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Psychiatric Rehabilitation Journal

Christina Blomdahl, Suzanne Guregård, Marie Rusner, Helle Wijk
OBJECTIVE: This study investigated the effects of manual-based Phenomenological Art Therapy for individuals living with depression in addition to treatment as usual (PATd/TAU) compared with only treatment as usual (TAU) for individuals diagnosed with moderate to severe depression. METHOD: 79 adults (men = 29.1%) were included in this randomized-controlled-trial (RCT), multicenter study in Sweden with an intention-to-treat design. Participants were randomized into either the PATd/TAU-group (n = 43) or TAU-group (n = 36)...
May 14, 2018: Psychiatric Rehabilitation Journal
Tania Lecomte, Crystal Samson, Farooq Naeem, Leslie Schachte, John Farhall
OBJECTIVE: This study aimed to better understand the implementation of cognitive behavioral therapy for psychosis (CBTp) by exploring the impact of clinicians' attitudes toward CBTp within the Theory of Planned Behavior framework (i.e., by considering attitudes, behaviors, intention, and social norms) as well as perceived obstacles and response to proposed solutions. METHOD: One hundred forty-two clinicians from 2 sites in Canada and 1 site in Australia answered an online survey involving both Likert scales and open-ended questions...
May 3, 2018: Psychiatric Rehabilitation Journal
Marina Kukla, Alan B McGuire, Amy M Strasburger, Elizabeth Belanger, Shana K Bakken
OBJECTIVE: Veterans Health Administration vocational services assist veterans with mental illness to acquire jobs; one major component of these services is job development. The purpose of this study was to characterize the nature of effective job development practices and to examine perceptions and intensity of job development services. METHOD: A national mixed-methods online survey of 233 Veterans Health Administration vocational providers collected data regarding frequency of employer contacts, perceptions of job development ease/difficulty, and effective job development practices when dealing with employers...
April 30, 2018: Psychiatric Rehabilitation Journal
Joanne Nicholson, Anne Valentine
TOPIC: This article addresses critical considerations in the development of peer supports for parents with mental illnesses, focusing on the question of what makes a peer a peer in the parent peer specialist domain. PURPOSE: The implementation and testing of parent peer supports requires specification of the critical components of the model, including the qualities, characteristics, and unique contributions of the parent peer specialist. SOURCES USED: Themes emerged in Parent Peer Specialist Project Advisory Group discussions, with members drawing from lived experience, practice expertise, and conversations with experts...
April 30, 2018: Psychiatric Rehabilitation Journal
Jason E Peer, Mary Gardner, Sophia Autrey, Christine Calmes, Richard W Goldberg
OBJECTIVE: The purpose of this study was to determine the feasibility of implementing a recovery education program in a Veterans Affairs medical center. METHOD: This case study describes development and implementation of a mental health and wellness curriculum offered through a centralized location. Referral and utilization data (n = 781) from the first 18 months of implementation were used to evaluate feasibility. FINDINGS: Access to programming with zero exclusion was prioritized and average time from referral to enrollment was 9...
April 30, 2018: Psychiatric Rehabilitation Journal
Patrizia Villotti, Sara Zaniboni, Marc Corbière, Stéphane Guay, Franco Fraccaroli
OBJECTIVE: People with mental illnesses face stigma that hinders their full integration into society. Work is a major determinant of social inclusion, however, people with mental disorders have fewer opportunities to work. Emerging evidence suggests that social enterprises help disadvantaged people with their work integration process. The purpose of this study is to enhance our understanding about how perceptions of stigma can be decreased for people with mental disorders throughout their work experience in a social enterprise...
April 26, 2018: Psychiatric Rehabilitation Journal
Paul Gorczynski, Davy Vancampfort, Hiren Patel
OBJECTIVE: This study examines the relationship among physical activity, psychological mediators of physical activity, and negative symptoms in people living with psychosis and prediabetes or Type II diabetes mellitus to identify which variables should be targeted in future physical activity interventions. METHOD: A total of 63 individuals were recruited and filled out questionnaires with the assistance of trained research staff. RESULTS: Spearman's correlations showed a positive significant association between physical activity and self-efficacy...
April 26, 2018: Psychiatric Rehabilitation Journal
Patricia B Nemec
TOPIC: Funding for behavioral health service provider agencies is always limited, making it difficult to decide how and when to spend scarce resources on staff training. If evidence existed for a clear return on investment for certain training topics or techniques, agency administrators may find it easier to make the decisions about how much and what type of training to provide to staff. PURPOSE: In spite of expert opinion and some evidence that the most common training approaches are ineffective, yielding no return on investment, or a negative return (money wasted), agencies continue to provide primarily single-session lecture-based training-either face-to-face or via a tedious and uninspiring online format...
April 26, 2018: Psychiatric Rehabilitation Journal
Amy C Lodge, Wendy Kuhn, Juli Earley, Stacey Stevens Manser
OBJECTIVE: The Recovery Self-Assessment (RSA) is a reliable and valid tool used to measure recovery-oriented services. Recent studies, however, suggest that the length and reading level of the RSA makes its routine use in service settings difficult. Recognizing the importance of including people with lived experience of a mental health challenge in research processes and the need to enhance the utility of tools that measure recovery-oriented services, this paper describes an innovative researcher-peer provider consultant multistep process used to revise the provider version of the RSA to create a new instrument-the Recovery-Oriented Services Assessment (ROSA)...
April 26, 2018: Psychiatric Rehabilitation Journal
Bobbi Jo H Yarborough, Scott P Stumbo, Micah T Yarborough, Ashli Owen-Smith, Carla A Green
OBJECTIVE: Veterans with posttraumatic stress disorder (PTSD) are increasingly seeking service dogs to help them manage trauma-related symptoms, yet literature describing service dog use in this population is scant. The goal of this study was to document the benefits and challenges experienced by veterans with service dogs trained to assist with PTSD-related needs. METHOD: Participants were veterans (N = 41) with service dogs, and their caregivers (n = 8), recruited through community-based service dog training agencies...
