Specialist work schemes: user satisfaction and costs

This paper is a study of the costs and quality of life of 157 people attending specialist employment schemes for people with long-term mental health problems in southeast England. The research, work force, and the seven work settings are described and differences found between service users in satisfaction, social networks and costs at 1994–95 levels are reported. This is the first such study of work schemes in this country, and while still not generalisable, it supplies valuable empirical evidence for all those concerned with psychiatric rehabilitation.

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A mediational model of quality of life for individuals with severe mental health problems

Psychological Medicine ◽

10.1017/s0033291798007338 ◽

1998 ◽

Vol 28 (5) ◽

pp. 1221-1230 ◽

Cited By ~ 75

Author(s):

A. ZISSI ◽

M. M. BARRY ◽

R. COCHRANE

Keyword(s):

Quality Of Life ◽

Mental Health ◽

Mental Health Problems ◽

Subjective Quality ◽

Self Concept ◽

Subjective Quality Of Life ◽

Mediational Model ◽

Objective Indicators

Background. Despite the increasing importance of quality of life in the mental health field, the theoretical conceptualization of the construct remains poorly developed. A proposed mediational model of quality of life, which links subjective quality of life with self-related constructs, is examined with a group of long-term psychiatric hostel residents. The present study aims to develop a measure of quality of life based on the proposed model, to explore the data and their implications for service development and finally to conduct a preliminary analysis of the model's predictions.Method. A cross-sectional research design was employed. Quality of life interviews, using a modified version of Lehman's Quality of Life Interview, were carried out with 54 psychiatric residents in Greece. The model's predictions were examined by using a series of regression analyses.Results. The results indicate that perceived improvements in lifestyle, greater autonomy and positive self-concept are significantly and directly associated with better quality of life. In contrast, a direct relationship between objective indicators and subjective quality of life was not found.Conclusions. The traditional two-part quality of life model that includes objective indicators of life circumstances and subjective indicators is extended to included the constructs of self-concept and perceived autonomy. The present extended mediational model of quality of life for individuals with long-term mental health problems appears to have important implications for the planning and delivery of mental health programmes.

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Does public long‐term care expenditure improve care‐related quality of life of service users in England?

Health Economics ◽

10.1002/hec.4396 ◽

2021 ◽

Author(s):

Francesco Longo ◽

Karl Claxton ◽

James Lomas ◽

Stephen Martin

Keyword(s):

Quality Of Life ◽

Long Term Care ◽

Service Users ◽

Term Care ◽

Related Quality

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Dissemination of Skills Training Modules to Psychiatric Facilities

The British Journal of Psychiatry ◽

10.1192/s0007125000296098 ◽

1989 ◽

Vol 155 (S5) ◽

pp. 117-122 ◽

Cited By ~ 13

Author(s):

Robert P. Liberman ◽

Thad A. Eckman

Keyword(s):

Quality Of Life ◽

Mental Illness ◽

Psychiatric Rehabilitation ◽

Skills Training ◽

Degree Of Protection ◽

Assertive Case Management ◽

Training Modules ◽

Optimal Quality

The current wisdom in psychiatric rehabilitation suggests that social and instrumental skills training combined with judicious neuroleptic therapy, prosthetic environments, and assertive case management confers the greatest degree of protection from relapse while promoting an optimal quality of life for patients suffering serious and long-term mental illness.

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Youth Suicide in New Zealand

Crisis ◽

10.1027/0227-5910.17.3.116 ◽

1996 ◽

Vol 17 (3) ◽

pp. 116-122 ◽

Cited By ~ 7

Author(s):

Barbara Disley ◽

Carolyn Coggan

Keyword(s):

Quality Of Life ◽

New Zealand ◽

Mental Health Problems ◽

Age Group ◽

Youth Suicide ◽

Physical And Mental Health ◽

Suicide Rates ◽

Considerable Impact

It is increasingly acknowledged that suicidal behavior has a considerable impact on both individuals and society in terms of acute physical and mental health problems, long-term disability, and death, as well as quality of life and resource provision. In recent years there has been increasing concern about youth suicide rates. The escalation in suicide rates among individuals in the 15-24-year age group began around 1980 and has continued to rise. While this trend is evident in most OECD countries, the increase in New Zealand has been more substantial and sustained than in other countries. This article examines the occurrence of youth suicide in New Zealand. Next, an outline of New Zealand government and nongovernmental responses to youth suicide are presented. Finally, a variety of intervention options which take into account New Zealand societal conditions are outlined.

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Measuring recovery as an outcome

Die Psychiatrie ◽

10.1055/s-0038-1669600 ◽

2015 ◽

Vol 12 (03) ◽

pp. 174-179 ◽

Cited By ~ 3

Author(s):

V. A. Noel ◽

P. E. Deegan ◽

R. E. Drake

Keyword(s):

Quality Of Life ◽

Mental Health ◽

Mental Health Treatment ◽

Mental Health Problems ◽

Service Users ◽

Meaningful Life ◽

Health Treatment ◽

History Of ◽

Premorbid Functioning

Summary Background: As the concept of recovery has become increasingly popular in mental health treatment settings, professionals have attempted to measure recovery as an outcome. Aims: This article reviews the history of the concept of recovery and recent attempts to measure recovery as an outcome. Results: The concept of recovery, as developed by people who experienced mental health problems, emphasizes the process of learning to live a meaningful life in spite of vulnerabilities and symptoms. Traditional outcome studies assess recovery as cure or return to premorbid functioning, not in this new sense of developing quality of life. Newer measures attempt to assess the process and outcomes of recovery, but with minimal consistency, reflecting the heterogeneity of definitions, populations, and programs. Attempts to measure recovery may, nevertheless, move the mental health system, programs, and professionals closer to understanding and honoring the ideals of recovery that are so meaningful to service users.

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Thinking Beyond Language: Intervention for Severe Aphasia

Perspectives on Neurophysiology and Neurogenic Speech and Language Disorders ◽

10.1044/nnsld19.1.15 ◽

2009 ◽

Vol 19 (1) ◽

pp. 15-22 ◽

Cited By ~ 3

Author(s):

Nina Simmons-Mackie

Keyword(s):

Quality Of Life ◽

Communication Training ◽

Language Intervention ◽

Specific Training ◽

Environmental Support ◽

Total Communication ◽

Communication Partners

Abstract Purpose: This article addresses several intervention approaches that aim to improve life for individuals with severe aphasia. Because severe aphasia significantly compromises language, often for the long term, recommended approaches focus on additional domains that affect quality of life. Treatments are discussed that involve increasing participation in personally relevant life situations, enhancing environmental support for communication and participation, and improving communicative confidence. Methods: Interventions that have been suggested in the aphasia literature as particularly appropriate for people with severe aphasia include training in total communication, training of communication partners, and activity specific training. Conclusion: Several intervention approaches can be implemented to enhance life with severe aphasia.

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