Download or read book Innovative Approaches for Difficult to treat Populations written by Scott W. Henggeler and published by American Psychiatric Pub. This book was released on 1997 with total page 868 pages. Available in PDF, EPUB and Kindle. Book excerpt: Innovative Approaches for Difficult-to-Treat Populations makes recommendations for developing and disseminating innovative mental health services. It is geared toward clinicians, administrators, and policy-makers struggling to develop both clinically effective and cost-effective mental health and substance abuse services, and it focuses on services for individuals who use the highest proportion of mental health resources and for whom traditional services have not been effective. These target populations include youth with serious behavioral and emotional disturbances and adults with severe and persistent mental illnesses. The innovative approaches reviewed include diverse treatment methods for differing clinical populations. These varied approaches have several common elements: * Social-ecological theory frameworks* An emphasis on delivering flexible, comprehensive, pragmatic, and goal-oriented interventions in persons' natural environments* Increased accountability on the part of service providers* The transition from centralized to community-based care is discussed, and normalizing a patient's daily routine as an important factor in the success of state-of-the-art community support programs is emphasized Innovative Approaches for Difficult-to-Treat Populations offers mental health professionals and students a firsthand look at the future direction of clinical services. Policy issues necessary to developing and disseminating progressive treatments are addressed, including the downsizing of state psychiatric hospitals, strategies for reforming state mental hospital systems, and ethical issues in research on child and adolescent mental disorders.
Download or read book Field Trials of Health Interventions written by Peter G. Smith and published by . This book was released on 2015 with total page 479 pages. Available in PDF, EPUB and Kindle. Book excerpt: This is an open access title available under the terms of a CC BY-NC 4.0 International licence. It is free to read at Oxford Scholarship Online and offered as a free PDF download from OUP and selected open access locations. Before new interventions are released into disease control programmes, it is essential that they are carefully evaluated in field trials'. These may be complex and expensive undertakings, requiring the follow-up of hundreds, or thousands, of individuals, often for long periods. Descriptions of the detailed procedures and methods used in the trials that have been conducted have rarely been published. A consequence of this, individuals planning such trials have few guidelines available and little access to knowledge accumulated previously, other than their own. In this manual, practical issues in trial design and conduct are discussed fully and in sufficient detail, that Field Trials of Health Interventions may be used as a toolbox' by field investigators. It has been compiled by an international group of over 30 authors with direct experience in the design, conduct, and analysis of field trials in low and middle income countries and is based on their accumulated knowledge and experience. Available as an open access book via Oxford Medicine Online, this new edition is a comprehensive revision, incorporating the new developments that have taken place in recent years with respect to trials, including seven new chapters on subjects ranging from trial governance, and preliminary studies to pilot testing.
Download or read book Small Clinical Trials written by Institute of Medicine and published by National Academies Press. This book was released on 2001-01-01 with total page 221 pages. Available in PDF, EPUB and Kindle. Book excerpt: Clinical trials are used to elucidate the most appropriate preventive, diagnostic, or treatment options for individuals with a given medical condition. Perhaps the most essential feature of a clinical trial is that it aims to use results based on a limited sample of research participants to see if the intervention is safe and effective or if it is comparable to a comparison treatment. Sample size is a crucial component of any clinical trial. A trial with a small number of research participants is more prone to variability and carries a considerable risk of failing to demonstrate the effectiveness of a given intervention when one really is present. This may occur in phase I (safety and pharmacologic profiles), II (pilot efficacy evaluation), and III (extensive assessment of safety and efficacy) trials. Although phase I and II studies may have smaller sample sizes, they usually have adequate statistical power, which is the committee's definition of a "large" trial. Sometimes a trial with eight participants may have adequate statistical power, statistical power being the probability of rejecting the null hypothesis when the hypothesis is false. Small Clinical Trials assesses the current methodologies and the appropriate situations for the conduct of clinical trials with small sample sizes. This report assesses the published literature on various strategies such as (1) meta-analysis to combine disparate information from several studies including Bayesian techniques as in the confidence profile method and (2) other alternatives such as assessing therapeutic results in a single treated population (e.g., astronauts) by sequentially measuring whether the intervention is falling above or below a preestablished probability outcome range and meeting predesigned specifications as opposed to incremental improvement.
