nach oben

Administration and Policy in Mental Health and Mental Health Services Research

Erschienen in:

01.09.2008 | Original Paper

Results of an Innovative University-based Recovery Education Program for Adults with Psychiatric Disabilities

verfasst von: Erin C. Dunn, E. Sally Rogers, Dori S. Hutchinson, Asya Lyass, Kim L. MacDonald Wilson, Lori R. Wallace, Kathleen Furlong-Norman

Erschienen in: Administration and Policy in Mental Health and Mental Health Services Research | Ausgabe 5/2008

Einloggen, um Zugang zu erhalten

Abstract

This study examined the effectiveness of an educational approach to psychiatric rehabilitation called the Recovery Center. Using a quasi-experimental design we recruited 97 intervention and 81 comparison participants and examined the intervention’s impact on health, mental health, subjective, and role functioning outcomes. Results suggested that this intervention was effective in improving subjective outcomes, especially empowerment and recovery attitudes, both of which received primary emphasis in the intervention. The Recovery Center, which integrates a bio-psychosocial framework with psycho-educational interventions shows promise as a complement to traditional mental health services in developing readiness for rehabilitation and promoting recovery among individuals with severe psychiatric disabilities.

Anthony, W. A., Cohen, M. R., Farkas, M. D., & Gagne, C. (2002). Psychiatric Rehabilitation (2nd ed.). Boston, MA: Boston University, Center for Psychiatric Rehabilitation.

Arns, P. G., & Linney, J. A. (1995). Relating functional skills of severely mentally ill clients to subjective and societal benefits. Psychiatric Services (Washington, D.C.), 46, 260–265.

Arns, P., Rogers, E. S., Cook, J., Mowbray, C., & Members of IAPSRS Research Committee. (2001). The IAPSRS toolkit: Its usefulness to PSR programs and its comparison with other performance measurement systems. Psychiatric Rehabilitation Journal, 45(1), 43–52.

Bond, G. R., Salyers, M. P., Rollins, A. L., Rapp, C. A., & Zipple, A. M. (2004). How evidence-based practices contribute to community integration. Community Mental Health Journal, 40(6), 569–588. doi:10.1007/s10597-004-6130-8.PubMedCrossRef

Borkin, J., Steffen, J., Ensfield, L., Krzton, K., Wishnick, H., & Yangarber, N. (2000). Recovery attitudes questionnaire: Development and evaluation. Columbus, OH: Ohio Department of Mental Health.

Brophy, C. J., Norvell, N. K., & Kiluk, D. J. (1988). An examination of the factor structure and convergent and discriminant validity of the SCL-90R in an outpatient clinic population. Journal of Personality Assessment, 52(2), 334–340. doi:10.1207/s15327752jpa5202_14.PubMedCrossRef

Brown, P., & Tucker, W. M. (2005). Overstating the case for recovery? Psychiatric Services (Washington, D.C.), 56, 1022–1023. doi:10.1176/appi.ps.56.8.1022-a.

Brown, C., Goetz, J., Van Sciver, A., Sullivan, D., & Hamena, E. (2006). A psychiatric rehabilitation approach to weight loss. Psychiatric Rehabilitation Journal, 29(4), 267–273. doi:10.2975/29.2006.267.273.PubMedCrossRef

Campbell, D., & Stanley, J. (1963). Experimental and quasi-experimental designs for research. Chicago: Rand-McNally.

Cohen, M., Forbess, R., & Farkas, M. (2000). Rehabilitation readiness training technology: Developing readiness for rehabilitation (trainer package). Boston University, Center for Psychiatric Rehabilitation: Boston.

Cook, J. A., Leff, H. S., Blyler, C. R., Gold, P. B., Goldberg, R. W., Mueser, K. T., et al. (2005). Results of a multisite randomized trial of supported employment interventions for individuals with severe mental illness. Archives of General Psychiatry, 62, 505–512. doi:10.1001/archpsyc.62.5.505.PubMedCrossRef

Copeland, M.E. (2002). Developing a recovery and wellness lifestyle: A self-help guide [Electronic Version]. Retrieved January 15, 2005 from www.mentalhealth.samsha.gov/publications/allpubs/goverment/default/asp/.

