American journal of psychiatric rehabilitation最新文献_第3页

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":"33 1","pages":"143 - 155"},"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":"180 1","pages":"16 - 33"},"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

Consumers, clergy, and clinicians in collaboration: Ongoing implementation and evaluation of a mental wellness program 消费者、神职人员和临床医生的合作:心理健康项目的持续实施和评估

American journal of psychiatric rehabilitation Pub Date : 2017-01-02 DOI: 10.1080/15487768.2016.1267052

G. Milstein, D. Middel, Adriana Espinosa

{"title":"Consumers, clergy, and clinicians in collaboration: Ongoing implementation and evaluation of a mental wellness program","authors":"G. Milstein, D. Middel, Adriana Espinosa","doi":"10.1080/15487768.2016.1267052","DOIUrl":"https://doi.org/10.1080/15487768.2016.1267052","url":null,"abstract":"ABSTRACT As a foundation of most cultures, with roots in persons’ early development, religion can be a source of hope as well as denigration. Some religious institutions have made attempts to help persons with mental health problems, and some mental health professionals have sought to engage religion resources. These programs have rarely been sustained. In 2008, the Mental Health Center of Denver (MHCD) developed a program to assess the utility of religion resources within mental health care. In response to positive feedback, MHCD appointed a director of Faith and Spiritual Wellness who facilitates community outreach to faith communities and spiritual integration training to MHCD staff. This director initiated a Clergy Outreach & Professional Engagement (COPE) conference for consumers, clergy, and clinicians. The goal was to acknowledge borders between parts of persons’ lives, and to build bridges of collaboration to facilitate care. Participants described lived examples of collaboration to improve mental wellness, including the need for a “solid welcome” from congregations. Subsequent, online surveys generated quantitative data on the usefulness of the conference to encourage and to generate ideas for interaction. Each group affirmed the utility of the conference; consumers and clinicians found the conference more useful than clergy. Qualitative assessment confirmed that across culture differences, participants found common language to demonstrate that persons of different traditions can provide care inclusive of religious resources. This assessment concludes with recommendations for future collaboration, led by consumer input, to expand recovery networks.","PeriodicalId":72174,"journal":{"name":"American journal of psychiatric rehabilitation","volume":"5 1","pages":"34 - 61"},"PeriodicalIF":0.0,"publicationDate":"2017-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78715332","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: 15

Recovery and self-efficacy of a newly trained certified peer specialist following supplemental weekly group supervision: A case-based time-series analysis 新培训的认证同伴专家在补充每周小组监督后的康复和自我效能:基于案例的时间序列分析

American journal of psychiatric rehabilitation Pub Date : 2017-01-02 DOI: 10.1080/15487768.2016.1267051

Kim Weikel, A. Tomer, Lynn Davis, R. Sieke

{"title":"Recovery and self-efficacy of a newly trained certified peer specialist following supplemental weekly group supervision: A case-based time-series analysis","authors":"Kim Weikel, A. Tomer, Lynn Davis, R. Sieke","doi":"10.1080/15487768.2016.1267051","DOIUrl":"https://doi.org/10.1080/15487768.2016.1267051","url":null,"abstract":"ABSTRACT This single-case time-series study explored the benefits of adding a supervision/support group for peer specialists. Six certified peer specialists, employed by a small community-based peer support program, provided weekly recordings of mental health recovery (as measured by the Recovery Assessment Scale) and peer specialist self-efficacy (measured with an inventory developed by the authors) during an 8-week baseline phase and a 28-week intervention (weekly supervision group) phase. Data from the peer specialist with the most consistent supervision group attendance and greatest number of weekly recordings were chosen for intensive analysis using Simulation Modeling Analysis for Brief Time-Series Data Streams. Results indicated that the peer specialist experienced significant increases in recovery and work-related self-efficacy during the group supervision phase. There was also a statistically significant association between her improvements in mental health recovery and her increases in peer specialist self-efficacy. In addition, her improvement in recovery seemed to occur with or to precede changes in self-efficacy, a finding that, though opposite the hypothesized direction, is consistent with the importance of a peer specialist’s own recovery to his or her peer support work. The authors recommend viewing peer support programming as a two-tiered service, with mental health program administrators considering not only the support offered to consumers but also the support that can be offered to the peer specialists they employ.","PeriodicalId":72174,"journal":{"name":"American journal of psychiatric rehabilitation","volume":"9 1","pages":"1 - 15"},"PeriodicalIF":0.0,"publicationDate":"2017-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89903464","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

