Dissertations / Theses on the topic 'Inpatient treatment'
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Olaiya, Eugene F. "The Impact of Inpatient Treatment on Implicit Opioid-related Cognitions." Xavier University / OhioLINK, 2019. http://rave.ohiolink.edu/etdc/view?acc_num=xavier1556635353457297.
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Offord, Abaigeal. "Exploring experiences of adolescent inpatient treatment for anorexia nervosa : a retrospective, qualitative study with young adults, reflecting on their experiences of inpatient treatment and discharge." Thesis, University of Oxford, 2004. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.414308.
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Elias, Stacey Chantal. "Rehabilitated substance abusers' experience of aftercare following completion of inpatient treatment." University of the Western Cape, 2017. http://hdl.handle.net/11394/5624.
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Magister Psychologiae - MPsychSubstance abuse is a public health concern in South Africa, and Western Cape Province in particular has been identified as having alarming rates of substance abuse. Substance abuse is the cause of some of the most pervasive and costly problems in society. Substance abuse is associated with various social problems such as crime, violence, unemployment, poverty, risky sexual behaviours, the escalation of chronic diseases such as AIDS and TB, and dysfunctional family life – and these problems are often interlinked. Furthermore, substance disorders place a huge strain on the health and welfare system of South Africa. In- and outpatient treatment facilities exist in communities to assist with alleviating the problem of substance abuse. Aftercare facilities are a form of outpatient service for substance abusers who have completed inpatient treatment. The primary aim of aftercare is to assist recovered substance abusers to maintain treatment gains by abstaining from substance use and to facilitate their reintegration with their families and communities. The purpose of the present study was to explore and obtain an in-depth understanding of the experiences of rehabilitated substance abusers in aftercare, following their completion of inpatient treatment. The sampling method for the study was purposive, and the sample consisted of two female and six male participants. Participants' attendance at the aftercare programme was verified with the aftercare coordinator. Semi-structured interviews were conducted and data were analysed using interpretative phenomenological analysis. Results of the study found that, overall, participants had a positive experience of aftercare. Furthermore, results indicated that aftercare played a vital role in assisting participants to maintain treatment gains.
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Richey, Chastity. "Challenges in Discharge Planning with Adolescents Receiving Recurring Inpatient Psychiatric Treatment." ScholarWorks, 2018. https://scholarworks.waldenu.edu/dissertations/4943.
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Mental health is a growing concern for adolescents. Billions of dollars are spent annually on mental services for youth. Many adolescents experience abuse, suicidal ideations, psychotic disorders, substance abuse, and other challenges. Recurring inpatient psychiatric hospitalizations are increasing among adolescents. The recurring admissions impact adolescents significantly socially, psychologically, and financially. Social workers are a vital part of this treatment process from admission to discharge. The research question asked what were the issues and challenges social workers encounter when conducting discharge planning with adolescents receiving recurring inpatient psychiatric treatment. The purpose for this doctoral project was to carefully examine the discharge planning process while identifying ways social workers can positively impact the process. Key concepts for this project were adolescent, inpatient hospitalization, recurring hospitalization, and discharge planning. Systems theory was used to inform the project. This action research study allowed social workers to share their experiences and perspectives about the role of social workers in discharge planning. Seven participants were identified using purposive sampling. One focus group provided data for project. Data analysis consisted of in vivo and process coding. Four participant-inspired themes identified related to issues and challenges in discharge planning include (a) adequate resources, (b) insurance restrictions, (c) rapport with adolescents, and (d) parental participation. Social work practice and positive social change implications include establishing follow-up protocol for all adolescent discharges from inpatient settings and increasing the use of encouragement and engagement strategies for rapport building with adolescents.
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Gomez, Rosalinda, Jennifer Holt, and Claire Huynh. "Characteristics of Patients and their Treatments at an Inpatient Facility for Detoxification and Treatment of Chemical Dependence." The University of Arizona, 2005. http://hdl.handle.net/10150/624744.
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Class of 2005 AbstractObjectives: The purpose of this study was to determine the demographics of co-morbid disorders and drug abuse characteristics of patients admitted to an inpatient facility for detoxification and treatment of chemical dependency to characterize the treatment programs including the psychiatric medication usage and prescribing patterns and to identify differences between men and women. Methods: Criteria inclusion for admittance included a diagnosis of chemical dependence at Sierra Tucson Behavioral Health Hospital during the time of January through June 2004. Patients were admitted to that were diagnosed with a chemical dependency, identified using a past hospital census. Charts of previously discharged patients were obtained from the medical records department of the institution. Specific variables from each chart were extracted for further analysis utilizing a data form. Results: 285 (170 women and 115) men chemically dependent patients that were admitted during the six-month study period. In this patient population there was a high incidence, 76.84%, of co-morbid psychiatric conditions. The most frequently abused drugs in men were alcohol, nicotine, and cocaine. The most frequently abused drugs in women were alcohol, nicotine, and opiates. Men and women were most frequently placed on a librium based alcohol detoxification program, and secondly a buprenorphine based opiate detoxification program. There was statistical significant improvement in the of Beck Depression Inventory scale (BDI), Beck Hopelessness scale (BHS), and Global Assessment Function (GAF) scores at admit and discharge and a downward trend in Clinical Institute Withdrawal Assessment (CIWA) and Clinical Opiate Withdrawal (COW) scores. Implications: There was a high incidence of co-morbid psychiatric conditions such as depression and anxiety that were present in both genders. In men, Attention Deficit and Hyperactivity Disorder/ Attention Deficit Disorder (ADHD/ADD) was an additional common condition observed, while in women eating disorders were observed. The treatments provided led to an overall improvement in GAF, BDI, BHS, CIWA and COW scores indicating effectiveness of the treatment program.
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Dean, Helen Yasmin. "Brief inpatient treatment for eating disorders: can Motivational Enhancement Therapy improve outcome?" University of Sydney, 2007. http://hdl.handle.net/2123/1608.
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Doctor of Clinical Psychology / Master of ScienceDespite a number of different psychotherapeutic approaches having been examined for use with patients with eating disorders, there is still no established psychological treatment associated with acceptable levels of long-term recovery. These poor recovery rates are associated with the observation that eating disorder patients are often ambivalent, or even resistant, to treatment. As such, research has begun to explore the use of Motivational Enhancement Therapy (MET), a treatment approach that aims to engage ambivalent and change resistant patients in the treatment process, with these individuals. Poor motivation to recover is particularly prominent within the inpatient eating disorder setting. However, no previous study has examined the use of MET to foster willingness to engage in treatment with this group of patients. The objectives of the current study were twofold. Firstly, an examination of the effectiveness of an inpatient eating disorders unit affiliated was undertaken in order to further the research base upon which future inpatient interventions can be built and compared. The second objective was to develop and evaluate a brief MET group program for inpatient eating disorder sufferers. The goal of the intervention was to enhance patients’ motivation to more effectively utilise the inpatient program and to hence positively impact upon their psychological, physical and behavioural functioning. Forty-two consecutive inpatients meeting DSM-IV criteria for an eating disorder were recruited into the current study and sequentially allocated to groups. Twenty-three inpatients completed four MET groups in addition to routine hospital care. A control group of 19 participants in the standard hospital treatment program was also employed (TAU group). The inpatient unit was associated with significant improvements on a number of physical, behavioural and emotional outcome measures. Despite no significant differences between the MET and the TAU groups being found on the overall formal outcome measures, there were nevertheless differences between the groups. Specifically, the MET groups appeared to foster longer-term motivation and engagement, and to promote treatment continuation. This study hopes to start a constructive debate on the role of MET in the inpatient eating disorders unit.
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Pranckevičienė, Aistė. "Patients’ subjective complaints and evaluation of life during inpatient treatment of depression." Doctoral thesis, Lithuanian Academic Libraries Network (LABT), 2008. http://vddb.library.lt/obj/LT-eLABa-0001:E.02~2008~D_20080422_114144-21291.
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The study analyses patients’ subjective complaints and subjective evaluation of life, and seeks to evaluate changes and relationships of these phenomena during inpatient treatment of depression, stressing the importance of subjective experience in understanding the burden of the illness, resources for recovery and treatment outcomes. The study seeks to analyze the structure of depressed patients’ subjective complaints, as well as to evaluate the utility of the subjective evaluation of life for treatment outcome evaluation. 195 depressed inpatients were assessed at the beginning of the treatment and at the time of discharge, using measures of subjective depressive complaints (Pranckevičienė, Goštautas, 2007), subjective quality of life (WHOQOL-Bref) and other clinical and social-demographic data. The results of the study show that additional attention to psychological and somatic components of patients’ subjective complaints is useful and compliments the analysis of depressed inpatients’ recovery process. The subjective evaluation of life should be interpreted as a more generic measure of consequences of depression, but not as a measure of depressed inpatient’s recovery resources. The results validate the need of psychological interventions during inpatient treatment.Disertaciniame darbe nagrinėjama depresija sergančių asmenų savijauta ir subjektyvus gyvenimo vertinimas stacionarinio gydymo laikotarpiu, šių reiškinių sąsaja bei pokyčiai gydymo metu. Siekiama atskleisti subjektyvaus asmens savo ligos ir sveikatos vertinimo svarbą prognozuojant sveikimo nuo depresijos rezultatus. Darbe siekiama detaliai išanalizuoti depresija sergančių asmenų savijautos struktūrą, taip pat patikrinti prielaidą, kad subjektyvus gyvenimo vertinimas gali būti laikomas psichikos sveikatos išteklių rodikliu. Teorinėms darbo prielaidoms patikrinti gydymo pradžioje ir pabaigoje buvo ištirti 195 depresija sergantys asmenys besigydantys psichiatrijos stacionare, naudojant klausimyną depresijos pokyčiams vertinti (Pranckevičienė, Goštautas, 2007), Pasaulinės sveikatos organizacijos gyvenimo kokybės klausimyną (PSOGK – Trumpas) ir kitas papildomas metodikas. Statistinė rezultatų analizė atskleidė, kad depresija sergančių asmenų savijauta yra daugiakomponentė ir psichologinių bei somatinių savijautos komponentų išskyrimas yra naudingas analizuojant depresija sergančių asmenų sveikimą stacionarinio gydymo laikotarpiu. Subjektyvus gyvenimo vertinimas neprognozuoja gydymo rezultatų, tačiau yra tinkamas subjektyvus visuminės sveikatos matas, nes gerai parodo funkcines ir kognityvines depresijos pasekmes, t.y. pasikeitusį suvokimą. Tyrimas iliustruoja psichologinės pagalbos svarbą stacionarinio depresijos gydymo laikotarpiu.
