Matthew Chinman, Sharon McCarthy, Jason Holden, Peter Link, Eric Granholm
A pilot study of Veterans with serious mental illness assessed fidelity and preliminary outcomes of peer specialist (PS)-delivered Cognitive-Behavioral Social Skills Training (CBSST). A single-arm, baseline-post pilot involved 4 PSs and 12 Veterans, split between two sites. Five functioning and symptom measures were administered before and after the 12-week intervention. Half of all sessions were rated on a standardized fidelity measure. Four outcomes (symptoms, hope, defeatist attitudes, skill learning) showed statistically significant improvement. Effect sizes and fidelity ratings matched previous trials with the training, and the fidelity ratings exceeded the threshold for competence. Although more research is needed, PSs could improve services for serious mental illness by delivering structured interventions.
{"title":"Pilot Test of Using Peer Specialists to Deliver Cognitive-Behavioral Social Skills Training.","authors":"Matthew Chinman, Sharon McCarthy, Jason Holden, Peter Link, Eric Granholm","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>A pilot study of Veterans with serious mental illness assessed fidelity and preliminary outcomes of peer specialist (PS)-delivered Cognitive-Behavioral Social Skills Training (CBSST). A single-arm, baseline-post pilot involved 4 PSs and 12 Veterans, split between two sites. Five functioning and symptom measures were administered before and after the 12-week intervention. Half of all sessions were rated on a standardized fidelity measure. Four outcomes (symptoms, hope, defeatist attitudes, skill learning) showed statistically significant improvement. Effect sizes and fidelity ratings matched previous trials with the training, and the fidelity ratings exceeded the threshold for competence. Although more research is needed, PSs could improve services for serious mental illness by delivering structured interventions.</p>","PeriodicalId":72174,"journal":{"name":"American journal of psychiatric rehabilitation","volume":"22 3","pages":"168-178"},"PeriodicalIF":0.0,"publicationDate":"2021-07-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9881229/pdf/nihms-1848731.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9157960","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Procedures to determine when people receiving disability payments are incapable of managing their money recently have been re-examined by the Social Security Administration. Understanding the time-course of financial capability is necessary because people who are judged capable of managing their funds at one point may go on to need supports in the future, and those judged incapable and assigned a fiduciary will need re-evaluation so they have the most possible autonomy over their funds management. The financial capability of 132 individuals was examined during acute treatment and twenty-four weeks later. The extent to which baseline variables predicted future capability were examined. More participants were assessed as financially incapable at baseline (n=72) than at the twenty-four-week follow-up (n=43). Most participants had stable capability across assessment periods (n=35 remained incapable; n=52 remained capable), however a substantial minority (n=37) moved from incapable to capable. People who transitioned from incapable to capable had greater net reductions in psychiatric distress ratings and days of alcohol use from baseline to follow-up, compared to people who remained incapable. In multivariate analyses, incapability at follow-up was predicted by having been rated incapable at baseline, drug use at baseline, and having a psychotic disorder. The high baseline rate of incapability determinations suggests that admission into intensive psychiatric programs may be a good time to assess an individual's financial capability. However, these findings also suggest the importance of periodically reassessing beneficiaries' capability because high proportions rated incapable were rated to be capable twenty-four weeks later.
{"title":"Is Capability to Manage Finances Stable Over Time?","authors":"Christina M Lazar, Anne C Black, Marc I Rosen","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Procedures to determine when people receiving disability payments are incapable of managing their money recently have been re-examined by the Social Security Administration. Understanding the time-course of financial capability is necessary because people who are judged capable of managing their funds at one point may go on to need supports in the future, and those judged incapable and assigned a fiduciary will need re-evaluation so they have the most possible autonomy over their funds management. The financial capability of 132 individuals was examined during acute treatment and twenty-four weeks later. The extent to which baseline variables predicted future capability were examined. More participants were assessed as financially incapable at baseline (n=72) than at the twenty-four-week follow-up (n=43). Most participants had stable capability across assessment periods (n=35 remained incapable; n=52 remained capable), however a substantial minority (n=37) moved from incapable to capable. People who transitioned from incapable to capable had greater net reductions in psychiatric distress ratings and days of alcohol use from baseline to follow-up, compared to people who remained incapable. In multivariate analyses, incapability at follow-up was predicted by having been rated incapable at baseline, drug use at baseline, and having a psychotic disorder. The high baseline rate of incapability determinations suggests that admission into intensive psychiatric programs may be a good time to assess an individual's financial capability. However, these findings also suggest the importance of periodically reassessing beneficiaries' capability because high proportions rated incapable were rated to be capable twenty-four weeks later.</p>","PeriodicalId":72174,"journal":{"name":"American journal of psychiatric rehabilitation","volume":"21 3-4","pages":"280-297"},"PeriodicalIF":0.0,"publicationDate":"2018-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7953567/pdf/nihms-1502764.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25476083","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2017-10-02DOI: 10.1080/15487768.2017.1375071
T. Skalko
The Yale Textbook of Public Psychiatry is an excellent overview of the evolution of public psychiatry across diagnostic categories served in behavior health. Particular attention is given to indivi...
