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But Who Really Is On First?
Published in Audrey Di Maria, Exploring Ethical Dilemmas in Art Therapy, 2019
Clearly, each of the potential concerns embodied in the questions above can positively or negatively influence the overall therapeutic frame. Ultimately, the benefit of collaborative therapy must be weighed against the potential pitfalls, along with at least one significant caveat; that is, treating trauma requires years of specialized training and experience. As such, a collaborative team approach is often the best choice to provide the best care. What follows are some cases that illustrate both the potential benefits and challenges of using art therapy as an adjunctive treatment approach.
Prevention in the era of optimized patient flow, criminalization of serious neuropsychiatric disease, and anemic occupational and student health services
Published in John A. Liebert, William J. Birnes, Psychiatric Criminology, 2016
John A. Liebert, William J. Birnes
When confronted with an epidemic, our health-care system does not seem to respond rapidly enough for primary and secondary prevention. We still cannot eradicate the highly lethal virus of AIDS or Ebola, but treatments came fast, fast enough to save many lives. For that 22% of our population seriously impaired by psychiatric disorders, the treatments are not accepted as effective or made accessible as in the cases of serious contagious diseases, strokes, heart attacks, trauma care, or cancer. Nonetheless, psychotropic medication and psychotherapy both have significant bodies of literature for interrupting progression of the course of neuropsychiatric illness, whether antidepressants and mood stabilizers for mood disorders; antipsychotics for schizophrenia and other psychotic disorders, such as bipolar affective disorder; or tranquilizers for panic attacks, PTSD, emergency agitation, some disturbances of consciousness, and severe anxiety. Cautious use of sedatives for sleep disorders and, similarly, the same in the case of stimulants with ADD is merciful and likely restorative of overall health in allaying the suffering from insomnia and distractibility, respectively. Both chronic insomnia and distractibility come with debilitating comorbidity, oftentimes promising serious psychosocial consequences, such as increased risk of accidents, delinquency, and suicide. Some psychiatrists are skilled and prefer to provide psychotherapy and psychotropics by themselves, whereas some prefer collaborative therapy, coordinating their medication management with a psychotherapist.
Client and Family Responses to an Open Dialogue Approach in Early Intervention in Psychosis: A Prospective Qualitative Case Study
Published in Issues in Mental Health Nursing, 2022
Network meetings are typically at the centre of an Open Dialogue approach. These meetings can be characterised as hybrids between family therapy and collaborative therapy, and include the clients, client nominated members of the client’s social network, and relevant clinicians and other professionals. If possible, all major clinical decisions are made during these meetings to ensure transparency and enhanced collaboration. Meetings often include one or more reflections by clinicians, where they ask for permission to have a brief separate conversation about their current thoughts, which is witnessed by the client and network members. A reflection thus suspends the usual conversational turn-taking system and can give participants a chance to gather their thoughts (Ong et al., 2020; Schriver et al., 2019).
Steering towards collaborative assessment: a qualitative study of parents’ experiences of evidence-based assessment practices for their child with cerebral palsy
Published in Disability and Rehabilitation, 2021
Bridget O’Connor, Claire Kerr, Nora Shields, Brooke Adair, Christine Imms
In the area of childhood disability, use of evidence-based assessment tools needs to be considered within the context of family-centred care [8,9]. An increasing body of research links family-centred care to enhanced parent well-being and optimal child outcomes [10,11]. Central to family-centred care is the emphasis on child and family strengths and the formation of collaborative interpersonal relationships between professionals, families and children [8,9]. Collaboration is underpinned by shared-decision making, trust and open communication [9]. Parents consistently highlight their desire for well delivered, specific information in relation to their child’s care [12–14]. If used collaboratively, evidence-based assessment tools can potentially enhance parent participation in decision-making about their child’s therapy. However, the implementation of collaborative therapy practices has been identified by allied health professionals and families as an area requiring improvement [15,16].
A psychosocial intervention for stroke survivors and carers: 12–month outcomes of a randomized controlled trial
Published in Topics in Stroke Rehabilitation, 2020
Catherine Minshall, David J. Castle, David R. Thompson, Michaela Pascoe, Jan Cameron, Marita McCabe, Pragalathan Apputhurai, Simon R. Knowles, Zoe Jenkins, Chantal F. Ski
This RCT evaluated a workbook-based psychosocial intervention (eight 1-hour weekly sessions plus one booster) for stroke survivors and carers compared to usual care at baseline, 3, 6 and 12 months. This intervention was based on a collaborative therapy framework, which emphasizes the uniqueness of each individual’s recovery, and the need for services to work collaboratively with them. Study recruitment was from March 2016 to September 2017 with data collection concluded in September 2018 at completion of the trial. The trial was conducted and reported according to CONSORT guidelines, approved by St. Vincent’s Hospital Human Research Ethics Committee (HREC-A 031/12) and overseen by a steering committee. Written informed consent from each participant was obtained. The study protocol is reported elsewhere31; there were no significant deviations from this.