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Armstrong, Jessica Lee. "Internalized Shame and Shame Tolerance in Inpatient Treatment for Substance Use Disorders." Thesis, Clark University, 2017. http://pqdtopen.proquest.com/#viewpdf?dispub=10288589.
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Internalized shame, a construct that assesses the extent to which an individual identifies with the experience of feeling deeply flawed, unworthy, and defective (Cook, 1987, 1991, 2001), has been associated with negative clinical outcomes in substance use disorders (SUDs; Harper, 2011). Tolerance for shame-related distress, or shame tolerance, has been associated with other forms of psychopathology (Schoenleber & Berenbaum, 2010, 2012), and may serve to moderate the relationship between internalized shame and SUD treatment outcomes. This mixed-methods study explores internalized shame and shame tolerance in the context of early recovery from SUDs, particularly as they are associated with inpatient treatment success and participant experiences with relapse. Self-report measures and interviews were used, and thematic analysis (Braun & Clarke, 2006) was utilized in analyzing qualitative data. Quantitative analyses did not find support for the moderating effects of shame tolerance on the impact of internalized shame on treatment outcomes in individuals with SUDs in inpatient treatment. However, there was a significant interaction between gender, prior relapse, and internalized shame, such that women with prior relapse presented with higher internalized shame and lower shame tolerance than women with no prior relapse or men in either condition. A semi-structured interview and subsequent qualitative analyses were utilized to explore participant experiences with relapse and treatment. Results revealed superordinate and subthemes related to each of three content areas – relapse experiences, abstinence in response to craving, and current treatment experiences – and interview excerpts are included to highlight each theme. Clinical implications, limitations, and future directions are discussed.
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Jorgensen, Anna Mae. "Familial predictors of long-term outcome following inpatient treatment for eating disorders /." Diss., CLICK HERE for online access, 2009. http://contentdm.lib.byu.edu/ETD/image/etd3086.pdf.
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Ridley, Anna Mae. "Familial Predictors of Long-Term Outcome Following Inpatient Treatment for Eating Disorders." BYU ScholarsArchive, 2009. https://scholarsarchive.byu.edu/etd/1752.
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The present investigation examined characteristic, symptomatic, and familial predictors of long-term symptom severity of eating disorders. The purpose of the study was to determine if, after accounting for a number of known predictors of outcome, familial variables explained a significant amount of additional variance in disordered eating and general well-being scores measured at post-treatment follow-up. The sample included 398 women, ages 13 to 56, who had completed eating disorder treatment at an inpatient facility. Hierarchal multiple regression analysis demonstrated that familial predictors at admission to treatment did significantly predict long-term outcomes, while changes from admission to treatment in symptoms and perceptions of parents did not predict recovery. Patients' relationships with their fathers significantly contributed to the regression model. Recommendations for future investigations are discussed.
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Spielmann, Marchell Rene. "Tobacco Treatment Education Module for Nurses Working in the Inpatient Psychiatric Setting." ScholarWorks, 2019. https://scholarworks.waldenu.edu/dissertations/7080.
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Tobacco use among people with mental illness remain a significant problem in the western United States. At the project site, there is widespread tobacco use among patients with mental illness and lack of training for nurses to address the issue. The purpose of this project was to educate nurses working in the acute psychiatric setting about evidence-based tobacco treatment interventions. The practice-focused question addressed whether a tobacco education program would increase nurses' knowledge, confidence, and skills to provide tobacco treatment interventions to patients with a mental illness. Self-determination theory and the transtheoretical model of change provided the theoretical framework for the project. Evidence was obtained from a comprehensive literature search. The Psychiatry RX for Change education modules were used to implement the education intervention. Nine participants completed pre- and post-test knowledge-based questionnaires and the Skills and Confidence for Smoking Cessation Tool survey. Results from GraphPad t-test analysis indicated a statistically significant increase in perceived knowledge, skills, and confidence among nurses related to tobacco cessation treatment. The mean knowledge pre-test scores were 10.3 and the mean for the post-test score was 14.7. The mean on the pre-survey scores for the nine confidence questions was 16, and the mean on the postscores was 23. The mean obtained on pre-survey scores for the six skills questions was 11.0, and the mean obtained on the post-survey was 18.0. Findings support the use of tobacco education for nurses to improve tobacco treatment offered to patients. The implications of the project for positive social change are that results may be used to improve the quality of life and health outcomes for the patient population.
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Isobell, Deborah Louise. "Referring agents’ perceptions of access barriers to inpatient substance abuse treatment centres in the Western Cape." University of the Western Cape, 2013. http://hdl.handle.net/11394/4060.
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Masters of ArtHigh rates of substance use and its associated problems afflict Cape Town, underscoring the need for easily accessible substance abuse treatment. Despite the substantial benefits for both individuals and society at large that substance abuse treatment confers, substance abusers often first have to negotiate considerable challenges in order to access treatment and accumulate these gains. That is, experiencing barriers to accessing treatment, together with the presence of socio-demographic features, rather than “need for treatment”, decides who accesses treatment. Referrals are the gateway to inpatient substance abuse treatment in the Western Cape. While several barriers to accessing treatment have been identified by prior studies, none examine these phenomena from the point of view of the agents responsible for referring substance users for treatment. Moreover, access barriers to inpatient substance abuse services are a neglected area in extant literature. To address this gap, this study explored the perceptions of referring agents‟ of the barriers to accessing state-funded inpatient substance abuse treatment centres in the Western Cape. This enabled the researcher to compare existing access barriers to treatment as identified by prior research, to those elucidated in the study. Bronfenbrenner‟s Process-Person-Context-Time model was employed as the basis for understanding identified barriers. In accordance with the exploratory qualitative methodological framework of the study, six semi-structured individual in-depth interviews were conducted with referring agents‟ of differing professional titles who were purposefully selected and expressed a willingness to participate in the study. Interviews were audio-recorded, and transcripts were analysed and interpreted by means of Thematic Analysis. Two broad thematic categories of access barriers were identified: Person-related barriers (denial, motivation for treatment, gender considerations, disability, active TB disease, homelessness, psychiatric co-morbidity) and Context-related barriers to treatment (cultural and linguistic barriers, stigma, community beliefs about addiction and treatment, awareness of substance abuse treatment, affordability/ financial barriers, geographic locations of treatment facilities, waiting time, lack of collaboration within the treatment system, beliefs of service providers‟, lack of facilities/ resources within the treatment system, practices at inpatient facilities, referral protocol and uninformed staff). Results suggest that by targeting the aforementioned barriers, access to inpatient and outpatient treatment services can be improved, and recommendations for interventions are offered in this regard. Ethical principles such as obtaining informed consent and ensuring confidentiality were abided by throughout the study and thereafter.
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Cornwell, Sonya. "Pediatric feeding disorders: Efficacy of multidisciplinary inpatient treatment of gastrostomy tube dependent children." Thesis, University of North Texas, 2008. https://digital.library.unt.edu/ark:/67531/metadc9113/.
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Efficacy of multidisciplinary inpatient treatment of feeding disordered children was sought through retrospective chart review of 40 G-tube dependent children ages 22 months to 7 years. Premature births were 55% of the sample ranging from 23 to 36 weeks gestation. The majority of co-occurring medical conditions included congenital anomalies (50%), gastroesophageal reflux disease (25%) and chronic lung disease (25%). Treatment effect analyzed from pre and post treatment measures of oral and G-tube caloric intakes resulted in a significant difference from admission to discharge for both oral intake, t (39) = 5.76, p < 0.001, d = 1.02, and G-tube dependency, t(39) = 10.94, p < 0.001, d = 2.03 with both showing strong treatment effects. Results indicated a highly reliable and valid method of treating severe pediatric feeding disorders.
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Cornwell, Sonya Kelly Kimberly. "Pediatric feeding disorders efficacy of multidisciplinary inpatient treatment of gastrostomy tube dependent children /." [Denton, Tex.] : University of North Texas, 2008. http://digital.library.unt.edu/permalink/meta-dc-9113.
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Ziser, Katrin [Verfasser]. "Motivation to change, therapeutic alliance, and treatment adherence in the inpatient treatment of patients with anorexia nervosa / Katrin Ziser." Tübingen : Universitätsbibliothek Tübingen, 2021. http://nbn-resolving.de/urn:nbn:de:bsz:21-dspace-1182810.
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Stinson, Jill D., Judith V. Becker, and Lee Ann McVay. "Treatment Progress and Behavior Following 2 Years of Inpatient Sex Offender Treatment: A Pilot Investigation of Safe Offender Strategies." Digital Commons @ East Tennessee State University, 2017. https://dc.etsu.edu/etsu-works/7871.
