This paper describes the journey and process of conducting Illness Management and Recovery (IMR) programs in Brunei Darussalam to the current date. In the last decade, Occupational Therapy has focused on activities of daily living as a non-standardised form of assessment and treatment approach for clients with mental illness in Brunei Darussalam. Most of the treatment models used are conservative and are effective in reducing the symptoms but they do not prevent relapses and assist in empowerment of clients. This awareness led to the search for evidence-based practices to improve outcomes. IMR program was initially implemented in RIPAS Hospital, Brunei by Occupational Therapist for clients from Psychiatric Day Hospital.
The original modules were translated into Malay Language and Islamic spiritual aspects were included to provide for congruence with local cultural beliefs. The modules contents were not standardised and not audited by any assessors. After the completion of IMR, no follow-up was done on clients’ chosen goals. Towards the end of 2014, we were involved with the Community Psychiatric Rehabilitation Centre who piloted this recovery program for a selected group of clients with Schizophrenia for 3 months. Two weeks training and practical exposure were delivered to the Rehabilitation Centre staffs. Conclusion Involvement of other staff from the Mental Health setting has facilitated the evaluation of the effectiveness of the program.
However, assessment of the pilot showed lack of communication, insufficient training, usage of “too technical” and non standardised modules, poor follow-up on consumers’ goals and lack of relapse prevention plans. Our program scored reasonably well in the IMR fidelity scale (41/65) although it scored poorly on the General Organisational Index (15/60). Implementation of Illness Management and Recovery in Brunei can be further improved through strong leadership, effective training and committed staff to ensure sustainability of an effective evidence-based recovery program.
The study purpose was to evaluate the effectiveness of solution-focused brief group therapy based on the clients’ feedback about the process. The evaluation was to ensure that from the client’s perspective they were experiencing quality and effective service (Sharry, 2007). The research samples were from 30 undergraduate students of Universitas Pendidikan Indonesia of the 5th semester chosen by simple random sampling technique. They received 5 sessions of group therapy including termination and follow-up session. The data collection used the instrument adapted from Duncan and Miller’s (2000) (Sharry, 2007) supported by observation and interview.
Beginning in 1940, members of the US-American psychoanalytic community began to collaborate with the US-Intelligence Community (IC). Early activities (1940-1945) focused on the immediate threat of Nazi Germany, fascist Italy, and their imperial Japanese ally and included studies on a variety of anti-axis propaganda issues, e.g., home front radio broadcasts, analysis of enemy broadcasts, studies on domestic morale, analysis of enemy national character etc. Moreover, psychoanalysts used clinical data retained from ongoing analyses to be used by the IC in search of certain patterns of totalitarian attitudes in patients which might be counteracted by psychoanalysis or by psychoanalytically informed propaganda programs.
Relationship issues affect everyone. Much research has been carried out to resolve them through the engagements of various therapy and counselling techniques. Nonetheless, before the advent of counselling and psychotherapy protocols, those with relationship issues had sought the advice and guidance from some respected members of the families, village chiefs, temple and church elders or even those with shamanic practices. Today there are trends towards “spiritual” solutions to heal and repair those relationship issues. The presenter through his personal experience in this topic had found that one aspect of meditation - guided meditation could prove to be more useful than general or even mindfulness meditation modalities. The presenter, who is presently engaged in providing counselling for those incarcerated, had found that the practise of “guided meditation” not only relaxes the clients but could be used to transform their views (attitudes) and meaning of their own journey in life also. “Guided meditation” evokes the meditators’ visual, audio and kinetic faculties.
Informed by hermeneutic philosophical traditions, this will be a presentation of a brief art psychotherapy intervention from a phenomenological perspective. The idea of “meaning-making” is constructed from a phenomenological interpretation of art making, revealing psychological life as defined by Jung to be “the totality of all psychic processes, conscious as well as unconscious”.
Exploring into local collectivist Malays culture led the researchers to construct the Family Therapeutic Alliance (FTA) which is an invaluable therapeutic source of authority applicable as the underlying element in multicultural psychotherapy. FTA was used in a longitudinal study of relapse prevention among the Malay collectivist recovering addicts and their family that has produced a positive outcome. Four recovering addicts and their families were invited to form four study groups with an initial goal of establishing FTA, and later on, to maintain their alliances. Eight sessions of Collective Family Therapy using a multicultural approach that adopt the basic element of psychotherapy and critical values of the clients was used as the treatment approach.
Attention Deficit/Hyperactive Disorder (ADD/ADHD) is a neurodevelopmental psychological disorder. People with ADHD commonly display significant problems in executive functions. It has been suggested that underlying abnormalities in the brain contribute to ADHD (Amen, 2001). Seven types of ADD/ADHD were classified based on the symptoms and brain spectroscopy (SPECT) scans; different types of ADD/ADHD were attributed to different areas of brain atrophy and over-activation/inactivation. Several mechanisms and theories will be discussed: Neurotransmitters, Hormones, and Stress.
Embryo Donation (ED) is the donation by a couple who have surplus embryos following in vitro fertilisation to another infertile couple or person. This presentation, on counsellors’ experience in providing compulsory ED counselling, was part of a larger research investigation designed to explore how ED is understood and experienced by donors and recipients in Aotearoa New Zealand, a country with unique legislative and policy donation guidelines. The practice of ED counselling in Aotearoa New Zealand differs from other jurisdictions in that counsellors enact and facilitate the policy of ‘open’ donation in which donors and recipients meet and select each other for ED.
This presentation, "Responding to the needs of consumers with complex trauma histories a consumer perspective" focuses on the needs of adult survivors of child abuse, highlighting the frequent