Collaboration with clients to create journal notes: A mixed methods evaluation of a pilot intervention study in a municipality mental health services team

IF 1.2 Q3 PSYCHOLOGY, CLINICAL Counselling & Psychotherapy Research Pub Date : 2024-10-01 DOI:10.1002/capr.12829

Kjellaug K. Myklebust, Helene Hoemsnes, Øyvind Kvello, Solveig Karin Bø Vatnar

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Abstract

Introduction

The purpose of this study was to evaluate an intervention designed to encourage therapists in a municipality mental health services team to collaborate with their clients when writing journal notes. The team was part of a low-threshold mental health service for children, adolescents and their parents. The therapists offered individual therapeutic sessions with children, adolescents and parents, as well as family sessions. The therapists documented their encounters in the clients' electronic health records.

Methods

The study used a convergent mixed methods design. First, the quality and quantity of documented therapist–client interactions were measured before and after the intervention using the Scale for the Evaluation of Staff-Patient Interactions in Progress Notes (SESPI). Cross-tabulation and logistic regression analyses were used to examine potential differences in the recording of therapists' approaches before and after intervention. Second, we explored the therapists' experiences of participating in this project by conducting individual in-depth interviews. Qualitative interviews were analysed by systematic text condensation. Finally, the quantitative results from assessing the journal notes were contextualised with the qualitative results from the interviews.

Results

The number of journal notes describing therapist approach and client response increased by 25% points after the intervention. In the interviews, the therapists acknowledged the intervention's relevance to their practice. However, they invited only a limited number of clients to co-create journal notes. The clients welcomed the invitation.

Conclusion

Collaborative documentation challenges established journal documentation practices and may strengthen the client's voice. This study provides suggestions for strengthening the intervention in the future full-scale studies.

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与客户合作创建日志笔记：对市政精神卫生服务团队试点干预研究的混合方法评估

本研究的目的是评估一种干预措施，该干预措施旨在鼓励市政精神卫生服务团队的治疗师在撰写日志笔记时与其客户合作。该小组是为儿童、青少年及其父母提供的低门槛心理健康服务的一部分。治疗师为儿童、青少年和家长提供单独的治疗课程，以及家庭会议。治疗师在客户的电子健康记录中记录了他们的遭遇。方法采用收敛混合法设计。首先，使用进度记录中工作人员-患者互动评估量表（SESPI）测量干预前后记录的治疗师-客户互动的质量和数量。使用交叉表和逻辑回归分析来检查干预前后治疗师方法记录的潜在差异。其次，我们通过个人深度访谈的方式，探讨了治疗师参与这个项目的经历。定性访谈采用系统的文本浓缩法进行分析。最后，评估期刊笔记的定量结果与访谈的定性结果相结合。结果干预后，描述治疗师方法和来访者反应的日志数量增加了25%。在访谈中，治疗师承认干预与他们的实践相关。然而，他们只邀请了有限数量的客户来共同创作日记。客户对邀请表示欢迎。协作文档挑战了已建立的期刊文档实践，并可能加强客户的声音。本研究为今后的全面研究提供了加强干预的建议。

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来源期刊

Counselling & Psychotherapy Research PSYCHOLOGY, CLINICAL-

CiteScore

4.40

自引率

12.50%

发文量

期刊介绍： Counselling and Psychotherapy Research is an innovative international peer-reviewed journal dedicated to linking research with practice. Pluralist in orientation, the journal recognises the value of qualitative, quantitative and mixed methods strategies of inquiry and aims to promote high-quality, ethical research that informs and develops counselling and psychotherapy practice. CPR is a journal of the British Association of Counselling and Psychotherapy, promoting reflexive research strongly linked to practice. The journal has its own website: www.cprjournal.com. The aim of this site is to further develop links between counselling and psychotherapy research and practice by offering accessible information about both the specific contents of each issue of CPR, as well as wider developments in counselling and psychotherapy research. The aims are to ensure that research remains relevant to practice, and for practice to continue to inform research development.