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Social support and recovery in people with serious mental illnesses
- Authors:
- CORRIGAN Patrick W., PHELAN Sean M.
- Journal article citation:
- Community Mental Health Journal, 40(6), December 2004, pp.513-523.
- Publisher:
- Springer
This study examines the relationship between objective and subjective measures of social support with recovery from serious mental illness; recovery has been described as both an outcome state and an ongoing process. One hundred and seventy six people with serious mental illness completed the Recovery Assessment Scale, a process measure of recovery that assessed, among other factors, personal confidence, goal orientation, and non-domination by symptoms. They also were administered the Brief Psychiatric Rating Scale, a semi-structured interview that assesses psychiatric symptom and represents recovery as an outcome. Finally, research participants completed the Social Network Scale, which assessed size of the overall network plus such important subnetworks as family, friends, and health professionals. The SNS also provided measures of the perceived satisfaction with, mutuality in, and obligation towards individuals in their support network. Results showed people with larger overall network size and more network satisfaction were likely to report higher factors on the Recovery Assessment Scale. For the most part, network size and satisfaction was not significantly associated with psychiatric symptoms. Implications of these findings for better understanding the association between social support and recovery are discussed.
Recovery in mental illness: broadening our understanding of wellness
- Editors:
- RALPH Ruth O., CORRIGAN Patrick W.
- Publisher:
- American Psychological Association
- Publication year:
- 2005
- Pagination:
- 282p.,bibliog.
- Place of publication:
- Washington, DC
In the early 20th century, when the course of serious illness was first described, scientists offered little hope of recovery for people diagnosed with illnesses like schizophrenia. They were told to expect only continuing psychotic symptoms and progressive dementia and were given no hope of working and living independently. Since then, research has suggested more positive outcomes. This book explores what recovery means from various perspectives, including sociological models as well as qualitative studies that incorporate mental health consumers' subjective experiences. The mental health professional seeking to better understand the nature of recovery as well as what interventions and services might enhance well being and quality of life, will find a discussion of recovery as process, outcome, and natural occurrence, and an examination of evidence-based services as well as consumer-endorsed practices that may not be measurable by traditional quantitative methodologies.
User involvement: substance or spin?
- Authors:
- DIAMOND Bob, et al
- Journal article citation:
- Journal of Mental Health, 12(6), December 2003, pp.613-626.
- Publisher:
- Taylor and Francis
- Place of publication:
- London
Department of Health policy guidelines state that people who use mental health services should be involved in all levels of planning and delivery of care they receive. Service standards were introduced in a mental health rehabilitation service to address user involvement in staff recruitment, service evaluation, organisation and planning, staff training, advocacy, care planning and self-assessment. The aim was to audit the user involvement service standards. To identify further improvements for user involvement and to consider whether user involvement influenced the culture of care. A collaborative action-orientated partnership between a user-researcher group and a clinical psychologist was used. Structured interviews with staff were undertaken to ascertain the levels of implementation of service standards addressing user involvement. High levels of user involvement were found for staff recruitment, planning and organising services and regular meetings for users. Established but less successful levels in such areas as annual surveys eliciting users' views, evaluation of services and self-assessment. Modest levels of user involvement were found for staff training and links with advocacy services. User involvement addresses some of the current limitations in the conceptual frameworks adopted to describe mental distress. Further development of user involvement requires the continued support of staff and additional resources from health services.
Evaluation of Lehman's Brief Quality of Life Interviewin assessing outcome in psychiatric rehabilitation in people with severe and persistent mental disorder
- Authors:
- ANDERSON Amy L., McNEIL Diane C., REDDON John R.
- Journal article citation:
- Social Work in Mental Health, 1(2), 2002, pp.43-60.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
Lehman's Brief Quality of Life Interview (QOLI) was administered to psychiatric rehabilitation programme clients 6 times at 6-month intervals. Participants were individuals with predominantly psychotic-type diagnoses. Results showed nochange over time and few gender differences. No change over time indicates no improvement but also no deterioration in this chronic population. Correlations between test times indicated that the subjective scales were relatively stable in comparison to the objective scales. Results indicate that the QOLI has poor sensitivity, and therefore limited utility, for assessing change in psychiatric rehabilitation of individuals with severe and persistent mental disorders. However, the QOLI does have an important use: It provides a good indication of the clients' perspectives on the quality of their lives and services received.