Jooske Van Busschbach - Profile on Academia.edu (original) (raw)
Papers by Jooske Van Busschbach
Psychiatric Services, Aug 1, 2018
Drie onderdelen: I. Huidig functioneren van de ouder IIa. Versterken van de ouderrol voor ouders ... more Drie onderdelen: I. Huidig functioneren van de ouder IIa. Versterken van de ouderrol voor ouders die met hun kind wonen IIb. Hernemen/uitbreiden van de ouderrol voor ouders die apart van hun kind wonen. Begeleide zelfhulp interventie voor ouders met (ernstige) psychische aandoeningen. Deze interventie is geïmplementeerd bij een aantal GGz-instellingen en heeft de potentie om te functioneren als een bruikbaar gereedschap. Er zal aandacht besteed moeten worden aan het verbeteren Doel: De eerste ervaringen met de methodiek "Ouderschap met Succes en Tevredenheid (OST)" in kaart brengen. Een methodiek gebaseerd op psychiatrische rehabilitatie en herstel.
Social Psychiatry and Psychiatric Epidemiology, May 25, 2019
Purpose To investigate factors that influence participation in and needs for work and other dayti... more Purpose To investigate factors that influence participation in and needs for work and other daytime activities among individuals with severe mental illnesses (SMI). Methods A latent class analysis using routine outcome monitoring data from 1069 patients was conducted to investigate whether subgroups of individuals with SMI can be distinguished based on participation in work or other daytime activities, needs for care in these areas, and the differences between these subgroups. Results Four subgroups could be distinguished: (1) an inactive group without daytime activities or paid employment and many needs for care in these areas; (2) a moderately active group with some daytime activities, no paid employment, and few needs for care; (3) an active group with more daytime activities, no paid employment, and mainly met needs for care; and (4) a group engaged in paid employment without needs for care in this area. Groups differed significantly from each other in age, duration in MHC, living situation, educational level, having a life partner or not, needs for care regarding social contacts, quality of life, psychosocial functioning, and psychiatric symptoms. Differences were not found for clinical diagnosis or gender. Conclusions Among individuals with SMI, different subgroups can be distinguished based on employment situation, daytime activities, and needs for care in these areas. Subgroups differ from each other on patient characteristics and each subgroup poses specific challenges, underlining the need for tailored rehabilitation interventions. Special attention is needed for individuals who are involuntarily inactive, with severe psychiatric symptoms and problems in psychosocial functioning. Latent class analysis • Severe mental illnesses • Social participation • Paid employment and daytime activities • Routine outcome monitoring * Sarita A. Sanches
The Canadian Journal of Psychiatry, Dec 1, 2011
Succesvol met de Individuele Rehabilitatie benadering
American Journal of Psychiatric Rehabilitation, Jan 2, 2017
Chronic illness afflicts a person's wellbeing and affects the ability to perform the social roles... more Chronic illness afflicts a person's wellbeing and affects the ability to perform the social roles of spouse or parent. When working with people with long-lasting mental or somatic illnesses, social workers and nurses are confronted with needs for support, especially for parents. Although programs are in place for the children of parents with chronic illnesses, specific services for the parents themselves are scarce, as are parenting support courses for professionals. In an explorative study we investigated the similarities and differences between mental health organizations and general hospitals in providing support to parents. Using a cross-sectional design, information on supported parenting was collected through an internet questionnaire. Professionals in general hospitals found themselves more able to provide support to parents than did those in mental health organizations that were not trained in supported parenting. Professionals in mental health institutions generally reported that the attention paid to the parental role is insufficient. However, professionals in mental health organizations who were trained in supported parenting considered paying attention to the parental role more as a part of their job than the participants from organizations without such a training. Further research should expand this first pilot study on the attitude of professionals towards supported parenting.
