Community based diabetes self-management (DsM) program for individuals with significant mental illness - a pilot program

Participation in community-based leisure activity can be beneficial for supporting recovery for people with mental illness, but many barriers are faced. Drawing on first-voice perspectives, this study examined personal, social, and organizational factors that facilitate community-based leisure participation and suggests practical ways to create leisure environments that they would find supportive and more accessible. Five focus groups were conducted with adults in urban and rural communities in Nova Scotia. Through thematic analysis, five types of facilitators were identified: self-management and self-care; finding meaning; active social supports and connections; welcoming environments; and, educating others. Implications for practice are presented.

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More Community-based Support for People with Mental Illness and Their Families

PsycEXTRA Dataset ◽

10.1037/e536922012-001 ◽

2011 ◽

Keyword(s):

Mental Illness ◽

Community Based ◽

People With Mental Illness

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1195-P: Improving Diabetes Self-Management with a Mobile App: Results of a Pilot Program at a Safety Net Hospital System

Diabetes ◽

10.2337/db20-1195-p ◽

2020 ◽

Vol 69 (Supplement 1) ◽

pp. 1195-P

Author(s):

ROOPA KALYANARAMAN MARCELLO ◽

JOHANNA DOLLE ◽

SHARANJIT KAUR ◽

SAWKIA R. PATTERSON ◽

NICHOLA DAVIS

Keyword(s):

Safety Net ◽

Mobile App ◽

Self Management ◽

Pilot Program ◽

Hospital System ◽

Safety Net Hospital

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Health Behavior Change Processes Among Adults With Serious Mental Illness Engaged in Illness Self-Management

Qualitative Health Research ◽

10.1177/1049732321992049 ◽

2021 ◽

pp. 104973232199204

Author(s):

Anjana Muralidharan ◽

Amanda Peeples ◽

Alicia Lucksted

Keyword(s):

Mental Illness ◽

Health Behavior ◽

Behavior Change ◽

Serious Mental Illness ◽

Cognitive Theory ◽

Self Regulation ◽

Health Behavior Change ◽

Self Management ◽

Living Well ◽

Management Interventions

Self-management interventions promote illness management among adults with chronic health conditions. Little is known regarding the processes by which these interventions have their effects. The present study examined how Living Well, an effective self-management intervention for adults with serious mental illness, led to health behavior change in a randomized controlled trial. A convenience subset ( N = 15) of participants completed qualitative interviews regarding the feasibility/acceptability of Living Well. An inductive secondary qualitative analysis, using a combination of interpretive phenomenological and social constructivist approaches, was conducted to examine processes of change. Results indicate that Living Well provided information and knowledge, opportunities for learning from others and real-world practice, and an interpersonally supportive environment. These active ingredients led to enhanced self-awareness, confidence, sense of control, and behavior and health status changes among participants. These findings are considered in the context of prominent behavior change theories such as social cognitive theory and self-regulation.

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Public Perception of Mental Illness: Opportunity for Community-based Collaborative Intervention

Extended Abstracts of the 2020 CHI Conference on Human Factors in Computing Systems ◽

10.1145/3334480.3383023 ◽

2020 ◽

Author(s):

Makuochi Nkwo ◽

Banuchitra Suruliraj ◽

Rita Orji

Keyword(s):

Mental Illness ◽

Public Perception ◽

Community Based ◽

Collaborative Intervention

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MyCare study: protocol for a controlled trial evaluating the effect of a community-based intervention on psychosocial, clinical outcomes and hospital admission rates for adults with severe mental illness

BMJ Open ◽

10.1136/bmjopen-2020-040610 ◽

2020 ◽

Vol 10 (11) ◽

pp. e040610

Author(s):

Renée O'Donnell ◽

Melissa Savaglio ◽

Debra Fast ◽

Ash Vincent ◽

Dave Vicary ◽

...

Keyword(s):

Mental Health ◽

Mental Illness ◽

Hospital Admission ◽

Clinical Outcomes ◽

Controlled Trial ◽

Community Based ◽

Admission Rates ◽

Mental Health Support ◽

Health Support

IntroductionPeople with serious mental illness (SMI) often fail to receive adequate treatment. To provide a higher level of support, mental health systems have been reformed substantially to integrate mental healthcare into the community. MyCare is one such community-based mental health model of care. This paper describes the study protocol of a controlled trial examining the effect of MyCare on psychosocial and clinical outcomes and hospital admission and duration rates for adults with SMI.Methods and analysisThis is a multisite non-randomised controlled trial with a 3, 6 and 12-month follow-up period. The study participants will be adults (18–64 years of age) with SMI recruited from Hobart, Launceston and the North-West of Tasmania. The treatment group will include adults who receive both the MyCare intervention and standard mental health support; the control group will include adults who receive only standard mental health support. The primary outcome includes psychosocial and clinical functioning and the secondary outcome will examine hospital admission rates and duration of stay. Mixed-effects models will be used to examine outcome improvements between intake and follow-up. This trial will generate the evidence needed to evaluate the effect of a community mental health support programme delivered in Tasmania, Australia. If MyCare results in sustained positive outcomes for adults with SMI, it could potentially be scaled up more broadly across Australia, addressing the inequity and lack of comprehensive treatment that many individuals with SMI experience.Ethics and disseminationThis study has been approved by the Tasmanian Health and Medical Human Research Ethics Committee. The findings will be disseminated to participants and staff who delivered the intervention, submitted for publication in a peer-reviewed journal and shared at academic conferences.Trial registration numberACTRN12620000673943.

