Pub Date : 2020-05-21DOI: 10.1080/18387357.2020.1763815
K. Bond, N. Reavley, B. Kitchener, C. Kelly, J. Oakes, A. Jorm
ABSTRACT Objective: Family and friends can encourage treatment seeking for gambling problems, if they know how to appropriately discuss their concerns. Online information can be helpful in providing advice for this. The aim of this study was to evaluate the usefulness of the online mental health first aid guidelines for helping someone with gambling problems. Method: Between October 2015 and January 2018, people who downloaded the guidelines for helping someone with gambling problems were invited to complete two online surveys, one before downloading the guidelines and another four weeks after. The surveys asked participants how they found out about the guidelines, why they were interested in them and their usefulness. They also asked participants whether they tried to help anyone with gambling problems. Results: The survey was completed by 142 people (pre-download) and 43 (post-download). Approximately three quarters were female and were predominantly from Australia, Canada, Ireland, New Zealand, the UK and USA. Almost half had some gambling training. The majority (93%) found the guidelines useful. Thirty-five per cent helped someone after downloading the guidelines and thought that the guidelines contributed to a successful outcome. Half of those who received help from the participants went on to seek professional assistance. Discussion: Although this study has limitations, it appears that the mental health first aid guidelines for helping someone with gambling problems may be a useful and effective tool for providing members of the public with basic supportive skills. Further work needs to be done to increase the reach and impact of these guidelines.
{"title":"Evaluation of the effectiveness of online mental health first aid guidelines for helping someone experiencing gambling problems","authors":"K. Bond, N. Reavley, B. Kitchener, C. Kelly, J. Oakes, A. Jorm","doi":"10.1080/18387357.2020.1763815","DOIUrl":"https://doi.org/10.1080/18387357.2020.1763815","url":null,"abstract":"ABSTRACT Objective: Family and friends can encourage treatment seeking for gambling problems, if they know how to appropriately discuss their concerns. Online information can be helpful in providing advice for this. The aim of this study was to evaluate the usefulness of the online mental health first aid guidelines for helping someone with gambling problems. Method: Between October 2015 and January 2018, people who downloaded the guidelines for helping someone with gambling problems were invited to complete two online surveys, one before downloading the guidelines and another four weeks after. The surveys asked participants how they found out about the guidelines, why they were interested in them and their usefulness. They also asked participants whether they tried to help anyone with gambling problems. Results: The survey was completed by 142 people (pre-download) and 43 (post-download). Approximately three quarters were female and were predominantly from Australia, Canada, Ireland, New Zealand, the UK and USA. Almost half had some gambling training. The majority (93%) found the guidelines useful. Thirty-five per cent helped someone after downloading the guidelines and thought that the guidelines contributed to a successful outcome. Half of those who received help from the participants went on to seek professional assistance. Discussion: Although this study has limitations, it appears that the mental health first aid guidelines for helping someone with gambling problems may be a useful and effective tool for providing members of the public with basic supportive skills. Further work needs to be done to increase the reach and impact of these guidelines.","PeriodicalId":51720,"journal":{"name":"Advances in Mental Health","volume":"4 1","pages":"224 - 235"},"PeriodicalIF":1.4,"publicationDate":"2020-05-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74427553","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 : 2020-05-13DOI: 10.1080/18387357.2020.1761262
R. Lakeman, M. Emeleus, S. Davies, S. Anderson
ABSTRACT Objective: This paper describes and evaluates a high-fidelity Dialectical Behaviour Therapy (DBT) programme for youth (15–25 years). The project was undertaken as a partnership between public mental health services and a non-government organisation in regional Australia. DBT is an evidence-based treatment for Borderline Personality Disorder (BPD) but is rarely accessible within public mental health services. Method: Participants completed an Adverse Childhood Experiences (ACE) questionnaire, repeated measures of the Borderline Symptom List (BSL-23), supplementary behaviour questionnaire (BSL-Supp) and general well-being questionnaires. Hospital and emergency service use was examined for the year prior to referral to the programme and for the year following