He oro hauora: How do kaupapa Māori models of health relate to my music therapy practice in an adolescent acute mental health unit?

<p>This project explores the relationship between understandings of health within kaupapa Māori frameworks and music therapy with a particular focus on Durie’s Te Whare Tapa Whā (1998), Pere’s Te Wheke (1991) and ecological perspectives in music therapy. This research took place within an acute adolescent mental health unit that operates with a model of healthcare that emphasises Māori approaches to wellbeing. Secondary analysis of data involving techniques developed within grounded theory is used to investigate clinical notes from my music therapy practice in order to identify processes relevant to the four dimensions of Te Whare Tapa Whā. Themes that emerged were examined and used to investigate further data until a clearer picture of the relationship between music therapy and kaupapa Māori health frameworks became evident. This project particularly acknowledges the unique qualities of music and its practical application in music therapy in order to address and support a person's wairua within modern mental health practices. Specifically, the concepts of mana, mauri and whatumanawa appeared particularly relevant to the process of music therapy and the state of whakamā also emerged as significant within this mental health context. Parallels between kaupapa Māori understandings of health and ecological perspectives within music therapy were also noted and particular reference made to the work of Carolyn Kenny and her Field of Play (2006) model in developing the discourse linking indigenous perspectives with the music therapy profession.</p>

He oro hauora: How do kaupapa Māori models of health relate to my music therapy practice in an adolescent acute mental health unit?

<p>This project explores the relationship between understandings of health within kaupapa Māori frameworks and music therapy with a particular focus on Durie’s Te Whare Tapa Whā (1998), Pere’s Te Wheke (1991) and ecological perspectives in music therapy. This research took place within an acute adolescent mental health unit that operates with a model of healthcare that emphasises Māori approaches to wellbeing. Secondary analysis of data involving techniques developed within grounded theory is used to investigate clinical notes from my music therapy practice in order to identify processes relevant to the four dimensions of Te Whare Tapa Whā. Themes that emerged were examined and used to investigate further data until a clearer picture of the relationship between music therapy and kaupapa Māori health frameworks became evident. This project particularly acknowledges the unique qualities of music and its practical application in music therapy in order to address and support a person's wairua within modern mental health practices. Specifically, the concepts of mana, mauri and whatumanawa appeared particularly relevant to the process of music therapy and the state of whakamā also emerged as significant within this mental health context. Parallels between kaupapa Māori understandings of health and ecological perspectives within music therapy were also noted and particular reference made to the work of Carolyn Kenny and her Field of Play (2006) model in developing the discourse linking indigenous perspectives with the music therapy profession.</p>

Atenção psicossocial infantojuvenil: uma prática para a revolução das infâncias?/Psychosocial attention of children and youth: a practice for the childhood revolution?

Objetivo: O artigo pretende fazer uma discussão sobre a prática da atenção psicossocial infantojuvenil, suas potências e desafios em engendrar transformações que pautem e promovam escapes das forças normativas da infância, que fortalecem o mundo adultocêntrico. Ele é fruto da tese de doutorado “Políticas do encontro e as forças selvagens na clínica infantojuvenil”, desenvolvida na Universidade Estadual Paulista-Assis, no Programa de Pós- Graduação em Psicologia. Método: A tese seguiu as pistas do método cartográfico e teceu discussões sobre a prática do acompanhamento das infâncias e juventudes nas dimensões micropolítica e macropolítica. Neste texto, pretendemos pensar a atenção psicossocial em aliança com múltiplas forças e buscar intercessores que possam estabelecer conexões locais com os processos históricos do Brasil, para pensar as crianças e os CAPSij situados na reforma psiquiátrica brasileira. Conclusão: O percurso trilhado afirma a urgência de construir espaços menos adultocêntricos, que validem as infâncias e a complexidade de seus universos nas singularidades dos acompanhamentos; e, assim, sustentem maneiras de dar continuidade ao fluxo de construção das práticas em saúde mental no contexto nacional, incluindo a participação dos corpos infantis de maneira a afiançar a potência inventiva dos mesmos.Palavras-chave: Terapia Ocupacional. Atenção Primária à Saúde. Saúde da Criança. Bem-estar da InfânciaAbstractObjective: The article intends to discuss the practice of mental health for children and adolescents, their strengths and challenges in generating transformations that guide and promote escapes from normative forces that strengthen the adult-centric world. It starts from the doctoral thesis “The Politics of the encounter and the wild forces in the child and young people care” developed at Universidade Estadual Paulista-Assis in the Post- Graduate Program in Psychology. Method: The thesis discussed the mental health practice in the monitoring of children and youth in the micropolitical and macropolitical dimensions. In this text we intend to establish local connections with brazilians historical processes and to think of children and CAPSij located in the Brazilian psychiatric reform. Conclusion: the path affirmed the urgency of building less adult-centric spaces, which validate childhoods and the complexity of their universe in the singularities of the accompaniments; and so support ways to continue the flow of construction of mental health practices in the national context, including the participation of children's bodies in order to secure their inventive power.Keywords: Mental Health. Child Psychiatry. Public Health ResumenObjetivo:El artículo pretende discutir la práctica de la salud mental en niños y adolescentes, sus fortalezas y desafíos para generar transformaciones que orienten y promuevan escapes desde a fuerzas normativas que fortalecen el mundo adulto-céntrico. Se parte de la tesis doctoral “Políticas de Encuentros y fuerzas salvajes en la clínica infantil” desarrollada en la Universidade Estadual Paulista-Assis en el Programa de Posgrado en Psicología. Metodo:La tesis siguió el método cartográfico y discutió la práctica de la salud mental en el seguimiento de niños y jóvenes en las dimensiones micropolítica y macropolítica. En este texto pensar en la salud mental en alianza con múltiples fuerza: buscar intercesores que pudieran establecer conexiones locales y pensar en los niños y CAPSij ubicados en la reforma psiquiátrica brasileña. Conclusión: el camino de la investigación afirma la urgencia de construir espacios menos adultos, que validen las infancias y la complejidad de su universo en las singularidades de los acompañamientos; y así apoyar formas de continuar el flujo de construcción de prácticas de salud mental en el contexto nacional, incluida la participación de los cuerpos de los niños para asegurar su capacidad inventiva.Palabras Clave: Salud Mental. Psiquiatría Infantil. Salud Pública

