American journal of psychiatric rehabilitation最新文献_第2页

Recovery, citizenship, and psychosocial rehabilitation: A dialog between Brazilian and American mental health care approaches 康复、公民身份和社会心理康复:巴西和美国精神卫生保健方法之间的对话

American journal of psychiatric rehabilitation Pub Date : 2017-07-03 DOI: 10.1080/15487768.2017.1338071

R. T. Onocko Campos, M. Costa, M. Pereira, É. Ricci, Giselli da Silva Tavares Enes, Leidy Janeth, Erazo Chávez, Graziela Reis, L. Davidson

{"title":"Recovery, citizenship, and psychosocial rehabilitation: A dialog between Brazilian and American mental health care approaches","authors":"R. T. Onocko Campos, M. Costa, M. Pereira, É. Ricci, Giselli da Silva Tavares Enes, Leidy Janeth, Erazo Chávez, Graziela Reis, L. Davidson","doi":"10.1080/15487768.2017.1338071","DOIUrl":"https://doi.org/10.1080/15487768.2017.1338071","url":null,"abstract":"ABSTRACT Over the past 30 years, the Brazilian psychiatric reform, based on the anti-asylum social movement and the psychosocial rehabilitation model of care, transformed radically the country’s system of mental health care. Even though tremendous gains were made, people with serious mental illness continue to have limited access to citizenship. In the United States the recovery movement has enhanced the central role of people with serious mental illness as an active and responsible agent in their recovery process, encouraging a more collaborative role for service users, but, still, there are challenges to citizenship. This article first identifies commonalities between these two movements, central to mental health advances in the two distinct cultures of Brazil and the United States. Then, though celebrating the cultural differences between the two societies, the authors consider the possibility of cross-fertilization and propose a set of suggestions that could help both countries to overcome the remaining barriers to social justice for those living with mental health issues. From the American recovery movement, the authors learn that society can and must make adaptations to allow people with mental health disorders to live as citizens regardless of the symptoms they might manifest. From Brazil, mental health workers can use solidarity as a tool to create inventive solutions for those with a mental health disorder to live as citizens, regardless of the symptoms they might manifest.","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":"90268592","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: 13

Constructing community to achieve citizenship using recognition theory, recovery, and citizenship as a reflective lens: Experiences from the United States and Scotland 以认同理论、恢复理论和公民权为反思视角构建社区实现公民权:来自美国和苏格兰的经验

American journal of psychiatric rehabilitation Pub Date : 2017-07-03 DOI: 10.1080/15487768.2017.1338040

Ailsa E. Stewart, K. Black, P. Benedict, Victoria Benson

{"title":"Constructing community to achieve citizenship using recognition theory, recovery, and citizenship as a reflective lens: Experiences from the United States and Scotland","authors":"Ailsa E. Stewart, K. Black, P. Benedict, Victoria Benson","doi":"10.1080/15487768.2017.1338040","DOIUrl":"https://doi.org/10.1080/15487768.2017.1338040","url":null,"abstract":"ABSTRACT This article explores the usefulness of recognition theory, recovery, and citizenship in explaining constructions of community by adults who have experienced life disruptions participating in similar citizenship programs in the United States and Scotland. A content analysis of secondary data was undertaken and focus groups held with recent graduates of both programs. The findings indicate that constructions of community aligned significantly with aspects of identity and common experience rather than location. Moving toward an identity framed by assets rather than deficits was further identified, which reflects the need for recognition to be extended by communities that are well informed and nondiscriminatory in their attitudes toward those with life disruptions to promote inclusion and connectedness. Interventions at the level of community development and engagement are therefore crucial in promoting inclusion and increasing citizenship for marginalized groups alongside the role of social movements and public policy in tackling stigma and discriminatory attitudes. Uniquely, within this project, a theoretical framework that combined elements of recognition theory, recovery, and citizenship emerged that best explained the experience of those with life disruptions and provided direction for a future focus on community development as well as recovery and citizenship-oriented practice.","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":"87576561","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: 8

Project Connect: A community intervention for individuals with mental illness 项目连接:对精神疾病患者的社区干预

American journal of psychiatric rehabilitation Pub Date : 2017-07-03 DOI: 10.1080/15487768.2017.1338038

Billy Bromage, Liat S. Kriegel, Bridgett Williamson, Kirsten Maclean, M. Rowe

引用次数: 16

Development of the citizens measure into a tool to guide clinical practice and its utility for case managers 公民测量的发展成为一种工具，以指导临床实践和它的效用为案例管理者

American journal of psychiatric rehabilitation Pub Date : 2017-07-03 DOI: 10.1080/15487768.2017.1338064

Chyrell D Bellamy, Liat S. Kriegel, Stacey L. Barrenger, M. Klimczak, J. Rakfeldt, Victoria Benson, Michaella Baker, P. Benedict, Bridgett Williamson, Gillian MacIntyre

