Take-down policy If you believe that this document breaches copyright please contact us providing... more Take-down policy If you believe that this document breaches copyright please contact us providing details, and we will remove access to the work immediately and investigate your claim.
Background Despite the availability of a wide variety of evidence-based treatments for major depr... more Background Despite the availability of a wide variety of evidence-based treatments for major depressive disorder (MDD), many patients still experience impairments in their lives after remission. Programs are needed that effectively support patients in coping with these impairments. The program Storytelling and Training to Advance Individual Recovery Skills (STAIRS) was developed to address this need and combines the use of peer contact, expert-by-experience guidance, family support and professional blended care. The aim of the planned study is (1) to assess the efficacy of the STAIRS program in patients with remitted MDD, (2) to investigate patients’ subjective experiences with STAIRS, and (3) to evaluate the program’s cost-effectiveness.Methods A concurrent mixed-methods randomized controlled trial design will be used. Patients aged between 18 and 65 years with remitted MDD (N = 140) will be randomized to either a group receiving care as usual (CAU) + the STAIRS-program or a contro...
Take-down policy If you believe that this document breaches copyright please contact us providing... more Take-down policy If you believe that this document breaches copyright please contact us providing details, and we will remove access to the work immediately and investigate your claim.
In dit artikel wordt ingegaan op de ontwikkeling van een ondersteuningsgroep voor studenten met p... more In dit artikel wordt ingegaan op de ontwikkeling van een ondersteuningsgroep voor studenten met psychiatrische beperkingen. Deze is opgezet in het kader van een project Studeren met Steun. Naast deze ondersteuningsgroep zijn in dit project workshops voor docenten van hogeschool en universiteit georganiseerd en informatiebrochures voor de genoemde doelgroep gemaakt (zie www.begeleidleren.nl). Eerst worden enkele achtergrondgegevens van studenten met psychiatrische beperkingen belicht en vervolgens worden de ontwikkeling van een ondersteuningsgroep en de ervaringen daarmee beschreven. Na de discussie worden aanbevelingen gedaan. Inleiding In het onderwijsveld vinden ontwikkelingen plaats die direct of indirect betrekking hebben op mensen met psychiatrische problemen. Regelmatig is er sprake van problemen in de psychosociale, sociaal-maatschappelijke en/of sociaal-emotionele sfeer: problemen thuis, gedragsproblemen en problemen met docenten. Als er sprake is van een opeenstapeling van problemen kan dat de student uiteindelijk doen besluiten de opleiding te verlaten. Opvallend is dat bij de instellingen voor hoger onderwijs weinig expliciete aandacht wordt geschonken aan studenten met langdurige psychiatrische problemen, die zowel economisch, sociaal als educatief tot een kwetsbare groep in de samenleving behoren. Studenten met psychische problemen In opdracht van het ministerie van OC&W is onderzoek verricht naar de belemmeringen die studenten met een handicap ervaren bij het volgen van onderwijs binnen het voortgezet onderwijs, hoger beroepsonderwijs en het wetenschappelijk onderwijs. Op basis van screeningsonderzoek wordt geschat dat 5 tot 6% van de studenten psychische klachten heeft (Broenink & Gorter, 2001; Plemper, 2005). Aan ondersteuning van studenten met psychiatrische beperkingen in het onderwijs wordt weinig of geen structurele aandacht besteed. Een organisatie als het landelijke Expertisecentrum Handicap & Studie richt zich vooral op het begeleiden van studenten TVHO 168 Peter van der Ende Hanny van Asdonck Lies Korevaar Drs. P.C. van der Ende en H. van Asdonck zijn senioronderzoeker/ docent respectievelijk docent bij de Academie voor Sociale Studies van de Hanzehogeschool Groningen en lid van de Kenniskring van het Lectoraat Rehabilitatie.
Purpose We assessed the association between trajectories of stressful life events (SLEs) througho... more Purpose We assessed the association between trajectories of stressful life events (SLEs) throughout adolescence and changes in mental health from childhood to young adulthood. Further, we assessed whether family functioning moderated this association. Methods Data of the first six waves of the TRAILS study (2001-2016; n = 2229) were used, a cohort followed from approximately age 11 to 23. We measured SLEs (death of a family member or other beloved one, delinquency, moving, victim of violence, parental divorce, and sexual harassment) at ages 14, 16 and 19. Family functioning was measured at all six time points using the Family Assessment Device (FAD), and mental health was measured through the Youth/Adult Self-Report at ages 11 and 23. Latent class growth analyses (LCGA) were used to examine longitudinal trajectories and associations. Results We identified three SLE trajectories (low, middle, high) throughout adolescence, and found no significant associations between these trajectori...