THE RELATIONSHIP OF PARTNER SUPPORT WITH VARIOUS ACTIVITIES OF THE ELDERLY HYPERTENSION

Hypertension is a health problem that many elderly suffer from. Blood pressure in the elderly with hypertension can be controlled in various ways, namely doing physical activity regularly, performing activities related to cognitive function, and controlling stress levels so as not to affect contractions or pulsations of the heart and nervous system that can cause blood pressure to increase. The purpose of this study was to determine the relationship of partner support with physical, mental, and social activities of the elderly with hypertension.This study used a correlational non-experimental design with a cross-sectional approach. The number of samples were 102 respondents in the Morokrembangan area, where the sampling used Nonprobability Sampling method, namely Purposive Sampling. The research instrument used partner support questionnaires, Global Physical Activity Questionnaire (GPAQ), mental health practices, social activities and demographic characteristics. The analysis used Spearman Rho test.The results of this study were there was a relationship between partner support with physical activity (p = 0.000; r = 0.589 ), mental activity (p = 0.000; r = 0.778 ), and social activity (p = 0.000; r = 0.671) with positive and unidirectional correlation.As you get older, daily activities will decrease too. The better the support provided by the partner, the higher the level of daily activities carried out by the elderly. Therefore, elderly couples are expected to provide mutual support in carrying out physical, mental, and social activities.

Exploring the Nature of Business Strategy Change for Mental Health Practices in the Age of COVID-19

The Convergence Lab (TCL), a mental health medical group practice that provides group and individual therapy for its adult clients. TCL is a 5-year old organization with five (5) clinicians inclusive of and one (1) full-time office manager and 5 clinicians are full time staff. As a result of COVID-19, TCL has experienced an 75% decrease in revenue since patients are unable to complete their appointments in person. The paper examines how one mental health medical group practice used a management consultant to help the practice change its business strategy to respond to COVID-induced business challenges using automation and technology driven strategic approaches. This inquiry uses organizational development action research intervention and a content analysis of the literature to create real-world solutions that will have value to scholar practitioners that are doing applied research to help similar organizations that are challenged to respond to the global pandemic.

Equivalency of In-Person Versus Remote Assessment: WISC-V and KTEA-3 Performance in Clinically Referred Children and Adolescents

Objective: Teletesting has the potential to reduce numerous barriers to patient care which have only become exacerbated during the COVID-19 pandemic. Although telehealth is commonly utilized throughout medicine and mental health practices, teletesting has remained limited within cognitive and academic evaluations. This may be largely due to concern for the validity of test administration via remote assessment. This cross-sectional study examined the equivalency of cognitive [Wechsler Intelligence Scales for Children – Fifth Edition (WISC-V)] and academic [Kaufman Test of Educational Achievement – Third Edition (KTEA-3)] subtests administered via either teletesting or traditional in-person testing within clinically referred youth. Method: Chart review using a retrospective, cross-sectional design included a total of 893 children and adolescents, ranging from 4 to 17 years (Mean age = 10.2 years, SD = 2.9 years) who were administered at least one subtest from the aforementioned cognitive or academic assessments. Of these, 285 received teletesting, with the remaining (n = 608) receiving in-person assessment. A total of seven subtests (five from the WISC-V and two from the KTEA-3) were examined. A series of inverse probability of exposure weighted (IPEW) linear regression models examined differences between groups for each of the seven subtests after adjustment for numerous demographic, diagnostic, and parent-reported symptom variables. Results: Only two significant differences were found, such that WISC-V Visual Puzzles (p < .01) and KTEA-3 Math Concepts (p = .03) scores were slightly higher in the teletesting versus in-person groups. However, these differences were quite small in magnitude (WISC-V Visual Puzzles, d = .33, KTEA-3 Math Concepts, d = .18). Conclusions: Findings indicate equivalency across methods of service delivery without clinically meaningful differences in scores among referred pediatric patients.

