Pub Date : 2017-04-03DOI: 10.1080/15487768.2017.1302369
O. Ness, Ø. Kvello, M. Borg, Randi Semb, L. Davidson
ABSTRACT Many countries have sought reforms aimed at maximizing the potential of service users to regain as much control as possible over care decisions and through the trajectory of care. There is a robust research literature suggesting that at the core of these services are collaborative relationships in which providers respect the perspectives of the persons being served and the partnerships in which they are involved. Although the significance of collaboration is established in the mental health field in this way, what it actually means to collaborate in practice, to be partners or to be mutually involved in a partnership with young adult service users, has been given less attention. In this article, the authors explore and describe the experiences of a cohort of these young adults, paying particular attention to their perspectives on collaborative practices with practitioners. Qualitative interviews were conducted with seven young adult service users age 20 to 30. Using thematic analysis, the authors identified four overarching themes that characterized their experiences of collaborating with practitioners in mental health and addiction care: (1) don’t fix me or judge me, (2) someone to sort issues out with, (3) not giving up, and (4) practical help. These findings inform the development and delivery of services to maximize positive outcomes for young adult service users with cooccurring mental health and substance use problems.
{"title":"“Sorting things out together”: Young adults’ experiences of collaborative practices in mental health and substance use care","authors":"O. Ness, Ø. Kvello, M. Borg, Randi Semb, L. Davidson","doi":"10.1080/15487768.2017.1302369","DOIUrl":"https://doi.org/10.1080/15487768.2017.1302369","url":null,"abstract":"ABSTRACT Many countries have sought reforms aimed at maximizing the potential of service users to regain as much control as possible over care decisions and through the trajectory of care. There is a robust research literature suggesting that at the core of these services are collaborative relationships in which providers respect the perspectives of the persons being served and the partnerships in which they are involved. Although the significance of collaboration is established in the mental health field in this way, what it actually means to collaborate in practice, to be partners or to be mutually involved in a partnership with young adult service users, has been given less attention. In this article, the authors explore and describe the experiences of a cohort of these young adults, paying particular attention to their perspectives on collaborative practices with practitioners. Qualitative interviews were conducted with seven young adult service users age 20 to 30. Using thematic analysis, the authors identified four overarching themes that characterized their experiences of collaborating with practitioners in mental health and addiction care: (1) don’t fix me or judge me, (2) someone to sort issues out with, (3) not giving up, and (4) practical help. These findings inform the development and delivery of services to maximize positive outcomes for young adult service users with cooccurring mental health and substance use problems.","PeriodicalId":72174,"journal":{"name":"American journal of psychiatric rehabilitation","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2017-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81710142","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 : 2017-04-03DOI: 10.1080/15487768.2017.1304294
J. Mandiberg, Lauren B. Gates
ABSTRACT This article reports findings from a study that assessed the usability of a web-based community of practice for peers located in programs that had few opportunities to interact face-to-face with other peers. Peers are individuals with lived experience in mental health recovery who are employed by mental health agencies to work in various capacities because of their experiences. The website was designed to allow participants to exchange information and experiences through blogs and message boards, to access information helpful to their jobs, and to provide mutual support. The article makes a contribution to the literature on severe mental illness in reporting website use issues for people in recovery who are employed rather than people in treatment, and in website interaction rather than information retrieval.
