{"title":"Level of care determination for individuals with co-occurring psychiatric and substance disorders","authors":"K. Minkoff","doi":"10.1080/15487760108415427","DOIUrl":"https://doi.org/10.1080/15487760108415427","url":null,"abstract":"Abstract Individuals with co-occumng psychiatric and substance disorder (ICOPSD) have been recognized as a population associated with poorer treatment outcomes and higher service utilization. While consensus is growing on basic principles of integrated treatment, little technology has been developed that assists in implementation of level of case or service intensity determination for this population. One such bit of technology is a manual for utilization management for dual disorders. This paper describes the development of just such a manual which outlines an array of program models and settings of varying intensities, and describes specific utilization management criteria for each model and setting. The manual describes a horizontally and vertically integrated continuum of care for individuals with dual disorders that incorporates the principles of: a) independent dimensions of service intensity, b) multi-dimensional service intensity assessment, and c) individualized treatment matching based on integrated dual-primary/phasespecific treatment.","PeriodicalId":166369,"journal":{"name":"Psychiatric Rehabilitation Skills","volume":"83 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2001-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116744008","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}
{"title":"Treatment planning for dual disorders","authors":"D. Mee-Lee","doi":"10.1080/15487760108415423","DOIUrl":"https://doi.org/10.1080/15487760108415423","url":null,"abstract":"Abstract Persons with dual psychiatric and substance-related disorders frequently present in crisis with a wide variety of needs that span multiple agencies, systems, and ideologies. Treatment planning often comprises a reactive response to the latest crisis rather than a proactive improvement of a continuing care plan coordinated in an interdisciplinary team. The challenge is to facilitate integrated, person-centered care that involves the client as an active, empowered, and accountable participant in the treatment planning process. A common language of multidimensional assessment that crosses the psychiatric and addiction treatment systems barriers and principles of focused, targeted care and documentation can move treatment for dual disorders in that direction.","PeriodicalId":166369,"journal":{"name":"Psychiatric Rehabilitation Skills","volume":"96 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2001-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126884147","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}
Kirby Ingraham, M. Rahimi, H. Tsang, Fong Chan, Eugene A. Oulvey
{"title":"Work support groups in state vocational rehabilitation agency settings: A case study","authors":"Kirby Ingraham, M. Rahimi, H. Tsang, Fong Chan, Eugene A. Oulvey","doi":"10.1080/15487760108415420","DOIUrl":"https://doi.org/10.1080/15487760108415420","url":null,"abstract":"This paper reports the process and outcome of implementing a work support group (WSG) in the Illinois Department of Human Services/Office of Rehabilitation Services (IDHS/ORS), a state vocational rehabilitation (VR) agency. The authors argue that state VR counselors need to spend more time interacting with people who have psychiatric disabilities to help them with clinical and vocational issues. They also argue that a group work format is ideal for counselors carrying a heavy caseload of rehabilitation clients. The results of this preliminary case study suggested that the work support group approach has the potential of strengthening the working alliance between counselors and clients. The results also indicated that clients who attend more than two sessions of the work support group tend to","PeriodicalId":166369,"journal":{"name":"Psychiatric Rehabilitation Skills","volume":"13 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2001-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130577847","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}
{"title":"Introduction to the special issue: Overview of misa dual diagnosis and treatment","authors":"J. Mehr","doi":"10.1080/15487760108415421","DOIUrl":"https://doi.org/10.1080/15487760108415421","url":null,"abstract":"Attention to the issue of the concurrent diagnosis of mental illness and alcoholism or substance abuse has grown dramatically over the past two decades. There are now a host of articles in the clinical literature on the topic; see for example, the Annotated Bibliography (1997) of the Co-occurring Mental and Substance Disorder (Dual Diagnosis) Panel, funded by the federal Center for Mental Health Services (CMHS). Over the past few years, federal agencies including CMHS, the Center for Substance Abuse Treatment (CSAT), the Center for Substance Abuse Prevention (CSAP), and the National Institute for Mental Health (NIMH), have funded research, service projects, conferences, or consensus reports on the subject. Federal funding for dual diagnosis treatment pilot projects has been made available to counties, cities, states, hospitals, community agencies, universities, and other entities. A number of state governments have similarly funded either limited or statewide dual diagnosis service projects (see for example, Drake et al., 1992; Godley, 1995; Mehr, 1999; Thacker & Tremaine, 1989). The impact of a concurrent diagnosis of mental illness (or emotional disorder) and alcoholism or substance abuse on a variety of other factors, problems, or variables has been the subject of increasing attention. These variables or factors include homelessness, adolescence, violence, HIV status, managed care systems, severity of mental illness, gender, integration of treatment, family support, peer groups, self help,","PeriodicalId":166369,"journal":{"name":"Psychiatric Rehabilitation Skills","volume":"46 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2001-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127659505","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}
{"title":"Gary Bond on Mental Illness and Employment","authors":"R. Lundin","doi":"10.1080/10973430008408626","DOIUrl":"https://doi.org/10.1080/10973430008408626","url":null,"abstract":"Chancellor’s Professor of Psychology at Indiana University Purdue University Indianapolis, where he has been for 17 years, Gary Bond has spent much of his career investigating ‘what works and what doesn’t’ in the rehabilitation of persons with severe mental illness. His contribution to the field of psychiatric rehabilitation, in his research and writings, is immeasurable. Not long after receiving his Ph.D. in Psychology from The University of Chicago, Bond took a position as director of research at Thresholds, a large psycho-social rehabilitation agency in the Chicago area. After witnessing the success of Thresholds vocational programming, Bond became interested in the field, and in how to measure program implementation. Gary Bond","PeriodicalId":166369,"journal":{"name":"Psychiatric Rehabilitation Skills","volume":"25 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2000-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125910795","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}