{"title":"Selby C. Jacobs and Jeanne L. Steiner, Eds. Yale Textbook of Public Psychiatry","authors":"T. Skalko","doi":"10.1080/15487768.2017.1375071","DOIUrl":"https://doi.org/10.1080/15487768.2017.1375071","url":null,"abstract":"The Yale Textbook of Public Psychiatry is an excellent overview of the evolution of public psychiatry across diagnostic categories served in behavior health. Particular attention is given to indivi...","PeriodicalId":72174,"journal":{"name":"American journal of psychiatric rehabilitation","volume":"7 1","pages":"381 - 382"},"PeriodicalIF":0.0,"publicationDate":"2017-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88512765","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 : 2017-10-02DOI: 10.1080/15487768.2017.1374895
G. Moran
ABSTRACT Peer providers (PPs) are essential in recovery-oriented mental health (MH) services but are often disempowered and their role is misunderstood. The author aimed to enhance the PP work role by (1) conceptualizing PPs’ optimal views and experiences of their work role and (2) presenting a prototype self-report measure to assess PP optimal expression in MH services. The author analyzed optimal work-role experiences described by 25 PPs working in diverse MH settings using a grounded theory approach. To develop the measure the author employed the Delphi method with another group of eight experienced PPs. The author defines a recovery-oriented peer provider (ROPP) work-role model involving three domains: basic skills, peer-oriented relationships, and role motivations. Based on the ROPP model, the author developed a prototype 38-item self-report scale. The scale gauges multilevel PP processes: providing support via lived experience; communicating the consumer-voice/lived-experience to MH staff; identifying with and being motivated by the PP role. ROPP characterizes PPs’ use of lived experience within eye-level relationships in traditional MH services. ROPP is relevant to diverse MH services interested in developing a recovery orientation. The ROPP scale, once psychometrically validated, can assess PPs optimal expression in MH services, and can already be used for self- assessment and organizational consultation.
{"title":"A recovery-oriented peer provider (ROPP) work-role model and prototype measure","authors":"G. Moran","doi":"10.1080/15487768.2017.1374895","DOIUrl":"https://doi.org/10.1080/15487768.2017.1374895","url":null,"abstract":"ABSTRACT Peer providers (PPs) are essential in recovery-oriented mental health (MH) services but are often disempowered and their role is misunderstood. The author aimed to enhance the PP work role by (1) conceptualizing PPs’ optimal views and experiences of their work role and (2) presenting a prototype self-report measure to assess PP optimal expression in MH services. The author analyzed optimal work-role experiences described by 25 PPs working in diverse MH settings using a grounded theory approach. To develop the measure the author employed the Delphi method with another group of eight experienced PPs. The author defines a recovery-oriented peer provider (ROPP) work-role model involving three domains: basic skills, peer-oriented relationships, and role motivations. Based on the ROPP model, the author developed a prototype 38-item self-report scale. The scale gauges multilevel PP processes: providing support via lived experience; communicating the consumer-voice/lived-experience to MH staff; identifying with and being motivated by the PP role. ROPP characterizes PPs’ use of lived experience within eye-level relationships in traditional MH services. ROPP is relevant to diverse MH services interested in developing a recovery orientation. The ROPP scale, once psychometrically validated, can assess PPs optimal expression in MH services, and can already be used for self- assessment and organizational consultation.","PeriodicalId":72174,"journal":{"name":"American journal of psychiatric rehabilitation","volume":"26 1","pages":"346 - 368"},"PeriodicalIF":0.0,"publicationDate":"2017-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83465254","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 : 2017-10-02DOI: 10.1080/15487768.2017.1374219
S. Kidd, Tyler Frederick, L. Tarasoff, Gursharan Virdee, Steve Lurie, L. Davidson, D. Morris, K. McKenzie
ABSTRACT Although stigma associated with mental illness is pervasive, less is known about community stakeholder perspectives on inclusion and exclusion. This study provides a qualitative analysis of the mental illness–related experiences and perspectives of individuals who form much of the fabric of “community” for individuals with severe mental illness. In-depth interviews were conducted with a diverse group of 94 key community stakeholders in five neighborhoods in a large Canadian urban center. Qualitative analysis revealed a range of strategies that were used to foster inclusive spaces, the dilemmas that attended more severe forms of mental illness, and the importance of the meanings ascribed to mental illness in determining responses. Differences in response as a function of stakeholder group were also explored. There exist very promising resources and diverse perspectives on inclusion in urban communities that warrant further investigation given the intensive emphasis upon ‘community’ in policy and practice dialogues.