April 26, 2018: Psychiatric Rehabilitation Journal
Patricia B Nemec
TOPIC: Training evaluations may encompass different dimensions, from engagement of learners to the achievement of specific and meaningful learning objectives to the ultimate goal of changing what the learners do after completing the training. Yet, most behavioral health agencies fail to evaluate training at all, or limit their evaluations to simple satisfaction measures. PURPOSE: Well-designed evaluations can inform decisions on how to use an agency's limited training budget or whether to renew a contract for an external trainer...
March 2018: Psychiatric Rehabilitation Journal
Louise Byrne, Anthony Stratford, Larry Davidson
TOPIC: Common challenges and experiences of the lived experience/peer workforce globally are considered, with an emphasis on ensuring that future developments both protect and promote the unique lived experience perspective. PURPOSE: In the Western world, rapid growth in lived experience roles has led to an urgent need for training and workforce development. However, research indicates the roles risk being coopted without clear lived experience leadership, which is often not occurring...
March 2018: Psychiatric Rehabilitation Journal
Patrick W Corrigan, Maya A Al-Khouja
OBJECTIVE: Antistigma programs may be guided by 3 differing agendas: services (promote treatment engagement), rights (help people achieve rightful goals), and self-worth (facilitate self-worth and efficacy). This study examined the construct validity of this perspective by examining the factor structure of importance ratings of the 3 agendas. The study examined how importance might be viewed differently by the population as a whole versus a subsample of people who reported previous experience with mental health services and hence could be directly harmed by stigma...
March 2018: Psychiatric Rehabilitation Journal
Sarita A Sanches, Wilma E Swildens, Jooske T van Busschbach, Marianne D Farkas, Jaap van Weeghel, Tom van Wel
OBJECTIVE: This article describes a measure developed to assess fidelity of working with the Boston University approach to Psychiatric Rehabilitation (BPR) in Dutch mental health care. The instrument is intended to measure and improve BPR adherence and clinician competence on an individual level and within individual rehabilitation processes. METHOD: Rotating pairs of 4 BPR specialists used Fidelity of Rehabilitation (FiRe) to evaluate the fidelity of BPR as applied in 114 rehabilitation processes...
March 2018: Psychiatric Rehabilitation Journal
Sarah Jenkins, Tiffany Chenneville, Christina Salnaitis
OBJECTIVE: This study was designed to examine the impact of role clarity and job training on job satisfaction among peer specialists. METHOD: A 3-part survey assessing job training, job satisfaction, and role clarity was administered online to 195 peer specialists who are members of the International Association of Peer Specialists. Data was analyzed using descriptive statistics, correlational analyses to include multiple linear regressions and analysis of variance...
March 2018: Psychiatric Rehabilitation Journal
Shinakee Gumber, Catherine H Stein
OBJECTIVE: The study examined factors associated with community integration experiences of adults with serious mental illness who were members of psychosocial rehabilitation clubhouses in New York City. METHOD: Ninety-two clubhouse members completed an online survey. The study examined relative contribution of adults' reports of individual factors (self-reported psychiatric symptoms, self-esteem), community supports (self-reported employment status and perceived family support), and the clubhouse environment (self-reported time spent in the clubhouse, clubhouse supportiveness, and practical orientation) in accounting for variation in members' reports of social integration within the clubhouse and within the larger community...
March 2018: Psychiatric Rehabilitation Journal
Lori L Davis, Tassos C Kyriakides, Alina Suris, Lisa Ottomanelli, Robert E Drake, Pamela E Parker, Lisa Mueller, Sandra G Resnick, Richard Toscano, Catherine M Blansett, Kimberly P McCall, Grant D Huang
OBJECTIVE: This article describes the methodology and the baseline characteristics of veterans with posttraumatic stress disorder (PTSD) enrolled in a multisite trial comparing supported employment individual placement and support (IPS) to a stepwise vocational transitional work program (TWP). METHOD: The Veterans Affairs Cooperative Studies Program randomized 541 veterans with PTSD across 12 Veterans Affairs Medical Centers to either IPS or TWP. Demographic and clinical characteristics were evaluated at baseline...
March 2018: Psychiatric Rehabilitation Journal
Andrew M Subica, Ann-Marie Yamada
OBJECTIVE: Spirituality offers a vital coping resource that can bolster mental health and psychosocial well-being for individuals with serious mental illnesses (SMI). However, limited research on spirituality-infused evidence-based interventions exists to assist providers in mobilizing spirituality as a mental health resource. This article presents the cognitive-behavioral intervention Spiritual Strategies for Psychosocial Recovery (SSPR), developed to promote recovery among ethnoculturally diverse individuals with SMI by strengthening their coping mechanisms for internal and external distress through spiritual means...
March 2018: Psychiatric Rehabilitation Journal
Anjana Muralidharan, Elizabeth A Klingaman, Victor Molinari, Richard W Goldberg
OBJECTIVE: Individuals with serious mental illness endorse many more medical and psychosocial barriers to physical activity (PA) than the general population. However, it is unknown if older adults with serious mental illness are at greater risk of experiencing barriers to PA than their younger counterparts. METHOD: The present study utilized a national VA dataset to compare veterans with serious mental illness ages 55 and older (n = 9,044) to veterans with serious mental illness ages 54 and younger (n = 8,782) on their responses to a questionnaire assessment of barriers to PA...
March 2018: 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...
March 2018: Psychiatric Rehabilitation Journal
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