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Michelle Cleary - One of the best experts on this subject based on the ideXlab platform.
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The contribution of case study design to supporting research on Clubhouse Psychosocial Rehabilitation
BMC Research Notes, 2015Co-Authors: Toby Raeburn, Catherine Hungerford, Virginia Schmied, Michelle ClearyAbstract:Psychosocial Clubhouses provide recovery-focused Psychosocial Rehabilitation to people with serious mental illness at over 300 sites in more than 30 countries worldwide. To deliver the services involved, Clubhouses employ a complex mix of theory, programs and relationships, with this complexity presenting a number of challenges to those undertaking Clubhouse research. This paper provides an overview of the usefulness of case study designs for Clubhouse researchers; and suggests ways in which the evaluation of Clubhouse models can be facilitated. The paper begins by providing a brief explanation of the Clubhouse model of Psychosocial Rehabilitation, and the need for ongoing evaluation of the services delivered. This explanation is followed by an introduction to case study design, with consideration given to the way in which case studies have been used in past Clubhouse research. It is posited that case study design provides a methodological framework that supports the analysis of either quantitative, qualitative or a mixture of both types of data to investigate complex phenomena in their everyday contexts, and thereby support the development of theory. As such, case study approaches to research are well suited to the Clubhouse environment. The paper concludes with recommendations for future Clubhouse researchers who choose to employ a case study design. While the quality of case study research that explores Clubhouses has been variable in the past, if applied in a diligent manner, case study design has a valuable contribution to make in future Clubhouse research.
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Self-determination theory: a framework for clubhouse Psychosocial Rehabilitation research.
Issues in mental health nursing, 2014Co-Authors: Toby Raeburn, Catherine Hungerford, Virginia Schmied, Michelle ClearyAbstract:The Clubhouse model is a widely used approach to Psychosocial Rehabilitation that has been a pioneer in supporting recovery-oriented programmes. Little consideration has been given however, to the theories that guide research of the recovery practices used by Clubhouses. In this paper, we provide a description of self-determination theory, including its philosophical background followed by explanation of its relevance to health care and Clubhouse contexts. We argue that self-determination theory provides a robust social constructionist theoretical framework that is well-suited to informing research related to Psychosocial Rehabilitation, recovery-oriented practices and the Clubhouse model.
John S Brekke - One of the best experts on this subject based on the ideXlab platform.
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recovery from schizophrenia in community based Psychosocial Rehabilitation settings rates and predictors
Research on Social Work Practice, 2017Co-Authors: Concepción Barrio, Mercedes Hernandez, Armando Barragan, John S BrekkeAbstract:Objective:We assessed the rate of recovery from schizophrenia in community-based Psychosocial Rehabilitation and whether Psychosocial attributes predicted the achievement of recovery beyond demographic and clinical characteristics.Methods:We used data from 246 individuals with schizophrenia spectrum disorder collected at baseline and at 6 and 12 months after admission to Psychosocial Rehabilitation.Results:The proportion of participants who showed recovery during either 6-month period and the full 1-year period was 19.86% and 7.53%, respectively. Although predictors of recovery for the 1-year period could not be reliably estimated due to its low rate, higher levels of intrinsic motivation and more positive family relationships at baseline predicted recovery for either 6-month period after controlling for initial functioning capacity.Conclusions:One in five individuals with schizophrenia who engage in intensive community-based Psychosocial Rehabilitation can achieve periods of recovery during treatment. Ps...
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Remission of symptoms in community-based Psychosocial Rehabilitation services for individuals with schizophrenia.
Psychiatric rehabilitation journal, 2015Co-Authors: Caroline Lim, Mercedes Hernandez, Concepción Barrio, Armando Barragan, Ann-marie Yamada, John S BrekkeAbstract:Objective The aims of this study were to determine the prevalence of remission in individuals with schizophrenia at baseline and 6 months after admission to community-based Psychosocial Rehabilitation and whether baseline intrapersonal and environmental resources predicted remission at 6 months, controlling for relevant demographic and clinical variables. Method The sample featured 187 individuals with schizophrenia spectrum disorder. To determine remission status, consensus-based criteria proposed by the Remission in Schizophrenia Working Group were adapted to identify predictors of remission outcomes, direct binary logistic regression analysis was performed. Results Findings indicated that 34.57% and 55.61% of the sample was in remission at baseline and 6 months, respectively. Remission at 6 months was predicted by shorter length of illness and being in remission at admission. Conclusions Remission of schizophrenia is an achievable outcome in community Psychosocial Rehabilitation settings. Clinical characteristics exerted a significantly stronger influence on remission outcomes compared with Psychosocial factors.
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Ethnicity and treatment outcome variation in schizophrenia: a longitudinal study of community-based Psychosocial Rehabilitation interventions.
