Psychiatric Rehabilitation Journal最新文献

{"title":"Development of an economic model to quantify the impact of clubhouses on societal costs.","authors":"M Usman, Joshua Seidman, Kevin Rice","doi":"10.1037/prj0000675","DOIUrl":"10.1037/prj0000675","url":null,"abstract":"<p><strong>Objective: </strong>The primary objective of this study was to develop and apply an economic model to estimate cost savings associated with participation in the clubhouse program for individuals with serious mental illness.</p><p><strong>Methods: </strong>Using a prevalence-based economic model, this study estimated per-person annual cost savings for clubhouse participants. Data from existing research incorporates adjustment factors such as serious mental illness type, health care utilization, participation years, and visit frequency. Costs are calculated across six categories: inpatient and noninpatient mental health care, physical health care, criminal legal system costs, Supplemental Security Income/Social Security Disability Insurance benefits, and productivity losses.</p><p><strong>Results: </strong>Results indicate estimated cost savings of $11,374 annually for clubhouse participants compared with nonparticipants. These savings are based on a prototypical participant with average needs, characterized by a general serious mental illness diagnosis, average health care utilization levels, 4 years of participation, and three-monthly visits. Significant cost reductions were observed across all categories, particularly in productivity losses, criminal legal system costs, and health care expenditures.</p><p><strong>Conclusions and implications for practice: </strong>Findings suggest that clubhouse participation may generate substantial cost savings by reducing health care needs and productivity losses through clubhouse's community-focused therapeutic model. These results support integrating community-based social support programs into value-based care models. Future research should validate these findings with real-world cohort data and examine the mechanisms driving cost savings. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":47875,"journal":{"name":"Psychiatric Rehabilitation Journal","volume":" ","pages":"37-45"},"PeriodicalIF":1.2,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145439771","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Multiprogram perspectives on the peer recovery specialist role, opportunities, and challenges.","authors":"Evan M Lowder, Chelsea M A Foudray, Mindy Thai, Raphael Freund, Michael Lane","doi":"10.1037/prj0000660","DOIUrl":"10.1037/prj0000660","url":null,"abstract":"<p><strong>Objective: </strong>This study examined the scope and functioning of peer recovery services across different roles and peer recovery programs. Specific aims included (a) considering the defining role of peer recovery specialists, (b) understanding how peer specialists achieve goals, (c) determining short- and long-term outcomes resulting from peer recovery services, and (d) identifying barriers and facilitators to service provision.</p><p><strong>Methods: </strong>A multimethod survey distributed via Qualtrics was used to collect responses from 108 peer recovery specialists, supervisory staff, and individuals receiving services across 23 programs. Qualitative responses were coded using an inductive coding strategy, whereas quantitative questions were analyzed using descriptive statistics and between-role comparisons.</p><p><strong>Results: </strong>Participants endorsed lived experience and support as the primary roles of the peer recovery specialist, which facilitated connection to care and higher quality relationships. Several short-term outcomes were consistently endorsed across roles, including engagement in recovery services, social support, and crisis stabilization. Long-term outcomes were more variable. Peer specialists expressed challenges with maintaining boundaries with individuals given their personal experience and professional identities.</p><p><strong>Conclusions and implications for practice: </strong>Findings point to a shared understanding of the role of the peer recovery specialist and consistency in short-term outcomes across programs, both of which support the feasibility of establishing shared implementation (process) and outcome measures to guide evaluation efforts of peer recovery programs. We provide a short form, the Peer Recovery Services Checklist, to facilitate this goal. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":47875,"journal":{"name":"Psychiatric Rehabilitation Journal","volume":" ","pages":"143-152"},"PeriodicalIF":1.2,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145309588","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Trust them taking the lead: A key for independent community participation from the Power of Dependable Souls (PODS) intervention.","authors":"Shinichi Nagata, Hannah Wells, Gretchen Snethen, Sabrina Giaimo, Bryan McCormick","doi":"10.1037/prj0000649","DOIUrl":"10.1037/prj0000649","url":null,"abstract":"<p><strong>Objective: </strong>Promoting community integration is a major aim for psychiatric rehabilitation, yet research shows that some consumers suffer from poor quality of life and inadequate community participation. The present study focused on the Power of Dependable Souls intervention that aimed to increase community participation and examined psychiatric rehabilitation professionals' and consumers' experiences to identify factors that contribute to independence in community integration.