Integrated staffing model for residential mental health rehabilitation

2016 ◽  
Vol 20 (2) ◽  
pp. 92-100 ◽  
Author(s):  
Stephen Parker ◽  
Frances Dark ◽  
Gabrielle Vilic ◽  
Karen McCann ◽  
Ruth O'Sullivan ◽  
...  
Keyword(s):  
Mental Health ◽  
Mental Illness ◽  
Peer Support ◽  
Public Mental Health ◽  
Health Service Delivery ◽  
Evidence Base ◽  
Organizational Setting ◽  
Content Type ◽  
Mental Health Service Delivery ◽  
Staffing Model

Purpose – A novel integrated staffing model for community-based residential rehabilitation services is described. The purpose of this paper is to achieve synergistic gains through meaningful integration of peer support and clinical workers within rehabilitation teams. Key features include the majority of roles within the team being held by persons with a lived experience of mental illness, the active collaboration between peer and clinical workers throughout all stages of a consumer’s rehabilitation journey, and an organizational structure that legitimizes and emphasizes the importance of peer work within public mental health service delivery. This staffing model is not anticipated to alter the core rehabilitation function and service models. Design/methodology/approach – The emergence of the integrated staffing model is described with reference to the policy and planning context, the evidence base for peer support, and the organizational setting. A conceptual and contextualized description of the staffing model in practice as compared to a traditional clinical staffing model is provided. Findings – There is a potential for synergistic benefits through the direct collaboration between horizontally integrated peer and clinical specialists within a unified team working toward a common goal. This staffing model is novel and untested, and will be subjected to ongoing evaluation. Originality/value – The integrated staffing model may provide a pathway to achieving valued and valuable roles for peer workers working alongside clinical staff in providing rehabilitation support to people affected by serious mental illness.

scholarly journals The Emergence of Recovery: A Genealogical Exploration of the Forces of Power Shaping New Zealand's Mental Health Services in the 21st Century

2021 ◽  
Author(s):  
◽  
Darren Mills
Keyword(s):  
Mental Health ◽  
Mental Illness ◽  
21St Century ◽  
Mentally Ill ◽  
Health Service Delivery ◽  
Individual Responsibility ◽  
Significant Shift ◽  
Mental Health Service Delivery ◽  
Methods And Techniques ◽  
Psychiatric Discourse

<p>Recovery is a conceptual model that underpins New Zealand’s mental health service delivery in the 21st century. This thesis explores how recovery emerged historically as an influential philosophy and how representations of recovery have changed to meet the needs of different groups. An inquiry, based on Foucault’s genealogical method, investigates the historical and contemporary forces of power that have shaped the construction of mental illness, and the development of methods and techniques to support and manage persons labelled as mentally ill. The normalisation of knowledge developed during 19th century psychiatric practice provided a context for later critique and resistance from movements that highlighted the oppressive power of psychiatric discourse. Key to the critique were the antipsychiatry and service user movements, which provided the conditions for the possibility of the emergence of recovery as a dominant discourse. Since its emergence, recovery has moved through a number of representations as it was taken up by different groups. A significant shift in the 21st century has been the dominance of neo-liberal discourse based on consumerism, a rolling back of the state, and an emphasis on individual responsibility. The implications of this shift for users and providers of services and their effects on current representations of recovery conclude the inquiry.</p>

Peer Support Shows Promise in Helping Persons Living with Mental Illness Address Their Physical Health Needs

2008 ◽  
Vol 27 (2) ◽  
pp. 21-36 ◽  
Author(s):  
Ann Bates ◽  
Vivien Kemp ◽  
Mohan Isaac
Keyword(s):  
Mental Health ◽  
Mental Illness ◽  
Physical Health ◽  
Peer Support ◽  
Western Australia ◽  
Public Mental Health ◽  
Support Service ◽  
Mental Illnesses ◽  
Health Needs ◽  
People With Mental Illness

The physical health of individuals with long-term mental illnesses has long been of concern. In Western Australia, the overall mortality rate from preventable causes of people living with mental illness was reported to be 2.5 times greater than that of the general population. A trial peer support service was initiated to assist people with mental illness to attend to their physical health needs. This paper presents the planning, implementation, and results of this collaborative initiative involving nongovernment agencies, the public mental health service, consumers of mental health services, and the University of Western Australia.

