China
Africa
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Being recovery-oriented and reducing the use of restrictive interventions in mental health care
Published in Bernadette McSherry, Yvette Maker, Restrictive Practices in Health Care and Disability Settings, 2020
Lisa Brophy, Justine Fletcher, Bridget Hamilton
Key policies devote considerable space to both recovery-oriented practice and least restrictive care (Commonwealth of Australia 2009a, 2009b, 2013). Davidson and colleagues (2009: 326) have defined recovery-oriented practice as: person-centered, strengths-based, collaborative and empowering. Consistent with the goals of self-determination and enabling people to pursue meaningful lives in the community despite the lack of a cure for their condition, advances in psychiatric rehabilitation focus on enhancing functioning and supporting people in taking part in routine adult roles in the community such as employment, education, and socialization. Policies requiring recovery orientation sit alongside policies requiring reduction in restrictive interventions. Significant investment has been made in Australia to attempt to reduce restrictive interventions over the past two decades through law, policy and practice change. The National Mental Health Commission in 2012 recommended that services ‘reduce the use of involuntary practices and work to eliminate seclusion and restraint’ (Brophy et al. 2016b: 600). However, these policies on restrictive interventions do not directly speak to recovery-related policies.
The Benefit of Behavior Support Plans in Psychiatric Inpatient Settings
Published in Meidan Turel, Michael Siglag, Alexander Grinshpoon, Clinical Psychology in the Mental Health Inpatient Setting, 2019
Jimmy I. Kim, Peter J. D’Amico
Here is the good news. There may be no better time to truly make a lasting impact or at the very least set an optimistic or positive tone for all future interventions for the patients. During those moments of desperation and hopelessness, we can do truly great work. Nurses greet the patients that come through the unit’s doors for the umpteenth time and comfort them like a long-lost relative who has had a bad stretch of luck. mental health workers (MHWs) literally help patients back onto their feet and whisper words of encouragement during those dark hours. Attending psychiatrists and nurse practitioners listen to the stories that patients share while working hard to find the best medication with the optimal dosage. Psychiatric rehabilitation therapists teach adaptive coping skills and relapse prevention so that patients have a fighting chance once they are back on their feet. Social workers work tirelessly to find discharge resources so that the patient can continue to make progress in their treatments in an outpatient setting and have a more successful transition to the real world.
Introduction
Published in Paul H. Lysaker, Reid E. Klion, Recovery, Meaning-Making, and Severe Mental Illness, 2017
Paul H. Lysaker, Reid E. Klion
MERIT is an integrative model that can be offered by professionals who work from a variety of differing theoretical backgrounds. It provides practitioners trained in cognitive, behavioral, psychodynamic, humanistic, existential, family systems, psychiatric rehabilitation, and other perspectives with specific methodologies they can incorporate into their clinical practice. While MERIT is an approach to psychotherapy that is supported by science, it is not prescriptive and does not use the type of lock-step methodologies embodied by most contemporary treatment models. In a world of increasingly prescribed practice that focuses on isolated symptoms, specific problems, and a growing array of deficits, MERIT is concerned with the whole person. For practitioners who may feel stifled by the current treatment environment, it offers an approach that has the potential to stimulate and harness their creativity, allowing for the formation of new ideas about wellness in the face of some of the most profound suffering that confronts the mental health treatment community.
Menstrual Hygiene Management among Homeless Women With Mental Illness in St. Louis Metropolitan Area: A Qualitative Study
Published in Women's Reproductive Health, 2023
Basant ElBanna, Nathaniel A. Dell, Marina Klier
The study site, a community behavioral health agency in the Midwestern United States, provides a range of services including outreach to homeless shelters, jails, emergency departments, and inpatient psychiatric facilities. Psychiatric rehabilitation services are also provided, such as assertive community treatment, illness management and recovery, and integrated treatment for co-occurring disorders. Of the clients aged 18 and older served by the agency, approximately two-thirds identify as African American. Services are primarily funded through Medicaid, although persons who are uninsured or underinsured can access services through federal, municipal, and foundation grants. At the time of the study, the site was providing outreach and treatment services to persons experiencing homelessness with behavioral health concerns through a Substance Abuse and Mental Health Services Administration (SAMHSA) grant.
The Effect of Self-Stigma on the Hope of Chinese with Mental Illness: The Mediating Role of Family Function
Published in Psychiatry, 2023
This study proposed a model of self-stigma, hope, and family function to unravel dyadic links and establish the mediating role of family function between self-stigma and hope. The data showed that family function lies along the causal pathway between self-stigma and hope, explaining part of the effect of self-stigma on hope. Since family function is an antecedent or outcome rather than a mediator in the model analysis of MI, this study fills a research gap. This study elucidates the inter-mediated effect of family function in explaining the underlying psychological and familial coping mechanisms of PMI. Highlighting the importance of family influence is crucial because it has essential buffering and protective effects against the adverse effects of self-stigma, especially concerning reducing hopelessness. China’s psychiatric rehabilitation programs have long focused on direct patient services, paying less attention to the significant role of family participation in rehabilitation (Tian, 2018). Therefore, these results have important practical significance for expanding the scope of psychiatric rehabilitation services in China, especially enhancing family support services.
How People with Autism Access Mental Health Services Specifically Suicide Hotlines and Crisis Support Services, and Current Approaches to Mental Health Care: A Scoping Review
Published in Issues in Mental Health Nursing, 2022
Michelle Cleary, Sancia West, Glenn E. Hunt, Loyola McLean, Catherine Hungerford, Rachel Kornhaber
Six studies discussed the approach to providing mental health services to people with ASD. Some studies reported generally about approaches taken to mental health service provision. One study acknowledged that individualised and tailored treatment approaches were both what the person preferred and ultimately most beneficial (Camm-Crosbie et al., 2019). Another study outlined the role of psychiatric rehabilitation centres (Franck et al., 2019). These centres offer services to those on the autism spectrum with mental illness and design customised rehabilitation plans based on individual and perceived difficulties, needs, preferences and resources. A further study identified emergency crisis plans as a form of mental health support, yet also noted that psychiatrists were less likely to develop these for people with ASD than those without ASD and also less likely to recommend the emergency department to parents of people with ASD during crises (Kalb et al., 2017).