Using Implementation Intentions to Prevent Relapse after Psychological Treatment for Depression - the SMArT Intervention.

Even after successful treatment, it is recognized that the majority of people with depression tend to relapse, and that self-management interventions should be developed and provided. There is evidence that the intention of implementation (IMPS) can be successfully applied to health-related behaviors, but their use in mental health self-management is limited

In this article, I will explain the design and preliminary assessment of self management (SMArT) intervention after treatment following psychotherapy of depression combined with IMPS. I tried to evaluate feasibility and tolerance of SMArT

The design of the SMArT intervention is based on MRC guidelines for developing and evaluating complex interventions and is designed and implemented in conjunction with the improvement of the UK IAPT service. Eleven patients who were relieved after treatment for depression received SMARMT intervention provided by Mental Health Practitioner (PWP). Use of periodic IAPT result measurements for each conference, patient and PWP feedback, and fidelity evaluation of the identified IMPS type analysis and model. Six patients provided short feedback to independent researchers on intervention

Feedback from patients and PWP indicates that the intervention is viable and acceptable and may help patients keep good condition after treatment. Patients confirmed the importance of setting their goals in the form of IMPS, were assisted by PWP, and in some cases were supported by partners, friends, and families.

The main purpose of depression management is to achieve complete relief of the symptoms, to include a plan to prevent the recurrence and recurrence of the symptoms, and to reconstruct the psychological, social and occupational balance of the patient . Establishment of treatment environment and treatment relationship is an important consideration. Nurse practitioner (NP) must evaluate the mental state and safety of each patient under treatment and provide depression episodes to patients and their families. NP must carefully monitor the patient to ensure compliance with the treatment plan and to judge the symptoms of recurrence. Table 1 shows guidelines for MDD to treat APD 9, 10

Even after successful treatment, it is recognized that the majority of people with depression tend to relapse, and that self-management interventions should be developed and provided. There is evidence that IMP can be successfully applied to health-related behaviors, but their use in mental health self-management is limited. The design of the SMArT intervention is based on MRC guidelines for developing and evaluating complex interventions and is designed and implemented in conjunction with the improvement of the UK IAPT service. Eleven patients who were relieved after treatment for depression received SMARMT intervention provided by Mental Health Practitioner (PWP). Use of periodic IAPT result measurements at each meeting, patient and PWP feedback, and fidelity evaluation of the identified IMPS type analysis and model

Use of implementation intention to prevent recurrence after depression psychotherapy - SMArT intervention

Many psychotherapies including self-help have been evaluated for prevention of recurrence, but they have been considered as acute treatment of depression in children and adolescents. Psychotherapy includes cognitive behavioral therapy (CBT), interpersonal psychotherapy (IPT), undirected supportive therapy, psychoanalysis / psychodynamic child psychotherapy, family therapy, relaxation, self modeling, counseling Lead self-help, art therapy and control reinforcement training. However, the basis for most of these treatments is very limited

Depression in Children and Adolescents: Identification and Management in Primary Care, Community Care and Secondary Care