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Altimir C, Mantilla C, Serralta F. Practice-based evidence: bridging the gap between research and routine clinical practice in diverse settings ( Evidencia basada en la práctica: construyendo puentes entre la investigación y la clínica rutinaria en entornos diversos). STUDIES IN PSYCHOLOGY 2022. [DOI: 10.1080/02109395.2022.2139998] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/05/2022] Open
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2
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Areas M, Molinari G, Gómez-Penedo JM, Fernández-Álvarez J, Prado-Abril J. Development of a practice research network in Spain ( Desarrollo de una red de investigación orientada por la práctica en España). STUDIES IN PSYCHOLOGY 2022. [DOI: 10.1080/02109395.2022.2133454] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022] Open
Affiliation(s)
| | - Guadalupe Molinari
- CIBER de Fisiopatología de la Obesidad y la Nutrición, Instituto de Salud Carlos III, Universidad Internacional de Valencia
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Gravestock J. A scoping review of the literature pertaining to burnout and leadership in mental health clinicians. Leadersh Health Serv (Bradf Engl) 2022; ahead-of-print. [PMID: 36408980 DOI: 10.1108/lhs-04-2022-0043] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
Abstract
PURPOSE This paper aims to explore what is known in the literature about leadership and burnout within mental health clinicians (MHC). DESIGN/METHODOLOGY/APPROACH The Arksey and O'Malley (2005) framework was used to conduct a systematised scoping review of three databases: PsycInfo, PubMed and CINAHL. To ensure a broad scope of the literature, Google, Google Scholar and three sources of grey literature were also searched. FINDINGS In total 1,087 articles were identified and 36 were included in the final review, 23 of which were cross-sectional and correlational studies. There is a lack of experimental studies, longitudinal research and qualitative approaches. The literature repeatedly demonstrated an association between leadership and burnout; transformational-leadership style, good quality supervision, supportive relationships, positive communication and fostering autonomy are areas of interest. RESEARCH LIMITATIONS/IMPLICATIONS Future research activity should aim to follow the recommendations made in the literature; more experimental and longitudinal approaches are needed to support practical application of the findings. ORIGINALITY/VALUE To the best of the author's knowledge there is no other review which maps out the research pertaining to leadership and burnout among MHC. These findings can be used to guide future research to ensure that efforts are directed toward original, meaningful and practical ventures that will add to the evidence base and benefit clinical practice.
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Affiliation(s)
- Jenny Gravestock
- Department of Health, Psychology and Social care, University of Derby, Derby, UK
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Sweetman J, Knapp P, McMillan D, Fairhurst C, Delgadillo J, Hewitt C. Risk factors for initial appointment non-attendance at Improving Access to Psychological Therapy (IAPT) services: A retrospective analysis. Psychother Res 2022; 33:535-550. [DOI: 10.1080/10503307.2022.2140616] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Affiliation(s)
| | - Peter Knapp
- Hull York Medical School and Department of Health Sciences, University of York, York, UK
| | - Dean McMillan
- Hull York Medical School and Department of Health Sciences, University of York, York, UK
| | - Caroline Fairhurst
- Department of Health Sciences, University of York, York, UK
- York Trials Unit, University of York, York, UK
| | - Jaime Delgadillo
- Clinical and Applied Psychology Unit, Department of Psychology, University of Sheffield, Sheffield, UK
- Rotherham Doncaster and South Humber NHS Foundation Trust, Doncaster, UK
| | - Catherine Hewitt
- Department of Health Sciences, University of York, York, UK
- York Trials Unit, University of York, York, UK
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5
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Gee DG, DeYoung KA, McLaughlin KA, Tillman RM, Barch DM, Forbes EE, Krueger RF, Strauman TJ, Weierich MR, Shackman AJ. Training the Next Generation of Clinical Psychological Scientists: A Data-Driven Call to Action. Annu Rev Clin Psychol 2022; 18:43-70. [PMID: 35216523 PMCID: PMC9086080 DOI: 10.1146/annurev-clinpsy-081219-092500] [Citation(s) in RCA: 11] [Impact Index Per Article: 5.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2022]
Abstract
The central goal of clinical psychology is to reduce the suffering caused by mental health conditions. Anxiety, mood, psychosis, substance use, personality, and other mental disorders impose an immense burden on global public health and the economy. Tackling this burden will require the development and dissemination of intervention strategies that are more effective, sustainable, and equitable. Clinical psychology is uniquely poised to serve as a transdisciplinary hub for this work. But rising to this challengerequires an honest reckoning with the strengths and weaknesses of current training practices. Building on new data, we identify the most important challenges to training the next generation of clinical scientists. We provide specific recommendations for the full spectrum of stakeholders-from funders, accreditors, and universities to program directors, faculty, and students-with an emphasis on sustainable solutions that promote scientific rigor and discovery and enhance the mental health of clinical scientists and the public alike.
