Improving psychotherapy services: Applications of research, audit and evaluation

Parry, Glenys

doi:10.1111/j.2044-8260.1992.tb00964.x

Cited by 56 publications

(32 citation statements)

References 45 publications

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“…The principles and basic M e n t a l H e a l t h R e v i e w J o u r n a l 8 NON-ATTENDANCE AT PSYCHOLOGICAL THERAPY APPOINTMENTS method of audit were used with a concurrent mixed-method design. By relaxing the standards for clinical audit, the findings would have to be treated with more caution, however, this hybrid model of investigation can be described as a service audit, a description of service process and outcome; this approach is particularly suited for psychotherapy services due to the multi-professional backgrounds that make up these services (Parry, 1992).…”

Section: Designmentioning

confidence: 99%

Non-attendance at psychological therapy appointments

Binnie

Boden

2016

MHRJ

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Purpose Research demonstrates that non-attendance at healthcare appointments is a waste of scarce resources; leading to reduced productivity, increased costs, disadvantaged patients through increased waiting times and demoralised staff. The purpose of this paper is to investigate non-attendance and implemented interventions to improve practice. Design/methodology/approach A mixed methods service audit took place in a primary care psychological therapies service. Existing service guidelines and reporting systems were reviewed. A cross-sectional design was used to compare a year’s cohort of completers of cognitive behavioural therapy (CBT) (n=140) and drop-outs (n=61). Findings Findings suggested contrasting guidelines and clinically inaccurate reporting systems. The overall service did not attend (DNA) rate was 8.9 per cent; well below rates suggested in the literature. The drop-out rate from CBT was 17 per cent. The most influential factor associated with CBT drop-out was the level of depression. The level of anxiety, risk ratings and deprivation scores were also different between completers and drop-outs. The main reasons given for non-attendance were forgetting, being too unwell to attend, having other priorities, or dissatisfaction with the service; again these findings were consistent with prior research. Originality/value A range of recommendations for practice are made, many of which were implemented with an associated reduction in the DNA rate.

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Section: Designmentioning

confidence: 99%

Non-attendance at psychological therapy appointments

Binnie

Boden

2016

MHRJ

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“…Psychologists could benefit from auditing their service for equitability and taking positive steps to redress the balance (Parry, 1992).…”

Section: (Iv) the Ideological Levelmentioning

confidence: 99%

Putting people first: A social constructionist approach to learning disability

Clegg

1993

British J Clinic Psychol

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Moving from an individual to a social focus will allow clinical psychologists working with people who have learning disabilities to address a wider range of difficulties experienced by this client group. Social constructionist theory may be a useful framework to facilitate such an approach, and is intellectually compatible with changes occurring in other related disciplines. Research relevant to this perspective is reviewed under four subheadings proposed by Doise. Implications for clinical practice are discussed by reference to two case studies.

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“…Random assignment is held as the best protection against pretreatment differences (Parry, 1992). It is believed that the comparison between two forms of treatment is only valid if the compared groups are equivalent and homogeneous.…”

Section: University Of Geneva Switzerlandmentioning

confidence: 99%