The Experts below are selected from a list of 37104 Experts worldwide ranked by ideXlab platform

Robert E Drake - One of the best experts on this subject based on the ideXlab platform.

  • Individualized Intervention to Support Mental Health Recovery Through Implementation of Digital Tools into Clinical Care: Feasibility Study
    Community Mental Health Journal, 2021
    Co-Authors: Elizabeth Carpenter-song, Stephanie C. Acquilano, Valerie Noel, Monirah Al-abdulmunem, John Torous, Robert E Drake
    Abstract:

    Myriad digital tools exist to support Mental Health but there are multiple barriers to using these tools in routine care. This study aimed to assess the feasibility of an intervention incorporating a support role to help the clinical team identify and use technology to promote recovery. The technology specialist intervention is 3 months in duration and comprises four stages: goal setting, researching and evaluating tools, demonstrating and selecting tools, and ongoing support. We implemented the intervention in a community Mental Health Center and a dual diagnosis treatment program, working with eight clients and their case managers. Clients and case managers willingly engaged with the technology specialist and found the intervention beneficial. Integration and collaboration with the care team facilitated implementation of the technology specialist in these real-world settings. Clients reported that the intervention made it easy to try a digital tool. Six of the eight participants stated that they made substantial progress toward their goals. The technology specialist is a promising new role for Mental Health care delivery to augment traditional services and enhance individualized recovery.

  • shared decision making preferences of people with severe Mental illness
    Psychiatric Services, 2007
    Co-Authors: Jared R Adams, Robert E Drake, George L Wolford
    Abstract:

    Objective: Perceived roles and preferences were explored for shared decision making among persons with severe Mental illnesses. Methods: In this pilot study, 30 adult clients with severe Mental illness in a community Mental Health Center were surveyed about decision making regarding psychiatric medications, rehabilitation, and general medical care. Results: Clients generally expressed a desire for greater participation in decisions about psychiatric care than they currently experienced. Regarding use of new psychiatric medications, 23 persons (77%) preferred autonomous or shared roles, but only 11 (37%) rated their current roles as more than passive (z=–2.83, p=.005). Clients were less likely to prefer a passive role in medication decisions about psychiatric care than about general medical care (seven persons, or 23%, versus 23 persons, or 77%; z=–3.01, p= .003). Conclusions: Most clients with severe Mental illnesses prefer shared decision making, particularly in relation to their Mental Health care. (Psychiatric Services 58:1219–1221, 2007)

  • the new hampshire study of supported employment for people with severe Mental illness
    Journal of Consulting and Clinical Psychology, 1996
    Co-Authors: Robert E Drake, Deborah R Becker, Gregory J Mchugo, William A Anthony, Robin E Clark
    Abstract:

    This study compared supported employment services in 2 contrasting programs: (a) Group Skills Training, a professional rehabilitation agency outside of the Mental Health Center that provided pre-employment skills training and support in obtaining and maintaining jobs, or (b) the Individual Placement and Support (IPS) model, which integrated clinical and vocational services within the Mental Health Center. People with severe Mental disorders who expressed interest in competitive employment (N = 143) were randomly assigned to 1 of these 2 programs. Results showed that clients in the IPS program were more likely to be competitively employed throughout most of the 18-month follow-up. Among those who obtained jobs, there were few group differences, although workers in the IPS program did work more total hours and earn more total wages during the 18-month follow-up. There were no group differences on nonvocational outcomes.

  • individual placement and support a community Mental Health Center approach to vocational rehabilitation
    Community Mental Health Journal, 1994
    Co-Authors: Deborah R Becker, Robert E Drake
    Abstract:

    Individual Placement and Support (IPS) is a vocational rehabilitation intervention for people with severe Mental disabilities. IPS draws from components and philosophies of several other models. Employment specialists, who are part of the community Mental Health Center team, provide services in the community. IPS emphasizes client preferences, rapid job finding, continuous assessment, competitive employment, integrated work settings, and follow-along supports. Initial research on IPS shows favorable results.