{"title":"A community of practice for peer mental workers: Lessons learned","authors":"J. Mandiberg, Lauren B. Gates","doi":"10.1080/15487768.2017.1304294","DOIUrl":"https://doi.org/10.1080/15487768.2017.1304294","url":null,"abstract":"ABSTRACT This article reports findings from a study that assessed the usability of a web-based community of practice for peers located in programs that had few opportunities to interact face-to-face with other peers. Peers are individuals with lived experience in mental health recovery who are employed by mental health agencies to work in various capacities because of their experiences. The website was designed to allow participants to exchange information and experiences through blogs and message boards, to access information helpful to their jobs, and to provide mutual support. The article makes a contribution to the literature on severe mental illness in reporting website use issues for people in recovery who are employed rather than people in treatment, and in website interaction rather than information retrieval.","PeriodicalId":72174,"journal":{"name":"American journal of psychiatric rehabilitation","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2017-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83018722","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 : 2017-04-03DOI: 10.1080/15487768.2017.1302897
David L. Roberts, P. Y. Liu, Heather Busanet, N. Maples, D. Velligan
ABSTRACT Interventions to decrease cognitive bias in schizophrenia have yielded limited benefit. One reason may be that people receive insufficient rehearsal applying debiasing skills while biases are actively affecting their thinking. The authors designed Mary/Eddie/Bill-internet (MEBi) to (1) teach debiasing skills to people with schizophrenia, (2) activate biases during training sessions, and (3) provide daily in-home rehearsal of debiasing skills using tablet computer interface. In this proof-of-concept trial, 28 adults with schizophrenia used the MEBi tablet “app” for one month. Fourteen completed a version of MEBi including only the debiasing skills, and 10 completed a version including a bias activation component. Participants completed pretest and posttest measures of social cognition and social functioning. Results showed that participants in both groups adhered to the intervention and learned the debiasing skills. Participants who were only taught the debiasing skills showed significant improvements in social cognitive bias, accuracy, and self-reported social functioning relative to participants who also received the bias-activation manipulation—who showed worsening social cognitive bias. Results suggest that it is feasible to affect social cognition in schizophrenia through in-home tablet-based training. However, more metacognitive training is needed to help people apply debiasing techniques when bias is activated.
{"title":"A tablet-based intervention to manipulate social cognitive bias in schizophrenia","authors":"David L. Roberts, P. Y. Liu, Heather Busanet, N. Maples, D. Velligan","doi":"10.1080/15487768.2017.1302897","DOIUrl":"https://doi.org/10.1080/15487768.2017.1302897","url":null,"abstract":"ABSTRACT Interventions to decrease cognitive bias in schizophrenia have yielded limited benefit. One reason may be that people receive insufficient rehearsal applying debiasing skills while biases are actively affecting their thinking. The authors designed Mary/Eddie/Bill-internet (MEBi) to (1) teach debiasing skills to people with schizophrenia, (2) activate biases during training sessions, and (3) provide daily in-home rehearsal of debiasing skills using tablet computer interface. In this proof-of-concept trial, 28 adults with schizophrenia used the MEBi tablet “app” for one month. Fourteen completed a version of MEBi including only the debiasing skills, and 10 completed a version including a bias activation component. Participants completed pretest and posttest measures of social cognition and social functioning. Results showed that participants in both groups adhered to the intervention and learned the debiasing skills. Participants who were only taught the debiasing skills showed significant improvements in social cognitive bias, accuracy, and self-reported social functioning relative to participants who also received the bias-activation manipulation—who showed worsening social cognitive bias. Results suggest that it is feasible to affect social cognition in schizophrenia through in-home tablet-based training. However, more metacognitive training is needed to help people apply debiasing techniques when bias is activated.","PeriodicalId":72174,"journal":{"name":"American journal of psychiatric rehabilitation","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2017-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76204116","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 : 2017-01-02DOI: 10.1080/15487768.2016.1267049
Meaghan A Stacy, E. Stefanovics, R. Rosenheck
ABSTRACT Individual Placement and Support (IPS) improves competitive employment rates for those with serious mental illness (SMI) and is available through the Veterans Healthcare Administration (VHA). IPS clients often have difficulty maintaining jobs, and various reasons for job loss have been identified for those with SMI. No study has yet investigated IPS job loss in a homeless and largely substance-using population. An analysis of data from a quasi-experimental demonstration examined the association of various reasons for job loss with the duration of the first IPS job and with veteran characteristics. This study also examined the relationship of job duration and reasons for job loss with subsequent employment. Veterans’ most commonly identified reason for termination was drug/alcohol use; mental and/or physical health problems were uncommonly cited as reason for job loss. Those whose jobs ended due to drugs/alcohol were less likely to find subsequent employment. They also had greater scores on alcohol (but not drug) use measures and were more likely to have alcohol (but not drug) use diagnoses, highlighting a potentially unique role of alcohol in job loss in veterans who were homeless. These analyses reveal distinctive work-related challenges among homeless IPS participants. Suggestions to improve vocational services for homeless individuals are provided.