引用次数: 10

The applicability of supported employment to adults with participation obligations as a condition for receiving welfare benefits 支持就业适用于有参与义务的成年人，作为获得福利的条件

American journal of psychiatric rehabilitation Pub Date : 2017-04-03 DOI: 10.1080/15487768.2017.1302371

Vanessa A. Parletta, G. Waghorn, S. Dias

{"title":"The applicability of supported employment to adults with participation obligations as a condition for receiving welfare benefits","authors":"Vanessa A. Parletta, G. Waghorn, S. Dias","doi":"10.1080/15487768.2017.1302371","DOIUrl":"https://doi.org/10.1080/15487768.2017.1302371","url":null,"abstract":"ABSTRACT Individual Placement and Support (IPS) is an evidence-based approach to supported employment designed specifically for people with severe mental illness or psychiatric disabilities. It is unclear whether this approach generalizes to adults with less severe mental illnesses. In addition, because IPS is intended for motivated volunteers, it remains unclear whether it is also applicable to individuals with mental illness who have government-imposed obligations to participate in supported employment programs. This study evaluated an IPS enhancement intervention on the Central Coast of New South Wales, Australia, involving 68 adults with a range of different mental illnesses. Thirty-seven of 68 participants had participation obligations as a condition of receiving welfare benefits, and 31 of 68 participants had no such obligations. All participants were tracked for 18 months following program commencement to assess job commencements and 13- and 26-week employment milestones. Usual services enhanced by IPS achieved significantly more job commencements than pre-IPS services. However, those with participation obligations were not less motivated and benefitted as much from the program as those with no participation obligations. The results support the application of evidence-based practices in supported employment to job seekers with more diverse forms of mental illness than the severe mental illnesses. These preliminary results support the generalization of evidence-based practices to policy settings where participation in supported employment is conditional on receiving welfare benefit payments.","PeriodicalId":72174,"journal":{"name":"American journal of psychiatric rehabilitation","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2017-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85298060","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: 2

“At the extremities of life” – Service user experiences of helpful help in mental health crises "在生命的尽头" -在心理健康危机中获得有益帮助的服务用户体验

American journal of psychiatric rehabilitation Pub Date : 2017-04-03 DOI: 10.1080/15487768.2017.1302370

T. Klevan, B. Karlsson, T. Ruud

{"title":"“At the extremities of life” – Service user experiences of helpful help in mental health crises","authors":"T. Klevan, B. Karlsson, T. Ruud","doi":"10.1080/15487768.2017.1302370","DOIUrl":"https://doi.org/10.1080/15487768.2017.1302370","url":null,"abstract":"ABSTRACT Mental health services have recently undergone a transition from institution- to community-based care, and crisis resolution teams (CRTs) represent a community-based service that targets users experiencing an acute mental health crisis. The current study was undertaken to explore the service user experiences of helpful help provided by CRTs in a mental health crisis context. Semistructured in-depth interviews were conducted with 14 service users to elucidate how mental health crises are experienced as devastating and multilayered events. Suicidal thoughts and/or intentions were commonly reported, seemingly regardless of whether the crisis was related to a serious mental illness. The important issues relating to help that were emphasized by the participants in this study were practical support and help with daily structure, establishing a foundation of safety, and strengthening the sense of self. The authors elaborate in the discussion on how these different issues of help are connected, showing that practical help plays an important role in supporting self-worth and the sense of safety, but that practical and structural issues have been rarely addressed by CRTs, at least in the context of this study. Thus, a broadened and social contextual-oriented perspective on mental health crises is important in developing helping practices that are perceived as more recovery oriented and helpful.","PeriodicalId":72174,"journal":{"name":"American journal of psychiatric rehabilitation","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2017-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72993889","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: 16

“Sorting things out together”: Young adults’ experiences of collaborative practices in mental health and substance use care “一起解决问题”:年轻人在精神健康和物质使用护理方面的合作实践经验

American journal of psychiatric rehabilitation Pub Date : 2017-04-03 DOI: 10.1080/15487768.2017.1302369

