The adaptation of cognitive behavioural therapy for adult Maori clients with depression: A pilot study

A semistructured cognitive behavioural therapy (CBT) programme for depression was adapted for use with Maori adult clients with depression. Adaptations were developed in consultation with an advisory group consisting of Maori clinical psychologists and kaumatua with experience working in mental health services. The programme was piloted with 2 participants who were clients of a Maori mental health service. The programme builds on a more traditional CBT treatment programme by integrating concepts such as whakatauki, whanaungatanga, whanau involvement, and whakapapa into the therapeutic context. Despite limitations the results demonstrate considerable promise. Depressive symptoms increased substantially in both cases and both clients reflected positively on the adaptations incorporated into therapy

Improving Access to Psychological Therapy: Initial Evaluation of the Two Demonstration Sites

The Government's Improving Access to Psychological Therapy (IAPT) programme aims to implement NICE Guidance for people with depression and anxiety disorders. In the first phase of the programme, two demonstration sites were established in Doncaster and Newham with funding to provide increased availability of cognitive-behaviour therapy-based (CBT) services to those in the community who need them. The services opened in late summer 2006. This paper documents the achievements of the sites up to September 2007 (roughly their first year of operation) and makes recommendations for the future roll out of IAPT services.Cognitive Behavioural Therapy, CBT, Psychological therapy, Evaluation, Cost benefit analysis, IAPT

Evaluation of the extended pre-school provision for vulnerable two year olds pilot programme: final report

In August 2006 the Scottish Government invited Glasgow, Dundee and North Ayrshire local authorities to take part in a £2 million Extended Pre-School Provision for Vulnerable 2 Year Olds Pilot Programme. The pilot programme was to run for a two year period with the key aim of providing positive preschool experiences one year early for vulnerable children and supporting their parents. Local authorities were encouraged to develop their own models of delivery within the broad aims of the project. A research team from the Department of Psychology, University of Strathclyde, headed by Dr Lisa Woolfson was contracted to carry out an evaluation of the programme in the second year of the pilot. The research study ran from April 2007 to September 2008 and evaluated children who participated in the pilot programme between August 2007 and June 2008, the second year of the pilot programme. Aims We aimed to explore the impact of the extended pilot programme on cognitive, social, emotional and behavioural developmental child outcomes, as well as the impact on participating parents. In addition we aimed to identify recruitment criteria and admission procedures used by the participating local authorities as well as staffing, numbers of children, attendance rates and practical issues around programme set-up and delivery

Chronic fatigue syndrome; an approach combining self-management with graded exercise to avoid exacerbations.

Controversy regarding the aetiology and treatment of patients with chronic fatigue syndrome (CFS) continues to affect the medical professions. The Cochrane collaboration advises practitioners to implement graded exercise therapy for CFS sufferers using cognitive behavioural principles. In contrast there is evidence that exercise can induce symptom exacerbations in CFS where too vigorous exercise/activity promotes immune dysfunction, which in turn increases symptoms in patients with CFS. When designing and implementing an exercise programme it is important to be aware of both these seemingly opposing view points in order to deliver a programme without any detrimental effects on CFS pathophysiology. Using evidence from both the biological and clinical sciences, the present manuscript explains that graded exercise therapy for people with CFS can be safely undertaken without detrimental effects to the immune system. Exercise programs should be designed to cater for individual physical capabilities and should also account for the fluctuating nature of symptoms commonly reported by people with CFS. In line with cognitive behaviourally and graded exercise-based strategies, self-management for people with CFS involves encouraging the patients to pace their activities and respect their physical and mental limitations with the ultimate aim of improving their everyday function

Do they practice what we teach? Follow-up evaluation of a Schema Therapy training programme

This study evaluated a three-day Schema Therapy training programme for trainee clinical psychologists. The training used an experiential model of learning, which was intended to encourage the transfer of knowledge and techniques from the learning environment into clinical practice. Using a mixed-methods approach, the training programme was evaluated in terms of: (1) self-reported changes in knowledge, confidence and willingness to use Schema Therapy-informed techniques; (2) whether the training was integrated into clinical practice; and (3) the perceived barriers/facilitators to achieving practice integration. Participants – 17 of the 19 trainee clinical psychologists enrolled on the Schema Therapy training programme – completed assessments immediately pre- and post-training. Participants were subsequently followed-up for reassessment three months after the training. Group- and individual-level analyses showed that most participants reported training-related gains in knowledge and confidence; these were largely sustained at follow-up, and were associated with post-training practice integration of Schema Therapy concepts and techniques. Analysis of qualitative data identified factors moderating use of training in practice. Findings of the study have implications for future delivery and evaluation of training in cognitive-behavioural therapies