{"title":"Reasons for job loss among homeless veterans in supported employment","authors":"Meaghan A Stacy, E. Stefanovics, R. Rosenheck","doi":"10.1080/15487768.2016.1267049","DOIUrl":"https://doi.org/10.1080/15487768.2016.1267049","url":null,"abstract":"ABSTRACT Individual Placement and Support (IPS) improves competitive employment rates for those with serious mental illness (SMI) and is available through the Veterans Healthcare Administration (VHA). IPS clients often have difficulty maintaining jobs, and various reasons for job loss have been identified for those with SMI. No study has yet investigated IPS job loss in a homeless and largely substance-using population. An analysis of data from a quasi-experimental demonstration examined the association of various reasons for job loss with the duration of the first IPS job and with veteran characteristics. This study also examined the relationship of job duration and reasons for job loss with subsequent employment. Veterans’ most commonly identified reason for termination was drug/alcohol use; mental and/or physical health problems were uncommonly cited as reason for job loss. Those whose jobs ended due to drugs/alcohol were less likely to find subsequent employment. They also had greater scores on alcohol (but not drug) use measures and were more likely to have alcohol (but not drug) use diagnoses, highlighting a potentially unique role of alcohol in job loss in veterans who were homeless. These analyses reveal distinctive work-related challenges among homeless IPS participants. Suggestions to improve vocational services for homeless individuals are provided.","PeriodicalId":72174,"journal":{"name":"American journal of psychiatric rehabilitation","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2017-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74512541","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 : 2017-01-02DOI: 10.1080/15487768.2016.1267052
G. Milstein, D. Middel, Adriana Espinosa
ABSTRACT As a foundation of most cultures, with roots in persons’ early development, religion can be a source of hope as well as denigration. Some religious institutions have made attempts to help persons with mental health problems, and some mental health professionals have sought to engage religion resources. These programs have rarely been sustained. In 2008, the Mental Health Center of Denver (MHCD) developed a program to assess the utility of religion resources within mental health care. In response to positive feedback, MHCD appointed a director of Faith and Spiritual Wellness who facilitates community outreach to faith communities and spiritual integration training to MHCD staff. This director initiated a Clergy Outreach & Professional Engagement (COPE) conference for consumers, clergy, and clinicians. The goal was to acknowledge borders between parts of persons’ lives, and to build bridges of collaboration to facilitate care. Participants described lived examples of collaboration to improve mental wellness, including the need for a “solid welcome” from congregations. Subsequent, online surveys generated quantitative data on the usefulness of the conference to encourage and to generate ideas for interaction. Each group affirmed the utility of the conference; consumers and clinicians found the conference more useful than clergy. Qualitative assessment confirmed that across culture differences, participants found common language to demonstrate that persons of different traditions can provide care inclusive of religious resources. This assessment concludes with recommendations for future collaboration, led by consumer input, to expand recovery networks.
{"title":"Consumers, clergy, and clinicians in collaboration: Ongoing implementation and evaluation of a mental wellness program","authors":"G. Milstein, D. Middel, Adriana Espinosa","doi":"10.1080/15487768.2016.1267052","DOIUrl":"https://doi.org/10.1080/15487768.2016.1267052","url":null,"abstract":"ABSTRACT As a foundation of most cultures, with roots in persons’ early development, religion can be a source of hope as well as denigration. Some religious institutions have made attempts to help persons with mental health problems, and some mental health professionals have sought to engage religion resources. These programs have rarely been sustained. In 2008, the Mental Health Center of Denver (MHCD) developed a program to assess the utility of religion resources within mental health care. In response to positive feedback, MHCD appointed a director of Faith and Spiritual Wellness who facilitates community outreach to faith communities and spiritual integration training to MHCD staff. This director initiated a Clergy Outreach & Professional Engagement (COPE) conference for consumers, clergy, and clinicians. The goal was to acknowledge borders between parts of persons’ lives, and to build bridges of collaboration to facilitate care. Participants described lived examples of collaboration to improve mental wellness, including the need for a “solid welcome” from congregations. Subsequent, online surveys generated quantitative data on the usefulness of the conference to encourage and to generate ideas for interaction. Each group affirmed the utility of the conference; consumers and clinicians found the conference more useful than clergy. Qualitative assessment confirmed that across culture differences, participants found common language to demonstrate that persons of different traditions can provide care inclusive of religious resources. This assessment concludes with recommendations for future collaboration, led by consumer input, to expand recovery networks.","PeriodicalId":72174,"journal":{"name":"American journal of psychiatric rehabilitation","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2017-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78715332","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 : 2017-01-02DOI: 10.1080/15487768.2016.1267051
Kim Weikel, A. Tomer, Lynn Davis, R. Sieke
ABSTRACT This single-case time-series study explored the benefits of adding a supervision/support group for peer specialists. Six certified peer specialists, employed by a small community-based peer support program, provided weekly recordings of mental health recovery (as measured by the Recovery Assessment Scale) and peer specialist self-efficacy (measured with an inventory developed by the authors) during an 8-week baseline phase and a 28-week intervention (weekly supervision group) phase. Data from the peer specialist with the most consistent supervision group attendance and greatest number of weekly recordings were chosen for intensive analysis using Simulation Modeling Analysis for Brief Time-Series Data Streams. Results indicated that the peer specialist experienced significant increases in recovery and work-related self-efficacy during the group supervision phase. There was also a statistically significant association between her improvements in mental health recovery and her increases in peer specialist self-efficacy. In addition, her improvement in recovery seemed to occur with or to precede changes in self-efficacy, a finding that, though opposite the hypothesized direction, is consistent with the importance of a peer specialist’s own recovery to his or her peer support work. The authors recommend viewing peer support programming as a two-tiered service, with mental health program administrators considering not only the support offered to consumers but also the support that can be offered to the peer specialists they employ.