Download or read book Psychosocial Interventions for People with Schizophrenia written by Neil Harris and published by Bloomsbury Publishing. This book was released on 2017-03-14 with total page 296 pages. Available in PDF, EPUB and Kindle. Book excerpt: Mental health care for people experiencing schizophrenia has changed dramatically over the last twenty years. This book draws on the expertise of a group of experienced clinical practitioners to provide an up-to-date understanding of this condition, and a practical guide to implementing evidence-based psychosocial interventions for people with schizophrenia. Written in a clear and accessible format, this book -covers the historical, social and political perspectives which give meaning to the current position of mental health care -includes up-to-date interventions framed within the context of peoples lives -describes how these interventions translate into specialist areas of practice Using a variety of clinical examples, this text provides a clear overview of schizophrenia, and serves as a comprehensive, practical guide to the understanding, treatment and management of this mental condition.
Download or read book Oxford Textbook of Community Mental Health written by Graham Thornicroft and published by Oxford University Press, USA. This book was released on 2011-08-18 with total page 408 pages. Available in PDF, EPUB and Kindle. Book excerpt: Community mental health care has evolved as a discipline over the past 50 years, and within the past 20 years, there have been major developments across the world. The Oxford Textbook of Community Mental Health is the most comprehensive and authoritative review published in the field, written by an international and interdisciplinary team.
Download or read book Designing Mental Health Services for Children and Adolescents written by J. Gerald Young and published by Taylor & Francis. This book was released on 2013-03-07 with total page 502 pages. Available in PDF, EPUB and Kindle. Book excerpt: An exceptional opportunity is being missed. A chance to alleviate suffering and to achieve health care cost reductions for society is available, but is being ignored. There is an explosion of new knowledge about the emotional and intellectual development of children, and the causes and treatment of psychiatric disorders of children and adolescents. Research from diverse disciplines such as the developmental neurosciences, psychoanalysis, psychopharmacology, developmental psychology, and genetics propels us forward,. However, the effects of this new knowledge reach children and adolscents slowly, or not at all. The long history of neglect of the mental health of children and adolescents is now exaggurated by sudden, disruptive economic and political influences on mental health services for children and adolescents in most countries. Prevention and treatment of emotional and intellectual problems in childhood and adolescence have vastly improved, but utilization of these advantages lags behind. This disappointing incongruity stimulates a need to document our knowledge about these services and systems and to make it more broadly available. This is the primary aim of this new volume by a team of distinguished contributors. It reviews the causes and prevalences of psychiatric disorders in children and adolescents, the problem of health care financing for these services, the underutilization of these services, our current understanding of the outcomes of treatment, and the new models for both treatment and prevention. The book also provides a survey of current mental health services and sytems for children and adolescents in countries across the world. Information drawn from these multiple perspectives is has been used by a group of international experts to develop the Venice Declaration, providing specific guidelines for families, clinicians, administrators, and policy-makers who are concerned with the development of children and adolescents, and are committed to a more efficient economic approach to mental health services.
Download or read book Human Services as Complex Organizations written by Yeheskel Hasenfeld and published by SAGE. This book was released on 2010 with total page 1217 pages. Available in PDF, EPUB and Kindle. Book excerpt: This new edition looks at the many recent changes in the arena of Human Sevices Organizations.