The Journal of nervous and mental disease, 2004Co-Authors: Sung Woo Bae, John S Brekke, John R. BolaAbstract:The purpose of this study was to investigate cross-ethnic variations in prospective treatment outcomes over a period of 12 months from community-based Psychosocial Rehabilitation interventions for people with schizophrenia. Data were pooled from two similar studies of Psychosocial Rehabilitation for clients with schizophrenia conducted in the same urban settings. The final sample consisted of 226 people diagnosed with a schizophrenia spectrum disorder, consisting of 108 (48%) white subjects, 81 (36%) African American subjects, and 37 (16%) Latino subjects. Main analyses were performed using hierarchical linear modeling. Analyses indicated that both study groups demonstrated statistically significant rehabilitative improvement over a period of 12 months. Although African American subjects had a significantly slower rate of improvement (compared with white subjects) in social functioning, analyses in several other outcome domains generally revealed that all three ethnic groups showed similar change trajectories over time, with no additional ethnic-related differences reaching statistical significance. With the exception of slower social improvement for African Americans, the findings from this study suggest that community-based Psychosocial Rehabilitation interventions did not result in significantly poorer outcomes for the ethnic minority groups examined. Several important implications are discussed.
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The impact of ethnicity on prospective functional outcomes from community‐based Psychosocial Rehabilitation for persons with schizophrenia
Journal of Community Psychology, 2001Co-Authors: Elizabeth S. Phillips, Concepción Barrio, John S BrekkeAbstract:Ethnicity was examined for its relationship to prospective functional outcomes from community-based Psychosocial Rehabilitation for individuals with schizophrenia. Participants were 98 individuals diagnosed with schizophrenia or schizoaffective disorder who were admitted to two community-based Psychosocial Rehabilitation programs. Previous studies had established that these programs were effective in improving functional outcomes. Data on hospitalization, independent living, social, and work functioning were collected every 6 months for a period of 3 years. The results using hierarchical linear modeling revealed significant differences among non-minorities, African Americans, and Latinos in rehabilitative change over time in the domains of work and social functioning. Non-minorities achieved the greatest gains in both social and work functioning. African Americans showed little change in social functioning, but showed a decline in work functioning. In the domain of work, Latinos deteriorated more than African Americans, and this was most notable for Latino males. There were no cross-ethnic differences in independent living or hospitalization outcomes. Based on these findings, there is important variation among different ethnic groups in their response to Psychosocial Rehabilitation. Implications are discussed in terms of the need for culturally relevant Rehabilitation methods, and for research on cultural constructs in community-based intervention studies. © 2001 John Wiley & Sons, Inc.
Lina Daunoraitė - One of the best experts on this subject based on the ideXlab platform.
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The assessment of need of Psychosocial Rehabilitation: social work case
Social Work, 2009Co-Authors: Alina Petrauskienė, Lina DaunoraitėAbstract:Social work practice in the institution of mental health care is analysed in this article revealing the characteristics of Psychosocial Rehabilitation model, the role of a social worker, the inner and the outer factors (determination to change the situation, personal communication style, the perception of environment and oneself, problems relating to social functioning and social network) that determine the need for Rehabilitation of persons with long – term mental disability. The interview was taken from persons with long – term mental disability. The qualitative data analysis based on the interview allowed highlighting the needs of Psychosocial Rehabilitation, oriented to personal development of persons with mental disability which include the development of social skills (positive perception of one’s life circumstances, the formation of interpersonal relationships and independence from others, the acceptance and maintenance of support, the setting of personal priorities), health care skills (the recognition of mental illness or health problems, reconciliation, support searching) and supportive relatives (mother, father, sister, friend (s), community members (neighbours), the development of links concerning Rehabilitation specialists).
Toby Raeburn - One of the best experts on this subject based on the ideXlab platform.
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The contribution of case study design to supporting research on Clubhouse Psychosocial Rehabilitation
BMC Research Notes, 2015Co-Authors: Toby Raeburn, Catherine Hungerford, Virginia Schmied, Michelle ClearyAbstract:Psychosocial Clubhouses provide recovery-focused Psychosocial Rehabilitation to people with serious mental illness at over 300 sites in more than 30 countries worldwide. To deliver the services involved, Clubhouses employ a complex mix of theory, programs and relationships, with this complexity presenting a number of challenges to those undertaking Clubhouse research. This paper provides an overview of the usefulness of case study designs for Clubhouse researchers; and suggests ways in which the evaluation of Clubhouse models can be facilitated. The paper begins by providing a brief explanation of the Clubhouse model of Psychosocial Rehabilitation, and the need for ongoing evaluation of the services delivered. This explanation is followed by an introduction to case study design, with consideration given to the way in which case studies have been used in past Clubhouse research. It is posited that case study design provides a methodological framework that supports the analysis of either quantitative, qualitative or a mixture of both types of data to investigate complex phenomena in their everyday contexts, and thereby support the development of theory. As such, case study approaches to research are well suited to the Clubhouse environment. The paper concludes with recommendations for future Clubhouse researchers who choose to employ a case study design. While the quality of case study research that explores Clubhouses has been variable in the past, if applied in a diligent manner, case study design has a valuable contribution to make in future Clubhouse research.