{"title":"A qualitative description of community service, business, and organization perspectives on mental illness and inclusion","authors":"S. Kidd, Tyler Frederick, L. Tarasoff, Gursharan Virdee, Steve Lurie, L. Davidson, D. Morris, K. McKenzie","doi":"10.1080/15487768.2017.1374219","DOIUrl":"https://doi.org/10.1080/15487768.2017.1374219","url":null,"abstract":"ABSTRACT Although stigma associated with mental illness is pervasive, less is known about community stakeholder perspectives on inclusion and exclusion. This study provides a qualitative analysis of the mental illness–related experiences and perspectives of individuals who form much of the fabric of “community” for individuals with severe mental illness. In-depth interviews were conducted with a diverse group of 94 key community stakeholders in five neighborhoods in a large Canadian urban center. Qualitative analysis revealed a range of strategies that were used to foster inclusive spaces, the dilemmas that attended more severe forms of mental illness, and the importance of the meanings ascribed to mental illness in determining responses. Differences in response as a function of stakeholder group were also explored. There exist very promising resources and diverse perspectives on inclusion in urban communities that warrant further investigation given the intensive emphasis upon ‘community’ in policy and practice dialogues.","PeriodicalId":72174,"journal":{"name":"American journal of psychiatric rehabilitation","volume":"16 1","pages":"327 - 345"},"PeriodicalIF":0.0,"publicationDate":"2017-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84757871","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 : 2017-10-02DOI: 10.1080/15487768.2017.1408504
T. Iheanacho, Karen Ablondi, E. Stefanovics, M. Rosen, R. Rosenheck
ABSTRACT This study seeks to examine need, interest, and participation in recovery-oriented, voluntary money-management training groups among homeless Veterans. Veterans experiencing homelessness (N = 213) completed a 10-item questionnaire (Ask for Training in Money Management [ATMM]) concerning their experience of their financial status, problems with money management, and interest in a voluntary money-management program. Exploratory factor analysis (EFA) identified the structure of the survey responses. Pearson correlation coefficients were used to examine the association of sociodemographic and diagnostic data with the identified money-management need factors, interest in, and subsequent attendance at recovery-oriented money management (ROMM) training groups. EFA yielded a two-factor solution. Factor 1 represented “satisfaction with the amount of funds” respondents had. Factor 2 represented “problems with money management.” Interest in ROMM was most strongly associated with experience of difficulty managing funds. Altogether 49 (23%) subsequently participated in the ROMM groups. Participation was associated with expressed interest in ROMM, feeling dissatisfied with available funds, and, less strongly, with difficulty managing funds. ATMM successfully elicited subjective feelings about financial status and money management. It identified interest in seeking help and predicted, and apparently promoted, engagement and participation in voluntary money-management groups with emphasis on personal choice and autonomy.
