Search results for ‘Subject term:"mental health problems"’ Sort:
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Implementing recovery oriented evidence based programs: identifying the critical dimensions
- Authors:
- FARKAS Marianne, et al
- Journal article citation:
- Community Mental Health Journal, 41(2), April 2005, pp.141-158.
- Publisher:
- Springer
In the decades of the 1990s many mental health programmes and the systems that fund these programs have identified themselves as recovery-oriented. A program that is grounded in a vision of recovery is based on the notion that a majority of people can grow beyond the catastrophe of a severe mental illness and lead a meaningful life in their own community. First person accounts of recovery and empirical research have led to a developing consensus about the service delivery values underlying recovery. The emphasis on recovery-oriented programming has been concurrent with a focus in the field on evidence-based practices. The authors propose that evidence based practices be implemented in a manner that is recovery compatible. Programme dimensions for evidence based practice, such as programme mission, policies, procedures, record keeping and staffing should be consistent with recovery values in order for a program to be considered to be recovery-oriented. This article describes the critical dimensions of such value based practice, regardless of the service the recovery oriented mental health programmes provide (e.g., treatment, case management, rehabilitation). The aim of this first attempt at conceptualizing recovery-oriented mental health programmes is to both provide direction to those involved in programme implementation of evidence based mental health practices, as well as providing a stimulus for further discussion in the field.
The Clubhouse model in the UK: a personal view
- Author:
- MacLEAN Colin
- Journal article citation:
- Mental Health Review, 2(2), June 1997, pp.25-29.
- Publisher:
- Pier Professional
Describes the Clubhouse model, a community based-model of rehabilitation for adults with mental health problems, from the perspective of an early innovator. Highlights some of the strengths of the model, as one component of a comprehensive local service, and potential weaknesses arising from incomplete replications.
Return-to-work support for employees with mental health problems: Identifying and responding to key challenges of sick leave
- Authors:
- CAMERON Josh, et al
- Journal article citation:
- British Journal of Occupational Therapy, 79(5), 2016, pp.275-283.
- Publisher:
- Sage
Introduction This research explored return-to-work and sick leave experiences of workers with mental health issues in contact with acute or community mental health services. Method Using a critical realist methodology with a comparative case study and collaborative design, 21 employed participants recovering from mental health problems participated in semi-structured interviews. Data were analysed using inductive and deductive thematic and constant comparative analysis. Findings While on sick leave, despite a range of challenges, participants treasured their work identities. They were sustained by positive and troubled by negative memories of work. People missed the routine of work and felt isolated. To varying degrees of success, they searched for alternative activities to fill this gap and promote recovery. Conclusion The need for sick leave was not disputed, but an important discovery was its iatrogenic (‘side-’) effects, whereby isolation and reduced activity levels could exacerbate mental health problems. Negative impacts of sick leave need to be mitigated by support to maintain worker identity and orientation and by opportunities and encouragement to sustain routine, activities and social contacts. A new concept of ‘occupational capital’ emerged, comprising accessible external opportunities and supports for occupational participation, and internal capacities and skills required to access these. (Publisher abstract)
Participation in day centres for people with psychiatric disabilities: a focus on occupational engagement
- Authors:
- TJORNSTRAND Carina, BEJERHOLM Ulrika, EKLUND Mona
- Journal article citation:
- British Journal of Occupational Therapy, 76(3), 2013, pp.144-150.
- Publisher:
- Sage
Background: Day centres are central for community participation among people with mental health problems. Understanding day centre attendees' occupational engagement is therefore important. Method: A total of 88 people from six day centres in four municipalities in southern Sweden completed a time-use diary, recording their occupational engagement during the most recent day at the day centre. The transcribed data were analysed using thematic content analysis. Findings: The main theme was being part of the spirit of togetherness and getting empowered, from which the participants' reflections could be understood. Conclusion: The day centres provided opportunities to be occupationally engaged and to create routines, and challenged the attendees to be more active in their daily life. Day centres have the potential to provide empowering occupations and rehabilitation for people with mental health problems and to help them towards a more participatory life. (Publisher abstract)
The Camberwell Assessment of Need and Behaviour and Symptom Identification Scale as routine outcome measures in a psychiatric disability rehabilitation and support service
- Authors:
- TRAUER Tom, TOBIAS Glen
- Journal article citation:
- Community Mental Health Journal, 40(3), June 2004, pp.211-221,.
