Paul Springer

Rural Experiences With Mental Illness: Through the Eyes of Patients and Their Families

People living in rural areas are often faced with multiple, complex, and seemingly insurmountable barriers to receiving appropriate treatment for mental health problems. Some of the barriers identified in the research literature include inaccessibility to mental health providers, stigma, and limited resources in the community. Despite existing data regarding rural patients and their families, little is known about their lived, personal experiences. For this reason, the purpose of this study was to determine the experience of patients and family members who are dealing with mental illness in rural communities. Based on this qualitative analysis of patient and family members experiences in rural areas, issues surrounding mental health and treatment are accompanied by significant stigma, often left unresolved, and exacerbated by practical challenges which hinder access to proper mental health resources, frequently leaving rural residents to cope with inadequate solutions or seek their own, alternative solutions.

Finding the Heart of Medical Family Therapy: A Content Analysis of Medical Family Therapy Casebook Articles

In an effort to identify the essential ingredients of medical family therapy, a content analysis of 15 peer-reviewed case studies in medical family therapy was conducted. The case studies were published from 1996 to 2007 in Families, Systems, & Health. Through a qualitative content analysis, three main themes emerged that describe the essence of the practice of medical family therapy: (1) The patients multisystemic experience of disease, (2) treatment is about caring, not just caregiving, and (3) elevating the patient as collaborator in the care team.

A Purveyor Team's Experience: Lessons Learned From Implementing a Behavioral Health Care Program in Primary Care Settings

A growing body of literature indicates that evidence-based behavioral health practices and programs are not being implemented into clinical settings effectively. As a result, many adolescents living with a behavioral health problem are not receiving the quality of services they need. This feasibility study addressed this science-to-service gap through the implementation of an evidence-based adolescent behavioral health screening, assessment, and brief intervention protocol in five distinct primary care settings. This case study documents the authors experiences in utilizing Fixsen, Naoom, Blase, Friedman, and Wallaces (2005) implementation framework to guide their purveyor efforts, and outlines solutions to overcoming the challenges purveyors may face when implementing evidence-based programs into primary care.

Keeping the Music Alive: Using the "Grief and Hope Box" with Adult Offenders with Co-Occurring Mental Health and Substance Use Issues

Abstract Individuals with co-occurring mental health and substance use disorder (COD) present unique challenges for counselors. When individuals are incarcerated, they suffer unique forms of losses, including the loss and grief of their family members. In addition, they often struggle with stigma and cultural stereotypes that are oppressive and devastating. The purpose of this manuscript is to help counselors and clients access creativity in a manner that facilitates client self-disclosure about grief and loss related issues, leading to a more coherent personal narrative, increased social integration, and enhanced psychological and physiological health.

Using a Creative Intervention to Increase Self-Disclosure Among Mandated Juveniles with Co-Occurring Disorders

Abstract Counselors providing treatment within the juvenile justice system encounter numerous challenges that are inherent in working with this population. One of the challenges includes providing treatment to adolescents who are entering the juvenile justice system with co-occurring mental health and substance use disorders. Given the challenges, creative interventions that enhance client motivation and the therapeutic relationship are especially needed. The purpose of this article is to propose a creative intervention that may enhance the therapeutic relationship, increase client investment in treatment, and facilitate client self-disclosure. A case illustration will be used to illustrate the intervention.

Mental health professionals working in the field of pain management

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Global Proofing a Collaborative Care Telemental Health Intervention in Brazil.

Rural proofing ensures that policies, practice guidelines, strategies, and techniques can be applied to rural populations with approximately equal benefit as what would be obtained in urban areas. Extending this concept internationally, the authors argue the importance of global proofing mental health strategies developed in well-resourced, high-income areas in order to determine their appropriateness in areas that have resource poverty such as middle- and low-income countries. An example is used to illustrate both rural and global proofing. Through this example, the authors demonstrate how they proofed urban-inspired models of mental health care in rural areas of the United States. The result is a model of rural mental health care that emphasizes collaborative care and telemental health. This model is now being global proofed in Brazil. The authors describe the application of this model in a remote rural town in Brazil. Consistent with World Health Organization recommendations, the integration of mental health care into primary care medical settings is being discovered as essential to addressing mental health disparities worldwide. (PsycINFO Database Record

