A5012281088- Substance Abuse Treatment and Outcomes
- Homelessness and Social Issues
- Mental Health Treatment and Access
- Mental Health and Patient Involvement
- Child and Adolescent Psychosocial and Emotional Development
- Community Health and Development
- Family Caregiving in Mental Illness
- Prenatal Substance Exposure Effects
- Schizophrenia research and treatment
- Psychiatric care and mental health services
- Child Abuse and Trauma
- Gambling Behavior and Treatments
- Counseling Practices and Supervision
- Migration, Health and Trauma
- Alcohol Consumption and Health Effects
- Health Policy Implementation Science
- Grief, Bereavement, and Mental Health
- Intergenerational Family Dynamics and Caregiving
- Opioid Use Disorder Treatment
- Resilience and Mental Health
- Educational and Social Studies
- Health disparities and outcomes
- Behavioral Health and Interventions
- Child Welfare and Adoption
- Counseling, Therapy, and Family Dynamics
University of Bath
2015-2024
Sangath
2015-2024
University of Toronto
2024
National Health Service
2016
Birmingham and Solihull Mental Health NHS Foundation Trust
2016
Avon and Wiltshire Mental Health Partnership NHS Trust
2001-2011
University of Newcastle Australia
2007
University of Plymouth
2006
University of Birmingham
1998-2005
Royal United Hospital
1998-2004
BackgroundAlthough structured psychological treatments are recommended as first-line interventions for depression, only a small fraction of people globally receive these because poor access in routine primary care. We assessed the effectiveness and cost-effectiveness brief treatment (Healthy Activity Program [HAP]) delivery by lay counsellors to patients with moderately severe depression health-care settings.MethodsIn this randomised controlled trial, we recruited participants aged 18–65...
This article outlines the stress-strain-coping-support (SSCS) model which underpins whole programme of work described in this supplement. The need for such a is explained: previous models substance misuse and family have attributed dysfunction or deficiency to families members. In contrast, SSCS assumes that having close relative with problem constitutes form stressful life circumstances, often longstanding, puts affected members at risk experiencing strain physical and/or psychological...
This article is based upon the collective findings of a number studies conducted in countries during past 20 years. Female partners and mothers are family members who have been most represented study samples, but latter also included sizeable numbers male partners, fathers, sisters, brothers adult sons daughters. Citing examples taken from studies, describes some prominent elements stressful experience living with relative drinking or taking drugs excessively, notably: relationship becoming...
<h3>Abstract</h3> <b>Objective:</b> To determine the prevalence of severe psychological trauma—that is, post-traumatic stress disorder—in children involved in everyday road traffic accidents. <b>Design:</b> 12 month prospective study. <b>Setting:</b> Accident and emergency department, Royal United Hospital, Bath. <b>Subjects:</b> 119 aged 5-18 years accidents 66 who sustained sports injuries. <b>Main outcome measure:</b> Presence appreciable distress; fulfilment diagnostic criteria for...
BackgroundAlthough structured psychological treatments are recommended as first-line interventions for harmful drinking, only a small fraction of people globally receive these because poor access in routine primary care. We assessed the effectiveness and cost-effectiveness Counselling Alcohol Problems (CAP), brief treatment delivered by lay counsellors to patients with drinking attending health-care settings.MethodsIn this randomised controlled trial, we recruited male drinkers defined an...
Summary We review how research over the past decade both supports existing knowledge about risk factors that children in UK affected by parental substance misuse face, and adds to our protective factors, processes evidence of resilience which can reduce likelihood will experience poor outcomes. Further is needed understand what areas are most important target other variables, such as gender or age, may influence affect development resilience. Longitudinal also better an individual's change...
The Healthy Activity Programme (HAP), a brief behavioural intervention delivered by lay counsellors, enhanced remission over 3 months among primary care attendees with depression in peri-urban and rural settings India. We evaluated the sustainability of effects after treatment termination, cost-effectiveness HAP 12 months, hypothesized mediator activation on clinical outcomes.
Psychological treatments delivered by lay therapists, with little or no previous mental health training, have been shown to be effective in treating a range of problems. In low resource settings, the dearth available experts assess therapy quality potentially leads bottleneck scaling up therapist psychological treatments. Peer-led supervision and assessment may one solution address this barrier. The purpose study was two-fold: 1) ratings compared expert supervisors multisite where therapists...