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Affiliation(s)
- Dylan G Gee
- Department of Psychology, Yale University, New Haven, Connecticut, USA;
| | - Kathryn A DeYoung
- Department of Psychology, Neuroscience and Cognitive Science Program, and Maryland Neuroimaging Center, University of Maryland, College Park, Maryland, USA
| | - Katie A McLaughlin
- Department of Psychology, Harvard University, Cambridge, Massachusetts, USA
| | - Rachael M Tillman
- Department of Psychology, Neuroscience and Cognitive Science Program, and Maryland Neuroimaging Center, University of Maryland, College Park, Maryland, USA
| | - Deanna M Barch
- Department of Psychological and Brain Sciences, Washington University in St. Louis, St. Louis, Missouri, USA
| | - Erika E Forbes
- Departments of Psychiatry, Psychology, and Pediatrics, University of Pittsburgh, Pittsburgh, Pennsylvania, USA
| | - Robert F Krueger
- Department of Psychology, University of Minnesota, Minneapolis, Minnesota, USA
| | - Timothy J Strauman
- Department of Psychology and Neuroscience, Duke University, Durham, North Carolina, USA
| | | | - Alexander J Shackman
- Department of Psychology, Neuroscience and Cognitive Science Program, and Maryland Neuroimaging Center, University of Maryland, College Park, Maryland, USA
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6
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Lucock M, Borthwick R, Cupac J, Elliott R, Howell R, Kendal S, Khan W, Sandford D, Tolley B. Using implementation intentions to prevent relapse after remission from psychological treatment for depression: The SMArT intervention. Psychother Res 2021; 32:428-439. [PMID: 34338165 DOI: 10.1080/10503307.2021.1959079] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/20/2022] Open
Abstract
OBJECTIVE To provide evidence of the effectiveness of a brief relapse prevention intervention using implementation intentions (Self-Management after Therapy, SMArT), following remission from depression and to identify effective relapse prevention strategies. METHOD The SMArT intervention was provided to 107 patients who were recovered after psychological therapy for depression. Relapse events were calculated as reliable and clinically significant increases in PHQ-scores. Sixteen patients receiving the intervention and eight practitioners providing it were interviewed. Framework Analysis identified seven themes which highlighted effective relapse prevention strategies and effective implementation of the SMArT intervention. RESULTS Relapse rates at the final SMArT session (four months after the end of acute stage therapy) were 11%. Seven themes were identified that supported effective self-management: (1) Relationship with the practitioner-feeling supported; (2) Support networks; (3) Setting goals, implementing plans and routine; (4) Changing views of recovery; (5) The SMArT sessions-mode, content, timing, duration; (6) Suitability for the person; and (7) Suitability for the service. CONCLUSION The study provides some support for the effectiveness of the SMArT intervention, although a randomized controlled trial is required; and identifies important relapse prevention strategies.
