«Use of
psychosocial treatments in conjunction with medication for opioid addiction: Recommended, but supporting research is sparse.»
All three medications are approved for use «within the framework of medical, social, and psychological support,» and ASAM's guideline recommends
psychosocial treatment in conjunction with the use of medications.
The Physician Belief Scale (PBS) documents provider attitudes about delivering
psychosocial treatment in primary care (eg, beliefs and feeling about treatment, service burdens).29 PCPs completed a Provider Practices Survey targeting changes in management and skill in addressing behavior problems and ADHD (α =.81 to 84) that was modified from a previous survey.30 The Mental Health SKIP (MH - SKIP) assessment examines changes in treatment obstacles, use of outside referral, and competency and effectiveness in delivering psychosocial services (α = 0.77).
Predictors of nonresponse to
psychosocial treatment in children and adolescents with disruptive behavior disorders.
Not exact matches
Her particular areas of interest are the neurobehavioral and health consequences of sleep problems
in children, pharmacologic
treatment of pediatric sleep disorders, and cultural and
psychosocial issues that affect sleep.
The management of ADHD
in athletes includes a combination of management modalities including behavioral,
psychosocial, and medication
treatment options.
Since its founding
in 1982, Komen has funded more than $ 800 million
in research and provided more than $ 1.6 billion
in funding to screening, education,
treatment and
psychosocial support programs serving millions of people
in more than 30 countries worldwide.
The study published
in Arthritis Care & Research, a journal of the American College of Rheumatology (ACR), suggests that screening and
treatment of
psychosocial symptoms may curb the cardiovascular disease burden
in RA patients.
Evidence supports the use of medications,
in addition to
psychosocial treatments, for people with opioid use disorders.
Nine of these studies showed significant benefits of
psychosocial interventions
in patients being treated with methadone, including reduced drug use and increased
treatment attendance.
There were very few studies comparing different types of
psychosocial approaches, or assessing their effectiveness at different
treatment stages and
in different patient subgroups.
But while research generally supports the effectiveness of
psychosocial treatments, there are major gaps
in the evidence on their use
in conjunction with medications, according to a review and update
in the January / February Journal of Addiction Medicine, the official journal of the American Society of Addiction Medicine (ASAM).
«Now we have evidence that
psychosocial treatment — which provides support, not medication — is able to prevent suicide
in a group at high risk of dying by suicide.»
Published
in the Journal of
Psychosocial Oncology, «Development and Initial Evaluation of a Telephone - Delivered Behavioral Activation and Problem - solving
Treatment Program to Address Functional Goals of Breast Cancer Survivors,» covers two studies looking at feasibility and potential efficacy.
Additional limitations to the traditional approach include: costly failures to replicate positive results
in larger trials; difficulty
in determining the reasons for negative results; low yield
in terms of identifying disease or intervention mechanisms due to an exclusive focus on symptom change and clinical endpoints; and, the expensive and very lengthy practice of first establishing multi-component
psychosocial treatments followed by years of «unpacking» studies.
They have the clinical background that enables them to identify and address the
psychosocial needs of patients
in addition to answering clinical questions about diagnosis and
treatment.
Patients are treated by a multi-disciplinary team that may include medical oncologists, radiation oncologists, surgical oncologists, neuro oncologists, internal medicine, family practice and radiology; board certified surgeons who are specialists
in reconstructive, gynecologic, urologic and neurologic surgery; nurses specially trained
in cancer
treatment and certified to administer chemotherapy, counselors, who address a full range of
psychosocial needs from diagnosis through bereavement; clergy to support all faiths; physical, occupational, speech and nutritional therapists.
What new research and
treatments are emerging
in this field, and how can families more effectively manage the physical and
psychosocial impact of these conditions?
In terms of evidence - based physiotherapy practice, cognitive - behavioural approaches for patients at high
psychosocial risk are the recommended management to improve patient
treatment outcomes.
A review of 16 empirical studies, from 1982 to 2008, found that sitting meditation, including mindfulness and Transcendental Meditation practices seems to be an effective intervention
in the
treatment of physiologic,
psychosocial, and behavioral conditions among youths ages 6 - 18.
Psychosocial and pain management issues often interfere with the injured worker's participation
in a
treatment program and prevent recovery, and / or the worker may have permanent restrictions from the pre-injury job.
shall, before the driving privilege may be reinstated, present to the department proof of enrollment
in a department - approved advanced driver improvement course operating pursuant to s. 318.1451 or a substance abuse education course conducted by a DUI program licensed pursuant to s. 322.292, which shall include a
psychosocial evaluation and
treatment, if referred.
Looking for the position of Medical Social Worker
in ABC Healthcare for All Inc., bringing 3 years experience providing
psychosocial assessment to patients on dialysis
treatment.
