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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
Jimmy Choi, Cheryl M Corcoran, Joanna M Fiszdon, Michael Stevens, Daniel C Javitt, Melissa Deasy, Lawrence C Haber, Michael J Dewberry, Godfrey D Pearlson
Objective: Among individuals at clinical high risk (CHR) for psychosis, processing speed (PS) has been related to social and role functioning regardless of conversion to schizophrenia. This information processing dysfunction is a gateway to broader behavioral deficits such as difficulty executing social behaviors. We examined the feasibility of improving information processing relevant to social situations in CHR, including its sustainability at 2-month follow-up, and its association with concurrent social function...
August 25, 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...
August 25, 2016: Psychiatric Rehabilitation Journal
Kelsey R Thomas, Olga Puig, Elizabeth W Twamley
Objective: This study explored whether age moderated cognitive, symptom, and functional changes over a 12-week compensatory cognitive training (CCT) intervention for participants with severe mental illnesses. CCT focused on the cognitive domains of attention, learning, prospective memory, and executive functioning, often impaired in this population. Method: Seventy-seven unemployed individuals (46 participants with severe mood disorders and 31 participants with schizophrenia/schizoaffective disorder; mean age = 44 years) received CCT for 12 weeks in the context of a supported employment program...
August 22, 2016: Psychiatric Rehabilitation Journal
Sonya Gabrielian, Alexander S Young, Jared M Greenberg, Elizabeth Bromley
Objective: Research suggests that social supports are associated with housing retention among adults who have experienced homelessness. Yet, we know very little about the social support context in consumers find and retain housing. We examined the ways and identified the junctures in which consumers' skills and deficits in accessing and mobilizing social supports influenced their longitudinal housing status. Method: We performed semi-structured qualitative interviews with VA Greater Los Angeles consumers (n = 19) with serious mental illness, substance use disorders, and a history of homelessness; interviews explored associations between longitudinal housing status (categorized as: stable, independent housing; sheltered housing, continually engaged in structured housing programs; and unstable housing) and social supports...
August 22, 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...
August 22, 2016: Psychiatric Rehabilitation Journal
Sean A Kidd, Nick Kerman, Debbie Ernest, Natalie Maples, Cicely Arthur, Sara de Souza, Jennifer Kath, Yarissa Herman, Gursharan Virdee, April Collins, Dawn Velligan
Objective: There is a paucity of accessible, evidence-based tools for caregivers of individuals with schizophrenia. This study examines changes in the self-assessed and caregiver-assessed outcomes of people with schizophrenia after exposure to a cognitive adaptation training (CAT) guide that addressed pragmatic, in-home approaches to offset the cognitive impacts of the illness. Method: This study examined the 4-month, pre-post outcomes of a CAT guide, as compared with a popular, general manual, for families of individuals with schizophrenia...
August 22, 2016: Psychiatric Rehabilitation Journal
Pamela D Butler, Judy L Thompson, Aaron R Seitz, Jenni Deveau, Steven M Silverstein
Objective: Few studies have evaluated the effects of visual remediation strategies in schizophrenia despite abundant evidence of visual-processing alterations in this condition. We report preliminary, case-study-based evidence regarding the effects of visual remediation in this population. Method: We describe implementation of a visual-perceptual training program called ULTIMEYES (UE) and initial results through 3 brief case studies of individuals with schizophrenia. UE targets broad-based visual function, including low-level processes (e...
August 22, 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.g., training, consultation). Results: Average IMR competence scores were in the "needs improvement" range...
August 8, 2016: Psychiatric Rehabilitation Journal
Rita Cronise
BACKGROUND: This column explores how peer support provider training is enhanced through collaborative learning. PURPOSE: Collaborative learning is an approach that draws upon the "real life" experiences of individual learners and encompasses opportunities to explore varying perspectives and collectively construct solutions that enrich the practice of all participants. SOURCES USED: This description draws upon published articles and examples of collaborative learning in training and communities of practice of peer support providers...
September 2016: Psychiatric Rehabilitation Journal
Jody Silver, Patricia B Nemec
TOPIC: This article raises questions regarding defining the role of peer specialists and related employment practices. PURPOSE: The questions raised may be used to guide future research. SOURCES USED: Areas needing further investigation were identified through personal and professional experience, discussions with colleagues, and a review of published literature on peer workers. CONCLUSIONS AND IMPLICATIONS FOR PRACTICE: Questions are raised regarding the definition of "peerness"; the variety and contradictions in definitions of the role of the peer specialist; existing and potential avenues for career advancement; credentialing standards; the design, implementation, and evaluation of existing and effective peer support service models, including integration of peer workers in other service models; and best practices for supporting the well-being of peer workers and their nonpeer colleagues...
