American journal of psychiatric rehabilitation最新文献_第4页

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":null,"pages":null},"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":null,"pages":null},"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

Crazy: A creative and personal look at mental illness 疯狂:对精神疾病的创造性和个人看法

American journal of psychiatric rehabilitation Pub Date : 2016-10-01 DOI: 10.1080/15487768.2016.1232118

L. Davidson

引用次数: 0

“Everything is so relaxed and personal” – The construction of helpful relationships in individual placement and support “一切都是那么轻松和个性化”-在个人安置和支持中建立有益的关系

American journal of psychiatric rehabilitation Pub Date : 2016-10-01 DOI: 10.1080/15487768.2016.1255276

A. Topor, A. Ljungberg

{"title":"“Everything is so relaxed and personal” – The construction of helpful relationships in individual placement and support","authors":"A. Topor, A. Ljungberg","doi":"10.1080/15487768.2016.1255276","DOIUrl":"https://doi.org/10.1080/15487768.2016.1255276","url":null,"abstract":"ABSTRACT The relationship with professionals is an important factor in relation to the outcome of interventions directed to persons with severe mental problems. However, the current knowledge regarding the development of helpful relationships within Individual Placement and Support (IPS) services is limited. The aim of the study was to investigate how participants in IPS services described their relationship with their IPS coach. The article is based on interviews from a Swedish government evaluation of IPS services, thematically analyzed. The results showed that the relationship with the coach is central for the participants’ success in the service. The main theme, “something different - as a human being” highlighted that the conditions for the relationship are different within IPS as compared to traditional services. The other themes were “here and now action,” “closer to wish-fulfilment – impact on the self,” and “from role to person.” The principles of IPS parallel the results from research about helpful relationships and offers good preconditions for the occurrence of such relationships. This can represent a bridge between evidence based methods and research on helpful relationships, and should be possible to implement in the development of evidence based methods as well as of treatment as usual.","PeriodicalId":72174,"journal":{"name":"American journal of psychiatric rehabilitation","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2016-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79767691","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: 19

Employment specialists’ perspectives on implementing supported employment with young adults 就业专家对青年实施就业支持的看法

American journal of psychiatric rehabilitation Pub Date : 2016-10-01 DOI: 10.1080/15487768.2016.1231640

C. Lidz, Lisa M. Smith

{"title":"Employment specialists’ perspectives on implementing supported employment with young adults","authors":"C. Lidz, Lisa M. Smith","doi":"10.1080/15487768.2016.1231640","DOIUrl":"https://doi.org/10.1080/15487768.2016.1231640","url":null,"abstract":"ABSTRACT Objective: Youth and young adults with serious mental health conditions have particularly poor records of stable employment, but stable employment is a key to recovery. Employment specialists have a key role in supported employment services in assisting them with employment. This article describes the thoughts and concerns of employment specialists about finding and supporting employment for youth and young adults with serious mental health conditions. Method: The authors undertook 12 intensive interviews with supported employment specialists in two states. These interviews were transcribed and coded by the authors. A number of themes were identified and prototypical examples identified and included in the findings. Results: Although the employment specialists varied in their enthusiasm and optimism about the job, they agreed on key problems that they face in supporting employment for young adults that include employer resistance to hiring people with mental illness, increasing use of online applications, larger organizations not making hiring decisions locally and thus the decisions are not responsive to the employment specialist, resistance from family and mental health professionals and the young adults themselves to full-time employment and putting benefits at risk, and resistance from young adults to disclosing their disability to coworkers and thus being unwilling to take supported employment positions. Conclusions and Implications for Practice: These interviews suggest that some of the features of supported employment practice might need to be modified if young adults with serious mental health issues are to gain employment that over time could lead to significant careers and recovery.","PeriodicalId":72174,"journal":{"name":"American journal of psychiatric rehabilitation","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2016-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89172874","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

Editorial Board EOV 编辑委员会EOV

American journal of psychiatric rehabilitation Pub Date : 2016-10-01 DOI: 10.1080/15487768.2016.1243431

引用次数: 0

Developing Family Options: Outcomes for mothers with severe mental illness at twelve months of participation 发展家庭选择:患有严重精神疾病的母亲在参与12个月时的结果

American journal of psychiatric rehabilitation Pub Date : 2016-10-01 DOI: 10.1080/15487768.2016.1231639

J. Nicholson, Karen Albert, Bernice G. Gershenson, Valerie F. Williams, Kathleen Biebel

{"title":"Developing Family Options: Outcomes for mothers with severe mental illness at twelve months of participation","authors":"J. Nicholson, Karen Albert, Bernice G. Gershenson, Valerie F. Williams, Kathleen Biebel","doi":"10.1080/15487768.2016.1231639","DOIUrl":"https://doi.org/10.1080/15487768.2016.1231639","url":null,"abstract":"ABSTRACT Family Options is a psychiatric rehabilitation intervention for parents with severe mental illness and their children who work with family coaches to set and achieve goals. The objective of this study is to compare changes in well-being, functioning, and supports and resources achieved from enrollment to 12 months by mothers participating in Family Options (N = 22) with changes from enrollment to 6 months. Mothers’ scores are compared on standardized measures of psychological distress, trauma symptom severity, mental and physical health status, social support, and the number of services needed but not received from enrollment to 6 months, and from enrollment to 12 months. Data were also obtained about help received and satisfaction with Family Options. Mothers achieved significant improvements in well-being at 12 months, as measured in terms of reductions in psychological distress and symptom severity scores. Significant improvements in social support and services received were reported at 6 months but not at 12 months. Mothers received help obtaining services and benefits for themselves and their children and were satisfied with the intervention. Findings underscore the importance of further refinements to the intervention and larger-scale, rigorous testing of Family Options.","PeriodicalId":72174,"journal":{"name":"American journal of psychiatric rehabilitation","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2016-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81377333","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: 7