Supported a team of Social Workers, Psychologists and Psychiatrists assisting them
in the
treatment of clients diagnosed with psychological,
psychosocial, and behavioral disorders.
Social Worker — Duties & Responsibilities Successfully serve as a psychiatric social worker and practice manager for multiple institutions Perform crisis intervention, adult, geriatric, child, and adolescent case management and therapy Counsel patients facing depression, substance abuse, bipolar disorder, dementia, and schizophrenia Serve survivors of domestic violence, rape, robbery, child abuse, suicide, and other traumatic events Responsible for 24 hour on call crisis intervention for multiple hospital emergency rooms Complete
psychosocial assessments to ensure appropriate patient diagnosis and care Design and implement
treatment plans including medication and individual / group / family therapy sessions Attend weekly team meetings to assess patient progress and document
in the DAP system Review psychometric and psychological reports and provide feedback to patients and families Provide clients and family members with guidance and referrals to community resources Maintain contact with family members and encouraged their involvement
in patient
treatment Performed discharge planning including nursing home placement, home health, medication needs, transportation and Passport screening, extended
in - patient and out - patient mental health services Serve as public speaker, referral development committee member, and marketing / financial advisor
Given the significant impact that
psychosocial risk factors seem to have on outcomes
in weight management
treatment, identifying and addressing parent mental health concerns, child behavior concerns, and family social resource needs upfront may help improve outcomes
in children with obesity.»
The following 3 literature reviews were conducted for the updated GLAD - PC recommendations: (1) nonspecific
psychosocial interventions
in pediatric PC, including studies pertaining to integrated behavioral health and collaborative care models; (2) antidepressant
treatment; and (3) psychotherapy interventions.
Cultural psychiatry is concerned with the social and cultural determinants of psychopathology and
psychosocial treatments of the range of mental and behavioural problems
in individuals, families and communities.
Improvement
in psychosocial functioning of children whose fathers received
treatment for either AL or ODA was greater
in the BCT than
in either of IBT and PACT groups throughout follow up (table ⇓).
The quality improvement intervention included (1) expert leader teams at each site that adapted and implemented the intervention; (2) care managers who supported primary care clinicians with patient evaluation, education, medication and
psychosocial treatment, and linkage with specialty mental health services; (3) training of care managers
in manualized CBT for depression; and (4) patient and clinician choice of
treatment modalities (CBT, medication, combined CBT and medication, care manager follow - up, or referral).
Transcultural Psychiatry provides a channel of communication for psychiatrists, other mental health professionals, and social scientists concerned with the social and cultural determinants of psychopathology and
psychosocial treatments of mental and behavioural problems
in individuals, families and communities.
In relapse prevention pharmacotherapies for the
treatment of addiction problems, the effects on outcome are modest compared with other influences (such as patient characteristics, active follow - up and social stability) 1 and complicated by the effects of
psychosocial interventions that are always recommended alongside any prescribing.2
In heterosexual couples in which men are entering outpatient treatment for alcoholism or other drug abuse, behavioural couples therapy was more effective than individual based therapy for improving the psychosocial functioning of their childre
In heterosexual couples
in which men are entering outpatient treatment for alcoholism or other drug abuse, behavioural couples therapy was more effective than individual based therapy for improving the psychosocial functioning of their childre
in which men are entering outpatient
treatment for alcoholism or other drug abuse, behavioural couples therapy was more effective than individual based therapy for improving the
psychosocial functioning of their children.
We calculated χ2 statistics, t tests, and correlation coefficients to analyze the bivariate associations between each potential predictor variable (anthropometric and
psychosocial family characteristics) and the 2 criteria of long - term weight change: success versus failure
in weight reduction up to the 12 - month follow - up and weight change between the conclusion of
treatment and the 12 - month follow - up.
Deliberate self - harm: systematic review of the efficacy of
psychosocial and pharmacological
treatments in preventing repetition
The use of the term «
psychosocial treatments»
in the title is somewhat misleading because the authors make it clear that their interest is
in the relative efficacy of cognitive and behavioural therapies.
As it is a recommended
treatment in health guidelines and national health policies, 27 28 group therapy has various applications
in inpatient and outpatient clinics.29 For example, the National Institute for Health and Care Excellence30 recommends group cognitive - behavioural therapy (CBT) for people with mild to moderate depression who decline other low - intensity
psychosocial interventions, such as computerised CBT.
This study complements previous research supporting
psychosocial interventions as effective
treatments for addressing depressive symptomatology
in this population.
This allowed for careful evaluation of mood episodes and diagnoses as well as comorbid conditions by embedding information
in the context of developmental history, physical and mental health
treatment history and response,
psychosocial events, and other collateral information that might influence diagnosis.
The new generation of pharmacological
treatment approaches to dementia attract most attention, but this study is a timely reminder that simple, early,
psychosocial interventions with caregivers can be cost effective
in maintaining patients at home, while not increasing strain on relatives.
