A5030687390- Mental Health and Patient Involvement
- Psychotherapy Techniques and Applications
- Schizophrenia research and treatment
- Mental Health Treatment and Access
- Psychiatric care and mental health services
- Mental Health Research Topics
- Digital Mental Health Interventions
- Child and Adolescent Psychosocial and Emotional Development
- Family Caregiving in Mental Illness
- Adolescent and Pediatric Healthcare
- Healthcare innovation and challenges
- Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Homelessness and Social Issues
- Counseling, Therapy, and Family Dynamics
- Cardiac Health and Mental Health
- Resilience and Mental Health
- Primary Care and Health Outcomes
- Delphi Technique in Research
- Musculoskeletal pain and rehabilitation
- Sexual Assault and Victimization Studies
- Physical Activity and Health
- Patient-Provider Communication in Healthcare
- Psychosomatic Disorders and Their Treatments
- Health Policy Implementation Science
- Child Abuse and Trauma
University of Huddersfield
2016-2025
South West Yorkshire Partnership NHS Foundation Trust
2012-2023
St George's, University of London
2014
Leeds and York Partnership NHS Foundation Trust
2010
Leeds Community Healthcare NHS Trust
1999
To complement the evidence-based practice paradigm, authors argued for a core outcome measure to provide practice-based evidence psychological therapies. Utility requires instruments that are acceptable scientifically, as well service users, and coordinated implementation of at national level. The development Clinical Outcomes in Routine Evaluation-Outcome Measure (CORE-OM) is summarized. Data presented across 39 secondary-care services (n = 2,710) within an intensively evaluated single...
Higher education students’ mental health has been a growing concern in recent years even before the COVID-19 pandemic. The stresses and restrictions associated with pandemic have put university students at greater risk of developing issues, which may significantly impair their academic success, social interactions future career personal opportunities. This paper aimed to understand status University an early stage investigate factors higher levels distress. An online survey including...
Despite its high prevalence and implications for health care resources, anxiety is still a relatively neglected area of research. This paper describes the development Health Anxiety Questionnaire (HAQ), measure based on cognitive–behavioural analysis anxiety. The was developed to identify individuals with levels concern about their health. Psychiatric medical samples were used in reported studies. HAQ found have good internal consistency (coefficient alpha split‐half reliability) short‐term...
Sudden gains--large, enduring reductions in symptom intensity from one session to the next--were identified by T. Z. Tang and R. J. DeRubeis (1999b) on basis of data 2 manualized clinical trials cognitive therapy for depression. The authors found similar sudden gains among clients with a variety disorders treated approaches routine clinic settings. Clients (N = 135 who met inclusion criteria) completed short forms Clinical Outcomes Routine Evaluation (CORE-SF) preceding 7 74 individual...
Patient and public involvement in health research is increasingly well established internationally, but the impacts of on process are hard to evaluate. We describe a qualitative data analysis mental project with high level service user carer involvement, reflect critically how we produced our findings. Team members not from backgrounds sometimes challenged academic conventions, leading complex findings that would otherwise have been missing. An essential component coproduced knowledge...
Aims. A range of peer worker roles are being introduced into mental health services internationally. There is some evidence that attests to the benefits workers for people they support but formal trial in inconclusive, part because change model underpinning support-based interventions underdeveloped. Complex intervention evaluation guidance suggests understandings how an associated with outcomes should be modelled, theoretically and empirically, before can robustly evaluated. This paper aims...
Objectives To investigate if early symptom changes in brief low intensity psychological interventions (guided self‐help and psycho‐education using cognitive behavioural therapy principles) are predictive of final treatment outcome. Design Retrospective cohort data analysis. Method Clinical records for 1,850 patients who screened positive depression and/or an anxiety disorder were analysed. Reliable clinically significant improvement ( RCSI ) on (Patient Health Questionnaire‐9: PHQ ‐9) or...
To complement the evidence-based practice paradigm, authors argued for a core outcome measure to provide practice-based evidence psychological therapies. Utility requires instruments that are acceptable scientifically, as well service users, and coordinated implementation of at national level. The development Clinical Outcomes in Routine Evaluation-Outcome Measure (CORE-OM) is summarized. Data presented across 39 secondary-care services (n = 2,710) within an intensively evaluated single...
To study the time course and prediction of responses to reassurance after gastroscopy showing no serious illness.Selection consecutive patients were assessed before gastroscopy, immediately reassurance, at follow up 24 hours, 1 week, month, year. Responses subgroups identified as high, medium, low health anxiety by questionnaire analysed.Endoscopy clinic in a general hospital.Oral that there was "nothing seriously wrong."One consultant physician 60 aged 18-74 referred for...
Although improvement of clients' state is a central concern for psychotherapy, relatively little known about how change in outcome variables unfolds during psychotherapy. Client progress may follow highly variable temporal courses, and this variation treatment courses have important clinical implications. By analyzing using growth mixture modeling up to the 6th session sample 192 outpatients treated under routine clinic conditions, authors identified 5 client groups based on similar short...
This study extended client-focused research by using the nearest neighbor (NN) approach, a client-specific sampling and prediction strategy derived from on alpine avalanches. Psychotherapy clients (N=203) seen in routine practice settings United Kingdom completed battery of intake measures then symptom intensity ratings before each session. Forecasts client's rate change session-by-session variability were computed basis that NNs (n=10-50 different comparisons). Alternative forecasts used...
High numbers of patients discharged from psychiatric hospital care are readmitted within a year. Peer support for discharge has been suggested as an approach to reducing readmission post-discharge. Implementation called in policy, however, evidence effectiveness large rigorous trials is missing. We aimed establish whether peer reduces readmissions the year post-discharge.We report parallel, two-group, individually randomised, controlled superiority trial, with trial personnel masked...
Abstract Background Peer workers are increasingly employed in mental health services to use their own experiences of distress supporting others with similar experiences. While evidence is emerging the benefits peer support for people using services, impact on less clear. There a lack research that takes longitudinal approach exploring both employment outcomes workers, and working worker role. Methods In mixed methods study, 32 providing discharge from inpatient community care - as part...
The Clinical Outcomes in Routine Evaluation - Outcome Measure (CORE-OM) and the Beck Depression Inventory (BDI) are routinely used to assess emotional problems. It would be helpful able compare scores when only one of measures is available. We investigated relationship between produced translation tables.Level agreement CORE-OM BDI-I was assessed for 2,234 clients who had completed both at referral routine secondary care. Tables predicting were constructed using several methods, including...
Randomized trials of the effects psychological therapies seek internal validity via homogeneous samples and standardized treatment protocols. In contrast, practice-based studies aim for clinical realism external heterogeneous clients treated under routine practice conditions. We compared indices in these two types studies.Using published transformation formulas, Beck Depression Inventory (BDI) scores from five randomized depression (N = 477 clients) were transformed into Clinical Outcomes...
Objective: To investigate the barriers and facilitators of an effective implementation outcome monitoring feedback system in a UK National Health Service psychological therapy service. Method: An was introduced two services. Enhanced given to therapists after session 4. Qualitative quantitative methods were used, including questionnaires for patients. Thematic analysis carried out on written verbal from therapists. Analysis patient outcomes 202 episodes compared with benchmark data 136 which...
Abstract A questionnaire survey of 95 qualified psychotherapists various therapeutic orientations and 69 psychologists in clinical training was carried out to investigate the main influences on their practice, using Questionnaire Influencing Factors Clinical Practice Psychotherapies (QuIF‐CliPP). For group most highly rated factors were current supervision, client characteristics, feedback, psychological formulation, intuition/judgement, professional post‐qualification training. trainees,...