{"title":"Recovery and self-efficacy of a newly trained certified peer specialist following supplemental weekly group supervision: A case-based time-series analysis","authors":"Kim Weikel, A. Tomer, Lynn Davis, R. Sieke","doi":"10.1080/15487768.2016.1267051","DOIUrl":"https://doi.org/10.1080/15487768.2016.1267051","url":null,"abstract":"ABSTRACT This single-case time-series study explored the benefits of adding a supervision/support group for peer specialists. Six certified peer specialists, employed by a small community-based peer support program, provided weekly recordings of mental health recovery (as measured by the Recovery Assessment Scale) and peer specialist self-efficacy (measured with an inventory developed by the authors) during an 8-week baseline phase and a 28-week intervention (weekly supervision group) phase. Data from the peer specialist with the most consistent supervision group attendance and greatest number of weekly recordings were chosen for intensive analysis using Simulation Modeling Analysis for Brief Time-Series Data Streams. Results indicated that the peer specialist experienced significant increases in recovery and work-related self-efficacy during the group supervision phase. There was also a statistically significant association between her improvements in mental health recovery and her increases in peer specialist self-efficacy. In addition, her improvement in recovery seemed to occur with or to precede changes in self-efficacy, a finding that, though opposite the hypothesized direction, is consistent with the importance of a peer specialist’s own recovery to his or her peer support work. The authors recommend viewing peer support programming as a two-tiered service, with mental health program administrators considering not only the support offered to consumers but also the support that can be offered to the peer specialists they employ.","PeriodicalId":72174,"journal":{"name":"American journal of psychiatric rehabilitation","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2017-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89903464","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 : 2017-01-02DOI: 10.1080/15487768.2016.1267048
P. C. van der Ende, L. Korevaar, J. V. van Busschbach, J. van Weeghel
ABSTRACT Chronic illness affects a person’s wellbeing and affects the ability to perform the social roles of spouse or parent. When working with people with long-lasting mental or somatic illnesses, social workers and nurses are confronted with needs for support, especially for parents. Although programs are in place for the children of parents with chronic illnesses, specific services for the parents themselves are scarce, as are parenting support courses for professionals. In an explorative study we investigated the similarities and differences between mental health organizations and general hospitals in providing support to parents. Using a cross-sectional design, information on supported parenting was collected through an internet questionnaire. Twice as many professionals in general hospitals can provide support to parents than did those in mental health organizations that were not trained in supported parenting. Professionals in mental health institutions generally reported that the attention paid to the parental role is insufficient. However, professionals in mental health organizations who were trained in supported parenting considered paying attention to the parental role more as a part of their job than the participants from organizations without such training. Further research should expand this first pilot study on the attitude of professionals towards supported parenting.