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Emerging research highlights the role of self-regulation in the treatment of sexual offenders. Safe Offender Strategies (SOS) is a manualized sex offender treatment program that emphasizes the role of self-regulation and self-regulatory skills development in sex offender treatment, particularly for offenders with serious mental illness and intellectual/developmental disabilities. The current study involves 156 adult male sexual offenders in an inpatient psychiatric setting who received SOS treatment for a period ranging from 6 months to 1 year. Participants’ baseline and treatment data were obtained from archival medical records describing 1 year pre-treatment and up to 2 years of treatment participation. Dependent variables included monthly count rates of verbal and physical aggression and contact and noncontact sexual offending, as well as sexual deviancy attitudes, self-regulatory ability, and cooperation with treatment and supervision, as measured by the Sex Offender Treatment Intervention and Progress Scale (SOTIPS). Data were examined via paired-samples t tests, regression, and multilevel modeling, examining the impact of overall percentage of SOS groups attended over time, comparing participants’ baseline measures to data from 2 years of treatment. The impact of predicted risk was also evaluated. Significant treatment dose effects were identified for improvements in aggression, sexual offending, and indicators of treatment compliance and change. These findings suggest that the skills-based, self-regulation approach utilized in SOS may be effective in improving clients’ aggressive and sexual behaviors, attitudes toward their offenses and treatment, and self-regulatory ability over time. Implications for further research and treatment generalizability are discussed.
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Stinson, Jill D., L. A. Morrison, and J. V. Becker. "Arrest and Psychiatric Rehospitalization Following Inpatient Sex Offender Treatment: A Comparison of Two Protocols." Digital Commons @ East Tennessee State University, 2013. https://dc.etsu.edu/etsu-works/7976.
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Jennings, Karen Marlene. "Patterns of Change in Body Weight Among Individuals During Inpatient Treatment for Anorexia Nervosa." Thesis, Boston College, 2016. http://hdl.handle.net/2345/bc-ir:105067.
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Thesis advisor: Barbara E. WolfeDespite the chronicity and less than optimal outcomes of inpatient treatment (IPT) for anorexia nervosa (AN), treatment guidelines continue to reflect the common notion of one-size-fits-all and the process of weight restoration continues to be poorly understood. Weight restoration, a primary goal of IPT for AN, does not occur in isolation but rather reflects an adaptation process within internal and external environments. It is unknown whether or not there are unique patterns of change in body weight that are associated with factors identified in the existing literature as being predictors of weight gain. The purpose of this study was to explore the extent to which patterns of change in body weight existed among individuals during IPT for AN, and the relationship with factors identified in the existing literature as being predictors of weight gain (i.e., age at time of admission, admission caloric intake, percent of ideal body weight [IBW] at time of admission, body weight at time of discharge, body mass index [BMI] at time of discharge). Individuals who were diagnosed with AN and admitted to the inpatient unit of an eating disorder treatment facility in the Northeast between January 1, 2012 to December 31, 2015 were included in this retrospective, exploratory study (N = 500). Group-based trajectory modeling (GBTM) was used to identify distinct trajectories of change in body weight, and to determine the risk of being in a particular trajectory. Four distinct trajectories were identified: weight gain (n = 197), weight loss (n = 177), weight plateau (n = 82), and weight fluctuate (n = 44) groups. Significant predictors of trajectories were age, history of prior IPT for AN, admission caloric intake, body weight at time of admission and discharge, and length of stay. Results from this study suggest that a further understanding of patterns of change in body weight among individuals with AN, will help guide assessment and treatment interventions and consequently influence outcomes. Additionally, there is an opportunity to update treatment guidelines and recommendations for AN
Thesis (PhD) — Boston College, 2016
Submitted to: Boston College. Connell School of Nursing
Discipline: Nursing
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Willmot, Phil. "The process of change in the treatment of personality disorder in a forensic inpatient setting." Thesis, University of Nottingham, 2016. http://eprints.nottingham.ac.uk/33978/.
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This thesis explores the question, what are the important change processes in the treatment of personality disorder in a male forensic inpatient setting? A number of empirically supported therapies for personality disorder stress the importance of the therapist-client relationship in the change process. Therapist-patient relationships are therefore an important focus in this thesis. However, given the lack of research into change processes in this population, the focus is not limited to the therapist-patient relationship, but also considers other relationships and other aspects of the treatment milieu. A model of change processes for this patient group is developed through a series of studies. The first study, in chapter 3, is a qualitative investigation of patients’ perceptions of the process of change and the factors involved. Twelve patients completed a semi-structured interview and the results were analysed using thematic analysis. The study concludes that the cognitive dissonance between how patients expect to be treated and how they are actually treated is an important factor in motivating them to engage in treatment. It also concludes that the therapist-patient relationship and the wider interpersonal environment are both important to therapeutic change with this population. Chapters 4 and 5 describe the process of developing an appropriate dependent outcome measure for the thesis. Social functioning was selected as the dependent outcome variable. Chapter 4 is a systematic review of social functioning measures used with people with a diagnosis of personality disorder and concludes that there is a need to develop a new self-report measure specifically for people with a diagnosis of personality disorder in inpatient settings. Chapter 5 describes the development and validation of this new measure, the Hospital Social Functioning Questionnaire (HSFQ). Fifty-four patients completed a range of measures including the HSFQ. The HSFQ shows good internal consistency, test-retest reliability and concurrent validity with other measures. It appears to measure different aspects of social functioning from the Global Assessment of Functioning (GAF), the most widely used social functioning measure, and the two measures appear to complement each other. Chapter 6 is a quantitative study using the HSFQ and a self-report measure of patients’ perceptions of therapeutic change processes to test the initial model of change developed in chapter 3. Fifty patients completed a checklist about how they had changed during treatment and the factors that had contributed to that change, as well as measures of social functioning. Self-reported levels of change were highly correlated with measures of patient functioning, though significant levels of change did not occur until the latter stages of treatment. The behaviour of therapists was particularly important throughout treatment, though participants in the final stage of therapy reported that the behaviour of other staff was as important as that of therapists, suggesting that, by this stage of treatment they are able to extend their range of supportive and therapeutic relationships. The results support a limited reparenting attachment-based model of therapeutic change. Chapter 7 is a pattern matching study that tests and refines the model of change. Ten patients completed a semi-structured interview about their interactions with their therapist. Their responses were analysed using a modified version of pattern matching to test hypotheses generated by the limited reparenting attachment-based model of change. The results support the limited reparenting model and suggest that patients’ attachment relationships with their therapists are an important change process for this population, particularly in the earlier stages of treatment. Chapter 8 presents a three-stage model of change based on the results of this thesis. On first admission, patients enter the orienting/ cognitive dissonance phase, in which they start to engage in treatment after perceiving a consistent improvement in how they are currently regarded and treated compared to how they have been regarded and treated previously, particularly in prison. Next, they enter the reparenting phase, during which their relationship with their therapist is the most important factor affecting change. Many features of the therapist-patient relationship during this phase parallel attachment processes between children and caregivers. Finally, patients enter the exploration/ generalisation phase in which they are able to explore from the secure base of their relationship with their therapist and develop supportive and therapeutic relationships with other staff members. This model provides a useful framework for working therapeutically with this patient group.
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Hill, Hayley. "The experiences of adults with a learning disability in specialist inpatient assessment and treatment units." Thesis, Cardiff University, 2012. http://orca.cf.ac.uk/37094/.
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UK Government policy advocates that as far as possible, adults with a learning disability should be supported within mainstream community settings (Department of Health, 1993; 2001; 2007). However, for individuals who present with mental health problems or exceptional challenging behaviour, admission to a specialist inpatient unit is sometimes necessary. Despite a growing body of literature exploring service users’ views of community and healthcare services, research exploring their views and experiences of inpatient admission remains limited. The aim of the current study was to address this gap in the literature by conducting a qualitative exploration of service users’ experiences in specialist inpatient assessment and treatment units. The study employed a Grounded Theory methodology to obtain multiple perspectives on service users’ experiences, using semi-structured interviews with service users, carers and staff members. Verbatim interview transcripts were analysed in line with the Grounded Theory approach to develop a rich and in-depth understanding of service users’ experiences. From the data analysed, five core concepts were constructed which provided a theoretical model for understanding service users’ experiences of admission. This model proposes that service users’ experiences can be understood in relation to procedural aspects of ‘the course of admission’ as well as the psychological processes ‘sense of self and connectedness’, ‘sense of agency’ and ‘creating safety and protection’ which contribute to the construction of ‘understanding and meaning’. Findings are considered in relation to the existing literature and social constructionist, systemic and attachment theories. Clinical and service development implications from the research findings highlight the need for inpatient staff to consider the impact of psychosocial factors and processes on service users’ experiences, as well as the procedural aspects of admission. Recommendations are also made for maintaining family involvement, creating a context in which shared understandings between staff, carers and service users can be constructed, and developing links with community services.
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Smith, Vivien. "Experiences of specialist inpatient treatment for anorexia nervosa : a qualitative study from adult patients' perspectives." Thesis, University of Edinburgh, 2012. http://hdl.handle.net/1842/6285.
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Background: Response to treatment in anorexia nervosa entails various challenges, including an increased risk of relapse and re-admission in those treated as inpatients. A better understanding of patients’ experiences is paramount to improve treatment acceptability and outcome. This qualitative study aimed to explore the lived experiences of adult female inpatients undergoing a specialist inpatient treatment programme for anorexia nervosa. Methods: Semi-structured interviews were carried out with 21 female participants (aged 18-41 years) with a diagnosis of anorexia nervosa, undergoing treatment in a specialist inpatient eating disorder unit. Data were analysed using interpretative phenomenological analysis (IPA). Results: Qualitative analysis highlighted 5 master themes which underpinned treatment experiences: (1) Shifts in control, (2) Experience of transition, (3) The importance of supportive staff relationships, (4) Sharing with peers and (5) Process of recovery and self-discovery. Conclusions: Overall, findings suggest patients experience a process of change and adjustment during inpatient treatment in relation to their levels of perceived control, attachment to the treatment environment and a sense of self-identity. Treatment experiences appear to be influenced by the development of supportive relationships and the provision of individualised care.
