Pub Date : 2016-07-02DOI: 10.1080/15487768.2016.1197864
Sadaaki Fukui, M. Salyers, C. Rapp, Richard J. Goscha, L. Young, Ally Mabry
ABSTRACT Shared decision making has become a central tenet of recovery-oriented, person-centered mental health care, yet the practice is not always transferred to the routine psychiatric visit. Supporting the practice at the system level, beyond the interactions of consumers and medication prescribers, is needed for successful adoption of shared decision making. CommonGround is a systemic approach, intended to be part of a larger integration of shared decision-making tools and practices at the system level. The authors discuss the organizational components that CommonGround uses to facilitate shared decision making, and we present a fidelity scale to assess how well the system is being implemented.
{"title":"Supporting shared decision making beyond consumer-prescriber interactions: Initial development of the CommonGround fidelity scale","authors":"Sadaaki Fukui, M. Salyers, C. Rapp, Richard J. Goscha, L. Young, Ally Mabry","doi":"10.1080/15487768.2016.1197864","DOIUrl":"https://doi.org/10.1080/15487768.2016.1197864","url":null,"abstract":"ABSTRACT Shared decision making has become a central tenet of recovery-oriented, person-centered mental health care, yet the practice is not always transferred to the routine psychiatric visit. Supporting the practice at the system level, beyond the interactions of consumers and medication prescribers, is needed for successful adoption of shared decision making. CommonGround is a systemic approach, intended to be part of a larger integration of shared decision-making tools and practices at the system level. The authors discuss the organizational components that CommonGround uses to facilitate shared decision making, and we present a fidelity scale to assess how well the system is being implemented.","PeriodicalId":72174,"journal":{"name":"American journal of psychiatric rehabilitation","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2016-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78873471","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 : 2016-07-02DOI: 10.1080/15487768.2016.1197863
Lisa Korsbek
ABSTRACT This account reflects on the topic of recovery as it unfolds in a human relationship. The purpose of the account is to illuminate the recovery process as it takes place in a human relationship and to introduce a concept of corecovery, meaning a process of mutual change in the relationship between a professional and a person with mental health issues for recovery to take place in such a relationship. The writing is based on lived experience, scientific literature related to recovery research, and interpersonal theory and relational therapy. Although the recovery movement must be seen as incompatible with classical psychoanalysis, the account concludes that the interpersonal theory in the work of Harry Stack Sullivan and the essence of the therapeutic relationship as seen by D. W. Winnicott offer some illustrations of central aspects of the recovery process as it takes place between humans in a relationship. An implication is the need for corecovery, meaning a process of change of professionals on a personal and a system level, leaving old ideas and understandings behind, but at the same time grasping insight of human development in some parts of relational therapeutic thinking.
{"title":"Corecovery: Mental health recovery in a dynamic interplay between humans in a relationship","authors":"Lisa Korsbek","doi":"10.1080/15487768.2016.1197863","DOIUrl":"https://doi.org/10.1080/15487768.2016.1197863","url":null,"abstract":"ABSTRACT This account reflects on the topic of recovery as it unfolds in a human relationship. The purpose of the account is to illuminate the recovery process as it takes place in a human relationship and to introduce a concept of corecovery, meaning a process of mutual change in the relationship between a professional and a person with mental health issues for recovery to take place in such a relationship. The writing is based on lived experience, scientific literature related to recovery research, and interpersonal theory and relational therapy. Although the recovery movement must be seen as incompatible with classical psychoanalysis, the account concludes that the interpersonal theory in the work of Harry Stack Sullivan and the essence of the therapeutic relationship as seen by D. W. Winnicott offer some illustrations of central aspects of the recovery process as it takes place between humans in a relationship. An implication is the need for corecovery, meaning a process of change of professionals on a personal and a system level, leaving old ideas and understandings behind, but at the same time grasping insight of human development in some parts of relational therapeutic thinking.","PeriodicalId":72174,"journal":{"name":"American journal of psychiatric rehabilitation","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2016-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90606546","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 : 2016-06-06DOI: 10.1080/15487768.2016.1203688
Philip Corlett
William Whewell the 19th-century British polymath and longtime master of Trinity College, Cambridge, first used the term scientist (before this, they were natural philosophers or men of science). H...