{"title":"Professionals’ opinions on support for people with chronic illness in their roles as parents in mental or in general health care","authors":"P. C. van der Ende, L. Korevaar, J. V. van Busschbach, J. van Weeghel","doi":"10.1080/15487768.2016.1267048","DOIUrl":"https://doi.org/10.1080/15487768.2016.1267048","url":null,"abstract":"ABSTRACT Chronic illness affects a person’s wellbeing and affects the ability to perform the social roles of spouse or parent. When working with people with long-lasting mental or somatic illnesses, social workers and nurses are confronted with needs for support, especially for parents. Although programs are in place for the children of parents with chronic illnesses, specific services for the parents themselves are scarce, as are parenting support courses for professionals. In an explorative study we investigated the similarities and differences between mental health organizations and general hospitals in providing support to parents. Using a cross-sectional design, information on supported parenting was collected through an internet questionnaire. Twice as many professionals in general hospitals can provide support to parents than did those in mental health organizations that were not trained in supported parenting. Professionals in mental health institutions generally reported that the attention paid to the parental role is insufficient. However, professionals in mental health organizations who were trained in supported parenting considered paying attention to the parental role more as a part of their job than the participants from organizations without such training. Further research should expand this first pilot study on the attitude of professionals towards supported parenting.","PeriodicalId":72174,"journal":{"name":"American journal of psychiatric rehabilitation","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2017-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86399317","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 : 2017-01-02DOI: 10.1080/15487768.2016.1267050
E. Stefanovics, C. Drebing, Patricia Sweeney, M. Sofuoglu, R. Rosenheck
ABSTRACT Peer support is an important component in the promotion of recovery for people with serious mental illness. The Veterans Health Administration (VHA) has implemented peer support services nationally. This study used a series of questions about the perceived acceptance of peer services at VA facilities and the Recovery Self-Assessment (RSA), a standard measure of recovery attitudes, to evaluate and compare responses of a convenience sample of peer support specialists (PSS) and local peer supervisors (LPS). The authors hypothesized that level of receptivity of program among PSS and LPS will be high and that the scores on the five RSA domains will be comparable. The level of perceived receptivity was quite high for PSS and LPS and it was strongly correlated with recovery attitudes. Moreover, PSS scored significantly higher than LPS, on the Receptivity measure and on several domains of the RSA. RSA scores in this study were slightly higher than, or similar to, those observed in other VHA and non-VHA samples. PSS rated their programs as more receptive to peer services and more recovery oriented than their supervisors. The results of this study provide evidence of the successful implementation of this program in VHA and demonstrates an efficient approach and a first step in the evaluation of peer support services.
{"title":"Receptivity to a peer counselling program and recovery atmosphere as perceived by Veterans Health Administration peer support specialists and supervisors","authors":"E. Stefanovics, C. Drebing, Patricia Sweeney, M. Sofuoglu, R. Rosenheck","doi":"10.1080/15487768.2016.1267050","DOIUrl":"https://doi.org/10.1080/15487768.2016.1267050","url":null,"abstract":"ABSTRACT Peer support is an important component in the promotion of recovery for people with serious mental illness. The Veterans Health Administration (VHA) has implemented peer support services nationally. This study used a series of questions about the perceived acceptance of peer services at VA facilities and the Recovery Self-Assessment (RSA), a standard measure of recovery attitudes, to evaluate and compare responses of a convenience sample of peer support specialists (PSS) and local peer supervisors (LPS). The authors hypothesized that level of receptivity of program among PSS and LPS will be high and that the scores on the five RSA domains will be comparable. The level of perceived receptivity was quite high for PSS and LPS and it was strongly correlated with recovery attitudes. Moreover, PSS scored significantly higher than LPS, on the Receptivity measure and on several domains of the RSA. RSA scores in this study were slightly higher than, or similar to, those observed in other VHA and non-VHA samples. PSS rated their programs as more receptive to peer services and more recovery oriented than their supervisors. The results of this study provide evidence of the successful implementation of this program in VHA and demonstrates an efficient approach and a first step in the evaluation of peer support services.","PeriodicalId":72174,"journal":{"name":"American journal of psychiatric rehabilitation","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2017-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90083665","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 : 2017-01-01Epub Date: 2017-08-02DOI: 10.1080/15487768.2017.1338045
Emma Miller, Victoria Stanhope, Maria Restrepo-Toro, Janis Tondora
Collaborative, person-centered approaches to care planning are increasingly recognized as instrumental in supporting attainment of personal recovery outcomes. Yet, though much is known about factors that support person-centered planning, successful implementation often remains an elusive goal. This article reviews international efforts to promote person-centered care planning (PCCP) in the context of a randomized clinical trial in the United States and in the Meaningful and Measurable initiative, a collaborative action research project involving diverse provider organizations in Scotland. The authors review the history of international efforts to implement PCCP and offer preliminary evidence regarding its positive impact on both process outcomes (e.g., the nature of the primary therapeutic relationship and the service-user's experience) and personal recovery outcomes (e.g., quality of life, community belonging, and valued roles). PCCP will be defined through descriptions of key principles and practices as they relate to both relational aspects (e.g., shifts in stakeholder roles and conversations) and documentation/recording aspects (e.g., how person-centered relationships are captured in written or electronic records). Similarities and differences between the United States and Scottish experiences of PCCP are highlighted and a series of recommendations offered to further implementation of this essential recovery-oriented practice.
