Pub Date : 2002-12-01DOI: 10.1080/10973430208408442
Rodney Corry, Thomas C. Jewell
Abstract In the present article we describe the implementation of psychiatric rehabilitation technologies in a variety of routine mental health settings in Rochester, New York. We briefly review the literature on specific psychiatric rehabilitation strategies, which are diverse in nature but share a common goal to minimize the disability associated severe mental illness. The challenges involved in implementing novel treatments in pre-existing mental health programs are also emphasized. Descriptions of barriers encountered during the implementation process in six different settings illustrate how these evidence-based treatment strategies can successfully be offered to consumers at various stages of recovery. The present article will be useful for mental health clinicians and administrators to encourage the long-term implementation of evidence-based practices and clarify the role of psychiatric rehabilitation in enhancing services for people with severe mental illness.
{"title":"Implementation of Psychiatric Rehabilitation Strategies in Real-Life Treatment Settings for Adults with Severe Mental Illness","authors":"Rodney Corry, Thomas C. Jewell","doi":"10.1080/10973430208408442","DOIUrl":"https://doi.org/10.1080/10973430208408442","url":null,"abstract":"Abstract In the present article we describe the implementation of psychiatric rehabilitation technologies in a variety of routine mental health settings in Rochester, New York. We briefly review the literature on specific psychiatric rehabilitation strategies, which are diverse in nature but share a common goal to minimize the disability associated severe mental illness. The challenges involved in implementing novel treatments in pre-existing mental health programs are also emphasized. Descriptions of barriers encountered during the implementation process in six different settings illustrate how these evidence-based treatment strategies can successfully be offered to consumers at various stages of recovery. The present article will be useful for mental health clinicians and administrators to encourage the long-term implementation of evidence-based practices and clarify the role of psychiatric rehabilitation in enhancing services for people with severe mental illness.","PeriodicalId":166369,"journal":{"name":"Psychiatric Rehabilitation Skills","volume":"11 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2002-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127435769","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2002-12-01DOI: 10.1080/10973430208408446
Monica Riera Mindt, W. Spaulding
Abstract The current study presents the: 1) conceptual development of a preliminary measure, the Coping Strategies Task (CST), for assessing coping-related cognition in a group of long-term, hospitalized individuals with schizophrenia-spectrum disorders; and 2) preliminary reliability and validation data of the CST. The CST was designed for persons with severe and persistent mental illness, and study participants included thirty-three individuals in comprehensive psychiatric rehabilitation. Reliability analyses revealed that the CST and its subscales demonstrated adequate reliability, although one subscale (Behavioral Reaction) demonstrated less robust split-half and test-retest reliabilities. Concurrent validity was evaluated by analyzing the relationship between the CST and measures of stress, observed behavior, and neurocognition. Correlational analyses revealed that coping attributions, as measured by the CST, were associated with perceived stress, observed behavior, and executive functioning. These preliminary data suggest that the CST could become a valid, clinically useful coping measure in order to further inform psychiatric rehabilitation.
{"title":"The Coping Strategies Task: Assessment of Coping in Schizophrenia","authors":"Monica Riera Mindt, W. Spaulding","doi":"10.1080/10973430208408446","DOIUrl":"https://doi.org/10.1080/10973430208408446","url":null,"abstract":"Abstract The current study presents the: 1) conceptual development of a preliminary measure, the Coping Strategies Task (CST), for assessing coping-related cognition in a group of long-term, hospitalized individuals with schizophrenia-spectrum disorders; and 2) preliminary reliability and validation data of the CST. The CST was designed for persons with severe and persistent mental illness, and study participants included thirty-three individuals in comprehensive psychiatric rehabilitation. Reliability analyses revealed that the CST and its subscales demonstrated adequate reliability, although one subscale (Behavioral Reaction) demonstrated less robust split-half and test-retest reliabilities. Concurrent validity was evaluated by analyzing the relationship between the CST and measures of stress, observed behavior, and neurocognition. Correlational analyses revealed that coping attributions, as measured by the CST, were associated with perceived stress, observed behavior, and executive functioning. These preliminary data suggest that the CST could become a valid, clinically useful coping measure in order to further inform psychiatric rehabilitation.","PeriodicalId":166369,"journal":{"name":"Psychiatric Rehabilitation Skills","volume":"6 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2002-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129082327","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2002-12-01DOI: 10.1080/10973430208408443
M. Salzer
Abstract Consumer-delivered services are receiving increasing attention as an important addition to the continuum of services available to people with a mental illness. This article provides a review of the theoretical and empirical evidence in support of consumer-delivered services as a best practice in mental health service delivery. This is followed by the presentation of proposed guidelines for delivering these types of services that is based on the current literature and the consensus of program directors from the Mental Health Association of Southeastern Pennsylvania, an agency that administers a number of consumer-delivered service programs. These guidelines are intended to assist in the adoption, development, and operation of consumer-delivered services and to aid policymakers and providers in their funding and referral decisions.
