Articles
2000
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. (2000). Recovery-oriented service systems: Setting some system level standards. Psychiatric Rehabilitation Journal, 24, 159-168.
In the 1990s a number of state mental health systems, behavioral managed care entities, and county systems of care declared that their service delivery systems were based on the vision of recovery. A recovery vision of service is grounded in the idea that people can recover from mental illness, and that the service delivery system must be constructed based on this knowledge. In the past, mental health systems were based on the belief that people with severe mental illness did not recover, and that the course of their illness was essentially a deteriorative course, or at best a maintenance course. As systems strive to create new initiatives consistent with this new vision of recovery, new system standards are needed to guide the development of recovery oriented mental health systems. Based on research on previous system initiatives and current consensus around accepted recovery practices and principles, a set of system standards that are recovery focused are suggested to guide future system developments.
Anthony, W. A., Cohen, M., et al. (2000). Clinical care update: The chronically mentally ill: Case management--more than a response to a dysfunctional system. Community Mental Health Journal, 36(1), 97-106.
Examines case management from the perspective that case management is a needed function no matter how coordinated and integrated the system. From this perspective, case management is driven by the client's goals and not the system's goals. Case management is viewed as a process by which persons with severe psychiatric disability is supported in negotiating for the various services that they want and need. Four activities are identified as performed by the case manager: Connecting with Clients, Planning for Services, Linking Clients with Services, and Advocating for Service Improvements. Case management must be seen as a uniquely human response to the client's specific service needs and overall goals. For persons with long-term psychiatric disabilities, case management brings to life the human dimension of the human service system.
Hutchinson, D. (2000). The journey towards wellness. The Journal of NAMI California, 11, 7-8.
INTRODUCTION
Like many of life's journeys this one is not easy for anyone. Wellness is something we all aspire to, it is a state of being that we all struggle towards, it is a way of life that most people hold onto as a goal. And when we are there, we know why we struggled, why we aimed for that sense of well-being that makes us feel alive, vibrant and full of possibilities. There is even something about the word "wellness" that implies a confidence in our future, a commitment to life and a focus on possibilities. It is a hopeful word. But wellness is more than a word; it is a way of life, an attitude, a lifestyle and a concept. I have come to believe that there is no right or wrong definition of wellness, nor is there any one path to wellness. But, since every journey needs a beginning point I will start with an attempt at defining wellness: wellness. . . .
Copyright permission granted from NAMI California
Ralph, O. R., Muskie, E. S. (2000), Recovery. Psychiatric Rehabilitation Skills, 4(3), 480-517.
There is a great deal of interest in the concept of recovery in mental health circles. While some indicate it can never happen for people who are seriously mentally ill, others say improvement can take place, and still other insist that people can fully recover. The following review of literature on recovery provides definitions of recovery from the writings of those who have lived it, and describes studies that show people do recover and how people recover. There is vast and growing literature on recovery, both published and unpublished, of which this article is only an introduction. The overwhelming conclusion from both those who have lived recovery and those who have tried to systematically study it is: that recovery is possible, and that is takes both individual determination and the support of others in order to be accomplished.
Shern, D., Tsemberis, S., Anthony, W., Lovell, A., Richmond, L., Felton, C., Winarski, J., & Cohen, M. (2000). Serving street-dwelling individuals with psychiatric disabilities. American Journal of Public Health, 90, 1873-1878.
Examined a psychiatric rehabilitation approach for organizing and delivering services to street-dwelling persons with severe mental illness. 168 street-dwelling individuals (aged 21-66 yrs) completed either standard or experimental treatment. Ss were assessed at baseline and at 6-mo intervals during a 2-yr period concerning service use, quality of life, health, mental health, and social psychological status. Results show that experimental-treatment Ss were more likely to attend a day program, had less difficulty in meeting their basic needs, spent less time on the streets, and spent more time in community housing than those given standard treatment. Experimental-treatment Ss also showed greater improvement in life satisfaction, and experienced a greater reduction in psychiatric symptoms. Findings suggest that with an appropriate service model, it is possible to engage disaffiliated populations, expand their use of human services, and improve their lives.
Key Words: psychiatric rehabilitation approach; mental health services delivery; street dwelling persons; severe mental illness; quality of life; health; mental health; social psychological status; models
Copyright permission granted from the American Public Health Association
|
|