{"title":"Social neuroscience: Brain, mind, and society","authors":"Philip Corlett","doi":"10.1080/15487768.2016.1203688","DOIUrl":"https://doi.org/10.1080/15487768.2016.1203688","url":null,"abstract":"William Whewell the 19th-century British polymath and longtime master of Trinity College, Cambridge, first used the term scientist (before this, they were natural philosophers or men of science). H...","PeriodicalId":72174,"journal":{"name":"American journal of psychiatric rehabilitation","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2016-06-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76936558","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 : 2016-04-02DOI: 10.1080/15487768.2016.1162755
Alisha D. Lee, W. A. Bullock, Janet Hoy
ABSTRACT Despite the disproportionate prevalence of posttraumatic stress disorder (PTSD) among individuals with severe mental illness (SMI), and the emergence of effective trauma-specific treatments for comorbid PTSD/SMI, PTSD remains undertreated in this population. Literature points to two reasons for such: underdiagnosing of PTSD among individuals with SMI, and lack of clinician confidence/training in trauma-specific issues. A meta-analysis found non-trauma-specific groups reduced trauma symptoms in non-SMI populations. Against this backdrop, the purpose of this study was to determine whether individuals with SMI and trauma symptoms reported reduced trauma symptoms following completion of a non-trauma-specific, recovery-focused group treatment, the Wellness Management and Recovery (WMR) program. Pre- and post-WMR data were obtained from 54 participants via the Mental Health Recovery Measure and Posttraumatic Stress Disorder Checklist. Participants reported significant improvements in mental health recovery, and significant decreases in trauma symptoms. Results suggested that WMR—a non-trauma-specific group program—may offer promise in reducing trauma symptoms among individuals with SMI who may not have access to evidence-based trauma-specific treatments and/or who may not wish to specifically address trauma issues. Further exploration of the potential of WMR participation to reduce trauma symptoms among individuals with SMI is warranted.
{"title":"Trauma symptoms, recovery, and participation in the Wellness Management and Recovery (WMR) program","authors":"Alisha D. Lee, W. A. Bullock, Janet Hoy","doi":"10.1080/15487768.2016.1162755","DOIUrl":"https://doi.org/10.1080/15487768.2016.1162755","url":null,"abstract":"ABSTRACT Despite the disproportionate prevalence of posttraumatic stress disorder (PTSD) among individuals with severe mental illness (SMI), and the emergence of effective trauma-specific treatments for comorbid PTSD/SMI, PTSD remains undertreated in this population. Literature points to two reasons for such: underdiagnosing of PTSD among individuals with SMI, and lack of clinician confidence/training in trauma-specific issues. A meta-analysis found non-trauma-specific groups reduced trauma symptoms in non-SMI populations. Against this backdrop, the purpose of this study was to determine whether individuals with SMI and trauma symptoms reported reduced trauma symptoms following completion of a non-trauma-specific, recovery-focused group treatment, the Wellness Management and Recovery (WMR) program. Pre- and post-WMR data were obtained from 54 participants via the Mental Health Recovery Measure and Posttraumatic Stress Disorder Checklist. Participants reported significant improvements in mental health recovery, and significant decreases in trauma symptoms. Results suggested that WMR—a non-trauma-specific group program—may offer promise in reducing trauma symptoms among individuals with SMI who may not have access to evidence-based trauma-specific treatments and/or who may not wish to specifically address trauma issues. Further exploration of the potential of WMR participation to reduce trauma symptoms among individuals with SMI is warranted.","PeriodicalId":72174,"journal":{"name":"American journal of psychiatric rehabilitation","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2016-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74004261","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 : 2016-04-02DOI: 10.1080/15487768.2016.1171176
Gretchen Snethen, Peter Zook
ABSTRACT With the rising use of social media, one unexplored area of research and practice is how social media can be used to support community integration among individuals with psychiatric disabilities. Young adults with psychiatric disabilities use social media at a rate similar to age matched peers and report a desire for more complete integration into the community. Utilizing a four-dimensional model of community integration (i.e., psychological, physical, social, and independence), this article presents how social media activities can support integration. Social media activities are broken down to demonstrate how individual platforms and functions may be used to support community integration. The authors draw from a diverse set of literature, including research regarding the psychological and social benefits of social media usage among young adults, social media usage among individuals with psychiatric disabilities, and the importance of community integration for individuals with psychiatric disabilities. This article provides theoretical evidence for the use of social media as a supportive component to be included with interventions aimed at increasing community integration. Future research should examine the impact of social media usage by individuals with psychiatric disabilities on domains of community integration as well as explore the impact of interventions utilizing social media to support community integration.