Download or read book Treating and Preventing Adolescent Mental Health Disorders written by Dwight L. Evans M.D. and published by Oxford University Press. This book was released on 2005-07-14 with total page 859 pages. Available in PDF, EPUB and Kindle. Book excerpt: Following on the heels of the widely acclaimed A Guide to Treatments That Work (OUP, 2002) by Nathan and Gorman, Treating and Preventing Adolescent Mental Health Disorders brings together a distinguished group of psychiatrists and clinical psychologists to provide a groundbreaking, evidence-based survey of treatments and preventions for adolescents with mental health disorders. The book, the very first to disseminate the findings of the Adolescent Mental Health Initiative sponsored by the Annenberg Foundation Trust at Sunnylands and the Annenberg Public Policy Center (APPC) of the University of Pennsylvania, addresses the current state of our knowledge about various mental health disorders in the teenage years, a developmental period when behavior and the brain are still "plastic." Here, six commissions established by the Sunnylands Trust and APPC pool their expertise on adolescent anxiety, schizophrenia, substance use disorders, depression and bipolar disorders, eating disorders, and suicide in sections that thoroughly define each disorder, outline and assess available treatments, discuss prevention strategies, and suggest a research agenda based on what we know and don't yet know about these various conditions. As a meaningful counterpoint to its primary focus on mental illness, the volume also incorporates the latest research from a seventh commission-on positive youth development--which addresses how we can fully prepare young people to be happy and successful throughout their lives. Concluding chapters discuss other critical issues of particular relevance: the stigma of mental illness, the role of primary-care doctors and school-based mental health professionals in the detection and treatment of adolescent mental health problems, and the research, policy, and practice context for the delivery of evidence-based treatments. Integrating the work of eminent scholars in both psychology and psychiatry, this work will be an essential volume for academics and practicing clinicians and will serve as a wake-up call to mental health professionals and policy makers alike about the state of our nation's response to the needs of adolescents with mental disorders. The Association of American Publishers' 2005 Award Winner for Excellence in Professional and Scholarly Publishing--Clinical Medicine
Download or read book Advanced Methods in Family Therapy Research written by Richard B Miller and published by Routledge. This book was released on 2013-12-17 with total page 488 pages. Available in PDF, EPUB and Kindle. Book excerpt: Research is vital in moving the field of family therapy forward, but the myriad of possibilities inherent in working with systems and individuals can overwhelm even the most seasoned researcher. Advanced Methods in Family Therapy Research is the best resource to address the day-to-day questions that researchers have as they investigate couples and families, and the best source for learning long-term theory and methodology. The contributors of this volume share their wisdom on a wide variety of topics including validity concerns, measuring interpersonal process and relational change, dyadic data analysis (demonstrated through a sample research study), mixed methods studies, and recruitment and retention. The volume contains one of the most detailed descriptions of data collections and covers interviewing, using questionnaires, and observing brain activity. Also addressed are suggestions to meaningfully reduce cultural bias, to conduct ethical research, and, in the Health Services Research chapter, to examine interventions for clients in various income brackets. A separate, ground-breaking chapter also addresses psychophysiological research in a couple and family therapeutic context. As an added benefit, readers will learn how to become informed consumers of journal articles and studies, how to produce quality, publishable research, and how to write fundable grant proposals. Each chapter provides a clear and detailed guide for students, researchers, and professionals, and as a whole Advanced Methods in Family Therapy Research advances the field by teaching readers how to provide evidence that marriage and family therapy not only relieves symptoms, but also effects behavioral change in all family members.
Download or read book Empowering People with Severe Mental Illness written by Donald M. Linhorst and published by Oxford University Press. This book was released on 2005-09-08 with total page 368 pages. Available in PDF, EPUB and Kindle. Book excerpt: The concept of empowerment has become increasingly popular with mental health professionals. But while it is a frequently cited goal in the helping professions, empowerment is often nothing more than a buzzword that lacks specificity and grounding in real-world applications. Consequently, little practical guidance exists demonstrating how to achieve it in specific instances with specific groups of people. This book is the first professional guide that operationalizes the theory of empowerment, outlines the conditions under which it is likely to occur, and applies a practical model for working with people with severe mental illness. In this unique and thoroughly researched volume, Donald Linhorst analyzes the conditions that facilitate empowerment and provides the framework necessary to bolster this historically powerless population's access to the material and cultural resources they need to regain control of their lives. Chapters illustrate how to foster empowerment in treatment planning, housing selection, organizational decision making, mental health service planning and policy making, employment, participation in research and evaluation, and consumer provision of mental health and support services. Case studies from a public psychiatric hospital and a community mental health agency illustrate each of the seven areas and present evidence of the model's efficacy. Finally, the book maps out the roles that service providers, administrators, policy makers, advocacy groups, researchers, and clients can play in the empowerment process. Checklists, step-by-step instructions, historical overviews, and vivid examples make this a valuable teaching tool, planning guide, and everyday reference for mental health professionals seeking an innovative and evidence-based approach to working with their clients with severe mental illness.
