Implementing psychological treatment for symptoms of psychosis in an area mental health service: the response of patients, therapists and managers.

The effectiveness and acceptance of a CBT for psychosis intervention that focussed on coping enhancement for voices and delusions, was studied in routine practice in an ordinary mental health service. Twenty-two of 30 referred patients received the intervention. Acceptance by the 22 patients was hig...

Descripción completa

Detalles Bibliográficos
Publicado en:Journal of Mental Health Vol. 11; no. 5; pp. 511 - 523
Autores principales: Farhall J, Cotton S
Formato: research tables/charts Journal Article
Publicado: Taylor & Francis Ltd Oct2002
Acceso en línea:Ver este registro en EBSCOhost
fields @attributes:
  recordID: 1
pdfLink:
plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=106819999&site=ehost-live
header:
  @attributes:
    shortDbName: ccm
    uiTerm: 106819999
    longDbName: CINAHL Complete
    uiTag: AN
  controlInfo:
    bkinfo:
    dissinfo:
    jinfo:
      jid:
        09638237
        JHM
      jtl: Journal of Mental Health
      issn: 09638237
      maglogo: N
    pubinfo:
      dt: Oct2002
      vid: 11
      iid: 5
      pid: 377
      pub: Taylor & Francis Ltd
      place: Philadelphia, Pennsylvania
    artinfo:
      ui:
        106819999
        106819999
        2003051534
        10.1080/09638230020023868
        106819999
      ppf: 511
      ppct: 12
      formats:
        fmt:
          @attributes:
            type: P
      tig:
        atl: Implementing psychological treatment for symptoms of psychosis in an area mental health service: the response of patients, therapists and managers.
      aug:
        au:
          Farhall J
          Cotton S
        affil: School of Psychological Science, La Trobe University, Bundoora 3086, Australia; j.farhall@latrobe.edu.au
      sug:
        subj:
          Psychotic Disorders Symptoms
          Psychotic Disorders Therapy
          Cognitive Therapy Utilization
          Mental Health Services Evaluation
          Patient Attitudes
          Attitude of Health Personnel
          Pilot Studies
          Pretest-Posttest Design
          Evaluation Research
          Questionnaires
          Interviews
          Psychological Tests
          Behavior Rating Scales
          Structured Interview
          Diffusion of Innovation
          Coping
          Delusions Therapy
          Hallucinations Therapy
          Quality Improvement
          Australia
          Treatment Outcomes
          Program Evaluation
          Adult
          Middle Age
          Outpatients
          Human
          Adult: 19-44 years
          Middle Aged: 45-64 years
      ab: The effectiveness and acceptance of a CBT for psychosis intervention that focussed on coping enhancement for voices and delusions, was studied in routine practice in an ordinary mental health service. Twenty-two of 30 referred patients received the intervention. Acceptance by the 22 patients was high, and positive symptom ratings and GAF scores improved following therapy. Eleven of 14 area psychologists availed themselves of training and support opportunities. While uptake of cases was variable, with two therapists accounting for 79% of registered cases, 50% claimed additional limited implementation of CBT principles with non-registered patients. The 14 service managers saw the therapy as effective and considered 36% of service users to be potential candidates for CBT for psychosis. However CBT was not seen as a high service priority and psychologists were generally allocated little additional therapy time. These findings raise issues about the dissemination of innovation into routine practice including management of change and the need to investigate the efficacy of more limited implementation of treatment packages.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
    refInfo:
    holdings:
      @attributes:
        islocal: N