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Affiliation(s)
- Mike Lucock
- South West Yorkshire Partnership NHS Foundation Trust, Wakefield, UK.,Centre for Applied Research in Health, University of Huddersfield, Huddersfield HD1 3DH, UK
| | - Rachel Borthwick
- South West Yorkshire Partnership NHS Foundation Trust, Wakefield, UK
| | - Jade Cupac
- South West Yorkshire Partnership NHS Foundation Trust, Wakefield, UK
| | - Ruth Elliott
- Centre for Applied Research in Health, University of Huddersfield, Huddersfield HD1 3DH, UK
| | - Rebecca Howell
- Bradford District Care NHS Foundation Trust, Shipley, UK
| | - Sarah Kendal
- School of Healthcare, Faculty of Medicine and Health, University of Leeds, Leeds, UK
| | - Wajid Khan
- South West Yorkshire Partnership NHS Foundation Trust, Wakefield, UK
| | - David Sandford
- Lancashire and South Cumbria NHS Foundation Trust, Preston, UK
| | - Bethany Tolley
- Bradford District Care NHS Foundation Trust, Shipley, UK
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Moore T, Zeeman L. More 'milk' than 'psychology or tablets': Mental health professionals' perspectives on the value of peer support workers. Health Expect 2020; 24:234-242. [PMID: 33314538 PMCID: PMC8077122 DOI: 10.1111/hex.13151] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/22/2020] [Revised: 10/08/2020] [Accepted: 10/21/2020] [Indexed: 11/27/2022] Open
Abstract
Background Though growing numbers of peer support workers are employed in the UK National Health Service (NHS), conflicts persist between core values of peer support and values which exert power within these services. Objectives To explore what NHS mental health professionals value about the peer support worker role. Design Five professionals from different professions and mental health settings were interviewed twice. The first interviews explored their experiences of working with peers. Transcripts were analysed using discourse analysis and psychosocial theory. Second interviews allowed participants to respond to the analysis and influence subsequent analysis. Results Mental health professionals valued peers for the deeply empathic, relational approach they brought, based in their subjective experience. Peer work was also valued for the affect‐focused quality of this work, and the challenge peers pose to existing values in mental health services. The values of peer support troubled dominant ways of working based in forms of knowledge that favour objectivity and hence encountered challenges. Conclusions Peers fulfil the role of amplifying the status of diverse forms of knowledge, values and related ways of working that have become marginalized in NHS mental health services. It is important that peers are not seen as an isolated solution to the marginalization of these forms of knowledge and values, but that their way of working becomes reflected in other roles whilst evoking change throughout these services. Patient or Public Contribution Patient and Public Involvement groups were consulted both in the design and analysis stages of the study.
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Affiliation(s)
- Timothy Moore
- Sussex Partnership NHS Foundation Trust, Horsham, UK.,School of Health Sciences, University of Brighton, Brighton, UK
| | - Laetitia Zeeman
- School of Health Sciences, University of Brighton, Brighton, UK
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Wakefield S, Kellett S, Simmonds‐Buckley M, Stockton D, Bradbury A, Delgadillo J. Improving Access to Psychological Therapies (IAPT) in the United Kingdom: A systematic review and meta‐analysis of 10‐years of practice‐based evidence. BRITISH JOURNAL OF CLINICAL PSYCHOLOGY 2020; 60:1-37. [DOI: 10.1111/bjc.12259] [Citation(s) in RCA: 44] [Impact Index Per Article: 11.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/17/2019] [Revised: 05/14/2020] [Indexed: 01/12/2023]
Affiliation(s)
- Sarah Wakefield
- Clinical Psychology Unit Department of Psychology University of Sheffield UK
| | - Stephen Kellett
- University of Sheffield and Sheffield Health and Social Care NHS Foundation Trust UK
| | | | | | - Abigail Bradbury
- Clinical Psychology Unit Department of Psychology University of Sheffield UK
| | - Jaime Delgadillo
- Clinical Psychology Unit Department of Psychology University of Sheffield UK
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9
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Farr J, Di Malta G, Cooper M. Pilot randomised controlled trial of counselling in a community mental health setting: Pitfalls and learnings. COUNSELLING & PSYCHOTHERAPY RESEARCH 2020. [DOI: 10.1002/capr.12262] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Affiliation(s)
- Joanna Farr
- Department of Psychology University of Roehampton London UK
| | - Gina Di Malta
- Department of Psychology University of Roehampton London UK
| | - Mick Cooper
- Department of Psychology University of Roehampton London UK
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10
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Finegan M, Firth N, Delgadillo J. Adverse impact of neighbourhood socioeconomic deprivation on psychological treatment outcomes: the role of area-level income and crime. Psychother Res 2019; 30:546-554. [DOI: 10.1080/10503307.2019.1649500] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/26/2022] Open
Affiliation(s)
- Megan Finegan
- Department of Psychology, University of Sheffield, United Kingdom
| | - Nick Firth
- School of Health and Related Research, University of Sheffield, United Kingdom
