The Effectiveness of Counseling at a Local Crisis Center
DOI:
https://doi.org/10.61841/mvvam463Keywords:
Mental health and public policy,, crisis intervention, common factors in psychological treatment, eclectic psychosocial treatmentAbstract
Samtalsakuten (the Counseling Emergency) is an open crisis center operated in collaboration between the municipalities of Forshaga, Hammarö, Karlstad, and Kil; the Church of Sweden; and the County Council of Värmland. Its mandate is to of- fer crisis counseling to adults who contact the center when they are in an acute life crisis. Samtalsakuten uses a working model influenced by the various traditions and approaches of several talk therapies. The aim of the study was to examine counseling effectiveness at Samtalsakuten. The study was based on a replicated single-case design, and quantitative and qualitative data were collected prior to each counseling session as well as six months after the completion of the session series. Our main finding is that counseling made a significant difference and had a positive effect on anxiety, depression, insomnia, and sense of coherence for clients who completed their sessions in mutual agreement with their therapist
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Abbass, A. A., Hancock, J. T., Henderson, J., & Kisely, S. (2006). Short-term psychodynamic psychotherapies for common mental disorders Issue 4. Art No CD004687. Cochrane Database of Systematic Reviews 2006.
AFA Insurance. (2013, December 13). Psykisk ohälsa [Impaired psychological well-being]. Retrieved from www.afafor- sakring.se
Andersson, G. (2003). Metaanalys. Metoder, tillämpningar och kontroverser [Meta-analysis. Methods, applications and controversies]. Lund: Studentlitteratur.
Antonovsky, A. (1987). Unraveling the mystery of health. How people manage stress and stay well. San Francisco: Jossey- Bass.
APA. (2006). Evidence-based practice in psychology. APA Presidential task force on evidence-based practice. American Psychologist, 61, 271-285.
Beck, A. T., Rush, A., Shaw, B., & Emery, G. (1979). Cognitive therapy of depression. New York: Guilford Press.
Braun, V. & Clarke, V. (2006). Using thematic analysis in psychology. Qualitative Research in Psychology. No 3, 77-101. Bravesmith, A. (2010). Can we be brief? British Journal of Psychotherapy, 26(3).
Bäccman, C., Berggren, A., & Norlander, T. (2012). Military Capacity and Civil Adjustment: Assessments of the ‘re-us- able’ peacekeeping soldier for development of a selection system. International Journal of Selection and Assessment, Volume 20, p 169-179.
Carlsson, A. (2013a, May 18). Psykiskt sjuka kan ordineras att gå till jobbet [Mentally ill can be prescribed to go to work].
Dagens Nyheter. Retrieved from www.dn.se/nyheter/sverige/psykiskt-sjuka-kan-ordineras-att-ga-till-jobbet
Carlsson, A. (2013b, May 18). ”Jag ser många som ligger nära gränsen” [I see many close to the limit]. Dagens Nyheter.
Retrieved from www.dn.se/nyheter/sverige/jag-ser-manga-som-ligger-nara-gransen
Carlsson, S. G. (2001). Psykologi i primärvården [Psychology in primary care]. Göteborg: Psykologiska institutionen vid Göteborgs universitet i samverkan med Försäkringskassan i Västra Götalands län och Dagmarverksamheten i Västra Götalandsregionen.
Church of Sweden. (2013, July 3). Vad är skillnaden på själavård och samtal [What is the difference between pastoral care and counseling]. Retrieved from http://www.svenskakyrkan.se/default.aspx?id=641807
Cohen, J. (1988). Statistical power analysis for behavioral sciences. Hillsdale NJ: Lawrence Erlbaum Associates.
Connell, J., Grant, S., & Mullin, T. (2006). Client initiated termination of therapy at NHS primary care counselling ser- vices. Counselling and Psychotherapy Research, 6(1), 60-70.
