Pub Date : 2022-12-01DOI: 10.53841/bpscpf.2022.1.360.59
M. Loades, B. C. Ching
{"title":"Closing the needs-access gap for young people with depression: Digital single session interventions as a promising innovation to extend existing provision","authors":"M. Loades, B. C. Ching","doi":"10.53841/bpscpf.2022.1.360.59","DOIUrl":"https://doi.org/10.53841/bpscpf.2022.1.360.59","url":null,"abstract":"","PeriodicalId":39686,"journal":{"name":"Clinical Psychology Forum","volume":"35 3 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81191665","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-12-01DOI: 10.53841/bpscpf.2022.1.360.28
Amy Wright, Morgan Smith, J. Attwood, S. Pennington
NICE guidelines state that adults experiencing a first episode of psychosis should access psychological input within two weeks of referral (NICE, 2016). In the Mid-Essex Early Intervention Psychosis Team, clients can book up to four sessions of assessment and brief intervention when first referred and feel ready to access the Early Psychological Intervention Clinic (EPIC). Following this, clients can be referred for further psychological intervention should they want or require this. This service evaluation aimed to evaluate the effectiveness of EPIC sessions by comparing the CORE-OM (Evans et al., 2009) outcome measure pre- and post-EPIC and collecting qualitative feedback using a structured interview with open-ended questions. The results showed clinically significant improvements for 45 per cent of clients. Paired T-Tests revealed statistically significant improvement in the overall clinical score and all subsections of the CORE, suggesting EPIC sessions are effective in improving wellbeing, functioning, symptoms and reducing risk. Furthermore, qualitative feedback showed that clients who completed EPIC tended to have good experiences and be motivated to work psychologically. The results of the service evaluation suggest EPIC sessions are beneficial to clients and help improve overall wellbeing, producing clinically and statistically significant outcomes. Clients also reported them being a helpful experience. Therefore, EPIC provides favourable outcomes to the service which suggests it should continue to be offered to clients. Limitations and ideas for service improvement are discussed.
NICE指南指出，经历首次精神病发作的成年人应在转诊两周内接受心理咨询(NICE, 2016)。在中埃塞克斯早期干预精神病小组，客户可以预约多达四次的评估和简短的干预，当第一次被转诊时，并准备好进入早期心理干预诊所(EPIC)。在此之后，如果客户想要或需要，可以转介他们进行进一步的心理干预。本服务评估旨在通过比较CORE-OM (Evans et al.， 2009)在EPIC之前和之后的结果测量，以及使用带有开放式问题的结构化访谈收集定性反馈，来评估EPIC会议的有效性。结果显示，45%的患者的临床症状有了显著改善。配对t检验显示，总体临床评分和CORE的所有亚部分在统计学上有显著改善，这表明EPIC会议在改善健康、功能、症状和降低风险方面是有效的。此外，质性反馈显示，完成EPIC的客户往往有良好的体验和心理上的工作动机。服务评估的结果表明，EPIC课程对客户有益，有助于改善整体健康状况，产生临床和统计上显著的结果。客户也表示这是一次有益的经历。因此，EPIC为该服务提供了有利的结果，这表明它应该继续提供给客户。讨论了服务改进的局限性和思路。
{"title":"Evaluation of the Early Psychological Intervention Clinic within the Mid-Essex Early Intervention in Psychosis Team","authors":"Amy Wright, Morgan Smith, J. Attwood, S. Pennington","doi":"10.53841/bpscpf.2022.1.360.28","DOIUrl":"https://doi.org/10.53841/bpscpf.2022.1.360.28","url":null,"abstract":"NICE guidelines state that adults experiencing a first episode of psychosis should access psychological input within two weeks of referral (NICE, 2016). In the Mid-Essex Early Intervention Psychosis Team, clients can book up to four sessions of assessment and brief intervention when first referred and feel ready to access the Early Psychological Intervention Clinic (EPIC). Following this, clients can be referred for further psychological intervention should they want or require this. This service evaluation aimed to evaluate the effectiveness of EPIC sessions by comparing the CORE-OM (Evans et al., 2009) outcome measure pre- and post-EPIC and collecting qualitative feedback using a structured interview with open-ended questions. The results showed clinically significant improvements for 45 per cent of clients. Paired T-Tests revealed statistically significant improvement in the overall clinical score and all subsections of the CORE, suggesting EPIC sessions are effective in improving wellbeing, functioning, symptoms and reducing risk. Furthermore, qualitative feedback showed that clients who completed EPIC tended to have good experiences and be motivated to work psychologically. The results of the service evaluation suggest EPIC sessions are beneficial to clients and help improve overall wellbeing, producing clinically and statistically significant outcomes. Clients also reported them being a helpful experience. Therefore, EPIC provides favourable outcomes to the service which suggests it should continue to be offered to clients. Limitations and ideas for service improvement are discussed.","PeriodicalId":39686,"journal":{"name":"Clinical Psychology Forum","volume":"5 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91332034","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-12-01DOI: 10.53841/bpscpf.2022.1.360.15