Download or read book Psychological Trauma and Addiction Treatment written by Bruce Carruth and published by Routledge. This book was released on 2013-10-23 with total page 331 pages. Available in PDF, EPUB and Kindle. Book excerpt: Important reading for current and future addictions treatment clinicians—this book synthesizes and integrates the expanding body of knowledge about combined trauma/addiction treatment to specifically address the needs of clinicians in addiction treatment environments Here, in a single source, is an essential overview of trauma treatment for people in addiction treatment settings. Psychological Trauma and Addiction Treatment presents specific methodologies and techniques for clients in inpatient and outpatient addiction/mental health settings. The contributors—leading clinicians and researchers in the field—provide a comprehensive set of scientific treatment approaches addressing a broad spectrum of trauma disorders. Psychological Trauma and Addiction Treatment brings you up-to-date, authoritative coverage of: the dynamics of co-occurring psychological trauma and addiction all of the primary treatment frameworks currently utilized in trauma treatment treatment frameworks that take gender into account cognitive therapies in treating these co-occurring disorders the role of psychodynamic psychotherapies in treatment attachment disorders and their relation to trauma and addiction treatment EMDR as a treatment for traumatized addicts the psychoneurology of trauma and the implications of psychoneurology in addictions and trauma treatment how self-help groups can contribute to and limit recovery for psychologically traumatized clients forgiveness therapy as an adjunct to trauma treatment counselor self-care for those who work with this client population Ultimately, this is a book of hope. Every author in this text has a firm belief that people with co-occurring trauma and addiction can recover, can maintain quality relationships, can confront life’s challenges as they arise, and can be happy and fulfilled. Psychological Trauma and Addiction Treatment is designed as essential reading for entry-level and experienced addiction counselors, social workers, professional counselors, psychologists, and others working in the trauma treatment field.
Download or read book Therapy in the Real World written by Nancy Boyd-Franklin and published by Guilford Press. This book was released on 2013-06-03 with total page 402 pages. Available in PDF, EPUB and Kindle. Book excerpt: Helping beginning and experienced therapists cope with the myriad challenges of working in agencies, clinics, hospitals, and private practice, this book distills the leading theories and best practices in the field. The authors provide a clear approach to engaging diverse clients and building rapport; interweaving evidence-based techniques to meet therapeutic goals; and intervening effectively with individuals, families, groups, and larger systems. Practitioners will find tools for addressing the needs of their clients while caring for themselves and avoiding burnout; students will find a clear-headed framework for making use of the variety of approaches available in mental health practice.
Download or read book Home Treatment for Acute Mental Disorders written by David S. Heath and published by Routledge. This book was released on 2005-09-26 with total page 297 pages. Available in PDF, EPUB and Kindle. Book excerpt: Comparative studies of mobile crisis home treatment, 1958-2001 -- Studies of home visiting and early intervention, 1992-1993 -- Mobile crisis home treatment in a US managed care organization -- Mobile crisis teams in US -- Summary and discussion -- Mobile crisis home treatment and psychiatric beds -- Disadvantages of hospital treatment -- How is mobile crisis home treatment an alternative to hospital admission? -- How does mobile crisis home treatment compare to other alternatives to hospital? -- Mobile crisis home treatment, early intervention and modified outpatient services -- Mobile crisis home treatment and psychiatric emergency services -- Mobile crisis home treatment and crisis intervention -- Mobile crisis home treatment and outreach -- Mobile crisis home treatment services in three countries: seven site visits : USA, Canada, Britain -- Key elements and principles of mobile crisis home treatment -- Key elements and principles of mobile crisis home treatment -- How to set up and operate a mobile crisis home treatment service -- Starting up a mobile crisis home treatment service -- Should the mobile crisis home treatment team be a separate team, or integrated with a standard mental health team? -- Operating a mobile crisis home treatment service -- Daily program operations -- The process of mobile crisis home treatment from start to finish -- Mobile crisis home treatment of specific mental disorders. part I -- A mobile crisis home treatment service for schizophrenia -- Mobile crisis home treatment of specific mental disorders. part II.
