Articles
1999
Below 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., Brown, M. A., Rogers, E. S. & Derringer, S. (1999). A supported living/supported employment program for reducing the number of people in institutions. Psychiatric Rehabilitation Journal, 23, 57-61.
The discharge to the community of people who have made extensive use of state hospitals has become an accepted way to reduce the number of people in institutions, to close wards and decrease costs. However, concern exists over the ongoing community program costs and the sustained community functioning of individuals discharged after the census reduction efforts have ended. The present study investigates the program cost and community functioning of individuals discharged to an innovative transition project that was sponsored and funded jointly by the Division of Vocational Rehabilitation and the Department of Mental Health. In the original study, twenty-six people were discharged to a supported living/supported employment program. This paper reports on a follow-up study conducted one year after the original formal evaluation of the project was completed. Similar to the original study, the follow-up study assessed residential and vocational status; data on ongoing need for program support, and program costs were collected. Results indicated that individuals were able to maintain most of the residential and vocational gains made during their initial year of their transition to the community. In addition, hospital days remained low, and the ongoing costs of the program per year; while still substantial, were significantly less than the costs for the first year of their transition into the community.
Ellison, M. L., Danley, K. S., Bromberg, L. & Palmer-Erbs, V. (1999). Longitudinal outcome of young adults who participated in a psychiatric vocational rehabilitation program. Psychiatric Rehabilitation Journal, 22, 337-341.
A longitudinal study presents the outcomes for participants in a psychiatric rehabilitation program for young adults. Five to nine years after the baseline and end of intervention, participants showed a maintenance of in initial gains in vocational and educational status, self-esteem scores, and hospitalization rates. Additional data on work outcomes and quality of life are presented.
Farkas, M. (1999). International practice in psychosocial/psychiatric rehabilitation. Boston, MA, Boston University, Center for Psychiatric Rehabilitation.
INTRODUCTION
In 1994, the World Association of Psychosocial Rehabilitation (WAPR), under the leadership of Dr. Benedetto Saraceno, invited the Center for Psychiatric Rehabilitation at Boston University, a member of WAPR, to create a WAPR Committee. The mandate of the Committee was to develop a list of psychosocial rehabilitation programs around the world that could represent examples of “best practice.” The Committee began its work in earnest in the fall of 1994 and worked through until the fall of 1997. The verification of information and publication of the directory was completed in early 1999. The directory presents a list of selected programs, a brief overview of the state of psychosocial/psychiatric rehabilitation in each of the global regions used to organize the directory, as well as a description of minimum characteristics of “good practice.”
NOTE: For full listing of these programs, please contact the Center for Psychiatric Rehabilitation by phone (617-353-3549) or by email ( psyrehab@bu.edu).
Hutchinson, D., Skrinar, G. & Cross, C. (1999). The role of improved physical fitness in rehabilitation and recovery. Psychiatric Rehabilitation Journal, 22, 335-359.
In a study examining the efficacy of an aerobic exercise
program for adults with chronic psychiatric disabilities, the hypothesis that certain aspects of psychological well being would Improve as fitness levels increased was tested. Using a quasi-experimental non-equivalent control group design, 37 adults with severe psychiatric disabilities participated in a structured aerobic exercise program that met three times a week for 30 minutes over 15-20 weeks. Psychological and physiological assessments occurred at five different but equal, points in time. Upon completion of the exercise phase, Individuals participated in a follow-up period matching the exercise phase In duration. Significant positive changes were seen In both physical and psychological variables, indicating the potential of physical fitness as a rehabilitation Intervention for persons with a psychiatric disability.
Russinova, Z. (1999). Providers' hope-inspiring competence as a factor optimizing psychiatric rehabilitation outcomes. Journal of Rehabilitation, 65(4), 50-57.
This article examines the role of hope in the process of recovery of people who have psychiatric disabilities. An original model outlining the dialectical relationship between hope and recovery is presented. From this perspective, the author introduces the concept of mental health and rehabilitation providers' hope-inspiring competence and identifies its main dimensions. Practitioners' ability to inspire and maintain hope in clients with psychiatric disabilities is viewed as playing a central role in providing the motivational resources necessary for the recovery process to occur. Thus, providers' hope-inspiring competence is identified as a crucial factor that contributes to optimizing mental health and rehabilitation services outcome.
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