Because major depressive disorder (MDD) has a strong negative impact on patients' lives, well... more Because major depressive disorder (MDD) has a strong negative impact on patients' lives, well–designed treatment programs are needed that address the lasting effects of MDD. Previous work has shown that such programs should not only focus on symptomatic recovery, but also on the subsequent personal recovery process. Currently, few programs with this specific focus exist. Therefore, this study aimed to assess the feasibility of a newly developed blended program to support the personal recovery process of MDD patients: Storytelling and Training to Advance Individual Recovery Skills (STAIRS). STAIRS is a program using peer support and guidance by experts by experience and clinicians, which can be added to regular depression treatment when symptomatic recovery is almost reached. Topics addressed in this program are: (1) effects of depression and treatment; (2) structure; (3) (self) stigma; (4) self-image; (5) meaning of life; (6) connection to others; (7) physical health; (8) relaxa...
Additional file 1. Supplementary file with the questions from the online questionnaire, the evalu... more Additional file 1. Supplementary file with the questions from the online questionnaire, the evaluation forms, and the telephone interview.
We examined trajectories of multiple health risk behavior (MHRB) patterns throughout adolescence,... more We examined trajectories of multiple health risk behavior (MHRB) patterns throughout adolescence, and changes in mental health from childhood to young adulthood. Further, we assessed how continuity or onset of MHRBs overall were associated with subsequent changes in mental health, and whether this varied by type of MHRBs. We used six waves of the prospective Dutch TRAILS study (2001-2016; n = 2229), covering ages 11 until 23. We measured MHRBs (substance use: alcohol misuse, cannabis use, smoking; and obesity-related: overweight, physical inactivity, irregular breakfast intake) at three time points during adolescence. We assessed mental health as Youth/Adult Self-report total problems at ages 11 and 23. Latent class growth analyses and ANOVA were used to examine longitudinal trajectories and associations. We identified six developmental trajectories for the total of MHRBs and mental health. Trajectories varied regarding likelihood of MHRBs throughout adolescence, mental health at baseline, and changes in mental health problems in young adulthood. We found no associations for the continuity of overall MHRBs throughout adolescence, and neither for early, mid- or late onset, with changes in mental health problems in young adulthood. However, continuity of MHRBs in the obesity-related subgroup was significantly associated with an increase in mental health problems. Adolescents with the same MHRB patterns may, when reaching adulthood, have different levels of mental health problems, with mental health at age 11 being an important predictor. Further, involvement with obesity-related MHRBs continuously throughout adolescence is associated with increased mental health problems in young adulthood.
Objective: The aim of this pilot study was to explore the initial experiences with and impact of ... more Objective: The aim of this pilot study was to explore the initial experiences with and impact of Parenting with Success and Satisfaction (PARSS), a psychiatric rehabilitation and recovery based, guided self-help intervention, for parents with severe mental illnesses. Methods: Changes in the PARSS intervention group (N=11) were compared with changes in a control group (N=15) in a nonequivalent control group design. Outcome measures included: parenting satisfaction reported by parents; parenting success reported by mental health practitioners and family members; empowerment as reported by parents, practitioners and family members; and parents' reported quality of life. Additional process data were obtained on relationship with practitioner, quality of contact, satisfaction with the intervention and fidelity. Results: Parenting satisfaction increased after 1 year for the PARSS group, but not for the control group. Parents' reports of empowerment did not change for either group. The scores of parents' empowerment reported by practitioners and family members increased in the control group, with no such change in the PARSS group. Quality of life improved significantly for the intervention group. Process measures showed that, although PARSS was not always implemented as intended, both parents and practitioners expressed satisfaction with the intervention. Conclusions and Implications for Practice: The first experiences with PARSS were mixed. This intervention, implemented by mental health practitioners, has the potential to function as a useful tool for supporting parents. Attention must be paid to enhancing intervention implementation and fidelity.
Background While the participation of adults with visual and severe or profound intellectual disa... more Background While the participation of adults with visual and severe or profound intellectual disabilities (VSPID) in society and community life is important, evidence-based interventions for improve their participation are lacking. We conducted a process evaluation of the implementation of ‘Care for Participation+’ (CFP+), a new intervention targeting the attitudes of direct support professionals (DSPs) toward the participation of adults with VSPID, within a residential facility in the Netherlands. Methods CFP+ was inspired by the Boston Psychiatric Rehabilitation Approach and adapted by adopting a new definition and operationalization of the concept of participation for adults with VSPID. Following systematic training, DSPs of adults with VSPID are able to apply key elements of CFP+ to explore diverse roles and activities for this population, facilitating their self-management, teaching them necessary skills for participation, and organizing support. Our process evaluation entailed...