completion. The characteristics of those people who did not complete the programme were also described. Results: Borderline personality symptoms were correlated with the number of reported adverse childhood experiences. Participants who remained in the programme for at least twelve weeks had significant reductions in BSL-23 scores with several reporting no symptoms after completing the programme. Participants had high rates of hospital and emergency department use in the year before participation and significantly less use in the year following completion. Discussion: It is feasible to deliver a high fidelity DBT programme to youth in a regional centre in Australia and achieve reductions in symptoms and use of hospital and emergency services in a regional public mental health service. Video Abstract Read the transcript Watch the video on Vimeo
{"title":"A pragmatic evaluation of a high-fidelity dialectical behaviour therapy programme for youth with borderline personality disorder","authors":"R. Lakeman, M. Emeleus, S. Davies, S. Anderson","doi":"10.1080/18387357.2020.1761262","DOIUrl":"https://doi.org/10.1080/18387357.2020.1761262","url":null,"abstract":"ABSTRACT Objective: This paper describes and evaluates a high-fidelity Dialectical Behaviour Therapy (DBT) programme for youth (15–25 years). The project was undertaken as a partnership between public mental health services and a non-government organisation in regional Australia. DBT is an evidence-based treatment for Borderline Personality Disorder (BPD) but is rarely accessible within public mental health services. Method: Participants completed an Adverse Childhood Experiences (ACE) questionnaire, repeated measures of the Borderline Symptom List (BSL-23), supplementary behaviour questionnaire (BSL-Supp) and general well-being questionnaires. Hospital and emergency service use was examined for the year prior to referral to the programme and for the year following completion. The characteristics of those people who did not complete the programme were also described. Results: Borderline personality symptoms were correlated with the number of reported adverse childhood experiences. Participants who remained in the programme for at least twelve weeks had significant reductions in BSL-23 scores with several reporting no symptoms after completing the programme. Participants had high rates of hospital and emergency department use in the year before participation and significantly less use in the year following completion. Discussion: It is feasible to deliver a high fidelity DBT programme to youth in a regional centre in Australia and achieve reductions in symptoms and use of hospital and emergency services in a regional public mental health service. Video Abstract Read the transcript Watch the video on Vimeo","PeriodicalId":51720,"journal":{"name":"Advances in Mental Health","volume":"75 1","pages":"116 - 126"},"PeriodicalIF":1.4,"publicationDate":"2020-05-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86390889","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 : 2020-05-13DOI: 10.1080/18387357.2020.1761263
Rupa Patel, Samia Ezzamel, Nic Horley
ABSTRACT Objective: Postnatal depression (PND) can adversely impact the wellbeing of the mother and child. However, accessing mental health support is a challenge for the perinatal population. While most studies have focused on the effectiveness of stand-alone interventions in treating PND, recent studies have highlighted the need for collaboration and inter-agency working. This study evaluated the impact of partnership working on the effectiveness of cognitive behavioural therapy (CBT) groups for women with PND and anxiety in an Improving Access to Psychological Therapies (IAPT) service. Method: This study is a service evaluation conducted within a primary care setting. It compares engagement and outcomes from pre-partnership groups that were delivered before the development of local partnership working arrangements with post-partnership groups developed in collaboration with a secondary care perinatal mental health service (PNMHS). Participants attended either pre-partnership (N = 26) or post-partnership (N = 19) CBT groups. Results: Following developments in partnership working arrangements, the diversity and number of referrals to CBT groups significantly increased, with a 50% increase in self-referrals. Retention from referral to start of treatment was high, with an increase to 100% following partnership working arrangements (88.5% vs. 100%). Completion rates were also higher following partnership working arrangements (84.2% vs. 61.5%). However, these differences and differences in recovery outcomes did not reach statistical significance. Discussion: Overall this study has found promising results for the effectiveness of partnership working on perinatal care, particularly when improving access to mental health services for women with PND and anxiety.