Coodin, S., Staley, D., Cortens, B., Desrochers, R., & McLandress, S. (2004). Patient factors associated with missed appointments in persons with schizophrenia. Canadian Journal of Psychiatry, 49(2), 145–148.

Cross, K. P. (1981). Adults as learners. San Francisco: Jossey-Bass.

Crowther, R. E., Marshall, M., Bond, G. R., & Huxley, P. (2001). Helping people with severe mental illness to obtain work: Systematic review. British Medical Journal, 322(7280), 204–208. doi:10.1136/bmj.322.7280.204.PubMedCrossRef

D’Agostino, R. B. J. (1998). Propensity score methods for bias reduction for the comparison of a treatment to a non-randomized control group. Statistics in Medicine, 17, 2265–2281. doi :10.1002/(SICI)1097-0258(19981015)17:19<2265::AID-SIM918>3.0.CO;2-B.PubMedCrossRef

Davidson, L., O’Connell, M., Tondora, J., Styron, T., & Kangas, K. (2006). The top ten concerns about recovery encountered in mental health system transformation. Psychiatric Services (Washington, D.C.), 57(5), 640–645. doi:10.1176/appi.ps.57.5.640.

Derogatis, L. R. (1994). Symptom checklist 90 revised (SCL-90-R).

Eisen, S. V., Dill, D. L., & Grob, M. C. (1994). Reliability and validity of a brief patient report instrument for psychiatric outcome education. Hospital & Community Psychiatry, 45(3), 242–247.

Ensfield, L. B. (1998). The personal vision of recovery questionnaire. US: Cincinnati.

Ensfield, L., Steffen, J., & Borkin, J. (Eds.). (1999). Personal vision of recovery questionnaire: The development of a consumer-driven scale. Columbus, OH: Ohio Department of Mental Health.

Fitts W. H., & Warren W. L. (1996). Tennessee Self-Concept Scale (2nd ed.). Western Psychological Services.

Glanz, K., Rimer, B. K., & Lewis, F. M. (2002). Health behavior and health education. Theory, research and practice. San Francisco: Wiley.

Hutchinson, D. S., Anthony, W. A., Ashcroft, L., Johnson, E., Dunn, E., Lyass, A., et al. (2006a). The personal and vocational impact of training and employing people with psychiatric disabilities as providers. Psychiatric Rehabilitation Journal, 29(3), 205–214. doi:10.2975/29.2006.205.213.PubMedCrossRef

Hutchinson, D. S., Gagne, C., Bowers, A., Russinova, Z., Skrinar, G. S., & Anthony, W. A. (2006b). A framework for health promotion services for people with psychiatric disabilities. Psychiatric Rehabilitation Journal, 29(4), 241–250. doi:10.2975/29.2006.241.250.PubMedCrossRef

Lehman, A. F., Postrado, L. T., Roth, D., McNary, S. W., et al. (1994). Continuity of care and client outcomes in the Robert Wood Jonhson foundation program on chronic mental illness. The Milbank Quarterly, 72(1), 105–122. doi:10.2307/3350340.PubMedCrossRef

Liberman, R. P., Kopelowicz, A., Ventura, J., & Gutkind, D. (2002). Operational criteria and factors related to recovery from schizophrenia. International Review of Psychiatry (Abingdon, England), 14, 256–272. doi:10.1080/0954026021000016905.CrossRef

McFarlane, W. R. (1997). Integrating family psychoeducation and assertive community treatment. Administration and Policy in Mental Health and Mental Health Services Research, 25(2), 191–198. doi:10.1023/A:1022291022270.PubMedCrossRef

McHorney, C. A., Ware, J., & Raczek, A. (1993). The MOS 36-Item Short-Form Health Survey (SF-36): II. (1993). Psychometric and clinical tests of validity in measuring physical and mental health constructs. Medical Care, 31(3), 247–263. doi:10.1097/00005650-199303000-00006.PubMedCrossRef

