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Articles1996Below is a list of articles, abstracts, book chapters, or handbooks authored by Center for Psychiatric Rehabilitation staff. Due to copyright laws some articles are not available for full-text download. In most cases, these articles are available for purchase after searching the publisher's web site. Anthony, W. A. (1996). Integrating psychiatric rehabilitation into managed care. Psychiatric Rehabilitation Journal, 20(2), 39-44. Psychiatric rehabilitation is a necessary service component in any managed care system that is designed to serve persons with severe mental illness. The focus of the present paper is to discuss the what, where, why, how, when, and who issues related to integrating psychiatric rehabilitation into a managed care system. The psychiatric rehabilitation process and outcomes are briefly overviewed and differentiated from other needed managed care services (What). Settings for psychiatric rehabilitation are identified (Where). The rationale for psychiatric rehabilitation in managed care is addressed by focusing on medical necessity, research findings, and the value base of psychiatric rehabilitation (Why). Issues in measuring psychiatric rehabilitation outcomes and process are discussed (How). Readiness for rehabilitation is conceptualized as both a client measure and as a program/system measure (When). The characteristics of personnel needed to implement psychiatric rehabilitation within managed care are noted (Who). In summary, the absence of psychiatric rehabilitation services in a managed care system is logically, empirically and ethically unacceptable.
Anthony, W. A. (1996). Managed care case management for people with serious mental illness. Behavioral Healthcare Tomorrow, 67-69. The process of "case management" has its origins in the provision of behavioral health service in the community and has historically been focused on those persons with severe and persistent mental illness. These services have traditionally included home visitations and other forms of support to this population. Over the past several years, with the innovation of managed behavioral health carve-out firms, the concept of case management has changed dramatically, most notably in its evolved application to the management of healthcare benefits. In this important article, the author discusses the potential for more cost-effective service delivery and for improved consumer outcomes as the philosophy of traditional case management principles is incorporated into managed care systems to serve the consumer with severe mental illness.
Copyright permission granted from Manisses Communications Group, Inc. Chamberlin, J., Rogers, E., Ellison, M. (1996). Self help programs: A description of their characteristics and their members. Psychiatric Rehabilitation Journal, 19(3), 33-42. User-run programs have proliferated in the past 10 years, yet there are few empirically-based studies about them. A survey of selfhelp programs was undertaken to increase our understanding about the users of such programs, their demographics, and their perceptions of how such programs have affected the quality of their lives. Respondents were also asked about their satisfaction with user-run programs. The study was conducted using a Participatory Action Research paradigm (Whyte, 1991), using an advisory committee of persons who have used such programs, and with the intention of developing an evaluation methodology that could be replicated in future studies of user-run programs. Despite limitations in representativeness, these survey results are useful in understanding the perceptions of self-help members. Results of the survey and the methodology are discussed.
Diksa, E. and Rogers, E. S. (1996). Employer concerns about hiring persons with psychiatric disability: Results of the Employer Attitude Questionnaire. Rehabilitation Counseling Bulletin, 40(1), 31-44. Assessed 373 employers' attitudes toward hiring persons with psychiatric disability. Ss were interviewed by telephone, using the Employer Attitude Questionnaire, to assess their concerns in 4 major areas: symptomatology, work personality, work performance, and administrative concerns. Results suggest that employers differ in their level of concern by industry type. Overall, 3 of the 4 subscales (symptomatology, administrative concerns, and work performance) differed significantly. Employers with a history of hiring people with disabilities had lower levels of concern on work performance and administrative concern subscales. Employers with an existing policy toward hiring people with disabilities had lower levels of concern across all subscales.
Ellison, M. L., Danley, K. S., et al. (1996). Involvement of people with psychiatric disabilities in state agencies of vocational rehabilitation: State agency survey. Journal of Rehabilitation Administration, 20(4), 319-333. Explored the "state of the practice" of the involvement of people with psychiatric disabilities in vocational rehabilitation agencies by examining the perceptions of state agency personnel regarding the types and levels of involvement by consumers in the state agencies through a survey of state agencies. This study also sought to test the relationship between specific client outcome data and the types and levels of involvement of consumers in the state agencies. Surveys were completed by 50 state agencies and the District of Columbia, from 1993-1994. The survey evaluated involvement on the individual, state and program levels, involvement "roles," and barriers to and supports provided to facilitate involvement. Results show moderate to low consumer involvement in agency system, program, and individual service delivery activities. Less involvement of consumers was reported in roles related to service provision. Some survey items pertaining to consumer involvement in provision of direct services were correlated with successful rehabilitation outcome. No correlation was found between a composite score of all involvement strategies per state and rehabilitation outcomes. Data on a range of involvement activities and strategies and resulting conclusions are described. INTRODUCTION So much has been said and written about the terms "recovery," "rehabilitation" or "reintegration" by so many different voices, that it is, at times, difficult to know what exactly we are talking about. Some people believe that "recovery" means "cure" and therefore do not feel that it can really apply to persons with serious psychiatric disabilities. Some people believe that "rehabilitation" means "training" and providing services to people with serous psychiatric disabilities in specific facilities-facilities in the community or in a hospital setting. Some people believe that "reintegration" is different from "rehabilitation," because "rehabilitation" to them, is a technique to train people with serous psychiatric disabilities in skills rather than helping people to become part of the social fabric once again. I would like to discuss these terms once again, because I believe that they speak to more than semantics and linguistic differences. They often reveal a confusion in the practice of rehabilitation that has long been discussed in the literature.
Farkas, M. D. & Vallée, C. (1996). De la réappropriation au pouvoir d’agir : la dimension discrète d’une réelle réadaptation. Revue Santé mentale au Québec, 21(2), 17-28.
INTRODUCTION
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