Barry Tolchard

Barry Tolchard
Teesside University · Nursing & Midwifery

PhD, MSc

About

58
Publications
39,298
Reads
How we measure 'reads'
A 'read' is counted each time someone views a publication summary (such as the title, abstract, and list of authors), clicks on a figure, or views or downloads the full-text. Learn more
840
Citations
Introduction
My current research interests are in the the areas of gambling studies and in particular the effects of treatment on problem gamblers. I am also interested in the better understanding of how gamblers are able to be identified early in their journey. In addition I am interested in wider public health clinical practice from both the patient and student perspective. In both cases I am interested in how co-production can lead to better outcomes for patients and a higher student experience. My approach to research is largely routine clinical outcomes evaluation, questionnaire design and validation and cohort studies. I am currently working on two systematic reviews; one in gambling and the other in autism as well as ongoing work with two public health services in the UK and Australia.
Additional affiliations
March 2018 - present
University of Huddersfield
Position
  • Professor (Full)
February 2017 - March 2018
London South Bank University
Position
  • Professor (Associate)
February 2016 - February 2017
University at Buffalo, The State University of New York
Position
  • Professor (Associate)
Education
April 2005 - April 2009
School of Health & Human Sciences, University of Essex
Field of study
  • Gambling

Publications

Publications (58)
Article
Full-text available
Background Physical inactivity accounts for 16.6% of deaths in the United Kingdom. This study aims to review the recent (2016–2021) systematic reviews (SRs) on the facilitators and barriers to physical activity (PA) participation among (UK)-based adults. Methods Using the Participants, Interventions, Comparators, and Outcomes framework and the Pref...
Article
Full-text available
Psychological theory and interpretation of research are key elements influencing clinical treatment development and design in Attention Deficit Hyperactivity Disorder (ADHD). Research-based treatment recommendations primarily support Cognitive Behavioural Therapy (CBT), an extension of the cognitive behavioural theory, which promotes a deficit-focu...
Article
Aim Neurodevelopmental disorders (NDD) may present as neuropsychiatric problems as well as impairments of motor, cognitive, social and communication functioning. This study describes the introduction of a specialist service with expertise in NDD into an existing court mental health liaison and diversion service to determine if the service would imp...
Article
Full-text available
This paper offers an historical overview of international mortality/healthcare classification systems, covering developments from the International List of Causes of Death (ILCD) through to the International Classification of Diseases (ICD). The ICD is a global data system established to classify diseases and mortality causes. The past few decades...
Thesis
Full-text available
Rapid economic growth resulting from the ascendancy of Saudi Arabia as an international oil producer, and the recognition by the government of the right of all citizens and most expatriate workers to free healthcare facilitated the development of a three-tier health system ranked 26th in the world by the World Health Organisation in 2000. Concurren...
Article
Full-text available
This paper details the process involved in developing the theoretical framework of factors for a major study entitled “Factors influencing the implementation of ICD-10 in Saudi public hospitals”. An original systematic review strategy, together with specific features of Endnote bibliographic manager software, were used to classify the global litera...
Article
Full-text available
Modified national versions of the WHO’s International Statistical Classification of Diseases, current version ICD-10 with ICD-11 coming into effect in January 2022, have become the standard in many countries for diagnosis and procedure coding to facilitate the submission of medical billing and reimbursement by health insurers. The WHO ICD-10 exists...
Article
Full-text available
BACKGROUND: The introduction of a mandatory health insurance system contributing towards the funding of national healthcare in Saudi Arabia necessitates the implementation of clinical coding and a unified health classification system, which has previously not been a feature of Saudi healthcare. As the Ministry of Health (MOH) moves to introduce ICD...
Article
Full-text available
Purpose There is little information on youth gambling in Ghana even though there is an unprecedented emergence of various types of gambling and gambling venues throughout the country. The aim of this cross-sectional exploratory study was to examine the role of perceived social difficulties and perceived protective social factors in participation an...
Preprint
Full-text available
Background: Global health education in tertiary institutions worldwide is at an all-time high. Until recently, most evaluations of student learning from a global exposure was in the form of a reflective paper with little information that would enable standardized assessment of the competencies gained. In 2015, the Consortium of Universities for Gl...
