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Psychiatric Rehabilitation Journal

Amy B Spagnolo, Kenneth Gill, Rita Cronise, Annette Backs, Karen Richards, Varsha Kamat
OBJECTIVE: This report describes the instructional design and development process, learner feedback, and factors associated with course completion in the Academy of Peer Services (APS), an online educational platform for partial fulfillment of peer specialist state certification. METHOD: From January 2014 to August 2017, 4,064 individuals in the APS completed online courses and provided demographic information and course evaluation feedback. This report analyzed the relationship between demographic data (work role, experience with online training, level of education) and posttest performance...
February 18, 2019: Psychiatric Rehabilitation Journal
Rachel M Manning, Ronni Michelle Greenwood
OBJECTIVE: Recovery is the process through which one learns to overcome, manage, or live with the negative consequences of physical illness, mental illness, alcohol or drug misuse, or trauma. Homeless individuals endure many, or all, of these experiences. Previous research has shown that characteristics of homeless services, particularly the amount of choice they afford to service users, can influence recovery experiences, potentially by increasing a sense of mastery. The purpose of this study was to test the hypothesis that choice in housing and services would predict recovery in a number of domains, and that these relationships would be mediated by mastery...
February 7, 2019: Psychiatric Rehabilitation Journal
Peter Lenehan, Frank P Deane, Keren Wolstencroft, Peter J Kelly
OBJECTIVE: Our goal was to develop and pilot a methodology that could reliably identify therapeutic homework tasks that are coherent with the goals of individuals receiving mental health recovery support. METHOD: The content of goals and therapeutic homework tasks of 66 clients were classified using the Camberwell Assessment of Need Goal-Action Plan (CAN-GAP) taxonomy. Goal-homework pairs were considered coherent if the content of the homework and goal were both independently assigned the same content domain...
January 28, 2019: Psychiatric Rehabilitation Journal
Nathaniel A Dell, Michelle Pelham, Allison M Murphy
OBJECTIVE: To examine the relationship between loneliness and depressive symptoms among middle-aged and older adults diagnosed with serious mental illness (SMI). METHOD: Cross-sectional data from a community mental health center were used to understand the contribution of loneliness to depressive symptoms. Participants (n = 100) were aged 50 or older, diagnosed with SMI, and receiving intensive case management services. Hierarchical linear regression was conducted to explore the relationship of social and emotional loneliness to depressive symptoms when controlling for trauma symptom severity and self-rated health...
January 21, 2019: Psychiatric Rehabilitation Journal
Geneva Jonathan, Elizabeth A Carpenter-Song, Rachel M Brian, Dror Ben-Zeev
OBJECTIVE: A growing body of literature indicates that mobile health (mHealth) interventions that utilize smartphones for illness management are feasible, acceptable, and clinically promising. In this study, we examine how individuals with serious mental illness use a mHealth intervention-FOCUS-to self-manage their illnesses. Additionally, we explored participant perceptions of the intervention's impact on their subjective illness experience. METHOD: We analyzed qualitative data from 30 individuals with serious mental illness who participated in 1 of 2 community-based, 3-month trials of FOCUS...
December 27, 2018: Psychiatric Rehabilitation Journal
Li-Yu Song
OBJECTIVE: This study examined the psychometric properties of a Chinese language version of the Recovery-Promoting Relationship Scale (RPRS) scale in a sample of persons with severe mental illness in Taiwan. METHOD: Five hundred ninety-two participants from 32 community psychiatric rehabilitation centers in Taiwan agreed to participate in this study. Principal component factor analysis with oblique rotation was performed. Internal consistency and external construct validity were also examined...
December 20, 2018: Psychiatric Rehabilitation Journal
Janie Houle, Stephanie Radziszewski, Préscilla Labelle, Simon Coulombe, Matthew Menear, Pasquale Roberge, Catherine Hudon, Marie-Thérèse Lussier, Claire Gamache, Annie Beaudin, Brigitte Lavoie, Martin D Provencher, Guylaine Cloutier
OBJECTIVE: Self-management support is recognized as an important component of the management of mood and anxiety disorders. The goal of this feasibility study was to evaluate the acceptability, implementation and perceived usefulness of a new comprehensive self-management tool ( Getting better my way ) in four care settings in Quebec, Canada. METHOD: Care providers offered the tool to people with difficulties related to mood or anxiety disorders during a 7-month period...
