Pub Date : 2001-09-01DOI: 10.1080/15487760108415437
M. Alden
Abstract Utah has adopted clubhouse as a preferred practice of psychosocial rehabilitation for persons with serious mental illnesses. For practical reasons as well as superior monitoring and technical assistance, the state mental health authority (Utah Division of Mental Health) has subcontracted oversight of clubhouses through certification by the International Center for Clubhouse Development. The result has had benefits for both clubhouses and the Division.
{"title":"State mental health authority oversight of clubhouse programs","authors":"M. Alden","doi":"10.1080/15487760108415437","DOIUrl":"https://doi.org/10.1080/15487760108415437","url":null,"abstract":"Abstract Utah has adopted clubhouse as a preferred practice of psychosocial rehabilitation for persons with serious mental illnesses. For practical reasons as well as superior monitoring and technical assistance, the state mental health authority (Utah Division of Mental Health) has subcontracted oversight of clubhouses through certification by the International Center for Clubhouse Development. The result has had benefits for both clubhouses and the Division.","PeriodicalId":166369,"journal":{"name":"Psychiatric Rehabilitation Skills","volume":"34 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2001-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134055966","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 : 2001-09-01DOI: 10.1080/15487760108415436
B. Kast
Abstract Though psychiatric rehabilitation and community support are widely accepted, rural areas face serious obstacles in expanding availability of, access to, and utilization of these services. This paper examines the demographic and structural uniqueness of rural America, and describes several unique approaches in rehabilitation, telemental health, and prepaid behavioral healthcare.
{"title":"Applying psychiatric rehabilitation in rural areas: A commissioner's perspective","authors":"B. Kast","doi":"10.1080/15487760108415436","DOIUrl":"https://doi.org/10.1080/15487760108415436","url":null,"abstract":"Abstract Though psychiatric rehabilitation and community support are widely accepted, rural areas face serious obstacles in expanding availability of, access to, and utilization of these services. This paper examines the demographic and structural uniqueness of rural America, and describes several unique approaches in rehabilitation, telemental health, and prepaid behavioral healthcare.","PeriodicalId":166369,"journal":{"name":"Psychiatric Rehabilitation Skills","volume":"128 6","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2001-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133877629","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 : 2001-03-10DOI: 10.1080/15487760108415447
J. Wolf, Claudine Coba, M. Cirella
Abstract Supported education programs serve students with psychiatric illnesses in pursuing higher education. Mental health and behavioral health certificate programs prepare graduates for paraprofessional employment. They may additionally encourage consumers to enroll in their programs, thereby increasing the availability of 'qualified consumer providers in the workforce. This article describes the partnership of a supported education program located in a Connecticut rehabilitation agency with two community college certificate programs in promoting consumer empowerment and recovery by helping consumers attend and/or return to higher education, complete their chosen educational program, and attain employment in the behavioral health field. Students, including consumers recovering from mental illnesses and addictions, acquire competencies, skills and perspectives through education. Behavioral health programs and the consumers they serve benefit from hiring certificate program graduates.
{"title":"Education as psychosocial rehabilitation: Supported education program partnerships with mental health and behavioral healthcare certificate programs","authors":"J. Wolf, Claudine Coba, M. Cirella","doi":"10.1080/15487760108415447","DOIUrl":"https://doi.org/10.1080/15487760108415447","url":null,"abstract":"Abstract Supported education programs serve students with psychiatric illnesses in pursuing higher education. Mental health and behavioral health certificate programs prepare graduates for paraprofessional employment. They may additionally encourage consumers to enroll in their programs, thereby increasing the availability of 'qualified consumer providers in the workforce. This article describes the partnership of a supported education program located in a Connecticut rehabilitation agency with two community college certificate programs in promoting consumer empowerment and recovery by helping consumers attend and/or return to higher education, complete their chosen educational program, and attain employment in the behavioral health field. Students, including consumers recovering from mental illnesses and addictions, acquire competencies, skills and perspectives through education. Behavioral health programs and the consumers they serve benefit from hiring certificate program graduates.","PeriodicalId":166369,"journal":{"name":"Psychiatric Rehabilitation Skills","volume":"57 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2001-03-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129417498","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 : 2001-03-01DOI: 10.1080/15487760108415419
R. Weingarten
{"title":"Interview with mary ellen copeland and ed anthes","authors":"R. Weingarten","doi":"10.1080/15487760108415419","DOIUrl":"https://doi.org/10.1080/15487760108415419","url":null,"abstract":"","PeriodicalId":166369,"journal":{"name":"Psychiatric Rehabilitation Skills","volume":"56 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2001-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127694111","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 : 2001-03-01DOI: 10.1080/15487760108415428
S. Maxwell
Abstract A significant proportion of persons presenting for mental health treatment has concurrent substance use disorders. Differentiation of the diseases is problematic, and the scope of the problem difficult to quantify The administrative separation of mental health from alcohol and drug treatment decades ago has resulted in MISA clients being denied service because of exclusionary criteria maintained by the distanced agencies. The individual might spend years bouncing between the systems, or might fall directly through the cracks between them, ending up untreated, on the streets, or in the penal system. In this article the author describes her experiences providing addictions training to clinicians in the Illinois mental health system, and observing the increasing integration of mental health and addictions care in this system.
