Friday, 20 February 2015

Health and Clinical Psychology Research Group Seminar

Please come and join us celebrate Tanya Hollier’s DPsych completion.

When: Monday, 2nd March 12-1pm
Where: Keats Reading Room, Psychology Building, Callaghan (Video link to Ourimbah Science Meeting Rooms)
What: Tanya Hollier’s Doctor of Psychology Completion Seminar 

The impact of therapeutic engagement on mental health outcomes in a short stay mental health unit.

Objective: To investigate the contribution of recovery-focused engagement and interventions in a 6 week stay non-acute inpatient unit for people with serious mental illness (SMI). More specifically, to investigate patterns of change for measures of clinical and personal recovery, and observe whether patterns of change are sustained at 6 month follow-up. A subsequent evaluation was conducted to investigate the association between change indices of therapeutic engagement, mental health outcomes and other key mental health measures. Methods: Twenty-seven people with SMI completed three self-report measures, one collaborative recovery measure and five clinician rated measures 2-3 days post-admission. Measures were repeated at discharge, 3 and 6-month follow-up. Twenty-three and 20 people respectively completed measures at the final two follow-up points. Results: Regression analysis found significant linear improvements in therapeutic engagement, symptomatology, functionality, self-determination and collaboratively determined recovery. A subcomponent of the recovery measure, social connectedness, also demonstrated linear improvement across follow-up periods with a large magnitude of change recorded. Therapeutic engagement and the initial change for the MHRS total score also showed conventionally large effect sizes (greater than 1). An association between therapeutic engagement and mental health outcomes; and mental health outcomes and functioning were also found. Conclusions: Although the study design incorporated limitations, the findings suggest that higher levels of wellness, self-determination and connectedness are achievable in a recovery-focused inpatient setting. The study also showed that these improvements were sustained at 6 month follow-up. However, given the limitations of this study, further work is required to explore the factors that overcome stigma and develop and sustain individual levels of hope in recovery.