American journal of psychiatric rehabilitation最新文献_第9页

Promoting Consumer Choice and Empowerment through Tenant Choice of Supportive Housing Case Manager 透过租户选择支持性房屋个案经理，促进消费者选择及赋权

American journal of psychiatric rehabilitation Pub Date : 2014-01-01 DOI: 10.1080/15487768.2013.877408

J. Jost, A. Levitt, A. Hannigan, A. Barbosa, Stacy Matuza

{"title":"Promoting Consumer Choice and Empowerment through Tenant Choice of Supportive Housing Case Manager","authors":"J. Jost, A. Levitt, A. Hannigan, A. Barbosa, Stacy Matuza","doi":"10.1080/15487768.2013.877408","DOIUrl":"https://doi.org/10.1080/15487768.2013.877408","url":null,"abstract":"This paper presents findings from in-depth qualitative interviews conducted with 31 formerly homeless tenants and nine direct service staff at a supportive housing site, where a structured process for matching tenants with case managers (“Tenant Choice”) was piloted in which tenants were offered the option of choosing their respective case managers. Tenant Choice aims to increase the opportunity for tenants to make choices that will enable them to have more control over their treatment and recovery and obtain the optimal match between tenant and case manager. This study sought to understand how tenants and staff experienced Tenant Choice, determine whether Tenant Choice was meeting its goals, and identify areas for improvement. The major themes identified were: (1) pre-existing satisfaction drove tenant choices; (2) personal qualities of case managers were valued by tenants over professional qualifications and work experience; (3) the views of tenants and staff differed regarding whether minimal contact versus extended contact leads to better choices and working relationships; (4) the option of choice was valued by tenants regardless of whether it led to a change of case manager; and (5) staff concerns failed to materialize.","PeriodicalId":72174,"journal":{"name":"American journal of psychiatric rehabilitation","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2014-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81847026","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

Integrated Psychosocial Treatment for Negative Symptoms 对阴性症状的综合心理社会治疗

American journal of psychiatric rehabilitation Pub Date : 2014-01-01 DOI: 10.1080/15487768.2013.873370

D. Velligan, N. Maples, David L. Roberts, Elisa M. Medellin

{"title":"Integrated Psychosocial Treatment for Negative Symptoms","authors":"D. Velligan, N. Maples, David L. Roberts, Elisa M. Medellin","doi":"10.1080/15487768.2013.873370","DOIUrl":"https://doi.org/10.1080/15487768.2013.873370","url":null,"abstract":"Negative symptoms, including restricted affect, diminished emotional range, poverty of speech, decreased motivation and interests, diminished sense of purpose, and diminished social drive, contribute substantially to lost productivity, poor quality of life, social deficits, poor occupational and educational attainment, and generally poor outcomes observed for many individuals with schizophrenia. Although these symptoms may develop from neurobiological factors or as reactions to overstimulation in the acute psychotic phase, they are thought to be maintained by a confluence of biological, cognitive, behavioral, and environmental factors that are not adequately addressed by available treatments. We have developed a multicomponent set of intervention strategies to address persistent negative symptoms called the motivation and engagement (MOVE) program. MOVE builds on research on emotional processing as well as techniques from a variety of behavioral and skill-building approaches to specifically target a broad range of negative symptoms and their functional consequences in an integrated program delivered in the individual's home environment. In this manuscript, we describe an integrated theory for the development and maintenance of negative symptoms, available treatments that target aspects of the syndrome, and evidence supporting the components of MOVE for those with persistent negative symptoms.","PeriodicalId":72174,"journal":{"name":"American journal of psychiatric rehabilitation","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2014-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88553491","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

The Pathways Housing First Fidelity Scale for Individuals With Psychiatric Disabilities 精神障碍个体的路径住房第一保真度量表

American journal of psychiatric rehabilitation Pub Date : 2013-10-01 DOI: 10.1080/15487768.2013.847741

