Diagnostic survey in a regional psychotherapy unit

Evans, J.H.; Hartman, Jenny; Gladwell, Stephen

doi:10.1192/pb.19.11.673

Cited by 3 publications

(2 citation statements)

References 5 publications

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“…Unfortunately, because our service at the time did not register patients' ICD/DSM diagnoses, we did not have this measure of psychiatric morbidity. However, our pre‐therapy measures mirror the findings of high morbidity in other similar NHS psychotherapy services which were also able to look at formal psychiatric diagnoses, finding over 95% met criteria for a psychiatric disorder (mostly anxiety and mood disorders) and/or personality disorder (Chiesa et al ., ; Evans, Hartman & Gladwell, ). As the study was cross‐sectional and correlational, it is unclear whether improvement in symptoms and functioning lead to improved satisfaction or vice versa; likewise, as perceived change was assessed retrospectively, this may have been confounded by the patient's post‐therapy state.…”

Section: Discussionmentioning

confidence: 99%

A Naturalistic Psychodynamic Psychotherapy Study: Evaluating Outcome with a Patient Perspective

Ward¹,

Wood²,

Awal³

2013

Brit J Psychotherapy

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The difficulties in conducting psychodynamic psychotherapy research are well documented. More recent meta‐analyses have demonstrated clear benefits; however, it has been argued that naturalistic studies are of more direct relevance to clinical services. UK National Health Services (NHS) provide psychodynamic psychotherapy within psychiatric settings for heterogeneous and generally complex patient populations. Much of the psychodynamic psychotherapy is provided by trainee psychiatrists who rarely have prior experience of delivering such therapy, but who are supervised by senior staff. Our naturalistic outcome study uses both quantitative and qualitative methodology, and describes a symptomatically and functionally impaired patient group (n = 384) deriving significant and clinically meaningful benefit from their therapy. Patient satisfaction and perceived change were positively correlated with each other and with symptomatic improvement. Patients' descriptive comments provided additional rich information, most commonly describing a positive outcome for therapy and the belief that therapy was too short. This study complements more formal research showing that psychodynamic psychotherapy is efficacious in outpatient settings.

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Section: Discussionmentioning

confidence: 99%

A Naturalistic Psychodynamic Psychotherapy Study: Evaluating Outcome with a Patient Perspective

Ward¹,

Wood²,

Awal³

2013

Brit J Psychotherapy

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“…These figures may reflect a number of factors as well as level of need, including referral practices, availability and geographical proximity of services, and patient demand. In terms of audit, information about casemix and referral patterns was not available from routine contracting data, but a more detailed survey of 993 referrals had been undertaken in one of the hospitals ( Table 2) [7]. Only 26% of patients were referred by a mental health professional (MHP), the vast majority (69%) coming from primary care.…”

Section: Current Service Provisionmentioning

confidence: 99%

An Integrated Treatment Algorithm for Pharmacotherapy and Psychotherapy

Kisely

Jones

1999

Aust N Z J Psychiatry

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The following steps were undertaken: (i) setting priorities for the commissioning of psychotherapy on the basis of the scientific literature including greater use of brief and focused forms of integrative therapy from a variety of psychotherapeutic schools; (ii) targeting interventions on the basis of objective criteria to ensure that patients were referred for the appropriate level and intensity of psychological intervention using the full range of available services within the NHS, the independent sector, and voluntary agencies; (iii) agreeing on an integrated treatment algorithm (ITA) for the use of the most cost-effective treatments while ensuring that a range of alternative interventions was available for patients for whom a first line therapy was not suitable. Such an ITA could be adapted to assist general practitioners in their management and referral decisions; (iv) sharing skills between specialist psychotherapy services and members of primary and mental health teams through training, supervision and consultation-liaison.

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Psychiatric morbidity in patients referred for individual psychotherapy within and outwith the NHS

Mitchell

Freeman

1999

Psychiatr. bull.

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Aims and methodDemographic and medical characteristics of waiting list patients for National Health Service (NHS) psychotherapy, non-NHS psychotherapy or NHS general adult psychiatry were compared by postal questionnaires.ResultsOne hundred and eighty-three subjects replied. High rates of psychiatric morbidity were reported in both psychotherapy populations but general psychiatric referrals were more disturbed, taking more psychotropic medication than non-NHS psychotherapy but not NHS psychotherapy subjects. The biggest referral source to non-NHS psychotherapy was general practitioners.Clinical implicationsNon-NHS psychotherapists should be able to recognise severe mental illness and have a basic understanding of psychotropic medication and psychiatric services.

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Diagnostic survey in a regional psychotherapy unit

Cited by 3 publications

References 5 publications

A Naturalistic Psychodynamic Psychotherapy Study: Evaluating Outcome with a Patient Perspective

A Naturalistic Psychodynamic Psychotherapy Study: Evaluating Outcome with a Patient Perspective

An Integrated Treatment Algorithm for Pharmacotherapy and Psychotherapy

Psychiatric morbidity in patients referred for individual psychotherapy within and outwith the NHS

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