McHorney, C. A., Ware, J., Lu, J., & Sherbourne, C. (1994). The MOS 36-item short-form health survey (SF-36): III. Tests of data quality, scaling assumptions, and reliability across diverse patient groups. Medical care. Medical Care, 32(1), 40–66. doi:10.1097/00005650-199401000-00004.PubMedCrossRef

Mead, S., & Copeland, M. E. (2000). What recovery means to us: Consumers’ perspectives. Community Mental Health Journal, 36(3), 315–328. doi:10.1023/A:1001917516869.PubMedCrossRef

Mead, S., & Copeland, M. E. (2005). What recovery means to us. In L. Davidson, C. Harding & L. Spaniol (Eds.), Consumer perspectives in recovery from severe mental illnesses: Research evidence and implications for practice (Vol. 1, pp. 69–81). Boston, MA: Center for Psychiatric Rehabilitation, Boston University.

Meta Services Inc. (2002). Wellness and empowerment in life and living. Phoenix, AZ: Meta Services, Inc.

Mueser, K., Bond, G., Drake, R., & Resnick, S. (1998). Models of community care for severe mental illness: A review of research on case management. Schizophrenia Bulletin, 24(1), 37–74.PubMed

Mueser, K. T., Corrigan, P. W., Hilton, D. W., Tanzman, B., Schaub, A., Gingerich, S., et al. (2002). Illness management and recovery: A review of the research. Psychiatric Services (Washington, D.C.), 53(10), 1272–1284. doi:10.1176/appi.ps.53.10.1272.

Mueser, K. T., Salyers, M. P., & Mueser, P. R. (2001). A prospective analysis of work in schizophrenia. Schizophrenia Bulletin, 27(2), 281–296.PubMed

Mueser, K. T., Torrey, W. C., Lynde, D., Singer, P., & Drake, R. E. (2003). Implementing evidence-based practices for people with severe mental illness. Behavior Modification, 27(3), 387–411. doi:10.1177/0145445503027003007.PubMedCrossRef

National Cancer Institute. (2005). Theory at a glance: A guide for health promotion practice. US Department of Health and Human Services. National Institutes of Health.

New Freedom Commission on Mental Health. (2003). Achieving the promise: Transforming mental health care in America. Final report (No. SMA-03-3832). Rockville, MD: DHHS.

Noordsy, D., Torrey, W., Mueser, K., Mead, S., O’Keefe, C., & Fox, L. (2002). Recovery from severe mental illness: an intrapersonal and functional outcome definition. International Review of Psychiatry (Abingdon, England), 14(4), 318–326. doi:10.1080/0954026021000016969.CrossRef

Nose, M., Barbui, C., & Tansella, M. (2003). How often do patients with psychosis fail to adhere to treatment programmes? A systematic review. Psychological Medicine, 33, 1149–1160. doi:10.1017/S0033291703008328.PubMedCrossRef

O’Donnell, M. P. (1989). Definition of health promotion part III: Expanding the definition. American Journal of Health Promotion, 3(3), 5.PubMed

Onken, S., Craig, C., Ridgeway, P., Ralph, R., & Cook, J. (2007). An analysis of the definitions and elements of recovery: A review of the literature. Psychiatric Rehabilitation Journal, 31, 9–22. doi:10.2975/31.1.2007.9.22.PubMedCrossRef

Prochaska, J. O., Diclemente, C. C., & Norcross, J. C. (1992). In search of how people change—Applications to addictive behaviors. The American Psychologist, 47(9), 1102–1114. doi:10.1037/0003-066X.47.9.1102.PubMedCrossRef

Ray, O. (2004). How the mind hurts and heals the body. The American Psychologist, 59(1), 29–40. doi:10.1037/0003-066X.59.1.29.PubMedCrossRef

Resnick, S. G., Rosenheck, R. A., & Lehman, A. F. (2004). An exploratory analysis of correlates of recovery. Psychiatric Services (Washington, D.C.), 55(5), 540–547. doi:10.1176/appi.ps.55.5.540.