A. Stefancic, S. Tsemberis, P. Messeri, R. Drake, P. Goering

{"title":"The Pathways Housing First Fidelity Scale for Individuals With Psychiatric Disabilities","authors":"A. Stefancic, S. Tsemberis, P. Messeri, R. Drake, P. Goering","doi":"10.1080/15487768.2013.847741","DOIUrl":"https://doi.org/10.1080/15487768.2013.847741","url":null,"abstract":"Pathways Housing First (PHF) is an innovative, evidence-based model of providing permanent housing and services to adults with severe mental illness. This approach has been widely and rapidly disseminated across the U.S. and internationally, but sometimes with considerable variability from the original PHF model. This study developed and validated a PHF fidelity scale. The PHF model's guiding principles and prospective ingredients were identified through reviews of PHF literature and relevant fidelity scales, interviews with PHF administrators, and a survey administered to HF providers. An expert panel developed the items into a fidelity scale, which was field-tested as part of two large-scale research initiatives in California and Canada. General guiding principles for PHF included (a) eliminating barriers to housing access and retention, (b) fostering a sense of home, (c) facilitating community integration and minimizing stigma, (d) utilizing a harm-reduction approach, and (e) adhering to consumer choice and providing individualized consumer-driven services that promote recovery. The provider survey demonstrated that 32 key ingredients, derived from these principles, had good face and content validity. An expert panel refined the wording of these ingredients, added new items when there was consensus, and developed operational criteria to measure them. The resulting 38-item fidelity scale generally had good internal consistency; it captured variability in program implementation; it demonstrated discriminant validity; and it was useful in guiding program implementation and technical assistance. In conjunction with other program materials, the fidelity scale can be used as a guide for program development and technical assistance and as a research tool. Examining how these key ingredients relate to the model's success will contribute to a broader understanding of how to end homelessness and facilitate recovery.","PeriodicalId":72174,"journal":{"name":"American journal of psychiatric rehabilitation","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2013-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86142053","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: 77

Implementations of Housing First in Europe: Successes and Challenges in Maintaining Model Fidelity 住房优先在欧洲的实施:保持模型保真度的成功与挑战

American journal of psychiatric rehabilitation Pub Date : 2013-10-01 DOI: 10.1080/15487768.2013.847764

R. Greenwood, A. Stefancic, S. Tsemberis, Volker Busch-Geertsema

{"title":"Implementations of Housing First in Europe: Successes and Challenges in Maintaining Model Fidelity","authors":"R. Greenwood, A. Stefancic, S. Tsemberis, Volker Busch-Geertsema","doi":"10.1080/15487768.2013.847764","DOIUrl":"https://doi.org/10.1080/15487768.2013.847764","url":null,"abstract":"To describe and evaluate the fidelity of Housing First (HF) initiatives in six European countries to the Pathways HF (PHF) model and examine the larger social, historical, and political factors that may foster or impede model fidelity. Key stakeholders representing six European HF initiatives completed semi-structured phone interviews. Interviews were thematically analyzed according to five key fidelity domains and updated with interim results of a recent European research project (Housing First Europe). Dissatisfaction with the status quo was often cited as the catalyst driving searches for system change. PHF's evidence base, consumer-driven philosophy, recovery-oriented services, and view of housing as a basic right swayed local decisions to implement HF programs. Interviews yielded stronger evidence of fidelity on no housing readiness requirements, separation of housing and services, a harm reduction approach, consumer choice in services, and weaker evidence of fidelity on scatter-site housing, choice in housing, and breadth and intensity of services provided. Implementation challenges included resistance from existing programs, availability of affordable housing, and moral judgments of worthiness for housing. Both new and established programs evidenced high commitment to PHF principles and philosophy, but older programs demonstrated greater fidelity on a wider range of indicators. Early evidence indicates that HF can be successfully replicated within the European context, though local historical, social, and political factors may impact fidelity. Many programs committed to fidelity in principle faced external or financial barriers to implementation. Strategic planning and training to ensure that the programs unfold and mature in ways that realize HF principles in practice is recommended.","PeriodicalId":72174,"journal":{"name":"American journal of psychiatric rehabilitation","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2013-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87613858","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: 55

Variations in Full Service Partnerships and Fidelity to the Housing First Model 全方位服务伙伴关系的变化和对住房第一模式的忠诚

American journal of psychiatric rehabilitation Pub Date : 2013-10-01 DOI: 10.1080/15487768.2013.847769