O. Ness, Ø. Kvello, M. Borg, Randi Semb, L. Davidson

{"title":"“Sorting things out together”: Young adults’ experiences of collaborative practices in mental health and substance use care","authors":"O. Ness, Ø. Kvello, M. Borg, Randi Semb, L. Davidson","doi":"10.1080/15487768.2017.1302369","DOIUrl":"https://doi.org/10.1080/15487768.2017.1302369","url":null,"abstract":"ABSTRACT Many countries have sought reforms aimed at maximizing the potential of service users to regain as much control as possible over care decisions and through the trajectory of care. There is a robust research literature suggesting that at the core of these services are collaborative relationships in which providers respect the perspectives of the persons being served and the partnerships in which they are involved. Although the significance of collaboration is established in the mental health field in this way, what it actually means to collaborate in practice, to be partners or to be mutually involved in a partnership with young adult service users, has been given less attention. In this article, the authors explore and describe the experiences of a cohort of these young adults, paying particular attention to their perspectives on collaborative practices with practitioners. Qualitative interviews were conducted with seven young adult service users age 20 to 30. Using thematic analysis, the authors identified four overarching themes that characterized their experiences of collaborating with practitioners in mental health and addiction care: (1) don’t fix me or judge me, (2) someone to sort issues out with, (3) not giving up, and (4) practical help. These findings inform the development and delivery of services to maximize positive outcomes for young adult service users with cooccurring mental health and substance use problems.","PeriodicalId":72174,"journal":{"name":"American journal of psychiatric rehabilitation","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2017-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81710142","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 29

A community of practice for peer mental workers: Lessons learned 同侪心理工作者的实践社群:经验教训

American journal of psychiatric rehabilitation Pub Date : 2017-04-03 DOI: 10.1080/15487768.2017.1304294

J. Mandiberg, Lauren B. Gates

引用次数: 3

A tablet-based intervention to manipulate social cognitive bias in schizophrenia 控制精神分裂症患者社会认知偏差的片剂干预

American journal of psychiatric rehabilitation Pub Date : 2017-04-03 DOI: 10.1080/15487768.2017.1302897

David L. Roberts, P. Y. Liu, Heather Busanet, N. Maples, D. Velligan

{"title":"A tablet-based intervention to manipulate social cognitive bias in schizophrenia","authors":"David L. Roberts, P. Y. Liu, Heather Busanet, N. Maples, D. Velligan","doi":"10.1080/15487768.2017.1302897","DOIUrl":"https://doi.org/10.1080/15487768.2017.1302897","url":null,"abstract":"ABSTRACT Interventions to decrease cognitive bias in schizophrenia have yielded limited benefit. One reason may be that people receive insufficient rehearsal applying debiasing skills while biases are actively affecting their thinking. The authors designed Mary/Eddie/Bill-internet (MEBi) to (1) teach debiasing skills to people with schizophrenia, (2) activate biases during training sessions, and (3) provide daily in-home rehearsal of debiasing skills using tablet computer interface. In this proof-of-concept trial, 28 adults with schizophrenia used the MEBi tablet “app” for one month. Fourteen completed a version of MEBi including only the debiasing skills, and 10 completed a version including a bias activation component. Participants completed pretest and posttest measures of social cognition and social functioning. Results showed that participants in both groups adhered to the intervention and learned the debiasing skills. Participants who were only taught the debiasing skills showed significant improvements in social cognitive bias, accuracy, and self-reported social functioning relative to participants who also received the bias-activation manipulation—who showed worsening social cognitive bias. Results suggest that it is feasible to affect social cognition in schizophrenia through in-home tablet-based training. However, more metacognitive training is needed to help people apply debiasing techniques when bias is activated.","PeriodicalId":72174,"journal":{"name":"American journal of psychiatric rehabilitation","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2017-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76204116","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 3

Reasons for job loss among homeless veterans in supported employment 支持就业的无家可归退伍军人失业的原因

American journal of psychiatric rehabilitation Pub Date : 2017-01-02 DOI: 10.1080/15487768.2016.1267049

Meaghan A Stacy, E. Stefanovics, R. Rosenheck

{"title":"Reasons for job loss among homeless veterans in supported employment","authors":"Meaghan A Stacy, E. Stefanovics, R. Rosenheck","doi":"10.1080/15487768.2016.1267049","DOIUrl":"https://doi.org/10.1080/15487768.2016.1267049","url":null,"abstract":"ABSTRACT Individual Placement and Support (IPS) improves competitive employment rates for those with serious mental illness (SMI) and is available through the Veterans Healthcare Administration (VHA). IPS clients often have difficulty maintaining jobs, and various reasons for job loss have been identified for those with SMI. No study has yet investigated IPS job loss in a homeless and largely substance-using population. An analysis of data from a quasi-experimental demonstration examined the association of various reasons for job loss with the duration of the first IPS job and with veteran characteristics. This study also examined the relationship of job duration and reasons for job loss with subsequent employment. Veterans’ most commonly identified reason for termination was drug/alcohol use; mental and/or physical health problems were uncommonly cited as reason for job loss. Those whose jobs ended due to drugs/alcohol were less likely to find subsequent employment. They also had greater scores on alcohol (but not drug) use measures and were more likely to have alcohol (but not drug) use diagnoses, highlighting a potentially unique role of alcohol in job loss in veterans who were homeless. These analyses reveal distinctive work-related challenges among homeless IPS participants. Suggestions to improve vocational services for homeless individuals are provided.","PeriodicalId":72174,"journal":{"name":"American journal of psychiatric rehabilitation","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2017-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74512541","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 4