Coping styles in farmed fish: consequences for aquaculture

Individual differences in physiological and behavioural responses to stressors are increasingly recognised as adaptive variation and thus raw material for evolution and fish farming improvements including selective breeding. Such individual variation has been evolutionarily conserved and is present in all vertebrate taxa including fish. In farmed animals, the interest in consistent trait associations, that is coping styles, has increased dramatically over the last years because many studies have demonstrated links to performance traits, health and disease susceptibility and welfare. This study will review (i) the main behavioural, neuroendocrine, cognitive and emotional differences between reactive and proactive coping styles in farmed fish; (ii) the methodological approaches used to identify coping styles in farmed fish, including individual (group) mass-screening tests; and (iii) how knowledge on coping styles may contribute to improved sustainability of the aquaculture industry, including welfare and performance of farmed fish. Moreover, we will suggest areas for future research, where genetic basis (heritability/epigene tic) of coping styles, and the neuroendocrine mechanisms behind consistent as well as flexible behavioural patterns are pinpointed as central themes. In addition, the ontogeny of coping styles and the influence of age, social context and environmental change in coping styles will also be discussed.European Commission under the 7th Framework Programme FP7-KBBE [265957

Literature Review - Health behaviour change models and approaches for families and young people to support HEAT 3: Child Healthy Weight Programmes

The literature review has been commissioned by NHS Health Scotland to review the health behaviour change models and approaches for families, children and young people to support the development and delivery of effective child healthy weight programmes. Despite the consistent recommendations from NICE and SIGN for the inclusion of behavioural components in child healthy weight programmes, there is little information on effectiveness of specific techniques and which to incorporate. The aim was therefore to provide information on which specific behavioural treatment components, behaviour change models and approaches should underpin clinical guidelines and childhood obesity treatment programmes. Secondly, in light of recommendations for programmes to be delivered by appropriately trained professionals, the review aimed to identify the skills and competencies required and resources and training available for effective delivery of the behavioural components. The outcomes of the literature review will be applied in enhancing the guidance for practitioners involved in the development and delivery of effective child healthy weight programmes; and thereby support achievement of the Scottish Government’s HEAT 3 target aimed at monitoring the attendance and completion of approved ’child healthy weight intervention programmes’. The report includes the background, aims, and objectives, sets out the scope of the review, presents a brief description of the methods and main findings. The methods and stakeholder views are then presented followed by a discussion of the implications for applying the evidence in practice and further research recommendations

With a little help from FUN FRIENDS young children can overcome anxiety

This paper highlights resilience as a key concept when working with young children to improve their emotional wellbeing and reduce anxieties. Supporting children aged 4-7 years with anxiety is a significant area of advancement in terms of therapeutic approaches over the last decade. This paper outlines one such approach that was implemented within a Tier 2 Community Child and Adolescent Mental Health Service (CAMHS) within the northern region of England to determine whether findings from Australian studies could be replicated in the UK. A pilot study was undertaken with a group of young children aged 4-7 years old with symptoms of anxiety. All of the children had been referred to the service because of anxiety related issues, such as social phobia, generalised anxiety disorder and obsessive-compulsive disorder. They received a group intervention, FUN FRIENDS, over a period of 12 weeks. By enabling the children to become more self-sufficient this allowed greater emotional and social skills development. All the children demonstrated improved anxiety scores post intervention, as measured by the Spence Child Anxiety Scale

A systematic review of reviews of interventions to promote mental health and prevent mental health problems in children and young people

Background: There is a growing policy imperative to promote positive mental health as well as preventing the development of mental health problems in children. This paper summarises the results of published systematic reviews evaluating interventions to promote mental health and prevent mental illness in children. Method: A search was undertaken of ten electronic databases using a combination of medical subject headings (MeSH) and free text searches. Systematic reviews covering mental health promotion or mental illness prevention interventions aimed at infants, children or young people up to age 19 were included. Reviews of drug and alcohol prevention programmes or programmes to prevent childhood abuse and neglect were excluded because these have been the subject of recent good quality reviews of reviews. Critical appraisal of all studies was undertaken using a standardised appraisal tool for systematic reviews. Where possible effect sizes and 95% confidence intervals are reported. A narrative summary has been provided. Results: A total of 27 systematic reviews were included and grouped pragmatically under the following headings: parenting interventions; programmes for the prevention of anxiety and depression, programmes to promote self esteem, violence and aggression prevention programmes, school-based programmes, and general reviews. Included studies targeted a range of risk and protective factors, and a range of populations (including both parents and children). While, many lacked methodological rigour, overall, the evidence is strongly suggestive of the effectiveness of a range of interventions in promoting positive mental well-being, and reducing key risk factors for mental illness in children. Conclusion: A variety of programmes have been shown to be effective in promoting children’s mental health, albeit with modest effect sizes. Based on this evidence, arguments are advanced for the preferential provision of early preventive programmes