Take-down policy If you believe that this document breaches copyright please contact us providing... more Take-down policy If you believe that this document breaches copyright please contact us providing details, and we will remove access to the work immediately and investigate your claim.
Background Despite the availability of a wide variety of evidence-based treatments for major depr... more Background Despite the availability of a wide variety of evidence-based treatments for major depressive disorder (MDD), many patients still experience impairments in their lives after remission. Programs are needed that effectively support patients in coping with these impairments. The program Storytelling and Training to Advance Individual Recovery Skills (STAIRS) was developed to address this need and combines the use of peer contact, expert-by-experience guidance, family support and professional blended care. The aim of the planned study is (1) to assess the efficacy of the STAIRS program in patients with remitted MDD, (2) to investigate patients’ subjective experiences with STAIRS, and (3) to evaluate the program’s cost-effectiveness.Methods A concurrent mixed-methods randomized controlled trial design will be used. Patients aged between 18 and 65 years with remitted MDD (N = 140) will be randomized to either a group receiving care as usual (CAU) + the STAIRS-program or a contro...
Take-down policy If you believe that this document breaches copyright please contact us providing... more Take-down policy If you believe that this document breaches copyright please contact us providing details, and we will remove access to the work immediately and investigate your claim.
In dit artikel wordt ingegaan op de ontwikkeling van een ondersteuningsgroep voor studenten met p... more In dit artikel wordt ingegaan op de ontwikkeling van een ondersteuningsgroep voor studenten met psychiatrische beperkingen. Deze is opgezet in het kader van een project Studeren met Steun. Naast deze ondersteuningsgroep zijn in dit project workshops voor docenten van hogeschool en universiteit georganiseerd en informatiebrochures voor de genoemde doelgroep gemaakt (zie www.begeleidleren.nl). Eerst worden enkele achtergrondgegevens van studenten met psychiatrische beperkingen belicht en vervolgens worden de ontwikkeling van een ondersteuningsgroep en de ervaringen daarmee beschreven. Na de discussie worden aanbevelingen gedaan. Inleiding In het onderwijsveld vinden ontwikkelingen plaats die direct of indirect betrekking hebben op mensen met psychiatrische problemen. Regelmatig is er sprake van problemen in de psychosociale, sociaal-maatschappelijke en/of sociaal-emotionele sfeer: problemen thuis, gedragsproblemen en problemen met docenten. Als er sprake is van een opeenstapeling van problemen kan dat de student uiteindelijk doen besluiten de opleiding te verlaten. Opvallend is dat bij de instellingen voor hoger onderwijs weinig expliciete aandacht wordt geschonken aan studenten met langdurige psychiatrische problemen, die zowel economisch, sociaal als educatief tot een kwetsbare groep in de samenleving behoren. Studenten met psychische problemen In opdracht van het ministerie van OC&W is onderzoek verricht naar de belemmeringen die studenten met een handicap ervaren bij het volgen van onderwijs binnen het voortgezet onderwijs, hoger beroepsonderwijs en het wetenschappelijk onderwijs. Op basis van screeningsonderzoek wordt geschat dat 5 tot 6% van de studenten psychische klachten heeft (Broenink & Gorter, 2001; Plemper, 2005). Aan ondersteuning van studenten met psychiatrische beperkingen in het onderwijs wordt weinig of geen structurele aandacht besteed. Een organisatie als het landelijke Expertisecentrum Handicap & Studie richt zich vooral op het begeleiden van studenten TVHO 168 Peter van der Ende Hanny van Asdonck Lies Korevaar Drs. P.C. van der Ende en H. van Asdonck zijn senioronderzoeker/ docent respectievelijk docent bij de Academie voor Sociale Studies van de Hanzehogeschool Groningen en lid van de Kenniskring van het Lectoraat Rehabilitatie.
Purpose We assessed the association between trajectories of stressful life events (SLEs) througho... more Purpose We assessed the association between trajectories of stressful life events (SLEs) throughout adolescence and changes in mental health from childhood to young adulthood. Further, we assessed whether family functioning moderated this association. Methods Data of the first six waves of the TRAILS study (2001-2016; n = 2229) were used, a cohort followed from approximately age 11 to 23. We measured SLEs (death of a family member or other beloved one, delinquency, moving, victim of violence, parental divorce, and sexual harassment) at ages 14, 16 and 19. Family functioning was measured at all six time points using the Family Assessment Device (FAD), and mental health was measured through the Youth/Adult Self-Report at ages 11 and 23. Latent class growth analyses (LCGA) were used to examine longitudinal trajectories and associations. Results We identified three SLE trajectories (low, middle, high) throughout adolescence, and found no significant associations between these trajectori...