Journal of Occupational Rehabilitation, Jun 1, 2019
Purpose To study associations between the level of self-reported work motivation and employment o... more Purpose To study associations between the level of self-reported work motivation and employment outcomes in people with severe mental illness (SMI) enrolled in a vocational rehabilitation program. Methods Data of 151 study participants, collected from a randomised controlled trial with a 30-month follow-up period, were used for a secondary data analysis. Multiple logistic regression, linear regression and cox regression analyses were performed to analyse the association between the level of work motivation at baseline and job obtainment, duration of job, and time until job obtainment during the 30-month follow-up period. Results No statistically significant associations were found between the level of work motivation and job obtainment (OR 1.83, 95% CI 0.55-6.06, p = 0.32), job duration (B = -0.74, 95% CI -2.37 to 0.89, p = 0.37, R-squared = 0.03), or time until job obtainment (HR = 1.53, 95% CI 0.64-3.68, p = 0.34). Conclusions The results of this study show no statistically significant associations between the level of work motivation and employment outcomes in people with SMI enrolled in a vocational rehabilitation program. These associations may be underestimated due to range restriction of the work motivation's level. Further research is recommended to increase knowledge on the associations between work motivation and employment outcomes, as it could be relevant for further understanding success in vocational rehabilitation.
[Use of the Triangle of Care Card and its influence on the cooperation with caregivers and clients]
PubMed, 2021
Background: Although there is consensus on the importance of involving informal caregivers of peo... more Background: Although there is consensus on the importance of involving informal caregivers of people with severe mental illness, interventions are needed to support this. Aim: To explore whether the use of the 'Triangle of Care Card', an instrument developed to help strengthen the role of care-givers in their contact with workers, increases quality of cooperation and care. Method: Three outpatient mental health teams and twelve teams for supported housing started working with the card. Information from files and questionnaires were used to monitor change and compare this with the changes during the same year in ten other teams. Results: Use of the Triangle of Care Card was sparse. When it was used, a broader range of subjects were discussed, including the needs of caregivers. Also, clients were more involved. In teams where the card was introduced, the clients' networks became more apparent and there was an increase in face-to-face meetings with members of this network. Conclusion: Introduction of the Triangle of Care Card leads to change in the involvement of caregivers. However, implementation is problematic and therefore the increase in quality of the cooperation with caregivers and quality of care is yet small.
Value in Health, Nov 1, 2012
flecting real-life clinical practice based on structured interviews with experts. METHODS: Six ex... more flecting real-life clinical practice based on structured interviews with experts. METHODS: Six experts in the field of schizophrenia from different treatment settings and regions in Germany were consulted. Structured interviews about the treatment patterns and costs in selected outpatient and inpatient treatment areas, e.g. psychiatrists, occupational therapists, day care units and acute psychiatric wards, were conducted. Costs were assessed from the perspective of the statutory health insurance. The assessment was divided into stable and relapsing schizophrenic patients. Costs for the management of frequent side effects were considered. RESULTS: The proportion of stable patients with schizophrenia was assessed to be 80% in Germany. Stable patients were estimated to have 1.5 psychiatrist contacts per quarter and relapsing patients were assessed to have 6-8 contacts per quarter. Psychiatrist costs per quarter are varying between different regions in Germany, e.g. costs in Bavaria were €92 in 2011. Inpatient costs per day in acute psychiatric wards are varying between €206 in Baden-Württemberg and €244 in Saarland. CONCLUSIONS: The results of the structured expert interviews will be used as input for cost-effectiveness models in schizophrenia. In further studies the results should be verified in real-life clinical practice.
Journal of Occupational Rehabilitation, Dec 9, 2019
Purpose Personality disorders (PDs) are associated with severe functional impairment and subseque... more Purpose Personality disorders (PDs) are associated with severe functional impairment and subsequent high societal costs, increasing the need to improve occupational functioning in PD. Individual placement and support (IPS) is an effective, evidence-based method of supported employment, which so far has been tested in various mixed patient populations with severe mental illness (SMI, including PDs). However, the effectiveness of IPS for PDs per se remains uninvestigated. Methods Data from the SCION trial were used, including 31 SMI patients with PDs and 115 SMI patients with other primary diagnoses (primarily psychotic disorders). First, the interaction effect of diagnosis (PD vs other SMI) and intervention (IPS vs traditional vocational rehabilitation) was studied. Second, in the IPS condition, difference between diagnostic groups in time to first job was studied. Results We did not find evidence of a moderating effect of PD diagnosis on the primary effect of IPS (proportion who started in regular employment) (OR = 0.592, 95% CI 0.80-4.350, p = 0.606) after 30 months. Also, PD diagnosis did not moderate the effect of time until first job in IPS. Conclusions From the present explorative analysis we did not find evidence for a moderating effect of PD diagnosis on the effectiveness of IPS among PD participants. This indicates that IPS could be as effective in gaining employment in participants with PD as it is in participants with other SMI. Future studies, implementing larger numbers, should confirm whether IPS is equally effective in PDs and study whether augmentations or alterations to the standard IPS model might be beneficiary for PD.