{"title":"Consumer-Delivered Services as a Best Practice in Mental Health Care Delivery and The Development of Practice Guidelines","authors":"M. Salzer","doi":"10.1080/10973430208408443","DOIUrl":"https://doi.org/10.1080/10973430208408443","url":null,"abstract":"Abstract Consumer-delivered services are receiving increasing attention as an important addition to the continuum of services available to people with a mental illness. This article provides a review of the theoretical and empirical evidence in support of consumer-delivered services as a best practice in mental health service delivery. This is followed by the presentation of proposed guidelines for delivering these types of services that is based on the current literature and the consensus of program directors from the Mental Health Association of Southeastern Pennsylvania, an agency that administers a number of consumer-delivered service programs. These guidelines are intended to assist in the adoption, development, and operation of consumer-delivered services and to aid policymakers and providers in their funding and referral decisions.","PeriodicalId":166369,"journal":{"name":"Psychiatric Rehabilitation Skills","volume":"23 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2002-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114641642","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2002-12-01DOI: 10.1080/10973430208408445
E. Williams, Ricardo Gillispie
Abstract The three objectives of this study were to evaluate antecedents to (1) male African Americans' satisfaction with in-patient mental health service provision, (2) their willingness to attend aftercare appointments upon discharge from the hospital, and (3) their primary therapists' satisfaction with the services they provided to these African American men. Subjects were 86 African American men who were recruited from the admissions unit of a psychiatric hospital serving a rural population from the Deep South. Results indicated that the only significant determinant of service satisfaction and intent to comply with aftercare was perceived staff empathy. Primary therapists' satisfaction with their own service provision included increased quality of life and reduction in symptomatology on the part of the subjects.
{"title":"Hospitalized African American Men with Mental Illness: Some Antecedents to Service Satisfaction and Intent to Comply with Aftercare","authors":"E. Williams, Ricardo Gillispie","doi":"10.1080/10973430208408445","DOIUrl":"https://doi.org/10.1080/10973430208408445","url":null,"abstract":"Abstract The three objectives of this study were to evaluate antecedents to (1) male African Americans' satisfaction with in-patient mental health service provision, (2) their willingness to attend aftercare appointments upon discharge from the hospital, and (3) their primary therapists' satisfaction with the services they provided to these African American men. Subjects were 86 African American men who were recruited from the admissions unit of a psychiatric hospital serving a rural population from the Deep South. Results indicated that the only significant determinant of service satisfaction and intent to comply with aftercare was perceived staff empathy. Primary therapists' satisfaction with their own service provision included increased quality of life and reduction in symptomatology on the part of the subjects.","PeriodicalId":166369,"journal":{"name":"Psychiatric Rehabilitation Skills","volume":"18 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2002-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121261367","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2002-12-01DOI: 10.1080/10973430208408441
P. Corrigan, N. Rüsch
Abstract Despite evidence that pharmacological and psychosocial treatments yield significant benefits for many psychiatric disorders, many people who might otherwise profit from treatment fail to access care or do not fully adhere to services once they are begun. One interpretation of a health belief model suggests that the stigma of mental illness and corresponding treatments is a significant, perceived cost that undermines participation. Evidence that supports this assumption is reviewed in this paper. We begin with a brief summary of empirical models that describe stigma. We then review research studies that suggest how perceived stigma may undermine treatment participation. Despite the presence of a few studies that support the connection between stigma and treatment avoidance, research in this area is remarkably sparse, especially given assertions about the importance of this point in the Surgeon General's 1999 Report. Possible directions for future research are outlined as a result. Finally, we provide a review of stigma-change strategies and their hypothetical effects on treatment use.
