Designing and evaluating a psychological intervention for individuals with Multiple Complex Needs
Multiple Complex Needs refers to any two of the following: homelessness, substance misuse, offending behaviour and/or mental health difficulties. Personal agency is compromised within those who experience difficulties in their mental health, impacted on further by adversity and disempowerment. The P...
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| Format: | Thesis (University of Nottingham only) |
| Language: | English |
| Published: |
2021
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| Subjects: | |
| Online Access: | https://eprints.nottingham.ac.uk/66137/ |
| _version_ | 1848800301317881856 |
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| author | Sapsford, Hayley |
| author_facet | Sapsford, Hayley |
| author_sort | Sapsford, Hayley |
| building | Nottingham Research Data Repository |
| collection | Online Access |
| description | Multiple Complex Needs refers to any two of the following: homelessness, substance misuse, offending behaviour and/or mental health difficulties. Personal agency is compromised within those who experience difficulties in their mental health, impacted on further by adversity and disempowerment. The Power Threat Meaning Framework (PTMF) has been designed by its authors to take disempowerment in psychological suffering into account and provide a narrative to make sense of experiences and regain a sense of personal agency. The lack of systematic and empirical evidence for the PTMF provides further reason to conduct research within this area and explore its use. This research aimed to design a brief intervention based on the PTMF and explore the outcomes, utility and feasibility with adults experiencing Multiple Complex Needs (MCN).
A brief PTMF-based intervention was systematically designed and evaluated using a single exploratory case study. Thematic Analysis was conducted with data from process measures, session recordings and a change interview. Descriptive data was obtained from quantitative measures to explore specific outcomes on personal agency, empowerment and wellbeing.
A number of helpful therapeutic events were identified in the analysis. Qualitative data indicated shifts in empowerment and agency. There were no significant changes pre/post in the quantitative data.
It is suggested the PTMF can be translated into an acceptable intervention for those experiencing MCN. Unhelpful events and feedback were used to make changes to the workbook and enhance its feasibility. The research contributes to the field of clinical psychology in the demonstration of the utility of an intervention based on the PTMF and how it can be used within a population where engagement is challenging. Future research would benefit from replicating the current study with an increased number of participants and robust assessment of outcomes. |
| first_indexed | 2025-11-14T20:49:23Z |
| format | Thesis (University of Nottingham only) |
| id | nottingham-66137 |
| institution | University of Nottingham Malaysia Campus |
| institution_category | Local University |
| language | English |
| last_indexed | 2025-11-14T20:49:23Z |
| publishDate | 2021 |
| recordtype | eprints |
| repository_type | Digital Repository |
| spelling | nottingham-661372021-12-08T04:40:10Z https://eprints.nottingham.ac.uk/66137/ Designing and evaluating a psychological intervention for individuals with Multiple Complex Needs Sapsford, Hayley Multiple Complex Needs refers to any two of the following: homelessness, substance misuse, offending behaviour and/or mental health difficulties. Personal agency is compromised within those who experience difficulties in their mental health, impacted on further by adversity and disempowerment. The Power Threat Meaning Framework (PTMF) has been designed by its authors to take disempowerment in psychological suffering into account and provide a narrative to make sense of experiences and regain a sense of personal agency. The lack of systematic and empirical evidence for the PTMF provides further reason to conduct research within this area and explore its use. This research aimed to design a brief intervention based on the PTMF and explore the outcomes, utility and feasibility with adults experiencing Multiple Complex Needs (MCN). A brief PTMF-based intervention was systematically designed and evaluated using a single exploratory case study. Thematic Analysis was conducted with data from process measures, session recordings and a change interview. Descriptive data was obtained from quantitative measures to explore specific outcomes on personal agency, empowerment and wellbeing. A number of helpful therapeutic events were identified in the analysis. Qualitative data indicated shifts in empowerment and agency. There were no significant changes pre/post in the quantitative data. It is suggested the PTMF can be translated into an acceptable intervention for those experiencing MCN. Unhelpful events and feedback were used to make changes to the workbook and enhance its feasibility. The research contributes to the field of clinical psychology in the demonstration of the utility of an intervention based on the PTMF and how it can be used within a population where engagement is challenging. Future research would benefit from replicating the current study with an increased number of participants and robust assessment of outcomes. 2021-12-08 Thesis (University of Nottingham only) NonPeerReviewed application/pdf en cc_by https://eprints.nottingham.ac.uk/66137/1/BPV%202021%204343024%2008157790%20PDF.pdf Sapsford, Hayley (2021) Designing and evaluating a psychological intervention for individuals with Multiple Complex Needs. DClinPsy thesis, University of Nottingham. Power Threat Meaning Framework (PTMF); Personal agency; Empowerment; Therapeutic intervention |
| spellingShingle | Power Threat Meaning Framework (PTMF); Personal agency; Empowerment; Therapeutic intervention Sapsford, Hayley Designing and evaluating a psychological intervention for individuals with Multiple Complex Needs |
| title | Designing and evaluating a psychological intervention for individuals with Multiple Complex Needs |
| title_full | Designing and evaluating a psychological intervention for individuals with Multiple Complex Needs |
| title_fullStr | Designing and evaluating a psychological intervention for individuals with Multiple Complex Needs |
| title_full_unstemmed | Designing and evaluating a psychological intervention for individuals with Multiple Complex Needs |
| title_short | Designing and evaluating a psychological intervention for individuals with Multiple Complex Needs |
| title_sort | designing and evaluating a psychological intervention for individuals with multiple complex needs |
| topic | Power Threat Meaning Framework (PTMF); Personal agency; Empowerment; Therapeutic intervention |
| url | https://eprints.nottingham.ac.uk/66137/ |