{"title":"Care of people with dual disabilities in the mental health system: Education vs. attitude rehabilitation","authors":"S. Maxwell","doi":"10.1080/15487760108415428","DOIUrl":"https://doi.org/10.1080/15487760108415428","url":null,"abstract":"Abstract A significant proportion of persons presenting for mental health treatment has concurrent substance use disorders. Differentiation of the diseases is problematic, and the scope of the problem difficult to quantify The administrative separation of mental health from alcohol and drug treatment decades ago has resulted in MISA clients being denied service because of exclusionary criteria maintained by the distanced agencies. The individual might spend years bouncing between the systems, or might fall directly through the cracks between them, ending up untreated, on the streets, or in the penal system. In this article the author describes her experiences providing addictions training to clinicians in the Illinois mental health system, and observing the increasing integration of mental health and addictions care in this system.","PeriodicalId":166369,"journal":{"name":"Psychiatric Rehabilitation Skills","volume":"2 4","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2001-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"113978131","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 : 2001-03-01DOI: 10.1080/15487760108415424
J. Mehr
Abstract Reviews various commonly used models of case management, the research base that has developed regarding the various models, and describes what is known about the application of the models of case management within services for people with concurrent severe mental illness and alcoholism or substance abuse. The models of case management reviewed include the brokerage model, clinical model, strengths model, rehabilitation model, and the family of intensive models that include PACT, ACT and ICM. The research supporting the various models is discussed including the evidence for effectiveness for people with dual disorders. The findings of one of the few controlled studies of case management for people with dual diagnoses (the 1991 Illinois Specialized Case Management Project) is reviewed.
{"title":"Case management: A review with implications for services for concurrent severe mental illness and alcoholism or substance abuse","authors":"J. Mehr","doi":"10.1080/15487760108415424","DOIUrl":"https://doi.org/10.1080/15487760108415424","url":null,"abstract":"Abstract Reviews various commonly used models of case management, the research base that has developed regarding the various models, and describes what is known about the application of the models of case management within services for people with concurrent severe mental illness and alcoholism or substance abuse. The models of case management reviewed include the brokerage model, clinical model, strengths model, rehabilitation model, and the family of intensive models that include PACT, ACT and ICM. The research supporting the various models is discussed including the evidence for effectiveness for people with dual disorders. The findings of one of the few controlled studies of case management for people with dual diagnoses (the 1991 Illinois Specialized Case Management Project) is reviewed.","PeriodicalId":166369,"journal":{"name":"Psychiatric Rehabilitation Skills","volume":"87 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2001-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116460325","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 : 2001-03-01DOI: 10.1080/15487760108415426
A. Zuckoff, D. Daley
Abstract Treatment of persons with non-psychosis dual disorders (NPDD) is complicated by population heterogeneity, complexity of needs, and low treatment participation. While it is important to be familiar with the range of psychiatric and substance use disorders, as well as interventions to target specific symptoms and behaviors, clinicians will be most effective if they are prepared to address common issues that emerge across diagnoses and disabilities, most saliently treatment entry and adherence. This paper presents a model of Motivational Therapy designed to provide clinicians with a conceptual structure and specific strategies to enhance problem and treatment acceptance, and thus improve adherence.
