American journal of psychiatric rehabilitation最新文献

Pilot Test of Using Peer Specialists to Deliver Cognitive-Behavioral Social Skills Training. 利用同伴专家提供认知行为社会技能训练的试点测试。

American journal of psychiatric rehabilitation Pub Date : 2021-07-06

Matthew Chinman, Sharon McCarthy, Jason Holden, Peter Link, Eric Granholm

引用次数: 0

Is Capability to Manage Finances Stable Over Time? 管理财务的能力是否长期稳定？

American journal of psychiatric rehabilitation Pub Date : 2018-09-01

Christina M Lazar, Anne C Black, Marc I Rosen

{"title":"Is Capability to Manage Finances Stable Over Time?","authors":"Christina M Lazar, Anne C Black, Marc I Rosen","doi":"","DOIUrl":"","url":null,"abstract":"Procedures to determine when people receiving disability payments are incapable of managing their money recently have been re-examined by the Social Security Administration. Understanding the time-course of financial capability is necessary because people who are judged capable of managing their funds at one point may go on to need supports in the future, and those judged incapable and assigned a fiduciary will need re-evaluation so they have the most possible autonomy over their funds management. The financial capability of 132 individuals was examined during acute treatment and twenty-four weeks later. The extent to which baseline variables predicted future capability were examined. More participants were assessed as financially incapable at baseline (n=72) than at the twenty-four-week follow-up (n=43). Most participants had stable capability across assessment periods (n=35 remained incapable; n=52 remained capable), however a substantial minority (n=37) moved from incapable to capable. People who transitioned from incapable to capable had greater net reductions in psychiatric distress ratings and days of alcohol use from baseline to follow-up, compared to people who remained incapable. In multivariate analyses, incapability at follow-up was predicted by having been rated incapable at baseline, drug use at baseline, and having a psychotic disorder. The high baseline rate of incapability determinations suggests that admission into intensive psychiatric programs may be a good time to assess an individual's financial capability. However, these findings also suggest the importance of periodically reassessing beneficiaries' capability because high proportions rated incapable were rated to be capable twenty-four weeks later.","PeriodicalId":72174,"journal":{"name":"American journal of psychiatric rehabilitation","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2018-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7953567/pdf/nihms-1502764.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25476083","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

"How do we force six visits on a consumer?": Street-level dilemmas and strategies for person-centered care under Medicaid fee-for-service. "我们如何强迫消费者接受六次就诊？在医疗补助收费服务下，以人为本的护理所面临的窘境和策略。

American journal of psychiatric rehabilitation Pub Date : 2018-02-01 DOI: 10.7282/t3-abqz-4q92

Emmy Tiderington, Victoria Stanhope, Deborah Padgett

{"title":"\"How do we force six visits on a consumer?\": Street-level dilemmas and strategies for person-centered care under Medicaid fee-for-service.","authors":"Emmy Tiderington, Victoria Stanhope, Deborah Padgett","doi":"10.7282/t3-abqz-4q92","DOIUrl":"10.7282/t3-abqz-4q92","url":null,"abstract":"This qualitative study examines the delivery of person-centered care in Medicaid-funded supportive housing for adults with serious mental illness. While much work has been done to promote the uptake of a person-centered approach in healthcare, less is known about how this approach functions in homeless services and supportive housing where many individuals with mental health issues receive rehabilitative services. A total of 84 semi-structured interviews were collected from a purposeful sample of 35 frontline providers. Transcripts were analyzed inductively using Boytazis' thematic analysis. Three principle themes characterize the dilemmas experienced by street-level workers in these programs: (1) Putting the \"consumer first\" vs. achieving maximum billing; (2) Doing the \"real work\" vs. paperwork; and (3) Juggling clinical supervision vs. administrative oversight. In order to meet the demands of Medicaid, as well as the expectation for person-centered care delivery, providers enacted several discretionary strategies at the street-level: (1) Staying late and taking work home; (2) Padding the numbers; (3) Offering service recipients small choices; (4) Redirecting small talk to get to billable goal talk; and (5) Keeping consumers home. Findings highlight tensions between the accountability-focused fee-for-service model and the prioritization of consumer choice and individualization of services in person-centered care delivery.","PeriodicalId":72174,"journal":{"name":"American journal of psychiatric rehabilitation","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2018-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6812544/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81889016","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}