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Hoyer, Jürgen, Jens Fecht, Wolfgang Lauterbach, and Ralf Schneider. "Changes in Conflict, Symptoms, and Well-Being during Psychodynamic and Cognitive-Behavioral Alcohol Inpatient Treatment." Saechsische Landesbibliothek- Staats- und Universitaetsbibliothek Dresden, 2014. http://nbn-resolving.de/urn:nbn:de:bsz:14-qucosa-133719.
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Background: According to Grawe’s psychological therapy approach, conflict reduction can be expected not only in psychodynamic, but also in cognitive-behavioral therapy (CBT). This was tested in an effectiveness study. Changes in cognitive conflicts, along with those of symptom severity and well-being were analyzed during alcohol inpatient treatment. Methods: Four times during treatment, groups of patients receiving psychodynamic therapy (n = 45 patients) or CBT (n = 49 patients) were measured and compared. Lauterbach’s Online Conflict Test was used to measure conflict. Symptom severity and well-being were measured using questionnaires. Results: Results showed significant conflict decrease in both groups with a tendency towards faster reduction under CBT. There was also significant change in symptom severity and well-being in both groups with no difference regarding reduction gradient. Moreover, patients in the psychodynamic treatment group exhibited lower symptom scores at treatment begin which may be a consequence of clinical group assignment. Conclusions: In general, the findings confirmed Grawe’s theoretical assumptions. Generalizability to other diagnostic groups and other clinical settings remains to be testedDieser Beitrag ist mit Zustimmung des Rechteinhabers aufgrund einer (DFG-geförderten) Allianz- bzw. Nationallizenz frei zugänglich
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Hoyer, Jürgen, Jens Fecht, Wolfgang Lauterbach, and Ralf Schneider. "Changes in Conflict, Symptoms, and Well-Being during Psychodynamic and Cognitive-Behavioral Alcohol Inpatient Treatment." Karger, 2001. https://tud.qucosa.de/id/qucosa%3A26479.
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Background: According to Grawe’s psychological therapy approach, conflict reduction can be expected not only in psychodynamic, but also in cognitive-behavioral therapy (CBT). This was tested in an effectiveness study. Changes in cognitive conflicts, along with those of symptom severity and well-being were analyzed during alcohol inpatient treatment.
Methods: Four times during treatment, groups of patients receiving psychodynamic therapy (n = 45 patients) or CBT (n = 49 patients) were measured and compared. Lauterbach’s Online Conflict Test was used to measure conflict. Symptom severity and well-being were measured using questionnaires.
Results: Results showed significant conflict decrease in both groups with a tendency towards faster reduction under CBT. There was also significant change in symptom severity and well-being in both groups with no difference regarding reduction gradient. Moreover, patients in the psychodynamic treatment group exhibited lower symptom scores at treatment begin which may be a consequence of clinical group assignment.
Conclusions: In general, the findings confirmed Grawe’s theoretical assumptions. Generalizability to other diagnostic groups and other clinical settings remains to be tested.Dieser Beitrag ist mit Zustimmung des Rechteinhabers aufgrund einer (DFG-geförderten) Allianz- bzw. Nationallizenz frei zugänglich.
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Stinson, Jill D. "Predictors of Treatment Noncompletion in a Sample of Inpatient Sex Offenders With Serious Mental Illness." Digital Commons @ East Tennessee State University, 2016. https://dc.etsu.edu/etsu-works/7872.
Full textAbstract:
Objective: Very little is known regarding noncompletion of sex offender treatment among sex offenders with serious psychiatric illness. The purpose of the study was to identify factors predictive of treatment noncompletion in a forensic psychiatric sample of 156 adult male sex offenders.
Methods: All data were coded from archival client medical records. Variables of interest, including indicators of historical risk and clinical diagnosesmade by hospital psychiatrists, were entered into both a linear regression equation with percentage of groups attended over two years as a continuous variable and a logistic regression equation for predicting more or less than 50% sex offender treatment group attendance.
Results: Significant predictors of treatment noncompletion included number of arrests, recent physical aggression, length of admission, and diagnoses of borderline personality disorder, psychosis, and intellectual impairments.
Conclusions: The resulting predictors indicate a combination of relevant variables for psychiatric sex offenders, combining both criminal risk and clinical risk indicators. Suggested reasons for these findings and implications for predicting treatment noncompletion by psychiatric sex offenders are discussed.
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Beintner, Ina, and Corinna Jacobi. "Internet-based aftercare for women with bulimia nervosa following inpatient treatment: The role of adherence." Elsevier, 2019. https://tud.qucosa.de/id/qucosa%3A33834.
Full textAbstract:
Facing poor long-term outcome and high relapse rates in the treatment of bulimia nervosa, we developed an Internet-based aftercare program for women with severe and chronic bulimia nervosa following inpatient treatment based on previous experiences with self-directed targeted prevention and early intervention programs delivered online. The aim of the present study was to examine adherence to the program in detail, to explore potential variables that predict adherence and to analyze whether adherence affects outcomes. We analyzed data
from 126 women in the intervention group of a randomized controlled trial. 107 women (85%) logged on to the program platform at least once. These women opened on average 42.8% (SD=31.9%) of all assigned program pages. Adherence declined during the course of the intervention. Adherence was not associated with the number of outpatient treatment sessions received during the intervention period. Adherence was not related to overall illness severity or duration at baseline. However, excessive exercise at hospital discharge (which may be a sign of
insufficient motivation to change eating disorder related behaviors) seems to play some small role in adherence. Adherence did not affect intervention outcomes. Based on our findings, we would like to advocate further research on online aftercare interventions for women with severe and chronic bulimia nervosa.
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Culver, Mark, and Justin VandenBerg. "Clinical Outcomes and Economic Characteristics Regarding Inpatient Treatment of Brain Tumors with Implantable Wafers in the United States." The University of Arizona, 2012. http://hdl.handle.net/10150/623597.
Full textAbstract:
Class of 2012 AbstractSpecific Aims: This study was aimed to evaluate inpatient clinical treatment characteristics associated with the use of intracranial implantation of chemotherapeutic wafers for malignant brain neoplasms within United States, and assess inpatient mortality and total charges regarding treatment with wafer versus without. Methods: A retrospective cohort investigation was conducted utilizing inpatient discharge records from the Agency for Healthcare Research and Quality (AHRQ) Healthcare Cost and Utilization Project (HCUP) Nationwide Inpatient Sample from 2005 to 2009. From this nationally- representative sample, 9,455 adults aged 18 years or older were identified with malignant neoplasms of the brain treated with implantable chemotherapeutic wafers. Outcomes of inpatient mortality and charges were assessed via multivariate regression analysis, controlling for patient characteristics, hospital structure, comorbidities, and clinical complications. Main Results: The average age of patients with brain neoplasms was 56.6 (±16.5) years, and of those patients, 42.9% were female. The odds ratio for inpatient mortality of patients treated with implantable chemotherapeutic wafers was OR=0.380 (P<0.001), and patients that received wafer treatment had increased charges exp(b)=2.147 (P<0.001). Conclusions: Multiple factors were associated with inpatient mortality and charges among the 247,829 patients that were diagnosed with malignant brain neoplasms from 2005-2009. With regards to these patients, implantable chemotherapeutic wafers were associated with increased inpatient survival and increased charges.
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Gliaudelienė, Rita. "Stacionarinio gydymo pagrįstumo įvertinimas." Master's thesis, Lithuanian Academic Libraries Network (LABT), 2011. http://vddb.laba.lt/obj/LT-eLABa-0001:E.02~2011~D_20110628_155646-50316.
Full textAbstract:
Darbo tikslas: Įvertinti stacionarinio gydymo (hospitalizacijos) atvejų struktūrą, priežastis ir pagrįstumą pirminės sveikatos priežiūros centro bendruomenėje.
Uždaviniai:
1. Nustatyti pirminės sveikatos priežiūros centro bendruomenės narių stacionarinio gydymo atvejų struktūrą.
2. Įvertinti stacionarinio gydymo pagrįstumą pagal pagrindinius hospitalizacijos atvejų struktūros elementus.
3. Įvertinti gulėjimo stacionare trukmę ir jos pagrįstumą.
Tyrimo metodika: Atlikta išrašų iš ligos istorijų, išduotų įvairaus lygio ligoninių 2007 m., ekspertinė analizė. Ekspertų grupę sudarė 3 asmenys - dvi šeimos gydytojos ir gydytoja - kontrolės ir ekspertizės vyriausioji specialistė. Nagrinėjant išrašų iš ligos istorijų duomenis buvo analizuojami hospitalizacijų atvejai pagal sociodemografinius rodiklius, stacionarinio gydymo įstaigą, skyrių, gulėjimo trukmę, galutinę diagnozę, guldymo priežastį. Nustatant stacionarinio gydymo pagrįstumą, buvo atsižvelgiama į ligos sudėtingumą, taikomą gydymą, atliktus tyrimus, į patvirtintas medicinines normas. Analizė atlikta naudojant statistinį duomenų analizės paketą SPSS 13.0.
