Research has shown the tripartite efficacy model as a way of understanding working alliance in various contexts but has never been examined in vocational rehabilitation. OBJECTIVE: This study evaluates the relationship among tripartite efficacy beliefs constructs (self-efficacy, other-efficacy, and relation-inferred self-efficacy [RISE]), working alliance, and engagement for 350 clients receiving state vocational rehabilitation services. METHODS: Researchers used a path analysis to assess the hypothesis that the tripartite efficacy model would predict client engagement through its impact on working alliance. RESULTS: The hypothesized model had a close fit. Other-efficacy and RISE beliefs had significant positive direct effects on working alliance and indirect effects on client engagement. Self-efficacy had a significant negative direct effect on working alliance and client engagement. CONCLUSIONS: The study supports the tripartite efficacy beliefs model as a way of better understanding client perceptions of working alliance in vocational rehabilitation.

Psychosis, Telehealth, and COVID-19: Successes and Lessons Learned from the First Wave of the Pandemic

ABSTRACT Objective: This brief report analyzes a first-episode psychosis (FEP) clinic’s shift from in-person treatment to the provision of services through telemental health during the COVID-19 pandemic. The feasibility of using this technology was examined by assessing client engagement. Methods: The authors created and implemented procedures for the clinic’s transition to telemental health. Once clients’ consent was obtained, a HIPAA compliant platform was used to continue service provision. Results: Client engagement during this period improved compared to the same quarter the previous year. Telemental health was also practical for providing groups and other supportive services to meet clients’ needs. Conclusion: Telemental health is an effective approach to providing care at an FEP clinic during a pandemic. Successes and lessons learned from the first wave of the pandemic can be used to prevent an uptick in symptoms and sustain engagement for this vulnerable population during the anticipated second wave.