Homelessness Among Persons With Serious Mental Illness in an Enhanced Community-Based Mental Health System

2000 ◽  
Vol 51 (8) ◽  
pp. 1012-1016 ◽  
Author(s):  
Eri Kuno ◽  
Aileen B. Rothbard ◽  
June Averyt ◽  
Dennis Culhane
Keyword(s):  
Mental Health ◽  
Mental Illness ◽  
Health System ◽  
Serious Mental Illness ◽  
Mental Health System ◽  
Community Based

Ethnographic Research and Programmatic Outcomes: Empowering Families of Individuals with Serious Mental Illness

1999 ◽  
Vol 21 (1) ◽  
pp. 13-17
Author(s):  
Kiran Cunningham ◽  
Michael Gieszer ◽  
Melissa Bullard ◽  
Cynthia Castlen ◽  
Dana Dumont ◽  
...  
Keyword(s):  
Mental Health ◽  
Mental Illness ◽  
Health System ◽  
Serious Mental Illness ◽  
Education Program ◽  
Mental Health System ◽  
Research Process ◽  
Ethnographic Research ◽  
Ongoing Effort ◽  
The Family

This paper stems from an ongoing effort to work toward a mental health system that truly empowers those it serves. Central to this effort is using anthropological methods to understand the experiences of people with serious mental illness (SMI), and of the individuals directly involved in their lives. The latter includes the family members, who struggle to meet society's expectations of them as parents and siblings while simultaneously dealing with the stigma that suggests that because a member of their family has an SMI, they must be doing something wrong. The research process itself, however, led to an exciting programmatic outcome in which the families, initially validated through the interview process, then came together and developed an education program run by families for families that has now been disseminated statewide.

scholarly journals Veterans Affairs Health System and Mental Health Treatment Retention among Patients with Serious Mental Illness: Evaluating Accessibility and Availability Barriers

2007 ◽  
Vol 42 (3p1) ◽  
pp. 1042-1060 ◽  
Author(s):  
John F. McCarthy ◽  
Frederic C. Blow ◽  
Marcia Valenstein ◽  
Ellen P. Fischer ◽  
Richard R. Owen ◽  
...  
Keyword(s):  
Mental Health ◽  
Mental Illness ◽  
Health System ◽  
Serious Mental Illness ◽  
Mental Health Treatment ◽  
Veterans Affairs ◽  
Treatment Retention ◽  
Health Treatment

Recovery college features and context: advancing a recovery and well-being policy agenda

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Amadene Woolsey ◽  
Gillian Mulvale
Keyword(s):  
Mental Health ◽  
Mental Illness ◽  
Health System ◽  
Mental Health System ◽  
Well Being ◽  
System Reform ◽  
Educational Approach ◽  
Content Type ◽  
Policy Objectives ◽  
Mental Health Association

Purpose Internationally, there has been a move towards more recovery-oriented mental health policies for people living with mental illness, and some countries have included well-being as a population-level objective. In practice, these policy objectives can be difficult to achieve because of deeply rooted policy legacies, including a biomedical approach to care and the stigma associated with mental illness. The purpose of this paper is to investigate how interventions that operate outside the formal mental health system, such as recovery colleges (RCs), may advance these policy objectives more easily than efforts at broader system reform. Design/methodology/approach This study conducted a scoping review to explore the features and context of RCs that make the model an attractive and feasible opportunity to advance a recovery and well-being agenda. Our research is motivated by the initial and growing adoption of RCs by the Canadian Mental Health Association. This paper applies the consolidated framework for implementation research to analyse features of the model and the context of its implementation in Canada. Findings The RC’s educational approach, adaptability, coproduced nature and positioning outside the formal mental health system are key features that facilitate implementation without disrupting deeply entrenched policy legacies. Other facilitators in the Canadian context include the implementing organisation’s independence from government, its federated structure and the model’s alignment with national policy objectives. Originality/value This paper highlights how interventions outside the formal mental healthcare system can promote stated recovery and well-being policy goals.

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

2017 ◽  
Vol 24 (2) ◽  
pp. 101-108 ◽  
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.

Accessibility and pathways to psychiatric care in a community-based mental health system

2001 ◽  
Vol 36 (10) ◽  
pp. 500-507 ◽  
Author(s):  
F. Amaddeo ◽  
F. Zambello ◽  
M. Tansella ◽  
G. Thornicroft
Keyword(s):  
Mental Health ◽  
Health System ◽  
Mental Health System ◽  
Psychiatric Care ◽  
Community Based

scholarly journals Mental health law in Ghana

2017 ◽  
Vol 14 (2) ◽  
pp. 38-39 ◽  
Author(s):  
George Hudson Walker ◽  
Akwasi Osei
Keyword(s):  
Mental Health ◽  
Mental Disorders ◽  
Health System ◽  
Mental Health System ◽  
Mental Healthcare ◽  
Health Law ◽  
Community Based ◽  
Mental Health Law ◽  
Mental Health Act ◽  
New System

In 2012 Ghana passed a new Mental Health Act, which aimed to create a new system of mental healthcare in Ghana. The Act includes provisions for the creation of a modern, community-based mental health system and for the protection of the rights of persons with mental disorders. This article discusses the implications of the Act and the progress which has been made towards its implementation.

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