December 20, 2018: Psychiatric Rehabilitation Journal
Laysha Ostrow, Carina Smith, Darby Penney, Martha Shumway
OBJECTIVE: Small business is a favorably regarded institution in America. Given employment disparities among individuals with psychiatric disabilities compared to other workers, self-employment has potential to promote career development and community integration. However, little is known about what has helped or hindered current small business owners with psychiatric disabilities. This exploratory study identified characteristics of individuals' work and disability histories, as well as business characteristics, that can inform policy and practice development in support of disability-owned small businesses...
December 20, 2018: Psychiatric Rehabilitation Journal
Lauren Mizock, Andrea Laurel Merg, Eugene Joseph Boyle, Elysse Kompaniez-Dunigan
OBJECTIVE: Much of the extant literature on women with serious mental illness (SMI) has focused on the risks associated with motherhood, including violence, custody loss, poverty, and homelessness. The present study was conducted to characterize women's broader experiences surrounding the parenting role. METHOD: Twenty women with SMI, both those with and without children, were interviewed. Qualitative data were analyzed using grounded theory approach. RESULTS: Five themes pertaining to the topic of motherhood emerged from the data: motherhood declined, motherhood derailed, motherhood disabled, motherhood reimagined, and mattering through motherhood...
December 17, 2018: Psychiatric Rehabilitation Journal
Marta Anczewska, Jacek Wciórka, Paweł Grygiel, Izabela Nowak, Janina Sonik, Piotr Świtaj
OBJECTIVE: Hope is a key component of personal recovery. There is limited evidence regarding the association of hope with the level of functioning in individuals with psychosis. It is also not clear which dimensions of hope are most strongly related to clinical recovery. Thus, this study aims to explore the relationships of hope and its dimensions with various indicators of clinical recovery such as overall psychopathology, depression and global functioning among people with psychotic disorders...
December 17, 2018: Psychiatric Rehabilitation Journal
Shelly Ben-David, Andrea R Cole, Gary Brucato, Ragy Girgis, Michelle R Munson
OBJECTIVE: Research has shown that young adults at clinical high risk (CHR) for developing psychosis have difficulties seeking, accessing, and staying engaged with mental health services. The present study explored perspectives on engagement with mental health services among young adults at CHR. METHOD: In-depth interviews were conducted with 30 participants at CHR, ages 18-30, from an Eastern U.S. state. Grounded theory methodology was used to analyzed qualitative data...
November 29, 2018: Psychiatric Rehabilitation Journal
Jared M Greenberg, Jonathan K Wynn, Junghee Lee, Gerhard Hellemann, Sonya Gabrielian, Michael F Green
OBJECTIVE: Resilience is broadly defined as the ability to respond adaptively to challenges or adversity. It is unclear which clinical and cognitive factors are most closely related to resilience. Also, the dimensions that comprise resilience may differ among different groups, such as those who are homeless. The purpose of this study was to understand the relationships between resilience and clinical, cognitive, and functional variables among homeless veterans and to determine independent predictors of resilience...
November 29, 2018: Psychiatric Rehabilitation Journal
Kyle Possemato, Emily M Johnson, J Bronte Emery, Michael Wade, Michelle C Acosta, Lisa A Marsch, Andrew Rosenblum, Stephen A Maisto
OBJECTIVE: Many combat veterans struggle with posttraumatic stress disorder (PTSD) and hazardous alcohol use and are hesitant to engage in behavioral health services. Combining peer support with an eHealth intervention may overcome many barriers to care. This pilot study investigated the feasibility of adding peer support to a web-based cognitive behavior therapy (CBT) targeting PTSD symptoms and hazardous drinking, called Thinking Forward. METHOD: Thirty primary care patients with PTSD and hazardous alcohol use were randomized to receive Thinking Forward with or without peer support...
November 29, 2018: Psychiatric Rehabilitation Journal
Emily Leickly, Jordan Skalisky, Frank A Angelo, Debra Srebnik, Sterling McPherson, John M Roll, Richard K Ries, Michael G McDonell
OBJECTIVE: This study describes the perspectives of outpatients with serious mental illness (SMI) and alcohol dependence on their participation in a contingency management (CM) intervention for alcohol use. METHODS: Thirty-five adults with SMI and alcohol dependence participated in a randomized trial of CM for alcohol use, where they were rewarded with prizes contingent on abstinence from alcohol. All participants were interviewed regarding their participation in CM with a consistent structure that included nine open-ended questions...