Rezultatai: Ekspertų nuomone, 56,3% stacionarinio gydymo atvejų buvo nepagrįsti ir 43,7% pagrįsti. Pagrįsto stacionarizavimo atvejai sudarė nuo 36,2% rajono ligoninėje iki 93,2% universitetinėse ligoninėse (p=0,000). Stacionarinio gydymo atvejų pagrįstumas didėjant pacientų amžiui mažėjo nuo 63,6% 0-17 metų grupėje iki 39,2% vyresnių negu 65 metų grupėje. Daugiausia pagrįstų... [toliau žr. visą tekstą]The aim: To evaluate the inpatient treatment (hospitalization) cases structure and validity reasons and validity in the primary Health Care Center community. Objectives: 1. Identify the inpatient treatment (hospitalization) cases structure of primary Health Care Center community. 2. To evaluate the inpatient treatment validity according of the major structure elements of hospitalization cases. 3. To evaluate the length of stay in hospital and duration of its validity. Methods: Carried out on extracts from case histories, issued by all level hospitals in 2007, the expert analysis. The expert group consisted of three persons: two family doctors and a doctor of control and chief expertise specialist. The examination of extracts from medical records data were analyzed hospitalization cases according to sociodemographic characteristics, hospitalization clinic, department, length of stay, final diagnosis, reason for patient admission. In determining the validity of inpatient treatment was based on the complexity of the disease, treatments, research carried out in approved medical standards. The analysis was performed using the statistical package for data SPSS 13.0. Results: According to the experts, 56.3% of inpatient treatment cases were unfounded and based on 43.7%. Based hospitalization cases accounted for 36.2% of the district hospital to 93.2% in university hospitals (P = 0.000). Validity of inpatient treatment cases increasing patient age decreased from 63.6% in 0-17... [to full text]
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Petersen, Connie Lynn Zettle Robert. "Treatment of comorbid depression and alcohol use disorders in an inpatient setting comparison of acceptance and commitment therapy versus treatment as usual /." Diss., A link to full text of this thesis in SOAR, 2007. http://soar.wichita.edu/dspace/handle/10057/1091.
Full textAbstract:
Thesis (Ph.D.)--Wichita State University, College of Liberal Arts and Sciences, Dept. of Psychology."May 2007." Title from PDF title page (viewed on October 25, 2007). Thesis adviser: Robert Zettle. Includes bibliographic references (leaves 102-114).
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Rossolymos, Pavlos O. "Adolescents' experiences of a therapeutic inpatient service utilising mentalization-based treatment for borderline personality disorder features." Thesis, Canterbury Christ Church University, 2013. http://create.canterbury.ac.uk/12452/.
Full textAbstract:
The present study aimed to investigate adolescents’ experiences of a therapeutic inpatient service utilising mentalization-based treatment (MBT) for borderline personality disorder (BPD) features, including deliberate self-harm. A qualitative research approach was chosen and eight adolescents were interviewed on their experiences. Interviews were analysed using interpretative phenomenological analysis (IPA; Smith, Flowers & Larkin, 2009). The analysis resulted in five superordinate themes and 17 corresponding subordinate themes. Adolescents described having felt uncontained, uncontainable and misunderstood, particularly prior to their admission. They talked about a process of seeking containment from others which in some cases led to their admission. Participants described feeling contained and understood in the inpatient service and developing a healthier relationship with self and others. Finally, they talked about their recovery as a long and challenging journey and expressed hope for the future. The study concluded that therapeutic inpatient treatment utilising MBT was experienced as beneficial by adolescents, though methodological limitations were acknowledged. Clinical implications were drawn and recommendations for future research were made.
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Aron, Lauren. "Medical tourism: experiences of international patients seeking inpatient treatment for anorexia nervosa at Akeso Montrose Manor." Master's thesis, Faculty of Humanities, 2021. http://hdl.handle.net/11427/33441.
Full textAbstract:
This study explored the concept of medical tourism and the subjective experiences of international patients seeking inpatient eating disorder (ED) treatment at a private inpatient ED clinic in South Africa. This research aimed to shed light on what patients with Anorexia Nervosa (AN) feel are essential features of a high-quality ED service at Akeso Montrose Manor specifically, and what they found to be concerning about ED treatments received prior, especially in the United Kingdom. The research aimed to explore the participant's reasons for seeking treatment at Akeso Montrose Manor, their expectations of treatment, their experience of treatment and their recommendations regarding the treatment of international patients. Ex-patients from the United Kingdom were chosen for this study, as a high number of admissions for treatment at Akeso Montrose Manor are from the United Kingdom. This therefore provoked an interest in exploring the reasons why these patients search for specialised out-of-country treatment. The research was conducted using a qualitative research design. Twenty participants were selected using purposive sampling by the researcher. They were interviewed face-to-face and via Skype using a semi-structured interview schedule. The data obtained was analysed using qualitative methods. The findings of this study highlighted several difficulties experienced in the United Kingdom when seeking treatment and also highlighted the value of residential inpatient treatment centres, extended treatment for ED's and the importance of specialised ED treatment teams and units. The results included that participants came to South Africa, due to challenges experienced in accessing treatment in the United Kingdom and treatment largely being dictated by weight and focused mostly on weight restoration. Expectations met during their stay in South Africa, included structure, safety and specialised ED treatment and staff and expectations not met whilst in treatment at Akeso Montrose Manor included limited time with the dietician and psychiatrist, and their belief that they would be fixed post-discharge. Participants made recommendations for the clinic with regards to the treatment of international clientele, which included more focus on post discharge planning and support. Further recommendations were made for improved service delivery at Akeso Montrose Manor as well as further research.
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Timlin, U. (Ulla). "Adolescent's adherence to treatment in psychiatric care." Doctoral thesis, Oulun yliopisto, 2015. http://urn.fi/urn:isbn:9789526208039.
Full textAbstract:
Abstract The purpose of this study was to investigate treatment adherence among adolescents receiving mental health care, with a special focus on psychiatric inpatient treatment. Key goals were to derive a general definition of adherence suitable for this purpose and to assess adolescents’ adherence to medication and non-pharmacological treatments. This study had two phases; phase one involved conducting systematic literature reviews, and phase two was based on empirical research in which data were collected by analyzing notes on hospital patients. The aim of the reviews were to review current research evidence into treatment adherence in adolescents and factors relating adherence among adolescents receiving mental health care (original publication n=15 and original publication n=17). Phase two was part of a clinical follow-up project called STUDY-70 conducted at the Department of Psychiatry at Oulu University Hospital in Finland. This phase yielded two further original publications – papers III and IV. Paper III examined adherence among adolescents receiving psychiatric inpatient care (n=72), focusing on both medication and non-pharmacological treatments. Paper IV examined factors affecting treatment adherence among these 72 inpatient adolescents, including family- and clinic-related variables. The systematic reviews demonstrated that many different definitions of adherence have been used in the literature. A concept synthesis was applied to these definitions to establish a basis for empirical research. The main factors that were found to correlate positively with treatment adherence among adolescents were the patients’ own will to be treated and positive sentiments, but family also played an important role. Factors that correlated negatively with adherence included negative feelings, a lack of cooperation with treatment, and adverse mental symptoms. Adolescent who has received special support at school was found to favor treatment adherence, whereas involuntary treatment, self-mutilative behavior and a close maternal relationship were all linked to non-adherence. Treatment adherence is an ongoing process, and achieving high levels of adherence should be an important goal in all treatment processes. It is important for clinical staff to be aware of factors influencing adherence in order to support the provision of effective and high-quality care for adolescentsTiivistelmä Tutkimuksen tarkoituksena oli selvittää mielenterveyspalveluita käyttävien nuorien hoitoon sitoutumista ja erityisesti psykiatrisessa osastohoidossa olevan nuoren sitoutumista hoitoon. Keskeisinä tavoitteina oli kuvata hoitoon sitoutumisen määrittelyä ja arvioida nuoren sitoutumista lääke- ja ei-lääkinnälliseen hoitoon. Tutkimus sisälsi kaksi vaihetta: vaihe yksi systemaattiset kirjallisuuskatsaukset sekä vaihe kaksi empiirisen tutkimuksen, jossa tieto kerättiin analysoimalla potilasasiakirjoja. Systemaattisen kirjallisuuskatsauksen tarkoituksena oli selvittää nuoren hoitoon sitoutumista ja siihen yhteydessä olevia tekijöitä (alkuperäisjulkaisu I n=15, alkuperäisjulkaisu II n=17). Vaihe kaksi oli osa Oulun yliopistollisen sairaalan psykiatrian klinikan projektia, STUDY-70, joka tuotti kaksi osajulkaisua. Alkuperäisjulkaisun III tarkoituksena oli tutkia osastohoidossa olevan nuoren sitoutumista lääke- sekä ei lääkinnälliseen hoitoon (n=72). Alkuperäisjulkaisussa IV selvitettiin näiden nuoren sitoutumista hoitoon ja erityinen mielenkiinto tässä tutkimuksessa oli perhe- ja kliinisillä tekijöillä sitoutuminen (n=72). Systemaattisen kirjallisuuskatsauksen perusteella sitoutumisen määrittelyt vaihtelivat. Tästä huolimatta käsitteen määrittelyjen synteesi oli mahdollinen ja se loi pohjan empiiriselle tutkimukselle. Tämän tutkimuksen perusteella nuoren oma tahto ja positiivinen asenne olivat positiivisesti yhteydessä hoitoon sitoutumiseen. Myös perheen toiminta vaikutti hoitoon sitoutumiseen. Nuoren negatiiviset tunteet, yhteistyökyvyttömyys ja mielenterveysoireet vaikuttivat negatiivisesti sitoutumiseen. Lisäksi nuoren saamat erityispalvelut koulussa tukivat osastohoidossa olevan nuoren hoitoon sitoutumista. Vastentahtoinen hoito, viiltely sekä läheinen ja kestävä äitisuhde olivat yhteydessä sitoutumattomuuteen. Hoitoon sitoutuminen on kokonaisvaltainen prosessi ja yksi hoidon tavoitteista, joka voidaan saavuttaa. Hoitoon sitoutumisen edistämiseksi henkilökunnan tulee tiedostaa ne tekijät, jotka vaikuttavat hoitoon sitoutumiseen. Näin voidaan suunnitella ja toteuttaa laadukasta ja vaikuttavaa hoitoa
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Jones, French Allan. "The Analysis of Patient Status Following Substance Abuse Treatment and Utilization of Medical Care." Thesis, University of North Texas, 1988. https://digital.library.unt.edu/ark:/67531/metadc331514/.