</p><p><strong>Methods: </strong>We conducted individual and focus group interviews with psychiatric rehabilitation professionals (<i>n</i> = 6) and consumers (<i>n</i> = 14). Interviewees were asked about their experience of the Power of Dependable Souls intervention and how the intervention differs from other programs. Transcripts were analyzed with Reflexive Thematic Analysis.</p><p><strong>Results: </strong>Four themes were generated: (a) \"It's always a hole\": Independent community participation is missing in psychiatric rehabilitation practice; (b) \"putting the power and freedom into their hands\": Giving them chances is a key toward independence; (c) \"the hardest thing is to be hands-off\": Facilitation for independence may challenge current practice; and (d) \"It was a valuable reminder that they are capable of doing things\": Possible unconscious provider stigma.</p><p><strong>Conclusions and implications for practice: </strong>Trusting in consumer abilities and giving them opportunities to pursue activities they desire was identified as a key for increasing independent community participation. Unconscious provider stigma and prejudices may be additional important underlying factors to be addressed to facilitate greater community participation. The Power of Dependable Souls intervention and its approach can possibly offer an important corrective for some psychiatric rehabilitation agencies to fully adopt recovery-oriented care. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":47875,"journal":{"name":"Psychiatric Rehabilitation Journal","volume":" ","pages":"101-108"},"PeriodicalIF":1.2,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144095502","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Integrative psychotherapy to promote meaning making and self-directed recovery for people with psychosis.","authors":"Laura A Faith, Courtney N Wiesepape","doi":"10.1037/prj0000671","DOIUrl":"10.1037/prj0000671","url":null,"abstract":"<p><strong>Objective: </strong>Psychiatric rehabilitation approaches have evolved to offer individualized options for people with psychosis to direct their own recovery. Meaning making is a core component of self-directed recovery that allows individuals to make sense of psychosocial challenges and life experiences and then decide how to recover and move forward with their life. Individual psychotherapy that is personalized and collaborative can allow people with psychosis to explore the meaning of challenges and life experiences, especially for those with fragmented understanding of themselves and their life. Integrative psychotherapies may be uniquely positioned to target meaning making to promote self-directed recovery.</p><p><strong>Method: </strong>We provide a narrative review of the literature and outline practical psychotherapy approaches and practice implications to describe how meaning making can be promoted with an integrative, metacognitive therapy approach.</p><p><strong>Results: </strong>In this article we (a) discuss the metacognitive theoretical framework of psychosis as it relates to meaning making, (b) share specific methods from diverse psychotherapy approaches to promote meaning making, and (c) discuss how this meaning making further promotes self-directed recovery in practice.</p><p><strong>Conclusions and implications for practice: </strong>We propose that meaning making can come from many different approaches and that integrating diverse methods can improve personalization to maximize benefit and enhance self-directed recovery. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":47875,"journal":{"name":"Psychiatric Rehabilitation Journal","volume":" ","pages":"92-100"},"PeriodicalIF":1.2,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145439796","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The role of college self-efficacy and the development of professional identity: Preparing psychiatric rehabilitation practitioners.","authors":"William R Waynor, Yuane Jia, Joni Dolce, Jake Mariani","doi":"10.1037/prj0000665","DOIUrl":"10.1037/prj0000665","url":null,"abstract":"<p><strong>Objective: </strong>The present study assessed the relationship of college self-efficacy (beliefs in capacity to complete college tasks) and psychiatric rehabilitation attitudes (PRA; a measure of professional identity) and their relationship to educational barriers and several demographic variables among undergraduate students studying psychiatric rehabilitation.</p><p><strong>Methods: </strong>A total of <i>N</i> = 92 undergraduate students completed an online survey for the current analysis. Data were collected on college self-efficacy, PRA (including beliefs, goals, practices), educational barriers, and student demographics.</p><p><strong>Results: </strong>We found that students' college self-efficacy was positively associated with PRA (<i>r</i> = .326, <i>p</i> = .002). White students endorsed significantly stronger PRA (effect size 0.52, <i>p</i> = .03). College students' self-efficacy was inversely associated with living with mental health conditions (<i>r</i> = -.209, <i>p</i> = .028) and whether started clinical practicum (<i>p</i> = .015) where students who started clinical practicum had significantly higher self-efficacy, regardless of whether they lived with a mental health conditions or not.