引用次数: 0

Editorial Board EOV 编辑委员会EOV

American journal of psychiatric rehabilitation Pub Date : 2017-10-02 DOI: 10.1080/15487768.2017.1445339

引用次数: 0

Selby C. Jacobs and Jeanne L. Steiner, Eds. Yale Textbook of Public Psychiatry Selby C. Jacobs和Jeanne L. Steiner，编辑。耶鲁公共精神病学教科书

American journal of psychiatric rehabilitation Pub Date : 2017-10-02 DOI: 10.1080/15487768.2017.1375071

T. Skalko

引用次数: 0

A recovery-oriented peer provider (ROPP) work-role model and prototype measure 面向恢复的同行提供者(ROPP)工作角色模型和原型测量

American journal of psychiatric rehabilitation Pub Date : 2017-10-02 DOI: 10.1080/15487768.2017.1374895

G. Moran

{"title":"A recovery-oriented peer provider (ROPP) work-role model and prototype measure","authors":"G. Moran","doi":"10.1080/15487768.2017.1374895","DOIUrl":"https://doi.org/10.1080/15487768.2017.1374895","url":null,"abstract":"ABSTRACT Peer providers (PPs) are essential in recovery-oriented mental health (MH) services but are often disempowered and their role is misunderstood. The author aimed to enhance the PP work role by (1) conceptualizing PPs’ optimal views and experiences of their work role and (2) presenting a prototype self-report measure to assess PP optimal expression in MH services. The author analyzed optimal work-role experiences described by 25 PPs working in diverse MH settings using a grounded theory approach. To develop the measure the author employed the Delphi method with another group of eight experienced PPs. The author defines a recovery-oriented peer provider (ROPP) work-role model involving three domains: basic skills, peer-oriented relationships, and role motivations. Based on the ROPP model, the author developed a prototype 38-item self-report scale. The scale gauges multilevel PP processes: providing support via lived experience; communicating the consumer-voice/lived-experience to MH staff; identifying with and being motivated by the PP role. ROPP characterizes PPs’ use of lived experience within eye-level relationships in traditional MH services. ROPP is relevant to diverse MH services interested in developing a recovery orientation. The ROPP scale, once psychometrically validated, can assess PPs optimal expression in MH services, and can already be used for self- assessment and organizational consultation.","PeriodicalId":72174,"journal":{"name":"American journal of psychiatric rehabilitation","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2017-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83465254","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 10

A qualitative description of community service, business, and organization perspectives on mental illness and inclusion 社区服务、商业和组织对精神疾病和包容的定性描述

American journal of psychiatric rehabilitation Pub Date : 2017-10-02 DOI: 10.1080/15487768.2017.1374219

S. Kidd, Tyler Frederick, L. Tarasoff, Gursharan Virdee, Steve Lurie, L. Davidson, D. Morris, K. McKenzie

{"title":"A qualitative description of community service, business, and organization perspectives on mental illness and inclusion","authors":"S. Kidd, Tyler Frederick, L. Tarasoff, Gursharan Virdee, Steve Lurie, L. Davidson, D. Morris, K. McKenzie","doi":"10.1080/15487768.2017.1374219","DOIUrl":"https://doi.org/10.1080/15487768.2017.1374219","url":null,"abstract":"ABSTRACT Although stigma associated with mental illness is pervasive, less is known about community stakeholder perspectives on inclusion and exclusion. This study provides a qualitative analysis of the mental illness–related experiences and perspectives of individuals who form much of the fabric of “community” for individuals with severe mental illness. In-depth interviews were conducted with a diverse group of 94 key community stakeholders in five neighborhoods in a large Canadian urban center. Qualitative analysis revealed a range of strategies that were used to foster inclusive spaces, the dilemmas that attended more severe forms of mental illness, and the importance of the meanings ascribed to mental illness in determining responses. Differences in response as a function of stakeholder group were also explored. There exist very promising resources and diverse perspectives on inclusion in urban communities that warrant further investigation given the intensive emphasis upon ‘community’ in policy and practice dialogues.","PeriodicalId":72174,"journal":{"name":"American journal of psychiatric rehabilitation","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2017-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84757871","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 3

