scholarly journals Developing an Estimate of Supported Housing Needs for Persons with Serious Mental Illnesses

2014 ◽  
Vol 2014 ◽  
pp. 1-9
Author(s):  
Jeannette Waegemakers Schiff ◽  
Rebecca Schiff ◽  
Barbara Schneider
Keyword(s):  
Mental Illness ◽  
Support Services ◽  
Supported Housing ◽  
Mental Illnesses ◽  
Supportive Housing ◽  
Sizable Proportion ◽  
Housing Needs ◽  
Couch Surfing ◽  
Serious Mental Illnesses

A rich body of literature attests to the importance of affordable accommodation and support services necessary, appropriate, and acceptable to persons disabled by a mental illness. However, there is a little which provides a means for housing and service planners to determine the gap between available supportive housing and need. Such understandings are needed to prepare strategies and develop the resources needed to accommodate persons with a disabling mental illness in the community. While housing studies that examine shelter needs of the homeless acknowledge that a sizable proportion has a disabling mental illness, these numbers underestimate need in the cohort that experiences disabling mental illnesses. This underestimate exists because many of those who are disabled by mental illness and in need of supportive housing are among the hidden homeless: doubled-up, couch-surfing, and temporarily sheltered by friends and family. Thus, little is known about the size of this cohort or their supportive shelter needs. The present analysis examines two approaches and offers one methodology as most feasible and parsimonious which can approximate housing need and may be extrapolated to other urban locations.

A social history of serious mental illness

CNS Spectrums ◽  
2020 ◽  
Vol 25 (5) ◽  
pp. 584-592
Author(s):  
Brendan Daugherty ◽  
Katherine Warburton ◽  
Stephen M. Stahl
Keyword(s):  
Mental Illness ◽  
Social History ◽  
Serious Mental Illness ◽  
Mental Illnesses ◽  
History Of ◽  
Reform And Innovation ◽  
Serious Mental Illnesses

Despite medical, technological, and humanitarian advances, the criminalization of those with serious mental illness continues. This is not an isolated phenomenon. The benefits of treatment reform and innovation are difficult to maintain or sometimes outright harmful. Across time and geography, the care of those with serious mental illness tends towards maltreatment, be it criminalization or other forms of harm. We present a social history of serious mental illness, along with the idea that the treatment of serious mental illness is a Sisyphean task—perpetually pushing a boulder up a hill, only for it to roll down and start again. The history is provided as a basis for deeper reflection of treatment, and treatment reform, of those with serious mental illnesses.

A brief history of the criminalization of mental illness

CNS Spectrums ◽  
2020 ◽  
Vol 25 (5) ◽  
pp. 638-650 ◽  
Author(s):  
Joel A. Dvoskin ◽  
James L. Knoll ◽  
Mollie Silva
Keyword(s):  
Mental Health ◽  
United States ◽  
Mental Illness ◽  
Community Mental Health ◽  
Mental Disorders ◽  
The United States ◽  
Mental Illnesses ◽  
The People ◽  
History Of ◽  
Serious Mental Illnesses

This article traces the history of the way in which mental disorders were viewed and treated, from before the birth of Christ to the present day. Special attention is paid to the process of deinstitutionalization in the United States and the failure to create an adequately robust community mental health system to care for the people who, in a previous era, might have experienced lifelong hospitalization. As a result, far too many people with serious mental illnesses are living in jails and prisons that are ill-suited and unprepared to meet their needs.

Women with Serious Mental Illness

2020 ◽  
Author(s):  
Lauren Mizock ◽  
Erika Carr
Keyword(s):  
Mental Health ◽  
Mental Illness ◽  
Serious Mental Illness ◽  
Severe Depression ◽  
Mental Illnesses ◽  
Post Traumatic Stress ◽  
Class Culture ◽  
History Of ◽  
Serious Mental Illnesses ◽  
Work Class

Women with Serious Mental Illness: Gender-Sensitive and Recovery-Oriented Care calls attention to a topic and a population that have been overlooked in research and psychotherapy—women with serious mental illnesses (schizophrenia, severe depression, bipolar disorder, and complex post-traumatic stress disorder). The book focuses on the history of mistreatment, marginalization, and oppression women with serious mental illness have encountered, not only from the general public but within the mental health system as well. This book provides an overview of recovery-oriented care for women with serious mental illness—a process of seeking hope, empowerment, and self-determination beyond the effects of mental illness. The authors provide a historical overview of the treatment of women with mental illness, their resilience and recovery experiences, and issues pertaining to relationships, work, class, culture, trauma, and sexuality. This book also offers the new model, the Women’s Empowerment and Recovery-Oriented Care intervention, for working with this population from a gender-sensitive framework. The book is a useful tool for mental health educators and providers and provides case studies, clinical strategies lists, discussion questions, experiential activities, diagrams, and worksheets that can be completed with clients, students, and peers.

