Psychiatric Rehabilitation Journal最新文献

Objective: Psychiatric rehabilitation approaches have evolved to offer individualized options for people with psychosis to direct their own recovery. Meaning making is a core component of self-directed recovery that allows individuals to make sense of psychosocial challenges and life experiences and then decide how to recover and move forward with their life. Individual psychotherapy that is personalized and collaborative can allow people with psychosis to explore the meaning of challenges and life experiences, especially for those with fragmented understanding of themselves and their life. Integrative psychotherapies may be uniquely positioned to target meaning making to promote self-directed recovery.

Method: We provide a narrative review of the literature and outline practical psychotherapy approaches and practice implications to describe how meaning making can be promoted with an integrative, metacognitive therapy approach.

Results: In this article we (a) discuss the metacognitive theoretical framework of psychosis as it relates to meaning making, (b) share specific methods from diverse psychotherapy approaches to promote meaning making, and (c) discuss how this meaning making further promotes self-directed recovery in practice.

Conclusions and implications for practice: We propose that meaning making can come from many different approaches and that integrating diverse methods can improve personalization to maximize benefit and enhance self-directed recovery. (PsycInfo Database Record (c) 2026 APA, all rights reserved).

Objective: Young adults (YAs) have high rates of serious mental health conditions and historically low rates of mental health treatment engagement. YAs have historically been understudied within psychiatric rehabilitation, but more recently, multidisciplinary team- and community-based approaches informed by assertive community treatment have become popular. Much can be learned from YAs enrolled in YA-specific teams to understand how YA-specific teams support YA recovery.

Methods: A research team with several YAs with lived/living mental health experience conducted and analyzed interviews with YAs (n = 22) enrolled in YA-specific team-based services. The research team used reflexive thematic analysis.

Results: Self-discovery was central in YA team-based service experiences. The YA team fostered discovery by (a) supporting YA self-reflection within mutually respectful YA client-team member relationships made possible through the YA team; (b) blending and balancing YA development, lived experience, and clinical expertise; and (c) providing flexible, tailored services and activities in the community and clinic.

Conclusions and implications for practice: Supporting YAs in building their sense of self is central in engaging YAs. YA mental health providers and policymakers in the field of psychiatric rehabilitation can use discovery practice concepts to describe how and why adult mental health care can successfully be different for YAs. (PsycInfo Database Record (c) 2025 APA, all rights reserved).

Objective: Deinstitutionalization spawned numerous psychiatric rehabilitation interventions, but only a small number have endured for decades and spread widely. This article identifies a concise set of 10 criteria to examine ethical, scientific, practical, and policy elements of highly successful interventions.

Methods: Based on 50 years of psychiatric rehabilitation literature, we examined three exemplary, enduring practices-assertive community treatment, Individual Placement and Support, and Housing First-for evidence related to the 10 common criteria.

Results: Psychiatric rehabilitation has had a firm grounding in ethics, client-centeredness, implementation science, and outcomes research. Policy and funding have followed. We identified 10 criteria that incorporate these values: recovery, model clarity, fidelity, effectiveness, enduring effects, cost-effectiveness, feasibility, scalability/sustainability, policy/funding, and adaptability. All three practices are guided by validated fidelity scales, have strong evidence for effectiveness, and are feasible to implement, but they vary on other criteria.

Conclusions and implications for practice: In varying degrees, assertive community treatment, Individual Placement and Support, and Housing First are practices meeting most of the 10 criteria in a newly developed framework aimed at broadening the criteria for evaluating psychiatric rehabilitation programs to encompass both scientific and pragmatic, real-world considerations. This framework establishes an objective framework to guide the prioritization of services for people with mental health conditions. (PsycInfo Database Record (c) 2026 APA, all rights reserved).

Objective: This study examines the factors influencing the effectiveness of a rights- and recovery-based training program for mental health professionals.

Methods: From an initial pool of 643 professionals providing informed consent, 218 (33.9%) attended the training activity and completed the first follow-up assessment. Effectiveness was evaluated using a scale measuring beliefs and attitudes toward service users. Potential predictors included gender, age, experience, ideological orientation, education, profession type, personal or close experience with mental distress, and training satisfaction.

Results: Interactions showed that profession type and personal experience moderated changes in coercion, with social professionals showing a sharper initial reduction that stabilized, clinical professionals a slower but more continuous decrease, and those without personal experience demonstrating greater overall reductions. Ideology moderated changes in paternalism, with left-leaning professionals showing a consistent decline and right-leaning professionals an initial decrease followed by an increase.

