Lorraine Bell

Solent NHS Trust · adult mental health

Presentation to medics meeting about the development of Collaborative Assessment and Management of Suicidality (CAMS) and initial outcomes in Portsmouth adult mental health services, Solent NHS Trust.

Audit of 145 service users who discharged having not completed DBT over past 4.5 years, looking at where and why Drop-Out occured.

Background: Previous studies have demonstrated Acceptance and Commitment Therapy (ACT) is effective for depression and may be useful for complex transdiagnostic clients. Aims: To conduct a preliminary evaluation whether ACT is feasible and effective when delivered by psychologists and non-psychologists for complex clients in a National Health Servi...

This paper uses a qualitative methodology to explore how those with a diagnosis of Bipolar Disorder view their mental health as related to their finances. Themes identified were guilt around impulse spending, comfort spending and avoidant coping with finances.

Objectives: Impulsive spending is listed as a possible symptom in the diagnostic criteria for a manic episode. However no research has examined whether those with bipolar disorder believe that their mental health and finances are related. Methods: Qualitative data was obtained from two sources: qualitative questionnaire responses (n=44) and a focu...

Objective Previous research has shown a relationship between financial difficulties and poor mental health in students, but there has been no research examining such a relationship for eating attitudes.MethodA group of 444 British undergraduate students completed the Index of Financial Stress and the Eating Attitudes Test (26-item version) at up to...

Objective: Previous research has shown a relationship between financial difficulties and poor mental health in students, but there has been no research examining such a relationship for eating attitudes. Method: A group of 444 British undergraduate students completed the Index of Financial Stress and the Eating Attitudes Test (26-item version) at u...

Background: This presentation outlines the development of an Acceptance and Commitment Therapy transdiagnostic pathway in a secondary care NHS community adult mental health service. Nine non therapy staff (social workers, nurses and occupational therapists) and 8 therapy staff (psychologists and a psychotherapist) received 4 training days and super...

Implicit and explicit self-esteem were compared in a group of female participants with bulimia nervosa or binge eating disorder (n=20) and a healthy control group (n=20). Lower explicit and a less positive implicit self-esteem bias in the clinical group was predicted. Participants completed a self-esteem implicit association test and two explicit s...

People with eating disorders often exhibit serious misconceptions about their own body image. Overcoming Body Image Disturbance provides a treatment programme (piloted by the authors) for people with eating disorders who have a negative body image. The manual offers advice for therapists, enabling them to deliver the programme, as well as practical...

Cognitive behavioural therapy (CBT) is established as the treatment of choice for Bulimia Nervosa, but is not accessible to many sufferers living in remote and rural areas. This study used a single case interrupted time series design to examine the effectiveness of CBT delivered via videoconferencing for six participants with bulimic disorders. Wee...

This study examines the clinical utility of cognitive behavioural therapy delivered via videoconferencing for bulimic disorders, and factors associated with adjustment to this mode of treatment delivery. A single-case-series design was used with six participants with bulimic disorders. Most were living in remote areas in north-east Scotland or Shet...

The study investigated factors influencing failure to engage among a group of bulimic and binge eating disordered clients referred to a supervised self-help programme. A total of 125 patients referred to a supervised self-help programme for people with bulimia and binge eating disorder were grouped into those who were seen in treatment (n = 85), an...

Dissociation comprises a range of psychological processes, which have largely been the subject of psychodynamic discussion. Dissociative phenomena are for the most part unaddressed by cognitive theorists. Current measures are atheoretical and our understanding of dissociation has been hampered by the absence of clear psychological models. This pape...

Low self-esteem is widely recognized as a predisposing, precipitating and maintaining factor in the aetiology of eating disorders. This paper examines the effectiveness of a self-esteem group for women with eating disorders, delivered repeatedly over a 20-month period. Forty-one patients began and 33 completed the programme and both pre- and post-m...

Definitions of multi-impulsivity and sample characteristics between studies of impulsivity vary widely leading to inconsistent results. Outcome data was examined to assess the comparative response of multi-impulsive and non multi-impulsive bulimic patients to a supervised self-help CBT programme. Multi-impulsivity was defined as the presence of two...

The aim of this review was to analyse and summarize the research findings regarding which factors predict failure to engage (FTE) or drop out from treatment for bulimia nervosa. A literature search was carried out with PubMed and PsychLit from 1985 to September 2000. Key terms searched were those classified as bulimia nervosa: outcome, FTE, drop-ou...

Self-help programmes are recommended as cost-effective initial interventions for the treatment of bulimic disorders. This is a report of the effectiveness of such a programme in routine clinical practice. Twenty-one patients completed the programme and both pre- and post- measures. Patients were treated in a secondary mental health setting over an...

Documented assessments and formulations were analysed on 30 patients with eating disorders treated with Cognitive Analytic Therapy (CAT). The range of problems in addition to the eating disorder, either reported by patients (‘presenting problems’) or identified by the therapist were classified. Fifty-seven interpersonal problems such as dependent o...

This paper presents the results of an audit of people with eating disorders treated by adult mental health services. Information was obtained about the severity and nature of the eating disorder, treatment received and outcome of treatment for 128 clients who were assessed or treated for an eating disorder by eight adult mental health teams or ment...

Product Description This self-help manual for those who meet the diagnosis of 'emotionally unstable' or 'borderline personality disorder'(BPD) outlines a brief intervention based on a model of treatment known to be effective for other conditions. From the Back Cover The treatment of personality disorder is a major concern facing current mental heal...