The Clinical Textbook of Prison Based Medical Research in Mood Disorders: A guide to research methodologies (Prison Healthcare, Band 1) - Softcover

Inhaltsangabe

In our modern society with a large population of young men being incarcerated, are we as healthcare professionals providing and indeed considering the most appropriate forms of mental health therapy. This book asks the questions, what are the merits of cognitive behavioural therapy and electronic CBT or (CBT/ECBT) in comparison to drug therapy or pharmacotherapy in the treatment of adult prisoners, and how indeed as clinicians are we implementing this into practice and how can research methodologies be devised to best fit the model of treatment of the mentally ill within the prison setting. Patients that are incarcerated are at increased risk of depression and only one in 10 prisoners have no form of mental distress (mental health foundation.) Leahy (2006) suggests that even a brief intervention of 4 to 6-week sessions of 10 to 60 minutes of interventional CBT can have effective results of improving mood and further improve drug treatment withdrawal further down the line. Nathan and Gorman (2007) speculates that CBT appears to be more widely accepted by patients than medication treatment alone and that dropout rates for patients are less in CBT than that of pharmacotherapy treatments. Adult nurses more so than doctors in a prison environment will, without the doubt, come into contact with patients who suffer from some form of mental distress on a daily basis, be this from the environment or from external factors. It has been questioned in some literature if nurses simply medicate rather than engage in other forms of therapy, such as CBT or ECBT. Stein and Wilkinson (2007) suggest that in certain circumstances, it may be hard to obtain psychological support for patients, be this due to the nature of the environment or the training of the staff. Staff levels and workload are also variables that may result in deterioration of services provided, thus resulting in drug therapy being the easiest and possibly cheapest alternative.

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