</p><p><strong>Conclusions and implications for practice: </strong>Consistent with social cognitive career theory, students with higher college self-efficacy scored higher on the professional identity measure in the present study, PRA. We discuss the implications of this finding for rehabilitation education programs preparing students to work with individuals in the behavioral health care and rehabilitation fields. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":47875,"journal":{"name":"Psychiatric Rehabilitation Journal","volume":" ","pages":"125-131"},"PeriodicalIF":1.2,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145309566","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The open dialogue approach, what are we actually doing? A systematic review of adherence.","authors":"Ethan McGuirk, Rebekah McLoughlin, Suzanne Guerin","doi":"10.1037/prj0000666","DOIUrl":"10.1037/prj0000666","url":null,"abstract":"<p><strong>Objective: </strong>The open dialogue approach is a systemic, therapeutic intervention that aims to support individuals who experience severe and enduring mental health difficulties. Striving to encourage a rehabilitation-oriented approach, open dialogue (OD) has faced several adaptations according to different contexts and countries. This review sought to understand adherence and implementation practices of OD and specifically how they are reported within the OD intervention research literature.</p><p><strong>Methods: </strong>A systematic strategy was used to search five electronic databases (CINAHL, APA PsycInfo, The Cochrane Library, PsycArticles, PubMed) using title/abstract and full text terms. Data were extracted using an extraction template developed for the purpose of this review that incorporated a recently developed OD adherence protocol (Lotmore et al., 2023). A methodological quality appraisal was employed. Narrative synthesis and content analysis were used to analyze the findings.</p><p><strong>Results: </strong>Of the 1813 studies initially identified from the search string, 28 studies were included based on the inclusion and exclusion criteria. These composed of qualitative (<i>n</i> = 12), quantitative (<i>n</i> = 14), and mixed methods (<i>n</i> = 2) designs. The quality of the methods used in included studies overall was high. A descriptive analysis suggested generally good, though often implicit, adherence to principles of OD (64%). A narrative synthesis revealed five underpinning themes which affected adherence.</p><p><strong>Conclusions and implications for practice: </strong>Adherence to principles of OD was only of good quality. Assessment and reporting of adherence to OD's principles in research is encouraged to align with rehabilitative practices in mental health services. To support greater adherence to OD, researchers are encouraged to use the OD adherence protocol in reporting their work. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":47875,"journal":{"name":"Psychiatric Rehabilitation Journal","volume":" ","pages":"79-91"},"PeriodicalIF":1.2,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145309618","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Developmental considerations for multidisciplinary community mental health models: Examining service experiences of young adults with serious mental health conditions.","authors":"Vanessa V Klodnick, Rebecca P Johnson, Brianne LaPelusa, Abby Mayhue, Margaret Ann Paauw, Deborah A Cohen, Beth Sapiro, Marc A Fagan, Lisa A Razzano","doi":"10.1037/prj0000657","DOIUrl":"10.1037/prj0000657","url":null,"abstract":"<p><strong>Objective: </strong>Young adults (YAs) have high rates of serious mental health conditions and historically low rates of mental health treatment engagement. YAs have historically been understudied within psychiatric rehabilitation, but more recently, multidisciplinary team- and community-based approaches informed by assertive community treatment have become popular. Much can be learned from YAs enrolled in YA-specific teams to understand how YA-specific teams support YA recovery.</p><p><strong>Methods: </strong>A research team with several YAs with lived/living mental health experience conducted and analyzed interviews with YAs (<i>n</i> = 22) enrolled in YA-specific team-based services. The research team used reflexive thematic analysis.</p><p><strong>Results: </strong>Self-discovery was central in YA team-based service experiences. The YA team fostered discovery by (a) supporting YA self-reflection within mutually respectful YA client-team member relationships made possible through the YA team; (b) blending and balancing YA development, lived experience, and clinical expertise; and (c) providing flexible, tailored services and activities in the community and clinic.</p><p><strong>Conclusions and implications for practice: </strong>Supporting YAs in building their sense of self is central in engaging YAs. YA mental health providers and policymakers in the field of psychiatric rehabilitation can use discovery practice concepts to describe how and why adult mental health care can successfully be different for YAs. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":47875,"journal":{"name":"Psychiatric Rehabilitation Journal","volume":" ","pages":"56-65"},"PeriodicalIF":1.2,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145439825","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The past and future of integrated biopsychosocial whole-health perspectives in psychiatric rehabilitation.","authors":"Rebecca Wolfe, Brianna Speakar, Mai Pham, Tierney Lorenz, William Spaulding","doi":"10.1037/prj0000682","DOIUrl":"10.1037/prj0000682","url":null,"abstract":"<p><strong>Objective: </strong>This article describes the historical, contemporary, and probable future roles of biosystemic whole-health perspectives in the evolution of psychiatric rehabilitation.