Download or read book Research Methods in Family Therapy written by Douglas H. Sprenkle and published by Guilford Press. This book was released on 2005-06-01 with total page 495 pages. Available in PDF, EPUB and Kindle. Book excerpt: In this widely adopted text and professional reference, leading contributors provide the knowledge needed to design strong qualitative, quantitative, and mixed-method studies; analyze the resulting data; and translate findings into improved practices and programs. Following a consistent format, user-friendly chapters thoroughly describe the various methodologies and illustrate their applications with helpful concrete examples.
Download or read book Existo written by Neil Alan Soggie and published by University Press of America. This book was released on 2005 with total page 154 pages. Available in PDF, EPUB and Kindle. Book excerpt: Existo examines the tripod of meaning that guides how we intuitively apprehend and interpret the universe. Through this view, we interact with the world to create personal meaning. It is a poetic experience where our existence and its meaning emerges out of a relationship between our source, our work, and our mortality.
Download or read book The Prevention and Treatment of Missing Data in Clinical Trials written by National Research Council and published by National Academies Press. This book was released on 2010-12-21 with total page 163 pages. Available in PDF, EPUB and Kindle. Book excerpt: Randomized clinical trials are the primary tool for evaluating new medical interventions. Randomization provides for a fair comparison between treatment and control groups, balancing out, on average, distributions of known and unknown factors among the participants. Unfortunately, these studies often lack a substantial percentage of data. This missing data reduces the benefit provided by the randomization and introduces potential biases in the comparison of the treatment groups. Missing data can arise for a variety of reasons, including the inability or unwillingness of participants to meet appointments for evaluation. And in some studies, some or all of data collection ceases when participants discontinue study treatment. Existing guidelines for the design and conduct of clinical trials, and the analysis of the resulting data, provide only limited advice on how to handle missing data. Thus, approaches to the analysis of data with an appreciable amount of missing values tend to be ad hoc and variable. The Prevention and Treatment of Missing Data in Clinical Trials concludes that a more principled approach to design and analysis in the presence of missing data is both needed and possible. Such an approach needs to focus on two critical elements: (1) careful design and conduct to limit the amount and impact of missing data and (2) analysis that makes full use of information on all randomized participants and is based on careful attention to the assumptions about the nature of the missing data underlying estimates of treatment effects. In addition to the highest priority recommendations, the book offers more detailed recommendations on the conduct of clinical trials and techniques for analysis of trial data.
Download or read book Handbook of Evidence Based Practices for Emotional and Behavioral Disorders written by Hill M. Walker and published by Guilford Publications. This book was released on 2013-08-30 with total page 643 pages. Available in PDF, EPUB and Kindle. Book excerpt: This authoritative volume provides state-of-the-art practices for supporting the approximately 20% of today's K-12 students who have emotional and behavioral disorders (EBD) that hinder school success. Leading experts present evidence-based approaches to screening, progress monitoring, intervention, and instruction within a multi-tiered framework. Coverage encompasses everything from early intervention and prevention to applications for high-risk adolescents. Exemplary programs are described for broad populations of EBD students as well as those with particular disorders, including autism spectrum disorders and externalizing behavior problems. The book combines theory and research with practical information on how to select interventions and implement them with integrity.
