Interpersonal Therapy EBP Implementation

Interpersonal Therapy EBP Implementation
The setting and access to potential subjects

According to Segal & Teasdale (2018), Interpersonal Therapy utilizes a unique model in treating mental health issues, especially depression. It is designed to improve interpersonal relationships as well as address current concerns helping individuals with depression. The clients ought to be sure of confidentiality and privacy for them to open up and share. It is unless they open up, the therapy sessions would be useful. This calls for a unique setting within the facility where the Interpersonal Therapy sessions will be conducted. Therapy rooms are needed, which are easily accessible and have tight security. No consent is required sine the administration is ready to support any change contributing to the health of the inmates.

Timeline

Approximately a timeline of six months will be enough for the team to prepare, allocate resources, train individuals, and come up with needed structures. After the allocation of resources, some activities such as training and construction of therapy rooms will be carried out concurrently. This will facilitate the activities hence enabling the team to take as minimum time as possible in preparing for the sessions.

Resources

Human resource is the primary resource needed in the successful implementation of this project. Qualified psychotherapy providers will be a significant human resource to facilitate the sessions. Interpersonal therapy can be administered solely as therapy on it’s on and some instances in conjunction with medication (Ravitz et al., 2019). It is upon the therapist to assess and determine what is helpful to the client. Hence, the already available care providers attending the incarcerated men will be taught on the incorporation of interpersonal therapy sessions into their care, depending on their assessment. Being inmates, security will be required. Therefore, both local police and sheriff department will be involved in ensuring both the care providers and inmates are safe in these enclosed therapy rooms.

Methods and instruments

Questionnaires are some of the structured tools that can be used to collect ideas, knowledge, and feelings as well as attitudes of individuals concerning a project. Therefore, a questionnaire will be the instrument of choice in monitoring the implementation of the proposed solution. The questions in the questionnaire will be linked to time. Here is the tool

Questionnaire monitoring implementation of proposed solution

Instructions: Answer all the questions.

When did the project start? day—-month—–year

How many funds are allocated to the project?

What are the personnel involved in the activity and what are their roles indicating their titles?

After two months

What is the progress of the project in terms of construction?

What are some of the barriers that have been experienced so far?

What are your suggestions concerning the shortcomings observed?

After four moths

What is the progress of the project concerning construction, training of staff, and security personnel?

What are the barriers encountered so far?

Do you think the project will be successfully implemented after six months according to your assessment? No/yes if no explain………………………………………………………..

Give some of the suggestions for corrective measures to be put in place concerning barriers experienced.

After five months

Describe the progress of the project in terms of personnel, security, and construction

What are some of the barriers experienced?

Have the previous suggestions been effectively taken into action? If no explain

If yes, which ones?

Give further suggestions that need to be considered in the course of implementing the proposed solution

After six months

What is the final stage of the project in terms of staff and material construction?

Is it up to the standard expected? Yes/no

If no what do you think went wrong

If yes. Explain.

Process for delivering the (intervention) solution

Delivering of Interpersonal Therapy relies on the assessment. Apart from the evaluation, the interpersonal therapist ought to learn to provide active and non-judgmental sessions to win the trust of individuals undergoing the session, enabling them to open up (Rothberg, 2017). Through proper understanding of the individuals on life transition, relation conflict, grief, and even interpersonal shortcomings and role disputes, depression among incarcerated men can be managed using interpersonal therapy. Therefore, there is a need to train the staff, care providers, who will be involved in these sessions. Crisis intervention training ought to be incorporated as part of learning, too (Johnson et al., 2019). Training will ensure the care providers can assess the clients on the need for interpersonal psychotherapy, how well to interact with the clients to win their attention and trust as well as how to incorporate other members such as family members and friends when necessary.

