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A systematic review and narrative synthesis of indirect psychological intervention in acute mental health inpatient settings

Man, Holly; Wood, Lisa; Glover, Naomi; (2023) A systematic review and narrative synthesis of indirect psychological intervention in acute mental health inpatient settings. Clinical Psychology and Psychotherapy , 30 (1) pp. 24-37. 10.1002/cpp.2780. Green open access

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Abstract

OBJECTIVES: Psychologists frequently deliver indirect psychological interventions in mental health inpatient settings to support staff to reflect upon and improve their clinical practice. However, research into these interventions is sparse. Therefore, this study aimed to undertake a systematic review and narrative synthesis of the indirect psychological interventions used in mental health inpatient settings. METHODS: MEDLINE, PsycINFO and Embase were searched for eligible studies and forward-citation searching was undertaken. A narrative synthesis was undertaken to synthesize results. The quality of studies was assessed using the Mixed Methods Appraisal Tool. RESULTS: Ten studies were included in the review, and all utilized a small to moderate sample size. We identified five categories of interventions involving a range of methodologies and the studies were assessed to be of good to adequate quality. The most common type of indirect intervention employed was case formulation sessions. Other types of indirect interventions included formal clinical supervision, reflective practice and staff practice-based education sessions. Overall, the utilization of indirect psychological interventions shows promise, particularly case formulation sessions. CONCLUSIONS: The use of indirect psychological interventions within mental health inpatient settings may have benefits for patient care. However, additional larger scale research is required to further develop the evidence base of indirect interventions for this setting.

Type: Article
Title: A systematic review and narrative synthesis of indirect psychological intervention in acute mental health inpatient settings
Open access status: An open access version is available from UCL Discovery
DOI: 10.1002/cpp.2780
Publisher version: https://doi.org/10.1002/cpp.2780
Language: English
Additional information: © 2022 The Authors. Clinical Psychology & Psychotherapy published by John Wiley & Sons Ltd. This is an open access article under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non-commercial and no modifications or adaptations are made.
Keywords: Case formulation, reflective practice, psychiatric inpatient hospital, indirect psychological interventions, systematic review
UCL classification: UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > Division of Psychiatry > Epidemiology and Applied Clinical Research
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > Division of Psychiatry
URI: https://discovery.ucl.ac.uk/id/eprint/10155372
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