{"title":"Improving access to cognitive behavioural therapy groups for postnatal women following partnership work: a service evaluation","authors":"Rupa Patel, Samia Ezzamel, Nic Horley","doi":"10.1080/18387357.2020.1761263","DOIUrl":"https://doi.org/10.1080/18387357.2020.1761263","url":null,"abstract":"ABSTRACT Objective: Postnatal depression (PND) can adversely impact the wellbeing of the mother and child. However, accessing mental health support is a challenge for the perinatal population. While most studies have focused on the effectiveness of stand-alone interventions in treating PND, recent studies have highlighted the need for collaboration and inter-agency working. This study evaluated the impact of partnership working on the effectiveness of cognitive behavioural therapy (CBT) groups for women with PND and anxiety in an Improving Access to Psychological Therapies (IAPT) service. Method: This study is a service evaluation conducted within a primary care setting. It compares engagement and outcomes from pre-partnership groups that were delivered before the development of local partnership working arrangements with post-partnership groups developed in collaboration with a secondary care perinatal mental health service (PNMHS). Participants attended either pre-partnership (N = 26) or post-partnership (N = 19) CBT groups. Results: Following developments in partnership working arrangements, the diversity and number of referrals to CBT groups significantly increased, with a 50% increase in self-referrals. Retention from referral to start of treatment was high, with an increase to 100% following partnership working arrangements (88.5% vs. 100%). Completion rates were also higher following partnership working arrangements (84.2% vs. 61.5%). However, these differences and differences in recovery outcomes did not reach statistical significance. Discussion: Overall this study has found promising results for the effectiveness of partnership working on perinatal care, particularly when improving access to mental health services for women with PND and anxiety.","PeriodicalId":51720,"journal":{"name":"Advances in Mental Health","volume":"44 1","pages":"127 - 138"},"PeriodicalIF":1.4,"publicationDate":"2020-05-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90173709","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 : 2020-05-03DOI: 10.1080/18387357.2020.1792633
A. Reupert
Unprecedented, unparalleled, extraordinary, unique, once in a lifetime event – all terms which have been used to describe COVID-19 and its impact on our daily lives. The way we socialise and connec...
{"title":"Change and (the need for) adaptability: the new normal","authors":"A. Reupert","doi":"10.1080/18387357.2020.1792633","DOIUrl":"https://doi.org/10.1080/18387357.2020.1792633","url":null,"abstract":"Unprecedented, unparalleled, extraordinary, unique, once in a lifetime event – all terms which have been used to describe COVID-19 and its impact on our daily lives. The way we socialise and connec...","PeriodicalId":51720,"journal":{"name":"Advances in Mental Health","volume":"84 1","pages":"91 - 93"},"PeriodicalIF":1.4,"publicationDate":"2020-05-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87539561","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 : 2020-02-06DOI: 10.1080/18387357.2020.1717360
M. Wyder, Helena Roennfeldt, S. Kisely, C. Ehrlich, Geoffrey Lau, G. Vilic, D. Crompton, F. Dark
ABSTRACT Background: While there have been increased calls for mental health consumers to be involved in mental health services research, there is limited research exploring the research interests of this group. Aims: To compare the interests in different research topics of a peer workforce (people who are employed to use their lived experience of mental illness and recovery to support others) with those of Allied Health Professionals in a Hospital and Health Service. Method: A survey asking participants to rate their interest in researching various topics was distributed to the peer and allied health workforce. Differences between the two groups were tested with the Kruskal–Wallis test for independent samples. Results: The peer workforce consistently rated their interest in all questions as greater than the Allied Health Workforce with five of the seven questions showing statistically significant differences. The median ratings of interest for four of the seven topics were high for both the peer and allied health. These were primarily items on how to help. The peer workforce also expressed a greater interest in being involved in the research. Conclusions: Our study emphasises the importance of creating opportunities for including the peer workforce in all aspects of the research process.