Cullberg, J. (2006). Kris och utveckling [Crisis and development]. Stockholm: Natur och kultur.
Duncan, B. L., Miller, S. D., Wampold, B. E., & Hubble, M. A. (Eds.). (2010). The heart and soul of change. Delivering what works in therapy. Washington, DC: American Psychological Association.
Etchegoyen, R. H. (1991). The fundamentals of psychoanalytic technique. London: Karnac Books.
Everly Jr, G. S. (2000). Five principles of crisis intervention: Reducing the risk of premature crisis intervention. Interna- tional Journal of Emergency Mental Health, 2(1), 1-4.
Field, A. (2005). Discovering Statistics Using SPSS. Thousand Oaks: Sage Publications.
Freud, S. (1937/2002). Den ändliga och den oändliga analysen [Analysis terminable and interminable]. In S. Freud, Psykoanalysens teknik. Samlade skrifter av Sigmund Freud VIII. [Psychoanalytic technique. Collected writings by Sig- mund Freud VIII]. Stockholm: Natur och Kultur.
Hayes, Nicky. (2000). Doing Psychological Research. Buckingham: Open University Press.
Hensley, M.A. (2012). Patient-centered care and psychiatric rehabilitation: What's the connection? International Journal of Psychosocial Rehabilitation. Vol 17(1) 135-141.
Hill, C. E., Chui, H., & Baumann, E. (2013). Revisiting and reenvisioning the outcome problem in psychotherapy: An ar- gument to include individualized and qualitative measurement. Psychotherapy, 50(1), 68-76.
Kazdin, A. E. (2011). Single-case research designs. Methods for clinical and applied settings. New York: Oxford Univer- sity Press.
Knifton, L & Quinn, N. (Eds.). (2013). Public mental health. Global Perspectives. Maidenhead: Open University Press.
Krause, M. S, & Lutz, W. (2009). Process transforms inputs to determine outcomes: Therapists are responsible for man- aging process. Clinical Psychology: Science and practice, 16(1), 73-81.
Lambert, M. J. (2010). Prevention of treatment failure. The use of measuring, monitoring, and feedback in clinical prac- tice. Washington, DC: American Psychological Association.
Lambert, M. J. (2013). Outcome in psychotherapy: The past and important advances. Psychotherapy, 50(1), 42-51.
Lindgren, O., Folkesson, P., & Almqvist, K. (2012). Renewing experience - therapists’ thoughts on what is effective in psy- chotherapy. European Journal for Qualitative Research in Psychotherapy (6), 1-7.
Lindgren, O., Almqvist, K., & Folkesson, P. (2014). Patients’ thoughts on effective psychotherapy. European Journal for Qualitative Research in Psychotherapy (7), 4-21.
Lindström, B., & Eriksson, M. (2006).Contextualizing salutogenesis and Antonovsky in public health development. Health Promotion International, Vol. 21, No. 3, 238-244.
Lewis, S., & Roberts, A. R. (2001). Crisis assessment tools: The good, the bad, and the available. Brief Treatment and Crisis Intervention (1), 17-28.
Luborsky, L., McLellan, A. T., Diguer, L., Woody, G., & Seligman, D. A. (1997). The psychotherapist matters: Comparis- on of outcomes across twenty-two therapists and seven patient samples. Clinical Psychology: Science and Practice, 4(1), 53-65.
Maxwell, M. (2013). Preventing depression. In L. Knifton & N. Quinn (Eds.), Public mental health. Global Perspectives.
Maidenhead: Open University Press.
McLeod, J. (2012). What do clients want from therapy? A practice-friendly review of research into client preferences.
European Journal of Psychotherapy and Counselling, 14(1), 19-32.
Miller, S. D., Hubble, M. A., Chow, D. L., & Seidel, J. A. (2013). The outcome of psychotherapy: Yesterday, today and to- morrow. Psychotherapy, 50(1), 88-97.
