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Person-centered diagnosis and treatment in mental health: a model for empowering clients
- Authors:
- LADD Peter D., CHURCHILL AnnMarie
- Publisher:
- Jessica Kingsley
- Publication year:
- 2012
- Pagination:
- 352p.
- Place of publication:
- London
The authors suggest that clients with mental health conditions are often diagnosed and treated using a strictly medical model of diagnosis. This book takes a more person-centred, holistic approach to diagnosis and treatment. It sees the client as the expert on their condition and encourages their involvement and collaboration. The authors explore the reasons behind clients’ feelings and behaviour and take the whole person into account with the aim of finding meaning in their experiences. Designed to complement DSM assessments, the manual covers a range of mental health conditions as well as mental health patterns of behaviour. In each case, the client is involved in the diagnosis and treatment plan. Extended case studies, sample questions and treatment plans are included throughout. The first part of the book on mental health disorders covers: attention-deficit/hyperactive disorder; borderline personality disorder; bulimia nervosa; depression; general anxiety disorder; obsessive compulsive disorder; oppositional defiant disorder; and post traumatic stress disorder. The second section of the book covers discussion of the following mental health patterns; abuse; bullying; compassion fatigue; lateral violence; loneliness; loss; and self-hatred. The book is aimed at all those involved in mental health diagnosis and treatment, including psychologists, psychiatrists, mental health counsellors, clinical social workers, school counsellors and therapists.
The tidal model of mental health care: personal caring within the chaos paradigm
- Author:
- BARKER Phil
- Journal article citation:
- Mental Health and Learning Disabilities Care, 4(2), October 2000, pp.59-63.
- Publisher:
- Pavilion
Psychiatric disorder is a state of chaos that anyone who has not experienced it can fully understand. This should neither encourage the mental health nurse to dismiss the individual's experiences, nor discourage the nurse from seeking to understand and help the individual come through those experiences, however dreadful. The article outlines the tidal model of caring, whereby the nurse offers empathy, acceptance and acknowledgement but within clear boundaries, so that the 'lifesaver' does not drown with the struggling 'swimmer'.
Finding treatment to suit the patient: the Maudsley medication review clinic
- Authors:
- GRAY Richard, REVELEY Adrianne, HOWARD Alan
- Journal article citation:
- Mental Health Care, 2(4), December 1998, pp.132-134.
- Publisher:
- Pavilion
Negative treatment experience and use of drugs with unacceptable side effects are known to reduce patient compliance. The author reports on the first's years operation of a new medication review clinic which believes that patients and carers have a major say in deciding the preferred course of treatment.
Recovery and empowerment for people with psychiatric disabilities
- Author:
- DEEGAN Patricia E.
- Journal article citation:
- Social Work in Health Care, 25(3), 1997, pp.11-24.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
The concept of recovery from major mental illness and the empowerment process are explored. Subjective experiences from the author's own journey of recovery from mental illness as well as others are explored. The concept of recovery as a journey, not a destination or "cure" is emphasised. Suggestions for the clinical practitioner who wishes to support the recovery and empowerment process are also given.
Recovery and dementia: promoting choice and challenging controversy
- Authors:
- HAMMOND Laura Louise, DEBNEY Conrad
- Journal article citation:
- Mental Health and Social Inclusion, 21(5), 2017, pp.297-303.
- Publisher:
- Emerald
Purpose: The purpose of this paper is to provide a viewpoint about why people with dementia should be able to choose Recovery and how this approach might be experienced by them. Design/methodology/approach: This paper addresses some key challenges to accepting Recovery as an approach for people with dementia by making comparisons with people with mental health difficulties. It then discusses key concepts of Recovery using the connectedness, hope, identity, meaning and empowerment framework and how each one might be experienced by the person with dementia. Findings: The challenges which cause concerns about the applicability of Recovery to people with dementia are shared by people with mental health difficulties, therefore Recovery should be perceived as an approach suitable for anyone regardless of their diagnosis. Recovery for people with dementia could mean: connecting to the self, others and the world to promote feelings of purposefulness; having hope for the here and now; preserving one’s identity; finding meaning in retaining skills and incorporating dementia into one’s life; and, feeling empowered by keeping one’s mind working, adopting a positive attitude, having control and making decisions. Practical implications: People with dementia can choose to access Recovery, and commonly voiced concerns can be answered and supported with evidence. Originality/value: This is one of the only papers written to provide an understanding of how Recovery might be experienced by people living with dementia, and directly answers some concerns. (Publisher abstract)
Shared treatment decision-making and empowerment-related outcomes in psychosis: systematic review and meta-analysis
- Authors:
- STOVELL Diana, et al
- Journal article citation:
- British Journal of Psychiatry, 209(1), 2016, pp.23-28.