Full textAbstract:
Subjects were 2,950 patients who had previously received inpatient treatment for substance abuse at 40 treatment centers in 13 states and were followed up by the Chemical Abuse/Addiction Treatment Outcome Registry (CATOR) via telephone during the 2 years immediately following their treatment. All subjects were contacted every 6 months and asked a series of questions regarding their relapse status, medical utilization, illnesses, injuries, and arrests. Patient status was based on 3 categories: (1) abstinence from any abuse of a chemical, (2) brief relapse of less than 3 months abuse of any chemical, or (3) total relapse of longer than 3 months of any chemical. Findings showed that abstainers had fewer days in the hospital for emotional problems and detoxification. Abstainers also had fewer visits to the hospital for emergency reasons. Males in the brief relapse category had a greater number of injuries than abstainers or total relapsers. Regarding arrests and automobile accidents, no difference was discovered. However, regarding Drunk While Driving (DWI) arrests, abstainers had fewer arrests.
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Overhuls, Pamela. "Assessing the benefits of specialized treatment procedures when workig with adopted children in an inpatient psychiatric setting /." Access abstract and link to full text, 1991. http://0-wwwlib.umi.com.library.utulsa.edu/dissertations/fullcit/9123414.
Full text
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Schilling, Christoph, Kerstin Weidner, Julia Schellong, Peter Joraschky, and Karin Pöhlmann. "Patterns of Childhood Abuse and Neglect as Predictors of Treatment Outcome in Inpatient Psychotherapy: A Typological Approach." Karger, 2015. https://tud.qucosa.de/id/qucosa%3A70577.
Full textAbstract:
Background: Childhood maltreatment is associated with the development and maintenance of mental disorders. The purpose of this naturalistic study was (a) to identify different patterns of childhood maltreatment, (b) to examine how these patterns are linked to the severity of mental disorders and (c) whether they are predictive of treatment outcome. Methods: 742 adult patients of a university hospital for psychotherapy and psychosomatics were assessed at intake and discharge by standardized questionnaires assessing depression (Beck Depression Inventory, BDI) and general mental distress (Symptom Check List-90-R, SCL-90-R). Traumatic childhood experience (using the Childhood Trauma Questionnaire, CTQ) and ICD-10 diagnoses were assessed at intake. Results: The patients could be allocated to three different patterns of early childhood trauma experience: mild traumatization, multiple traumatization without sexual abuse and multiple traumatization with sexual abuse. The three patterns showed highly significant differences in BDI, General Severity Index (GSI) and in the number of comorbidity at intake. For both BDI and GSI a general decrease in depression and general mental distress from intake to discharge could be shown. The three patterns differed in BDI and GSI at intake and discharge, indicating lowest values for mild traumatization and highest values for multiple traumatization with sexual abuse. Patients with multiple traumatization with sexual abuse showed the least favourable outcome. Conclusion: The results provide evidence that the severity of childhood traumatization is linked to the severity of mental disorders and also to the treatment outcome in inpatient psychotherapy. In the study, three different patterns of childhood traumatization (mild traumatization, multiple traumatization without sexual abuse, multiple traumatization with sexual abuse) showed differences in the severity of mental disorder and in the course of treatment within the same therapy setting.
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Zwerenz, Rüdiger, Jan Becker, Rudolf J. Knickenberg, Martin Siepmann, Karin Hagen, and Manfred E. Beutel. "Online Self-Help as an Add-On to Inpatient Psychotherapy: Efficacy of a New Blended Treatment Approach." Karger, 2017. https://tud.qucosa.de/id/qucosa%3A70628.
Full textAbstract:
Background: Depression is one of the most frequent and costly mental disorders. While there is increasing evidence for the efficacy of online self-help to improve depression or prevent relapse, there is little evidence in blended care settings, especially combined with inpatient face-to-face psychotherapy. Therefore, we evaluated whether an evidencebased online self-help program improves the efficacy of inpatient psychotherapy. Methods: A total of 229 depressed patients were randomly allocated either to an online selfhelp program (intervention group [IG]; Deprexis) or an active control group (CG; weekly online information on depression) in addition to inpatient psychodynamic psychotherapy. Both groups had access to their respective experimental intervention for 12 weeks, regardless of inpatient treatment duration. Reduction of depressive symptoms, as measured with the Beck Depression Inventory-II, was the primary outcome at the end of the intervention (T2). Results: Depressive symptoms were statistically significantly lower in the IG compared to the active CG at T2 with a moderate betweengroup effect size of d = 0.44. The same applied to anxiety ( d = 0.33), quality of life ( d = 0.34), and self-esteem ( d = 0.38) at discharge from inpatient treatment (T1). No statistically significant differences were found regarding dysfunctional attitudes ( d = 0.14) and work ability ( d = 0.08) at T1. Conclusions: This is the first evidence for blended treatment combining online self-help with inpatient psychotherapy. The study opens new and promising avenues for increasing the efficacy of inpatient psychotherapy. Future studies should determine how integration of online self-help into the therapeutic process can be developed further.
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Cornwell, Sonya L. "Pediatric Feeding Disorders: A Controlled Comparison of Multidisciplinary Inpatient and Outpatient Treatment of Gastrostomy Tube Dependent Children." Thesis, University of North Texas, 2010. https://digital.library.unt.edu/ark:/67531/metadc33140/.
Full textAbstract:
The efficacy of multidisciplinary inpatient and outpatient treatment for transitioning children with severe pediatric feeding disorders from gastrostomy tube dependency to oral nutrition was investigated utilizing caloric and fluid intakes as an outcome measure. The study involved 29 children ages 12 months to 5 years of age with gastrostomy tube dependency. Treatments were provided by speech therapists, occupational therapist, dietician and psychologist for a 30 day period. Four treatment groups were evaluated and average intakes compared at 4 observation periods including pretreatment, initiation of treatment, completion of treatment at 30 days and 4 month follow-up. Children receiving inpatient treatment for feeding disorders evidenced significant differences in oral caloric intake from pretreatment to discharge than outpatient treatment (p < .01) and wait list control group (p = .04). Oral caloric intake from discharge to 4 month follow up yielded no significant differences indicating treatment gains were maintained. Change in environment and caretaker showed a significant effect for the inpatient group (d = 1.89). Effects of treatment by age and weight at 4 month follow up were also analyzed.
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Toohill, Martin John. "Alcohol, Abstinence, Efficacy, and Social Normative Expectancies: The Relationship to Alcoholics' Level of Drinking Following Inpatient Treatment." DigitalCommons@USU, 1994. https://digitalcommons.usu.edu/etd/6047.
Full textAbstract:
It has been argued that individuals receiving traditional alcohol treatment do not necessarily perceive life-long abstinence from alcohol as a favorable treatment outcome, and that negative expectations associated with this abstinence goal may have an adverse effect on treatment outcome. However, "abstinence expectancies" have never been systematically explored. This study used the Theory of Planned Behavior to investigate the relationship between the abstinence outcome expectancies of alcoholics beginning treatment and subsequent alcohol consumption. The independent and combined effects of abstinence outcome expectancies, alcohol outcome expectancies, self-efficacy expectancies (to abstain from alcohol use), and the normative beliefs of individuals beginning inpatient abstinence-oriented alcohol treatment were related to level of drinking during the 90 days following treatment.
One hundred ten individuals receiving inpatient alcohol treatment were recruited for the main portion of this study. A questionnaire that included belief-based measures of attitude toward alcohol and abstinence, a belief-based measure of social normative pressure to either use or abstain from alcohol, a belief-based measure of one's perceived behavioral control to abstain from alcohol, and a measure of behavioral intention to use alcohol during the 3 months following treatment was developed for use in this study. The questionnaire was administered to all subjects. During the 90-day Follow-Up period, subjects were sent brief questionnaires and asked to report any alcohol or drug use. Eighty-nine percent of the subjects provided follow-up information for the first 30 days, while 76% provided information for the entire 90 days.
An analysis of the data indicated that scores obtained from the belief-based measure of perceived behavioral control and scores from the belief-based measure of attitude toward abstinence were moderately correlated with intention to abstain from alcohol, while alcohol attitude scores and subjective norm scores were uncorrelated. Contrary to expectations, scores obtained from a measure of intention to use alcohol and the measure of perceived behavioral control were minimally predictive of scores from follow-up measures of drinking. However, intention and perceived behavioral control were minimally predictive of scores from follow-up measures of drinking. However, intention and perceived behavioral control scores were somewhat more predictive of drug use for the 90-day Follow-Up period. These results were discussed in light of the Theory of Planned Behavior and the similarities between alcohol expectancies and drug expectancies.
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Serdencuk, Lauren Amber. "Clinical Director Perspectives on Decision Making of Family Involvement with Clients at Inpatient Substance Abuse Treatment Centers." Diss., NSUWorks, 2019. https://nsuworks.nova.edu/shss_dft_etd/51.
