scholarly journals Perceived occupational balance and well-being among people with mental illness living in two types of supported housing

2019 ◽  
Vol 27 (6) ◽  
pp. 450-461
Author(s):  
Mona Eklund ◽  
David Brunt ◽  
Elisabeth Argentzell
2010 ◽  
Vol 39 (3) ◽  
pp. 375-391 ◽  
Author(s):  
KRISTY MUIR ◽  
KAREN R FISHER ◽  
DAVID ABELLO ◽  
ANN DADICH

AbstractPeople with mental illness can be profoundly disabled and at risk of social exclusion. Transitional models of supported housing have limited effectiveness in improving community participation. Stable, individualised psychosocial housing support programmes have been found to assist in improving mental health and decreasing hospitalisations, but little is understood about whether or how these programmes facilitate social and community participation. This article argues that, if certain supports are available, supported housing models can assist people with high levels of psychiatric disability to participate meaningfully in the community. To make this case, the article uses findings of a longitudinal evaluation of a supported housing model in Australia: the Housing and Accommodation Support Initiative Stage One (HASI). HASI is a partnership between the New South Wales Government Departments of Health and Housing and non-government organisations. It is a coordinated approach that provides clients with housing and community-based clinical support, as well as support with daily living skills and community participation. An analysis of questionnaire, database, interview and clinical data is used to demonstrate how HASI contributes to increased social and community participation. The article concludes with policy implications for supported housing models that aim to facilitate meaningful community participation for people with mental illness.


2015 ◽  
Vol 18 ◽  
Author(s):  
Daniel Pérez-Garín ◽  
Fernando Molero ◽  
Arjan E.R. Bos

AbstractThe present study examines the relationships between perceived discrimination, internalized stigma, and well-being in a sample of people with mental illness. We conducted a cross-sectional study with 213 outpatients from the Spanish public network of social care. Perceived discrimination was positively and significantly correlated with internalized stigma (p < .01 for all measures of perceived discrimination). Blatant individual discrimination, subtle individual discrimination, and internalized stigma were negatively correlated with life satisfaction, affect balance, and psychological well-being (p < .01 for all cases, except for blatant individual discrimination and affect balance, for which is p < .05). Regression and mediation analyses indicate that subtle individual discrimination is the kind of discrimination most negatively associated to the well-being measures (life satisfaction: B = –.18, p < .10; affect balance: B = –.19, p < .10; psychological well-being: B = –.21, p < .05), and that this association is mediated by internalized stigma. Future research should confirm these findings in a longitudinal or experimental model. In light of our findings, we suggest the development and implementation of intervention programs that target subtle discrimination, and point at the importance of implementing programs to reduce internalized stigma.


2018 ◽  
Vol 5 (1) ◽  
Author(s):  
Lydia Ould Brahim ◽  
Cezara Hanganu ◽  
Catherine P. Gros

Background30 - 50% of people with mental illness also experience a substance use problem or concurrent disorder (CD). This dual diagnosis is associated with complex health and social problems, high suicide risk and poor longterm outcomes. Persons with CD have unique needs which present significant challenges for health providers during psychiatric hospitalization. While hospital personnel play a significant role in promoting health and well-being, what “helpful care” means to persons with CD during psychiatric hospitalization remains unexplored, and the health benefits unknown. Research QuestionWhat actual and/or potential interventions, attitudes, actions, and behaviours are perceived as “helpful” by persons with CD during psychiatric hospitalization?MethodsQualitative-descriptive design; individual, semi-structured audio-recorded interviews with 12 inpatient adults diagnosed with CD.ResultsParticipants reported both beneficial and harmful practices.Examples of helpful interventions occurred within 3 distinct areas: 1) building a therapeutic relationship; 2) engaging in health-promoting activities within a healing environment; 3) managing substance use in tandem with mental illness. ImplicationsFindings highlight the importance of relational interventions for persons with CD. This includes actions aimed at tailoring care to fit each individual while offering interpersonal approaches, attitudes and behaviours that are collaborative, caring and respectful. Helpful activities include assisting with daily care, advocating for time outside, offering teaching and learning sessions and facilitating discharge. There is an urgent call to prevent harmful practices and to understand and promote interventions consistent with whole person care for hospitalized clients with CD.


Author(s):  
Alan Bogg ◽  
Sarah Green

This chapter discusses depression in the workplace from the perspective of employment law. Despite the myth that people with mental illness are unable to work, it is almost certain most working people will be working alongside someone who has experienced mental illness. The idea that mental health at work is a marginal concern is no longer sustainable, and reflects ingrained fears and prejudices about the ‘otherness’ of mental illness. The legal framework regulating employment is important in ensuring that work and employment have a constructive part to play in public health strategies to promote mental health and well-being. There are several avenues of legal protection available to those with mental illness such as depression. This chapter explores three regulatory approaches to depression at work that should be regarded as complementary, each with a distinctive contribution to achieving the so-called ‘inclusive workplace’ for those with mental health problems such as depression: the private law approach, the equality law approach, and the labour standards approach.


2020 ◽  
pp. 103985622097529
Author(s):  
Justin J Chapman ◽  
Emily Hielscher ◽  
Sue Patterson ◽  
Nicola Reavley ◽  
Wendy J Brown ◽  
...  

Objectives: People with mental illness may be vulnerable to decline in mental health and reduced physical activity because of the COVID-19 pandemic and associated restrictions. The aim of this study was to inform the design of physical activity interventions for implementation under these conditions to improve/maintain well-being and physical activity in this population. Methods: People with mental illness who had participated in a physical activity program prior to the pandemic were invited to complete a survey about the impact of COVID-19 on mental health and physical activity and their preferences for engaging in a physical activity program under pandemic-related restrictions. Results: More than half the 59 respondents reported worse mental health and lower physical activity during the pandemic. The preferred format for a physical activity program was one-on-one exercise instruction in-person in a park. Program components endorsed as helpful included incentivization, provision of exercise equipment and fitness devices, and daily exercise programs. About a third of the participants reported limitations in using technology for a physical activity program. Conclusions: In-person exercise support is preferred by people with mental illnesses during pandemic-related restrictions. Enablement strategies such as providing equipment and self-monitoring devices should be utilized; assistance may be needed to incorporate the use of technology in exercise programs.


2020 ◽  
Author(s):  
Brea Louise Perry ◽  
Elizabeth Felix ◽  
Megan Bolton ◽  
Erin L. Pullen ◽  
Bernice A. Pescosolido

Despite decades of research and dozens of public health campaigns, stigma continues to negatively affect the well-being and life chances of people labeled with a mental illness. One of the most promising directions for reducing stigma lies in Allport’s (1954) theory of intergroup contact, suggesting that social interactions with people with mental illness invalidate negative stereotypes, decrease fear and anxiety, and enable perspective-taking and empathy. While the empirical literature is largely supportive of the contact hypothesis, social network theory indicates that the degree to which contact reduces stigma should depend on the nature, magnitude, and valence of exposure to people with mental illness. We address this question using data from the National Stigma Study – Replication II (NSS-R II), fielded on a special module of the 2018 General Social Survey (N=1,179). We find that simply knowing someone with mental illness, or even the number of people one knows, explains little about the public’s desire for social distance, endorsement of coercion, or perceptions of dangerousness. However, having stronger relationships with more people with mental illness, and having more friends and family (but not more peripheral ties) with mental illness, are associated with reductions in stigma. In contrast, exposure to more dangerousness or violence among people in the network with mental illness is associated with greater levels of stigma, while contact with more people who are in treatment for mental illness (as opposed to untreated) is linked to less stigma.


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