{"title":"Mental Illness Stereotypes and Clinical Care: Do People Avoid Treatment Because of Stigma?","authors":"P. Corrigan, N. Rüsch","doi":"10.1080/10973430208408441","DOIUrl":"https://doi.org/10.1080/10973430208408441","url":null,"abstract":"Abstract Despite evidence that pharmacological and psychosocial treatments yield significant benefits for many psychiatric disorders, many people who might otherwise profit from treatment fail to access care or do not fully adhere to services once they are begun. One interpretation of a health belief model suggests that the stigma of mental illness and corresponding treatments is a significant, perceived cost that undermines participation. Evidence that supports this assumption is reviewed in this paper. We begin with a brief summary of empirical models that describe stigma. We then review research studies that suggest how perceived stigma may undermine treatment participation. Despite the presence of a few studies that support the connection between stigma and treatment avoidance, research in this area is remarkably sparse, especially given assertions about the importance of this point in the Surgeon General's 1999 Report. Possible directions for future research are outlined as a result. Finally, we provide a review of stigma-change strategies and their hypothetical effects on treatment use.","PeriodicalId":166369,"journal":{"name":"Psychiatric Rehabilitation Skills","volume":"30 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2002-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123222404","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2002-12-01DOI: 10.1080/10973430208408437
Abstract This is a scanned image of the original Editorial Board page(s) for this issue.
这是本刊编辑委员会原始页面的扫描图像。
{"title":"Editorial board page for “Psychiatric Rehabilitation Skills”, Volume 6, Number 3","authors":"","doi":"10.1080/10973430208408437","DOIUrl":"https://doi.org/10.1080/10973430208408437","url":null,"abstract":"Abstract This is a scanned image of the original Editorial Board page(s) for this issue.","PeriodicalId":166369,"journal":{"name":"Psychiatric Rehabilitation Skills","volume":"73 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2002-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130837041","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2002-12-01DOI: 10.1080/10973430208408439
Beth Sholtis
Abstract I was diagnosed with schizophreniaform (a precursor to schizophrenia) in 1988, after my first break with reality, then with my second hospitalization the diagnosis was changed to schizophrenia, and then the next doctor said I suffered from bipolar disorder, or in the language of the time, manic-depression. This last diagnosis stuck, and is how I am viewed by my most recent doctor, Ronald Yendrek, D. O. of Barberton, Ohio. In a word, mental illness is a drag. It drags on me, my mind, my family, and everyone who knows me well, or sometimes even not so well-word gets around you know. Managing something that you have no control over at times is impossible, difficult to say the least. But I try, I have for 15 years.
