scholarly journals Dual diagnosis: management within a psychosocial context

2004 ◽  
Vol 10 (5) ◽  
pp. 352-360 ◽  
Author(s):  
Mohammed T. Abou-Saleh
Keyword(s):  
Mental Illness ◽  
Severe Mental Illness ◽  
Dual Diagnosis ◽  
Substance Misuse ◽  
Psychosocial Interventions ◽  
Behavioural Therapy ◽  
Implementation Barriers ◽  
Cognitive Behavioural ◽  
Recent Developments ◽  
The Uk

Recent developments in UK government policy have highlighted the unmet needs of people with dual diagnosis (comorbidity of substance misuse and psychiatric disorder, particularly severe mental illness). Advances in assessment techniques and diagnostic practice have informed the treatment of comorbidity and improved its outcome. There is growing evidence for the effectiveness of psychosocial interventions such as motivational interviewing and cognitive–behavioural therapy, mostly from US studies. However, within the secondary care provided by addiction and general psychiatric services there are serious implementation barriers related to service organisation, staffing levels, training and – most importantly – the difficulties of engaging people with severe mental illness and comorbid substance misuse in treatment. The evidence for the effectiveness of psychosocial treatments and models of service is reviewed and challenges for optimal practice in the UK are highlighted.

scholarly journals An improved competence rating scale for CBT Supervision: Short-SAGE

2018 ◽  
Vol 11 ◽  
Author(s):  
Robert P. Reiser ◽  
Tom Cliffe ◽  
Derek L. Milne
Keyword(s):  
Clinical Supervision ◽  
Rating Scale ◽  
Behavioural Therapy ◽  
Self Report ◽  
Internal Reliability ◽  
Cognitive Behavioural ◽  
Health Practitioners ◽  
Recent Developments ◽  
The Uk

AbstractRecent developments have led the UK government to deem clinical supervision ‘essential’ to a safe and effective national health service. Cognitive behavioural therapy (CBT) supervision has been increasingly operationalized and manualized, but there are few psychometrically sound observational instruments with which to measure CBT supervision. This paper reports the factor analysis of a promising 23-item instrument for observing competence in CBT supervision (Supervision: Adherence and Guidance Evaluation: SAGE). N =115 qualified mental health practitioners (supervisors and their supervisees) rated the same supervision session by completing SAGE. A principal components analysis indicated that a two-factor solution, identified as the ‘Supervision Cycle’ and the ‘Supervisee Cycle’ components, accounted for 52.8% of the scale variance and also demonstrated high internal reliability (α = .91 and α = .81, respectively). These findings provide the basis for a shorter, 14-item version of SAGE, clarify the factor structure of SAGE, ease implementation, and afford more succinct feedback. Short-SAGE also improves implementation yield, taking half the time to complete as the original 23-item scale. These conceptual and practical improvements strengthen the role of SAGE as a promising observational instrument for evaluating CBT supervision, complementing self-report assessments of competent CBT supervision with an instrument that can fulfil the distinctive functions that are provided through direct observation.

scholarly journals Psychosocial Interventions for People With Both Severe Mental Illness and Substance Misuse

2013 ◽  
Vol 40 (1) ◽  
pp. 18-20 ◽  
Author(s):  
Glenn E. Hunt ◽  
Nandi Siegfried ◽  
Kirsten Morley ◽  
Thiagarajan Sitharthan ◽  
Michelle Cleary
Keyword(s):  
Mental Illness ◽  
Severe Mental Illness ◽  
Substance Misuse ◽  
Psychosocial Interventions

Adapting low intensity CBT interventions for clients with severe mental illness

2010 ◽  
pp. 357-366
Author(s):  
Frank P. Deane ◽  
David J. Kavanagh
Keyword(s):  
Mental Illness ◽  
Case Management ◽  
Severe Mental Illness ◽  
Cognitive Behavioural Therapy ◽  
Behavioural Therapy ◽  
Low Intensity ◽  
Cognitive Behavioural

Chapter 37 discusses the adaptation of low intensity CBT interventions for clients with severe mental illness and argues that low intensity cognitive behavioural therapy (e.g. for depression, anxiety, or other issues) is applicable to these clients, and that LI CBT can be consistent with long-term case management.

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