- Publisher:
- Springer
While routine outcome measurement is being progressively introduced into mental health services, there is little evidence of its potential in disability rehabilitation and support services. We report the introduction of a measure of need and a self-report measure of mental health problems in such a service in which most of the consumers have a principal diagnosis of a schizophrenia-spectrum disorder. The authors found that just over half of the consumers with a key worker were able and willing to complete these instruments. On average, consumers' self-ratings suggested only moderate levels of mental health problems, and consumers with schizophrenia identified lower levels of need than their key workers. Assessments of need showed more stability over time than assessments of mental health problems.
Impact of multi-agency employment services on employment rates
- Authors:
- PANDIANI John A., et al
- Journal article citation:
- Community Mental Health Journal, 40(4), August 2004, pp.333-345.
- Publisher:
- Springer
Adults with severe and persistent mental illness who received employment services through mental health and/or vocational rehabilitation programs had higher employment rates than individuals who did not receive any employment services. Individuals who received services from both programmes had significantly higher employment rates than individuals who received services from only one program. Results indicate that employment services had a greater relative effect on older clients and clients with a schizophrenia diagnosis than on other individuals. This state-wide study relied exclusively on analysis of administrative/operational databases that provide the employment rates for both recipients of vocational services and other clients.
Services for African and African-Caribbeans:the Antenna Outreach Service
- Author:
- McKENZIE Kwame
- Journal article citation:
- Mental Health Review, 8(3), September 2003, pp.16-21.
- Publisher:
- Pier Professional
Reports on Antenna Outreach, an innovative service that includes assertive outreach, community-based rehabilitation and education schemes, a 24-hour crisis line, a volunteer group, primary prevention, and the development of the capacity of mainstream services to allow access to people with mental health problems. It targets African and African-Caribbean service users aged 16-25 who are difficult to engage or who have complex mental health problems.
The Clubhouse Model of community support for adults with mental illness: an emerging opportunity for social work education
- Authors:
- JACKSON Robert L., et al
- Journal article citation:
- Journal of Social Work Education, 32(2), Summer 1996, pp.173-180.
- Publisher:
- Council on Social Work Education
The Clubhouse Model of community support is enjoying renewed interest among American social workers and social work educators concerned with alternatives to traditional forms of community mental health treatment and rehabilitation. Describes the model and its underlying congruence with social work theory and practice. Findings of the National Task Analysis Study of Social Work Practice are presented that suggest an increasingly important role for social workers and social work educators in the continued growth of this practice model.
Rehabilitation and community support: a case study of social care
- Author:
- HUGMAN Richard
- Publisher:
- Whiting and Birch
- Publication year:
- 1992
- Pagination:
- 93p.,bibliog.
- Place of publication:
- London
Detailed ethnographic study examining the practice of a local authority rehabilitation and community support unit. Describes the development of the unit, looking in turn at patterns of care, use of the concepts of time and activity in rehabilitation, the location of the unit in the community, and the people who use and work in the service. Considers wider issues for service development in mental health provision and argues that services of this type may make a contribution to the development of care in the community.
Preliminary evaluation of children's psychosocial rehabilitation for youth with serious emotional disturbance
- Author:
- WILLIAMS Nathaniel J.
- Journal article citation:
- Research on Social Work Practice, 19(1), January 2009, pp.5-18.
- Publisher:
- Sage
This article introduces and evaluates children's psychosocial rehabilitation, a home- and community-based treatment for children with serious emotional disturbance. In an open-trial design, the author used repeated-measures analysis of variance and Wilcoxon signed-rank tests to assess pre-post outcome ratings for 218 participants, ages 3 to 18, on the Child and Adolescent Functional Assessment Scale or the Preschool and Early Childhood Functional Assessment Scale. Average treatment time was 13 months. Participants improved significantly in psychosocial functioning and psychological symptoms, with effect sizes ranging from large to small. Improvements were clinically significant for 78% of participants. Children's psychosocial rehabilitation shows promise as an empirically based treatment for serious emotional disturbance.