Effectiveness of Wellness Recovery Action Planning (WRAP) for Chinese in Hong Kong 香港华人健康康复行动计划(WRAP)的成效

American journal of psychiatric rehabilitation Pub Date : 2016-07-02 DOI: 10.1080/15487768.2016.1197859

W. Mak, R. Chan, Ingrid H. Y. Pang, Nicola Y. L. Chung, S. Yau, J. Tang

{"title":"Effectiveness of Wellness Recovery Action Planning (WRAP) for Chinese in Hong Kong","authors":"W. Mak, R. Chan, Ingrid H. Y. Pang, Nicola Y. L. Chung, S. Yau, J. Tang","doi":"10.1080/15487768.2016.1197859","DOIUrl":"https://doi.org/10.1080/15487768.2016.1197859","url":null,"abstract":"ABSTRACT The present study evaluated the effectiveness of the Wellness Recovery Action Planning (WRAP) in a matched controlled design among individuals in recovery of mental illness in Hong Kong. Feedback from the first batch of WRAP facilitators in Hong Kong was sought for future implementation of WRAP. Participants were recruited from the service units of the largest nongovernmental organization (NGO) serving people in recovery in Hong Kong. Fifty-nine service users were recruited to learn WRAP and 59 service users served as matched controls. The WRAP program consisted of eight weekly sessions delivered by NGO staff who were certified WRAP facilitators. Assessments were completed before, immediately after, and 3 months after the program. Findings based on repeated measures ANOVAs showed that compared with their matched controls, WRAP participants reported significant increase in perceived social support. No significant change was noted in empowerment, hope, self-stigma, social network size, symptom severity, and recovery. Facilitators discussed issues on cultural adaptation and resources needed for future implementation of WRAP for Chinese. Discrepancies between the present findings and those from previous studies were discussed. This is the first quantitative study evaluating the effectiveness of WRAP among Chinese.","PeriodicalId":72174,"journal":{"name":"American journal of psychiatric rehabilitation","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2016-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83144474","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: 19

Attitudes towards mental health problems scale: Confirmatory factor analysis and validation in the Portuguese population 对心理健康问题的态度量表:葡萄牙人口的验证性因素分析和验证

American journal of psychiatric rehabilitation Pub Date : 2016-07-02 DOI: 10.1080/15487768.2016.1197860

Joana Moura Cabral Master, C. Barreto Carvalho, C. Motta, Marina Sousa, P. Gilbert

{"title":"Attitudes towards mental health problems scale: Confirmatory factor analysis and validation in the Portuguese population","authors":"Joana Moura Cabral Master, C. Barreto Carvalho, C. Motta, Marina Sousa, P. Gilbert","doi":"10.1080/15487768.2016.1197860","DOIUrl":"https://doi.org/10.1080/15487768.2016.1197860","url":null,"abstract":"ABSTRACT Several studies about stigmatization and shame toward mental health problems have contributed to minimizing the impact of these negative attitudes on people diagnosed with mental illnesses, on their families and on their communities. The Attitudes Towards Mental Health Problems Scale (ATMHP) is a self-report scale aimed at the assessment of attitudes toward mental health that involve several factors relating to attitudes and shame (internal, external, and reflected shame) when facing mental health problems. The goal of the current study was to translate, and to adapt this scale to the Portuguese population, and to study its psychometric properties in a sample of Azorean adults with and without psychiatric problems. The scale was administered to 411 participants with ages between 19 and 81 years. Confirmatory factor analysis was carried out on the initial model proposed by the authors of the ATMHP, and results showed a poor adjustment. An alternative model comprising an additional factor was tested and presented good model fit indices. Based on the alternative model, further analysis revealed that the scale has good psychometric properties.","PeriodicalId":72174,"journal":{"name":"American journal of psychiatric rehabilitation","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2016-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81615790","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: 7

The malleability of stigmatizing attitudes: Combining imagined social contact with implicit attitude feedback 污名化态度的延展性:结合想像的社会接触与内隐的态度回馈

American journal of psychiatric rehabilitation Pub Date : 2016-07-02 DOI: 10.1080/15487768.2016.1171175

C. Pennington, C. Campbell, R. Monk, D. Heim

{"title":"The malleability of stigmatizing attitudes: Combining imagined social contact with implicit attitude feedback","authors":"C. Pennington, C. Campbell, R. Monk, D. Heim","doi":"10.1080/15487768.2016.1171175","DOIUrl":"https://doi.org/10.1080/15487768.2016.1171175","url":null,"abstract":"ABSTRACT Research is reported that examines whether imagined social contact combined with implicit attitude feedback may be an effective intervention for inducing changes in attitudes toward mental ill health. The Implicit Relational Assessment Procedure (IRAP) captured participants’ implicit attitudes toward individuals with a mental illness and provided a measure of attitude bias. Forty-eight participants (17 male, 95.8% White British) were randomly assigned to one of four experimental conditions: (1) Imagined social contact with implicit attitude feedback, (2) imagined social contact without feedback, (3) control with feedback, and (4) control without feedback. This resulted in a data set detailing 12,288 implicit responses, with each participant completing 256 IRAP trials. Participants then completed an attitude change assessment 24 hours later. Results revealed that imagined social contact was successful in changing implicit attitudes, with the addition of implicit attitude feedback further strengthening participants’ positive attitudes toward mental ill health. Explicit attitudes remained unaffected. These findings are the first to highlight the practical importance of combining imagined social contact with implicit attitude feedback to improve attitudes toward out-groups who are stigmatized.","PeriodicalId":72174,"journal":{"name":"American journal of psychiatric rehabilitation","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2016-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78250935","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: 7