Pub Date : 2000-06-01DOI: 10.1080/10973430008408409
E. Kuipers
Abstract Psychosis used not to be seen as a central area for psychological intervention. In the last decade this perception has been changed, with the accumulation of evidence on the efficacy of family intervention for those living with psychosis (staff carers may also benefit from this), and from trials of individual cognitive behavioral intervention with psychosis, trials that have been largely conducted in Britain. This evidence is now compelling for the family work and promising for the individual interventions that services need to be able to offer them. However, the gap between showing efficacy and the routine implementation of effective services appears particularly hard to bridge for psychological interventions. These are cost effective, but require training, supervision, staff support, and management input in order to become generally available; this appears to be a crucial next stage in psychiatric rehabilitation.
{"title":"Psychological Treatments for Psychosis: Evidence Based but Unavailable?","authors":"E. Kuipers","doi":"10.1080/10973430008408409","DOIUrl":"https://doi.org/10.1080/10973430008408409","url":null,"abstract":"Abstract Psychosis used not to be seen as a central area for psychological intervention. In the last decade this perception has been changed, with the accumulation of evidence on the efficacy of family intervention for those living with psychosis (staff carers may also benefit from this), and from trials of individual cognitive behavioral intervention with psychosis, trials that have been largely conducted in Britain. This evidence is now compelling for the family work and promising for the individual interventions that services need to be able to offer them. However, the gap between showing efficacy and the routine implementation of effective services appears particularly hard to bridge for psychological interventions. These are cost effective, but require training, supervision, staff support, and management input in order to become generally available; this appears to be a crucial next stage in psychiatric rehabilitation.","PeriodicalId":166369,"journal":{"name":"Psychiatric Rehabilitation Skills","volume":"87 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2000-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132922227","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 : 2000-06-01DOI: 10.1080/10973430008408414
J. Calabrese
Abstract by Randy Starr 2000, Recovery Press Tinley Park, Illinois 144 pages, $12.95
摘要:兰迪·斯塔尔2000年出版,伊利诺伊州廷利公园恢复出版社144页,12.95美元
{"title":"A Book Review of “Not Guilty by Reason of Insanity: One Man's Recovery”","authors":"J. Calabrese","doi":"10.1080/10973430008408414","DOIUrl":"https://doi.org/10.1080/10973430008408414","url":null,"abstract":"Abstract by Randy Starr 2000, Recovery Press Tinley Park, Illinois 144 pages, $12.95","PeriodicalId":166369,"journal":{"name":"Psychiatric Rehabilitation Skills","volume":"44 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2000-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126997635","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 : 2000-06-01DOI: 10.1080/10973430008408411
S. Onyett
Abstract The central importance of effective working relationships between users and staff has been highlighted by a wide variety of sources. It is central to effective engagement, assessment, planning, clinical risk management, and a collaborative approach to the use of medication and other therapeutic interventions. Effective relationships may also serve to moderate some of the negative ways in which mental health services respond to people experiencing the effects of social inequalities (e.g., due to their race or gender). This paper argues that if authentic relationships are to be established then both parties will need to understand as fully as possible the social context in which they operate, the realities of the power dynamics between them, and the contradictory imperatives of care and control that operate on staff. This in turn argues for a more reflective and politically informed approach to work with disadvantaged people with severe and long-term mental health problems. This needs to be inculcated through training and evaluation, and supported by one's peers and managers over the long term.
{"title":"Understanding Relationships in Context as a Core Competence for Psychiatric Rehabilitation","authors":"S. Onyett","doi":"10.1080/10973430008408411","DOIUrl":"https://doi.org/10.1080/10973430008408411","url":null,"abstract":"Abstract The central importance of effective working relationships between users and staff has been highlighted by a wide variety of sources. It is central to effective engagement, assessment, planning, clinical risk management, and a collaborative approach to the use of medication and other therapeutic interventions. Effective relationships may also serve to moderate some of the negative ways in which mental health services respond to people experiencing the effects of social inequalities (e.g., due to their race or gender). This paper argues that if authentic relationships are to be established then both parties will need to understand as fully as possible the social context in which they operate, the realities of the power dynamics between them, and the contradictory imperatives of care and control that operate on staff. This in turn argues for a more reflective and politically informed approach to work with disadvantaged people with severe and long-term mental health problems. This needs to be inculcated through training and evaluation, and supported by one's peers and managers over the long term.","PeriodicalId":166369,"journal":{"name":"Psychiatric Rehabilitation Skills","volume":"25 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2000-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129639250","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 : 2000-06-01DOI: 10.1080/10973430008408413
T. Lavender, N. Lake
Abstract This paper will provide an overview of the qualitative research methods that have recently been applied in psychiatric rehabilitation. An introduction to the philosophical traditions, out of which qualitative research has been developed, is followed by a brief introduction to the major methodologies. Care will be taken to refer to the relevant texts, which will provide more detail about the practicalities of conducting such research. The principal areas where such methodologies may be appropriate will be described, which will include both understanding the nature of people with long-term mental health difficulties and evaluations of the service. The use of these methodologies in assessing the views and experiences of service users will be emphasized throughout. Finally, a number of specific studies that have used qualitative methods in the field of rehabilitation will be described briefly in order to provide the reader with working examples.