Step Forward, an NHS Primary Care Mental Health Service in Liverpool, endeavours to make their service more accessible to minoritised ethnic communities. This article outlines some important considerations in developing a more culturally responsive service and describes the initiatives Step Forward has implemented to achieve this aim.
{"title":"Widening access for minoritised ethnic communities in the Liverpool Step Forward psychological service","authors":"","doi":"10.53841/bpscpf.2022.1.360.15","DOIUrl":"https://doi.org/10.53841/bpscpf.2022.1.360.15","url":null,"abstract":"Step Forward, an NHS Primary Care Mental Health Service in Liverpool, endeavours to make their service more accessible to minoritised ethnic communities. This article outlines some important considerations in developing a more culturally responsive service and describes the initiatives Step Forward has implemented to achieve this aim.","PeriodicalId":39686,"journal":{"name":"Clinical Psychology Forum","volume":"43 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77382296","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-12-01DOI: 10.53841/bpscpf.2022.1.360.22
Phoebe Toms, S. Doswell, Dorota Ali
A project was undertaken, offering advocacy to mental health services across an NHS Trust. Despite a number of challenges, including difficulty recruiting and maintaining advocates and a number of staff changes, advocacy was provided to a range of mental health services. All six services made changes as a result of engaging with the project, expressed an increased understanding of the needs of autistic people and stated that this learning will influence their future work. Advocates fed back that being part of the project was empowering, although improvements could have been made around training and communication, as well as staff knowledge and expertise in relation to project management. Positive outcomes from the project included guidance shared across the Trust, the introduction of a Service User and Carer Advisory Group (SUCAG) and lessons generalised to other co-production projects including a sensory project.
{"title":"The Autism Advocacy Group – a project utilising advice from autistic people to improve mental health services","authors":"Phoebe Toms, S. Doswell, Dorota Ali","doi":"10.53841/bpscpf.2022.1.360.22","DOIUrl":"https://doi.org/10.53841/bpscpf.2022.1.360.22","url":null,"abstract":"A project was undertaken, offering advocacy to mental health services across an NHS Trust. Despite a number of challenges, including difficulty recruiting and maintaining advocates and a number of staff changes, advocacy was provided to a range of mental health services. All six services made changes as a result of engaging with the project, expressed an increased understanding of the needs of autistic people and stated that this learning will influence their future work. Advocates fed back that being part of the project was empowering, although improvements could have been made around training and communication, as well as staff knowledge and expertise in relation to project management. Positive outcomes from the project included guidance shared across the Trust, the introduction of a Service User and Carer Advisory Group (SUCAG) and lessons generalised to other co-production projects including a sensory project.","PeriodicalId":39686,"journal":{"name":"Clinical Psychology Forum","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77193859","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-12-01DOI: 10.53841/bpscpf.2022.1.360.41
Philip Pampoulov, H. Mander, Sarah Monro
The following paper outlines a service evaluation project for a Compassionate Mind Group (CMG) in a UK adult Psychology service for people with severe and enduring mental health difficulties within secondary care. Due to the impact of Covid-19, the CMG was moved online in April 2020. The aim of this project was to compare outcomes between the face-to-face CMG and the online CMG in order to check for any changes in group participants’ clinical symptoms and processes based on mode of delivery. This was done by analysing pre-existing data from three different questionnaires. Statistical tests revealed that mode of delivery for the CMG did not have a significant effect on outcome measure results. However, there was a significant difference between pre- and post-CMG scores on some of the measures, depending on mode of group delivery. Participant age and gender did not appear to affect group differences. Implications from the project findings as well as possible areas for future research are discussed.