{"title":"Managing a Mental Illness","authors":"Beth Sholtis","doi":"10.1080/10973430208408439","DOIUrl":"https://doi.org/10.1080/10973430208408439","url":null,"abstract":"Abstract I was diagnosed with schizophreniaform (a precursor to schizophrenia) in 1988, after my first break with reality, then with my second hospitalization the diagnosis was changed to schizophrenia, and then the next doctor said I suffered from bipolar disorder, or in the language of the time, manic-depression. This last diagnosis stuck, and is how I am viewed by my most recent doctor, Ronald Yendrek, D. O. of Barberton, Ohio. In a word, mental illness is a drag. It drags on me, my mind, my family, and everyone who knows me well, or sometimes even not so well-word gets around you know. Managing something that you have no control over at times is impossible, difficult to say the least. But I try, I have for 15 years.","PeriodicalId":166369,"journal":{"name":"Psychiatric Rehabilitation Skills","volume":" 8","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2002-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"113951922","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2002-12-01DOI: 10.1080/10973430208408444
S. Silverstein, T. Jewell, Rodney Cony
Abstract Intraclass correlation (ICC) is an underutilized statistical technique in program consultation and program development research. One potential use is to quantitatively characterize the degree of similarity or difference among staff on a number of issues, and this can be a complement to the use of single items assessing perceived similarity between staff members. In this paper, we demonstrate the use of ICCs for quantifying agreement from both dichotomous and nondichotomous staff ratings. A number of issues in the calculation and use of ICCs are noted, especially pertaining to various forms of bias. Data generated from an ongoing Interactive Staff Training project demonstrated that: 1) different programs vary widely in their degree of staff consistency in perceptions and attitudes; 2) ICCs correlate highly with trainer perceptions of staff commitment to change at the sites receiving consultation, and with perceived level of rapport between trainers and staff; and 3) in many cases ICCs correlate differently with outcome variables compared to total scores on the same measures. In addition to providing an introduction to ICCs, instructions in their generation and explanations of output from two popular statistical packages are explained.
{"title":"The Generation and Use of Intraclass Correlation in Interactive Staff Training Research","authors":"S. Silverstein, T. Jewell, Rodney Cony","doi":"10.1080/10973430208408444","DOIUrl":"https://doi.org/10.1080/10973430208408444","url":null,"abstract":"Abstract Intraclass correlation (ICC) is an underutilized statistical technique in program consultation and program development research. One potential use is to quantitatively characterize the degree of similarity or difference among staff on a number of issues, and this can be a complement to the use of single items assessing perceived similarity between staff members. In this paper, we demonstrate the use of ICCs for quantifying agreement from both dichotomous and nondichotomous staff ratings. A number of issues in the calculation and use of ICCs are noted, especially pertaining to various forms of bias. Data generated from an ongoing Interactive Staff Training project demonstrated that: 1) different programs vary widely in their degree of staff consistency in perceptions and attitudes; 2) ICCs correlate highly with trainer perceptions of staff commitment to change at the sites receiving consultation, and with perceived level of rapport between trainers and staff; and 3) in many cases ICCs correlate differently with outcome variables compared to total scores on the same measures. In addition to providing an introduction to ICCs, instructions in their generation and explanations of output from two popular statistical packages are explained.","PeriodicalId":166369,"journal":{"name":"Psychiatric Rehabilitation Skills","volume":"122 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2002-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131973386","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2002-12-01DOI: 10.1080/10973430208408440
E. Hamera, Catana E. Brown, M. Rempfer, N. Davis
Abstract The Test of Grocery Shopping Skills (TOGSS) is a performance measure of shopping ability in a grocery store that requires complex cognitive skills. The present study examines the validity of the TOGSS by comparing performance of two groups with significant cognitive impairments i.e., individuals who have schizophrenia or bipolar disorders and meet the criteria for serious mental illness (SMI), with a normative population. Individuals in the normative group took less time and showed less redundancy in the completing the task than individuals with schizophrenia or bipolar disorder. There was no difference between groups on accuracy of finding items.
{"title":"Test of Grocery Shopping Skills: Discrimination of People with and without Mental Illness","authors":"E. Hamera, Catana E. Brown, M. Rempfer, N. Davis","doi":"10.1080/10973430208408440","DOIUrl":"https://doi.org/10.1080/10973430208408440","url":null,"abstract":"Abstract The Test of Grocery Shopping Skills (TOGSS) is a performance measure of shopping ability in a grocery store that requires complex cognitive skills. The present study examines the validity of the TOGSS by comparing performance of two groups with significant cognitive impairments i.e., individuals who have schizophrenia or bipolar disorders and meet the criteria for serious mental illness (SMI), with a normative population. Individuals in the normative group took less time and showed less redundancy in the completing the task than individuals with schizophrenia or bipolar disorder. There was no difference between groups on accuracy of finding items.","PeriodicalId":166369,"journal":{"name":"Psychiatric Rehabilitation Skills","volume":"85 7","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2002-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"113938157","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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