Wayfinding Training for the Severely Mentally Ill

Author(s):  
Brennen Taylor ◽  
Ann Taylor

Compliance with outpatient community mental health treatment is problematic for seriously mentally ill adults. One way to facilitate clients' compliance is through training in public bus riding and way finding skills. The authors present the history of wayfinding services, a diagram to enhance clients' learning, and suggestions for implementation.

1997 ◽  
Vol 21 (2) ◽  
pp. 74-76 ◽  
Author(s):  
Martin Commander ◽  
Sue Odell ◽  
Sashi Sashidharan

Mental health services have been criticised for failing to respond to the needs of the rising number of homeless mentally ill. We report on the first year of referrals to a community mental health team established to meet the needs of the severely mentally ill homeless in Birmingham. Most users had a psychotic disorder and a lengthy history of unstable housing, and experienced a range of other disadvantages. Although the team is successfully reaching its priority group, examination of other characteristics of users has highlighted a number of issues which should inform the future planning and development of the service.


2018 ◽  
Vol 20 (1) ◽  
pp. 56-68
Author(s):  
Karin Tochkov ◽  
Nichole Williams

The purpose of this article is to discuss the current state of involuntary mental health treatment in the United States. Specifically, an exploration of the risk factors for commitment and potential physical and psychological consequences for involuntary treatment is presented. In addition, recommendations for protecting patient rights are discussed with the end goal being the greatest well-being for patients.


Author(s):  
Zhiying Ma

This chapter shows how globally validated epidemiological estimates have constituted a population of seriously mentally ill patients in China. It talks about the target population of the 686 Program and compares the program's different visions. It also discusses how national and local interests translate estimates into program targets and evaluation standards. The chapter explains how the numbers' circulation in existing bureaucratic pathways can generate controversies of “quota apportioning.” It covers what the numerically guided community mental health infrastructure might include or exclude and when it might work or break down. The data for the chapter draw on ongoing ethnographic research on community mental health in China.


Author(s):  
Debra Kram-Fernandez

This chapter is concerned with the impact of practitioner biases on the experience of a meaningful life for individuals who live with serious mental illness (SMI). Professional biases, systemic biases that originate in societal fear and lack of knowledge, and internalized stigma taken on by the consumer affect life decisions. Following a history of treatment initiatives experienced by consumers as abusive, it is important to understand how a system envisioned to protect and treat was often experienced as harmful. In the 1980s a movement emerged to transform the nature of mental health treatment to a client-centered, recovery-oriented model. In 1999, the Surgeon General proclaimed that all agencies serving this population should be recovery oriented. Yet, the shift to this approach to understanding people with SMI has not been complete. While there are many explanations why practitioners may not fully embrace this perspective, this chapter introduces the concept of “schemas” from cognitive behavioral theory as a way of examining professional biases in the field of SMI.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Arianne Reis ◽  
Sandro Sperandei ◽  
Paula Galdino Cardin de Carvalho ◽  
Thiago Félix Pinheiro ◽  
Ferdinando Diniz de Moura ◽  
...  

Abstract Background Trans women have been shown to experience disproportionately poor outcomes in physical and mental health. Although it is common to talk about the violence against trans people, little is still known about mental health outcomes and experiences of suicidality among trans women, particularly in developing countries. This study aims to investigate risk factors and associations with mental health, suicide ideation and suicide attempts among trans women in the largest metropolitan area in Brazil. Methods Trans women living in São Paulo were recruited between May 2017 and July 2019 using the long-chain peer referral method Respondent-Driven Sampling. Multivariate regression models were used to investigate the associations with K10 score classification (logistic) and suicidal ideation/suicide attempt (ordinal logistic). Results A total of 763 trans women were included in the study. Over one quarter (26.5%) of trans women had been diagnosed with anxiety in the past, and close to one in five (19.1%) trans women had received a diagnosis of depression. More than two in five (41.9%) trans women had moderate to severe psychological distress. More than half of all participating trans women reported having previously either experienced suicidal ideation or attempted to take their own lives (25.0 and 31.2% respectively). In multivariate regression, moderate to severe psychological distress was associated with homelessness, income, current sex work, use of stimulant drugs, history of physical abuse, depression diagnosis and access to mental health treatment. Suicidal ideation and suicide attempts were associated with race/skin color, living arrangements, marital status, current sex work, history of sexual violence, depression and PTSD diagnoses, access to mental health treatment and psychological distress. Conclusions This study showed that there is a significant association between mental health conditions, lack of treatment for these conditions and suicidality among trans gender women. Findings point to the need for a structural transformation in Brazil that enables a reduction in the social inequality and violence that impact the mental health of trans women. A number of recommendations to achieve this are provided.


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