{"title":"Comparing the clinical effectiveness of an online versus face-to-face ‘compassionate mind’ group for adults in a secondary care setting","authors":"Philip Pampoulov, H. Mander, Sarah Monro","doi":"10.53841/bpscpf.2022.1.360.41","DOIUrl":"https://doi.org/10.53841/bpscpf.2022.1.360.41","url":null,"abstract":"The following paper outlines a service evaluation project for a Compassionate Mind Group (CMG) in a UK adult Psychology service for people with severe and enduring mental health difficulties within secondary care. Due to the impact of Covid-19, the CMG was moved online in April 2020. The aim of this project was to compare outcomes between the face-to-face CMG and the online CMG in order to check for any changes in group participants’ clinical symptoms and processes based on mode of delivery. This was done by analysing pre-existing data from three different questionnaires. Statistical tests revealed that mode of delivery for the CMG did not have a significant effect on outcome measure results. However, there was a significant difference between pre- and post-CMG scores on some of the measures, depending on mode of group delivery. Participant age and gender did not appear to affect group differences. Implications from the project findings as well as possible areas for future research are discussed.","PeriodicalId":39686,"journal":{"name":"Clinical Psychology Forum","volume":"06 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86073812","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-12-01DOI: 10.53841/bpscpf.2022.1.360.35
Roman Raczka, Rebecca Read, H. Pote
{"title":"Introduction to Digital themed papers","authors":"Roman Raczka, Rebecca Read, H. Pote","doi":"10.53841/bpscpf.2022.1.360.35","DOIUrl":"https://doi.org/10.53841/bpscpf.2022.1.360.35","url":null,"abstract":"","PeriodicalId":39686,"journal":{"name":"Clinical Psychology Forum","volume":"60 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90666618","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-12-01DOI: 10.53841/bpscpf.2022.1.360.11
Ryan Kemp
{"title":"Ethics of power in clinical psychology","authors":"Ryan Kemp","doi":"10.53841/bpscpf.2022.1.360.11","DOIUrl":"https://doi.org/10.53841/bpscpf.2022.1.360.11","url":null,"abstract":"","PeriodicalId":39686,"journal":{"name":"Clinical Psychology Forum","volume":"5 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81851275","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-12-01DOI: 10.53841/bpscpf.2022.1.360.36
Courteney Price, Saima Masud
The Covid-19 pandemic has brought much unpredictability, uncertainty, and created huge disruption in society. This has posed challenges to the provision of mental health services and seen unprecedented changes to standard clinical practice. This article, based on survey data from both clients and clinicians, reflects on the implementation of remote appointments in an adult psychological therapy service.
