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Psychiatric Rehabilitation Journal

Purvi Sevak, Shamima Khan
Objective: Guided by the social model of disability (Nagi, 1965), this study aims to better identify barriers to and facilitators of employment for individuals with psychiatric disabilities and how these factors may differ for individuals with physical disabilities. Method: Our analysis uses data from the Survey of Disability and Employment on 2,148 individuals with psychiatric disabilities, physical disabilities, or both who in 2014 applied for services from 1 of 3 state vocational rehabilitation (VR) agencies...
October 27, 2016: Psychiatric Rehabilitation Journal
Jack Tsai, Anne Klee, Nicole Shea, Mark Lawless, Kevin A Payne, Elizabeth Goggin, Josiane Alix, Eileen Tam, Krystal Smith, Steve Martino
Objective: The objective of this study was to evaluate the effects of providing motivational interviewing (MI) training to peer specialists in the Veterans Affairs (VA) health-care system. Methods: Fourteen peer specialists at a local VA medical center received a 2-day workshop on MI and 2 monthly booster sessions afterward. A total of 55 therapy sessions between peer specialists and their peer service recipients were audio-recorded and independently rated on MI fidelity before the workshop and each month after the workshop for 3 months...
October 27, 2016: Psychiatric Rehabilitation Journal
Lauren Luther, Timothy Gearhart, Sadaaki Fukui, Gary Morse, Angela L Rollins, Michelle P Salyers
Objective: Funding cuts have increased job demands and threatened clinicians' ability to provide high-quality, person-centered care. One response to increased job demands is for clinicians to work more than their official scheduled work hours (i.e., overtime). We sought to examine the frequency of working overtime and its relationships with job characteristics, work-related outcomes, and quality of care in community health clinicians. Method: One hundred eighty-two clinicians completed demographic and job characteristics questions and measures of burnout, job satisfaction, turnover intention, work-life conflict, and perceived quality of care...
October 27, 2016: Psychiatric Rehabilitation Journal
Zakia Clay, Nora Barrett, Ann Reilly, Anthony Zazzarino
TOPIC: Despite the substantial amount of money invested in staff training each year, many people trained fail to transfer what they learn to the workplace. We document a training initiative that was implemented to develop and maintain a competent workforce. PURPOSE: A work-based learning (WBL) model was used as a guide to teach the knowledge and skills necessary to effectively deliver psychiatric rehabilitation services. SOURCES USED: This training framework afforded practitioners an opportunity to acquire the critical knowledge and skills to improve the quality of life for individuals living with serious mental illnesses...
December 2016: Psychiatric Rehabilitation Journal
Matthew S Costanzo
TOPIC: This contribution examines the disparity that exists between research that identifies the prevalence of trauma among mental health service users and the low frequency of adequately diagnosing and treating trauma in practice. For this author, the important question to pose is "Could behavioral health services be persistently erring in both diagnoses and treatment approaches to adequately assist and support service users?" PURPOSE: The author proposes an alternative service model which is aligned with the prevalence of complex trauma...
December 2016: Psychiatric Rehabilitation Journal
Judith A Cook, Kim T Mueser
As psychiatric rehabilitation practitioners, we have solid evidence that our field's services are effective in helping people become employed, participate in social and civic life, avoid restrictive and coercive psychiatric treatment, and thrive in stable and secure community residences. Yet, hundreds of thousands of people with psychiatric disabilities do not do these things. So we must ask ourselves, to what extent is this due to their location outside the financial mainstream, and if it is, what we can do as a field to address poverty among those we serve? This editorial addresses this question: Is recovery possible outside of the financial mainstream? (PsycINFO Database Record...
December 2016: Psychiatric Rehabilitation Journal
Jessica B Zuehlke, Robert M Kotecki, Shira Kern, Gretchen Sholty, Peter Hauser
OBJECTIVES: Recovery-oriented care is among the highest treatment priorities for the Veteran Health Administration, which has endorsed organizational change of mental health care to reflect recovery values. The purpose of this quality improvement project was to determine whether recovery interventions would yield positive outcomes when delivered on in inpatient psychiatry. METHOD: Recovery interventions on the unit included recovery-focused interdisciplinary team meetings, opportunities for stakeholder feedback, recovery staff education, increased group programming, peer support, and changes to treatment planning to include increased Veteran engagement and responsibility...