- Publisher:
- Cambridge University Press
Background: In the UK almost 60% of people with a diagnosis of schizophrenia who use mental health services say they are not involved in decisions about their treatment. Guidelines and policy documents recommend that shared decision-making should be implemented, yet whether it leads to greater treatment-related empowerment for this group has not been systematically assessed. Aims: To examine the effects of shared decision-making on indices of treatment-related empowerment of people with psychosis. Method: A systematic review and meta-analysis of randomised controlled trials (RCTs) of shared decision-making concerning current or future treatment for psychosis (PROSPERO registration CRD42013006161) was conducted. Primary outcomes were indices of treatment-related empowerment and objective coercion (compulsory treatment). Secondary outcomes were treatment decision-making ability and the quality of the therapeutic relationship. Results The authors identified 11 RCTs. Small beneficial effects of increased shared decision-making were found on indices of treatment-related empowerment (6 RCTs; g = 0.30, 95% CI 0.09–0.51), although the effect was smaller if trials with >25% missing data were excluded. There was a trend towards shared decision-making for future care leading to reduced use of compulsory treatment over 15–18 months (3 RCTs; RR = 0.59, 95% CI 0.35–1.02), with a number needed to treat of approximately 10 (95% CI 5–∞). No clear effect on treatment decision-making ability (3 RCTs) or the quality of the therapeutic relationship (8 RCTs) was found, but data were heterogeneous. Conclusions: For people with psychosis the implementation of shared treatment decision-making appears to have small beneficial effects on indices of treatment-related empowerment, but more direct evidence is required. (Edited publisher abstract)
'I'm loving life': adolescents' empowering experiences of living with a mental illness
- Authors:
- KRANKE Derrick, et al
- Journal article citation:
- Qualitative Social Work, 14(1), 2015, pp.102-118.
- Publisher:
- Sage
Objective: Self-stigma is a common phenomenon among adolescents suffering from psychiatric disorders; however, this important research area has received little attention. Furthermore, there is a lack of clarity in the current literature on what makes individuals more or less likely to experience self-stigma. The objectives of the article are to identify the external conditions that help promote empowerment and present a model that explicates the process of those adolescents who do not self-stigmatise. Methods: In this qualitative study, the authors examine the cases of three adolescents between the ages of 12-17 who were taking psychiatric medication. Adolescents' experiences and perceptions of psychiatric treatment were gathered using the TeenSEMI, coded responses, utilised Atlas.ti software to connect and hyperlink the codes, and constructed individual narratives that ultimately elicited an empowerment process among the adolescents. Results: Themes were identified that helped adolescents to buffer against self-stigma; and the components of the empowerment process were categorised as: diminish, normalise and attribute. Conclusion and implications for practice: The authors compare their empowerment model with an adolescent self-stigma model and identify key differences that may mitigate the effects of self-stigma. Although there are limitations to the generalisability of the study, interventions applicable to youths with mental illness, as well as family and peer are recommended. This study indicates positive outcomes among adolescents who adhere to and are engaged in treatment. (Edited publisher abstract)
Fundamental reforms: disempowerment and access to evidence-based treatment
- Author:
- DAVIS Gul Y.
- Journal article citation:
- Mental Health Review, 11(2), June 2006, pp.3-6.
- Publisher:
- Pier Professional
The author, a service user with experience of mental health services, gives his views on the reasons for poor outcomes and difficulties experienced within mental health settings. He highlights the two central issues as: disempowerment of service users and the inability of most service users to access the body of knowledge about evidence-based treatments. The article sets out the arguments for his beliefs, and his arguments that tackling these issues should be at the core of any reform or restructuring that is serious about improving outcomes.
Exploring the concept of recovery from the perspective of people with mental health problems
- Author:
- WARREN Kate
- Publisher:
- University of East Anglia. School of Social Work and Psychosocial Studies
- Publication year:
- 2003
- Pagination:
- 56p.,bibliog.
- Place of publication:
- Norwich
Recovery is about seeing people and people seeing themselves as capable of recovery rather than as passive recipients of professional treatments. It is about working out strategies and taking control of our own lives. Within the recovery approach,developing in states in America, New Zealand and elsewhere, individuals are encouraged to learn more about their experience, and find ways to deal with their mental health experiences. People are actively supported to acquire the skills, knowledge and strength to reduce the prevalence or harmful experiences in safe, simple and effective ways. The focus is on self determination and cascading strategies. This means that those who participate in the groups will have a framework for recovery but will determine for themselves how they take this forward. This is a quite different way of doing things from the pervading methodology. It is about people taking control of their own lives, being responsible for their actions and self empowerment.
Do consumers who have a choice treatment have better outcomes
- Authors:
- CALSYN Robert J., WINTER Joel P., MORSE Gary A.
- Journal article citation:
- Community Mental Health Journal, 36(2), April 2000, pp.149-160.
- Publisher:
- Springer
This study used a non-equivalent control group design to investigate the effect of consumer choice of treatment on both process and outcome variables. All study participants suffered from severe mental illness, were homeless at baseline, and were enrolled in a modified Assertive Community Treatment (ACT) program. Consumers in the choice condition had selected the ACT programs; clients in the no-choice condition were simply assigned to the ACT program by an intake worker. Results found that consumers in the choice condition visited the ACT staff at their offices more than consumers in the no-choice condition, but there were no significant differences between groups on the other treatment process variables.