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11 |
Psychotherapy |
Accessibility
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Evidence based psychosocial interventions appropriate to a patient’s condition should be available to patients in addition to pharmacological maintenance treatment, especially if complete or continued remission cannot be achieved.
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28 |
Youth |
Patients with Anxiety Disorders, Psychotherapy
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Use of Cognitive Behavioural Therapy (CBT) for the treatment of childhood and youth anxiety disorders.
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31 |
Children |
Psychotherapy, Accessibility
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Primary health care clinicians have access to or can refer for Child-Parent Psychotherapy (CPP) combined with case management for preschool-age children exposed to marital violence to prevent and treat child mental health disorders.
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41 |
Rehabilitation |
Psychotherapy, Children
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Consider the need for social skills training (in combination with other services only) to improve peer relationships, which are often negatively affected by conditions such as attention deficit hyperactivity disorder (ADHD) and schizophrenia.
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45 |
Equity |
Psychotherapy, Accessibility
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There is equity of access to counseling services or psychotherapy treatments regardless of ethnic origin, age, place of residence, socioeconomic status, and sex.
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47 |
Psychotherapy |
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The presence of a good working relationship between a patient and therapist as this predicts effectiveness of most types of psychotherapy.
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56 |
Psychotherapy |
Patients with Mood Disorders, Continuity
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Where patients have responded to a course of individual cognitive behavioural therapy (CBT), consideration should be given to follow-up sessions, which typically consist of 2 to 4 sessions over 12 months.
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73 |
Psychotherapy |
Continuity, Patient-Centeredness
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Consider early referral for psychotherapy if psychological and psychosocial issues are prominent and/or patient requests it. Referral for psychotherapy may have maximum benefit as symptom severity diminishes.
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77 |
Children |
Psychotherapy
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Documentation of psychosocial treatment: One or more evidence-based (e.g., Cognitive Behavioural Therapy (CBT) for depression) psychosocial treatments recommended in first 90 days unless child receiving such treatment at another program.
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92 |
Patients with Mood Disorders |
Psychotherapy, Medication
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In moderate to severe depression, antidepressant medication should be routinely offered to all patients before psychological interventions.
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96 |
Patients with Acute Conditions |
Psychotherapy
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Inappropriate intervention: Proportion of individuals who report experiencing a traumatic event and are offered single session interventions (often referred to as debriefing) as this intervention can increase the risk of developing post traumatic stress disorder
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97 |
Youth |
Patients with Acute Conditions, Psychotherapy
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For young people who have self-harmed several times, consideration may be given to offering developmental group psychotherapy with other youth who have repeatedly self-harmed. This should include at least six sessions. Extension of the group therapy may also be offered; the precise length of this therapy should be decided jointly by the clinician and the service user.
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106 |
Psychotherapy |
Competence
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Cognitive behavioural therapy (CBT) principles should form the core of training for primary health care-based psychological treatment providers (due to the preponderance of high quality evidence for effectiveness of CBT with a broad spectrum of disorders and age groups).
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117 |
Patients with Psychosis |
Psychotherapy, Accessibility
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All individuals with schizophrenia who are experiencing persisting psychotic symptoms should be offered cognitive behavioural therapy (CBT) for psychosis.
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121 |
Youth |
Prevention, Psychotherapy
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Cognitive Behavioural Therapy (CBT) is recommended for all school aged children or for targeted at-risk (youth) groups as a preventive treatment for major depression.
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122 |
Psychotherapy |
Competence
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Stepped care for delivery of psychological therapy (i.e., the skill of the therapist/availability of supervision matched with the patient’s motivation and the complexity of their illness).
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124 |
Psychotherapy |
Patients with Mood Disorders, Self-Management Support
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Clients with major depression should be referred to freely available web-based, self administered, cognitive behavioural therapy (CBT) based programs (e.g., http://moodgym.anu.edu.au/).
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142 |
Health Conditions |
Psychotherapy
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Use of the Clinical Outcomes in Routine Evaluation - Outcome Measure (CORE-OM), a validated, 34 item measure of the outcome of psychotherapy and applicable to most forms of psychotherapy.
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149 |
Patients with Acute Conditions |
Psychotherapy, Patients with Personality Disorders
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Percentage of individuals with 1 or more psychotherapy visits within 6 months of hospitalization or emergency room visit for borderline personality disorder.
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156 |
Psychotherapy |
Competence
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Use of provider psychological treatment competency scales (e.g., the Cognitive Therapy Scale (CTS)).
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