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Concept: Recovery International

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Unicompartmental knee arthroplasty is a successful treatment for unicompartmental knee osteoarthritis that has lower complication rates, faster recovery, and a more natural feeling knee compared to total knee arthroplasty. However, long-term survival has been a persistent concern. As more surgeon-controlled variables have been linked to survival, interest in robotic-assisted surgery has continued to grow. Robotic-assisted surgery has demonstrated the ability.

Concepts: Rheumatoid arthritis, Osteoarthritis, Knee replacement, Art, Recovery International

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The employment of Peer Support Workers, who themselves have experience of significant emotional distress, can promote recovery at an individual and organisational level. While research examining the benefits of peer support within mental health services continues to grow, an understanding of how, and through what processes, these benefits are reached remains under-developed.

Concepts: Health care, Medicine, Health, Mental health, Mental disorder, Self-help groups for mental health, Recovery International

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The onset of psychosis typically occurs during adolescence or early adulthood and can have a detrimental impact on social and cognitive development. Cognitive behavioural therapy (CBT) shows promise in reducing the risk of psychosis. Teaching families to apply CBT with their offspring may bolster therapeutic gains made in time-limited treatment. We developed a comprehensive group-and-family-based CBT (GF-CBT) program that aims to facilitate psychosocial recovery, decrease symptoms and prevent transition to psychosis in youth at risk. GF-CBT is grounded in ecological systems and cognitive theories, resilience models and research on information processing in delusions. The theoretical rationale and description of GF-CBT are presented together with a pilot study that evaluated the program’s feasibility and explored participants' outcomes.

Concepts: Psychology, Biology, Cognitive psychology, Developed country, Educational psychology, Cognitive behavioral therapy, Schizophrenia, Recovery International

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This study aimed to evaluate short- and long-term outcomes in patients with severe and enduring anorexia nervosa (SE-AN), as compared with those with non SE-AN (NSE-AN), both treated via an inpatient programme based on a “recovery model” approach.

Concepts: Anorexia nervosa, Model, Cognitive behavioral therapy, Outcome, Recovery model, Bulimia nervosa, Female body shape, Recovery International

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Despite advances in schizophrenia treatment, symptom relapses and rehospitalizations impede recovery for many people and are a principal driver of the high cost of care. Technology-delivered or technology-enhanced treatment may be a cost-effective way to provide flexible, personalized evidence-based treatments directly to people in their homes and communities. However, evidence for the safety, acceptability, and efficacy of such interventions is only now being established. The authors of this Open Forum describe a novel, technology-based approach to prevent relapse after a hospitalization for psychosis, the Health Technology Program (HTP), which they developed. HTP provides in-person relapse prevention planning that directs use of tailored, technology-based treatment based on cognitive-behavioral therapy for psychosis, family psychoeducation for schizophrenia, and prescriber decision support through a Web-based program that solicits information from clients at every visit. Technology-based treatments are delivered through smartphones and computers.

Concepts: Randomized controlled trial, Prevention, Cognitive behavioral therapy, Schizophrenia, Bipolar disorder, Major depressive disorder, Decision support system, Recovery International

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To examine the speed and trajectory of changes in sleep/wake parameters during short-term treatment of insomnia with cognitive-behavioral therapy (CBT) alone versus CBT combined with medication; and to explore the relationship between early treatment response and post-treatment recovery status.

Concepts: 2000s music groups, Cognitive behavioral therapy, Generalized anxiety disorder, Trajectory, Trajectory of a projectile, Zopiclone, Recovery International

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Background/Aims: Twelve-step mutual self-help groups provide cost-effective support for recovery from substance misuse problems. Evidence suggests they are successful as an adjunct to formal treatment and that referral from clinicians is important in fostering engagement. Methods: This study surveyed substance misuse treatment professionals employed within two agencies in Birmingham (UK). Results: A total of 92 clinicians (79.3%) eligible to participate completed a questionnaire that explored their attitudes, knowledge and referral practices with regard to 12-step groups (TSGs). Most (74%) had a positive attitude, and almost 80% referred at least some of their clients to TSGs. However, 30% had not referred any clients in the past month, and multivariate analysis showed that referral was associated with greater objective knowledge about TSGs when other factors were controlled for. Conclusions: These results have implications for linking professional treatment to mutual self-help groups, and potential strategies to increase referral are discussed. © 2014 S. Karger AG, Basel.

Concepts: Multivariate statistics, Recovery model, REFER, Twelve-step program, Self-help, Self-help groups for mental health, Recovery International