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Strengthening social networks: intervention strategies for mental health case managers
- Authors:
- BIEGEL David E., et al
- Journal article citation:
- Health and Social Work, 19(3), August 1994, pp.206-216.
- Publisher:
- Oxford University Press
The enhancement of social support networks for people with chronic mental illness is seen as an important thrust of case management services in the USA. However, despite the worthy intentions of the National Institute of Mental Health Community Support Program, the development of comprehensive, community-based social support systems for people with chronic mental illness remains an elusive goal. Case managers face many obstacles in their efforts to enhance the natural support systems of their clients, and they need specific training in social network interventions with individuals with mental illness to overcome these obstacles. This article presents a conceptual framework of social network interventions and discusses obstacles to enhancing natural support systems. The need for community resource development, especially in the building of community ties, is highlighted.
Predictors of burden among lower socioeconomic status caregivers of persons with chronic mental illness
- Authors:
- BIEGEL David E., et al
- Journal article citation:
- Community Mental Health Journal, 30(5), October 1994, pp.473-494.
- Publisher:
- Springer
Uses a stress-coping-support framework to examine the predictors of caregiver burden with a sample of 103 lower social class family caregivers of persons with chronic mental illness. Results show that the greater the frequency of client behavioural symptoms and the lower the amount of perceived support from family members, the higher the level of overall caregiver burden. Examination of the predictors of specific types of burden-family disruption, stigma, strain, and dependency - reveal that different constellations of variables predict different types of burden. The need for mental health agencies to address caregiver and client concerns is addressed. Implications are presented for practice and future research.