W10: Interventions Flashcards
Preparatory activities e.g.
- Motivational interviewing
- Stress management and relaxation (mindfulness)
- Sensory modulation approaches
Purposeful activities e.g.
- Vocational rehab
- Supporting completion of edu
- Cooking
- Budgeting
6 Stages of psychiatric rehab
- Choosing phase
- Engagement
- Readiness
- Setting an overall goal
- Getting phase
- Keeping phase
What is Cognitive Remediation Therapy (CRT)?
- Use of computer games to increase brain & cognitive function (concentration, memory)
- Use of bridging groups to help apply the skills learnt in the computer games to real life scenarios
>discussion about software used
>case scenarios
>card games
Who is CRT really beneficial for?
Schizophrenia
What is Re-Motivation?
- Designed to enhance motivation by focussing on your feelings
What are the 3 levels of the remotivation process?
- Exploration - aims to increase sense of capacity, personal significance and security
- Competence - aims to increase sense of efficacy and control over decisions and performance
- Achievement - aims to increase motivation for participation
Exploration module stages
- Validation
- Environmental exploration
- Choice-making
- Pleasure and efficacy in action
Competence module stages
- Internalised sense of self-efficacy
2. Living and telling one’s story
What is cognitive Behaviour Therapy (CBT)?
The link between thoughts, feelings & actions –> works on correcting misconceptions or irrational thoughts about things
What is the ABC method?
A. Antecedent
B. Beliefs about the event
C. Consequence
CBT techniques
- Borrowing another perspective
- De-catastrophising
- Distancing
- Vertical descent
Issues with CBT
- Thoughts can be automatic
- People may feel judged (my thoughts are wrong)
- Not strengths based
What is Acceptance & Commitment Therapy (ACT)?
- Accepting things that are out of our control and trying to move on and improve life
6 core concepts of ACT
- Connection
- Acceptance
- Defusion
- Observing self
- Values
- Committed action
What is DBT?
Shit happens –> don’t like it –> skills –> feel better
- people who self harm*
- when shit happens, they may turn to skills such as self harm , alcohol, sex, etc to make them feel better (which is does for a while)
- HOWEVER, they then begin to have feelings of shame and guilt, which makes them feel like shit again
- DBT is used to help them learn skills that are more positive to help them overcome things when shit happens
What is DBT used for?
Borderline personality disorder
What is Solution Focussed Therapy (SFT)?
- Solution building rather than problem-focussed - work with the person not the problem
- Focus on the future
4 elements of SFT
- Miracle questioning
- “If you were to wake up tomorrow and the problem was gone, what would it look like?” - Scaling questions
- “Rate your anxiety”, “what would make life more tolerable?” - Exception questions
- “When wasn’t it so bad?” - Resource identification
What is Narrative Therapy?
- Re-authoring the situation
- Distancing the person from the situation
- People are separate from the problem - drawing their depression and naming it
What are group interventions beneficial?
- Cost effective
- Opportunity to use social skills
- Empower those with similar experiences
- Leadership opportunities
How to make a group intervention
- Needs analysis
- Develop program
- Run program
- Evaluate program
Group intervention issues
- Not allowing others to speak
- Critical of others during the group
- Coming to the group under the influence
- Withdrawal
- Conflict between members
- Expressed emotion
- Domination by one member
- Intermittent participation