{"title":"The questions we ask – differences between the peer and allied health workforces","authors":"M. Wyder, Helena Roennfeldt, S. Kisely, C. Ehrlich, Geoffrey Lau, G. Vilic, D. Crompton, F. Dark","doi":"10.1080/18387357.2020.1717360","DOIUrl":"https://doi.org/10.1080/18387357.2020.1717360","url":null,"abstract":"ABSTRACT Background: While there have been increased calls for mental health consumers to be involved in mental health services research, there is limited research exploring the research interests of this group. Aims: To compare the interests in different research topics of a peer workforce (people who are employed to use their lived experience of mental illness and recovery to support others) with those of Allied Health Professionals in a Hospital and Health Service. Method: A survey asking participants to rate their interest in researching various topics was distributed to the peer and allied health workforce. Differences between the two groups were tested with the Kruskal–Wallis test for independent samples. Results: The peer workforce consistently rated their interest in all questions as greater than the Allied Health Workforce with five of the seven questions showing statistically significant differences. The median ratings of interest for four of the seven topics were high for both the peer and allied health. These were primarily items on how to help. The peer workforce also expressed a greater interest in being involved in the research. Conclusions: Our study emphasises the importance of creating opportunities for including the peer workforce in all aspects of the research process.","PeriodicalId":51720,"journal":{"name":"Advances in Mental Health","volume":"60 1","pages":"176 - 183"},"PeriodicalIF":1.4,"publicationDate":"2020-02-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74304311","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 : 2020-01-02DOI: 10.1080/18387357.2019.1631705
Siobhan Morlin
ABSTRACT Objective: Over the past 50 years Family Therapy has become a widely used treatment approach for emotional and behavioural problems in children and within families [Sargent, 1997. Family therapy in child and adolescent psychiatry. Child and Adolescent Psychiatric Clinics of North America, 152–171]. Within Child and Adolescent Psychiatry, Family Therapy is recognised as a cornerstone of holistic treatment with meta-analysis showing the general effectiveness of such treatments [Hoagwood, Burns, Kiser, Ringeisen, & Schoenwald, 2001. Evidence-based practice in child and adolescent mental health services. Psychiatric Services, 52, 1179–1189]. However, there is a general paucity of literature about Adolescent Mental Health Day Programs and no recorded evidence of the use of Family Therapy within these settings in child and adolescent psychiatry. This study draws upon the experience of two families to explore the use of Family Therapy within Adolescent Mental Health Day Programs. Method: A mixed methodology was employed using the SCORE-15 and semi-structured interviews. Results: The families considered that participating in Family Therapy contributed positively to individual and family outcomes. The case studies highlight the needs and issues in engaging other family members, the importance of both the Family Therapist and mental health clinicians being involved, and that the family approach was seen overall as a positive satisfying experience for families. Discussion: This study provides limited but valuable support for the application of Family Therapy within an Adolescent Mental Health Day Program setting. The study highlights the value of documenting lived experience, as well as indicating further areas for research, including the clinicians experience of this approach.
{"title":"What we can learn from families experiences of family therapy in an adolescent mental health day program setting?","authors":"Siobhan Morlin","doi":"10.1080/18387357.2019.1631705","DOIUrl":"https://doi.org/10.1080/18387357.2019.1631705","url":null,"abstract":"ABSTRACT Objective: Over the past 50 years Family Therapy has become a widely used treatment approach for emotional and behavioural problems in children and within families [Sargent, 1997. Family therapy in child and adolescent psychiatry. Child and Adolescent Psychiatric Clinics of North America, 152–171]. Within Child and Adolescent Psychiatry, Family Therapy is recognised as a cornerstone of holistic treatment with meta-analysis showing the general effectiveness of such treatments [Hoagwood, Burns, Kiser, Ringeisen, & Schoenwald, 2001. Evidence-based practice in child and adolescent mental health services. Psychiatric Services, 52, 1179–1189]. However, there is a general paucity of literature about Adolescent Mental Health Day Programs and no recorded evidence of the use of Family Therapy within these settings in child and adolescent psychiatry. This study draws upon the experience of two families to explore the use of Family Therapy within Adolescent Mental Health Day Programs. Method: A mixed methodology was employed using the SCORE-15 and semi-structured interviews. Results: The families considered that participating in Family Therapy contributed positively to individual and family outcomes. The case studies highlight the needs and issues in engaging other family members, the importance of both the Family Therapist and mental health clinicians being involved, and that the family approach was seen overall as a positive satisfying experience for families. Discussion: This study provides limited but valuable support for the application of Family Therapy within an Adolescent Mental Health Day Program setting. The study highlights the value of documenting lived experience, as well as indicating further areas for research, including the clinicians experience of this approach.","PeriodicalId":51720,"journal":{"name":"Advances in Mental Health","volume":"11 1","pages":"16 - 6"},"PeriodicalIF":1.4,"publicationDate":"2020-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81743531","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 : 2020-01-02DOI: 10.1080/18387357.2019.1679026
