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Outsourcing mental health care services? The practice and potential of community-based farms in psychiatric rehabilitation
- Authors:
- IANCU Sorana C., et al
- Journal article citation:
- Community Mental Health Journal, 51(2), 2015, pp.175-184.
- Publisher:
- Springer
Psychiatric rehabilitation supports individuals with mental disorders to acquire the skills needed for independent lives in communities. This article assesses the potential of outsourcing psychiatric rehabilitation by analysing care farm services in the Netherlands. Service characteristics were analysed across 214 care farms retrieved from a national database. Qualitative insights were provided by five case descriptions, selected from 34 interviews. Institutional care farms were significantly larger and older than private care farms (comprising 88.8 % of all care farms). Private, independent care farms provide real-life work conditions to users who are relatively less impaired. Private, contracted care farms tailor the work activities to their capacities and employ professional supervisors. Institutional care farms accommodate for the most vulnerable users. The article concludes that collaborations with independent, contracted and institutional care farms would provide mental health care organisations with a diversity in services, enhanced community integration and a better match with users' rehabilitation needs. (Edited publisher abstract)
Green care farms, a safe community between illness or addiction and the wider society
- Authors:
- ELINGS Marjolein, HASSINK Jan
- Journal article citation:
- Therapeutic Communities: the International Journal of Therapeutic Communities, 29(3), Autumn 2008, pp.310-322.
- Publisher:
- Emerald
This paper presents the results of focus group interviews with 42 people with a psychiatric or addiction history who work in eight different green care farms in the Netherlands. Undertaking farming activities helps participants feel useful and healthier and they develop more self-esteem, self-respect and responsibility. Working on a green care farm can contribute more structure and discipline to the lives of participants, which can create the foundation for new activities or (voluntary) work elsewhere.
The effect of psychiatric rehabilitation on the activity and participation level of clients with long-term psychiatric disabilities
- Authors:
- VAN WEL Tom, FELLING Albert, PERSOON Jean
- Journal article citation:
- Community Mental Health Journal, 39(6), December 2003, pp.535-546.
- Publisher:
- Springer
During the last decades of the 20th century, many psychiatric hospitals changed the living environments of their clients with long-term psychiatric disabilities. Investigates the effect of this environmental psychiatric rehabilitation and normalization process on the activity and participation level of such clients residing in one Dutch psychiatric hospital. The seven years of panel research demonstrated that more normal living environments have a positive effect on clients' activity and participation level. This is controlled for the fact that younger clients, and clients with a relative high activity and participation level were selected for these normal living environments.