Community-based participatory research

Introduction 1. The Importance of Validity, Relationships, and Change in MFT Research L.N. Johnson, R.B. Miller Section I: Foundational Issues 2. Developing a good research idea R.B. Miller, L. Pfeifer 3. Integrating Theory and Research M. Davey, S. Zeytinoglu, L. Lynch 4. Measurement Issues with Couple and Family Level Data D.M. Busby, F.O. Poulsen 5. Ethical Guidelines for Conducting Clinical Research in Relationship-Focused Therapy S.M. Harris, K. Wickel Section II Data Collection 6. Recruitment and Retention of Couples and Families in Clinical Research M.M. Olson, R.B. Miller 7. Using Questionnaires in Clinical Couple and Family Research D.Linville, J.L. Todahl, M.E. ONeil 8. Emergent Technologies in MFT Research C.W. Smith, K. Maxwell, L.N. Johnson 9. Physiological Research in Couple and Family Therapy K.D. Gregson, S.A. Ketring 10. Electroencephalography (EEG) in MFT Research T.S. Parker, K.M. Blackburn, R.J. Werner-Wilson Section III Methodologies 11. Cultural Adaptation Research: A Critical Opportunity for Addressing Mental Health Disparities in the Couple and Family Therapy FieldJ.R. Parra-Cardona, M. Whitehead, A.R. Escobar-Chew, K. Holtrop, S. Lappan, S. Horsford, M.D. Rodriguez, and G. Bernal 12. Randomized clinical trials: Putting MFT Interventions to the Test W.H. Denton 13. Single-Case Research K.D. Mennenga, L.N. Johnson 14. Examining Micro-Change in Clinical Populations Using a Daily Diary Approach J.B. Yorgason, L.N. Johnson, N.R. Hardy 15. Observational Research K.S. Wampler, J.M. Harper 16. Qualitative Research for Family Therapy J.E. Gale, M.L. Dolbin-MacNab 17. Mixed-Methods Clinical Research with Couples and Families M.L. Dolbin-MacNab, J.R. Parra-Cardona, J.E. Gale 18. Community Based Participatory Research: Where Family Therapists can make a Difference D.Robinson, M.M. Olson, R. Bischoff, P. Springer, J. Geske 19. Health Services Research: Optimizing Delivery of Care A. Blow, C. Marchiondo Section IV Analysis 20. Applied Statistical Analysis and Interpretation L.N. Johnson, R.B. Miller 21. Missing Data C.M. Wilson, R. H. Barrett, S.C. Stuchell 22. Mediation and Moderation: Conceptual Foundations and Analytical Applications J.R. Anderson, J.A. Durtschi, K.L. Soloski, M.D. Johnson 23. Dyadic or Systemic Data Analysis S.Bartle-Haring, L.M. McWey, J.A. Durtschi 24. Observing Couple and Family Relationships: Data Management and Analysis R.B. Seedall 25. Statistical Analysis with Small Samples R.B. Tambling, S.R. Anderson 26. Integrating Costs into Marriage and Family Therapy Research J.D. Christenson, D.R. Crane

Advanced Methods in Family Therapy Research: A Focus on Validity and Change

Introduction 1. The Importance of Validity, Relationships, and Change in MFT Research L.N. Johnson, R.B. Miller Section I: Foundational Issues 2. Developing a good research idea R.B. Miller, L. Pfeifer 3. Integrating Theory and Research M. Davey, S. Zeytinoglu, L. Lynch 4. Measurement Issues with Couple and Family Level Data D.M. Busby, F.O. Poulsen 5. Ethical Guidelines for Conducting Clinical Research in Relationship-Focused Therapy S.M. Harris, K. Wickel Section II Data Collection 6. Recruitment and Retention of Couples and Families in Clinical Research M.M. Olson, R.B. Miller 7. Using Questionnaires in Clinical Couple and Family Research D.Linville, J.L. Todahl, M.E. ONeil 8. Emergent Technologies in MFT Research C.W. Smith, K. Maxwell, L.N. Johnson 9. Physiological Research in Couple and Family Therapy K.D. Gregson, S.A. Ketring 10. Electroencephalography (EEG) in MFT Research T.S. Parker, K.M. Blackburn, R.J. Werner-Wilson Section III Methodologies 11. Cultural Adaptation Research: A Critical Opportunity for Addressing Mental Health Disparities in the Couple and Family Therapy FieldJ.R. Parra-Cardona, M. Whitehead, A.R. Escobar-Chew, K. Holtrop, S. Lappan, S. Horsford, M.D. Rodriguez, and G. Bernal 12. Randomized clinical trials: Putting MFT Interventions to the Test W.H. Denton 13. Single-Case Research K.D. Mennenga, L.N. Johnson 14. Examining Micro-Change in Clinical Populations Using a Daily Diary Approach J.B. Yorgason, L.N. Johnson, N.R. Hardy 15. Observational Research K.S. Wampler, J.M. Harper 16. Qualitative Research for Family Therapy J.E. Gale, M.L. Dolbin-MacNab 17. Mixed-Methods Clinical Research with Couples and Families M.L. Dolbin-MacNab, J.R. Parra-Cardona, J.E. Gale 18. Community Based Participatory Research: Where Family Therapists can make a Difference D.Robinson, M.M. Olson, R. Bischoff, P. Springer, J. Geske 19. Health Services Research: Optimizing Delivery of Care A. Blow, C. Marchiondo Section IV Analysis 20. Applied Statistical Analysis and Interpretation L.N. Johnson, R.B. Miller 21. Missing Data C.M. Wilson, R. H. Barrett, S.C. Stuchell 22. Mediation and Moderation: Conceptual Foundations and Analytical Applications J.R. Anderson, J.A. Durtschi, K.L. Soloski, M.D. Johnson 23. Dyadic or Systemic Data Analysis S.Bartle-Haring, L.M. McWey, J.A. Durtschi 24. Observing Couple and Family Relationships: Data Management and Analysis R.B. Seedall 25. Statistical Analysis with Small Samples R.B. Tambling, S.R. Anderson 26. Integrating Costs into Marriage and Family Therapy Research J.D. Christenson, D.R. Crane