{"title":"The digital move for psychological appointments during and beyond the Covid-Pandemic","authors":"Courteney Price, Saima Masud","doi":"10.53841/bpscpf.2022.1.360.36","DOIUrl":"https://doi.org/10.53841/bpscpf.2022.1.360.36","url":null,"abstract":"The Covid-19 pandemic has brought much unpredictability, uncertainty, and created huge disruption in society. This has posed challenges to the provision of mental health services and seen unprecedented changes to standard clinical practice. This article, based on survey data from both clients and clinicians, reflects on the implementation of remote appointments in an adult psychological therapy service.","PeriodicalId":39686,"journal":{"name":"Clinical Psychology Forum","volume":"126 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88141422","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-11-01DOI: 10.53841/bpscpf.2022.1.359.29
Katy A Jones, Ashleigh Chapman, Polly Edwards, Matt Cook
Many children and young people with Autism Spectrum Disorder (ASD) experience varying levels of anxiety; in a review of 40 studies, White et al., (2009) reported that between 11 and 84 per cent of autistic children exhibited symptoms of anxiety. Cognitive Behavioural Therapy (CBT) is one approach that is used to address anxiety in autistic individuals. Autistic young people typically benefit from several adaptations to CBT as it is traditionally carried out. One such form of adapted CBT developed for autistic young people aged 12–14 is the exploring feelings work by Tony Attwood (Attwood, 2004). Families also had the opportunity to discuss their child’s ASD. For the purposes of this study, we used the Exploring Feelings for Anxiety workbook to provide six-eight sessions on an individual basis with young people and their parents. Researchers recruited participants that had received the exploring feelings sessions and had a pre-existing diagnosis of ASD. Eleven families took part in the research and contributed their feedback through a questionnaire developed by the service; including statements to rate as well as open-ended questions providing the opportunity for qualitative feedback. Data was transcribed, coded then analysed using a thematic analysis approach (Braun and Clarke, 2006). Results demonstrated several encouraging themes such as ‘others understanding the child better’ and ‘helpful strategies offered’. There are clear benefits for children and young people with ASD and their parents in receiving individual support. The researchers hope that future evaluations could provide a wider level of insight into children and young people’s experiences. Keywords: Autism Spectrum Disorder (ASD); anxiety; cognitive behavioural therapy (CBT); qualitative; evaluation.
{"title":"Evaluation of an adapted form of CBT for young people with a diagnosis of Autism Spectrum Disorder (ASD) and anxiety","authors":"Katy A Jones, Ashleigh Chapman, Polly Edwards, Matt Cook","doi":"10.53841/bpscpf.2022.1.359.29","DOIUrl":"https://doi.org/10.53841/bpscpf.2022.1.359.29","url":null,"abstract":"Many children and young people with Autism Spectrum Disorder (ASD) experience varying levels of anxiety; in a review of 40 studies, White et al., (2009) reported that between 11 and 84 per cent of autistic children exhibited symptoms of anxiety. Cognitive Behavioural Therapy (CBT) is one approach that is used to address anxiety in autistic individuals. Autistic young people typically benefit from several adaptations to CBT as it is traditionally carried out. One such form of adapted CBT developed for autistic young people aged 12–14 is the exploring feelings work by Tony Attwood (Attwood, 2004). Families also had the opportunity to discuss their child’s ASD. For the purposes of this study, we used the Exploring Feelings for Anxiety workbook to provide six-eight sessions on an individual basis with young people and their parents. Researchers recruited participants that had received the exploring feelings sessions and had a pre-existing diagnosis of ASD. Eleven families took part in the research and contributed their feedback through a questionnaire developed by the service; including statements to rate as well as open-ended questions providing the opportunity for qualitative feedback. Data was transcribed, coded then analysed using a thematic analysis approach (Braun and Clarke, 2006). Results demonstrated several encouraging themes such as ‘others understanding the child better’ and ‘helpful strategies offered’. There are clear benefits for children and young people with ASD and their parents in receiving individual support. The researchers hope that future evaluations could provide a wider level of insight into children and young people’s experiences. Keywords: Autism Spectrum Disorder (ASD); anxiety; cognitive behavioural therapy (CBT); qualitative; evaluation.","PeriodicalId":39686,"journal":{"name":"Clinical Psychology Forum","volume":"40 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86544861","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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