{"title":"Engagement and adherence issues in treating persons with non-psychosis dual disorders","authors":"A. Zuckoff, D. Daley","doi":"10.1080/15487760108415426","DOIUrl":"https://doi.org/10.1080/15487760108415426","url":null,"abstract":"Abstract Treatment of persons with non-psychosis dual disorders (NPDD) is complicated by population heterogeneity, complexity of needs, and low treatment participation. While it is important to be familiar with the range of psychiatric and substance use disorders, as well as interventions to target specific symptoms and behaviors, clinicians will be most effective if they are prepared to address common issues that emerge across diagnoses and disabilities, most saliently treatment entry and adherence. This paper presents a model of Motivational Therapy designed to provide clinicians with a conceptual structure and specific strategies to enhance problem and treatment acceptance, and thus improve adherence.","PeriodicalId":166369,"journal":{"name":"Psychiatric Rehabilitation Skills","volume":"64 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2001-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114694658","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 : 2001-03-01DOI: 10.1080/15487760108415425
S. Eisenberg
Abstract The typical dual disorders article focuses on individuals with severe and persistent mental illness. A large population of individuals exists that has a dual disorder that consists of a serious substance abuse problem and a mild or moderate, emotional disorder. This article deals with that group. It addresses issues of screening, including the importance of safety factors, and the importance of an ongoing assessment process. The article reviews important medication issues for this group of dual disorders including issues of medications that have an abuse potential. Treatment for the disorders is presented in the context of the American Society of Addiction Medicine (ASAM) Evaluation Dimensions. The emerging problem of dual diagnosis in pathological gambling is also identified.
{"title":"Psychiatric comorbidity in the addictions treatment setting: Assessment, diagnosis, and treatment","authors":"S. Eisenberg","doi":"10.1080/15487760108415425","DOIUrl":"https://doi.org/10.1080/15487760108415425","url":null,"abstract":"Abstract The typical dual disorders article focuses on individuals with severe and persistent mental illness. A large population of individuals exists that has a dual disorder that consists of a serious substance abuse problem and a mild or moderate, emotional disorder. This article deals with that group. It addresses issues of screening, including the importance of safety factors, and the importance of an ongoing assessment process. The article reviews important medication issues for this group of dual disorders including issues of medications that have an abuse potential. Treatment for the disorders is presented in the context of the American Society of Addiction Medicine (ASAM) Evaluation Dimensions. The emerging problem of dual diagnosis in pathological gambling is also identified.","PeriodicalId":166369,"journal":{"name":"Psychiatric Rehabilitation Skills","volume":"8 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2001-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125939950","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 : 2001-03-01DOI: 10.1080/15487760108415422
R. Kanwischer
Abstract The incidence of dual diagnosis in individuals who have severe mental illnesses has been demonstrated to be very high, and among individuals identified with substance abuse, the lifetime rate of co-occurring psychiatric disorders are as high as eighty percent. Effective treatment of individuals with dual problems depends on accurate screening, diagnosis, and comprehensive assessment. A series of principles of evaluation are presented and described in this article. The principles are pragmatic and simple guides to good MISA assessment practices, and include a review of assessment instruments that can be effectively used by front line clinicians. Critical elements of evaluation are presented that significantly impact on those principles.
{"title":"Principles and practice for the screening, diagnosis, and assessment of persons with co-occurring mental illness and substance abuse","authors":"R. Kanwischer","doi":"10.1080/15487760108415422","DOIUrl":"https://doi.org/10.1080/15487760108415422","url":null,"abstract":"Abstract The incidence of dual diagnosis in individuals who have severe mental illnesses has been demonstrated to be very high, and among individuals identified with substance abuse, the lifetime rate of co-occurring psychiatric disorders are as high as eighty percent. Effective treatment of individuals with dual problems depends on accurate screening, diagnosis, and comprehensive assessment. A series of principles of evaluation are presented and described in this article. The principles are pragmatic and simple guides to good MISA assessment practices, and include a review of assessment instruments that can be effectively used by front line clinicians. Critical elements of evaluation are presented that significantly impact on those principles.","PeriodicalId":166369,"journal":{"name":"Psychiatric Rehabilitation Skills","volume":"4 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2001-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127725549","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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