Mental health courts: Providing access to justice for people with mental illness and cognitive impairments

2019 ◽  
Vol 44 (2) ◽  
pp. 100-107
Author(s):  
Liz Richardson
Keyword(s):  
Mental Health ◽  
Mental Illness ◽  
Peer Support ◽  
Cognitive Impairments ◽  
Evidence Base ◽  
Access To Justice ◽  
Mental Health Courts ◽  
People With Mental Illness ◽  
Trauma Informed ◽  
The Relationship

Mental health courts have been established in four Australian jurisdictions to provide a targeted response to people with mental illness and cognitive impairments coming through the courts. This article provides an up-to-date overview of Australian mental health courts, discusses the evidence base underpinning them and identifies three important emerging directions for their future operation. These are the need for a contextualised understanding of the relationship between mental illness and offending, the importance of trauma-informed approaches and the role that peer support workers can play in mental health courts.

An update on the growing evidence base for peer support

2017 ◽  
Vol 21 (3) ◽  
pp. 161-167 ◽  
Author(s):  
Chyrell Bellamy ◽  
Timothy Schmutte ◽  
Larry Davidson
Keyword(s):  
Mental Health ◽  
Physical Health ◽  
Clinical Outcomes ◽  
Peer Support ◽  
Support Services ◽  
Evidence Base ◽  
Current Evidence ◽  
Content Type ◽  
Current Evidence Base ◽  
Peer Support Services

Purpose As peer support services have become increasingly used in mental health settings as a recovery-oriented practice, so has the body of published research on this approach to care. The purpose of this paper is to provide an update on the current evidence base for peer support for adults with mental illness in two domains: mental health and recovery, and physical health and wellness. Design/methodology/approach To provide a robust, non-redundant, and up-to-date review, first the authors searched for meta-analyses and systematic reviews. Second, the authors found individual studies not included in any of the reviews. Findings Peer services are generally equally effective to services provided by non-peer paraprofessionals on traditional clinical outcomes. Although some studies found peer services to be effective at reducing hospitalization rates and symptom severity, as a whole, the current evidence base is confounded by heterogeneity in programmatic characteristics and methodological shortcomings. On the other hand, the evidence is stronger for peer support services having more of a positive impact on levels of hope, empowerment, and quality of life. Research limitations/implications In addition to the need for further high-quality research on peer support in mental and physical health domains, the authors also question whether measures of hope, empowerment, and integration into the community are more relevant to recovery than traditional clinical outcomes. Originality/value This paper provides an original, robust, and up-to-date review of the evidence for peer services.

Mental health, permanent housing, and peer support through community living in the Fairweather Lodge: implementation through collaboration

2015 ◽  
Vol 18 (1) ◽  
pp. 26-30 ◽  
Author(s):  
Charles Bermingham ◽  
Christopher F. Manlick ◽  
William Ming Liu
Keyword(s):  
Mental Health ◽  
Mental Illness ◽  
Peer Support ◽  
Housing Program ◽  
Content Type ◽  
Complex Needs ◽  
Study Approach ◽  
Increased Risk ◽  
History Of ◽  
Employment Needs

Purpose – The purpose of this paper is to explain the history of the Fairweather Lodge Program, its utility, the development of one program in a small Midwestern city, the role of psychology, and the importance of disseminating information about the program to combat homelessness. Design/methodology/approach – This paper takes a short case study approach to describing the evolution of a peer support-based housing program for individuals with serious mental illness and a history of homelessness. Findings – The Fairweather Lodge facilitates peer support, community engagement, stable housing, and work engagement in those struggling with mental illness and homelessness. Originality/value – The Fairweather Lodge Program is a program intended to support the mental health and employment needs of individuals with severe mental illness who are at increased risk of homelessness. Housing alone often does not address the complex needs of chronically homeless individuals.

Are people with severe mental illness ready for online interventions? Access and use of the Internet in Australian mental health service users

2017 ◽  
Vol 25 (3) ◽  
pp. 257-261 ◽  
Author(s):  
Neil Thomas ◽  
Fiona Foley ◽  
Katrina Lindblom ◽  
Stuart Lee
Keyword(s):  
Mental Health ◽  
Mental Illness ◽  
Mental Health Service ◽  
Health Service ◽  
Severe Mental Illness ◽  
Social Networking Sites ◽  
Internet Access ◽  
Health Service Delivery ◽  
The Internet ◽  
Mental Health Service Delivery

Objectives: The Internet is increasingly used in mental health service delivery, but there are significant potential barriers to Internet access for persons with severe mental illness (SMI). There is a need to understand this group’s access to, and confidence with using, the Internet, and current views on using online resources as part of mental healthcare. Method: A survey was conducted of 100 consumers attending a specialist mental health service in Melbourne, Australia. Results: Approximately three-quarters of participants had regular access to the Internet, and two-thirds used the Internet weekly or more. Half of the sample used email at least weekly, and a third were regular users of social networking sites. Internet access was often via mobile devices. Only a minority of participants used the Internet for mental health information, with video streaming and general websites accessed more often than peer forums for mental health content. Most participants were positive about their mental health worker using tablet computers with them in appointments for delivery of mental health materials. Conclusion: Most people with SMI are active Internet users and, therefore, able to use interventions online.