T. Gilmer, V. D. Ojeda, Sarah P. Hiller, A. Stefancic, S. Tsemberis, L. Palinkas

{"title":"Variations in Full Service Partnerships and Fidelity to the Housing First Model","authors":"T. Gilmer, V. D. Ojeda, Sarah P. Hiller, A. Stefancic, S. Tsemberis, L. Palinkas","doi":"10.1080/15487768.2013.847769","DOIUrl":"https://doi.org/10.1080/15487768.2013.847769","url":null,"abstract":"In California, the Mental Health Services Act allocated substantial funding to Full Service Partnerships (FSPs): programs that do whatever it takes to improve residential stability and mental health outcomes. The state-guided, but stakeholder-driven, approach to FSPs resulted in a set of programs that share core similarities but vary in their specific approaches. This qualitative study examines FSP variations within the framework of fidelity to the Housing First model. Semistructured interviews with 21 FSP program managers identified through purposeful sampling were coded and analyzed to identify variations across programs in their approaches to housing and services. Through the process of constant comparison, FSP characteristics were condensed into a set of broad themes related to fidelity to the Housing First model. We identified three broad themes: (a) FSPs varied in the degree to which key elements of Housing First were present; (b) program recovery orientation and staff experience were associated with fidelity; and (c) FSPs for older adults, adults exiting the justice system, and transitional age youth made specific adaptations to tailor their programs for the needs of their specific populations. FSPs bring a considerable level of community-based housing and treatment resources to homeless persons with serious mental illness. However, when examined individually, there exists enough variation in approaches to housing and treatment to raise the question whether some programs may be more or less effective than others. An opportunity exists to employ the variation in FSPs implemented under this initiative to analyze the importance of fidelity to HF for client outcomes, program costs, and recovery-oriented care.","PeriodicalId":72174,"journal":{"name":"American journal of psychiatric rehabilitation","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2013-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72698404","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

Housing First: Implementation, Dissemination, and Program Fidelity 住房优先:实施、传播和项目保真度

American journal of psychiatric rehabilitation Pub Date : 2013-10-01 DOI: 10.1080/15487768.2013.847732

S. Tsemberis

{"title":"Housing First: Implementation, Dissemination, and Program Fidelity","authors":"S. Tsemberis","doi":"10.1080/15487768.2013.847732","DOIUrl":"https://doi.org/10.1080/15487768.2013.847732","url":null,"abstract":"The theme of this special issue is implementation, dissemination, and program fidelity of the Pathways’ Housing First (PHF) program. I cannot imagine a more fitting platform than The American Journal of Psychiatric Rehabilitation for the first collection of articles on Housing First (HF). It is a sometimes overlooked but important fact that the (PHF) program was founded on the principles of psychiatric rehabilitation, which were infused into the program’s clinical practice from its inception. PHF began as an NIMH research-demonstration project called Taking Psych Rehab to the Streets, which sought to engage people who were homeless and who had co-occurring severe mental health and addiction problems (Tsemberis, Moran, Shinn, Shern, & Asmussen, 2003). Respecting consumers’ preferences was one of the core practices of that early outreach intervention, and it continues to be the foundation of the PHF program. In that initial study, we found that consumers who had remained homeless and previously shunned help for years were quick to engage if the offer of assistance was consistent with their priorities. What these consumers wanted above all was fundamental to their","PeriodicalId":72174,"journal":{"name":"American journal of psychiatric rehabilitation","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2013-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79617882","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

Editorial Board EOV 编辑委员会EOV

American journal of psychiatric rehabilitation Pub Date : 2013-10-01 DOI: 10.1080/15487768.2013.862482

引用次数: 0

Initial Implementation of Housing First in Five Canadian Cities: How Do You Make the Shoe Fit, When One Size Does Not Fit All? 加拿大五个城市住房优先的初步实施:当一个尺码不适合所有人时，你如何使鞋子合脚?