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Identifying the minimal important difference in patient-reported outcome measures in the field of people with severe mental illness: a pre–post-analysis of the Illness Management and Recovery Programme

Quality of Life Research ◽

10.1007/s11136-021-02779-4 ◽

2021 ◽

Author(s):

Titus A. A. Beentjes ◽

Steven Teerenstra ◽

Hester Vermeulen ◽

Peter J. J. Goossens ◽

Maria W. G. Nijhuis-van der Sanden ◽

...

Keyword(s):

Mental Illness ◽

Severe Mental Illness ◽

Minimal Important Difference ◽

Patient Reported Outcome Measures ◽

Patient Reported Outcome ◽

Self Management ◽

Illness Management ◽

Meaningful Change ◽

Illness Management And Recovery ◽

Patient Reported

Abstract Purpose Complementary interventions for persons with severe mental illness (SMI) focus on both personal recovery and illness self-management. This paper aimed to identify the patient-reported outcome measures (PROMs) associated with the most relevant and meaningful change in persons with SMI who attended the Illness Management and Recovery Programme (IMR). Methods The effect of the IMR was measured with PROMs concerning recovery, illness self-management, burden of symptoms and quality of life (QoL). From the QoL measures, an anchor was chosen based on the most statistically significant correlations with the PROMs. Then, we estimated the minimal important difference (MID) for all PROMs using an anchor-based method supported by distribution-based methods. The PROM with the highest outcome for effect score divided by MID (the effect/MID index) was considered to be a measure of the most relevant and meaningful change. Results All PROMs showed significant pre–post-effects. The QoL measure ‘General Health Perception (Rand-GHP)’ was identified as the anchor. Based on the anchor method, the Mental Health Recovery Measure (MHRM) showed the highest effect/MID index, which was supported by the distribution-based methods. Because of the modifying gender covariate, we stratified the MID calculations. In most MIDs, the MHRM showed the highest effect/MID indexes. Conclusion Taking into account the low sample size and the gender covariate, we conclude that the MHRM was capable of showing the most relevant and meaningful change as a result of the IMR in persons with SMI.

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What Works in a Nurse Led Self-Management Program for Patients with Serious Mental Illness (SMI) and Diabetes (DM)

Archives of Psychiatric Nursing ◽

10.1016/j.apnu.2017.10.002 ◽

2018 ◽

Vol 32 (1) ◽

pp. 127-132

Author(s):

Carol Blixen ◽

Stephanie W. Kanuch ◽

Adam T. Perzynski ◽

Charles Thomas ◽

Neal V. Dawson ◽

...

Keyword(s):

Mental Illness ◽

Serious Mental Illness ◽

Management Program ◽

Self Management ◽

What Works

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An Efficient Nurse Practitioner–Led Community-Based Service Model for Delivering Coordinated Care to Persons With Serious Mental Illness at Risk for Homelessness

Journal of the American Psychiatric Nurses Association ◽

10.1177/1078390317704044 ◽

2017 ◽

Vol 24 (2) ◽

pp. 101-108 ◽

Cited By ~ 7

Author(s):

Jeannemarie Baker ◽

Jasmine L. Travers ◽

Penelope Buschman ◽

Jacqueline A. Merrill

Keyword(s):

Mental Health ◽

At Risk ◽

Mental Illness ◽

Serious Mental Illness ◽

Nurse Practitioners ◽

Nurse Practitioner ◽

Quality Care ◽

Coordinated Care ◽

Community Based ◽

Provide Quality Care

BACKGROUND: Access to mental health care is a struggle for those with serious mental illness (SMI). About 25% of homeless suffer from SMI, compared with 4.2% of the general population. OBJECTIVE: From 2003 to 2012, St. Paul’s Center (SPC) operated a unique model to provide quality care to the homeless and those at risk for homelessness, incarceration, and unnecessary hospitalization because of SMI. Data were available for analysis for the years 2008 to 2010. DESIGN: The SPC was developed, managed, and staffed by board-certified psychiatric/mental health nurse practitioners, offering comprehensive mental health services and coordinated interventions. RESULTS: All clients were housed and none incarcerated. From 2008 to 2010, only 3% of clients were hospitalized, compared with 7.5% of adults with SMI. Clinical, academic, and community partnerships increased value, but Medicaid reimbursement was not available. CONCLUSION: Mental health provisions in the recently passed 21st Century Cures Act support community mental health specialty treatment. The SPC provides a template for similar nurse practitioner–led models.

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