Full textAbstract:
Literature supports that family members of individuals who abuse substances are significantly influential, whether it be positive or negative (Liddle et al., 2001). Evidence-based family therapy decreases substance use by adolescents (Slesnick et al., 2006). The purpose of this study was to gain the perspectives of clinical directors regarding decision making of family involvement at inpatient substance abuse treatment centers. Clinical directors were the focus of this study due to their experience, credentials, and their ability to oversee all clients and programs in a substance abuse treatment center. Purposeful sampling was utilized to obtain participants. Saturation was reached at three participants. The study used Thematic Analysis to analyze perspectives of clinical directors and identify themes between and among all participants. The data collection utilized were interviews with clinical directors. The importance of family involvement, factors related to choice of model, and evidence-based models preferred were the main themes discovered utilizing Thematic Analysis. Thematic Analysis exhibited all clinical directors in this study perceived family involvement ‛essential’ and all were not directly in control of decision making regarding family involvement with clients at inpatient substance abuse treatment centers.
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Mbosowo, Henshaw D. "The Relationship between Recidivism and Inpatient Treatment for Co-occurring Disorders among African American Male Ex-offenders." ScholarWorks, 2019. https://scholarworks.waldenu.edu/dissertations/7823.
Full textAbstract:
Recidivism continues to be a major problem in the United States criminal justice system and yet, there is minimal research that addresses recidivism among African American male ex-offenders with co-occurring disorders who are on probation and or parole under community supervision and trying to gain access or reentry into the community. This quantitative study was to examine the relationship between co-occurring disorders and incidence of recidivism among African American male ex-offenders who have been hospitalized and treated for mental illness at some point in their lives. Also, considering that the inpatient treatment or hospitalization of offenders and ex-offenders with serious mental illness and substance use disorder should be of utmost important in the local, state, and federal correctional facilities; quantitative cross-sectional design was chosen to examine whether there is a relationship between age, prior criminal history, mental illness, substance use disorder, inpatient treatment, gainful employment, education, family support, differentiation of self, and community/social support and the likelihood of recidivism. The Bowen family systems theory was the lens that provided the theoretical framework for this study for examining the archival data that was obtained from Texas Department of Criminal Justice. The multiple regression analysis (MRA) revealed that hospitalization/treatment, gainful employment, family support, age of offender at released, and differentiation of self decreased the likelihood to recidivate. MRA also showed that substance use disorder did have a significant relationship with recidivism while the presence of mental illness and education level showed no relationship. Findings from this study will positively effect positive social change by ensuring that any program and policy development must address treatment, promote public safety, and consider the economic structure, or the economic community of the African American male offenders and ex-offenders for positive outcome.
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Culver, Mark, Justin VandenBerg, and Grant Skrepnek. "Clinical Outcomes and Economic Characteristics Regarding Inpatient Treatment of Brain Tumors with Implantable Wafers in the United States." The University of Arizona, 2012. http://hdl.handle.net/10150/614463.
Full textAbstract:
Class of 2012 AbstractSpecific Aims: This study was aimed to evaluate inpatient clinical treatment characteristics associated with the use of intracranial implantation of chemotherapeutic wafers for malignant brain neoplasms within United States, and assess inpatient mortality and total charges regarding treatment with wafer versus without. Methods: A retrospective cohort investigation was conducted utilizing inpatient discharge records from the Agency for Healthcare Research and Quality (AHRQ) Healthcare Cost and Utilization Project (HCUP) Nationwide Inpatient Sample from 2005 to 2009. From this nationally-representative sample, 9,455 adults aged 18 years or older were identified with malignant neoplasms of the brain treated with implantable chemotherapeutic wafers. Outcomes of inpatient mortality and charges were assessed via multivariate regression analysis, controlling for patient characteristics, hospital structure, comorbidities, and clinical complications. Main Results: The average age of patients with brain neoplasms was 56.6 (±16.5) years, and of those patients, 42.9% were female. The odds ratio for inpatient mortality of patients treated with implantable chemotherapeutic wafers was OR=0.380 (P<0.001), and patients that received wafer treatment had increased charges exp(b)=2.147 (P<0.001). Conclusions: Multiple factors were associated with inpatient mortality and charges among the 247,829 patients that were diagnosed with malignant brain neoplasms from 2005-2009. With regards to these patients, implantable chemotherapeutic wafers were associated with increased inpatient survival and increased charges.
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Breustedt, Sarah. "Autobiographical memory functioning and response to inpatient treatment for people diagnosed with Schizophrenia Spectrum Disorders : and clinical research portfolio." Thesis, University of Glasgow, 2017. http://theses.gla.ac.uk/8486/.
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Background: Impairments in executive functioning and autobiographical memory (AM) are common in people with schizophrenia spectrum disorders (SSD). There is a need for greater understanding of how neurocognitive factors such as these relate to recovery. This is important because improving treatments requires better understanding of the psychological process involved in recovery from SSD. Aims: We aimed to determine the feasibility of assessing AM and metacognitive functioning in the acute phase of psychosis during inpatient admission. Relationships between neuropsychiatric measures and autobiographical memory were explored with a view to refining the use of this assessment battery with participants who are acutely psychotic. Methods: Twelve people diagnosed with a schizophrenia spectrum disorder were recruited from adult inpatient psychiatric wards shortly after admission. They completed the Autobiographical Memory Interview, Indiana Psychiatric Illness Interview, Hayling Sentence Completion Task, BMIPB Story Recall Task and the Positive and Negative Syndrome Scale (PANSS) interview in baseline assessment. Four participants were re-tested prior to discharge and rated their own recovery using the Questionnaire on the Process of Recovery. Ward clinicians also rated recovery in terms of symptom remission for eleven of the participants. Results: A moderate correlation between metacognition and semantic AM (r=.716) was identified at baseline. Correlations of moderate strength were identified between clinician ratings of recovery and metacognition (r=-.725) and PANSS (r=.877) scores at baseline assessment. Conclusions: The study faced difficulties recruiting sufficient numbers of eligible participants at baseline and retaining them to allow for follow up assessment. Hence, the results are preliminary but the data do suggest possible neuropsychological correlates of recovery from acute psychosis. If the recruitment and retention issues could be addressed, this paradigm could be applied to a larger sample to test the findings of this pilot study.
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Smith, Melissa H. "Perceptions of Parents, Self, and God as Predictive of Sympton Severity Among Women Beginning Inpatient Treatment for Eating Disorders." Diss., CLICK HERE for online access, 2006. http://contentdm.lib.byu.edu/ETD/image/etd1179.pdf.
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Malanguka, Gashinje. "Recovery after completion of inpatient substance abuse treatment program in the Western Cape: An exploratory study on self-efficacy differences." University of the Western Cape, 2018. http://hdl.handle.net/11394/6908.
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Magister Psychologiae - MPsychRecent increases in intellectual, social, infrastructural and economic resources available for the treatment of substance related mental disorders in the Western Cape reflects the national surge towards health promotion and eradication of the burden created by substance abuse. This large number of people who relapse and return to active substance abuse after receiving treatment obstruct this aim. This study aimed to determine the differences in self efficacy and assess for the risk for relapse during the first twelve months of recovery. Albert Bandura’s social cognitive theory provided a suitable framework for the objectives of this study. A cross-sectional survey research design was implemented. Research participants were recruited from different aftercare groups across Western Cape using cluster sampling. The sample consisted of 105 English literate, consenting adult residents of Western Cape who completed an inpatient substance abuse rehabilitation program within twelve months spanning April 2014- April 2015. Data was collected from respondents using two instruments; a demographic information sheet, and an adapted alcohol abstinence self-efficacy scale (AASE). This instrument showed high validity and reliability during a pilot study conducted to ascertain its reliability in a South African sample. Ethics clearance and project registration was given by the Senate Research Committee of the University of the Western Cape. All ethics principles were adhered to and attention was paid particularly to ensuring confidentiality, informed consent, voluntary participation and the right to withdraw without risk of loss or negative consequence. The data was analysed using descriptive statistics, correlation matrices and regression analysis. The results indicated that self-efficacy was highest during the first days and weeks following discharge from a treatment facility. Respondents who remained gainfully employed during recovery reported higher overall self-efficacy and coped better with negative emotions, withdrawal, physical discomfort and urges to use. Respondents’ perceived ability to cope with negative emotions, and resist withdrawal and urges to use again decreased as post-discharge time increased, with females reporting lower self-efficacy than males and respondents’ age showing no significant effect on recovery outcomes. In conclusion, high abstinence self-efficacy has proven to be a predictor of sobriety. After care, interventions can focus on activities to strengthen abstinence self-efficacy levels. Employment stands out as a vital factor to consider in helping people maintain sobriety.
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Voskuil, Ruschda. "Identifying relapse indicators in a state-subsidised substance abuse treatment facility in Cape Town, South Africa." University of the Western Cape, 2016. http://hdl.handle.net/11394/4987.
