scholarly journals ‘The lesser of two evils’: A qualitative study of staff and client experiences and beliefs about addressing tobacco in addiction treatment settings

2015 ◽  
Vol 35 (1) ◽  
pp. 92-101 ◽  
Author(s):  
Amanda J. Wilson ◽  
Billie Bonevski ◽  
Adrian Dunlop ◽  
Anthony Shakeshaft ◽  
Flora Tzelepis ◽  
...  
Keyword(s):  
Qualitative Study ◽  
Addiction Treatment ◽  
Client Experiences ◽  
Treatment Settings

scholarly journals What do clinicians want? Understanding frontline addiction treatment clinicians’ preferences and priorities to improve the design of measurement-based care technology

2021 ◽  
Vol 16 (1) ◽  
Author(s):  
Justin S. Tauscher ◽  
Eliza B. Cohn ◽  
Tascha R. Johnson ◽  
Kaylie D. Diteman ◽  
Richard K. Ries ◽  
...  
Keyword(s):  
Addiction Treatment ◽  
Clinical Decision Making ◽  
New Technologies ◽  
Clinical Care ◽  
Ease Of Use ◽  
Sorting Task ◽  
Multiple Use ◽  
Card Sorting ◽  
Measurement Based Care ◽  
Treatment Settings

Abstract Background Measurement-based care (MBC) is the practice of routinely administering standardized measures to support clinical decision-making and monitor treatment progress. Despite evidence of its effectiveness, MBC is rarely adopted in routine substance use disorder (SUD) treatment settings and little is known about the factors that may improve its adoptability in these settings. The current study gathered qualitative data from SUD treatment clinicians about their perceptions of MBC, the clinical outcomes they would most like to monitor in MBC, and suggestions for the design and implementation of MBC systems in their settings. Methods Fifteen clinicians from one publicly-funded and two privately-funded outpatient SUD treatment clinics participated in one-on-one research interviews. Interviews focused on clinicians’ perceived benefits, drawbacks, and ideas related to implementing MBC technology into their clinical workflows. Interviews were audio recorded, transcribed, and coded to allow for thematic analysis using a mixed deductive and inductive approach. Clinicians also completed a card sorting task to rate the perceived helpfulness of routinely measuring and monitoring different treatment outcomes. Results Clinicians reported several potential benefits of MBC, including improved patient-provider communication, client empowerment, and improved communication between clinicians. Clinicians also expressed potential drawbacks, including concerns about subjectivity in patient self-reports, limits to personalization, increased time burdens, and needing to learn to use new technologies. Clinicians generated several ideas and preferences aimed at minimizing burden of MBC, illustrating clinical changes over time, improving ease of use, and improving personalization. Numerous patient outcomes were identified as “very helpful” to track, including coping skills, social support, and motivation for change. Conclusions MBC may be a beneficial tool for improving clinical care in SUD treatment settings. MBC tools may be particularly adoptable if they are compatible with existing workflows, help illustrate gradual and nonlinear progress in SUD treatment, measure outcomes perceived as clinically useful, accommodate multiple use cases and stakeholder groups, and are framed as an additional source of information meant to augment, rather than replace, existing practices and information sources.

Client experiences of guided internet cognitive behavior therapy for postpartum depression: a qualitative study

2014 ◽  
Vol 18 (2) ◽  
pp. 209-219 ◽  
Author(s):  
Nicole E. Pugh ◽  
Heather D. Hadjistavropoulos ◽  
Amy J. D. Hampton ◽  
Angela Bowen ◽  
Jaime Williams
Keyword(s):  
Qualitative Study ◽  
Postpartum Depression ◽  
Behavior Therapy ◽  
Cognitive Behavior Therapy ◽  
Cognitive Behavior ◽  
Client Experiences

scholarly journals The Value of Nature During Psychotherapy: A Qualitative Study of Client Experiences

2021 ◽  
Vol 12 ◽  
Author(s):  
Daphne Meuwese ◽  
Nienke van der Voort ◽  
Karin Dijkstra ◽  
Lydia Krabbendam ◽  
Jolanda Maas
Keyword(s):  
Qualitative Study ◽  
Lived Experience ◽  
Structured Interviews ◽  
Outpatient Psychotherapy ◽  
Treatment Interventions ◽  
Client Experiences ◽  
Supportive Environment ◽  
Essential Value ◽  
Psychotherapy Session ◽  
Inner World

Nature is considered to have restorative qualities that can potentially improve psychotherapy success. However, little is known about how clients experience nature during psychotherapy. The research aim of this phenomenological qualitative study was to study how clients experience nature during individual outpatient psychotherapy that took place while walking in nature. More specifically we were interested in clients’ inner world experiences. All participants (N = 12) received treatment through licensed therapists for a DSM-5 classified disorder. Semi-structured interviews were conducted. To uncover true lived experiences during these interviews, participants were asked to close their eyes and envision themselves during a psychotherapy session in nature. The verbatim transcripts were coded by means of inductive thematic analysis and the results were member checked. Results showed that nature brings clients closer to their inner worlds. How nature brings this about is unfolded in a conceptual model of lived experience. We argue that psychotherapy can be enriched by considering nature as a supportive environment because bringing clients closer to their inner worlds is of essential value in facilitating successful treatment interventions.

scholarly journals Peer-Assisted Injection as a Harm Reduction Measure in a Supervised Consumption Service: A Qualitative Study of Client Experiences

2020 ◽  
Author(s):  
Em M. Pijl ◽  
Tracy Oosterbroek ◽  
Takara Motz ◽  
Erin Mason ◽  
Keltie Hamilton
Keyword(s):  
Qualitative Study ◽  
Harm Reduction ◽  
Interpersonal Relationships ◽  
Safe Place ◽  
Client Experiences ◽  
Controlled Drugs ◽  
Reduction Measure ◽  
Significant Burden ◽  
And Gender ◽  
Health Canada

Abstract Background: Peer assistance is an emerging area of study in injection drug use. When Canada’s first supervised consumption site (SCS) opened in 2003 in Vancouver, BC, clients were prohibited from injecting their peers; only recently has this practice been introduced as a harm reduction measure at these sites. In 2018, Health Canada granted federal exemption to allow peer-assisted injection at certain SCS sites, under the Controlled Drugs and Substances Act. Literature pertaining to peer-assisted injection addresses several topics: interpersonal relationships between the injection provider and recipient; the role of pragmatism; trust and expertise; and gender relations. Methods: In this qualitative study, participants (n=16) were recruited to be interviewed about their experiences in a peer-assisted injection program (PAIP) at one SCS regulated by Health Canada. Interview data were transcribed and thematically analyzed. Quantitative administrative data was used to provide context and to describe the study population, comprised of people in the PAIP (n=248) Results: PAIP clients made up 17.4% of all SCS clients. PAIP clients were more likely to be female and Indigenous. Injection providers expressed being moved by compassion to help others inject. While their desire to assist was pragmatic, they felt a significant burden of responsibility for the outcomes. Other prominent factors related to the injection provider-recipient relationship were social connection, trust, safety, social capital, and reciprocity. Participants also made suggestions for improving the PAIP which included adding more inhalation rooms so that if someone was unable to inject they could smoke in a safe place instead. Additionally, being required by law to divide drugs outside of the SCS, prior to preparing and using in the site, created unsafe conditions for clients. Conclusions: Regular use of the SCS, and access to its resources, enabled participants to lower their risk through smoking and to practise lower-risk injections. At the federal level, there is considerable room to advocate for allowing clients to divide drugs safely within the SCS, and to increase capacity for safer alternatives such as inhalation.

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