Journal of Psychiatric and Mental Health Nursing, Feb 11, 2016
PLOS ONE
Background Individuals with a psychotic disorder are at an increased risk of victimization, but e... more Background Individuals with a psychotic disorder are at an increased risk of victimization, but evidenced-based interventions are lacking. Aims A body-oriented resilience therapy (‘BEATVIC’) aimed at preventing victimization was developed and its effectiveness was assessed in a multicenter randomized controlled trial. Methods 105 people with a psychotic disorder were recruited from six mental health centers. Participants were randomly allocated to 20 BEATVIC group sessions (n = 53) or befriending group sessions (n = 52). Short term effects on risk factors for victimization (e.g. social cognitive deficits, inadequate interpersonal behavior, low self-esteem, internalized stigma, aggression regulation problems), physical fitness and secondary outcomes were expected. At six-month follow-up, the effect on victimization (either a 50% reduction or an absence of victimization incidents) was examined. Results Intervention-dropout was 28.30% for BEATVIC and 39.62% for befriending. In both con...
Werkingsmechanismen van vaktherapie
Hogeschool Leiden, 2021
Journal of Mental Health Research in Intellectual Disabilities, 2021
Introduction: Compared to their non-disabled peers, individuals with mild intellectual disability... more Introduction: Compared to their non-disabled peers, individuals with mild intellectual disability (MID) are at higher risk of becoming a victim of sexual abuse and more vulnerable to its disruptive effects. This review provides an overview of content and effectiveness of prevention and intervention programs targeting sexual abuse in individuals with MID. Methods: PRISMA guidelines were followed and quality and effectiveness of the programs were evaluated taking into account the rating of the Quality Assessment Tool for Quantitative Studies (QATQS). Results: Twelve studies were included. In prevention programs role-play prevailed, whereas the content of intervention programs varied. All studies received a "weak" QATQS rating. By consequence, effectiveness of the program was downgraded to "unclear" in ten, and "ineffective" in two studies. Conclusion: Further development of programs and higher quality of research is needed to investigate whether they are effective in preventing sexual abuse or reducing its consequences in individuals with MID.
The Body Experience Questionnaire for adults with mild intellectual disability or borderline intellectual functioning (BEQ-mb): Development and initial evaluation
Journal of Intellectual & Developmental Disability, 2021
Body experience is an important facet of psychosocial functioning and health. However, to date no... more Body experience is an important facet of psychosocial functioning and health. However, to date no test exists to measure body experience in adults with mild intellectual disability and borderline i...
Psychomotor interventions for mental health
In this handbook of psychomotor interventions leading researchres an clinicians describe the stat... more In this handbook of psychomotor interventions leading researchres an clinicians describe the state-of-the-art treatments for people with a variety of psychiatric disorders.
Het effect van lotgenotengroepen voor mensen met een psychose: een multicenter RCT
IntroductionVarious studies have demonstrated that individuals with a psychotic disorder are at a... more IntroductionVarious studies have demonstrated that individuals with a psychotic disorder are at an increased risk of becoming a victim of crime. Little is known about gender differences in victimization types and in specific characteristics of victimization (e.g., perpetrator, location or disclosure). Knowledge on characteristics of victimization would provide clinicians with more insight which may be especially useful for tailoring interventions. The aim of this study is to examine gender differences in characteristics of violent and sexual victimization in patients with a psychotic disorder.MethodsInformation on violent (threats, physical abuse) and sexual victimization (harassment, assault) was assessed in 482 individuals with a psychotic disorder who received mental health care. Patients were recruited through a routine outcome monitoring study and a clinical trial.ResultsMen reported more threats with violence (20.7% vs. 10.5%, x2=7.68, p=0.01), whereas women reported more sexu...