Professionals’ opinions on support for people with chronic illness in their roles as parents in mental or in general health care 专业人员在心理或一般卫生保健中作为父母对慢性病患者的支持的意见

American journal of psychiatric rehabilitation Pub Date : 2017-01-02 DOI: 10.1080/15487768.2016.1267048

P. C. van der Ende, L. Korevaar, J. V. van Busschbach, J. van Weeghel

{"title":"Professionals’ opinions on support for people with chronic illness in their roles as parents in mental or in general health care","authors":"P. C. van der Ende, L. Korevaar, J. V. van Busschbach, J. van Weeghel","doi":"10.1080/15487768.2016.1267048","DOIUrl":"https://doi.org/10.1080/15487768.2016.1267048","url":null,"abstract":"ABSTRACT Chronic illness affects a person’s wellbeing and affects the ability to perform the social roles of spouse or parent. When working with people with long-lasting mental or somatic illnesses, social workers and nurses are confronted with needs for support, especially for parents. Although programs are in place for the children of parents with chronic illnesses, specific services for the parents themselves are scarce, as are parenting support courses for professionals. In an explorative study we investigated the similarities and differences between mental health organizations and general hospitals in providing support to parents. Using a cross-sectional design, information on supported parenting was collected through an internet questionnaire. Twice as many professionals in general hospitals can provide support to parents than did those in mental health organizations that were not trained in supported parenting. Professionals in mental health institutions generally reported that the attention paid to the parental role is insufficient. However, professionals in mental health organizations who were trained in supported parenting considered paying attention to the parental role more as a part of their job than the participants from organizations without such training. Further research should expand this first pilot study on the attitude of professionals towards supported parenting.","PeriodicalId":72174,"journal":{"name":"American journal of psychiatric rehabilitation","volume":"55 1","pages":"74 - 86"},"PeriodicalIF":0.0,"publicationDate":"2017-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86399317","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

Receptivity to a peer counselling program and recovery atmosphere as perceived by Veterans Health Administration peer support specialists and supervisors 接受退伍军人健康管理局同伴支持专家和主管认为的同伴咨询计划和康复氛围

American journal of psychiatric rehabilitation Pub Date : 2017-01-02 DOI: 10.1080/15487768.2016.1267050

E. Stefanovics, C. Drebing, Patricia Sweeney, M. Sofuoglu, R. Rosenheck

{"title":"Receptivity to a peer counselling program and recovery atmosphere as perceived by Veterans Health Administration peer support specialists and supervisors","authors":"E. Stefanovics, C. Drebing, Patricia Sweeney, M. Sofuoglu, R. Rosenheck","doi":"10.1080/15487768.2016.1267050","DOIUrl":"https://doi.org/10.1080/15487768.2016.1267050","url":null,"abstract":"ABSTRACT Peer support is an important component in the promotion of recovery for people with serious mental illness. The Veterans Health Administration (VHA) has implemented peer support services nationally. This study used a series of questions about the perceived acceptance of peer services at VA facilities and the Recovery Self-Assessment (RSA), a standard measure of recovery attitudes, to evaluate and compare responses of a convenience sample of peer support specialists (PSS) and local peer supervisors (LPS). The authors hypothesized that level of receptivity of program among PSS and LPS will be high and that the scores on the five RSA domains will be comparable. The level of perceived receptivity was quite high for PSS and LPS and it was strongly correlated with recovery attitudes. Moreover, PSS scored significantly higher than LPS, on the Receptivity measure and on several domains of the RSA. RSA scores in this study were slightly higher than, or similar to, those observed in other VHA and non-VHA samples. PSS rated their programs as more receptive to peer services and more recovery oriented than their supervisors. The results of this study provide evidence of the successful implementation of this program in VHA and demonstrates an efficient approach and a first step in the evaluation of peer support services.","PeriodicalId":72174,"journal":{"name":"American journal of psychiatric rehabilitation","volume":"7 1","pages":"62 - 73"},"PeriodicalIF":0.0,"publicationDate":"2017-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90083665","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: 1