Scott W Woods - One of the best experts on this subject based on the ideXlab platform.

  • first episode services for psychotic disorders in the u s public sector a pragmatic randomized controlled trial
    Psychiatric Services, 2015
    Co-Authors: Vinod H Srihari, Nicholas J K Breitborde, Jessica Pollard, Cenk Tek, Suat Kucukgoncu, Vivek H Phutane, Banu Ozkan, John R Saksa, Barbara Walsh, Scott W Woods
    Abstract:

    Objective:This study sought to determine the effectiveness of a comprehensive first-episode service, the clinic for Specialized Treatment Early in Psychosis (STEP), in an urban U.S. community Mental Health Center by comparing it with usual treatment.Methods:This pragmatic randomized controlled trial enrolled 120 patients with first-episode psychosis within five years of illness onset and 12 weeks of antipsychotic exposure. Referrals were mostly from inpatient psychiatric units, and enrollees were randomly allocated to STEP or usual treatment. Main outcomes included hospital utilization (primary); the ability to work or attend age-appropriate schooling—or to actively seek these opportunities (vocational engagement); and general functioning. Analysis was by modified intent to treat (excluding only three who withdrew consent) for hospitalization; for other outcomes, only data for completers were analyzed.Results:After one year, STEP participants had less inpatient utilization compared with those in usual tre...

  • public academic partnerships early intervention for psychotic disorders in a community Mental Health Center
    Psychiatric Services, 2009
    Co-Authors: Vinod H Srihari, Nicholas J K Breitborde, Jessica Pollard, Leslie Hyman, Linda K Frisman, Thomas H Mcglashan, Selby Jacobs, Scott W Woods
    Abstract:

    Early intervention may improve long-term outcomes for psychotic illnesses. Early-intervention services in other countries have focused on reducing the duration of untreated illness and adapting interventions for younger patients. This column describes the process of building such a service, called specialized treatment early in psychosis (STEP), at the Connecticut Mental Health Center. This effort is rooted in a longstanding collaborative relationship between the Connecticut Department of Mental Health and Addiction Services and Yale. The authors describe the critical contribution of such partnerships in evaluating the cost-effectiveness of early intervention in a “real-world” U.S. setting. (Psychiatric Services 60:1426–1428, 2009)

Wendy A Wade - One of the best experts on this subject based on the ideXlab platform.

  • effectiveness of cognitive therapy for depression in a community Mental Health Center a benchmarking study
    Journal of Consulting and Clinical Psychology, 2003
    Co-Authors: Kari A Merrill, Valerie E Tolbert, Wendy A Wade
    Abstract:

    The current study examined the feasibility and effectiveness of transporting an empirically supported treatment for depression, cognitive therapy (CT), to a community Mental Health Center setting. CT was delivered to 192 adult outpatients with major depression, and a benchmarking strategy compared results with those of 2 randomized controlled trials (RCTs). The 3 samples were largely similar in terms of initial severity of depression, and CT was as effective in reducing depressive symptoms in the current sample as in the RCTs. More favorable outcome was associated with less severe initial depression, more therapy sessions, more years of education, and absence of a comorbid personality disorder. This study demonstrates that an empirically supported treatment can be transported effectively to a clinical setting.

  • transporting an empirically supported treatment for panic disorder to a service clinic setting a benchmarking strategy
    Journal of Consulting and Clinical Psychology, 1998
    Co-Authors: Wendy A Wade, Teresa A Treat, Gregory L Stuart
    Abstract:

    This work examines the transportability of cognitive-behavioral therapy (CBT) for panic disorder to a community Mental Health Center (CMHC) setting by comparing CMHC treatment outcome data with the results obtained in two controlled efficacy trials. Participants were 110 clients with a primary diagnosis of panic disorder with or without agoraphobia; clients were not excluded on the basis of medication use or changes, severity or frequency of panic attacks, age, or the presence of agoraphobia. Clients completed a 15-session CBT protocol. Despite differences in settings, clients, and treatment providers, the treatment outcomes for clients completing treatment in the CMHC and the efficacy studies were comparable: Of the CMHC clients who completed treatment, 87% were panic-free at the end of treatment, and clients showed significant reductions in anticipatory anxiety, agoraphobic avoidance, generalized anxiety, and symptoms of depression. The present study suggests that panic control treatment can be transported to a CMHC. Challenges facing the transportability of research-based treatment to CMHC clients, settings, and treatment providers are discussed.

