scholarly journals Recovery, peer support and confrontation in services for people with mental illness and/or substance use disorder

2019 ◽  
Vol 214 (3) ◽  
pp. 130-132 ◽  
Author(s):  
Patrick W. Corrigan ◽  
Jonathon E. Larson ◽  
David Smelson ◽  
Michelle Andra

SummaryMental illness recovery has been described as an outcome (symptom free) or process (symptom management) where peer supporters are essential. Whereas, substance use disorder recovery endorses outcome alone: achieving recovery once abstinent. Peer supporters with an abstinence agenda use confrontation for those in denial. Herein, we unpack this distinction.Declaration of interestsNone.

Author(s):  
Matthew Large ◽  
Olav Nielssen

A range of killings of one person by another can be described as a homicide. Homicide rates vary greatly between geographic regions, reflecting differences in social factors such as weapon availability, patterns of substance use, the efficacy of the police and other institutions, and overall levels of violent crime. Domestic homicide is killing within a family and includes fatal domestic violence and most homicides of infants, children, and older people. Most homicides by people with mental illness are of family members, but most domestic homicide offenders are not mentally ill. People with mental illness, particularly those with schizophrenia, commit a small percentage of all homicides, but a disproportionate number, compared to the incidence of mental illness. Mental health professionals have a role in preventing homicides by offering interventions for domestic violence, substance use disorder, and the early and continued treatment of psychotic disorders.


2008 ◽  
Vol 27 (2) ◽  
pp. 21-36 ◽  
Author(s):  
Ann Bates ◽  
Vivien Kemp ◽  
Mohan Isaac

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.


2019 ◽  
Vol 44 (2) ◽  
pp. 100-107
Author(s):  
Liz Richardson

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.


2010 ◽  
Vol 197 (S53) ◽  
pp. s26-s31 ◽  
Author(s):  
Helen Gilburt ◽  
Mike Slade ◽  
Diana Rose ◽  
Brynmor Lloyd-Evans ◽  
Sonia Johnson ◽  
...  

BackgroundLittle is known about the preferences and experiences of people with mental illness in relation to residential alternatives to hospital.AimsTo explore patients' subjective experiences of traditional hospital services and residential alternatives to hospital.MethodIn-depth interviews were conducted with 40 purposively selected patients in residential alternative services who had previously experienced hospital in-patient stays. Transcripts were coded and analysed for thematic content.ResultsPatients reported an overall preference for residential alternatives. These were identified as treating patients with lower levels of disturbance, being safer, having more freedom and decreased coercion, and having less paternalistic staff compared with traditional in-patient services. However, patients identified no substantial difference between their relationships with staff overall and the care provided between the two types of services.ConclusionsFor patients who have acute mental illness but lower levels of disturbance, residential alternatives offer a preferable environment to traditional hospital services: they minimise coercion and maximise freedom, safety and opportunities for peer support.


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