Pilot trial of the FOCUS mHealth intervention for veterans with serious mental illness in an outpatient VA setting (Preprint)

2020 ◽  
Author(s):  
Benjamin Buck ◽  
Janelle Nguyen ◽  
Shelan Porter ◽  
Dror Ben-Zeev ◽  
Greg R. Reger
Keyword(s):  
Mental Illness ◽  
Serious Mental Illness ◽  
Pilot Trial ◽  
Mental Illnesses ◽  
Management Intervention ◽  
Mhealth Intervention ◽  
Qualitative Feedback ◽  
The One ◽  
Specific Implementation ◽  
Serious Mental Illnesses

BACKGROUND Veterans with serious mental illnesses (SMI) face barriers to accessing in-person evidence-based interventions that improve illness management. Mobile health (mHealth) has been demonstrated to be feasible, acceptable, effective, and engaging among individuals with serious mental illness in community mental health settings. mHealth for SMI has not been tested within the VA. OBJECTIVE The present study examined the feasibility, acceptability and preliminary effectiveness of an mHealth intervention for serious mental illness in the context of VA outpatient care. METHODS Seventeen (n = 17) veterans with serious mental illnesses enrolled in a one-month pilot trial of FOCUS, a smartphone-based self-management intervention for serious mental illness. At baseline and post-test they completed measures examining symptoms and functional recovery. Participants provided qualitative feedback related to the usability and acceptability of the intervention. RESULTS Veterans completed on average 85.00 (SD = 96.11) interactions with FOCUS over the one-month intervention period. They reported high satisfaction, usability, and acceptability, with nearly all (n = 16, 94.1%) participants reporting that they would recommend the intervention to a fellow veteran. Qualitative feedback indicated that veterans thought mHealth complemented their existing VA services well and described potential opportunities to adapt FOCUS to specific subpopulations (e.g. combat veterans) as well as specific delivery modalities (e.g. groups). In the one-month period, participants experienced small improvements in self-assessed recovery, auditory hallucinations and quality of life. CONCLUSIONS The FOCUS mHealth intervention is feasible, acceptable, and usable among veterans. Future work should develop and examine VA-specific implementation approaches of FOCUS for this population.

Forensic Psychiatry

2017 ◽  
Author(s):  
Sheku Magona ◽  
Tara Straka
Keyword(s):  
Mental Illness ◽  
Justice System ◽  
Mental Illnesses ◽  
The Public ◽  
People With Mental Illness ◽  
Fitness To Stand Trial ◽  
Criminal Procedure Law ◽  
Serious Mental Illnesses ◽  
Public Psychiatrists

Law enforcement, lawmakers, and the public are increasingly concerned about how people with mental illness are treated within the criminal justice system. This chapter focuses on the role of public psychiatrists in the provision of timely evaluation, expertise, and care for individuals in custody—particularly for individuals with serious mental illnesses. A case-based discussion illuminates important aspects of the legal and health care challenges facing individuals at the time of arrest, arraignment, incarceration, trial, and community re-entry. The chapter discusses mental hygiene law, criminal procedure law, advocacy, and the formation of policy with an emphasis on fitness to stand trial. Appropriate diversion of individuals with mental illness from incarceration, and its role in helping these individuals to achieve recovery, is explored in detail.

Acceptance of Mental Illness

2016 ◽  
Author(s):  
Lauren Mizock ◽  
Zlatka Russinova
Keyword(s):  
Mental Health ◽  
Mental Illness ◽  
Severe Depression ◽  
Mental Illnesses ◽  
Recovery Movement ◽  
People With Mental Illness ◽  
The Face ◽  
Mental Wellness ◽  
Serious Mental Illnesses ◽  
Diverse Groups

The book covers a topic that is often overlooked in the literature: How people with serious mental illnesses (i.e., schizophrenia, bipolar disorder, severe depression) come to recognize and deal with the symptoms of a mental illness in order to promote recovery. Per the recovery movement in mental health, recovery is understood as not simply symptom elimination, but the process of living a meaningful and satisfying life in the face of mental illness. Acceptance of Mental Illness draws from research to provide educators, clinicians, researchers, and consumers with an understanding of the multidimensional process of acceptance of mental illness in order to support people across culturally diverse groups to experience empowerment, mental wellness, and growth. Chapters focus on providing a historical overview of the treatment of people with mental illness, examining the acceptance process, and exploring the experience of acceptance among women, men, racial–ethnic minorities, and LGBT individuals with serious mental illnesses. The book is a useful tool for mental health educators and providers, with each chapter containing case studies, clinical strategies lists, discussion questions, experiential activities, diagrams, and worksheets that can be completed with clients, students, and peers.

scholarly journals Estimating the Prevalence of Serious Mental Illness and Dementia Diagnoses Among Medicare Beneficiaries in the Health and Retirement Study