Data collection, analysis and interpretation plan

Data collection will be carried out at the end of the six months. Data will be collected using questionnaires, which will be distributed to the members of the staff. This will help in determining how well they are prepared to start conducting interpersonal therapy sessions. The organizing team of the project will also be required to give a final remark on what they feel they have achieved through the six months. Data will be managed by the research department, and results revealed to the critical stakeholders of the project and the rest of the staff. SPSS analytical method pf analyzing data will be employed in data analysis. Data will be interpreted by the research department and subject to a discussion involving key stakeholders and other staff members

A questionnaire will be used in the collection of data to be analyzed.

Questionnaire for data collection on the proposed solution

Instructions: answer all the questions where appropriate.

Which ranking of care providers do you fall in? Nurse… physician…. Social worker…. Nutritionist….. if anyother name…..

Were you able to attend the training sessions? Yes/no   if no why (if yes continue answering the questions)

If yes, how training sessions did you manage to attend, and how many did you miss?

How well do you feel prepared to conduct interpersonal therapy in term of assessment of client and conduction of interpersonal therapy?

Which part do you have difficulty? Assessment of client/ conduction of the session

According to your assessment, was the training enough? Yes/ no. Explain indicating the need for further instruction.

Do you think the structured therapy rooms are favorable for conduction of interpersonal therapy sessions as per your training? Yes/no. explain

Concerning the project, is there any part you are not comfortable. Give suggestions if possible.

For Stakeholder team only

Was the project implemented the way stated from the start? Yes/ no explain pointing out specific areas and suggestions.

Identify some of the barriers that were encountered in the course of implementing the solution explaining how each was dealt with

Strategies to deal with the management of any obstacles, facilitators, and challenges

Some of the challenges identified early that would hinder the implementation of the proposed solution are: lack of skills and knowledge among care providers, lack of enough evidence on the benefits of the new therapy and lack of enough resources (Williams, Perillo & Brown, 2015). Through the formulation of new policies and regulations supporting further intervention, some of the challenges, such as adherence to the response, can be solved. Through continued training sessions, fear due to lack of knowledge and skills amongst care providers on the provision of proposed intervention will be addressed. Research activities amongst the staff both internally and from outside will be encouraged for the team to gather enough evidence on the benefits of the new therapy.  In terms of resources, the proposed solution will be given a priority amongst other developmental plans in the facility. This will ensure enough funds are allocated towards this project.

Feasibility of the implementation plan

Major costs go to training of staff and construction of therapy rooms. Four qualified interpersonal therapists will be hired to train the staff on the new intervention. Five rooms will be constructed. Each trainer will be paid $ 100 per month as they will be coming part-time. The total for four trainers in six months will sum up to 100x4x6= $ 2400. Construction materials such as 100 bags of cements each costing $7.5 amounting up to $ 750, roofing which will cost approximately 500 dollars, furniture- $ 750, electric wiring- $ 400. Bricks- $ 1000. Other expenses- $ 500, labor-$700. In total, $6300 will be needed.

Monitoring progress

Close monitoring of the progress of the introduced intervention will be carried out. Frequent evaluations of the sessions and impacts on the clients will be determined. This will assure continuation or termination of the implemented solution. The staff will be critical informants as well as the clients on how well the new intervention is helping the clients.

 

 

References

Johnson, J. E., Stout, R. L., Miller, T. R., Zlotnick, C., Cerbo, L. A., Andrade, J. T., … & Wiltsey-Stirman, S. (2019). Randomized cost-effectiveness trial of group interpersonal psychotherapy (IPT) for prisoners with major depression. Journal of consulting and clinical psychology.

Ravitz, P., Watson, P., Lawson, A., Constantino, M. J., Bernecker, S., Park, J., & Swartz, H. A. (2019). Interpersonal Psychotherapy: A Scoping Review and Historical Perspective (1974–2017). Harvard review of psychiatry, 27(3), 165-180.

Rothberg, B. (2017). Group Interpersonal Therapy (IPT) for Depression.

Segal, Z. V., & Teasdale, J. (2018). Mindfulness-based cognitive therapy for depression. Guilford Publications.

Williams, B., Perillo, S., & Brown, T. (2015). What are the factors of organizational culture in health care settings that act as barriers to the implementation of evidence-based practice? A scoping review. Nurse education today35(2), e34-e41.