Breaking Down Stereotypes in Graduate Students: An Integrated Approach to a Practicum Experience---Linking Training With Severely Mentally Ill Clients With Advocacy Through the National Alliance on Mental Illness

2010 ◽  
Author(s):  
Diana J. Semmelhack ◽  
Karen E. Farrell ◽  
Diana Uchiyama
2009 ◽  
Vol 24 (6) ◽  
pp. 373-379 ◽  
Author(s):  
S. Hodgins ◽  
A. Cree ◽  
F. Khalid ◽  
K. Patel ◽  
R. Sainz-Fuentes ◽  
...  

AbstractBackgroundAntisocial behaviour is common among patients with severe mental illness (SMI) requiring hospitalisation.AimTo determine whether differential treatments and services are provided to patients with SMI who engage in antisocial behaviour.MethodA random sample of 161 inpatients with SMI were recruited from general adult wards and assessed at baseline and two years later. Information on symptoms, aggressive behaviour, substance misuse, and service use was obtained from patients and clinical files.ResultsPast antisocial behaviours were not associated with type or intensity of treatments and services. Severity of positive symptoms, aggressive behaviour, and illicit drug use were positively associated with the frequency of CMHT contact, but not with the type of CMHT, type of medication, or other treatments and benefits.ConclusionsWhile the frequency of meetings with CMHTs increased with the severity of antisocial behaviours, no specific treatments were provided to patients with SMI engaging in antisocial behaviours.


2021 ◽  
pp. 0193841X2110496
Author(s):  
Alberto Martini ◽  
Enrico Rettore ◽  
Gian Paolo Barbetta ◽  
Fabio Sandrolini

Background: Mental disease is increasing worldwide and people who suffer from it show lower employment rates and lower earnings. Various approaches have been tried to increase the employment rate of people with mental disease. In the US, empirical studies show that individual placement and support(IPS)—a rapid transition to the job market, with some external assistance—is effective in increasing the employment rate of the mentally ill. Europe lacks such evidence. Purpose: The study assesses the impact of an IPS-like program undertaken in Italy on the employment rate of people with severe mental illness. Methods: The analysis is based on a RCT that tests whether offering people with severe mental illness the support of a “job coach” increases their chances of being employed. Moreover, using a battery of tests—one of which is made available by the RCT itself—we show that the large non-compliance with the protocol showed by the RCT is ignorable. This motivates estimating the impact of carrying out a traineeship during the experimental period on employment using non-experimental methods. Results and Conclusions: The study finds that the availability of a coach boosts the patients’ chances of finding a traineeship during the experimental period; moreover, undertaking a traineeship almost doubles the likelihood of being at work one year later. JEL CODES: J78, J48, J38


1996 ◽  
Vol 20 (1) ◽  
pp. 48-49
Author(s):  
Hugh Freeman

From a group meeting in one room at Friern Hospital, the annual conferences of TAPS (Team for the Assessment of Psychiatric Services) have grown after ten years to overflowing a large hall, with participants from many countries. Dr Rachel Jenkins of the Department of Health, in introducing the meeting, emphasised that mental illness now had a central place in national health targets. The reduction of suicide was a special objective, particularly as it is now estimated that one in six of the severely mentally ill eventually kill themselves. She pointed out that although this conference was focused on deinstitutionalisation, there had been very little research on why such major national differences in this process had occurred.


1996 ◽  
Vol 20 (8) ◽  
pp. 461-462 ◽  
Author(s):  
Riadh T. Abed

Since the Health of the Nation government document (Department of Health, 1992) set the target for the reduction of suicide in the severely mentally ill by 33% by the year 2000 it has become necessary to collect the suicide data for this population of patients at district and national level. There are a range of problems concerning the definition and identification of patients with severe mental illness as well as problems concerning the compilation of suicide data for this population at district level.


