Psychology oriented interventions and therapies that are being used in treating people are suffering from mental health disorders.

1. Psychological oriented
interventions
Dr. Vijendra Nath Pathak
Assistant Professor
Department of Psychology

2. • People over the age of 18
• Living in Tower Hamlets
• Experiencing mental health problems
Who do we help?

3. • We offer psychological interventions to help people
manage their difficulties
• Psychological treatments can come in different
formats – group and individual
• The Psychological Therapies Service offers different
modalities – different ways of doing psychotherapy
• Regular attendance and motivation to change are key
to successful treatments
How can we help?

4. • Some things that may get in the way of successful
treatments:
- Dependency on alcohol or substances
- Feeling excessively at risk or in crisis
- An overly insecure environment (eg, very unstable housing,
domestic violence, immigration status, court case etc)
- Pronounced psychotic symptoms
- Difficulty committing to regular sessions
- A desire to be supported rather than change the way we do
things
If you’re affected by anything on this list, please call the service
Is this the right time for therapy in this service?

5. • The Psychological Therapies Service treatment
pathway starts here! The information you receive
today is intended to help you decide whether a
psychological intervention is right for you
• The next step after opt-in is assessment…
What to expect?

6. Our pathway
Information session
Is this service for me?
Yes No
Assessment Discharge
Treatment Group
Discharge and/or referral
on to another service
If you opt-in to the Psychological
Therapies Service you’ll be
invited to a first meeting with an
individual clinician
We have a range of
groups available that
can meet different
people’s needs; this
is the main form of
treatment here
If you decide that this service
isn’t the right service for you,
we’ll try to make sure we
direct you somewhere that
can meet your needs
Individual

7. Me and “Evidence Based Practices”
• My own training
– “Stand on your head” therapy
– “Susie”
• Changes in trainees?
• Are we becoming technicians?
• Where is the “art?”

8. Profession Wide Competencies:
Intervention
• Establish and maintain effective relationships
with the recipients of psychological services
• Develop evidence-based intervention plans
specific to the service delivery goals
• Implement interventions informed by the
current scientific literature, assessment
findings, diversity characteristics, and
contextual variables

9. Cont..
• Demonstrate the ability to apply relevant
research literature to clinical decision making
• Modify and adapt evidence-based approaches
effectively when a clear evidence-base is
lacking
• Evaluate intervention effectiveness, and adapt
intervention goals and methods consistent
with ongoing evaluation

10. Evidence-Based Practices
• We are generalists. How are we supposed to train in
Evidence Based Practices for every situation we
encounter?
• Are we ready and able to supervise using Evidence
Based Practices?
• Maybe Common Factors offers us a way to provide
“generalist” training?
• But specific intervention/psychotherapy research is
helpful.
• What are Evidence Based Practices anyway?

11. Health Expertise
• Expertise develops from clinical and scientific
training, theoretical understanding, experience,
self-reflection, knowledge of current research,
and continuing education and training
• Health expertise is used to integrate the best
research evidence with clinical data
• Integral to clinical judgment is an awareness of
the limits of one’s knowledge and skills and how
one’s characteristics and values interact with
those of the patient

12. Intervention Implication
• Clinical decisions should be made in
collaboration with the patient, based on the
best clinically relevant evidence, and with
consideration for the probable cost, benefits,
and available resources and options.
• It is the treating psychologist who makes the
ultimate judgment regarding a particular
intervention or treatment plan.

13. The Therapeutic Relationship
• Clients are most like to refer to the relationship when
asked what helped
• Factors associated with successful treatment:
– Empathy
– Working Alliance
– Goals Consensus and Collaboration
– Unconditional Positive Regard
– Congruence/Genuineness
– Therapist Feedback
– Repair of alliance ruptures
– Instilling hope

14. Client Factors
• Client involvement and participation
• Client perception of psychotherapy
– Therapeutic alliance
– Therapist empathy
– Collaborative nature
• Readiness for Change
• Implications:
– Strength based approach
– Therapy should be collaborative
– Therapist should illicit client feedback and adjust services