Solution‐focused Therapy in a Psychiatric Hospital

Abstract

This paper presents the authors' use of solution‐focused brief therpay in an adult inpatient psychiatric hospital setting. we suggest that a theoretical inteeegration of the medical model and the solution‐focused approach provides a useful treatment modality. We discuss implementation of the model, emphasizing assessment, treatment milieu, the role of staff, therapy, and discharge issues. We also describe the model's usefulness for training and supervision and offer recommendations for future research.

Assessing African American Spirituality with Spiritual Ecomaps

“…Interventions drawn from solution-focused therapy such as the miracle question, scaling questions, and identifying exceptions to the problem can also be used productively (Kok & Leskela, 1996;Kuehl, 1995). For example, modified exception questions such as "Do certain spiritual practices help alleviate particular problems?"…”

Spiritual Ecomaps: A New Diagrammatic Tool for Assessing Marital and Family Spirituality

“…Spiritual ecomaps can also be used as an intervention to demonstrate to the family how their existential situation has changed since the start of therapy. A key tenet of solution-focused perspectives is the necessity of reinforcing the perception that change is occurring (Kok & Leskela, 1996). Since change is often difficult to quantify, the visible depiction of altered relationships in a newly constructed map can be compared to the original as a means of clearly demonstrating the changes that have occurred.…”

Marriage and Family Therapists and Psychotropic Medications: Practice Patterns From a National Study

“…These findings suggest that relational treatment combined with medication is associated with the greatest amount of positive change. Superior efficacy of therapy plus psychotropic intervention relative to that of psychotropic treatment alone has previously been documented (Brock & Barnard, 1999;Kok & Leskela, 1996;Reamy-Stephenson, 1994;Wager & Zammit, 1995).…”