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Articles2005Below 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. (2005). Psychiatric Rehabilitation and the science of possibilities. Psychiatric Rehabilitation Journal, 28(4), 313-314. My mentor, Robert Carkhuff (see e. g., Carkhuff, 1969; Carkhuff & Berenson, 2000) has taught me that the science we need to study is the science of possibilities, not the science of probabilities that has dominated our field. The traditional science of probabilities is concerned with describing, predicting, and controlling, and the research questions posed reflect this orientation. For example, the science of probabilities asks, what are the characteristics that best describe people with schizophrenia? What are the chances that people with schizophrenia can live asymptomatically? Can scores on a psychological test predict that people with mental illnesses will work? In this science of probabilities we describe limited bits of knowledge with respect to how the data deviate from some norm or standard. In our experimental designs we hope to contain extraneous variance so that probability answers can be given to questions such as those above. While there is nothing inherently wrong with pursuing answers to questions generated by the science of probabilities, this traditional type of probabilities science seems to de-emphasize our world's capacity for change and growth.
Anthony, W. A. (2005). Value Based Practices. Psychiatric Rehabilitation Journal, 28(3), 205. Value based practices (VBPs) are practices that are grounded in “people first” values, such as choice, growth, personhood, etc. (Anthony, 2004b). Currently, the concept of value based practices (Anthony, 2004a) has nowhere near the cachet nor credibility of its sister concept, evidence based practices (EBPs). However, in the future it is my belief that the notion of VBP will take its rightful place as a concept as useful as EBP. The President's New Freedom Commission on Mental Health (New Freedom Commission on Mental Health, 2003), while not using the VBP concept specifically, strongly and consistently emphasized the importance of the values underlying their vision of recovery for people with severe mental illnesses. For example, Goal 2 of the President's report stated that mental health care must be consumer and family driven. Included in the text describing the practices leading toward this goal are such values as partnership, individualization, healing relationships, flexibility, integration, consumer preferences, rights, control and choices.
Ellison, M.A., Russinova, Z, Massaro, J., Lyass, A. (2005). People with Schizophrenia Employed as Professionals and Managers: Initial Evidence and Exploration. Schizophrenia Research, 76(1), 123-125. People with Schizophrenia Employed as Professionals and Managers: The prognosis for schizophrenia has been pessimistic, particularly regarding the capacity of individuals with this diagnosis to work or achieve work that is other than low-wage or entry level (Baron & Salzer, 2000; Botterbusch, 2000; McCrohan et al., 1994). In prior studies vocational achievement overall has been shown to correlate with: symptom management (Anthony et al., 1995; Fabian, 1999), use of social supports (Rogers, Anthony & Lyass, 2004), work experience prior to disability (Mueser, Salyers & Mueser 2001; Anthony & Jansen, 1984), and inversely to disability severity and mental health history (Tsang et al., 2000; Mueser et al, 2001). A recent study offers evidence that some individuals with schizophrenia have achieved mid and upper level careers. A national mail survey (composed primarily of checklists and Likert scaled items) was undertaken to identify and describe professionals and managers with serious mental illness. A non-representative, purposive sampling strategy was employed using self-reported data collected from 1997 through 1999. Of the 495 eligible respondents, fifty-nine (12%) reported having a diagnosis of schizophrenia or related disorder.
Farkas, M., Gagne, C., Anthony, W., Chamberlin, J. (2005). Implementing recovery oriented evidence based programs: Identifying the critical dimensions. Community Mental Health Journal, 41(2), 141-158.
Richardson, C. R., Faulkner, G., McDevitt, J., Skrinar, G. S., Hutchinson, D. S. & Piette, J. D. (2005). Integrating Physical Activity Into Mental Health Services for Persons With Serious Mental Illness. Psychiatric Services, 56, 324-331.
This article reviews evidence supporting the need for interventions to promote physical activity among persons with serious mental illness. Principles of designing effective physical activity interventions are discussed along with ways to adapt such interventions for this population. Individuals with serious mental illness are at high risk of chronic diseases associated with sedentary behavior, including diabetes and cardiovascular disease. The effects of lifestyle modification on chronic disease outcomes are large and consistent across multiple studies. Evidence for the psychological benefits for clinical populations comes from two meta-analyses of outcomes of depressed patients that showed that effects of exercise were similar to those of psychotherapeutic interventions. Exercise can also alleviate secondary symptoms such as low self-esteem and social withdrawal. Although structured group programs can be effective for persons with serious mental illness, especially walking programs, lifestyle changes that focus on accumulation of moderate-intensity activity throughout the day may be most appropriate. Research suggests that exercise is well accepted by people with serious mental illness and is often considered one of the most valued components of treatment. Adherence to physical activity interventions appears comparable to that in the general population. Mental health service providers can provide effective, evidence-based physical activity interventions for individuals with serious mental illness.
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