Psychiatric Services, Aug 1, 2018
Drie onderdelen: I. Huidig functioneren van de ouder IIa. Versterken van de ouderrol voor ouders ... more Drie onderdelen: I. Huidig functioneren van de ouder IIa. Versterken van de ouderrol voor ouders die met hun kind wonen IIb. Hernemen/uitbreiden van de ouderrol voor ouders die apart van hun kind wonen. Begeleide zelfhulp interventie voor ouders met (ernstige) psychische aandoeningen. Deze interventie is geïmplementeerd bij een aantal GGz-instellingen en heeft de potentie om te functioneren als een bruikbaar gereedschap. Er zal aandacht besteed moeten worden aan het verbeteren Doel: De eerste ervaringen met de methodiek "Ouderschap met Succes en Tevredenheid (OST)" in kaart brengen. Een methodiek gebaseerd op psychiatrische rehabilitatie en herstel.
Social Psychiatry and Psychiatric Epidemiology, May 25, 2019
Purpose To investigate factors that influence participation in and needs for work and other dayti... more Purpose To investigate factors that influence participation in and needs for work and other daytime activities among individuals with severe mental illnesses (SMI). Methods A latent class analysis using routine outcome monitoring data from 1069 patients was conducted to investigate whether subgroups of individuals with SMI can be distinguished based on participation in work or other daytime activities, needs for care in these areas, and the differences between these subgroups. Results Four subgroups could be distinguished: (1) an inactive group without daytime activities or paid employment and many needs for care in these areas; (2) a moderately active group with some daytime activities, no paid employment, and few needs for care; (3) an active group with more daytime activities, no paid employment, and mainly met needs for care; and (4) a group engaged in paid employment without needs for care in this area. Groups differed significantly from each other in age, duration in MHC, living situation, educational level, having a life partner or not, needs for care regarding social contacts, quality of life, psychosocial functioning, and psychiatric symptoms. Differences were not found for clinical diagnosis or gender. Conclusions Among individuals with SMI, different subgroups can be distinguished based on employment situation, daytime activities, and needs for care in these areas. Subgroups differ from each other on patient characteristics and each subgroup poses specific challenges, underlining the need for tailored rehabilitation interventions. Special attention is needed for individuals who are involuntarily inactive, with severe psychiatric symptoms and problems in psychosocial functioning. Latent class analysis • Severe mental illnesses • Social participation • Paid employment and daytime activities • Routine outcome monitoring * Sarita A. Sanches
The Canadian Journal of Psychiatry, Dec 1, 2011
Succesvol met de Individuele Rehabilitatie benadering
American Journal of Psychiatric Rehabilitation, Jan 2, 2017
Chronic illness afflicts a person's wellbeing and affects the ability to perform the social roles... more Chronic illness afflicts a person's wellbeing and affects the ability to perform the social roles of spouse or parent. When working with people with long-lasting mental or somatic illnesses, social workers and nurses are confronted with needs for support, especially for parents. Although programs are in place for the children of parents with chronic illnesses, specific services for the parents themselves are scarce, as are parenting support courses for professionals. In an explorative study we investigated the similarities and differences between mental health organizations and general hospitals in providing support to parents. Using a cross-sectional design, information on supported parenting was collected through an internet questionnaire. Professionals in general hospitals found themselves more able to provide support to parents than did those in mental health organizations that were not trained in supported parenting. Professionals in mental health institutions generally reported that the attention paid to the parental role is insufficient. However, professionals in mental health organizations who were trained in supported parenting considered paying attention to the parental role more as a part of their job than the participants from organizations without such a training. Further research should expand this first pilot study on the attitude of professionals towards supported parenting.