N. Owen
ABSTRACT Objective: With technology options for communication in healthcare becoming more widely available, families are increasingly able to access assistance regardless of location. Video conferencing (VC) is one means by which clients could access services remotely. A two-year pilot project was conducted with social workers, psychologists and parents to examine the feasibility and acceptability of the experience of VC for clinicians and clients undertaking parent counselling within child health services across Queensland. Method: The evaluation included pre and post questionnaires for parents and clinicians measuring their confidence, experience and satisfaction with using VC. Parents also completed the Parents Sense of Competence Questionnaire and a session feedback form after each appointment. Results: Clinicians showed increased confidence and skills in using technology. Most parents reported improved parenting satisfaction and improved feelings of self-efficacy. Despite half of the parents experiencing some technical issues, parents were satisfied with VC service delivery and their satisfaction with counselling via VC was comparable to the in-person appointments. Parents reported a preference for a hybrid approach combining VC and in-person counselling. Discussion: Parents and clinicians found the VC system easy to use and effective for counselling. Recommendations for the use of VC in parenting interventions are outlined, including the benefits of a flexible mixed service delivery model.
{"title":"Feasibility and acceptability of using telehealth for early intervention parent counselling","authors":"N. Owen","doi":"10.1080/18387357.2019.1679026","DOIUrl":"https://doi.org/10.1080/18387357.2019.1679026","url":null,"abstract":"ABSTRACT Objective: With technology options for communication in healthcare becoming more widely available, families are increasingly able to access assistance regardless of location. Video conferencing (VC) is one means by which clients could access services remotely. A two-year pilot project was conducted with social workers, psychologists and parents to examine the feasibility and acceptability of the experience of VC for clinicians and clients undertaking parent counselling within child health services across Queensland. Method: The evaluation included pre and post questionnaires for parents and clinicians measuring their confidence, experience and satisfaction with using VC. Parents also completed the Parents Sense of Competence Questionnaire and a session feedback form after each appointment. Results: Clinicians showed increased confidence and skills in using technology. Most parents reported improved parenting satisfaction and improved feelings of self-efficacy. Despite half of the parents experiencing some technical issues, parents were satisfied with VC service delivery and their satisfaction with counselling via VC was comparable to the in-person appointments. Parents reported a preference for a hybrid approach combining VC and in-person counselling. Discussion: Parents and clinicians found the VC system easy to use and effective for counselling. Recommendations for the use of VC in parenting interventions are outlined, including the benefits of a flexible mixed service delivery model.","PeriodicalId":51720,"journal":{"name":"Advances in Mental Health","volume":"45 1","pages":"39 - 49"},"PeriodicalIF":1.4,"publicationDate":"2020-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79435548","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 : 2020-01-02DOI: 10.1080/18387357.2020.1726194
Tania Withington, N. Alcorn, D. Maybery, M. Goodyear
ABSTRACT Objective: This paper describes a Training and Mentoring Program, designed to enhance research capacity for social workers based in community and inpatient settings in Australia. Method: Twenty-one social workers participated in the multiday training and follow-up mentoring program (small group and individual) over a 24-month period. Outlined is a mixed-method quasi-experimental evaluation of the approach. Results: Quantitative data showed an increase in self-reported research capacity including knowledge, confidence, behaviour and satisfaction. The mentoring approach appeared to be a crucial component for participants – for their engagement with research, willingness or ability to bypass perceived and real hurdles, and completion of an individual research project. A significant barrier to research was a lack of available research time during their clinical role and forcing participants to complete research projects in their own time. Additionally, personal challenges such as health and family commitments on time available to undertake research after hours impacted on engagement and research project completion. Discussion: Social workers are critical contributors to practice-based evidence development in health and mental health settings. However, many report a lack of knowledge, confidence and skills in service evaluation and research. The findings demonstrate that social workers are keen to take on practitioner-research roles, that research capacity is enhanced through training particularly with follow-up mentoring to support individual research project development and implementation, and that large system changes need to occur to support social workers to engage in research activities in their work context.
