Family Therapy in the Real World: Dialogical Practice in a Regional Australian Public Mental Health Service

2015 ◽  
Vol 36 (1) ◽  
pp. 88-101 ◽  
Author(s):  
David Hartman ◽  
Josephine De Courcey
Keyword(s):  
Mental Health ◽  
Family Therapy ◽  
Mental Health Service ◽  
Health Service ◽  
Real World ◽  
Public Mental Health ◽  
The Real ◽  
Public Mental Health Service

scholarly journals A Peer-Led Electronic Mental Health Recovery App in a Community-Based Public Mental Health Service: Pilot Trial (Preprint)

2018 ◽  
Author(s):  
Amelia Gulliver ◽  
Michelle Banfield ◽  
Alyssa R Morse ◽  
Julia Reynolds ◽  
Sarah Miller ◽  
...  
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Health Service ◽  
Health Service ◽  
Public Mental Health ◽  
Care Staff ◽  
Mental Health Recovery ◽  
Proof Of Concept ◽  
Community Based ◽  
Public Mental Health Service

BACKGROUND There is an increasing need for peer workers (people with lived experience of mental health problems who support others) to work alongside consumers to improve recovery and outcomes. In addition, new forms of technology (tablet or mobile apps) can deliver services in an engaging and innovative way. However, there is a need to evaluate interventions in real-world settings. OBJECTIVE This exploratory proof-of-concept study aimed to determine if a peer worker–led electronic mental health (e-mental health) recovery program is a feasible, acceptable, and effective adjunct to usual care for people with moderate-to-severe mental illness. METHODS Overall, 6 consumers and 5 health service staff participated in the evaluation of a peer-led recovery app delivered at a community-based public mental health service. The peer worker and other health professional staff invited attendees at the drop-in medication clinics to participate in the trial during June to August 2017. Following the intervention period, participants were also invited by the peer worker to complete the evaluation in a separate room with the researcher. Consumers were explicitly informed that participation in the research evaluation was entirely voluntary. Consumer evaluation measures at postintervention included recovery and views on the acceptability of the program and its delivery. Interviews with staff focused on the acceptability and feasibility of the app itself and integrating a peer worker into the health care service. RESULTS Consumer recruitment in the research component of the study (n=6) fell substantially short of the target number of participants (n=30). However, from those who participated, both staff and consumers were highly satisfied with the peer worker and somewhat satisfied with the app. Health care staff overall believed that the addition of the peer worker was highly beneficial to both the consumers and staff. CONCLUSIONS The preliminary findings from this proof-of-concept pilot study suggest that a peer-led program may be a feasible and acceptable method of working on recovery in this population. However, the e-mental health program did not appear feasible in this setting. In addition, recruitment was challenging in this particular group, and it is important to note that these study findings may not be generalizable. Despite this, ensuring familiarity of technology in the target population before implementing e-mental health interventions is likely to be of benefit.

Managerial Self-Awareness in Public Mental Health Service Settings

2010 ◽  
Author(s):  
Jonathan D. Horowitz ◽  
Jennifer A. Perrott ◽  
Guy Cafri ◽  
Gregory A. Aarons
Keyword(s):  
Mental Health ◽  
Mental Health Service ◽  
Health Service ◽  
Public Mental Health ◽  
Self Awareness ◽  
Public Mental Health Service

scholarly journals Drug-Related Arrests in a Cohort of Public Mental Health Service Recipients

2007 ◽  
Vol 58 (11) ◽  
pp. 1448-1453 ◽  
Author(s):  
William H. Fisher ◽  
Nancy Wolff ◽  
Albert J. Grudzinskas ◽  
Kristen Roy-Bujnowski ◽  
Steven M. Banks ◽  
...  
Keyword(s):  
Mental Health ◽  
Mental Health Service ◽  
Health Service ◽  
Public Mental Health ◽  
Public Mental Health Service

scholarly journals An evaluation of family-based treatment for restrictive-type eating disorders, delivered as standard care in a public mental health service

2021 ◽  
Vol 9 (1) ◽  
Author(s):  
Mette Bentz ◽  
Signe Holm Pedersen ◽  
Ulla Moslet
Keyword(s):  
Mental Health ◽  
Eating Disorders ◽  
Mental Health Service ◽  
Health Service ◽  
Standard Care ◽  
Public Mental Health ◽  
Public Mental Health Service ◽  
Family Based Treatment ◽  
Family Based ◽  
Restrictive Type

Abstract Background Family-based treatment (FBT) has demonstrated efficacy for anorexia nervosa (AN) in youth in randomized, controlled trials. It is important to assess if it shows a similar effectiveness when implemented in standard care. Aim To evaluate outcomes of FBT for restrictive-type eating disorders, delivered as standard care in a public mental health service. Outcomes are remission, frequency of hospital admissions and day-patient treatment, and frequency of other adaptations within 12 months from commencement of treatment. Second, to compare the collaborative clinical decisions of successful treatment in standard care made by family therapist at the end of treatment, with more objective definitions of recovery. Methods The design is a prospective, uncontrolled study of a consecutive series of patients with restrictive-type eating disorders, treated with FBT in a specialty unit at the Child and Adolescent Mental Health Centre in the Capital Region of Denmark. Results FBT was successfully completed within 12 months by 57% of participants, and 47% completed with 20 sessions or fewer. Weight restoration was achieved by 75% within 12 months, and 46% achieved both normalisation of body weight and behavioural symptoms of AN within 12 months. A total of 20% needed intensified treatment. All aspects of remission were often not present simultaneously, and the collaborative clinical decisions of successful treatment only partly aligned with other parameters of remission. Conclusion FBT showed good results when implemented as standard care, and it can be adapted to the specifics of local service organisation without compromising effectiveness.

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