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HandWiki. Symptom Targeted Intervention. Encyclopedia. Available online: https://encyclopedia.pub/entry/37271 (accessed on 25 September 2026).
HandWiki. Symptom Targeted Intervention. Encyclopedia. Available at: https://encyclopedia.pub/entry/37271. Accessed September 25, 2026.
HandWiki. "Symptom Targeted Intervention" Encyclopedia, https://encyclopedia.pub/entry/37271 (accessed September 25, 2026).
HandWiki. (2022, November 30). Symptom Targeted Intervention. In Encyclopedia. https://encyclopedia.pub/entry/37271
HandWiki. "Symptom Targeted Intervention." Encyclopedia. Web. 30 November, 2022.
Symptom Targeted Intervention
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Symptom targeted intervention (STI) is a clinical program being used in medical settings to help patients who struggle with symptoms of depression or anxiety or adherence to treatment plans but who are not interested in receiving outpatient mental health treatment. STI is an individualized therapeutic model and clinical program that teaches patients brief, effective ways to cope with difficult thoughts, feelings, and behaviors using evidence-based interventions. Its individualized engagement process employs techniques from solution-focused therapy, using a Rogerian, patient-centered philosophy. This engagement process ensures that even challenging, at-risk, and non-adherent patients are able to participate. Social workers and other mental health practitioners and medical professionals use STI to assist patients with a number of specific concerns, from sleep and stress to pain management, relationships and mood management. STI's coping tools are cognitive behavioral therapy and mindfulness interventions that have been condensed and modified to make them user friendly and effective in brief sessions. After meeting with the clinician, the patient takes charge, performing interventions at home through assignments that extend and reinforce learning. Using STI, the clinician helps the patient identify the most problematic symptom of the depression (such as depressed mood, insomnia, anxiety, rumination, irritability, negative thinking, social isolation), then together the clinician and patient address that symptom using STI's evidence-based selection of brief cognitive, behavioral, and mindfulness techniques. The emphasis is on keeping interactions brief since mental health treatment in the primary care setting is typically time limited—although the Collaborative Care and Integrated Care models provides hope for improved and expanded mental health services in the primary care setting. As patients learn better coping skills, they become more engaged with their treatment and more adherent to doctors’ recommendations. STI also gives social workers ways to uncover their clinical strengths and tools to continue to work with resistant patients. With STI training, clinicians learn a nuanced approach to all patients, even those who resist help, since often those are the individuals who need help most. After learning STI, clinicians report that they are more likely to approach rather than avoid difficult patient situations.

mental health treatment mental health services mental health

References

  1. Roberts, J; Johnstone, S (2006). "Screening and treating depression: Patient preferences and implications for social workers". Nephrology News & Issues 20 (13): 43, 47–9. PMID 17168058.  http://www.ncbi.nlm.nih.gov/pubmed/17168058
  2. Finkelstein, Fredric O; Wuerth, Diane; Troidle, Laura K; Finkelstein, Susan H (2008). "Depression and end-stage renal disease: A therapeutic challenge". Kidney International 74 (7): 843–5. doi:10.1038/ki.2008.222. PMID 18794813.  https://dx.doi.org/10.1038%2Fki.2008.222
  3. Kimmel, Paul L (2002). "Depression in patients with chronic renal disease". Journal of Psychosomatic Research 53 (4): 951–6. doi:10.1016/S0022-3999(02)00310-0. PMID 12377308. https://zenodo.org/record/1259651. 