{"title":"Issues in Culturally Competent Mental Health Services for People of Color","authors":"Thomas E. Arthur","doi":"10.1080/10973430008408632","DOIUrl":"https://doi.org/10.1080/10973430008408632","url":null,"abstract":"Abstract America is in the midst of a cultural transition. It was predicted that by the 21st century people of color would be the new majority. The impact upon the future work force has been recognized by the corporate world, and businesses are beginning to address the issues of managing a multicultural workplace. Addressing cultural diversity and differences is relatively new in the mental health arena. This paper will attempt to point up some of the challenges faced, the barriers to be addressed, and historical problems that exist. Also, some suggestions will be put forth to help mental health professionals and organizations work toward becoming more culturally competent. This paper will not deal with any particular culture in depth, but will attempt to identify and highlight the common cultural barriers that exist with Asians, Hispanics/Latinos, Native Americans, and African Americans that must be addressed by the mental health system to achieve cultural competency.","PeriodicalId":166369,"journal":{"name":"Psychiatric Rehabilitation Skills","volume":"2 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2000-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116166371","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}
{"title":"Issues of Daily Living for Persons with Mental Illness","authors":"P. Vecchio, L. Fricks, J. R. Johnson","doi":"10.1080/10973430008408631","DOIUrl":"https://doi.org/10.1080/10973430008408631","url":null,"abstract":"Abstract The essential elements of well being and health include an adequate income from meaningful employment, healthful diet, comfortable and safe housing, and good health. Well being also includes being able to improve one's life through education and the building of good relationships. The absence of these elements is faced by people who have experienced mental illness, and thus, in addition to being challenged by the illness, they are also challenged by the social consequences which are the result of the absence of the elements of well being. This paper elaborates on these issues and the difficulties faced by people with mental illness. People who experience mental illness are challenged not only by their illness, but also by the social consequences, which follow or even exacerbate their illness. The impact of poverty, homelessness, inadequate and unsafe housing, low quality or no physical health care, and lack of or interrupted education and unemployment on the lives of mental health consumers/survivors is incalculable. These social consequences are the “side effects” which result from the inadequate system of care for persons with mental illness. This paper further expands upon these challenges of daily living for those who struggle with mental illness.","PeriodicalId":166369,"journal":{"name":"Psychiatric Rehabilitation Skills","volume":"78 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2000-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124455648","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}
{"title":"Recovery","authors":"R. Ralph","doi":"10.1080/10973430008408634","DOIUrl":"https://doi.org/10.1080/10973430008408634","url":null,"abstract":"Abstract There is a great deal of interest in the concept of recovery in mental health circles. While some indicate it can never happen for people who are seriously mentally ill, others say improvement can take place, and still others insist that people can fully recover. The following review of literature on recovery provides definitions of recovery from the writings of those who have lived it, and describes studies that show people do recover and how people recover. There is vast and growing literature on recovery, both published and unpublished, of which this article is only an introduction. The overwhelming conclusion from both those who have lived recovery and those who have tried to systematically study it is: that recovery is possible, and that it takes both individual determination and the support of others in order to be accomplished.","PeriodicalId":166369,"journal":{"name":"Psychiatric Rehabilitation Skills","volume":"54 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2000-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126589060","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}
{"title":"Editorial board page for “Psychiatric Rehabilitation Skills”, Volume 4, Number 3","authors":"","doi":"10.1080/10973430008408625","DOIUrl":"https://doi.org/10.1080/10973430008408625","url":null,"abstract":"Abstract This is a scanned image of the original Editorial Board page(s) for this issue.","PeriodicalId":166369,"journal":{"name":"Psychiatric Rehabilitation Skills","volume":"18 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2000-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130645723","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}
{"title":"A Simplified Chinese Version of the Significant Others Scale as a Measure of Social Support for People with Mental Illness","authors":"H. Tsang, P. Lam, I. Yee-chiu","doi":"10.1080/10973430008408627","DOIUrl":"https://doi.org/10.1080/10973430008408627","url":null,"abstract":"Abstract The Significant Others Scale (SOS) was simplified and then translated into Chinese. The equivalence between the original and simplified Chinese versions was then verified with participants recruited from a Chinese community. Thirty-one participants with mental disabilities were randomly selected from a mental hospital. The participants were assisted by a qualified occupational therapist to complete the original and simplified Chinese versions within a week period. The exceptionally high intraclass coefficients between the original and simplified Chinese versions (.81 to .99) suggested redundancy of items in the original version and thus provided statistical evidence for the simplification process. It is suggested that the simplified version can be used to replace the original one if time and manpower are limited for clinical and research purposes.","PeriodicalId":166369,"journal":{"name":"Psychiatric Rehabilitation Skills","volume":"228 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2000-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116170439","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}