Veteran identity as a protective factor: A grounded theory comparison of perceptions of self, illness, and treatment among veterans and non-veterans with schizophrenia 退伍军人身份作为保护因素:退伍军人和非退伍军人精神分裂症患者自我、疾病和治疗感知的基础理论比较

American journal of psychiatric rehabilitation Pub Date : 2016-10-01 DOI: 10.1080/15487768.2016.1231642

R. Firmin, L. Luther, P. Lysaker, M. Salyers

引用次数: 10

Weight management interventions in adults with a serious mental illness: A meta-analytic review 患有严重精神疾病的成人体重管理干预:荟萃分析综述

American journal of psychiatric rehabilitation Pub Date : 2016-10-01 DOI: 10.1080/15487768.2016.1231643

Stephen J. Olker, J. Parrott, M. Swarbrick, Amy B. Spagnolo

{"title":"Weight management interventions in adults with a serious mental illness: A meta-analytic review","authors":"Stephen J. Olker, J. Parrott, M. Swarbrick, Amy B. Spagnolo","doi":"10.1080/15487768.2016.1231643","DOIUrl":"https://doi.org/10.1080/15487768.2016.1231643","url":null,"abstract":"ABSTRACT Persons with a serious mental illness have more physical health problems and shorter life expectancy compared to the general population, in part due to modifiable at-risk health behaviors like obesity. This study provides a systematic review and meta-analysis of the available evidence on the efficacy of weight management interventions when compared to treatment as usual. Fourteen studies were included in the meta-analysis, analyzing data from a total of 1779 participants. Across all studies, an effect in favor of the intervention groups, with a reduction in mean absolute weight of −2.01 kg, compared to control groups (95% CI: −2.93 kg to −1.10 kg, p< 0.001) over a period ranging from 3 months to 12 months. Subgroup meta-analyses indicate programs that incorporate individual sessions and are implemented at the onset of illness may have the greatest impact on weight management for this population. Despite the statistically significant findings of mean weight change in the intervention groups compared to controls, the reported weight loss only equates to a 2% change from the initial body weight. This falls short of the clinically significant target of 5% weight loss in order to reduce related health complications. The current research was not consistent in capturing data on other metrics that could supplement mean weight loss in assessing positive health outcomes. Due the current health epidemic faced by this population, it is imperative for future research to include adequate follow-up periods, provide protocols, and employ better control methods.","PeriodicalId":72174,"journal":{"name":"American journal of psychiatric rehabilitation","volume":"46 6","pages":"370 - 393"},"PeriodicalIF":0.0,"publicationDate":"2016-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/15487768.2016.1231643","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72406706","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: 11

Shifting an agency’s paradigm: Creating the capacity to intervene with parents with mental illness 改变机构的模式:创造干预有精神疾病的父母的能力

American journal of psychiatric rehabilitation Pub Date : 2016-10-01 DOI: 10.1080/15487768.2016.1231641

Kathleen Biebel, J. Nicholson, Katherine Woolsey, Toni Wolf

{"title":"Shifting an agency’s paradigm: Creating the capacity to intervene with parents with mental illness","authors":"Kathleen Biebel, J. Nicholson, Katherine Woolsey, Toni Wolf","doi":"10.1080/15487768.2016.1231641","DOIUrl":"https://doi.org/10.1080/15487768.2016.1231641","url":null,"abstract":"ABSTRACT Parenting is a key life role for many adults living with serious mental illness who are, most likely, supported best in their treatment and recovery efforts when their family context is taken into consideration. However, providers and agencies traditionally serving individual adults may be challenged in working with adults who are parents as they begin taking family roles and members into account. In this article, the implementation of the Family Options intervention for families living with parental mental illness is described, along with critical domains of challenge that emerged while shifting the host agency’s paradigm from focusing on individuals to focusing on families. Ethnographic interview data regarding implementation were obtained from multiple perspectives at multiple points in time over 2 years (n = 100), in the context of a larger developmental hybrid design (implementation and outcomes) study. Results from rigorous thematic analysis suggest the importance of attending to workforce, organizational, and community capacities in shifting an agency’s paradigm to adopt a family-focused intervention; in implementing the intervention with fidelity to the model; and in anticipating replication of the intervention to build the evidence base.","PeriodicalId":72174,"journal":{"name":"American journal of psychiatric rehabilitation","volume":"1 1","pages":"315 - 338"},"PeriodicalIF":0.0,"publicationDate":"2016-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76707629","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: 6