{"title":"Utilizing social media to support community integration","authors":"Gretchen Snethen, Peter Zook","doi":"10.1080/15487768.2016.1171176","DOIUrl":"https://doi.org/10.1080/15487768.2016.1171176","url":null,"abstract":"ABSTRACT With the rising use of social media, one unexplored area of research and practice is how social media can be used to support community integration among individuals with psychiatric disabilities. Young adults with psychiatric disabilities use social media at a rate similar to age matched peers and report a desire for more complete integration into the community. Utilizing a four-dimensional model of community integration (i.e., psychological, physical, social, and independence), this article presents how social media activities can support integration. Social media activities are broken down to demonstrate how individual platforms and functions may be used to support community integration. The authors draw from a diverse set of literature, including research regarding the psychological and social benefits of social media usage among young adults, social media usage among individuals with psychiatric disabilities, and the importance of community integration for individuals with psychiatric disabilities. This article provides theoretical evidence for the use of social media as a supportive component to be included with interventions aimed at increasing community integration. Future research should examine the impact of social media usage by individuals with psychiatric disabilities on domains of community integration as well as explore the impact of interventions utilizing social media to support community integration.","PeriodicalId":72174,"journal":{"name":"American journal of psychiatric rehabilitation","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2016-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74851487","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 : 2016-04-02DOI: 10.1080/15487768.2016.1162758
J. Landon, D. Shepherd, Meika McGarry, A. Theadom, Robert Miller
ABSTRACT The clinical literature has not given sufficient attention to the phenomenology of noise sensitivity (NS) as experienced by those with schizophrenia, focusing instead on electrophysiological measurements. This study sought to explore and document the experiences of NS in people with schizophrenia. Seven participants with a diagnosis of schizophrenia and reporting to experience noise sensitivity were recruited. Data were collected through participant-led semi-structured interviews, and a data-driven thematic analysis used to summarize patterns of participants’ experiences. Five themes were identified, exemplified by direct quotes: (1) I didn’t even know it was mentionable, (2) Normal people I guess must just shut them (sounds) off, (3) It’s just very stressful, (4) that’s when insanity creeps in, and (5) when it’s quiet, it’s nice. Awareness of noise sensitivity is important for those affected, and thus those working with them. Validating and sharing experiences such as those documented here is an important early step as NS has effects on many aspects of peoples’ lives. Efforts to develop appropriate clinical interventions and support effective coping strategies should be encouraged.