Article
Student nurses maintain unfavorable views of people with mental health issues. Many continue to perpetuate common stereotypes, are fearful and believe people with mental health problems are in some way dangerous. The impact of placements greatly affects these views. A pre-post survey of 85 student nurses was conducted to establish the opinions and...
Article
Purpose People with Autism Spectrum Disorder (ASD) are at greater risk of developing chronic health and risky lifestyle problems. This is exaggerated further for people living in rural settings and from cultural backgrounds traditionally underserved by healthcare services. This paper describes an evaluation of health and behavioural lifestyle outc...
Article
Full-text available
There are a number of hard to reach and underserved communities who experience inadequate health care. In Australia, the Aboriginal and Torres Strait Islanders peoples experience low life expectancy, higher levels for chronic disease and elevated smoking and drinking. These problems are further exacerbated when living in regional and rural Australi...
Article
Nursing students typically do not undertake clinical training in school settings. However, they are well placed to have a role in providing health screening and education in schools or community health venues under supervision of qualified nurses. This study provides a description and outcomes of a vision and hearing screening programme delivered b...
Article
Background: There is evidence supporting the use of cognitive-behavioral therapy (CBT) in the treatment of problem gambling. Despite this, little is known about how CBT works and which particular approach is most effective. This paper aims to synthesize the evidence for current CBT and propose a more unified approach to treatment. Methods: A litera...
Article
Full-text available
Approaches using self-help have proved successful at treating a range of mental and physical conditions. Guidance by a trained worker enhances the effects of self-help materials, in particular those based on Cognitive-Behavior Therapy. In the United Kingdom, the Improving Access to Psychological Therapies (IAPT) program was introduced to provide be...
Article
Background: Problem gambling is a growing concern as governments become more reliant on gambling revenue particularly from increases in gambling casinos. It is widely reported that problem gamblers experience both high levels of comorbid mental health issues and subsequent disability that comes with such. To date, there have been few measures test...
Article
Full-text available
Objectives: Little is known about the differences between urban and rural gamblers in Australia, in terms of comorbidity and treatment outcome. Health disparities exist between urban and rural areas in terms of accessibility, availability, and acceptability of treatment programs for problem gamblers. However, evidence supporting cognitive-behaviour...
Article
Full-text available
The University of New England (UNE), Australia decided to develop innovative placement opportunities for its increasing numbers of nursing students. Extensive community and stakeholder consultation determined that a community centre in rural New South Wales was the welcomed site of the student-led clinic because it fit the goals of the project-to i...
Article
Full-text available
Research has not determined whether typical improvements in psychosocial functioning following self-exclusion are due to the intervention. This study aimed to explore distinctive outcomes from self-exclusion by assessing outcomes between 1) self-excluders who had and had not received gambling counselling and 2) self-excluders compared to non-self-e...
Article
Full-text available
Differences in problem gambling rates between males and females suggest that associated risk factors vary by gender. Previous combined analyses of male and female gambling may have obscured these distinctions. This study aimed to develop separate risk factor models for gambling problems for males and for females, and identify gender-based similarit...
Article
Full-text available
Gambling has become a popular activity in both urban and rural settings. Although the prevalence and participation of gambling is well known, little has been reported regarding the impacts of gambling on rural communities. Therefore, a narrative literature review approach was adopted to examine what is known regarding gambling in rural communities....
Book
Full-text available
This report is available at: http://www.responsiblegambling.vic.gov.au/__data/assets/pdf_file/0006/14289/A-comparative-study-of-men-and-women-gamblers.pdf Research objectives This study was funded by the Victorian Responsible Gambling Foundation to extend the analyses conducted for A Study of Gambling in Victoria (Hare, 2009) to provide detailed a...
Article
Full-text available
Research has not fully explored factors that influence types of help used from the suite of available options once problem gamblers reach an action stage of change. This study aimed to explore critical factors influencing choice of help (or interventions) once people have decided to address their gambling problem. Particular emphasis was on counsel...