Care and Treatment of the Mentally Ill in the United States: Historical Developments and Reforms

1986 ◽  
Vol 484 (1) ◽  
pp. 12-27 ◽  
Author(s):  
JOSEPH P. MORRISSEY ◽  
HOWARD H. GOLDMAN
Keyword(s):  
Mental Health ◽  
United States ◽  
Criminal Justice ◽  
Mentally Ill ◽  
Public Mental Health ◽  
Health Service Delivery ◽  
The United States ◽  
Mental Health Service Delivery ◽  
Public Mental Health Care ◽  
Historical Developments

Three major cycles of reform in public mental health care in the United States—the moral treatment, mental hygiene, and community mental health movements—are described as a basis for assessing the shifting boundaries between the mental health, social welfare, and criminal justice systems. Historical forces that led to the transinstitutionalization of the mentally ill from almshouses to the state mental hospitals in the nineteenth and twentieth centuries have now been reversed in the aftermath of recent deinstitutionalization policies. Evidence is suggestive that the mentally ill are also being caught up in the criminal justice system, a circumstance reminiscent of pre-asylum conditions in the early nineteenth century. These trends shape the current mental health service delivery system and the agenda for policy-relevant research on issues involving the legal and mental health fields.

Public Mental Health Service Delivery: A Modified Model

1997 ◽  
Vol 5 (4) ◽  
pp. 167-169 ◽  
Author(s):  
Gordon Parker
Keyword(s):  
Mental Health ◽  
Service Delivery ◽  
Mental Health Policy ◽  
Health Sector ◽  
Public Mental Health ◽  
Health Service Delivery ◽  
Mental Health Service Delivery ◽  
The Public ◽  
National Mental Health ◽  
Strategy Subject

In the last few years, the Commonwealth and many of the states have worked at developing principles of service delivery for the public mental health sector. Whiteford [1] has described one key initiative, the National Mental Health Policy, with the initial five-year Strategy due to end in mid-1998. The Strategy was developed collaboratively, involving and respecting the views of many of the key groups, and a number of impressive documents and policy decisions have been developed. Many of its central components represent important advances, are non-controversial and are generally accepted, and are presumabl immutable planks that will underpin the next phase of the Strategy – subject to its funding. As for any strategy, there are issues that may benefit from review and revision, and I would like to focus on service models and funding.

scholarly journals “Tell Me When ‘Normal’ Stops”: How Parents Recognized Their Child’s Mental Illness

2019 ◽  
Vol 11 (1) ◽  
Author(s):  
Lori Salgado
Keyword(s):  
Mental Health ◽  
Mental Illness ◽  
Social Change ◽  
Help Seeking ◽  
Health Service Delivery ◽  
Psychological Disorder ◽  
Developmental Phase ◽  
Mental Health Service Delivery ◽  
Parental Recognition ◽  
Positive Social Change

Many parents do not recognize psychological disorder, and current mental health service delivery programs are not sufficiently responsive to the early help-seeking dynamics of families. This mixed-methods study explored Colorado parents’ experiences of recognizing their child’s mental illness as a precursor to seeking treatment, revealing that the phenomenon of parental recognition was a process of “waiting to hear that ‘normal’ had stopped,” wherein parents miscategorized symptoms as typical behaviors in a passing developmental phase. Prior experience with mental illness appeared to significantly decrease both the length of time and the level of distress necessary for recognition. Ultimately, recognition did not occur until someone in the parents’ social network explicitly validated their concerns, which galvanized them to seek treatment. The results of this study can have wide applications for positive social change, because many chronic mental disorders manifest in childhood and benefit from early and sustained treatment. Further, mental health underscores many societal issues such as homelessness, school dropout rates, child abuse and neglect, foster care, and prison overpopulation. Positive social change and parental recognition can be promoted through public policies and programs such as universal mental health screening, mental health literacy, and school and health policies that are more supportive and responsive to the early help-seeking needs of children and families

Sign in / Sign up

Export Citation Format

Share Document