Journal of Occupational Rehabilitation, Jun 1, 2019
Purpose To study associations between the level of self-reported work motivation and employment o... more Purpose To study associations between the level of self-reported work motivation and employment outcomes in people with severe mental illness (SMI) enrolled in a vocational rehabilitation program. Methods Data of 151 study participants, collected from a randomised controlled trial with a 30-month follow-up period, were used for a secondary data analysis. Multiple logistic regression, linear regression and cox regression analyses were performed to analyse the association between the level of work motivation at baseline and job obtainment, duration of job, and time until job obtainment during the 30-month follow-up period. Results No statistically significant associations were found between the level of work motivation and job obtainment (OR 1.83, 95% CI 0.55-6.06, p = 0.32), job duration (B = -0.74, 95% CI -2.37 to 0.89, p = 0.37, R-squared = 0.03), or time until job obtainment (HR = 1.53, 95% CI 0.64-3.68, p = 0.34). Conclusions The results of this study show no statistically significant associations between the level of work motivation and employment outcomes in people with SMI enrolled in a vocational rehabilitation program. These associations may be underestimated due to range restriction of the work motivation's level. Further research is recommended to increase knowledge on the associations between work motivation and employment outcomes, as it could be relevant for further understanding success in vocational rehabilitation.
[Use of the Triangle of Care Card and its influence on the cooperation with caregivers and clients]
PubMed, 2021
Background: Although there is consensus on the importance of involving informal caregivers of peo... more Background: Although there is consensus on the importance of involving informal caregivers of people with severe mental illness, interventions are needed to support this. Aim: To explore whether the use of the 'Triangle of Care Card', an instrument developed to help strengthen the role of care-givers in their contact with workers, increases quality of cooperation and care. Method: Three outpatient mental health teams and twelve teams for supported housing started working with the card. Information from files and questionnaires were used to monitor change and compare this with the changes during the same year in ten other teams. Results: Use of the Triangle of Care Card was sparse. When it was used, a broader range of subjects were discussed, including the needs of caregivers. Also, clients were more involved. In teams where the card was introduced, the clients' networks became more apparent and there was an increase in face-to-face meetings with members of this network. Conclusion: Introduction of the Triangle of Care Card leads to change in the involvement of caregivers. However, implementation is problematic and therefore the increase in quality of the cooperation with caregivers and quality of care is yet small.
Value in Health, Nov 1, 2012
flecting real-life clinical practice based on structured interviews with experts. METHODS: Six ex... more flecting real-life clinical practice based on structured interviews with experts. METHODS: Six experts in the field of schizophrenia from different treatment settings and regions in Germany were consulted. Structured interviews about the treatment patterns and costs in selected outpatient and inpatient treatment areas, e.g. psychiatrists, occupational therapists, day care units and acute psychiatric wards, were conducted. Costs were assessed from the perspective of the statutory health insurance. The assessment was divided into stable and relapsing schizophrenic patients. Costs for the management of frequent side effects were considered. RESULTS: The proportion of stable patients with schizophrenia was assessed to be 80% in Germany. Stable patients were estimated to have 1.5 psychiatrist contacts per quarter and relapsing patients were assessed to have 6-8 contacts per quarter. Psychiatrist costs per quarter are varying between different regions in Germany, e.g. costs in Bavaria were €92 in 2011. Inpatient costs per day in acute psychiatric wards are varying between €206 in Baden-Württemberg and €244 in Saarland. CONCLUSIONS: The results of the structured expert interviews will be used as input for cost-effectiveness models in schizophrenia. In further studies the results should be verified in real-life clinical practice.
Journal of Occupational Rehabilitation, Dec 9, 2019
Purpose Personality disorders (PDs) are associated with severe functional impairment and subseque... more Purpose Personality disorders (PDs) are associated with severe functional impairment and subsequent high societal costs, increasing the need to improve occupational functioning in PD. Individual placement and support (IPS) is an effective, evidence-based method of supported employment, which so far has been tested in various mixed patient populations with severe mental illness (SMI, including PDs). However, the effectiveness of IPS for PDs per se remains uninvestigated. Methods Data from the SCION trial were used, including 31 SMI patients with PDs and 115 SMI patients with other primary diagnoses (primarily psychotic disorders). First, the interaction effect of diagnosis (PD vs other SMI) and intervention (IPS vs traditional vocational rehabilitation) was studied. Second, in the IPS condition, difference between diagnostic groups in time to first job was studied. Results We did not find evidence of a moderating effect of PD diagnosis on the primary effect of IPS (proportion who started in regular employment) (OR = 0.592, 95% CI 0.80-4.350, p = 0.606) after 30 months. Also, PD diagnosis did not moderate the effect of time until first job in IPS. Conclusions From the present explorative analysis we did not find evidence for a moderating effect of PD diagnosis on the effectiveness of IPS among PD participants. This indicates that IPS could be as effective in gaining employment in participants with PD as it is in participants with other SMI. Future studies, implementing larger numbers, should confirm whether IPS is equally effective in PDs and study whether augmentations or alterations to the standard IPS model might be beneficiary for PD.