Progress-Oriented Workshops for Doctoral Wellbeing: Evidence from a Two-Country Design-Based Research

Aim/Purpose. Doctoral education still suffers from two severe overlapping problems: high dropout rates and low emotional wellbeing experienced by many doctoral candidates (e.g., depression or anxiety symptoms). Yet, there are few interventional approaches specifically designed to address them in the doctoral student population.Background. Among structural, psychosocial and demographic factors influencing these problems, the self-perception of progress has emerged recently as a crucial motivational factor in doctoral persistence. This paper explores an intervention approach (in the form of workshops) focusing on doctoral progress. Methodology. This paper reports on an iterative design-based research study of workshop interventions to foster such perception of progress in doctoral students’ everyday practice. We gathered mixed data over four iterations, with a total of N=82 doctoral students from multiple disciplines in Spain and Estonia.Contribution. An approach to preventive interventions that combines research-backed education about mental health and productivity, peer sharing and discussion of experiences and indicators of progress, as well as self-tracking, analysis and reflection upon everyday evidence of their own progress. The paper provides initial evidence of the effectiveness of the proposed interventions, across two institutions in two different countries. Further, our data confirms emergent research on the relationships among progress, emotional wellbeing and dropout ideation in two new contexts. Finally, the paper also distils design knowledge about doctoral interventions that focus on progress, relevant for doctoral trainers, institutions and researchers.Findings. Our quantitative and qualitative results confirm previous findings on the relationships among progress, burnout and dropout ideation. Our iterative evaluation of the workshops also revealed a large positive effect in students’ positive psychological capital after the workshops (Cohen’s d=0.83). Our quantitative and qualitative analyses also started teasing out individual factors in the variance of these benefits.Recommendations for Practitioners. Intervention design guidelines for doctoral trainers include: focusing on actionable productivity and mental health practices, the use of activities targeting perception biases and taboos, or the use of active practices and real (anonymous) data from the participants to make progress visible and encourage reflection.Recommendations for Researchers. The construct of progress, its components and its relationships with both emotional wellbeing and doctoral dropout, need to be more deeply studied, using multiple methods of data collection, especially from more frequent, ecologically valid data sources (e.g., diaries).Impact on Society. The proposed interventions (and focusing on doctoral progress more generally) hold promise to address the current emotional wellbeing and dropout challenges facing hundreds of thousands of doctoral students worldwide, ultimately helping increase the research and innovation potential of society as a whole.Future Research. More rigorous evaluative studies of the proposed approach need to be conducted, with larger samples and in other countries/contexts. Aside from the proposed one-shot training events, complementary longitudinal interventions focusing on supporting everyday progress and reflection throughout the doctoral process should be trialed.

The Roots Of Practice: An Anti-Colonial Critical Discourse Analysis Of Western Nature-Based Mental Health Therapies

<div>This study seeks to explore how nature-based therapies are understood in Western “mental health” practices. Specifically, horticultural and equine-assisted therapeutic models are examined for discursive themes tied to mind-body connections, attachment and healing. Additionally, texts used to teach specific therapeutic modalities are examined to further explore common concepts such as mindfulness and coping. In conducting a review of relevant literature, similar themes were revealed which contributed to a base knowledge for understanding the discourse around nature-based therapies. Engaging in an anti-colonial theoretical framework and a modified critical discourse analysis methodology, this qualitative study explores the research question: “What are the discourses which inform Western nature-based therapies?” Ultimately, this study aims to develop a more thorough understanding of how these therapies are linked to Indigenous approaches, how practices may be appropriated and used by Western practitioners, and the shift in social work towards more wholistic therapeutic practices. </div>

The Roots Of Practice: An Anti-Colonial Critical Discourse Analysis Of Western Nature-Based Mental Health Therapies

<div>This study seeks to explore how nature-based therapies are understood in Western “mental health” practices. Specifically, horticultural and equine-assisted therapeutic models are examined for discursive themes tied to mind-body connections, attachment and healing. Additionally, texts used to teach specific therapeutic modalities are examined to further explore common concepts such as mindfulness and coping. In conducting a review of relevant literature, similar themes were revealed which contributed to a base knowledge for understanding the discourse around nature-based therapies. Engaging in an anti-colonial theoretical framework and a modified critical discourse analysis methodology, this qualitative study explores the research question: “What are the discourses which inform Western nature-based therapies?” Ultimately, this study aims to develop a more thorough understanding of how these therapies are linked to Indigenous approaches, how practices may be appropriated and used by Western practitioners, and the shift in social work towards more wholistic therapeutic practices. </div>