Conclusions and implications for practice: These findings highlight the training's broad impact on beliefs and attitudes and the role of key professional characteristics in shaping specific outcomes, suggesting strategies for tailoring recovery-oriented education to diverse professional profiles. Further research should refine study designs, improve assessment tools, and explore behavioral outcomes to deepen our understanding of the mechanisms underlying training effectiveness. (PsycInfo Database Record (c) 2026 APA, all rights reserved).

Objective: This study aimed to comprehensively evaluate the connectedness, hope, identity, meaning, empowerment, and difficulties (CHIME-D) framework and its six core processes as predictors of personal recovery among individuals with psychiatric disabilities.

Methods: A total of 339 adults with self-reported psychiatric disabilities were recruited from https://ResearchMatch.org and completed an online survey comprising validated measures of personal recovery and variables operationalizing the six CHIME-D processes. A hierarchical regression analysis was conducted to assess the individual contributions of each process and the overall predictive power of the CHIME-D framework for personal recovery.

Results: The final regression model accounted for 69% of the variance in personal recovery. Each CHIME-D process contributed a statistically significant portion of the variance. In the final model, all variables except community integration remained significant predictors of personal recovery.

Conclusions and implications for practice: Findings support the CHIME-D framework as a robust, evidence-based guiding framework for recovery-oriented care. Each CHIME-D process represents a potential target for interventions aimed at promoting personal recovery. Psychiatric rehabilitation professionals are encouraged to attend to all six processes when working with individuals with psychiatric disabilities to enhance recovery outcomes. (PsycInfo Database Record (c) 2026 APA, all rights reserved).

Objective: This study examined the scope and functioning of peer recovery services across different roles and peer recovery programs. Specific aims included (a) considering the defining role of peer recovery specialists, (b) understanding how peer specialists achieve goals, (c) determining short- and long-term outcomes resulting from peer recovery services, and (d) identifying barriers and facilitators to service provision.

Methods: A multimethod survey distributed via Qualtrics was used to collect responses from 108 peer recovery specialists, supervisory staff, and individuals receiving services across 23 programs. Qualitative responses were coded using an inductive coding strategy, whereas quantitative questions were analyzed using descriptive statistics and between-role comparisons.

Results: Participants endorsed lived experience and support as the primary roles of the peer recovery specialist, which facilitated connection to care and higher quality relationships. Several short-term outcomes were consistently endorsed across roles, including engagement in recovery services, social support, and crisis stabilization. Long-term outcomes were more variable. Peer specialists expressed challenges with maintaining boundaries with individuals given their personal experience and professional identities.

Conclusions and implications for practice: Findings point to a shared understanding of the role of the peer recovery specialist and consistency in short-term outcomes across programs, both of which support the feasibility of establishing shared implementation (process) and outcome measures to guide evaluation efforts of peer recovery programs. We provide a short form, the Peer Recovery Services Checklist, to facilitate this goal. (PsycInfo Database Record (c) 2026 APA, all rights reserved).

Objective: The present study assessed the relationship of college self-efficacy (beliefs in capacity to complete college tasks) and psychiatric rehabilitation attitudes (PRA; a measure of professional identity) and their relationship to educational barriers and several demographic variables among undergraduate students studying psychiatric rehabilitation.

Methods: A total of N = 92 undergraduate students completed an online survey for the current analysis. Data were collected on college self-efficacy, PRA (including beliefs, goals, practices), educational barriers, and student demographics.

Results: We found that students' college self-efficacy was positively associated with PRA (r = .326, p = .002). White students endorsed significantly stronger PRA (effect size 0.52, p = .03). College students' self-efficacy was inversely associated with living with mental health conditions (r = -.209, p = .028) and whether started clinical practicum (p = .015) where students who started clinical practicum had significantly higher self-efficacy, regardless of whether they lived with a mental health conditions or not.

Conclusions and implications for practice: Consistent with social cognitive career theory, students with higher college self-efficacy scored higher on the professional identity measure in the present study, PRA. We discuss the implications of this finding for rehabilitation education programs preparing students to work with individuals in the behavioral health care and rehabilitation fields. (PsycInfo Database Record (c) 2026 APA, all rights reserved).