Ridgeway, P., McDiarmid, D., Davidson, L., & Bayes, J. (2002). Pathways to recovery: A strengths recovery self-help workbook. Lawrence, KS: University of Kansas, School of Social Welfare, Office of Mental Health Research & Training.

Rogers, E. S., Chamberlin, J., Ellison, M. L., & Crean, T. (1997). A consumer-constructed scale to measure empowerment among users of mental health services. Psychiatric Services (Washington, D.C.), 48(8), 1042–1047.

Rogers, E. S., Teague, G., Lichtenstein, C., Campbell, J., Lyass, A., Chen, R., et al. (2007). The effects of participation in adjunctive consumer-operated programs on both personal and organizationally mediated empowerment: Results of a multi-site study. Journal of Rehabilitation Research and Development, 44(6), 785–800. doi:10.1682/JRRD.2006.10.0125.PubMedCrossRef

Salyers, M., Becker, D., Drake, R., Torrey, W., & Wyzik, P. (2004). A ten-year follow-up of a supported employment program. Psychiatric Services, 55, 302–308.PubMedCrossRef

Schmitz, N., Kruse, J., Heckrath, C., Alberti, L., & Tress, W. (1999). Diagnosing mental disorders in primary care: The General Health Questionnaire (GHQ) and the Symptom Check List (SCL-90-R) as screening instruments. Social Psychiatry and Psychiatric Epidemiology, 34, 360–366. doi:10.1007/s001270050156.PubMedCrossRef

Schmitz, N., Hartkamp, N., & Franke, G. H. (2000). Assessing clinically significant change: Application to the SCL-90-R. Psychological Reports, 86, 263–274. doi:10.2466/PR0.86.1.263-274.PubMedCrossRef

Sederer, L. I., & Dickey, B. (Eds.). (1996). Outcomes Assessment in clinical practice. Baltimore, MD: Williams & Wilkins.

Shern, D. L., Tsemberis, S., Anthony, W. A., Lovell, A. M., Richmond, L., Felton, C. J., et al. (2000). Serving street-dwelling individuals with psychiatric disabilities: Outcomes of a psychiatric rehabilitation clinical trial. American Journal of Public Health, 90, 1873–1875.PubMedCrossRef

Sibitz, I., Amering, M., Gossler, R., Unger, A., & Katsching, H. (2007). Patients’ perspectives on what works in psycho educational groups for schizophrenia [electronic version]. Social Psychiatry and Psychiatric Epidemiology. Retrieved August 24, 2007.

Spaniol, L., Wewiorski, N., Dunn, E., & Chamberlin, J. (2005). A qualitative study of the recovery process. Final Report to the National Institute on Disability and Rehabilitation Research, Grant # H133B990023 Boston: Boston University, Center for Psychiatric Rehabilitation.

Substance Abuse and Mental Health Services Administration. (2005). Building bridges: Mental health consumers and primary care representatives in dialogue (No. HHS Pub. No. 4040). Rockville, MD: Center for Mental Health Services.

Torrey, W. C., Mueser, K. T., McHugo, G. H., & Drake, R. E. (2000). Self-esteem as an outcome measure in studies of vocational rehabilitation for adults with severe mental illness. Psychiatric Services (Washington, D.C.), 51, 229–233. doi:10.1176/appi.ps.51.2.229.

Ware, J., Kosinski, M., & Keller, S. (1995a). SF-12: How to score the SF-12 physical and mental health summary scales (2nd ed.). Boston, MA: The Health Institute, New England Medical Center.

Ware, J. E., Kosinski, M., Bayliss, M. S., McHorney, C. A., Rogers, W. H., & Raczek, A. (1995b). Comparison of methods for the scoring and statistical analysis of SF-36 health profile and summary measures: summary of results from the medical outcomes study. Medical Care, 33(4), AS264–AS279.PubMed

Xie, H. Y., McHugo, G. J., Helmstetter, B. S., & Drake, R. E. (2005). Three-year recovery outcomes for long-term patients with co-occurring schizophrenic and substance use disorders. Schizophrenia Research, 75(2–3), 337–348. doi:10.1016/j.schres.2004.07.012.PubMedCrossRef