Conference Paper
Full-text available
Gambling is on the rise throughout the world. Gambling operators are seeing new opportunities to introduce their products into less developed areas. Ghana has recently legalized gambling, giving residents the chance to play both online and with land based providers. There has been limited research into the impacts of legalizing gambling in Ghana, w...
Article
Full-text available
This paper draws on a process evaluation of Queensland’ self-exclusion program to examine how people use the program, motivations for self-excluding, barriers to use, experiences and perceptions of program elements, and potential improvements. Detailed, reflective, first-person accounts were gathered through interviews with 103 problem gamblers, in...
Book
Full-text available
This study assessed the effectiveness of Queensland gambling exclusion programs as a mechanism to minimise gambling-related harm, whether these effects are sustained over time and whether self-exclusion is more effective when combined with counselling and support. Research methods comprised a literature review, desktop review of Australian and inte...
Article
Full-text available
Increased access to gambling is proving to be a great burden on the individuals who partake, their families and society in general. Despite growing evidence for the use of Cognitive-Behaviour Therapy (CBT) with problem gamblers, important questions remain unanswered regarding those individuals who do not respond to CBT. This paper compares gamble...
Article
Full-text available
Although many attempts have been made to assess problem or pathological 10 gambling in adolescents, concerns have been raised about whether existing measures are 11 ideally suited for this purpose. Such measures are heavily influenced by traditional addiction 12 models common to the study of substance use. In contrast, more recent public health 13...
Article
Full-text available
Cognitive-Behaviour Therapy (CBT) is considered the number one non-pharmacological treatment for a number of mental and psychological disorders (Tolin, 2010; Stuhlmiller & Tolchard, 2009). While CBT with problem gamblers has shown promise, the quality of the research in this area is lacking. One area of concern is that across the many trials and re...
Article
Full-text available
Problem gambling is becoming an increasing issue throughout the world with greater numbers of people presenting to treatment services with gambling problems. However, many cases are still missed, due in part, to a lack of general screening tools that are able to be used by non-specialist gambling services. This paper presents the findings of a gamb...
Conference Paper
Full-text available
In this paper we describe the development of the New England 4G Framework of Guided Self-health including rural health and workforce issues, models of care, and the United Kingdom’s (UK) ‘Improving Access to Psychological Therapies’ (IAPT) initiative from which the Framework was derived. With a long history in the UK of CBT delivery by workforces s...
Article
Full-text available
There is a need to establish reliability and the various forms of validity in all measures in order to feel confident in the use of such tools across a wide diversity of settings. The aim of this study is to describe the reliability and validity of the Victorian Gambling Screen (VGS) and in particular one of the sub-scales (Harm to Self-HS) in a sp...
Article
Full-text available
Cognitive-behavioral therapy (CBT) is the most effective nonpharmacological treatment for almost all mental disorders, especially anxiety and depression. The treatment is time limited, encourages self-help skills, is problem focused, is inductive, and requires that individuals develop and practice skills in their own environment through homework. H...
Article
Full-text available
The Somatisation Project (SP) was one of eight sub-projects of the South Australian HealthPlus Coordinated Care Trial. This trial involved the enrolment of an original cohort of 4,600 subjects. Of these, 124 subjects (89 intervention and 35 controls) suffering from GP diagnosed somatisation disorder (SD) constituted the SP cohort. One of the tasks...
Article
Full-text available
Objective: The aim of the study was to systematically describe and analyse the 12 month period prevalence of suicidal ideation and behaviour of a cohort of patients who had a diagnosis of pathological gambling. Method: Seventy-nine people with a diagnosis of pathological gambling received a mailout survey. The survey included four psychometric inst...
Chapter
Full-text available
This chapter provides an outline of the theoretical framework, assessment process, specific treatment methods, and measurement of treatment outcomes of the Flinders Therapy Service for Problem Gamblers. A case example and outcome data are provided to demonstrate the treatment model and its effectiveness. An overview of treatment outcomes for proble...
Article
Full-text available
