American journal of psychiatric rehabilitation最新文献_第8页

Cognitive Characteristics in “Difficult-to-Discharge” Inpatients with Serious Mental Illness: Attribution Biases are Associated with Suspiciousness Only for Those with Lower Levels of Insight 严重精神疾病“难出院”住院患者的认知特征:归因偏差与怀疑仅在内省水平较低的患者中存在关联

American journal of psychiatric rehabilitation Pub Date : 2015-04-03 DOI: 10.1080/15487768.2014.954157

Hayden C. Bottoms, E. Treichler, C. Davidson, W. Spaulding

{"title":"Cognitive Characteristics in “Difficult-to-Discharge” Inpatients with Serious Mental Illness: Attribution Biases are Associated with Suspiciousness Only for Those with Lower Levels of Insight","authors":"Hayden C. Bottoms, E. Treichler, C. Davidson, W. Spaulding","doi":"10.1080/15487768.2014.954157","DOIUrl":"https://doi.org/10.1080/15487768.2014.954157","url":null,"abstract":"Despite advances in psychiatric rehabilitation (PR), a substantial number of individuals with serious mental illness (SMI) are institutionalized for extended periods. The cognitive characteristics of these individuals play a role in their institutionalized status. Consideration of individual cognitive characteristics, including “attribution biases” and insight into one's illness, has benefited PR in improving case conceptualization and treatment planning. Insight, or understanding one's illness, involves attributions about the causes of one's own behavior and experience, including psychiatric symptoms. Further, attribution biases may have a negative impact on such understanding, and consequently on engagement in rehabilitation. This exploratory study analyzed quantitative individual differences in attribution bias, understanding of illness, and psychiatric symptoms, to determine how these functional domains interact in people with SMI who are “difficult to discharge.” The results reveal an interaction between active positive symptoms, exaggerated externalizing attribution bias (attributing the cause of positive events to others), and understanding of illness. Among individuals with more impaired understanding of illness, attribution biases are associated with high levels of suspiciousness. However, among individuals with better understanding of illness, attribution biases and suspiciousness are not related. The dynamic relationship between attribution bias, positive symptoms, and understanding of illness sheds light on the variable nature of insight in SMI and supports utilizing these cognitive characteristics in case conceptualization, individualized treatment plans, and developing cognitively focused PR treatment modalities.","PeriodicalId":72174,"journal":{"name":"American journal of psychiatric rehabilitation","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2015-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89836402","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

Employment Outcomes for Individuals With HIV/AIDS and Co-Occurring Mental Health Factors 艾滋病毒/艾滋病感染者的就业结果和同时发生的心理健康因素

American journal of psychiatric rehabilitation Pub Date : 2015-01-02 DOI: 10.1080/15487768.2015.1001700

L. Razzano, Marie M. Hamilton, C. Yost, Nicole Pashka, J. K. Perloff

引用次数: 10

Making Integrated Care a Reality: Lessons Learned From Heartland Health Outreach's Integration Implementation 使综合护理成为现实:从心脏地带健康推广的综合实施中学到的教训

American journal of psychiatric rehabilitation Pub Date : 2015-01-02 DOI: 10.1080/15487768.2015.1001698

S. Pickett, S. Luther, Ed Stellon, K. Batia

引用次数: 1

Together4Health: Integrating Care for Vulnerable Populations 共同健康:对弱势群体的综合护理

American journal of psychiatric rehabilitation Pub Date : 2015-01-02 DOI: 10.1080/15487768.2015.1001692

R. Frank, Lauren E. Riedel, Colleen L. Barry

{"title":"Together4Health: Integrating Care for Vulnerable Populations","authors":"R. Frank, Lauren E. Riedel, Colleen L. Barry","doi":"10.1080/15487768.2015.1001692","DOIUrl":"https://doi.org/10.1080/15487768.2015.1001692","url":null,"abstract":"Dramatic changes in the design of payment and delivery arrangements for care of some of the nation's more vulnerable populations are being initiated at federal and state levels. This study analyzes early implementation of Together4Health, an innovative partnership among a diverse array of health and social services organizations in Chicago. The impetus for Together4Health was a deliberate effort by policy makers to shift away from the fee-for-service system that rewards providers for delivering more services in an uncoordinated manner toward a system in which a range of services needed to care for a population is coordinated by organizations that are rewarded for efficiency and quality outcomes. Together4Health aims to deliver a full continuum of health and human services to the region's most costly Medicaid enrollees. Six key ingredients were identified as central to Together4Health's early viability: state-level contracting decisions, start-up fund availability, partner agreement about critical organizational design features, developing an IT infrastructure, establishing viable enrollment targets, and developing a sustainable financial model. Going forward, because the environment is changing and many of the innovations being implemented have a limited evidence base, it will be critical for Together4Health to learn quickly and rapidly adjust operating processes to ensure longer term success.","PeriodicalId":72174,"journal":{"name":"American journal of psychiatric rehabilitation","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2015-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85333749","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

Perceptions of Overall Health and Recency of Screenings 对整体健康的认知及最近的筛检

American journal of psychiatric rehabilitation Pub Date : 2015-01-02 DOI: 10.1080/15487768.2015.1001703