{"title":"Screening homeless Veterans for a voluntary money management skills training program","authors":"T. Iheanacho, Karen Ablondi, E. Stefanovics, M. Rosen, R. Rosenheck","doi":"10.1080/15487768.2017.1408504","DOIUrl":"https://doi.org/10.1080/15487768.2017.1408504","url":null,"abstract":"ABSTRACT This study seeks to examine need, interest, and participation in recovery-oriented, voluntary money-management training groups among homeless Veterans. Veterans experiencing homelessness (N = 213) completed a 10-item questionnaire (Ask for Training in Money Management [ATMM]) concerning their experience of their financial status, problems with money management, and interest in a voluntary money-management program. Exploratory factor analysis (EFA) identified the structure of the survey responses. Pearson correlation coefficients were used to examine the association of sociodemographic and diagnostic data with the identified money-management need factors, interest in, and subsequent attendance at recovery-oriented money management (ROMM) training groups. EFA yielded a two-factor solution. Factor 1 represented “satisfaction with the amount of funds” respondents had. Factor 2 represented “problems with money management.” Interest in ROMM was most strongly associated with experience of difficulty managing funds. Altogether 49 (23%) subsequently participated in the ROMM groups. Participation was associated with expressed interest in ROMM, feeling dissatisfied with available funds, and, less strongly, with difficulty managing funds. ATMM successfully elicited subjective feelings about financial status and money management. It identified interest in seeking help and predicted, and apparently promoted, engagement and participation in voluntary money-management groups with emphasis on personal choice and autonomy.","PeriodicalId":72174,"journal":{"name":"American journal of psychiatric rehabilitation","volume":"24 1","pages":"369 - 380"},"PeriodicalIF":0.0,"publicationDate":"2017-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79989370","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 : 2017-07-03DOI: 10.1080/15487768.2017.1338068
E. Vasconcelos, M. Desviat
ABSTRACT This article provides a consideration of the social and political context required to support empowerment and recovery in the promotion of emancipatory services and supports for those experiencing mental illness. It does so by considering the historical impact of the sociopolitical and cultural context in Brazil of the diffusion of empowerment and recovery and explores the risks and challenges in transferring models of working without due consideration of these factors. The article argues that despite the challenges and risk identified, empowerment and recovery are essential to the provision of a citizenship-oriented system that frees people using mental health services to direct their own supports. Finally, the article provides an exploration of future trends in service development in Brazil in relation to these projects.
{"title":"Empowerment and recovery in the mental health field in Brazil: Socio-historical context, cross-national aspects, and critical considerations","authors":"E. Vasconcelos, M. Desviat","doi":"10.1080/15487768.2017.1338068","DOIUrl":"https://doi.org/10.1080/15487768.2017.1338068","url":null,"abstract":"ABSTRACT This article provides a consideration of the social and political context required to support empowerment and recovery in the promotion of emancipatory services and supports for those experiencing mental illness. It does so by considering the historical impact of the sociopolitical and cultural context in Brazil of the diffusion of empowerment and recovery and explores the risks and challenges in transferring models of working without due consideration of these factors. The article argues that despite the challenges and risk identified, empowerment and recovery are essential to the provision of a citizenship-oriented system that frees people using mental health services to direct their own supports. Finally, the article provides an exploration of future trends in service development in Brazil in relation to these projects.","PeriodicalId":72174,"journal":{"name":"American journal of psychiatric rehabilitation","volume":"11 1","pages":"282 - 297"},"PeriodicalIF":0.0,"publicationDate":"2017-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84254523","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 : 2017-07-03DOI: 10.1080/15487768.2017.1338036
Annie Harper, Liat S. Kriegel, Christina Morris, Helen Hamer, M. Gambino
ABSTRACT Citizenship is a foundation for mental health recovery and community integration. Achievement of full citizenship in the community is curated by a person’s social environment, including social connections and the support and capital offered by those connections. This article presents qualitative findings of community integration experiences of individuals with serious mental illness (SMI) and details social environment elements they identified as critical to integration. Three primary themes were identified as contributing to achievement of citizenship among participants: (1) macrosocial interactions, described by a civic consciousness and receipt of positive social recognition; (2) microsocial interactions, including intimate relationships with family and friends; and (3) interactions at an intermediate level, fleeting relationships with passersby in public spaces. All three were underlain by the importance of social recognition of acts of giving. Individuals with SMI who were identified as successful in their path to citizenship indicated that their social environment played a major contributing factor in their success. The findings of this study suggest community-based interventions with this population should consider (1) supporting engagement at a macrolevel, including advocacy on nonmental health issues; (2) supporting the support and capital provided by families, friends, and providers and the ability of a person with SMI to support others; and (3) valuing and protecting shared public spaces and promoting small acts of civility as valuable counters to stigma-related microaggressions.