{"title":"Qualitative Research Methods in Psychiatric Rehabilitation","authors":"T. Lavender, N. Lake","doi":"10.1080/10973430008408413","DOIUrl":"https://doi.org/10.1080/10973430008408413","url":null,"abstract":"Abstract This paper will provide an overview of the qualitative research methods that have recently been applied in psychiatric rehabilitation. An introduction to the philosophical traditions, out of which qualitative research has been developed, is followed by a brief introduction to the major methodologies. Care will be taken to refer to the relevant texts, which will provide more detail about the practicalities of conducting such research. The principal areas where such methodologies may be appropriate will be described, which will include both understanding the nature of people with long-term mental health difficulties and evaluations of the service. The use of these methodologies in assessing the views and experiences of service users will be emphasized throughout. Finally, a number of specific studies that have used qualitative methods in the field of rehabilitation will be described briefly in order to provide the reader with working examples.","PeriodicalId":166369,"journal":{"name":"Psychiatric Rehabilitation Skills","volume":"12 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2000-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123302614","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 : 2000-06-01DOI: 10.1080/10973430008408410
D. Milne, Orli Gorenski, C. Westerman, C. Leek, D. Keegan
Abstract Staff training is a necessary component in psychiatric rehabilitation programs, providing the basis of a skilled and integrated workforce. However, it has been found repeatedly that training is not sufficient to result in an improved quality of care for clients. What is required to make training effective is a parallel emphasis upon the organizational context within which these trained skills are to be applied. The present paper provides a review of the contextual factors that contribute to training effectiveness. A case study of the transfer of staff training (N=10) in psychiatric rehabilitation skills illustrates several of these factors. Conclusions are drawn about the factors that contribute to successful transfer of training, and about future research requirements.
{"title":"What Does it Take to Transfer Training?","authors":"D. Milne, Orli Gorenski, C. Westerman, C. Leek, D. Keegan","doi":"10.1080/10973430008408410","DOIUrl":"https://doi.org/10.1080/10973430008408410","url":null,"abstract":"Abstract Staff training is a necessary component in psychiatric rehabilitation programs, providing the basis of a skilled and integrated workforce. However, it has been found repeatedly that training is not sufficient to result in an improved quality of care for clients. What is required to make training effective is a parallel emphasis upon the organizational context within which these trained skills are to be applied. The present paper provides a review of the contextual factors that contribute to training effectiveness. A case study of the transfer of staff training (N=10) in psychiatric rehabilitation skills illustrates several of these factors. Conclusions are drawn about the factors that contribute to successful transfer of training, and about future research requirements.","PeriodicalId":166369,"journal":{"name":"Psychiatric Rehabilitation Skills","volume":"15 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2000-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123869793","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 : 2000-06-01DOI: 10.1080/10973430008408402
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 4, Number 2","authors":"","doi":"10.1080/10973430008408402","DOIUrl":"https://doi.org/10.1080/10973430008408402","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":"97 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2000-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124714438","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 : 2000-06-01DOI: 10.1080/10973430008408404
D. Milne
Pat Corrigan’s research and writing has had a valuable influence on many of us in the UK, so it is particularly appropriate that we try and reciprocate by presenting the first ever UK issue of Psychiatric Rehabilitation Skills. The papers that follow cover much of the spectrum of psychiatric rehabilitation practice, from assessment to outcome evaluation. They are written by leading British figures in the field, and highlight the interplay of research and practice in our country. These authors are also drawn from different disciplines, and span the academic clinical range. In short, this Special Issue affords a broad and balanced account of current psychiatric rehabilitation research and practice in the UK. The nine papers that follow are organized broadly in keeping with the main steps in carrying out psychiatric rehabilitation; namely assessment, intervention, relapse prevention, and evaluation. The first paper, by Max Birchwood from Birmingham, and Andrea Fiorillo from Naples, outlines the concept of a “critical period.” They note that assessment of the early signs of a psychosis can lead to particularly successful interventions. Evidence for this proposition is reviewed, before closing with an outline of a typical intervention during the critical period. Next, David Fowler from Nonvich emphasizes the need to commence assessment by building a therapeutic alliance, prior to structured interviewing. He summarizes key ideas and findings concerning the development and maintenance of delusions and voices, then spells out the implications for intervention. In particular, Fowler stresses that the development of a trusting and collaborative therapist-client relationship is the “foundation stone”
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Pub Date : 2000-03-01DOI: 10.1080/10973430008408399
B. Granger, P. Gill
Abstract Psychiatric rehabilitation programs that continue to ‘make job placements” need to assess the impact that such a caretaker approach has on the long term abilities of people with psychiatric disabilities to find their own jobs and then communicate independently with employers. Following a national survey of job coaches and job developers, the authors suggest a teaching approach to providing employment support services: job developers and job coaches should teach the ADA and workplace communication skills, so that individuals can develop the ability to negotiate with employers on their own behalf. Practitioners can also enhance this teaching approach to provision of employment support services through the development of employment peer support groups.
{"title":"Strategies for Assisting People with Psychiatric Disabilities to Assert Their ADA Rights and Arrange Job Accommodations","authors":"B. Granger, P. Gill","doi":"10.1080/10973430008408399","DOIUrl":"https://doi.org/10.1080/10973430008408399","url":null,"abstract":"Abstract Psychiatric rehabilitation programs that continue to ‘make job placements” need to assess the impact that such a caretaker approach has on the long term abilities of people with psychiatric disabilities to find their own jobs and then communicate independently with employers. Following a national survey of job coaches and job developers, the authors suggest a teaching approach to providing employment support services: job developers and job coaches should teach the ADA and workplace communication skills, so that individuals can develop the ability to negotiate with employers on their own behalf. Practitioners can also enhance this teaching approach to provision of employment support services through the development of employment peer support groups.","PeriodicalId":166369,"journal":{"name":"Psychiatric Rehabilitation Skills","volume":"4 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2000-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131237895","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 : 2000-03-01DOI: 10.1080/10973430008408390
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。
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