M. Swarbrick, Lois Rockson, C. Pratt, Jay Yudof, Patricia Nemec

引用次数: 2

Serving People With Complex Health Needs: Emerging Models, With a Focus on People Experiencing Homelessness or Living in Permanent Supportive Housing 为有复杂健康需求的人服务:新兴模式，重点关注无家可归者或居住在永久性支持性住房中的人

American journal of psychiatric rehabilitation Pub Date : 2015-01-02 DOI: 10.1080/15487768.2015.1001696

M. Burt

{"title":"Serving People With Complex Health Needs: Emerging Models, With a Focus on People Experiencing Homelessness or Living in Permanent Supportive Housing","authors":"M. Burt","doi":"10.1080/15487768.2015.1001696","DOIUrl":"https://doi.org/10.1080/15487768.2015.1001696","url":null,"abstract":"The Affordable Care Act of 2009 (P.L. 111-148) codified into law a strong emphasis on care coordination as an important strategy for improving the performance of the U.S. health care system. This article examines new structures for coordinating care for people with complex, co-occurring health conditions. Within that large group, the article focuses on people who are now or recently were homeless and the importance of including housing as part of coordinating their care. “Care coordination” is used as shorthand for a continuum of strategies and structures being developed to reach the three goals of better health care experience, better health outcomes, and cost savings. Six models are described, ranging from simple in structure—a partnership of one permanent supportive housing program and one community health center—to complex, including a limited liability, for-profit care coordination entity serving Cook County and two county-run programs (in Hennepin County, Minnesota, and Los Angeles County, California). All are works in progress, but show promise of improving care for difficult-to-serve populations.","PeriodicalId":72174,"journal":{"name":"American journal of psychiatric rehabilitation","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2015-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79314795","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

Connecting Permanent Supportive Housing to Health Care Delivery and Payment Systems: Opportunities and Challenges 将永久性支持性住房与医疗保健服务和支付系统联系起来:机遇与挑战

American journal of psychiatric rehabilitation Pub Date : 2015-01-02 DOI: 10.1080/15487768.2015.1001690

C. Wilkins

{"title":"Connecting Permanent Supportive Housing to Health Care Delivery and Payment Systems: Opportunities and Challenges","authors":"C. Wilkins","doi":"10.1080/15487768.2015.1001690","DOIUrl":"https://doi.org/10.1080/15487768.2015.1001690","url":null,"abstract":"Permanent supportive housing can be an integral part of new models of integrated care for people with complex health and social needs who experience homelessness or institutionalization, producing better outcomes and ending homelessness for vulnerable people, while also contributing to the more appropriate and less costly use of health care services. The expansion of Medicaid eligibility in most states and other changes in health care finance and delivery systems increase opportunities to pay for some of the costs of supportive housing services, but this will require overcoming challenges related to federal and state policies. Medicaid benefits may include behavioral health services that can help people with mental health disorders get and keep housing and achieve recovery goals. Primary care and behavioral health services can be integrated through partnerships that rely on two different Medicaid payment mechanisms. Medicaid managed care plans face incentives to invest in care coordination services that control hospital costs. Some states are exploring other ways to use Medicaid financing to pay for innovative supportive housing programs that can achieve offsetting savings.","PeriodicalId":72174,"journal":{"name":"American journal of psychiatric rehabilitation","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2015-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77198252","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

Integrated Health Care for People with Psychiatric Disabilities 精神残疾者的综合保健

American journal of psychiatric rehabilitation Pub Date : 2015-01-02 DOI: 10.1080/15487768.2015.1001689

S. Pickett, K. Batia

引用次数: 2

Risk is not a four letter word: social integration and developmental growth. 风险不是一个简单的词:社会融合和发展增长。

American journal of psychiatric rehabilitation Pub Date : 2015-01-01 Epub Date: 2015-12-11 DOI: 10.1080/15487768.2015.1089801

Barbara Dickey, Norma C Ware

{"title":"Risk is not a four letter word: social integration and developmental growth.","authors":"Barbara Dickey, Norma C Ware","doi":"10.1080/15487768.2015.1089801","DOIUrl":"https://doi.org/10.1080/15487768.2015.1089801","url":null,"abstract":"<p><p>Individuals facing recovery from serious mental illness confront social challenges stemming from discrimination and the structure of our economic safety net. Although research has contributed to significant advances for individuals with the most serious mental illness, questions about the social nature of their world remain largely unasked. How can persons with mental illness move from community isolation to community integration? Building on earlier research, this paper uses qualitative data to address developmental challenges as impediments to community integration for young people with serious mental illness. Sixty transcripts from unstructured, in-depth interviews with psychiatrically disabled persons moving toward social integration were content analyzed to demonstrate possibilities for developmental growth in the context of living-learning communities. Data are organized and presented in three conceptual categories drawn from developmental theory: (1) risk-taking; (2) reciprocal relationships; and (3) self-determination. Based on the results, we suggest that attention to the challenges of developmental growth should complement current evidence-based and best program practices for young adults with mental illness.</p>","PeriodicalId":72174,"journal":{"name":"American journal of psychiatric rehabilitation","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2015-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/15487768.2015.1089801","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34411776","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: 4

Change in AJPR Editors AJPR编辑器的变化

American journal of psychiatric rehabilitation Pub Date : 2014-10-02 DOI: 10.1080/15487768.2014.987081

引用次数: 0