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Self-determination theory: a framework for clubhouse Psychosocial Rehabilitation research.
Issues in mental health nursing, 2014Co-Authors: Toby Raeburn, Catherine Hungerford, Virginia Schmied, Michelle ClearyAbstract:The Clubhouse model is a widely used approach to Psychosocial Rehabilitation that has been a pioneer in supporting recovery-oriented programmes. Little consideration has been given however, to the theories that guide research of the recovery practices used by Clubhouses. In this paper, we provide a description of self-determination theory, including its philosophical background followed by explanation of its relevance to health care and Clubhouse contexts. We argue that self-determination theory provides a robust social constructionist theoretical framework that is well-suited to informing research related to Psychosocial Rehabilitation, recovery-oriented practices and the Clubhouse model.
Steve Szilvagyi - One of the best experts on this subject based on the ideXlab platform.
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supported education for adults with psychiatric disabilities an innovation for social work and Psychosocial Rehabilitation practice
Social Work, 2005Co-Authors: Carol T Mowbray, Mary Elizabeth Collins, Chyrell D Bellamy, Deborah Megivern, Deborah Bybee, Steve SzilvagyiAbstract:The value of education is so key. We must embrace learning as the path to true empowerment and effective personal and systems change. --Paolo del Vecchio, 2001, p. 9 Dual policies of deinstitutionalization and community-based mental health services have been a mainstay of the U.S. mental health system for the past 40 years (Goldman, 1998). However, these policies have been imperfectly implemented. In the 1960s, patient populations formerly treated in psychiatric hospitals received only minimal community-based treatment in the form of medications or outpatient psychotherapy. It soon became apparent that this situation produced a "revolving door" phenomenon wherein people with serious mental illness (SMI) cycled in and out of inpatient psychiatric care (Segal, 1995). Furthermore, service providers found that the mere physical presence of people with psychiatric disabilities in the community was not sufficient for their integration into occupational, educational, or social activities (Anthony, 1994). Helping individuals with psychiatric disabilities optimize their functioning in pursuit of desired goals requires Rehabilitation methods similar to those used with physical disabilities. "Rehabilitation focuses on the reduction of disability and the promotion of more effective adaptation in the individual's environment" (Silverstein, 2000, p. 228)--so individuals can acquire skills and knowledge to minimize their disability, and environmental supports to help them carry out their Rehabilitation goals. Recognition of the need for Rehabilitation services and support systems as critical supplements to mental health treatment led to the development of the Community Support Program (CSP) in the 1970s. CSP launched several innovative models for Psychosocial Rehabilitation (PSR), including supported employment (Tice, 1994) and supported housing (Ogilvie, 1997). One of the keys to the effectiveness of PSR programs is that they are designed as a partnership between the person with a disability and the treating professional. PSR programs focus on individual recovery through adaptation to the demands of daily life (with medical and social supports, as needed) in the usual community setting, with goals and pursuits of the consumer's choosing; individuals must be included in their own recovery. As Davidson and colleagues (2001) put it, "When people do not have hope, a sense of self-worth, and a sense of their own efficacy, they will not be equipped to take on the formidable challenges inherent in attempting to cope with, not to mention recover from their disorder" (p. 379). Research has shown that PSR services for people with psychiatric disabilities are effective, often producing more "normalized" role functioning for the majority of service recipients (Barton, 1999). Thus, PSR is congruent with social work's emphasis on evidence-based practice. The purpose of this article is to improve awareness and understanding of one of the newest interventions in Psychosocial Rehabilitation--supported education (SEd)--by providing an overview of SEd principles, services, and models and information on effectiveness evaluations. We also discuss why social work should be interested in SEd. Psychosocial Rehabilitation The International Association for Psychosocial Rehabilitation Services (IAPSRS) defines Psychosocial Rehabilitation as: a constellation of services designed for persons with SMIs and severe functional deficits ... The goal is to enable individuals to compensate for, or eliminate, the functional deficits, and to restore ability for independent living, by ... teaching skills and coping techniques, and helping the individual develop a supportive environment, and restore a sense of mastery over his or her life ... PSR providers build on the strengths of each individual, by emphasizing wellness and by including families and the community in the recovery process (Hughes, 1993, p. …