</p><p><strong>Methods: </strong>We identify and discuss three examples of failures to fully consider the interaction of biological, psychological, and social levels of functioning, which have led to significant barriers to recovery: failure to account for physical morbidity in psychiatric disorders, lack of integration with modern understanding of inflammatory processes in psychiatric symptoms, and disregard for social and interpersonal factors.</p><p><strong>Results: </strong>Significant limitations in rehabilitation outcomes arise from failure to fully consider the molar (i.e., integrated) implications of molecular impairments and vulnerabilities, and vice versa. We articulate the consequences of molecular models of personal and social functioning as barriers to future research and clinical care and propose looking beyond the traditional scope of psychopathology and boundaries of mental health services to reach a whole-health understanding of psychiatric disorder and disability, rehabilitation, and recovery.</p><p><strong>Conclusions and implications for practice: </strong>The integrative biopsychosocial model is a particularly promising direction in the evolution of psychiatric rehabilitation, with strong clinical and theoretic implications that may guide much-needed change in policy and practice. Key to progress in our understanding of psychiatric disorder, disability, rehabilitation, and recovery is a perspective on science and clinical practice that values integration of multiple domains of knowledge as much as analytic dissection of molecular (i.e., unitary) processes. Reforms must be expected at all levels of health care service systems, in practitioner training, administration, and social policy. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":47875,"journal":{"name":"Psychiatric Rehabilitation Journal","volume":" ","pages":"66-78"},"PeriodicalIF":1.9,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12829903/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146020200","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Letter to the Editor regarding Schrader et al.'s (2025) \"Work and recovery from substance use disorder in Veterans Affairs\".","authors":"Robert E Drake, Gary R Bond, Deborah R Becker","doi":"10.1037/prj0000680","DOIUrl":"10.1037/prj0000680","url":null,"abstract":"<p><p>Comments on an article by S. W. Schrader et al. (see record 2026-54463-001). Schrader et al. recently reported on VA programs for veterans in early stages of recovery from substance use disorder (SUD), finding that 78% of 78 veterans elected to receive therapeutic work activity, which has a primary goal of clinical recovery rather than employment, and only 22% selected programs focusing on competitive employment. Three possible interpretations may explain Schrader et al.'s anomalous finding and deserve further research. They are discussed in the current commentary. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":47875,"journal":{"name":"Psychiatric Rehabilitation Journal","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145764383","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Standardizing measurement of employment outcomes in vocational research.","authors":"Gary R Bond, Brian J Stevenson, Jack Tsai, Lisa Ottomanelli, Richard E Nelson, Jean Yoon, James P LePage","doi":"10.1037/prj0000678","DOIUrl":"10.1037/prj0000678","url":null,"abstract":"<p><strong>Objective: </strong>Vocational research requires standardized measures of employment outcomes. Yet studies vary widely in how they define measures used to assess employment outcomes. This article makes recommendations for a core outcome package of objective measures of competitive employment suitable for vocational research.</p><p><strong>Methods: </strong>We identified seven criteria for assessing the utility of an employment measure: <i>widely used, reliable, simple to collect, easily understood, demonstrates criterion validity, sensitive to change, and relevant to multiple groups with vested interests.</i> We then conducted a selective review of employment measures found in published studies, using these criteria to evaluate a range of objective employment measures within a conceptual framework consisting of six domains: <i>job acquisition, amount of time employed, employment earnings, time commitment to employment, consistency of employment, and job stability.</i> Results: Based on our review, we recommend three primary outcomes (competitive employment rate, total time worked, and total employment earnings) and eight descriptive outcomes for inclusion in a core outcome package. To ensure standardization, we provide explicit definitions for each measure.</p><p><strong>Conclusions and implications for practice: </strong>Adoption of a core outcome package will (a) provide guidance to researchers planning new studies, (b) provide a common set of measures permitting direct comparisons between studies, and (c) facilitate meta-analytic reviews by using common metrics. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":47875,"journal":{"name":"Psychiatric Rehabilitation Journal","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2025-12-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145709867","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}