Norcross, J. C. (2010). The therapeutic relationship. In B. L. Duncan, S. D. Miller, B. E. Wampold & M. A. Hubble (Eds.),
The heart and soul of change. Delivering what works in therapy. Washington, DC: American Psychological Association.
National Board of Health and Welfare. (2013, July 20). Nationell utvärdering 2013 – vård och insatser vid depression, ångest och schizofreni. Rekommendationer, bedömningar och sammanfattning [National evaluation in 2013 - care and interventions for depression, anxiety and schizophrenia. Recommendations, estimates and summary]. Artikelnr 2013–6–27. Retrieved from www.socialstyrelsen.se
National Institute of Public Health. (2013, June 3). Folkhälsan i Sverige. Årsrapport 2013 [Public health in Sweden. Annual Report 2013]. Retrieved from http://folkhalsomyndigheten.se/pagefiles/12979/folkhalsan-i-sverige-arsrapport-2013.pdf
Oscarsson, L. (2009). Evidensbaserad praktik inom socialtjänsten. En introduktion för praktiker, chefer, politiker och studenter [Evidence-based practice in social services. An introduction for practitioners, managers, politicians and students]. Stockholm: SKL Kommentus.
Perris, M. (2003). Psychological therapy in primary care: Work in progress. Psychoanalytic psycho- therapy, 17(1), 18-34.
Pirog, M. A., & Good, E. M. (2013). Public policy and mental health. Avenues for prevention. Thou- sand Oaks: Sage publications.
Reavley, N. J., & Jorm, A. F. (2013). Mental health literacy. In L. Knifton & N. Quinn (Eds.). Public mental health. Global Perspectives. Maidenhead: Open University Press.
Roberts, A. R., & Ottens, A. J. (2005). The seven-stage crisis intervention model: A road map to goal attainment, problem solving, and crisis resolution. Brief Treatment and Crisis Intervention (5), 329- 339.
Roth, A., & Fonagy, P. (Eds.). (2005). What works for whom? A critical review of psychotherapy re- search. New York: Guilford.
SBU, Swedish Council on Health Technology Assessment. (2004, December 16). Behandling av de- pression – frågor och svar [The treatment of depression – questions and answers]. Retrieved from http://www.sbu.se/sv/Publicerat/Ovrig/Behandling-av-depression/#psykoterapi
Skinner, B. F. (1953). Science and human behavior. New York: Macmillan.
SOU, Government Official Reports. (2006). Ambition och ansvar. Nationell strategi för utveckling av samhällets insatser till personer med psykiska sjukdomar och funktionshinder [Ambition and respons- ibility. National strategy for the development of society's support measures for people with mental ill- nesses and disabilities]. Statens offentliga utredningar SOU 2006:100. Stockholm: Fritze.
Stiles, W. B. (2009). Responsiveness as an obstacle for psychotherapy outcome research: It's worse than you think. Clinical Psychology: Science and Practice, 16(1), 86-91.
Wampold, B. E. (2010). The research evidence for common factors models: A historically situated perspective. In B. L. Duncan, S. D. Miller, B. E. Wampold & M. A. Hubble (Eds.), The heart & soul of change. Delivering what works in therapy. Washington, DC: American Psychological Association.
Watson, J. B. (1924/1925). Behaviorism. New York: People's Institute Publishing Company. Westlund, P., & Sjöberg, A. (2010). Antonovsky inte Maslow. För en salutogen omsorg och vård
[Antonovsky not Maslow. For a salutogenic health and social care]. Solna: Fortbildning AB.
Zigmond, A. S., & Snaith, R. P. (1983). The hospital anxiety and depression scale. Acta Psychiatrica Scandinavica, 67, 361-370.
Öst, L.-G. (Ed.). (2006). KBT. Kognitiv beteendeterapi inom psykiatrin [CBT. Cognitive behavior therapy in psychiatry]. Stockholm: Natur och Kultur.
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