Journal of Psychiatric and Mental Health Nursing, Feb 11, 2016
PLOS ONE
Background Individuals with a psychotic disorder are at an increased risk of victimization, but e... more Background Individuals with a psychotic disorder are at an increased risk of victimization, but evidenced-based interventions are lacking. Aims A body-oriented resilience therapy (‘BEATVIC’) aimed at preventing victimization was developed and its effectiveness was assessed in a multicenter randomized controlled trial. Methods 105 people with a psychotic disorder were recruited from six mental health centers. Participants were randomly allocated to 20 BEATVIC group sessions (n = 53) or befriending group sessions (n = 52). Short term effects on risk factors for victimization (e.g. social cognitive deficits, inadequate interpersonal behavior, low self-esteem, internalized stigma, aggression regulation problems), physical fitness and secondary outcomes were expected. At six-month follow-up, the effect on victimization (either a 50% reduction or an absence of victimization incidents) was examined. Results Intervention-dropout was 28.30% for BEATVIC and 39.62% for befriending. In both con...
Werkingsmechanismen van vaktherapie
Hogeschool Leiden, 2021
Journal of Mental Health Research in Intellectual Disabilities, 2021
Introduction: Compared to their non-disabled peers, individuals with mild intellectual disability... more Introduction: Compared to their non-disabled peers, individuals with mild intellectual disability (MID) are at higher risk of becoming a victim of sexual abuse and more vulnerable to its disruptive effects. This review provides an overview of content and effectiveness of prevention and intervention programs targeting sexual abuse in individuals with MID. Methods: PRISMA guidelines were followed and quality and effectiveness of the programs were evaluated taking into account the rating of the Quality Assessment Tool for Quantitative Studies (QATQS). Results: Twelve studies were included. In prevention programs role-play prevailed, whereas the content of intervention programs varied. All studies received a "weak" QATQS rating. By consequence, effectiveness of the program was downgraded to "unclear" in ten, and "ineffective" in two studies. Conclusion: Further development of programs and higher quality of research is needed to investigate whether they are effective in preventing sexual abuse or reducing its consequences in individuals with MID.
The Body Experience Questionnaire for adults with mild intellectual disability or borderline intellectual functioning (BEQ-mb): Development and initial evaluation
Journal of Intellectual & Developmental Disability, 2021
Body experience is an important facet of psychosocial functioning and health. However, to date no... more Body experience is an important facet of psychosocial functioning and health. However, to date no test exists to measure body experience in adults with mild intellectual disability and borderline i...
Psychomotor interventions for mental health
In this handbook of psychomotor interventions leading researchres an clinicians describe the stat... more In this handbook of psychomotor interventions leading researchres an clinicians describe the state-of-the-art treatments for people with a variety of psychiatric disorders.
Het effect van lotgenotengroepen voor mensen met een psychose: een multicenter RCT
IntroductionVarious studies have demonstrated that individuals with a psychotic disorder are at a... more IntroductionVarious studies have demonstrated that individuals with a psychotic disorder are at an increased risk of becoming a victim of crime. Little is known about gender differences in victimization types and in specific characteristics of victimization (e.g., perpetrator, location or disclosure). Knowledge on characteristics of victimization would provide clinicians with more insight which may be especially useful for tailoring interventions. The aim of this study is to examine gender differences in characteristics of violent and sexual victimization in patients with a psychotic disorder.MethodsInformation on violent (threats, physical abuse) and sexual victimization (harassment, assault) was assessed in 482 individuals with a psychotic disorder who received mental health care. Patients were recruited through a routine outcome monitoring study and a clinical trial.ResultsMen reported more threats with violence (20.7% vs. 10.5%, x2=7.68, p=0.01), whereas women reported more sexu...