Titel: Results of an Innovative University-based Recovery Education Program for Adults with Psychiatric Disabilities
verfasst von: Erin C. Dunn
E. Sally Rogers
Dori S. Hutchinson
Asya Lyass
Kim L. MacDonald Wilson
Lori R. Wallace
Kathleen Furlong-Norman
Publikationsdatum: 01.09.2008
Verlag: Springer US
Erschienen in: Administration and Policy in Mental Health and Mental Health Services Research / Ausgabe 5/2008
Print ISSN: 0894-587X
Elektronische ISSN: 1573-3289
DOI: https://doi.org/10.1007/s10488-008-0176-9

Neu im Fachgebiet Psychiatrie

Bei seelischem Stress sind Checkpoint-Hemmer weniger wirksam

03.06.2024 NSCLC Nachrichten

Wie stark Menschen mit fortgeschrittenem NSCLC von einer Therapie mit Immun-Checkpoint-Hemmern profitieren, hängt offenbar auch davon ab, wie sehr die Diagnose ihre psychische Verfassung erschüttert

Demenzkranke durch Antipsychotika vielfach gefährdet

Demenz Nachrichten

Der Einsatz von Antipsychotika gegen psychische und Verhaltenssymptome in Zusammenhang mit Demenzerkrankungen erfordert eine sorgfältige Nutzen-Risiken-Abwägung. Neuen Erkenntnissen zufolge sind auf der Risikoseite weitere schwerwiegende Ereignisse zu berücksichtigen.

Hörschwäche erhöht Demenzrisiko unabhängig von Beta-Amyloid

29.05.2024 Hörstörungen Nachrichten

Hört jemand im Alter schlecht, nimmt das Hirn- und Hippocampusvolumen besonders schnell ab, was auch mit einem beschleunigten kognitiven Abbau einhergeht. Und diese Prozesse scheinen sich unabhängig von der Amyloidablagerung zu ereignen.

So wirken verschiedene Alkoholika auf den Blutdruck

23.05.2024 Störungen durch Alkohol Nachrichten

Je mehr Alkohol Menschen pro Woche trinken, desto mehr steigt ihr Blutdruck, legen Daten aus Dänemark nahe. Ob es dabei auch auf die Art des Alkohols ankommt, wurde ebenfalls untersucht.

Update Psychiatrie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.

Newsletter bestellen

Live-Webinar "Urologie und Sexualmedizin in der Praxis"

Springer Medizin

Results of an Innovative University-based Recovery Education Program for Adults with Psychiatric Disabilities

Abstract

Neu im Fachgebiet Psychiatrie

Bei seelischem Stress sind Checkpoint-Hemmer weniger wirksam

Demenzkranke durch Antipsychotika vielfach gefährdet

Hörschwäche erhöht Demenzrisiko unabhängig von Beta-Amyloid

So wirken verschiedene Alkoholika auf den Blutdruck

Update Psychiatrie

Live-Webinar "Urologie und Sexualmedizin in der Praxis"

Springer Medizin

Abstract

Bitte loggen Sie sich ein, um Zugang zu diesem Inhalt zu erhalten

Weitere Artikel der Ausgabe 5/2008

The Psychometric Properties of the Colorado Symptom Index

Therapist Adherence and Organizational Effects on Change in Youth Behavior Problems One Year After Multisystemic Therapy

Enhancing Schools’ Capacity to Support Children in Poverty: An Ecological Model of School-Based Mental Health Services

Improving Integrated General Medical and Mental Health Services in Community-based Practices

Treatment Content in Child and Adolescent Mental Health Services: Development of the Treatment Recording Sheet

Travel Distance and the Use of Inpatient Care among Patients with Schizophrenia

Neu im Fachgebiet Psychiatrie

Bei seelischem Stress sind Checkpoint-Hemmer weniger wirksam

Demenzkranke durch Antipsychotika vielfach gefährdet

Hörschwäche erhöht Demenzrisiko unabhängig von Beta-Amyloid

So wirken verschiedene Alkoholika auf den Blutdruck

Update Psychiatrie