{"title":"Building research capacity in clinical practice for social workers: a training and mentorship approach","authors":"Tania Withington, N. Alcorn, D. Maybery, M. Goodyear","doi":"10.1080/18387357.2020.1726194","DOIUrl":"https://doi.org/10.1080/18387357.2020.1726194","url":null,"abstract":"ABSTRACT Objective: This paper describes a Training and Mentoring Program, designed to enhance research capacity for social workers based in community and inpatient settings in Australia. Method: Twenty-one social workers participated in the multiday training and follow-up mentoring program (small group and individual) over a 24-month period. Outlined is a mixed-method quasi-experimental evaluation of the approach. Results: Quantitative data showed an increase in self-reported research capacity including knowledge, confidence, behaviour and satisfaction. The mentoring approach appeared to be a crucial component for participants – for their engagement with research, willingness or ability to bypass perceived and real hurdles, and completion of an individual research project. A significant barrier to research was a lack of available research time during their clinical role and forcing participants to complete research projects in their own time. Additionally, personal challenges such as health and family commitments on time available to undertake research after hours impacted on engagement and research project completion. Discussion: Social workers are critical contributors to practice-based evidence development in health and mental health settings. However, many report a lack of knowledge, confidence and skills in service evaluation and research. The findings demonstrate that social workers are keen to take on practitioner-research roles, that research capacity is enhanced through training particularly with follow-up mentoring to support individual research project development and implementation, and that large system changes need to occur to support social workers to engage in research activities in their work context.","PeriodicalId":51720,"journal":{"name":"Advances in Mental Health","volume":"124 1","pages":"73 - 90"},"PeriodicalIF":1.4,"publicationDate":"2020-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87848111","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 : 2020-01-02DOI: 10.1080/18387357.2019.1651661
V. Green
ABSTRACT Objective This study aimed to investigate parental reactions to a diagnosis of Permanent Childhood Hearing Loss (PCHL) and the implications for engagement in medical investigations and early intervention services. The study sought to determine the impact of type of hearing loss, presence of parental depression or anxiety, and parental reflective function on timely engagement with services for children with bilateral PCHL. Method Questionnaires were completed by 27 parents of babies aged 3-5 months, diagnosed with bilateral hearing loss. Measures included the DASS 21, DMRF (Diamond Maternal Reflective Function Scale), and demographic items. Clinical charts were accessed six months later to ascertain timing of engagement with medical and early intervention services. Results 86% of families attended all required medical appointments following diagnosis. Early intervention services were attended by 65.5% of families. Parental anxiety was the only significant factor in engagement with early intervention services. There was no impact of reflective functioning, parent education and additional medical needs of the child on engagement. The participants also had lower levels overall of anxiety and depression (compared to normative data) but higher levels of stress on the DASS. Discussion While many factors may impact on the likelihood of timely attendance at medical appointments and engagement with early intervention services (EI), support needs to be tailored to each family to ameliorate any potential barriers and ensure that access is easily available, particularly when there may be parental anxiety. This study shows that higher levels of anxiety were significantly associated with decreased engagement with EI.
