Feasibility and Patient Experiences of Method of Levels Therapy in an Acute Mental Health Inpatient Setting

Jenkins, Hannah; Reid, Jordan; Williams, Claire; Tai, Sara; Huddy, Vyv

doi:10.1080/01612840.2019.1679928

Cited by 2 publications

(1 citation statement)

References 17 publications

(20 reference statements)

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“…One approach would be to adapt the psychological models in line with the facilitating factors outlined in this review; however, further research would be required to ensure they are feasible, acceptable and effective as they would be deviating from evidenced-based protocols. Alternatively, it may be that other psychological therapies, which are already underpinned by process better suited to the inpatient environment (e.g., a flexible psychotherapeutic model), may be more suitable to this setting and their evidence base needs further exploration (Jenkins et al, 2020). The implementation of therapy must also be supported on an organisational level.…”

Section: Discussionmentioning

confidence: 99%

A systematic review of the implementation of psychological therapies in acute mental health inpatient settings

Evlat

Wood

Glover

2021

Clin Psychology and Psychoth

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Objectives: Research has demonstrated that psychological therapies are not routinely delivered in acute mental health inpatient settings despite being recommended by the National Institute for Health and Care Excellence (NICE) guidelines. This study aimed to identify the barriers and facilitators to implementing psychological therapies in acute mental health inpatient settings.Methods: A systematic review and narrative synthesis was undertaken. Primary studies were included if they examined the implementation of a NICE recommended psychological therapy in acute psychiatric inpatient settings and were of any study design. Four databases were searched for eligible studies (MEDLINE, CINAHL Plus, PsycINFO and Embase) and Google Scholar.Results: A total of 16 studies (a mixture of both qualitative and quantitative methodologies) were included in the review, and the majority evaluated the implementation of Cognitive Behaviour Therapy. Overall, the literature was deemed to be of poor to moderate quality. The main barriers to the implementation of psychological therapy were the busy nature of the ward, multi-disciplinary professionals not being suitability trained and the acute nature of service users mental health difficulties. Facilitators to implementation included the adaptation of interventions to be specifically delivered in the acute inpatient setting, training of multi-disciplinary professionals, leadership support with the delivery of psychological therapies and prioritising the therapeutic relationship.Conclusions: There is a requirement for senior management to prioritise the implementation of psychological therapies and update clinical guidelines to describe modifications necessary to implement psychological therapies in acute inpatient settings.Future research should improve their methodological quality and continue to develop the evidence base of brief psychological therapies in acute inpatient settings.

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Section: Discussionmentioning

confidence: 99%

A systematic review of the implementation of psychological therapies in acute mental health inpatient settings

Evlat

Wood

Glover

2021

Clin Psychology and Psychoth

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The development of a parent–child activity based on the principles of perceptual control theory

Churchman

Mansell

Tai

2020

tCBT

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Abstract Problems most frequently reported by young people in school counselling relate to family difficulties. During adolescence, conflict between parents and young people increases as young people move towards independence whilst still being reliant on parents. The quality of communication during this period has implications for young people’s well-being. The current study explored how the principles of perceptual control theory (PCT) could be used to develop a structured activity aimed at helping young people to talk to their parents about their goals and goal conflicts. PCT proposes that individuals function well when they are able to control things that are important to them. Every individual has numerous goals/wants and if two or more are incompatible, conflict arises. The current study focused on supporting young people to explore conflict that might arise due to incompatible goals held by them and their parent. Six families (child and parent/carer) were recruited to try a goal-setting and monitoring activity. The activity was facilitated by a Method of Levels researcher over a 10-week period. There were two follow-up appointments at 2 and 4 months. Two families were retained for the entire study. On completion, four families provided qualitative feedback. On the basis of participants’ feedback, the activity was modified to incorporate discussions on incompatible goals. Two families piloted the modified activity and provided feedback. Both families completed the study. Results suggest that a parent–child activity using the principles of PCT is feasible and acceptable among parents and young people. Key learning aims (1) To understand how the principles of PCT can be used to support young people in communicating with their parents. (2) To understand how talking about important goals/wants impacts young people and their parents. (3) To understand how the principles of PCT can be used to resolve parent–child conflict.

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Feasibility and Patient Experiences of Method of Levels Therapy in an Acute Mental Health Inpatient Setting

Abstract: This is a repository copy of Feasibility and patient experiences of method of levels therapy in an acute mental health inpatient setting.

Cited by 2 publications

References 17 publications

A systematic review of the implementation of psychological therapies in acute mental health inpatient settings

A systematic review of the implementation of psychological therapies in acute mental health inpatient settings

The development of a parent–child activity based on the principles of perceptual control theory

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