Applying intervention mapping approach to a program for early intervention in first-episode mental crisis of a psychotic type

Abstract

The holotropic mind perspective, an integral part of the framework of transpersonal psychology, has been considered a revolutionary approach to a certain spectrum of experiences in Non-ordinary states of consciousness (NOSC) which conventional approaches tend to treat indiscriminately as pathological processes, because PHM recognizes in these experiences their healing and evolutionary potential. This article describes the needs assessment, implementation, and evaluation of an experiential and educational program on the holotropic mind perspective and its praxis, Holotropic Breathwork® (HB), with students and professionals from the Group for Early Intervention in First-Episode Mental Crisis of a Psychotic Type of the University of Brasilia. The intervention aimed to establish change goals and objectives that would promote the adoption of the holotropic mind perspective's elements, such as a framework to broaden and strengthen mental health programs that assist people experiencing NOSC. The stages developed, inspired by the Intervention Mapping protocol, included a needs assessment; elaboration of change objective matrices; selection and description of methods based on theory and their applications; conception, planning, and implementation of the intervention; and results evaluation. Participants reported that the intervention allowed the expansion of their theoretical-conceptual and technical frameworks, giving them a less pathologizing understanding of and approach to NOSC and allowing them to perceive and manage such states, not as indiscriminately pathological expressions, but as phenomena inherent to the human condition that can be accepted and cared for without the exclusionary and exhaustive bias of mental disorders. Limitations and practical implications are discussed.

Nursing Training for Early Clinical Deterioration Risk Assessment: Protocol for an Implementation Study

“…This protocol is unprecedented and of great relevance, as some studies [ 24 , 25 ] have already demonstrated that the implementation of clinical deterioration evaluation directly impacts nurses in three areas of competence: (1) evaluation and care of patients (through the detection of clinical deterioration and development of skills and knowledge); (2) referring patients (through knowledge of the language and lines of communication in the referral process and deciding whether to seek help); and (3) coping experiences. Studies have also demonstrated that most patients who required hospitalization in intensive care units or who experienced cardiopulmonary complications exhibited signs of clinical deterioration hours before the event; more than 80% of these patients could be identified approximately 24 hours before these serious adverse events [ 26 ]. In this way, identifying patients who can benefit from intensive care units becomes crucial [ 26 ].…”

“…(2) referring patients (through knowledge of the language and lines of communication in the referral process and deciding whether to seek help); and (3) coping experiences. Studies have also demonstrated that most patients who required hospitalization in intensive care units or who experienced cardiopulmonary complications exhibited signs of clinical deterioration hours before the event; more than 80% of these patients could be identified approximately 24 hours before these serious adverse events [26]. In this way, identifying patients who can benefit from intensive care units becomes crucial [26].…”

Developing a mechanism-based therapy for acute psychiatric inpatients with psychotic symptoms: an Intervention Mapping approach

“…In order to overcome these shortcomings, Bleijenberg et al ( 31 ) suggest using structured methodological frameworks such as the Intervention Mapping (IM) that fulfills the Medical Research Council’s (MRC) quality criteria on intervention development ( 31 , 32 ). Although the use and reporting of IM approaches is prevalent in health and prevention research ( 34 – 39 ), there are only a limited number of comparable academic articles published in the field of (clinical) psychology ( 40 , 41 ). The current article’s objectives are therefore twofold: We aim to describe the development and theoretical underpinnings of a mechanism-based and needs-oriented intervention for inpatients with psychosis (MEBASp) treated in an acute psychiatric setting.…”