Objective: The open dialogue approach is a systemic, therapeutic intervention that aims to support individuals who experience severe and enduring mental health difficulties. Striving to encourage a rehabilitation-oriented approach, open dialogue (OD) has faced several adaptations according to different contexts and countries. This review sought to understand adherence and implementation practices of OD and specifically how they are reported within the OD intervention research literature.

Methods: A systematic strategy was used to search five electronic databases (CINAHL, APA PsycInfo, The Cochrane Library, PsycArticles, PubMed) using title/abstract and full text terms. Data were extracted using an extraction template developed for the purpose of this review that incorporated a recently developed OD adherence protocol (Lotmore et al., 2023). A methodological quality appraisal was employed. Narrative synthesis and content analysis were used to analyze the findings.

Results: Of the 1813 studies initially identified from the search string, 28 studies were included based on the inclusion and exclusion criteria. These composed of qualitative (n = 12), quantitative (n = 14), and mixed methods (n = 2) designs. The quality of the methods used in included studies overall was high. A descriptive analysis suggested generally good, though often implicit, adherence to principles of OD (64%). A narrative synthesis revealed five underpinning themes which affected adherence.

Conclusions and implications for practice: Adherence to principles of OD was only of good quality. Assessment and reporting of adherence to OD's principles in research is encouraged to align with rehabilitative practices in mental health services. To support greater adherence to OD, researchers are encouraged to use the OD adherence protocol in reporting their work. (PsycInfo Database Record (c) 2026 APA, all rights reserved).

Objective: This cross-sectional study aimed to identify personal, relational, and organizational factors associated with disclosing (or not) mental disorders to supervisors in a new job. Disclosing a mental health condition is often essential for obtaining work accommodations and enhancing job retention. Decision to not disclose is usually associated with fear of stigma and discrimination.

Methods: Participants from Quebec and Ontario (Canada) who had recently obtained employment in the competitive labor market after experiencing unemployment due to a mental disorder were recruited through online advertisements and supported employment services. Questionnaires were administered to assess personal, relational, and organizational factors. Logistic regression analyses were performed to examine associations between these factors and the decision to disclose a mental health condition.

Results: The sample consisted of 195 participants, 100 from Quebec and 95 from Ontario. Multivariate logistic regression analyses identified job-related decision latitude (OR = 2.08, 95% confidence interval [1.11, 3.93], p < .005) and coworker support (OR = 2.20, 95% confidence interval [1.01, 4.80], p < .001) as significant factors positively associated with disclosure of a mental health condition to immediate supervisors. These findings suggest that individuals with greater decision-making latitude in their jobs, and those who received support from their coworkers were more likely to disclose their mental health condition to their supervisor.

Conclusions and implications for practice: A supportive work environment plays a critical role in facilitating disclosure in the workplace. More longitudinal studies are needed to better understand the impact of these relationships on job tenure long term. (PsycInfo Database Record (c) 2026 APA, all rights reserved).

Objective: This study examines associations between patient demographics, clinical status, and linguistic features of text messages with engagement in a message-based intervention for serious mental illness.

Methods: Data from a randomized controlled trial of a message-based mental health intervention were analyzed. Engagement was operationalized as total texts sent per day and total number of disengaged days. Linguistic Inquiry and Word Count identified expressions of affect, social processes, thinking styles, health, and time orientation. Generalized estimating equations assessed associations between demographic, clinical, and Linguistic Inquiry and Word Count variables with engagement across three different time intervals.

Results: Among 39 participants, most were male (n = 23, 59%), with diagnoses of schizophrenia (n = 16, 41%), schizoaffective disorder (n = 9, 23%), bipolar disorder (n = 9, 23%), and major depressive disorder (n = 5, 13%). Participants sent approximately two messages per day, with 48% of days disengaged. Race, education, and diagnosis were associated with engagement. Black participants and those with at least some college education sent more texts while individuals with schizophrenia had more disengaged days. Messages containing language about anxiety, friendship, cognitive processes, and common verbs were associated with engagement. Significant relationships between message content and future engagement were observed, particularly in the first 2 weeks, as well as in messages sent the day and week before a disengaged day.

Conclusions and implications for practice: Demographic, clinical, and linguistic features are related to engagement in message-based interventions for serious mental illness. Identifying these characteristics can help tailor interventions, enhancing engagement, and reducing dropout rates in digital mental health interventions. (PsycInfo Database Record (c) 2026 APA, all rights reserved).