November 26, 2018: Psychiatric Rehabilitation Journal
Wilma Elisabeth Swildens, Ellen Visser, Michiel Bähler, Richard Bruggeman, Philippe Delespaul, Mark van der Gaag, Lieuwe de Haan, René Keet, Yolanda Nijssen, Jim van Os, Gerdina Marieke Pijnenborg, Cees Slooff, Annerieke de Vos, Jaap van Weeghel, Lex Wunderink, Cornelis Lambert Mulder, Durk Wiersma
OBJECTIVE: This article describes the development and testing of the Functional Recovery tool (FR tool), a short instrument for assessing functional recovery during routine outcome monitoring of people living with serious mental illnesses. METHODS: To assess functional recovery, mental health professionals conducted semistructured interviews with people living with serious mental illnesses on three areas of social functioning: daily living and self-care, work and study, and social contacts...
December 2018: Psychiatric Rehabilitation Journal
Sarah C Narendorf, Michelle R Munson, Shelly Ben-David, Andrea R Cole, Lionel D Scott
OBJECTIVE: Race and gender differences in help seeking are well-established; however, reasons for these differences are less clear. This study examined race and gender differences in two potential contributors-perceptions of illness and attitudes toward treatment-in a sample of marginalized young adults. METHOD: Interviews were conducted with young adults (age 18-25) with prior involvement in public systems of care and mood disorder diagnoses (n = 60). A quantitative interview assessed illness perceptions and attitudes followed by a qualitative interview focused on perceptions of mental illness and treatment...
December 2018: Psychiatric Rehabilitation Journal
Maryann Davis, Ashli J Sheidow, Michael R McCart, Rachael T Perrault
OBJECTIVE: The purpose of this study was to determine whether vocational supports for emerging adults with serious mental health conditions who are at high risk for rearrest are more effectively served within Multisystemic Therapy for Emerging Adults (MST-EA) through vocationally enhanced MST-EA Coaches or through referral to state vocational rehabilitation services. METHOD: A pilot randomized controlled trial examined two MST-EA Coaching approaches. In the Standard Coach + VR condition (n = 16), MST-EA Coaches delivered standard skills curricula to participants and referred them to state vocational rehabilitation (VR) services for vocational supports...
December 2018: Psychiatric Rehabilitation Journal
Jennifer I Manuel, Michelle R Munson, Mary Dino, Melissa L Villodas, Antonia Barba, Paula G Panzer
OBJECTIVE: This study aimed to improve our understanding of how to best assist marginalized youth during their transition to adulthood, and how to provide them services that help them achieve independence within existing public systems of care. METHOD: Using purposive sampling methods, 17 direct service providers and supervisors of a large behavioral health organization participated in individual interviews and focus groups. RESULTS: A team of analysts identified eight primary themes: (a) the primacy of consistent and caring relationships with adults; (b) working with youth and family concurrently; (c) the complicated dance of autonomy and independence; (d) engagement of alumni and peers in service delivery; (e) transition navigator: an active not passive approach to becoming an adult; (f) youth as the drivers of treatment and recovery; (g) provider training and resources to address the unique needs of transition-age youth; and (h) broadening the definition of treatment...
December 2018: Psychiatric Rehabilitation Journal
Maryann Davis, Michelle R Munson
What are the needs, perceptions and experiences of individuals with serious mental health conditions during the transition to adulthood? How can services best support them during this stage of life? These are the two interrelated questions that the articles in this special section address. The populations of focus in these articles are diverse: college students receiving educational supports, White and Latino young adults receiving employment supports, youth and young adults with justice system involvement, young adults with mood disorders, and service providers for youth in transition to adulthood in large urban behavioral health centers...
December 2018: Psychiatric Rehabilitation Journal
Simone Chad-Friedman, Marie Forgeard, Katherine McHugh, Courtney Beard, Lynne Kopeski, Thröstur Björgvinsson
OBJECTIVE: Evidence concerning the effectiveness of yoga in partial hospital programs is limited. Yet, partial hospitals provide treatment at a critical juncture by bridging inpatient and outpatient care. The present study tested the effectiveness of a single-session group yoga intervention for short-term mood and psychiatric symptom change in participants attending a 1- to 2-week partial hospital program. METHOD: Participants included 104 partial hospital patients who participated in the single-session yoga intervention and completed a measure of positive/negative affect before and after the group...
November 8, 2018: Psychiatric Rehabilitation Journal
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