The Role of Occupational Therapists in Supporting Psychological Wellbeing after Stroke Using a Solution-Focused Psychological Approach to Mood Assessment

Abstract

This practice analysis describes a solution-focused approach to mood assessment and care with stroke survivors. A brief introduction to a solution-focused approach is detailed, together with the rationale for its use in stroke rehabilitation settings. The mood assessment procedure is described, with reflections from occupational therapists using the approach. Implications for how this can enhance patient-centred care in line with current United Kingdom Department of Health principles are outlined.

Keywords

Rehabilitation self-efficacy affect stroke solution focused

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References

Bowles

MacKintosh

Torn

(2001) Nurses' communication skills: An evaluation of the impact of solution-focused communication training. Journal of Advanced Nursing, 36(3), 347–354.

Burns

(2005) Focus on solutions: A health professional's guide. London: Whurr Publishers.

Care Quality Commission (2013) The essential standards. Available at: http://www.cqc.org.uk/organisations-we-regulate/registering-first-time/essential-standards Accessed 10.10.13.

Carver

Pozo

Harris

Clark

(1993) How coping mediates the effect of optimism on distress: A study of women with early stage breast cancer. Journal of Personality and Social Psychology, 65(2), 375–390.

de Shazer

(1985) Keys to solution in brief therapy. New York: W W Norton.

Department of Health (2001) The expert patient: A new approach to chronic disease management for the 21st century. London: DH. Available at: http://webarchive.nationalarchives.gov.uk/+/www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyandGuidance/DH_4006801 Accessed 01.10.13.

Duncan

Ghul

Mousley

(2007) Creating positive futures: Solution focused recovery from mental distress. London: BT Press.

Ellis

Ashmore

Bray

(2006) Multidisciplinary radiographer-led review clinics — an example of implementation. Journal of Radiotherapy in Practice, 5(2), 87–95.

Gingerich

Peterson

(2013) Effectiveness of solution-focused brief therapy: A systematic qualitative review of controlled outcome studies. Research on Social Work Practice. DOI: 10.1177/1049731512470859 [epub ahead of print].

10.

Intercollegiate Working Party for Stroke (2010) National Sentinel Stroke Audit Organisational Audit 2010 London: Royal College of Physicians. Available at: https://audit.rcplondon.ac.uk/SentinelStroke/website/files/public%20organisational%20report%202010.pdf Accessed 31.10.13.

11.

Intercollegiate Stroke Working Party (2012) National clinical guideline for stroke. 4th ed. London: Royal College of Physicians. Available at: http://www.rcplondon.ac.uk/sites/default/files/national-clinical-guidelines-for-stroke-fourth-edition.pdf Accessed 01.10.13.

12.

Kneebone

Baker

O'Malley

(2010) Screening for depression after stroke: Developing protocols for the occupational therapist. British Journal of Occupational Therapy, 73(2), 71–76.

13.

NHS Improvement (2008) Screening and assessment. Available at: http://www.improvement.nhs.uk/stroke/Psychologicalcareafterstroke/Screeningtools.aspx) Accessed 10.10.13.

14.

NHS Improvement (2011) Psychological care after stroke: Improving stroke services for people with cognitive and mood disorders. Leicester: NHS Improvement.

15.

NICE (2004) Improving supportive and palliative care for adults with cancer. Available at: http://www.nice.org.uk/nicemedia/live/10893/28816/28816.pdf Accessed 23.10.13.

16.

NICE (2013) Quality standard for stroke. Available at: http://publications.nice.org.uk/stroke-quality-standard-qs2 Accessed 01.10.13.

17.

Ratner

George

Iveson

(2012) Solution focused brief therapy: 100 key ideas and techniques. London: Routledge.

18.

Scheier

Weintraub

Jagdish

Carver

(1986) Coping with stress: Divergent strategies of optimists and pessimists. Journal of Personality and Social Psychology, 51(6), 1257–1264.

19.

Seeman

Lewis

(1995) Powerlessness, health and mortality: A longitudinal study of older men and mature women. Social Science and Medicine, 41(4), 517–525.

20.

Sherman

DAK

Nelson

Steele

(2000) Do messages about health risks threaten the self? Increasing the acceptance of threatening health messages via self-affirmation. Personality and Social Psychology Bulletin, 26(9), 1046–1058.

21.

Simm

Hastie

Weymouth

(2011) Is training in solution-focused working useful to community matrons? British Journal of Community Nursing, 16(12), 598–603.

22.

Sutcliffe

Lincoln

(1998) The assessment of depression in aphasic stroke patients: The development of the Stroke Aphasic Depression Questionnaire. Clinical Rehabilitation, 12(6), 506–513.

23.

Taylor

Kemeny

Aspinwall

Schneider

Rodriguez

Herbert

(1992) Optimism, coping, psychological distress and high-risk sexual behaviour among men at risk for acquired immunodeficiency syndrome (AIDS). Journal of Personality and Social Psychology, 63(3), 460–473.

24.

The Health Foundation (2013) Stroke 90:10. Available at: http://www.health.org.uk/areas-of-work/programmes/stroke-ninety-ten/ Accessed 22.04.13.

25.

Watkins

Lightbody

Sutton

Holcroft

Jack

Dickinson

Van den Broek

Leathley

(2007) Evaluation of a single-item screening tool for depression after stroke: A cohort study. Clinical Rehabilitation, 21, 846–852.

26.

Zigmond

Snaith

(1983) The Hospital Anxiety and Depression Scale. Acta Psychiatrica Scandinavica, 67(6), 361–370.