Screening homeless Veterans for a voluntary money management skills training program 筛选无家可归的退伍军人参加自愿资金管理技能培训项目

American journal of psychiatric rehabilitation Pub Date : 2017-10-02 DOI: 10.1080/15487768.2017.1408504

T. Iheanacho, Karen Ablondi, E. Stefanovics, M. Rosen, R. Rosenheck

{"title":"Screening homeless Veterans for a voluntary money management skills training program","authors":"T. Iheanacho, Karen Ablondi, E. Stefanovics, M. Rosen, R. Rosenheck","doi":"10.1080/15487768.2017.1408504","DOIUrl":"https://doi.org/10.1080/15487768.2017.1408504","url":null,"abstract":"ABSTRACT This study seeks to examine need, interest, and participation in recovery-oriented, voluntary money-management training groups among homeless Veterans. Veterans experiencing homelessness (N = 213) completed a 10-item questionnaire (Ask for Training in Money Management [ATMM]) concerning their experience of their financial status, problems with money management, and interest in a voluntary money-management program. Exploratory factor analysis (EFA) identified the structure of the survey responses. Pearson correlation coefficients were used to examine the association of sociodemographic and diagnostic data with the identified money-management need factors, interest in, and subsequent attendance at recovery-oriented money management (ROMM) training groups. EFA yielded a two-factor solution. Factor 1 represented “satisfaction with the amount of funds” respondents had. Factor 2 represented “problems with money management.” Interest in ROMM was most strongly associated with experience of difficulty managing funds. Altogether 49 (23%) subsequently participated in the ROMM groups. Participation was associated with expressed interest in ROMM, feeling dissatisfied with available funds, and, less strongly, with difficulty managing funds. ATMM successfully elicited subjective feelings about financial status and money management. It identified interest in seeking help and predicted, and apparently promoted, engagement and participation in voluntary money-management groups with emphasis on personal choice and autonomy.","PeriodicalId":72174,"journal":{"name":"American journal of psychiatric rehabilitation","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2017-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79989370","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Empowerment and recovery in the mental health field in Brazil: Socio-historical context, cross-national aspects, and critical considerations 巴西心理健康领域的赋权和康复:社会历史背景、跨国方面和关键考虑因素

American journal of psychiatric rehabilitation Pub Date : 2017-07-03 DOI: 10.1080/15487768.2017.1338068

E. Vasconcelos, M. Desviat

引用次数: 1

Finding citizenship: What works? 寻找公民身份:什么有效?

American journal of psychiatric rehabilitation Pub Date : 2017-07-03 DOI: 10.1080/15487768.2017.1338036

Annie Harper, Liat S. Kriegel, Christina Morris, Helen Hamer, M. Gambino

{"title":"Finding citizenship: What works?","authors":"Annie Harper, Liat S. Kriegel, Christina Morris, Helen Hamer, M. Gambino","doi":"10.1080/15487768.2017.1338036","DOIUrl":"https://doi.org/10.1080/15487768.2017.1338036","url":null,"abstract":"ABSTRACT Citizenship is a foundation for mental health recovery and community integration. Achievement of full citizenship in the community is curated by a person’s social environment, including social connections and the support and capital offered by those connections. This article presents qualitative findings of community integration experiences of individuals with serious mental illness (SMI) and details social environment elements they identified as critical to integration. Three primary themes were identified as contributing to achievement of citizenship among participants: (1) macrosocial interactions, described by a civic consciousness and receipt of positive social recognition; (2) microsocial interactions, including intimate relationships with family and friends; and (3) interactions at an intermediate level, fleeting relationships with passersby in public spaces. All three were underlain by the importance of social recognition of acts of giving. Individuals with SMI who were identified as successful in their path to citizenship indicated that their social environment played a major contributing factor in their success. The findings of this study suggest community-based interventions with this population should consider (1) supporting engagement at a macrolevel, including advocacy on nonmental health issues; (2) supporting the support and capital provided by families, friends, and providers and the ability of a person with SMI to support others; and (3) valuing and protecting shared public spaces and promoting small acts of civility as valuable counters to stigma-related microaggressions.","PeriodicalId":72174,"journal":{"name":"American journal of psychiatric rehabilitation","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2017-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88062289","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 26