{"title":"When it’s quiet, it’s nice: Noise sensitivity in schizophrenia","authors":"J. Landon, D. Shepherd, Meika McGarry, A. Theadom, Robert Miller","doi":"10.1080/15487768.2016.1162758","DOIUrl":"https://doi.org/10.1080/15487768.2016.1162758","url":null,"abstract":"ABSTRACT The clinical literature has not given sufficient attention to the phenomenology of noise sensitivity (NS) as experienced by those with schizophrenia, focusing instead on electrophysiological measurements. This study sought to explore and document the experiences of NS in people with schizophrenia. Seven participants with a diagnosis of schizophrenia and reporting to experience noise sensitivity were recruited. Data were collected through participant-led semi-structured interviews, and a data-driven thematic analysis used to summarize patterns of participants’ experiences. Five themes were identified, exemplified by direct quotes: (1) I didn’t even know it was mentionable, (2) Normal people I guess must just shut them (sounds) off, (3) It’s just very stressful, (4) that’s when insanity creeps in, and (5) when it’s quiet, it’s nice. Awareness of noise sensitivity is important for those affected, and thus those working with them. Validating and sharing experiences such as those documented here is an important early step as NS has effects on many aspects of peoples’ lives. Efforts to develop appropriate clinical interventions and support effective coping strategies should be encouraged.","PeriodicalId":72174,"journal":{"name":"American journal of psychiatric rehabilitation","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2016-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84975366","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 : 2016-04-02DOI: 10.1080/15487768.2016.1162756
C. Akiba, S. Estroff
ABSTRACT Clubhouse Model Programs in North Carolina are threatened by significant local and state reimbursement mechanisms. The goal of this study was to examine the impact of diminished state resources and administrative changes on the ground, from the perspective of Clubhouse members and staff at two Clubhouses in North Carolina. The lead author conducted participant observation for five weeks at each site engaging in various daily activities with members and staff, conducting conversational interviews, and reviewing program administrative data to corroborate findings. Income lost to decreased Psychosocial Rehabilitation (PSR) rates, decreased billable hours, and an increased delivery of non-reimbursed services represented a significant net cost to the Clubhouses’ operations and finances. The impact of these costs varied between the two organizations largely due to differing policies enacted by their Local Management Entities (LMEs). The costs of forced budgetary changes at the state level created varying degrees of hardship between clubhouses and their service missions.
{"title":"The business of staying in business: North Carolina Clubhouse programs","authors":"C. Akiba, S. Estroff","doi":"10.1080/15487768.2016.1162756","DOIUrl":"https://doi.org/10.1080/15487768.2016.1162756","url":null,"abstract":"ABSTRACT Clubhouse Model Programs in North Carolina are threatened by significant local and state reimbursement mechanisms. The goal of this study was to examine the impact of diminished state resources and administrative changes on the ground, from the perspective of Clubhouse members and staff at two Clubhouses in North Carolina. The lead author conducted participant observation for five weeks at each site engaging in various daily activities with members and staff, conducting conversational interviews, and reviewing program administrative data to corroborate findings. Income lost to decreased Psychosocial Rehabilitation (PSR) rates, decreased billable hours, and an increased delivery of non-reimbursed services represented a significant net cost to the Clubhouses’ operations and finances. The impact of these costs varied between the two organizations largely due to differing policies enacted by their Local Management Entities (LMEs). The costs of forced budgetary changes at the state level created varying degrees of hardship between clubhouses and their service missions.","PeriodicalId":72174,"journal":{"name":"American journal of psychiatric rehabilitation","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2016-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85811930","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 : 2016-04-02DOI: 10.1080/15487768.2016.1162757
S. Kidd, Tyler Frederick, L. Tarasoff, Gursharan Virdee, Steve Lurie, L. Davidson, D. Morris, K. McKenzie
ABSTRACT Increasing the community participation of people with severe mental illness is a primary goal of recovery-oriented services. Despite this emphasis, the construct of community remains understudied and poorly articulated. This study provides an in-depth examination of the experiences, beliefs, behaviors, and spaces that constitute community participation for a highly diverse group of people with schizophrenia who are urban dwellers. An in-depth, longitudinal qualitative design was employed with 30 individuals with schizophrenia residing in inner-city neighborhoods in Canada’s largest city. For these individuals, community participation is a dynamic process, shaped by illness and non-illness-associated social relationships and spaces, self-concept, and the resources accessible to the person. The complexity of factors that are associated with “community” for people with schizophrenia, with overlays of culture, poverty, victimization, and discrimination, calls for a critical examination of the community rhetoric employed in practice and policy contexts.