American journal of psychiatric rehabilitation Pub Date : 2013-10-01 DOI: 10.1080/15487768.2013.847761

Cameron Keller, P. Goering, C. Hume, E. Macnaughton, P. O’Campo, Aseefa Sarang, M. Thomson, C. Vallée, Aimee Watson, S. Tsemberis

引用次数: 13

Relationships of Social-Sexual Function with Stigma and Narrative Quality Among Persons with Schizophrenia Spectrum Disorders Over One Year 精神分裂症谱系障碍患者一年以上社会性功能与病耻感及叙事质量的关系

American journal of psychiatric rehabilitation Pub Date : 2013-07-01 DOI: 10.1080/15487768.2013.813873

C. J. Stewart, P. Lysaker, L. Davis

{"title":"Relationships of Social-Sexual Function with Stigma and Narrative Quality Among Persons with Schizophrenia Spectrum Disorders Over One Year","authors":"C. J. Stewart, P. Lysaker, L. Davis","doi":"10.1080/15487768.2013.813873","DOIUrl":"https://doi.org/10.1080/15487768.2013.813873","url":null,"abstract":"Committed sexual relationships are a key part of healthy psychological functioning yet are often missing in the lives of adults with schizophrenia. Although the current focus on policy and initiatives regarding schizophrenia has shifted to understanding what facilitates recovery, little is known about what helps and hinders the establishment and maintenance of these intimate relationships. In this study, we therefore sought to examine whether two psychological phenomena were concurrently and prospectively related to socio-sexual functioning: internalized stigma and narrative quality. Participants were 103 adults with schizophrenia or schizoaffective disorder. Assessments of internalized stigma, narrative quality, and socio-sexual functioning were obtained at baseline, and socio-sexual functioning was assessed again 5 and 12 months later. Internalized stigma was assessed using the Internalized Stigma of Mental Illness scale, narrative quality was evaluated using the scale to Assess Narrative Development, and socio-sexual functioning was assessed using the Quality of Life scale. Correlations and multiple regressions revealed that social withdrawal in the face of stigma and limited social worth (as contained within personal narratives) were related to decreased socio-sexual functioning concurrently and prospectively.","PeriodicalId":72174,"journal":{"name":"American journal of psychiatric rehabilitation","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2013-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88304747","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

“I Feel like It Improves Everything”: Empowering Experiences of College Students Utilizing Psychiatric Treatment “我觉得它改善了一切”:大学生利用精神治疗的授权体验

American journal of psychiatric rehabilitation Pub Date : 2013-07-01 DOI: 10.1080/15487768.2013.818883

D. Kranke, S. E. Jackson, J. Floersch, L. Townsend, E. Anderson-Fye

{"title":"“I Feel like It Improves Everything”: Empowering Experiences of College Students Utilizing Psychiatric Treatment","authors":"D. Kranke, S. E. Jackson, J. Floersch, L. Townsend, E. Anderson-Fye","doi":"10.1080/15487768.2013.818883","DOIUrl":"https://doi.org/10.1080/15487768.2013.818883","url":null,"abstract":"Psychiatric treatment is critical for people living with mental illness as it enables resumption of normal roles and engagement in meaningful opportunities, and it increases the chance of positive long-term outcomes. There is an urgent need to assess college student experience of psychiatric treatment because as many as 45% of college students may meet the criteria for a mental illness diagnosis. All college students are at some risk for negative mental health outcomes because of home-to-college stressors, but these are often intensified for those students living with a mental illness. The aim of this article is to qualitatively explore the psychiatric treatment and recovery experiences of college students diagnosed with mental health disorders, with a particular focus on the impact of treatment on the academic and social aspects of college. Seventeen undergraduate college students who had a psychiatric illness and were taking prescribed psychiatric medication were enrolled in this study. A semistructured interview queried college students about their perceptions of having psychiatric diagnoses and taking psychiatric medications. Authors conducted thematic analysis by using the constant comparative method for coding data and sorting in vivo codes by a shared theme. Respondents reported positive attitudes toward medication and services, endorsing themes of positive family influence, improved functioning, acceptance toward medication and service usage, willingness to disclose, and independent management of treatment. College students were empowered by their treatment because of its positive effects on success and integration into the college setting. Environmental factors that influence college students' feeling of empowerment are discussed.","PeriodicalId":72174,"journal":{"name":"American journal of psychiatric rehabilitation","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2013-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75316187","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: 9