Data Collection and Analysis Raw data obtained over 8 weeks from The Brief Psychiatric Rating Scale (Overall & Gorham, 1988) was used to evaluate the effectiveness of the Assertive Community Treatment model in the decrease of psychiatric symptoms. Data collection started at the intake session where the intern was present and able to obtain information regarding the suitability of the client for a single subject design. No BPRS data was obtained at the intake. BPRS data collection started two days following intake, at the client’s psychiatric evaluation. The purpose and nature of the study was explained to the client. The client provided verbal consent which was deemed suitable by the intern supervisor to be adequate as observations of client behavior are within the scope of a typical wellness check. A Z-score analysis was used to further interpret the composite scores from the BPRS data. In addition to raw data collection, the intern also completed traditional CTT check-ins that included discussion of progress and/or other events that may have occurred over the given week as well as medication compliance and efficacy. This ensured client was receiving treatment as usual and allowed the intern to account for events that may have influenced internal validity. The periods of data collection occurred on Monday, Wednesday and Friday afternoons in the client’s home, during standard CTT therapeutic visits. CTT interventions remained the same over the course of data collection
Within these two categories there are different options in regards to risk and return levels, both of which run parallel to each other meaning the higher the risk the higher the rate of return. The below graph (Figure 3) shows the average one year return for each of the investment strategies.
a. For each year, create tables of counts of gender and of nationality. Then create column charts of
A clinical assessment is then conducted for treatment needs. Different treatment plans are made for each client. Individualized treatment plans are used to make referrals and they are updated periodically.”
Assertive Community Treatment (ACT) is a mobile out-reach treatment model for adults who suffer from mental health illness. A community based, individualistic support program, ACT is designed provide the same type of support and treatment a patient would find in a clinic (McAuliffe. W. E., 1990). The program considers circumstances of why an individual became homeless and aims to provide mental health care along with vocational training to find a job and stable housing (McAuliffe. W. E., 1990). ACT is based on the health belief model of behavior change. The stages of behavior change are employed by counseling sessions that address mental health symptoms and encourage self-efficacy through coping skills and job training.
The authors and researchers of this article are expressing their views on the need to expand and improve medical, behavioral, and community models of the mental health system to promote the well-being of all Americans by delivering them high-quality, accessible and efficient health care. To promote the integration of primary care and behavioral health, an attempt is made by these fellow researchers to aid members of the integrated care team to excel behavioral health of people by developing population-based measures to evaluate integration.
The patient appeared to be alert, very engaging during the counseling session, and No evidence of SI/HI. The patient does his treatment plan goals in every counseling session and his coping mechanism.
“The goal of CBT is to teach clients how to separate the evaluation of their behaviour from the evaluation of themselves and how to accept themselves in spite of imperfections” (Corey, 2009, p. 279). In CBT the clients are expected to change their current behaviour (normally full of automatic thoughts) to a more rational way of thinking. The clinician will challenge the client’s behaviour in order for the client to understand his or her behaviour and get alternatives to change his/her behaviour. When using CBT, the client’s behaviour changes when they are aware of the abnormal behaviour. This approach allows the client to focus on improving his/her wellbeing. This enhances the client’s awareness of an existing issue and that changes are necessary. The client will develop new coping skills to deal with the situation and develop a new way of thinking from negative (automatic thoughts) to positive (more realistic thoughts). Initially the client may not recognise that a problem exists, but through this process will get
Some patients didn’t return for the following week’s assessments, suggesting complete resolution of symptom and/or spontaneous resolution. Week two results were after both groups received the CRM; 61.8% (n=21/34) CRM and 57.1% (n=20/35) in the prior Sham group. By week three 75% of patients in both groups had improved; 75.0% (n=21/28) CRM group and 66.7% (n=20/30) in the prior Sham group. Overall the study concluded that the improvement rates of patients after receiving CRM were similar to improvement rates of CRM when performed by a specialist. The widespread use of CRM in family practices could be implemented, resulting in a greater patient wellbeing and a reduced number of
The purpose of the article is to identify a clinical approach and challenges around the transition from assertive community treatment to less intensive services. According to the article, the data used was collected from four focused group which includes client/clinical, family and natural supports, assertive community treatment staff and team, and public mental health system. In order to identify the challenges several factors were considered in the process, the belief that clients and families would not want to terminate services (due to loss of relationships, fear of failure, preference for ACT model), clinical concerns that transition would not be successful (due to limited client skills, relapse without ACT support), systems challenges
The data are collected from observation of over 100 patients’ visits, 50 of which were observed and audio taped. The research questions that are asked by Davidson are:
Patient health behaviors have physical and emotional symptomology. The psychometric readings and discussions in this class provides an in-depth understanding of tools to utilize in primary care and traditional therapy settings. According to Wood, Garb, and Nezworski “Better measurement makes better clinicians”. The assessment tools I would utilize in a Primary Care setting are different from the tools I would utilize in a traditional therapy setting.
Participants will visit the doctor every 3 months for 12 months (for a total of 5 visits). During the baseline visit, participants will be enrolled into the study, will get their first blood sample drawn and will be randomly assigned to one of the two groups (either receiving CBT or not receiving this type of intervention). All of the participants will also receive a blood glucose monitor at this visit. All of the participants will receive diabetes and depression medication and will be seen by a primary doctor for a clinical exam and by a psychiatrist. Patients will answer a Patient Health Questionnaire (PHQ9) which will measure the severity of depression and will fill out a survey that will ask about their demographic information such as age, height, weight, marital status, educational level, employment status, number of years living in the United Sates, language fluency levels, and number of children. Participants will also fill out a lifestyle questionnaire about alcohol use, illegal drug use, smoking and history of cardiovascular diseases. For the participants assigned to receive CBT, they will start receiving CBT session one week after becoming enrolled in the study. They will receive weekly 60 minute CBT sessions for 15 weeks (combining group and individual
In order to provide the Australia Park Victoria with the appropriate data to solve its current crisis, the most appropriate method of data collection for this research is the qualitative method. According to Gay and Airasian (p 627) qualitative method is the collection of extensive data on various variables over a long time in a natural setting with an aim of acquiring insights not possible using other methods. It involves three different kinds of information collection: direct observation, in depth and open-ended interviews and written documents. Qualitative method involves use of random sampling and structured data collection instruments that fit different experiences. The method also enables the researcher to study the specific area of
The objective of this chapter is to describe the procedures used in the analysis of the data and present the main findings. It also presents the different tests performed to help choose the appropriate model for the study. The chapter concludes by providing thorough statistical interpretation of the findings.
The behavior was observed from a large sample of people. This included twenty people shopping alone and twenty people shopping in a group, for a total of forty subjects, each ranging in ages from approximately 19 to 40 years old. The subjects were observed from the time they entered the store until the time they left. The reasoning behind this was to see the buying behavior differences for the whole experience and figure out which areas of the store could be improved in order to appeal to groups of people shopping. The behaviors observed included the amount of time spent inside the store, the amount of money spent, the interactions with associates, and the areas of the stores that were navigated.