Studies were selected if the intervention targeted children with a chronic health condition or their family members; a planned
psychosocial intervention was evaluated (naturally occurring family resources, medical interventions and medical or physical
treatment, medications, or
treatment regimens were excluded); psychological or social outcomes were examined; and ≥ 15 participants were included
in the study which had random assignment to
treatment groups, a matched comparison group, or a convenience comparison group.
Our findings are even more sobering because the prevalence of
psychosocial problems among youth seems to be increasing.110, 111 The US Surgeon General reports that the unmet need for services is as high now as it was 20 years ago.112 Even youth who are insured often can not obtain
treatment because few child and adolescent psychiatrists practice
in poor and minority neighborhoods.113, 114
The Justice Roundtable discussions also highlighted the impact of intergenerational trauma
in contributing to over-incarceration, and attendees called for policy changes to ensure the mental health assessment of detainees and prisoners, and their access to quality mental health care and other
treatments,
psychosocial and cultural.
Behavior therapy is considered probably efficacious for childhood depression, and a number of other experimental interventions show promise but require further evaluation.12 Currently, only 2 research groups have focused on
psychosocial interventions for childhood bipolar disorder.13 - 15 Hence, increased attention to creation and testing of
treatments specifically targeting depression and bipolar disorder
in children is needed.16 In particular, studies should focus on children's developmental needs, address comorbidity, involve family members in treatment, demonstrate treatment gains as rated by parents and clinicians rather than children themselves, and compare experimental interventions with standard care or treatment as usual (TAU) rather than no - treatment or attention control groups.12, 17,18 In addition, parental psychopathology may affect treatment adherence and respons
in children is needed.16
In particular, studies should focus on children's developmental needs, address comorbidity, involve family members in treatment, demonstrate treatment gains as rated by parents and clinicians rather than children themselves, and compare experimental interventions with standard care or treatment as usual (TAU) rather than no - treatment or attention control groups.12, 17,18 In addition, parental psychopathology may affect treatment adherence and respons
In particular, studies should focus on children's developmental needs, address comorbidity, involve family members
in treatment, demonstrate treatment gains as rated by parents and clinicians rather than children themselves, and compare experimental interventions with standard care or treatment as usual (TAU) rather than no - treatment or attention control groups.12, 17,18 In addition, parental psychopathology may affect treatment adherence and respons
in treatment, demonstrate
treatment gains as rated by parents and clinicians rather than children themselves, and compare experimental interventions with standard care or
treatment as usual (TAU) rather than no -
treatment or attention control groups.12, 17,18
In addition, parental psychopathology may affect treatment adherence and respons
In addition, parental psychopathology may affect
treatment adherence and response.
Early detection and
treatment of family
psychosocial risk may potentially avert the emergence of problems
in the child.
Predictors of
treatment efficacy
in a clinical trial of three psychosocial treatments for adolescent depression.J Am Acad Child Adolesc Psychiatry1998Sep; 37:906 — 14OpenUrlCrossRefPubMedWeb of Science Question In adolescents with depression, what are the predictors of treatment outcome and of differential treatment response when evaluating the effectiveness of 3 psychosocial therapie
in a clinical trial of three
psychosocial treatments for adolescent depression.J Am Acad Child Adolesc Psychiatry1998Sep; 37:906 — 14OpenUrlCrossRefPubMedWeb of Science Question
In adolescents with depression, what are the predictors of treatment outcome and of differential treatment response when evaluating the effectiveness of 3 psychosocial therapie
In adolescents with depression, what are the predictors of
treatment outcome and of differential
treatment response when evaluating the effectiveness of 3
psychosocial therapies?
Nonetheless, the above evidence suggests that smoking status
in treatment - seeking gamblers is an interesting and potentially useful indicator of the extent and breadth of
psychosocial problems.
Depression
in young people is a problem with such pervasive features that one can find abnormalities
in almost any domain (eg, cognitive, family) to justify any
treatment.1 A great variety of
psychosocial interventions have therefore been used with depressed children, including CBT, psychotherapy, and family therapy.
I completed postdoctoral training at Stanford University
in the
Psychosocial Treatment Clinic and Bipolar Disorders Clinic focused on evidence - based approaches to therapy that are supported by research.
There are well - documented associations between posttraumatic stress disorder (PTSD) and intimate relationship problems, including relationship distress and aggression, 1 and studies demonstrate that the presence of PTSD symptoms
in one partner is associated with caregiver burden and psychological distress
in the other partner.2 Although currently available individual psychotherapies for PTSD produce overall improvements
in psychosocial functioning, these improvements are not specifically found
in intimate relationship functioning.3 Moreover, it has been shown that even when patients receive state - of - the - art individual psychotherapy for the disorder, negative interpersonal relations predict worse
treatment outcomes.4, 5