{"title":"Finding citizenship: What works?","authors":"Annie Harper, Liat S. Kriegel, Christina Morris, Helen Hamer, M. Gambino","doi":"10.1080/15487768.2017.1338036","DOIUrl":"https://doi.org/10.1080/15487768.2017.1338036","url":null,"abstract":"ABSTRACT Citizenship is a foundation for mental health recovery and community integration. Achievement of full citizenship in the community is curated by a person’s social environment, including social connections and the support and capital offered by those connections. This article presents qualitative findings of community integration experiences of individuals with serious mental illness (SMI) and details social environment elements they identified as critical to integration. Three primary themes were identified as contributing to achievement of citizenship among participants: (1) macrosocial interactions, described by a civic consciousness and receipt of positive social recognition; (2) microsocial interactions, including intimate relationships with family and friends; and (3) interactions at an intermediate level, fleeting relationships with passersby in public spaces. All three were underlain by the importance of social recognition of acts of giving. Individuals with SMI who were identified as successful in their path to citizenship indicated that their social environment played a major contributing factor in their success. The findings of this study suggest community-based interventions with this population should consider (1) supporting engagement at a macrolevel, including advocacy on nonmental health issues; (2) supporting the support and capital provided by families, friends, and providers and the ability of a person with SMI to support others; and (3) valuing and protecting shared public spaces and promoting small acts of civility as valuable counters to stigma-related microaggressions.","PeriodicalId":72174,"journal":{"name":"American journal of psychiatric rehabilitation","volume":"234 1","pages":"200 - 217"},"PeriodicalIF":0.0,"publicationDate":"2017-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88062289","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 : 2017-07-03DOI: 10.1080/15487768.2017.1338069
Gail Aldam, R. Dickie, L. Knifton, L. Davidson
ABSTRACT The Scottish Mental Health Arts and Film Festival has evolved over the last 10 years into one of the world’s largest mental health events, engaging more than 30,000 people each year. The model of the festival will be outlined and the evolution traced over three distinct phases: from its inception as an anti-stigma campaign, to a broad-based social movement harnessing grassroots activism, and finally, to achieving international reach and artistic recognition. The first phase details the inception and early incarnations of the festival, building upon Allport’s contact theory model that the most effective way to reduce stigma is through positive personal contact with someone in a valued social role. The learning demonstrated that the festival could achieve large-scale reach among the most marginalized communities and increase positive perceptions and intentions among audience members. As the festival evolved into its second phase, artists and activists began to develop events and grassroots partnerships throughout Scotland. A feature of the festival at this stage, as people with and without mental health diagnoses worked together, was that many events explored “mental health identities” in a broader sense, and this led many of those involved to reframe their ideas of mental health and illness. The third phase explores the impact of the festival at a broader social level.
{"title":"Lessons from a national mental health arts festival","authors":"Gail Aldam, R. Dickie, L. Knifton, L. Davidson","doi":"10.1080/15487768.2017.1338069","DOIUrl":"https://doi.org/10.1080/15487768.2017.1338069","url":null,"abstract":"ABSTRACT The Scottish Mental Health Arts and Film Festival has evolved over the last 10 years into one of the world’s largest mental health events, engaging more than 30,000 people each year. The model of the festival will be outlined and the evolution traced over three distinct phases: from its inception as an anti-stigma campaign, to a broad-based social movement harnessing grassroots activism, and finally, to achieving international reach and artistic recognition. The first phase details the inception and early incarnations of the festival, building upon Allport’s contact theory model that the most effective way to reduce stigma is through positive personal contact with someone in a valued social role. The learning demonstrated that the festival could achieve large-scale reach among the most marginalized communities and increase positive perceptions and intentions among audience members. As the festival evolved into its second phase, artists and activists began to develop events and grassroots partnerships throughout Scotland. A feature of the festival at this stage, as people with and without mental health diagnoses worked together, was that many events explored “mental health identities” in a broader sense, and this led many of those involved to reframe their ideas of mental health and illness. The third phase explores the impact of the festival at a broader social level.","PeriodicalId":72174,"journal":{"name":"American journal of psychiatric rehabilitation","volume":"20 1","pages":"298 - 310"},"PeriodicalIF":0.0,"publicationDate":"2017-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86588959","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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