{"title":"Locating community among people with schizophrenia living in a diverse urban environment","authors":"S. Kidd, Tyler Frederick, L. Tarasoff, Gursharan Virdee, Steve Lurie, L. Davidson, D. Morris, K. McKenzie","doi":"10.1080/15487768.2016.1162757","DOIUrl":"https://doi.org/10.1080/15487768.2016.1162757","url":null,"abstract":"ABSTRACT Increasing the community participation of people with severe mental illness is a primary goal of recovery-oriented services. Despite this emphasis, the construct of community remains understudied and poorly articulated. This study provides an in-depth examination of the experiences, beliefs, behaviors, and spaces that constitute community participation for a highly diverse group of people with schizophrenia who are urban dwellers. An in-depth, longitudinal qualitative design was employed with 30 individuals with schizophrenia residing in inner-city neighborhoods in Canada’s largest city. For these individuals, community participation is a dynamic process, shaped by illness and non-illness-associated social relationships and spaces, self-concept, and the resources accessible to the person. The complexity of factors that are associated with “community” for people with schizophrenia, with overlays of culture, poverty, victimization, and discrimination, calls for a critical examination of the community rhetoric employed in practice and policy contexts.","PeriodicalId":72174,"journal":{"name":"American journal of psychiatric rehabilitation","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2016-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75165532","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 : 2016-04-02DOI: 10.1080/15487768.2016.1162759
E. Macnaughton, Greg Townley, G. Nelson, R. Caplan, Timothy Macleod, Lauren Polvere, Corinne A Isaak, Maritt Kirst, Christopher Mcall, Danielle Nolin, M. Patterson, M. Piat, P. Goering
ABSTRACT Qualitative narrative interviews were conducted with 195 participants with histories of homelessness and mental illness at baseline and at an 18-month follow-up. Participants were randomly assigned at baseline to Housing First (HF; n = 119) or treatment as usual (TAU; n = 76) in five Canadian cities. Changes in consumers’ narratives over time were examined for 13 life domains (e.g., housing stability, typical day, social relationships). HF participants showed superior housing stability that led to three important transitions in their recovery journeys: (1) the transition from street to home (e.g., greater control over one’s environment, becoming unstuck), (2) the transition from home to community (e.g., pursuing relationships, participating in the community), and (3) the transition from the present to the future (e.g., developing autonomy and hope). In spite of the gains experienced by many HF participants and some TAU participants, there was a subgroup of HF participants and many more TAU participants who experienced considerable difficulty making positive transitions. This research affirms the importance of housing and support for people with mental illness who are homeless but extends previous research by elucidating how HF enables participants to navigate important transitions in their recovery journeys. Once housing stability is achieved, other services (e.g., supported employment, education, and socialization) are needed to accelerate the transitions that participants strive to make in their lives.