  4. Boulware, L. E.; Liu, Y; Fink, NE; Coresh, J; Ford, DE; Klag, MJ; Powe, NR (2006). "Temporal Relation among Depression Symptoms, Cardiovascular Disease Events, and Mortality in End-Stage Renal Disease: Contribution of Reverse Causality". Clinical Journal of the American Society of Nephrology 1 (3): 496–504. doi:10.2215/CJN.00030505. PMID 17699251.  https://dx.doi.org/10.2215%2FCJN.00030505
  5. Watnick, Suzanne; Kirwin, Paul; Mahnensmith, Rex; Concato, John (2003). "The prevalence and treatment of depression among patients starting dialysis". American Journal of Kidney Diseases 41 (1): 105–10. doi:10.1053/ajkd.2003.50029. PMID 12500227.  https://dx.doi.org/10.1053%2Fajkd.2003.50029
  6. Dziegielewski, Sophia F. (2013). The changing face of health care social work: Opportunities and challenges for professional practice, p. 243. New York: Springer Publishing Company. ISBN:978-0-8261-1942-1 http://www.springerpub.com/the-changing-face-of-health-care-social-work-third-edition.html
  7. Hayes, Adele M.; Strauss, Jennifer L. (1998). "Dynamic systems theory as a paradigm for the study of change in psychotherapy: An application to cognitive therapy for depression". Journal of Consulting and Clinical Psychology 66 (6): 939–47. doi:10.1037/0022-006X.66.6.939. PMID 9874907.  https://dx.doi.org/10.1037%2F0022-006X.66.6.939
  8. Dallos, R; Draper, R (2010). An introduction to family therapy: systemic theory and practice. Open University Press. p. 34. doi:10.1111/j.1467-6427.2007.00371_2.x. ISBN 978-0-335-23801-9.  https://dx.doi.org/10.1111%2Fj.1467-6427.2007.00371_2.x
  9. Watkins, Ed; Baracaia, Simona (2002). "Rumination and social problem-solving in depression". Behaviour Research and Therapy 40 (10): 1179–89. doi:10.1016/S0005-7967(01)00098-5. PMID 12375726.  https://dx.doi.org/10.1016%2FS0005-7967%2801%2900098-5
  10. Scheurich, A.; Fellgiebel, A.; Schermuly, I.; Bauer, S.; Wölfges, R.; Müller, M. J. (2007). "Experimental evidence for a motivational origin of cognitive impairment in major depression". Psychological Medicine 38 (2): 237–46. doi:10.1017/S0033291707002206. PMID 18005498.  https://dx.doi.org/10.1017%2FS0033291707002206
  11. Formica, Michael J. (2009). "The me in you: parallel process in psychotherapy". Psychology Today. http://www.psychologytoday.com/blog/enlightened-living/200901/the-me-in-you-parallel-process-in-psychotherapy. 
  12. Beck, JS (1995). Cognitive therapy: Basics and beyond. Guilford Press. ISBN 978-0-89862-847-0.  http://www.beckinstitute.org/cognitive-behavioral-therapy-books
  13. McQuaid, JR; Stein, MB; Laffaye, C; McCahill, ME (1999). "Depression in a primary care clinic: The prevalence and impact of an unrecognized disorder". Journal of Affective Disorders 55 (1): 1–10. doi:10.1016/S0165-0327(98)00191-8. PMID 10512600.  https://dx.doi.org/10.1016%2FS0165-0327%2898%2900191-8
  14. Zheng, D; MacEra, CA; Croft, JB; Giles, WH; Davis, D; Scott, WK (1997). "Major depression and all-cause mortality among white adults in the United States". Annals of Epidemiology 7 (3): 213–8. doi:10.1016/S1047-2797(97)00014-8. PMID 9141645.  https://dx.doi.org/10.1016%2FS1047-2797%2897%2900014-8
  15. Johnstone, Stephanie (2013). "Helping patients manage treatment recommendations". Renal Business Today: 3. http://www.renalbusiness.com/articles/2013/10/helping-patients-manage-treatment-recommendations.aspx?pg=3
  16. Feroze Usama; Martin David; Kalantar-Zadeh Kamyar; Kim Jun Chul; Reina-Patton Astrid; Kopple Joel D (2012). "Anxiety and depression in maintenance dialysis patients: Preliminary data of a cross-sectional study and brief literature review". Journal of Renal Nutrition 22 (1): 207–10. doi:10.1053/j.jrn.2011.10.009. PMID 22200444. http://www.jrnjournal.org/article/S1051-2276%2811%2900199-3/abstract. 