September 2016: Psychiatric Rehabilitation Journal
Marsha Langer Ellison, Russell K Schutt, Mark E Glickman, Mark R Schultz, Matthew Chinman, Kristina Jensen, Chantele Mitchell-Miland, David Smelson, Susan Eisen
OBJECTIVES: Patterns and predictors of engagement in peer support services were examined among 50 previously homeless veterans with co-occurring mental health conditions and substance use histories receiving services from the Veterans Health Administration supported housing program. METHOD: Veteran peer specialists were trained to deliver sessions focusing on mental health and substance use recovery to veterans for an intended 1-hr weekly contact over 9 months. Trajectories of peer engagement over the study's duration are summarized...
September 2016: Psychiatric Rehabilitation Journal
Matthew Chinman, Sharon McCarthy, Chantele Mitchell-Miland, Karin Daniels, Ada Youk, Maria Edelen
OBJECTIVE: Research on peer specialists (individuals with serious mental illness supporting others with serious mental illness in clinical and other settings) has not yet included the measurement of fidelity. Without measuring fidelity, it is unclear whether the absence of impact in some studies is attributable to ineffective peer specialist services or because the services were not true to the intended role. This article describes the initial development of a peer specialist fidelity measure for 2 content areas: services provided by peer specialists and factors that either support or hamper the performance of those services...
September 2016: Psychiatric Rehabilitation Journal
E Sally Rogers, Mihoko Maru, Gene Johnson, Julie Cohee, Jennifer Hinkel, Lobat Hashemi
OBJECTIVE: Given the proliferation of peer-delivered services and its growing but insufficient empirical base, we undertook a randomized trial to examine the effects of such services on individuals with severe psychiatric disabilities undergoing a civil commitment. METHOD: We recruited n = 113 individuals who were civilly committed for inpatient treatment. Randomly assigned experimental participants were paired with a trained peer specialist to receive intensive 1-on-1 support to assist them with both their recovery and the conditions of their mandated court-ordered services...
September 2016: Psychiatric Rehabilitation Journal
Mark S Salzer, Joseph Rogers, Nancy Salandra, Conor O'Callaghan, Fran Fulton, Alyssa A Balletta, Katie Pizziketti, Eugene Brusilovskiy
OBJECTIVE: The goal of this study was to examine the effectiveness of peer-delivered core services of Centers for Independent Living (CILs), which include advocacy, information and referral, skills training, and peer support. METHOD: Ninety-nine individuals with a schizophrenia-spectrum or affective disorder who identified at least 3 needs were recruited from mental health centers and randomly assigned to be contacted by a certified peer specialist at a local CIL (CIL condition) or services as usual (SAU condition)...
September 2016: Psychiatric Rehabilitation Journal
Oscar G Jiménez-Solomon, Pablo Méndez-Bustos, Margaret Swarbrick, Samantha Díaz, Sissy Silva, Maura Kelley, Steve Duke, Roberto Lewis-Fernández
OBJECTIVE: People with psychiatric disabilities experience substantial economic exclusion, which hinders their ability to achieve recovery and wellness. The purpose of this article is to describe a framework for a peer-supported economic empowerment intervention grounded in empirical literature and designed to enhance financial wellness. METHOD: The authors followed a 3-step process, including (a) an environmental scan of scientific literature, (b) a critical review of relevant conceptual frameworks, and (c) the design of an intervention logic framework based on (a) and (b), the programmatic experience of the authors, and input from peer providers...
September 2016: Psychiatric Rehabilitation Journal
Rita Cronise, Carina Teixeira, E Sally Rogers, Steve Harrington
OBJECTIVE: Given the burgeoning role of peer specialists in the mental health workforce, more information is needed about their work roles, tasks, settings, training, compensation, and work satisfaction. METHOD: Using both purposive and snowball sampling, the authors recruited a national sample of individuals employed as peer specialists and a variety of other peer provider positions. They conducted an online survey to query respondents about various aspects of their work life...
September 2016: Psychiatric Rehabilitation Journal
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