{"title":"How does Housing First catalyze recovery?: Qualitative findings from a Canadian multi-site randomized controlled trial","authors":"E. Macnaughton, Greg Townley, G. Nelson, R. Caplan, Timothy Macleod, Lauren Polvere, Corinne A Isaak, Maritt Kirst, Christopher Mcall, Danielle Nolin, M. Patterson, M. Piat, P. Goering","doi":"10.1080/15487768.2016.1162759","DOIUrl":"https://doi.org/10.1080/15487768.2016.1162759","url":null,"abstract":"ABSTRACT Qualitative narrative interviews were conducted with 195 participants with histories of homelessness and mental illness at baseline and at an 18-month follow-up. Participants were randomly assigned at baseline to Housing First (HF; n = 119) or treatment as usual (TAU; n = 76) in five Canadian cities. Changes in consumers’ narratives over time were examined for 13 life domains (e.g., housing stability, typical day, social relationships). HF participants showed superior housing stability that led to three important transitions in their recovery journeys: (1) the transition from street to home (e.g., greater control over one’s environment, becoming unstuck), (2) the transition from home to community (e.g., pursuing relationships, participating in the community), and (3) the transition from the present to the future (e.g., developing autonomy and hope). In spite of the gains experienced by many HF participants and some TAU participants, there was a subgroup of HF participants and many more TAU participants who experienced considerable difficulty making positive transitions. This research affirms the importance of housing and support for people with mental illness who are homeless but extends previous research by elucidating how HF enables participants to navigate important transitions in their recovery journeys. Once housing stability is achieved, other services (e.g., supported employment, education, and socialization) are needed to accelerate the transitions that participants strive to make in their lives.","PeriodicalId":72174,"journal":{"name":"American journal of psychiatric rehabilitation","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2016-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83786486","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 : 2016-01-02DOI: 10.1080/15487768.2015.1125400
K. Bonfils, Lauren M. Bouchard, M. Kukla, A. P. Miller, Alan B. McGuire
ABSTRACT Low attendance to mental health care results in loss of time, money, and treatment gains. No prior review in this area has taken into account the quality of studies or varying definitions of attendance. The current review provides a critical evaluation of variables associated with attendance in consumers with psychotic symptoms participating in outpatient mental health services, with a focus on study quality and operationalization of attendance. EMBASE, MEDLINE, PsycINFO, CINAHL, and the Cochrane Library were searched for empirical articles relevant to attendance to mental health services by individuals diagnosed with a psychotic disorder. Eligible articles were rated for quality by two coauthors; high-quality articles were reviewed in-depth. Twenty-eight articles were eligible; 11 articles qualified for in-depth review. Four attendance outcome types were identified, including the prediction of dropout, time engaged, categorical attendance, and continuous attendance. Ongoing substance use during treatment was consistently associated with lower attendance in high-quality articles. More high-quality research using systematically defined outcome types is needed to identify reliable associations with attendance. Commonly tested variables such as demographics show little utility in predicting attendance. Future research in this area should expand upon current findings focusing on clinically and theoretically relevant variables.
{"title":"Correlates of attendance in mental health services for individuals with psychotic disorders: A critical review","authors":"K. Bonfils, Lauren M. Bouchard, M. Kukla, A. P. Miller, Alan B. McGuire","doi":"10.1080/15487768.2015.1125400","DOIUrl":"https://doi.org/10.1080/15487768.2015.1125400","url":null,"abstract":"ABSTRACT Low attendance to mental health care results in loss of time, money, and treatment gains. No prior review in this area has taken into account the quality of studies or varying definitions of attendance. The current review provides a critical evaluation of variables associated with attendance in consumers with psychotic symptoms participating in outpatient mental health services, with a focus on study quality and operationalization of attendance. EMBASE, MEDLINE, PsycINFO, CINAHL, and the Cochrane Library were searched for empirical articles relevant to attendance to mental health services by individuals diagnosed with a psychotic disorder. Eligible articles were rated for quality by two coauthors; high-quality articles were reviewed in-depth. Twenty-eight articles were eligible; 11 articles qualified for in-depth review. Four attendance outcome types were identified, including the prediction of dropout, time engaged, categorical attendance, and continuous attendance. Ongoing substance use during treatment was consistently associated with lower attendance in high-quality articles. More high-quality research using systematically defined outcome types is needed to identify reliable associations with attendance. Commonly tested variables such as demographics show little utility in predicting attendance. Future research in this area should expand upon current findings focusing on clinically and theoretically relevant variables.","PeriodicalId":72174,"journal":{"name":"American journal of psychiatric rehabilitation","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2016-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86075348","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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