Designing and evaluating a psychological intervention for individuals with Multiple Complex Needs

Sapsford, Hayley (2021) Designing and evaluating a psychological intervention for individuals with Multiple Complex Needs. DClinPsy thesis, University of Nottingham.

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Multiple Complex Needs refers to any two of the following: homelessness, substance misuse, offending behaviour and/or mental health difficulties. Personal agency is compromised within those who experience difficulties in their mental health, impacted on further by adversity and disempowerment. The Power Threat Meaning Framework (PTMF) has been designed by its authors to take disempowerment in psychological suffering into account and provide a narrative to make sense of experiences and regain a sense of personal agency. The lack of systematic and empirical evidence for the PTMF provides further reason to conduct research within this area and explore its use. This research aimed to design a brief intervention based on the PTMF and explore the outcomes, utility and feasibility with adults experiencing Multiple Complex Needs (MCN).

A brief PTMF-based intervention was systematically designed and evaluated using a single exploratory case study. Thematic Analysis was conducted with data from process measures, session recordings and a change interview. Descriptive data was obtained from quantitative measures to explore specific outcomes on personal agency, empowerment and wellbeing.

A number of helpful therapeutic events were identified in the analysis. Qualitative data indicated shifts in empowerment and agency. There were no significant changes pre/post in the quantitative data.

It is suggested the PTMF can be translated into an acceptable intervention for those experiencing MCN. Unhelpful events and feedback were used to make changes to the workbook and enhance its feasibility. The research contributes to the field of clinical psychology in the demonstration of the utility of an intervention based on the PTMF and how it can be used within a population where engagement is challenging. Future research would benefit from replicating the current study with an increased number of participants and robust assessment of outcomes.

Item Type: Thesis (University of Nottingham only) (DClinPsy)
Supervisors: Schroder, Thomas
De Boos, Danielle
Tickle, Anna
Keywords: Power Threat Meaning Framework (PTMF); Personal agency; Empowerment; Therapeutic intervention
Subjects: W Medicine and related subjects (NLM Classification) > WM Psychiatry
Faculties/Schools: UK Campuses > Faculty of Medicine and Health Sciences > School of Medicine
Item ID: 66137
Depositing User: Sapsford, Hayley
Date Deposited: 08 Dec 2021 04:40
Last Modified: 08 Dec 2021 04:40

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