{"title":"Person-centered planning in mental health: A transatlantic collaboration to tackle implementation barriers.","authors":"Emma Miller, Victoria Stanhope, Maria Restrepo-Toro, Janis Tondora","doi":"10.1080/15487768.2017.1338045","DOIUrl":"10.1080/15487768.2017.1338045","url":null,"abstract":"<p><p>Collaborative, person-centered approaches to care planning are increasingly recognized as instrumental in supporting attainment of personal recovery outcomes. Yet, though much is known about factors that support person-centered planning, successful implementation often remains an elusive goal. This article reviews international efforts to promote person-centered care planning (PCCP) in the context of a randomized clinical trial in the United States and in the Meaningful and Measurable initiative, a collaborative action research project involving diverse provider organizations in Scotland. The authors review the history of international efforts to implement PCCP and offer preliminary evidence regarding its positive impact on both process outcomes (e.g., the nature of the primary therapeutic relationship and the service-user's experience) and personal recovery outcomes (e.g., quality of life, community belonging, and valued roles). PCCP will be defined through descriptions of key principles and practices as they relate to both relational aspects (e.g., shifts in stakeholder roles and conversations) and documentation/recording aspects (e.g., how person-centered relationships are captured in written or electronic records). Similarities and differences between the United States and Scottish experiences of PCCP are highlighted and a series of recommendations offered to further implementation of this essential recovery-oriented practice.</p>","PeriodicalId":72174,"journal":{"name":"American journal of psychiatric rehabilitation","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2017-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6800658/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89213483","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 : 2016-10-01DOI: 10.1080/15487768.2016.1231642
R. Firmin, L. Luther, P. Lysaker, M. Salyers
ABSTRACT For individuals with severe mental illness, relatively little is known about the impact of a veteran role identity. Consequently, this article investigates whether veterans (n = 20) and non-veterans (n = 26) with schizophrenia differ in their perceptions of self, illness, or treatment. Participants completed an audiotaped, semistructured interview that was transcribed and coded using modified grounded theory. Veterans were more likely than non-veterans to discuss the following themes: (1) wanting to be “normal,” (2) having a military mindset, (3) being optimistic toward the future, (4) resisting stigma, and (5) having active treatment attitudes. Findings support the theory that identifying as a veteran has several protective factors that might help shape self-perception and thereby responses to stigma, attitudes toward treatment, and hope for the future.
{"title":"Veteran identity as a protective factor: A grounded theory comparison of perceptions of self, illness, and treatment among veterans and non-veterans with schizophrenia","authors":"R. Firmin, L. Luther, P. Lysaker, M. Salyers","doi":"10.1080/15487768.2016.1231642","DOIUrl":"https://doi.org/10.1080/15487768.2016.1231642","url":null,"abstract":"ABSTRACT For individuals with severe mental illness, relatively little is known about the impact of a veteran role identity. Consequently, this article investigates whether veterans (n = 20) and non-veterans (n = 26) with schizophrenia differ in their perceptions of self, illness, or treatment. Participants completed an audiotaped, semistructured interview that was transcribed and coded using modified grounded theory. Veterans were more likely than non-veterans to discuss the following themes: (1) wanting to be “normal,” (2) having a military mindset, (3) being optimistic toward the future, (4) resisting stigma, and (5) having active treatment attitudes. Findings support the theory that identifying as a veteran has several protective factors that might help shape self-perception and thereby responses to stigma, attitudes toward treatment, and hope for the future.","PeriodicalId":72174,"journal":{"name":"American journal of psychiatric rehabilitation","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2016-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83116443","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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