2017 ◽  
Vol 40 (7) ◽  
pp. 668-686 ◽  
Author(s):  
Maria Teresa Brown ◽  
Douglas A. Wolf
Keyword(s):  
Mental Illness ◽  
Serious Mental Illness ◽  
Mental Illnesses ◽  
Health And Retirement Study ◽  
Data Sets ◽  
Conditional Probabilities ◽  
Medicare Beneficiaries ◽  
Services And Supports ◽  
Serious Mental Illnesses ◽  
Retirement Study

Objective: To estimate the prevalence of serious mental illness and dementia among Medicare beneficiaries in the Health and Retirement Study (HRS). Methods: This study utilizes HRS-linked Medicare claims data sets and inverse probability weighting to estimate overall and age-specific cumulative prevalence rates of dementia and serious mental illnesses among 18,740 Medicare beneficiaries. Two-way tabulations determine conditional probabilities of dementia diagnoses among beneficiaries diagnosed with specific mental illnesses, and binary logistic regressions determine conditional probabilities of dementia diagnoses among beneficiaries diagnosed with specific mental illnesses, controlling for covariates. Results: Weighted prevalence estimates for dementia, schizophrenia (SZP), bipolar disorder (BPD), and major depressive disorder (MDD) are similar to previous studies. Odds of dementia diagnosis are significantly greater for beneficiaries diagnosed with SZP, BPD, or MDD. Conclusions: Co-occurring mental disabilities require further investigation, as in the near future increasing numbers of mentally ill older adults will need appropriate and affordable community-based services and supports.

Individual Placement And Support Services Boost Employment For People With Serious Mental Illnesses, But Funding Is Lacking

2016 ◽  
Vol 35 (6) ◽  
pp. 1098-1105 ◽  
Author(s):  
Robert E. Drake ◽  
Gary R. Bond ◽  
Howard H. Goldman ◽  
Michael F. Hogan ◽  
Mustafa Karakus
Keyword(s):  
Support Services ◽  
Mental Illnesses ◽  
Individual Placement And Support ◽  
Serious Mental Illnesses ◽  
Individual Placement

scholarly journals Challenging Roles: Insights Into Issues for Men Caring for Family Members With Mental Illness

2008 ◽  
Vol 3 (1) ◽  
pp. 36-49 ◽  
Author(s):  
Cait Fraser ◽  
Deborah J. Warr
Keyword(s):  
Mental Health ◽  
Mental Illness ◽  
Support Services ◽  
Family Members ◽  
Mental Illnesses ◽  
Care Recipients ◽  
Scant Attention ◽  
Primary Relationship ◽  
Insight Into ◽  
Illness Condition

Assumptions informing expectations of caring may not reflect the diversity of circumstances in which informal care is provided, and scant attention has been given to the experiences of men providing care to family members. This study reports on qualitative findings from a study that explored these issues among rural men caring for partners or children with a range of mental illnesses. The findings suggest that the primary relationship between carers and care recipients influences the ways in which the men understand and practice their caring roles. Fathers consistently described proactive approaches to caring and were strongly focused on managing the illness condition. There was some complementarity between parenting and caring roles that is likely to explain why they reported a high use of, and satisfaction with, mental health services. Husbands tended to take reactive approaches to caring in which they were more concerned with managing situations that were associated with their partners' illnesses. Husbands reported limited contact with treatment and support services and perceived them as inappropriate to their circumstances. All of the men were presented with complex tensions in their caring roles, and the men's accounts of caring that are presented offer useful insight into the contexts in which men are increasingly taking on caring roles in families and inform efforts to support men in this capacity.

Habits and other Anchors of Everyday Life That People with Psychiatric Disabilities May Not Take for Granted

2007 ◽  
Vol 27 (1_suppl) ◽  
pp. 60S-68S ◽  
Author(s):  
Larry Davidson
Keyword(s):  
Mental Illness ◽  
Action Theory ◽  
Mental Illnesses ◽  
Psychiatric Disabilities ◽  
Psychiatric Research ◽  
Human Beings ◽  
Occupational Science ◽  
Basic Principles ◽  
Research And Practice ◽  
Serious Mental Illnesses

This article argues for the adoption of action theory as the foundation for rethinking psychiatric research and practice as it relates to individuals with serious mental illnesses. Action theory involves viewing human beings as agents who are active in creating their experiences and environments at the same time as they are shaped by them. Rather than following from insight, actions are viewed as preceding and generating insight. When viewed in this manner, the chronicity formerly associated with psychosis is reinterpreted as habits stemming from institutionalization, while recovery is understood as developing new habits based on the person's need to establish caring relationships and focus on being grounded in the present. What results is a strengths-based approach to practice that shares many basic principles with occupational science and therapy, leading us to call for a renewed interest in mental illness among investigators and practitioners within this discipline and profession.

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