{"title":"Parental reaction to diagnosis of infant hearing loss","authors":"V. Green","doi":"10.1080/18387357.2019.1651661","DOIUrl":"https://doi.org/10.1080/18387357.2019.1651661","url":null,"abstract":"ABSTRACT Objective This study aimed to investigate parental reactions to a diagnosis of Permanent Childhood Hearing Loss (PCHL) and the implications for engagement in medical investigations and early intervention services. The study sought to determine the impact of type of hearing loss, presence of parental depression or anxiety, and parental reflective function on timely engagement with services for children with bilateral PCHL. Method Questionnaires were completed by 27 parents of babies aged 3-5 months, diagnosed with bilateral hearing loss. Measures included the DASS 21, DMRF (Diamond Maternal Reflective Function Scale), and demographic items. Clinical charts were accessed six months later to ascertain timing of engagement with medical and early intervention services. Results 86% of families attended all required medical appointments following diagnosis. Early intervention services were attended by 65.5% of families. Parental anxiety was the only significant factor in engagement with early intervention services. There was no impact of reflective functioning, parent education and additional medical needs of the child on engagement. The participants also had lower levels overall of anxiety and depression (compared to normative data) but higher levels of stress on the DASS. Discussion While many factors may impact on the likelihood of timely attendance at medical appointments and engagement with early intervention services (EI), support needs to be tailored to each family to ameliorate any potential barriers and ensure that access is easily available, particularly when there may be parental anxiety. This study shows that higher levels of anxiety were significantly associated with decreased engagement with EI.","PeriodicalId":51720,"journal":{"name":"Advances in Mental Health","volume":"41 1","pages":"62 - 72"},"PeriodicalIF":1.4,"publicationDate":"2020-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80810634","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 : 2020-01-02DOI: 10.1080/18387357.2019.1634479
N. Alcorn
ABSTRACT Objective Clinical infant mental health interventions with brain-injured mothers and fathers and their infants is scarcely described in the literature. Further elaboration of this work is required and this paper seeks to add to that literature. Method This is a single case report describing home-visiting clinical work with a mother with an acquired brain injury focussing on her relationship with her infant over more than 2 years. A range of interventions including family support, developmental guidance, video-replay and holding a reflective stance were delivered throughout the 2-year period. Results The mother reported that her relationship with her son improved though sometimes strong feelings of ambivalence towards her son remained. Discussion Participation in psychological therapy resulted in the mother experiencing significant emotional fatigue. Clinicians should be aware of this possible emotional toll on the person with a brain injury. The relative contributions of the parent’s social and emotional experience prior to the acquired brain injury, the effects on the functioning of that injury and the interplay between these factors should be considered. Interventions should be informed by each family’s individual needs, begin early in life and a mix of behavioural and psychological interventions may be desirable. The experience of a very young child must also be held in mind.
{"title":"A case report outlining clinical work with a mother with acquired brain injury and her infant son","authors":"N. Alcorn","doi":"10.1080/18387357.2019.1634479","DOIUrl":"https://doi.org/10.1080/18387357.2019.1634479","url":null,"abstract":"ABSTRACT Objective Clinical infant mental health interventions with brain-injured mothers and fathers and their infants is scarcely described in the literature. Further elaboration of this work is required and this paper seeks to add to that literature. Method This is a single case report describing home-visiting clinical work with a mother with an acquired brain injury focussing on her relationship with her infant over more than 2 years. A range of interventions including family support, developmental guidance, video-replay and holding a reflective stance were delivered throughout the 2-year period. Results The mother reported that her relationship with her son improved though sometimes strong feelings of ambivalence towards her son remained. Discussion Participation in psychological therapy resulted in the mother experiencing significant emotional fatigue. Clinicians should be aware of this possible emotional toll on the person with a brain injury. The relative contributions of the parent’s social and emotional experience prior to the acquired brain injury, the effects on the functioning of that injury and the interplay between these factors should be considered. Interventions should be informed by each family’s individual needs, begin early in life and a mix of behavioural and psychological interventions may be desirable. The experience of a very young child must also be held in mind.","PeriodicalId":51720,"journal":{"name":"Advances in Mental Health","volume":"253 1","pages":"17 - 26"},"PeriodicalIF":1.4,"publicationDate":"2020-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79448335","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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