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Substance abuse has been identified internationally and in South Africa as an escalating problem that has harmful effects on the substance user and on society. The cost of treating substance-related disorders places a strain on the allocation of financial resources to treat the problem. When relapse occurs in substance users who have already undergone rehabilitation, it increases the costs of treatment. Waiting lists at treatment centres are also negatively affected for first-time admissions when relapsed substance users are re-admitted. The study aimed to identify relapse indicators by post-discharge follow-up of adult substance users in a registered, non-profit, state-subsidised treatment facility in Cape Town. Marlatt’s Dynamic model of relapse was used to explore the individual and socio-cultural factors which were potentially associated with relapse. A quantitative research design using archival data and purposive sampling was used to identify possible relapse indicators. The participants were ex-patients who had undergone an inpatient treatment programme and who had been followed up post discharge. Ethical clearance was obtained from the University of the Western Cape Higher Degrees Committee. Written permission was granted by the treatment centre who is the original data owner.The majority of participants were male. More than half of the sample reported polysubstance use and, for more than half of them, the age of onset of substance use was between 11 and 15 years. Severe depression was present for more than a third of the participants, whilst the majority of the sample was assessed as being substance dependent. A large proportion of patients had family members who also used substances. The majority of the sample was unemployed and more than half had received previous substance abuse treatment. Significant associations were not established between the identified variables within the groups of factors. Additional studies are required to explore the factors contributing to relapse in this patient population.Magister Artium (Psychology) - MA(Psych)
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Biörck-Markusson, Linda, and Zohreh Mokhayer. "Att vårdas i slutenvård för anorexia nervosa : Patienters upplevelser." Thesis, Högskolan i Skövde, Institutionen för hälsa och lärande, 2016. http://urn.kb.se/resolve?urn=urn:nbn:se:his:diva-13151.
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Bakgrund: Det finns olika sorters ätstörningar. Bland dessa är anorexia nervosa den allvarligaste. Sjukdomen drabbar mest unga kvinnor men även unga män kan insjukna. Anorexia nervosa påverkar patienternas kroppsuppfattning negativt vilket resulterar i att de svälter sig och/eller tränar frenetiskt. Syfte: Syftet var att beskriva patienter med anorexia nervosas upplevelser av omvårdnaden under slutenvård. Metod: En litteraturöversikt med kvalitativ ansats valdes som metod för att svara på studiens syfte. Resultat: Det framkom fem teman ur analysen, dessa är; ”Vikten av den goda relationen”, ”En objektifierad omvårdnad”, ”Vikten av stöd”, ”Känsla av att vara övervakad” samt ”Vikten av att uppleva delaktighet”. Dessa teman beskriver patienternas upplevelser av omvårdnaden inom slutenvård. Konklusion: Patienterna upplevde omvårdnaden som både positiv och negativ. Det hade stor betydelse för patienterna om de upplevde en god relation till sjuksköterskorna. För att kunna övervinna sjukdomen var det viktigt att patienterna kände sig delaktiga i omvårdnaden. Att patienterna fick känna sig som unika personer var också något som hjälpte dem att återhämta sig.Background: There are different types of eating disorders. Among these are anorexia nervosa the most serious. It is mostly young women who develop the disease, but also young men can become ill. Anorexia nervosa affects patient´s body image negatively, which results in the patient starving him- or herself and/or exercising frenetically. Aim: The aim was to describe patients with anorexia nervosa experiences of care during hospitalization. Method: A literature review with qualitative approach was chosen as the method to answer the aim of the study. Results: It emerged five themes from the analysis. These are; “The importance of a good relationship”, “An objectified care”, “The importance of support”, “The feeling of being monitored” and “The importance of experiencing participation”. These themes describe patients' experiences of care in hospitalization. Conclusion: The patients experienced the care to be both positive and negative. It was of great importance to the patients if they experienced a good relationship with the nurses. In order to overcome the disease, it was important that patients felt involved in their own care. For the patients to recover from anorexia nervosa, the patients needed to be treated like individuals and not like the stereotype of the disease.
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Schmitt, Jochen, Elisabeth Heese, Gottfried Wozel, and Michael Meurer. "Effectiveness of Inpatient Treatment on Quality of Life and Clinical Disease Severity in Atopic Dermatitis and Psoriasis Vulgaris – A Prospective Study." Saechsische Landesbibliothek- Staats- und Universitaetsbibliothek Dresden, 2014. http://nbn-resolving.de/urn:nbn:de:bsz:14-qucosa-135494.
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Background: Financial constraints challenge evidence of the effectiveness of dermatological inpatient management. Objective: To evaluate the effectiveness of hospitalization in atopic dermatitis and psoriasis regarding initial and sustained benefits. Methods: Prospective study on adults with psoriasis vulgaris (n = 22) and atopic dermatitis (n = 14). At admission, discharge, and 3 months after discharge, validated outcomes of objective and subjective disease severity were assessed by trained investigators. Results: Hospitalization resulted in substantial benefit in quality of life and clinical disease severity. Looking at mean scores, the observed benefit appeared stable until 3-month follow-up. The analysis of individual patient data revealed significant changes in disease severity between discharge and 3-month follow-up with some patients relapsing, others further improving. Reasons for hospitalization and treatment performed were not related to sustained benefit. Conclusions: In psoriasis vulgaris and atopic dermatitis, hospitalization effectively improved quality of life and clinical disease severity. Further research should focus on prognostic factors for sustained improvementDieser Beitrag ist mit Zustimmung des Rechteinhabers aufgrund einer (DFG-geförderten) Allianz- bzw. Nationallizenz frei zugänglich
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Schmitt, Jochen, Elisabeth Heese, Gottfried Wozel, and Michael Meurer. "Effectiveness of Inpatient Treatment on Quality of Life and Clinical Disease Severity in Atopic Dermatitis and Psoriasis Vulgaris – A Prospective Study." Karger, 2007. https://tud.qucosa.de/id/qucosa%3A27655.
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Background: Financial constraints challenge evidence of the effectiveness of dermatological inpatient management. Objective: To evaluate the effectiveness of hospitalization in atopic dermatitis and psoriasis regarding initial and sustained benefits. Methods: Prospective study on adults with psoriasis vulgaris (n = 22) and atopic dermatitis (n = 14). At admission, discharge, and 3 months after discharge, validated outcomes of objective and subjective disease severity were assessed by trained investigators. Results: Hospitalization resulted in substantial benefit in quality of life and clinical disease severity. Looking at mean scores, the observed benefit appeared stable until 3-month follow-up. The analysis of individual patient data revealed significant changes in disease severity between discharge and 3-month follow-up with some patients relapsing, others further improving. Reasons for hospitalization and treatment performed were not related to sustained benefit. Conclusions: In psoriasis vulgaris and atopic dermatitis, hospitalization effectively improved quality of life and clinical disease severity. Further research should focus on prognostic factors for sustained improvement.Dieser Beitrag ist mit Zustimmung des Rechteinhabers aufgrund einer (DFG-geförderten) Allianz- bzw. Nationallizenz frei zugänglich.
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Wertz, Jennifer S. "The effect of motivational interviewing on treatment participation, self-efficacy, and alcohol use at follow-up in inpatient alcohol dependent adults." Diss., This resource online, 1993. http://scholar.lib.vt.edu/theses/available/etd-07282008-134958/.
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Sanders, Jeffrey. "A descriptive study of the relationship between attitudinal change toward addiction and addictive behavior among substance abusers entering an inpatient treatment program." DigitalCommons@Robert W. Woodruff Library, Atlanta University Center, 1998. http://digitalcommons.auctr.edu/dissertations/2103.
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The overall objective of this study was to expound on the relationship between attitudinal change toward addiction and addictive behavior among substance abusers entering an inpatient treatment programs. To achieve this objective the following determinants were addressed by the author: 1) Effects of Substance Abuse, (2) Attitudinal/Behavioral Change and (3) Inpatient Treatment Program. The study involved thirty adults, males and females, ranging between the ages of 18 to 57. The participants entered an inpatient treatment program at a local treatment facility in Atlanta, Georgia.
This study was an attempt to look at the change of attitude and change of behavior among substance abusers entering an inpatient treatment program. The results indicated there was a change in attitude, but did not indicate if there was a change in behavior. In observing the participants in the study there was a decrease in addictive behavior. This may have occurred because the client went through four weeks of educational classes about addiction and its consequences during the course of this study.
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Olawale, Oluwapelumi. "What are the experiences of adolescents during the recovery process from Anorexia Nervosa after receiving inpatient treatment? : an interpretative phenomenological analysis study." Thesis, London Metropolitan University, 2018. http://repository.londonmet.ac.uk/3534/.
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Background: Evidence suggests that eating disorders appear to be a significant issue in the United Kingdom. Report also suggests that people with eating disorders have a higher rate of mortality, with Anorexia Nervosa having the highest risk of mortality within eating disorders. Adolescents are most likely to be at risk suggesting closer attention should be given to this population. Despite the move towards outpatient services, inpatient treatment remains important to Anorexia Nervosa treatment for adolescents due to its life threatening features. Studies however indicate that a high number of patients who are discharged from inpatient treatment often relapse. Qualitative studies into the experiences of anorexic sufferers has shown that improvement during the recovery process may lead to new difficulties particularly in regards to managing their negative feelings without restricting their dietary intake. Most studies that have explored the experiences of people with Anorexia Nervosa tend to report more on their experience of treatment interventions. Furthermore, the limited research literature on recovery tends to focus more on adult experiences whilst little attention is given to the experience of adolescents. Aim: This study aims to contribute towards the topic as it explores the experiences of adolescents during the recovery process from Anorexia Nervosa after receiving inpatient treatment. Methodology: Semi-structured interviews were conducted with four adolescents who had been discharged into the community following inpatient treatment for Anorexia Nervosa. Results: From the analysis, the following four super-ordinate themes emerged from the data: self & recovery; relational; the world against me: back in the world; and psychological recovery vs. physical recovery. Conclusions: The findings highlight the impact of inpatient treatment on adolescents as well as the different roles played by parents, friends, and therapists in maintaining the course of recovery for adolescents with AN following their discharge from inpatient treatment. The findings also inform counselling psychologists as to how best to help adolescents manage the challenges they may face in the later stages of their recovery after discharge from inpatient treatment. Evaluation of the current study is followed by recommendations for future research.