General Practitioners (GPs) are well placed to identify problem gamblers and provide early intervention. To date there is no evidence to suggest that GP's are routinely screening patients for potential gambling problems. This paper discusses the prevalence of problem gambling, the links with other health problems and ways that GPs can assist. Resul...
Article
Full-text available
This study aimed to describe the 12-month period prevalence and risk factors for suicidal ideation and behaviour in a cohort of patients with pathological gambling attending a treatment service. Seventy-nine people with a diagnosis of pathological gambling received a mail out survey that included questions on postulated risk factors for suicidal id...
Article
Full-text available
There is a paucity of treatment-outcome research for problem or pathological gambling. Single-session exposure therapy has been used successfully with a broad range of psychological disorders such as panic disorder and the phobias. This article will describe the use of single-session graded exposure to treat problem gambling with an Electronic Gami...
Article
Full-text available
AbstractIntroductionThis paper reports on one major finding of an educational initiative aimed at improving the care of persons presenting to emergency departments (EDs) with mental health issues. This goal, to improve care, was based on the premise that enhanced knowledge and skills of ED staff in mental health, including drug and alcohol issues,...
Article
The training and outcomes for a mental health nurse, who completed a 6-month nurse behavioural psychotherapy course at Flinders Medical Centre (Bedford Park, South Australia) is described. Completion of this course enabled the nurse to work mainly with pathological gamblers as a trainee nurse behaviour therapist. Her experience demonstrates that wi...
Article
Full-text available
The South Oaks Gambling Screen (SOGS) is a psychometric instrument widely used internationally to assess the presence of pathological gambling. Developed by Lesieur and Blume (1987) in the United States of America (USA) as a self-rated screening instrument, it is based on DSM-III and DSM-III-R criteria. This paper describes the origins and psychome...
Technical Report
Full-text available
Introduction Many forms of gambling exist in Australia. However, there has been a dramatic increase in opportunities to gamble, and it is important to be able to track the consequences of such policies, so as to ensure that harm is minimised. Dissatisfaction with existing methods of defining and measuring problem gambling led the previous Research...
Article
Full-text available
This report provides a summary of prevalence of gambling and its social impacts within the South Australian community. It also provides some insight into the effects of advertising and provision of information relating to assistance for those people identified as problem gamblers.
Article
Full-text available
South East Essex PCT has commissioned an integrated COPD service. At the core is the philosophy of patient centered care to achieve high quality care, equality of care for all patients with COPD, ease of access so patients receive the appropriate care, producing an educational programme which ensures a sustainable service, improved patient informat...
Article
Full-text available
The national coordinated care trials have been a vehicle for health reform in Australia, driven by escalating health care costs and projections of an ageing population. The first round of trials conducted between 1997 and 1999 set the trials a challenge to reduce financial and system barriers to enable health professionals in all sectors and consum...
Article
Nurses have been employed as behavioural psychotherapists for over 25 years. The first training in this field was established at The Maudsley Hospital ( Marks et al. 1977 ). Since then there have been a number of courses producing many specialist nurse behavioural psychotherapists (NBTs) ( Duggan et al. 1993 ). Nurse behavioural therapy is taken to...
Article
This paper describes a pilot program that examined the feasibility of training for qualified mental health nurses in behavioural psychotherapy in response to the perceived need for improved client access to services. A 6-month course was conducted with four nurses from the in-patient mental health unit at Flinders Medical Centre, South Australia. T...
Article
This paper describes a pilot program that examined the feasibility of training for qualified mental health nurses in behavioral psychotherapy in response to the perceived need for improved client access to services. A 6-month course was conducted with 4 nurses from the in-patient mental health unit at Flinders Medical Centre, South Australia. They...
Article
Treatment of Gilles de la Tourette syndrome using behavioural psychotherapy: a single case example. This paper describes the clinical condition of Gilles de la Tourette syndrome (TS) and outlines some of the causes for the condition and its possible treatments. It describes a single case demonstrating the effectiveness of one type of treatment, nam...

Network

Cited By

Projects

Projects (7)
Project
What are the factors influencing the implementation of ICD-10 in Saudi Public Hospitals