Community-based participatory research: Where family therapists can make a difference

Introduction 1. The Importance of Validity, Relationships, and Change in MFT Research L.N. Johnson, R.B. Miller Section I: Foundational Issues 2. Developing a good research idea R.B. Miller, L. Pfeifer 3. Integrating Theory and Research M. Davey, S. Zeytinoglu, L. Lynch 4. Measurement Issues with Couple and Family Level Data D.M. Busby, F.O. Poulsen 5. Ethical Guidelines for Conducting Clinical Research in Relationship-Focused Therapy S.M. Harris, K. Wickel Section II Data Collection 6. Recruitment and Retention of Couples and Families in Clinical Research M.M. Olson, R.B. Miller 7. Using Questionnaires in Clinical Couple and Family Research D.Linville, J.L. Todahl, M.E. ONeil 8. Emergent Technologies in MFT Research C.W. Smith, K. Maxwell, L.N. Johnson 9. Physiological Research in Couple and Family Therapy K.D. Gregson, S.A. Ketring 10. Electroencephalography (EEG) in MFT Research T.S. Parker, K.M. Blackburn, R.J. Werner-Wilson Section III Methodologies 11. Cultural Adaptation Research: A Critical Opportunity for Addressing Mental Health Disparities in the Couple and Family Therapy FieldJ.R. Parra-Cardona, M. Whitehead, A.R. Escobar-Chew, K. Holtrop, S. Lappan, S. Horsford, M.D. Rodriguez, and G. Bernal 12. Randomized clinical trials: Putting MFT Interventions to the Test W.H. Denton 13. Single-Case Research K.D. Mennenga, L.N. Johnson 14. Examining Micro-Change in Clinical Populations Using a Daily Diary Approach J.B. Yorgason, L.N. Johnson, N.R. Hardy 15. Observational Research K.S. Wampler, J.M. Harper 16. Qualitative Research for Family Therapy J.E. Gale, M.L. Dolbin-MacNab 17. Mixed-Methods Clinical Research with Couples and Families M.L. Dolbin-MacNab, J.R. Parra-Cardona, J.E. Gale 18. Community Based Participatory Research: Where Family Therapists can make a Difference D.Robinson, M.M. Olson, R. Bischoff, P. Springer, J. Geske 19. Health Services Research: Optimizing Delivery of Care A. Blow, C. Marchiondo Section IV Analysis 20. Applied Statistical Analysis and Interpretation L.N. Johnson, R.B. Miller 21. Missing Data C.M. Wilson, R. H. Barrett, S.C. Stuchell 22. Mediation and Moderation: Conceptual Foundations and Analytical Applications J.R. Anderson, J.A. Durtschi, K.L. Soloski, M.D. Johnson 23. Dyadic or Systemic Data Analysis S.Bartle-Haring, L.M. McWey, J.A. Durtschi 24. Observing Couple and Family Relationships: Data Management and Analysis R.B. Seedall 25. Statistical Analysis with Small Samples R.B. Tambling, S.R. Anderson 26. Integrating Costs into Marriage and Family Therapy Research J.D. Christenson, D.R. Crane