December 2016: Psychiatric Rehabilitation Journal
John A Naslund, Kelly A Aschbrenner, Stephen J Bartels
OBJECTIVE: Research shows that people with serious mental illness are increasingly using mobile devices. Less is known about how these individuals use their mobile devices or whether they access social media. We surveyed individuals with serious mental illness to explore their use of these technologies. METHOD: Individuals with serious mental illness engaged in lifestyle interventions through community mental health centers completed a survey about their use of mobile and online technologies...
December 2016: Psychiatric Rehabilitation Journal
Elizabeth C Thomas, Anjana Muralidharan, Deborah Medoff, Amy L Drapalski
OBJECTIVE: The purposes of this research were to assess relationships between social support and objective and subjective recovery in a sample of adults with serious mental illness and to examine self-efficacy as a potential mediator of these relationships. METHODS: In this cross-sectional study, a sample of 250 individuals completed measures tapping social support network size, satisfaction with social support, perceived support from the mental health system, self-efficacy, objective recovery (i...
December 2016: Psychiatric Rehabilitation Journal
Clémence Battin, Cyrille Bouvet, Claire Hatala
OBJECTIVE: The aim of the article is to synthesize studies that investigate the effectiveness of clubhouses, to summarize the strength of the evidence for this model, and to discuss methodological issues in the research. METHODS: We collected 216 studies referencing clubhouses in the principal international scientific databases (PsycINFO, Psycarticles, Academic Search Premier, Medline, PubMed, and Science Direct). We then selected 77 studies that used experimental (randomized controlled trial) or quasi-experimental designs (with control group, without randomization and/or pre-post studies)...
December 2016: Psychiatric Rehabilitation Journal
Sean A Kidd, Gursharan Virdee, George Mihalakakos, Chris McKinney, Lisa Feingold, April Collins, Larry Davidson, Richard Weingarten, Natalie Maples, Dawn Velligan
OBJECTIVE: This paper describes outcome and feasibility findings for a novel, brief intervention to facilitate discharge from lengthy psychiatric hospitalization. The examination of such transitional interventions is important given the suboptimal outcomes for many individuals with severe mental illness at discharge, particularly in the first month. METHOD: In this study a mixed methods design was used to examine a 6-week peer support worker-provided transitional intervention called the 'Welcome Basket...
December 2016: Psychiatric Rehabilitation Journal
Kelly A Aschbrenner, John A Naslund, Stephen J Bartels
OBJECTIVE: There is potential for peer support to enhance healthy lifestyle interventions targeting changes in body weight and fitness for adults with serious mental illness. The purpose of this study was to explore peer-to-peer support among individuals participating in a group lifestyle intervention that included social media to enhance in-person weight management sessions. METHOD: A mixed methods study design was used to explore participants' perceptions and experiences of support from other group members during a 6-month group lifestyle intervention...
December 2016: Psychiatric Rehabilitation Journal
Nirit Karni-Vizer, Mark S Salzer
OBJECTIVE: Trauma experienced by individuals with serious mental illnesses extends beyond physical and sexual abuse. This is among the first studies to examine verbal violence, both spoken and written words, experienced by individuals with serious mental illnesses. METHOD: Fifty individuals diagnosed with a schizophrenia-spectrum, bipolar, or major depressive disorder were recruited from community-based mental health agencies and reported on their experiences with 8 types of verbal violence identified in the literature, or related written comments, including: belittling, insulting, name-calling, teasing/embarrassing, threatening, cursing, or yelling...
December 2016: Psychiatric Rehabilitation Journal
Alan B McGuire, Tom Bartholomew, Adrienne I Anderson, Sarah M Bauer, John H McGrew, Dominique A White, Lauren Luther, Angela Rollins, Angela Pereira, Michelle P Salyers
OBJECTIVE: To examine provider competence in providing Illness Management and Recovery (IMR), an evidence-based self-management program for people with severe mental illness, and the association between implementation supports and IMR competence. METHOD: IMR session recordings, provided by 43 providers/provider pairs, were analyzed for IMR competence using the IMR Treatment Integrity Scale. Providers also reported on receipt of commonly available implementation supports (e...