| | - Jaime Delgadillo
- Clinical Psychology Unit, Department of Psychology, University of Sheffield, United Kingdom
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11
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Firth N, Delgadillo J, Kellett S, Lucock M. The influence of socio-demographic similarity and difference on adequate attendance of group psychoeducational cognitive behavioural therapy. Psychother Res 2019; 30:362-374. [DOI: 10.1080/10503307.2019.1589652] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/25/2023] Open
Affiliation(s)
- Nick Firth
- Clinical Psychology Unit, University of Sheffield, Sheffield, UK
- School of Health and Related Research, University of Sheffield, Sheffield, UK
| | - Jaime Delgadillo
- Clinical Psychology Unit, University of Sheffield, Sheffield, UK
| | - Stephen Kellett
- Clinical Psychology Unit, University of Sheffield, Sheffield, UK
| | - Mike Lucock
- Centre for Applied Research in Health, University of Huddersfield, Huddersfield, UK
- South West Yorkshire Partnership NHS Foundation Trust, Wakefield, UK
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12
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Russ TC, Woelbert E, Davis KAS, Hafferty JD, Ibrahim Z, Inkster B, John A, Lee W, Maxwell M, McIntosh AM, Stewart R. How data science can advance mental health research. Nat Hum Behav 2019; 3:24-32. [PMID: 30932051 DOI: 10.1038/s41562-018-0470-9] [Citation(s) in RCA: 28] [Impact Index Per Article: 5.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/06/2018] [Accepted: 10/11/2018] [Indexed: 02/07/2023]
Abstract
Accessibility of powerful computers and availability of so-called big data from a variety of sources means that data science approaches are becoming pervasive. However, their application in mental health research is often considered to be at an earlier stage than in other areas despite the complexity of mental health and illness making such a sophisticated approach particularly suitable. In this Perspective, we discuss current and potential applications of data science in mental health research using the UK Clinical Research Collaboration classification: underpinning research; aetiology; detection and diagnosis; treatment development; treatment evaluation; disease management; and health services research. We demonstrate that data science is already being widely applied in mental health research, but there is much more to be done now and in the future. The possibilities for data science in mental health research are substantial.
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Affiliation(s)
- Tom C Russ
- Centre for Cognitive Ageing and Cognitive Epidemiology, University of Edinburgh, Edinburgh, UK.
- Division of Psychiatry, Centre for Clinical Brain Sciences, University of Edinburgh, Edinburgh, UK.
- Centre for Dementia Prevention, University of Edinburgh, Edinburgh, UK.
- Alzheimer Scotland Dementia Research Centre, University of Edinburgh, Edinburgh, UK.
- Old Age Psychiatry, Royal Edinburgh Hospital, NHS Lothian, Edinburgh, UK.
| | | | - Katrina A S Davis
- Department of Psychological Medicine, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, UK
- South London and Maudsley NHS Foundation Trust, London, UK
| | - Jonathan D Hafferty
- Division of Psychiatry, Centre for Clinical Brain Sciences, University of Edinburgh, Edinburgh, UK
| | - Zina Ibrahim
- Department of Biostatistics and Health Informatics, King's College London, London, UK
- The Farr Institute of Health Informatics Research, University College London, London, UK
| | - Becky Inkster
- Department of Psychiatry, University of Cambridge, Cambridge, UK
| | - Ann John
- Department of Psychological Medicine, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, UK
| | - William Lee
- Community and Primary Care Research Group, Plymouth University Peninsula Schools of Medicine and Dentistry, University of Plymouth, Plymouth, UK
- Devon Partnership NHS Trust, Exeter, UK
| | | | - Andrew M McIntosh
- Centre for Cognitive Ageing and Cognitive Epidemiology, University of Edinburgh, Edinburgh, UK
- Division of Psychiatry, Centre for Clinical Brain Sciences, University of Edinburgh, Edinburgh, UK
| | - Rob Stewart
- Department of Psychological Medicine, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, UK
- South London and Maudsley NHS Foundation Trust, London, UK
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13
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Steen S. A cost-benefit analysis of the Improving Access to Psychological Therapies programme using its key defining outcomes. J Health Psychol 2018; 25:2487-2498. [PMID: 30284915 DOI: 10.1177/1359105318803751] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/06/2023] Open
Abstract
The economic argument underpinning the Improving Access to Psychological Therapy programme has been a central component in its initial and continued investment. Using open-access data, this article undertook a cost-benefit analysis using the programme's key defining outcomes to determine its return-on-investment. It was found that in terms of investment and efficiency gains, the programme was in the higher ends of the cost spectrum for delivering psychological therapies. Although cost-estimates appear promising at first, when set in the context of a lower number of treatment contacts and a high proportion of early disengagement, estimates increased sharply.
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