1. From evidence to realities: psychosocial intervention provision in Australian routine community mental health practice.
- Author
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Fossey, E., Harvey, C., Ennals, P., Wiggins, A., and Farhall, J.
- Subjects
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STATISTICS , *PSYCHOSES , *ATTITUDES of medical personnel , *RESEARCH methodology , *ASSERTIVENESS training , *SELF-evaluation , *EVIDENCE-based medicine , *INTERVIEWING , *PSYCHOEDUCATION , *FAMILIES , *DISEASE relapse , *RESEARCH funding , *DESCRIPTIVE statistics , *DECISION making in clinical medicine , *DATA analysis software , *PSYCHOTHERAPY , *SECONDARY analysis , *COGNITIVE therapy , *SOCIAL skills education , *SUPPORTED employment - Abstract
This study explored care co-ordinator reports about provision of six evidence-based psychosocial interventions (PSIs) for people living with psychosis, to better understand decision-making about provision. Conducted as an adjunct to the Second Australian National Survey of Psychosis in one catchment area, care co-ordinators completed a structured interview about evidence-based PSIs provided to 33 consumers as part of their community mental health care. Descriptive analyses were conducted. Care co-ordinators reported most consumers were provided at least one of the PSIs during the previous year; all were provided at least one non-evidence-based, typically briefer or simpler, alternative. Relapse Prevention Planning using early warning signs was reported as most provided; Family Psychoeducation was the least provided but rated as most helpful. The primary reason for non-provision of PSIs was that they had not been offered, with lack of relevance the most cited explanation. PSIs may be more commonly provided than previously reported, if non-evidence-based alternatives are also considered: reasons for not offering evidence-based PSIs require further study. Meaningful guidelines are needed about when and how to offer PSIs in collaborative practice, including briefer or simpler interventions when preferred over more complex interventions. [ABSTRACT FROM AUTHOR]
- Published
- 2023
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