December 2016: Psychiatric Rehabilitation Journal
Mimi Choy-Brown, Emily K Hamovitch, Carolina Cuervo, Victoria Stanhope
OBJECTIVE: This study aimed to understand multiple stakeholder perspectives implementing a recovery-oriented approach to service planning in supportive housing programs serving people with lived experience of mental illnesses. METHOD: Multiple stakeholders (N = 57) were recruited to participate in focus groups (N = 8), including 4 with tenants, 2 with service coordinators, 1 with supervisors, and 1 with leadership. Supportive housing programs were purposively sampled from a recovery-oriented organization serving 1,500 people annually...
December 2016: Psychiatric Rehabilitation Journal
Michelle R Zechner, Kenneth J Gill
OBJECTIVE: This study examined whether the social cognitive theory (SCT) model can be used to explain the variance in physical exercise among persons with serious mental illnesses. METHOD: A cross-sectional, correlational design was employed. Participants from community mental health centers and supported housing programs (N = 120) completed 9 measures on exercise, social support, self-efficacy, outcome expectations, barriers, and goal-setting. RESULTS: Hierarchical regression tested the relationship between self-report physical activity and SCT determinants while controlling for personal characteristics...
December 2016: Psychiatric Rehabilitation Journal
Thomas E Smith, Maria Abraham, Michael Bivona, Myles J Brakman, Isaac S Brown, Gita Enders, Sara Goodman, Liam McNabb, Joseph W Swinford
Objective: The study aimed to clarify the potential role and impact of behavioral health peer support providers on community hospital acute inpatient psychiatric units. Method: Qualitative interviews were conducted to examine perspectives of peer support providers (peers) and individuals who initially received peer services (recipients) during an inpatient stay on a community hospital psychiatric unit. Interviews elicited perspectives on interactions between peers and recipients, the role of peers vis-à-vis the clinical treatment team, and involvement of peers in discharge planning and transitions to community-based care...
October 13, 2016: Psychiatric Rehabilitation Journal
Rochelle Helena Hine, Darryl John Maybery, Melinda Jane Goodyear
Objective: The development of a positive identity beyond the mental illness has been highlighted as an important component of personal recovery. However, the experience of parenting is often overlooked in recovery discourse. This review aims to explore what the literature reveals about the process of developing a positive identity as part of personal recovery and how this may be shaped by the mothering role. Method: A systematic literature search of 5 databases resulted in 27 articles being reviewed, with findings extracted and analyzed using constant comparative analysis...
October 10, 2016: Psychiatric Rehabilitation Journal
Morris D Bell, Holly B Laws, Ismene B Petrakis
Objective: Cognitive remediation therapy (CRT) is reported to improve neurocognitive and substance use disorder (SUD) outcomes in residential treatments. This National Institute of Drug Abuse funded pilot study reports on CRT as an augmentation to outpatient treatment for SUD. Method: Recovering outpatient veterans were randomized into CRT + Work Therapy (n = 24) or work therapy (n = 24) with treatment-as-usual. Blind assessments of neurocognition and substance use were performed at baseline, 3 months (end of treatment), and 6-month follow-up...
October 10, 2016: Psychiatric Rehabilitation Journal
Kelsey A Bonfils, Kimberly C Dreison, Lauren Luther, Sadaaki Fukui, Abigail E Dempsey, Charles A Rapp, Michelle P Salyers
Objective: Although shared decision making (SDM) is a key element of client-centered care, it has not been widely adopted. Accordingly, interventions have been developed to promote SDM. The aim of this study was to explore the implementation process of one SDM intervention, CommonGround, which utilizes peer specialists and a computerized decision support center to promote SDM. Method: As part of a larger study, CommonGround was implemented in 4 treatment teams in a community mental health center. The implementation process was examined by conducting semistructured interviews with 12 staff members that were integral to the CommonGround implementation...
October 10, 2016: Psychiatric Rehabilitation Journal
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