1995 ◽  
Vol 4 (3) ◽  
pp. 181-186
Author(s):  
Graham Thornicroft

SummaryThis paper argues within the mental health services that people who are most disabled by mental illness, the severely mentally ill (SMI), should be afforded the highest priority, and that services should be provided in relation to need. For this to occur the priority groups need first to be defined. Second, if a service wishes to provide for all prevalent cases of people suffering from severe mental illness, then a systematic method of recording local information about these people is required, and this may draw upon information about patients who are in contact with health services, social services, family health services and who contact voluntary sector and other agencies. One approach to estimating the need for services for people with SMI is by using indicative norms for service requirements. Finally, managerial methods are proposed to monitor how far targeting services to the SMI occurs in clinical practice.


1996 ◽  
Vol 2 (3) ◽  
pp. 117-124 ◽  
Author(s):  
Roch Cantwell ◽  
Glynn Harrison

Comorbidity and dual diagnosis have a fashionable, and thus ephemeral, ring that belies their relevance to day-to-day practice. The topic has been increasingly addressed in North American literature where there is a recognition of the extent of substance misuse in the severely mentally ill, and the need to find ways of effectively managing its consequences. Substance misuse may colour the diagnosis, management and prognosis of major mental illness and can adversely affect the relationship between staff and patients. Despite its common occurrence, it frequently remains undetected (Ananth et al, 1989). With burgeoning research interest, there is some consensus as to how to manage the problem, but, as yet, little agreement on the precise nature of causal relationships.


2007 ◽  
Vol 191 (4) ◽  
pp. 343-350 ◽  
Author(s):  
Sheilagh Hodgins ◽  
Jane Alderton ◽  
Adrian Cree ◽  
Andrew Aboud ◽  
Timothy Mak

BackgroundSevere mental illness is associated with increased risk of aggressive behaviour, crime and victimisation. Mental health policy does not acknowledge this evidence. The number of forensic beds has risen dramatically.AimsTo examine the prevalence of aggressive behaviour, victimisation and criminality among people receiving in-patient treatment for severe mental illness in an inner-city area.MethodSelf-reports of aggressive behaviour and victimisation and criminal records were collected for 205 in-patients with severe mental illness.ResultsIn the preceding 6 months 49% of the men and 39% of the women had engaged in aggressive behaviour and 57% of the men and 48% of the women had been victims of assault; 47% of the men and 17% of the women had been convicted of at least one violent crime.ConclusionsAggressive behaviour and victimisation are common among severely mentally ill people requiring hospitalisation in the inner city. Rates of violent crime are higher than in the general population.


2017 ◽  
Vol 9 (2) ◽  
pp. 141-154 ◽  
Author(s):  
Bryn Bandt-Law ◽  
Daniel Krauss

Purpose Mortality is a salient factor during capital sentencing. The purpose of this paper is to examine the role death plays in jurors’ decisions when sentencing a severely mentally ill defendant who is subject to possible discrimination in a capital trial because of that status. Design/methodology/approach The current experiment measured venire jurors’ (n=133) mental illness dangerousness beliefs, and then experimentally manipulated type of mortality salience (dual-focused: participants who contemplated their own mortality and were exposed to trial-related death references vs trial focused: only exposed to death references) and the type of defendant (severely mentally ill vs neutral) accused of a capital offense. Findings Mock jurors perceived mental illness to be an important mitigating factor when dual (i.e. self) focused mortality (DFM) salience was induced, whereas participants only exposed to trial-related death references considered mental illness to be an aggravating factor in sentencing and were more likely to evidence stereotype adherence toward the defendant. Practical implications The implications of the authors’ findings are problematic for the current legal system. During the majority of capital sentencing, jurors will only be exposed to trial-related death references, as individuals in the trial-focused mortality condition were. The findings suggest that these jurors are likely to engage in discriminatory stereotypes that do not consider fair process when making sentencing decisions. This research also suggests that mortality salience may be able to increase jurors’ attention to such concerns in a trial scenario even when negative mental illness stereotypes are present. Originality/value Research builds on existing terror management theory and offers a more nuanced perspective of how focusing on one’s own death can affect jurors’ reliance on stereotypes and lead to inappropriate decisions. Mortality salience can lead to decisions based upon procedural fairness when stereotypes and mortality salience are both present.


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