  17. Naik Nimish; Hess Rachel; Unruh Mark (2012). "Measurement of health-related quality of life in the care of patients with ESRD: Isn't this the metric that matters?". Seminars in Dialysis 25 (4): 439–44. doi:10.1111/j.1525-139X.2012.01110.x. PMID 22809006.  https://dx.doi.org/10.1111%2Fj.1525-139X.2012.01110.x
  18. Erdley, Shiloh D. (2013) "Problem-solving therapy for depressed older hemodialysis patients: A pilot randomized trial". Doctorate in Social Work (DSW) Dissertations Paper 33. http://repository.upenn.edu/edissertations_sp2/33
  19. Jackson Kate (2014). "Nephrology Social Work: Caring for the Emotional Needs of Dialysis Patients". Social Work Today 14 (5): 20. http://www.socialworktoday.com/archive/091514p20.shtml. 
  20. Scotto, Pandora (2012) "Symptom Targeted Intervention: a worthwhile venture for both patient and social worker," RenaLink.
  21. McCool, Melissa; Boyd, Shaun; Aebel-Groesch, Kathy; Gonzalez, Teresa; Evans, Deborah (2014) "Symptom targeted intervention webinar trainings: Feedback from participants". Nephrology News and Issues, June 2014. http://www.nephrologynews.com/articles/110201-symptom-targeted-intervention-webinar-trainings-feedback-from-participants
  22. McCool, Melissa; Johnstone, Stephanie; Sledge, Renata; Witten, Beth; Contillo, Michelle; Aebel-Groesch, Kathryn; Hafner, Jim (2011). "The promise of symptom-targeted intervention to manage depression in dialysis patients—part 1". Nephrology News and Issues 25 (6): 32–7. PMID 21608458. http://www.nephrology-digital.com/201105/201105/17/0. 
  23. Sledge Renata, Aebel-Groesch Kathryn, McCool Melissa, Johnstone Stephanie, Witten Beth, Contillo M, Hafner James. "The promise of Symptom Targeted Intervention (STI) in improving mood and quality of life outcomes in dialysis patients—part 2". Nephrology News and Issues 25 (7): 24–31. http://www.nephrology-digital.com/201106/#&pageSet=13. 
  24. 36-Item Short Form Survey from the RAND Medical Outcomes Study http://www.rand.org/health/surveys_tools/mos/mos_core_36item.html
  25. Johnstone, Stephanie (2013). "Helping patients manage treatment recommendations". Renal Business Today. http://www.renalbusiness.com/articles/2013/10/helping-patients-manage-treatment-recommendations.aspx
  26. Boyd S, Dunn D, Aebel-Groesch K, Evans D, Gonzalez T, Burgess M, Howard T, Mutell R, McCool M (2014). "Treating depression in the dialysis setting: validating Symptom Targeted Intervention". DaVita Inc./STI Innovations. http://www.davitaclinicalresearch.com/publication/treating-depression-in-the-dialysis-setting-validating-symptom-targeted-intervention-2
  27. Johnstone S, Li N, Maddux F, Weissman-Hunt A, Quintana D, Lacson Jr. E (2014) "Social worker-driven program to reduce hemodialysis therapy non-adherence". Fresenius Medical Care North America. http://esrdnet5.org/Files/Patient-Services/PE-LAN/2014/MissedTreatments2014/MT-Adherence.aspx
  28. Boyd S, Aebel-Groesch K, Dunn D, Remington J, McCool M, Benner D. "Symptom Targeted Intervention Decreased Missed Treatment in Hemodialysis Patients". National Kidney Foundation Spring Clinical Meeting, Charlotte, NC, March 2015. https://web.archive.org/web/20150530012209/http://ww2.aievolution.com/nkf1501/index.cfm?do=abs.viewAbs&abs=1351
  29. McCool M, Rathjen M, Boyd B (2015) "Qualitative pilot study on the value of Symptom Targeted Intervention (STI) in decreasing symptoms of depression and anxiety with renal and transplant patients, Royal Infirmary Edinburgh". British Renal Society Annual Conference. http://www.postersessiononline.com/173580348_eu/congresos/brs2015/aula/-P_125_brs2015.pdf
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