George L Wolford - One of the best experts on this subject based on the ideXlab platform.

  • shared decision making preferences of people with severe Mental illness
    Psychiatric Services, 2007
    Co-Authors: Jared R Adams, Robert E Drake, George L Wolford
    Abstract:

    Objective: Perceived roles and preferences were explored for shared decision making among persons with severe Mental illnesses. Methods: In this pilot study, 30 adult clients with severe Mental illness in a community Mental Health Center were surveyed about decision making regarding psychiatric medications, rehabilitation, and general medical care. Results: Clients generally expressed a desire for greater participation in decisions about psychiatric care than they currently experienced. Regarding use of new psychiatric medications, 23 persons (77%) preferred autonomous or shared roles, but only 11 (37%) rated their current roles as more than passive (z=–2.83, p=.005). Clients were less likely to prefer a passive role in medication decisions about psychiatric care than about general medical care (seven persons, or 23%, versus 23 persons, or 77%; z=–3.01, p= .003). Conclusions: Most clients with severe Mental illnesses prefer shared decision making, particularly in relation to their Mental Health care. (Psychiatric Services 58:1219–1221, 2007)

Vinod H Srihari - One of the best experts on this subject based on the ideXlab platform.

  • first episode services for psychotic disorders in the u s public sector a pragmatic randomized controlled trial
    Psychiatric Services, 2015
    Co-Authors: Vinod H Srihari, Nicholas J K Breitborde, Jessica Pollard, Cenk Tek, Suat Kucukgoncu, Vivek H Phutane, Banu Ozkan, John R Saksa, Barbara Walsh, Scott W Woods
    Abstract:

    Objective:This study sought to determine the effectiveness of a comprehensive first-episode service, the clinic for Specialized Treatment Early in Psychosis (STEP), in an urban U.S. community Mental Health Center by comparing it with usual treatment.Methods:This pragmatic randomized controlled trial enrolled 120 patients with first-episode psychosis within five years of illness onset and 12 weeks of antipsychotic exposure. Referrals were mostly from inpatient psychiatric units, and enrollees were randomly allocated to STEP or usual treatment. Main outcomes included hospital utilization (primary); the ability to work or attend age-appropriate schooling—or to actively seek these opportunities (vocational engagement); and general functioning. Analysis was by modified intent to treat (excluding only three who withdrew consent) for hospitalization; for other outcomes, only data for completers were analyzed.Results:After one year, STEP participants had less inpatient utilization compared with those in usual tre...

  • public academic partnerships early intervention for psychotic disorders in a community Mental Health Center
    Psychiatric Services, 2009
    Co-Authors: Vinod H Srihari, Nicholas J K Breitborde, Jessica Pollard, Leslie Hyman, Linda K Frisman, Thomas H Mcglashan, Selby Jacobs, Scott W Woods
    Abstract:

    Early intervention may improve long-term outcomes for psychotic illnesses. Early-intervention services in other countries have focused on reducing the duration of untreated illness and adapting interventions for younger patients. This column describes the process of building such a service, called specialized treatment early in psychosis (STEP), at the Connecticut Mental Health Center. This effort is rooted in a longstanding collaborative relationship between the Connecticut Department of Mental Health and Addiction Services and Yale. The authors describe the critical contribution of such partnerships in evaluating the cost-effectiveness of early intervention in a “real-world” U.S. setting. (Psychiatric Services 60:1426–1428, 2009)