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Chapter 5 person-centered theory and therapy
Proposal of evidence based practice
Evidence Based Practice
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Recommended: Chapter 5 person-centered theory and therapy
The evidence based practice model that I have selected is Prolonged Exposure (PE) Therapy for Posttraumatic Stress Disorder. PE is a Therapy for Posttraumatic Stress Disorders, which focuses on cognitive-behavioral treatment program for adults who have experienced single or multiple/continuous traumas and have posttraumatic stress disorder (PTSD). This intervention consists of a course of individual therapy designed to help clients process traumatic events and reduce their PTSD symptoms as well as depression, anger and general anxiety. Treatment is individualized and usually consists of 8-15 sessions once or twice weekly for 90 minute each. The treatment length can be shortened or lengthened depending on the client (Children, Youth and Families Mental Health Evidence-Based Practice Project, 2001). …show more content…
I chose this individual Intervention because I think each person in my family has a little bit of PTSD especially the women who have been physically abused, I envision this intervention working with motivational interviewing letting them really figure out why they stayed in an abusive relationship so long or, why they use alcohol as a coping mechanism for the presenting issues in their life.
I also see this working for those in my family who have pre conceived notions of how there life is supposed to be based on societal notions such as you are supposed to be poor, uneducated and a single family home. There is a part in the PE that allows you to envision a path and hopefully it can be incorporated where they can envision a new path for their life. I also believe that this intervention will help with “Improved family and peer relationships; Decreased involvement with law enforcement and the juvenile justice system; Decreased rates of substance use and abuse; and Reduction in self-harm and suicide related behaviors.” (National Alliance on Mental Illness, 2007, p.
7) This EBP is implemented by 3 components PE has three components: (1) psychoeducation about common reactions to trauma and the cause of chronic post trauma difficulties (SAMHSA National Registry of Evidence Based Programs and Practice, 2015), (2) imaginal exposure (also called revisiting the trauma memory in imagination), repeated recounting of the traumatic memory (SAMHSA National Registry of Evidence Based Programs and Practice, 2015), and (3) in vivo exposure, gradually approaching trauma reminders (e.g., situations, objects) that are feared and avoided despite being safe (SAMHSA National Registry of Evidence Based Programs and Practice, 2015). Treatment is individualized and is conducted by social workers, psychologists, psychiatrists, and other therapists trained to use the PE manual, which specifies the agenda and treatment procedures for each session. Standard treatment consists of 8-15 sessions conducted once or twice weekly for 90 minutes each. The duration of treatment can be shortened or lengthened depending on the needs of the client and his or her rate of progress (SAMHSA National Registry of Evidence Based Programs and Practice, 2015). I believe that the prolonged exposure therapy would be a good fit for my family because they have already been living in there own mind for so long it might be n ice to see it re-envisioned and talked out with someone who could give them a new spin on their reality. I truly believe prolonged exposure therapy along with motivational interviewing could do world of good, so not only they can get a fresh perspective on the issues they have been facing but they could also hear out load why they made some of the decisions they have made in life.
...ype of treatment available for post-traumatic stress disorder patients is psychotherapies. There are various types of psychotherapy that psychologist can use such as exposure therapy, psychoeducation or mindfulness training. In exposure therapy, the patient is recreating the traumatic event help get rid of the fear relating to the event. For example, James Francis Ryan could be put through a session where there was simulation of explosives going off or even airplane engine noises. Research by F.R. Schneier et al., 2012, found that antidepressant medication taken alongside exposure therapy was found to be more effective in treating the post-traumatic stress disorder (Sue, Sue, Sue, and Sue, 2014, p.127). Psychoeducation is also used with exposure therapy because it educates the patient with information about their disorder in order to understand it and cope with it.
Ellis, B. H., Fogler, J., Hansen, S., Forbes, P., Navalta, C. P., & Saxe, G. (2012). Trauma systems therapy: 15-month outcomes and the importance of effecting environmental change. Psychological Trauma: Theory, Research, Practice, and Policy, 4(6), 624-630. doi:10.1037/a0025192
The investigators sought out potential subjects through referrals from psychiatric hospitals, counseling centers, and psychotherapists. All potential subjects were screened with a scripted interview and if they met all the inclusion criteria they met with an investigator who administered the Clinical-Administered PTSD Scale(CAPS) to provide an accurate diagnosis. In the end the study ended up with 12 subject, 10 females and 2 males with a mean age of 41.4, that met the criteria for PTSD with treatment resistant symptoms, which were shown with a CAPS score of greater than or equal to 50.
Using examples involving human service workers, discuss how interprofessional practice is defined. Discuss the barriers to interprofessional practice and how these might be addressed.
What is meant by evidence-based practice and how is this different from an historical standpoint.