Because major depressive disorder (MDD) has a strong negative impact on patients' lives, well... more Because major depressive disorder (MDD) has a strong negative impact on patients' lives, well–designed treatment programs are needed that address the lasting effects of MDD. Previous work has shown that such programs should not only focus on symptomatic recovery, but also on the subsequent personal recovery process. Currently, few programs with this specific focus exist. Therefore, this study aimed to assess the feasibility of a newly developed blended program to support the personal recovery process of MDD patients: Storytelling and Training to Advance Individual Recovery Skills (STAIRS). STAIRS is a program using peer support and guidance by experts by experience and clinicians, which can be added to regular depression treatment when symptomatic recovery is almost reached. Topics addressed in this program are: (1) effects of depression and treatment; (2) structure; (3) (self) stigma; (4) self-image; (5) meaning of life; (6) connection to others; (7) physical health; (8) relaxa...
Additional file 1. Supplementary file with the questions from the online questionnaire, the evalu... more Additional file 1. Supplementary file with the questions from the online questionnaire, the evaluation forms, and the telephone interview.
We examined trajectories of multiple health risk behavior (MHRB) patterns throughout adolescence,... more We examined trajectories of multiple health risk behavior (MHRB) patterns throughout adolescence, and changes in mental health from childhood to young adulthood. Further, we assessed how continuity or onset of MHRBs overall were associated with subsequent changes in mental health, and whether this varied by type of MHRBs. We used six waves of the prospective Dutch TRAILS study (2001-2016; n = 2229), covering ages 11 until 23. We measured MHRBs (substance use: alcohol misuse, cannabis use, smoking; and obesity-related: overweight, physical inactivity, irregular breakfast intake) at three time points during adolescence. We assessed mental health as Youth/Adult Self-report total problems at ages 11 and 23. Latent class growth analyses and ANOVA were used to examine longitudinal trajectories and associations. We identified six developmental trajectories for the total of MHRBs and mental health. Trajectories varied regarding likelihood of MHRBs throughout adolescence, mental health at baseline, and changes in mental health problems in young adulthood. We found no associations for the continuity of overall MHRBs throughout adolescence, and neither for early, mid- or late onset, with changes in mental health problems in young adulthood. However, continuity of MHRBs in the obesity-related subgroup was significantly associated with an increase in mental health problems. Adolescents with the same MHRB patterns may, when reaching adulthood, have different levels of mental health problems, with mental health at age 11 being an important predictor. Further, involvement with obesity-related MHRBs continuously throughout adolescence is associated with increased mental health problems in young adulthood.
Objective: The aim of this pilot study was to explore the initial experiences with and impact of ... more Objective: The aim of this pilot study was to explore the initial experiences with and impact of Parenting with Success and Satisfaction (PARSS), a psychiatric rehabilitation and recovery based, guided self-help intervention, for parents with severe mental illnesses. Methods: Changes in the PARSS intervention group (N=11) were compared with changes in a control group (N=15) in a nonequivalent control group design. Outcome measures included: parenting satisfaction reported by parents; parenting success reported by mental health practitioners and family members; empowerment as reported by parents, practitioners and family members; and parents' reported quality of life. Additional process data were obtained on relationship with practitioner, quality of contact, satisfaction with the intervention and fidelity. Results: Parenting satisfaction increased after 1 year for the PARSS group, but not for the control group. Parents' reports of empowerment did not change for either group. The scores of parents' empowerment reported by practitioners and family members increased in the control group, with no such change in the PARSS group. Quality of life improved significantly for the intervention group. Process measures showed that, although PARSS was not always implemented as intended, both parents and practitioners expressed satisfaction with the intervention. Conclusions and Implications for Practice: The first experiences with PARSS were mixed. This intervention, implemented by mental health practitioners, has the potential to function as a useful tool for supporting parents. Attention must be paid to enhancing intervention implementation and fidelity.
Background While the participation of adults with visual and severe or profound intellectual disa... more Background While the participation of adults with visual and severe or profound intellectual disabilities (VSPID) in society and community life is important, evidence-based interventions for improve their participation are lacking. We conducted a process evaluation of the implementation of ‘Care for Participation+’ (CFP+), a new intervention targeting the attitudes of direct support professionals (DSPs) toward the participation of adults with VSPID, within a residential facility in the Netherlands. Methods CFP+ was inspired by the Boston Psychiatric Rehabilitation Approach and adapted by adopting a new definition and operationalization of the concept of participation for adults with VSPID. Following systematic training, DSPs of adults with VSPID are able to apply key elements of CFP+ to explore diverse roles and activities for this population, facilitating their self-management, teaching them necessary skills for participation, and organizing support. Our process evaluation entailed...
Uploads
Papers by Lies Korevaar