We outline the huge literature on potentially negative impact children of growing up with a parent who has an alcohol or drug problem, risk factors that can exacerbate this effect, and resilience protective reduce it. Clear ways practitioners intervene to increase are discussed. All have responsibility work in holistic if damage families is be avoided, we summarise key common skills needed individuals (children as well adults) families. The differences between deficit approach outlined.
Growing Up with Parents Drinking Problems and Establishing an Adult Life: Four Illustrations What Was Already Known: A Review of Previous Research Doing on the Subject: The Design Present Study Recollections - Results I Children Problem as Young Adults II Explanations for Differences in Adulthood Adjustment III How Has Our Understanding Advanced? Summary Integration Implications Intervention, Service Development Prevention
Abstract The research described in this paper resulted from a‐collaborative multi‐centre study of the relatives problem drug users involving six practitioners and researchers, four centres within south‐west England. objective was simply to interview 50 close identified users, with identification occurring through clinics self‐help groups. Quantitative qualitative results show that large numbers these reported many negative experiences. partners illicit both more differently patterned...
Objectives. The purpose of this study is to detail the natural coping strategies used by children involved in everyday road traffic accidents (RTAs). relationship between strategies, post‐traumatic stress disorder (PTSD), gender and age was investigated. Design. Children aged 7‐18 who attended an accident emergency department following involvement a RTA were assessed, 6 weeks after their ( N = 97). A subgroup 36 re‐assessed approximately 8 months trauma. Methods. presence PTSD determined via...
To describe a set of standard questionnaire measures for the assessment needs family members relatives with alcohol, drug or gambling problems, and to present evidence their reliability validity from series related studies.Includes cross-sectional repeated-measurement studies.Family affected by concerned about problem drinking drug-taking close in treatment non-treatment samples United Kingdom (white Sikh) Mexico City; untreated heavy drinkers; gamblers.Four derived...
Objective: To determine whether an early intervention using a psychological debriefing format is effective in preventing distress child road traffic accident survivors. Design: Randomised controlled trial. Setting: Accident and Emergency Department, Royal United Hospital, Bath. Subjects: 158 children aged 7–18. Follow‐up assessment completed eight months post with 132 (70/82 of the experimental group 62/76 control group). Main outcome measures: Self‐completed measures distress; fulfilment...
ABSTRACT Objectives A randomized trial to compare two levels of an intervention (full versus brief) for use by primary health‐care professionals with family members affected the problematic drug or alcohol a close relative. Design prospective cluster comparative interventions. Setting total 136 care practices in study areas within West Midlands and South regions England. Participants 143 problem relative were recruited into professionals. All seen on at least one occasion professional...
Counselling for Alcohol Problems (CAP), a brief intervention delivered by lay counsellors, enhanced remission and abstinence over 3 months among male primary care attendees with harmful drinking in setting India. We evaluated the sustainability of effects after treatment termination, cost-effectiveness CAP 12 months, hypothesized mediator 'readiness to change' on clinical outcomes.Male aged 18-65 years screening Use Disorders Identification Test (AUDIT) were randomised either plus usual...
<h3>AIM</h3> To detail the everyday occurrence of pain in non-communicating children with cognitive impairment. <h3>METHODS</h3> Thirty four parents cognitively impaired verbally completed diaries over a two week period. Each day, for five defined periods, rated whether their child had been pain, and if so, its severity duration. <h3>RESULTS</h3> Twenty (73.5%) experienced on at least one moderate or severe levels being by 23 (67.6%). Four (11.7%) lasting longer than 30 minutes more days. No...
Aims. To compare two contrasting socio‐cultural groups in terms of parameters relating to the stress ‐ coping health model alcohol, drugs and family, test hypotheses derived from each separately. Design. Cross‐sectional, comparative correlational, using standard questionnaire data, supplemented by qualitative interview data illuminate findings. Participants. One hundred close relatives, mainly partners or parents, separate families Mexico City, 100 South West England. Data sources. Coping...
Aims. To explore the structure underlying individual differences in ways family members cope with drinking or drug problems. Design. Cross‐sectional interview and questionnaire study of a series two contrasting socio‐cultural groups. Setting. Mexico City South West England. Participants. Two hundred seven from separate families, three‐quarters women, one‐quarter men, mostly partners parents. Data. Long semi‐structured interviews; Coping Questionnaire (CQ). Findings. Factor subscale analyses...