Marks, Lovell, Noshirvani, Livanou, and Thrasher (1998) did their study on the, “Treatment of Posttraumatic Stress Disorder by Exposure and/or Cognitive Restructuring.” Marks et al. (1998) main purpose for the study was to answer questions from controlled studies of posttraumatic stress disorder concern the value of cognitive restructuring alone without prolonged exposure therapy and whether its combination with prolonged exposure is enhancing. In the study, 87 patients with posttraumatic
The implementation of evidence-based programs is generally quite new in the field of medicine, and it is even more recent in the social sciences field. One point of interest in the development towards evidence-based programs was the foundation of the Food and Drug Administration that is in charge of testing the security and safety of medicinal treatments (Leff, Conley, & Hennessey, 2006). Another point of interest was in the utilization of randomized control studies. It was in 1948 that the first study occurred – examining the adequacy of streptomycin in treating tuberculosis. By the 1960s the quantity of randomized control experiments reached into the hundreds, and in the last ten (10) years there are tens of thousands happening each day (Dodge, 2006). In the field of psychology, which does not have a legislative body inspecting the adequacy of treatments, it is the obligation of those in the field to examine effective and compelling programs. It truly was not until the 1990s that this concept started to expand. The Alcohol, Drug Abuse and Mental Health Reorganization Act of 1992 assisted with the creation of the Substance Abuse and Mental Health Services Administration (SAMHSA), whose part was to help in disseminating research and viable programs/services in regards to issue practices. In 1999, the American Psychological
The article under review is Posttraumatic Stress Disorder in the DSM-5: Controversy, Change, and Conceptual Considerations by Anushka Pai, Alina M. Suris, and Carol S. North in Behavioral Sciences. Posttraumatic Stress Disorder (PTSD) is a mental health problem that some people develop after experiencing or witnessing a life-threatening event, like combat, a natural disaster, a car accident, or sexual assault (U.S. Department VA, 2007). PTSD can happen to anyone and many factors can increase the possibility of developing PTSD that are not under the person’s own control. Symptoms of PTSD usually will start soon after the traumatic event but may not appear for months or years later. There are four types of symptoms of PTSD but may show in different
Trauma-Focused Cognitive Behavioral Therapy (TF-CBT) is one of the most commonly utilized interventions for children (Cary & McMillen, 2011). TF-CBT is a highly structured intervention consisting of 90-minute weekly sessions. The clinician works with the client through eight competencies, including psychoeducation, relaxation, affective expression and regulation, cognitive coping, trauma narrative development and processing, gradual exposure, joint parent/child sessions, and enhancing future development (Cary & McMillen, 2011). TF-CBT has an extensive history and many variations. Clinicians utilize a number of other cognitive behavior treatments that have been adapted to meet the needs of traumatized children (Cary, & McMillen, 2012; Smith et al., 2007). While there are a number of cognitive behavior treatments, TF-CBT has received the highest classification rating for supported and effective treatment from many studies (Cary, & McMillen, 2012; Kauffman Best Practices Project, 2004).
Licensed practical nurses (LPN 's) fill an important role in modern health care practices. Their primary job duty is to provide routine care, observe patients’ health, assist doctors and registered nurses, and communicate instructions to patients regarding medication, home-based care, and preventative lifestyle changes (Hill). A Licensed Practical Nurse has various of roles that they have to manage on a day to day basis, such as being an advocate for their patients, an educator, being a counselor, a consultant, researcher, collaborator, and even a manager depending on what kind of work exactly that you do and where. It is the nursing process and critical thinking that separate the LPN from the unlicensed assistive personnel. Judgments are based
Acute stress disorder can last anywhere form 2 days to a month from the first incident-and this becomes the precursor for the onset of post-traumatic stress disorder, that can last a month or longer from the first incident. Devilly and Cotton suggest that cognitive behavioral therapy can be more effective than CISD at stopping post-traumatic stress disorder from developing (Halgin, 2009). Mitchel responds suggesting that there have never been negative issues that have come from the study of CISD when mental health professionals adhere to the high standards of the practice (Mitchell, 2004). Mitchel also speaks of that cognitive behavioral therapy and CISD are not competing with one another, suggesting psychotherapy could not possibly replace crisis therapy or the opposite (Mitchell,
Evidence based practice (EBP) is a key component in delivering cost-effective, high quality health care. [1] However, only around half of the care providers in the United States utilized EBPs. Additionally, nearly a quarter of services delivered to American consumers are unnecessary and potentially harmful. Today, educators are teaching and promoting evidenced based health care to future nursing professionals. The Institute of Medicine (IOM) supports this action as a means to achieve the objective that 90 percent of all medical treatments have a foundation in evidence based practices by the year 2020.
What is the central component of advanced practice nurses (APNs) direct clinical practice and patient/families?
The U.S. Department of Veterans Affairs talks about several different treatments, and how they work in this article. Two of the major treatments that the US Department of Veterans Affair speaks about are cognitive processing therapy, and prolonged exposure therapy. With cognitive processing therapy, therapists teach you how to find your triggers, stressors, and feelings for Post-traumatic Stress Disorder and control them. Cognitive processing therapy teaches the trauma victim how to destress and cope with the world around them, and how to not place the blame on themselves which can cause bad episodes, and flashbacks. Prolonged exposure therapy is where therapist have you bring up traumatic memories from the past. The therapist can have you
14. Post-Traumatic Stress Disorder. The Harvard Mental Health Letter. June (part I), July 1996 (Part II).