Measurement Structure of an Abbreviated and Modified Version of the Adaptation to Disability Scale-Revised for Individuals with Severe Mental Illness

2016 ◽  
Vol 47 (3) ◽  
pp. 41-49 ◽  
Author(s):  
Jennifer Sánchez ◽  
Emre Umucu ◽  
Barbara Schoen ◽  
Erin F. Barnes ◽  
Fong Chan ◽  
...  
Keyword(s):  
Mental Illness ◽  
Severe Mental Illness ◽  
Psychiatric Rehabilitation ◽  
Recovery Process ◽  
Psychosocial Interventions ◽  
Good Reliability ◽  
Disability Scale ◽  
Two Factors ◽  
Valid Instrument ◽  
Disability Acceptance

Background: Disability acceptance is central to the recovery process for people with severe mental illness (SMI). Measuring a client's level of disability acceptance is an important step to develop psychosocial interventions for individuals with SMI in psychiatric rehabilitation. Aims: The purpose of this study was to evaluate the measurement structure of an abbreviated and modified version of the Adaptation to Disability Scale-Revised (ADS-R), the ADS-R-23, for individuals with SMI. Method: One hundred ninety-four participants were recruited from four community-based mental health agencies. The measurement structure of the ADS-R-23 was evaluated using exploratory factor analysis (EFA). Findings: Principal components analysis of the ADS-R-23 yielded two factors (succumbing and positive coping). The ADS-R-23 was found to be associated with four acceptance-related variables (i.e., resilience, social functioning, social support, and self-stigma) in the expected directions. The ADS-R-23 was found to be a multidimensional scale with good reliability. Conclusions: The abbreviated and modified version of the ADS-R, the ADS-R-23, is a reliable and valid instrument for assessing disability acceptance for people with SMI in psychiatric rehabilitation.

scholarly journals Recognize both objective and subjective dimensions of recovery of severe mental illness

2016 ◽  
Vol 1 (1) ◽  
pp. 64
Author(s):  
Feng Zhang ◽  
Man C.M. Tsui ◽  
Da Li
Keyword(s):  
Quality Of Life ◽  
Mental Illness ◽  
Severe Mental Illness ◽  
Social Functioning ◽  
Interpersonal Relationships ◽  
Psychiatric Rehabilitation ◽  
Mainland China ◽  
Signs And Symptoms ◽  
Psychosocial Interventions

Fostering psychiatric rehabilitation philosophy and practices for individuals with severe mental illness (SMI) in the mainland China is of urgent needs but various challenges exist. Psychiatric rehabilitation targets specifically at those with SMI which utilizes pharmacological treatment for controlling the signs and symptoms, and psychosocial interventions for restoring psychological and social functioning including interpersonal relationships, work, leisure and quality of life.

scholarly journals A day in the life of people with severe mental illness living in supported housing

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Carina Tjörnstrand ◽  
Mona Eklund ◽  
Ulrika Bejerholm ◽  
Elisabeth Argentzell ◽  
David Brunt
Keyword(s):  
Mental Illness ◽  
Severe Mental Illness ◽  
Recovery Process ◽  
Supported Housing ◽  
Activity Level ◽  
Body Of Knowledge ◽  
Manifest Content ◽  
Participant Experience ◽  
Contextual Stimuli ◽  
Emotional Balance

Abstract Background People with severe mental illness (SMI) living in supported housing (SH) struggle in everyday life and we currently lack a comprehensive body of knowledge concerning how the residents experience their day. This paper aimed to gain knowledge about how people with SMI describe a day in SH in Sweden, in particular the activities they most frequently engage in and how they experience what they do in or outside their home. Furthermore, it is important to gain knowledge of which activities motivate residents to leave the housing facility and to participate in the community. This new knowledge can help staff to encourage a recovery process among the residents. Methods One hundred thirty-three people living in SH completed a time-use diary and a mixed-methods approach was applied, including calculations of what activity that was most frequently performed and a manifest content analysis addressing experiences of activity. Results The residents had a low activity level and were often alone. Approximately one-half of the reported activities were performed in their own apartments, and generally unaccompanied. A quarter of the activities were performed in the common areas and a further quarter outside the SH. The most frequently performed activities were quiet and tranquil ones, e.g. listening to music and resting. Doing errands and group activities with staff and residents were the main activities that motivated leaving the facility. The participant experience of a day is presented in three categories: “Experiences of chosen and enforced togetherness and overcoming loneliness”, “Environmental change and emotional balance can generate activity”, and “Met and unmet needs for support, friendship and security”. Conclusions The residents were generally satisfied with their quiet and tranquil lifestyle and appeared to demand little of life, which may relate to previous experiences of institutional life and can constitute a challenge for staff. The findings highlight experiences that can help to improve SH. Services need to support individually adjusted contextual stimuli and individualize the support to help residents find a good balance and motivate them to be active in and outside SH, which can support a recovery process.

scholarly journals Review Sistematik: Model Pemulihan Penderita Gangguan Jiwa Berat Berbasis Komunitas

2020 ◽  
Vol 1 (2) ◽  
pp. 123-129
Author(s):  
Retno Lestari ◽  
Ah Yusuf ◽  
Rachmat Hargono ◽  
Febri Endra Budi Setyawan
Keyword(s):  
Mental Health ◽  
Mental Illness ◽  
Severe Mental Illness ◽  
Social Life ◽  
Holistic Approach ◽  
Recovery Process ◽  
Well Being ◽  
Community Mental Health Service ◽  
Community Members ◽  
Life Planning

People with severe mental illness have complex disabilities affecting mental functions, daily activities, and social life, thus they need help from others in carrying out daily functional activities. Optimizing the recovery of severe mental illness requires a holistic approach and integration between mental health services and supportive communities so that sufferers can interact with others, have a positive self-concept, and improve their well-being. This study aims to describe a community-based model of recovery for people with severe mental illness. Several literature studies were obtained from 50 reference sources through Science Direct, Google Scholar, Proquest Health and Medical Complete, Proquest Nursing, and Allied Health Sources from 2009 to 2019. Results explain that the community provides an adequate support system in improving the care of people with severe mental illness. Support systems in the community involve social and physical aspects as well as the economic infrastructure through employment opportunities or financial support and a decent living. The interaction between community members and people with severe mental illness could be a positive thing in strengthening the motivation of people with severe mental illness to recover and be able to do their activities independently. The recovery process of severe mental illness requires strong motivation and commitment from the sufferer, the family, all society members, community mental health service team, and related policymakers. It can be concluded that people with severe mental illness need support from various parties in terms of future life planning, identifying strengths and weaknesses that they have, and recognizing multiple obstacles and support so that they recover and live independently.

Psychiatric Rehabilitation: A Means of De-stigmatizing Severe Mental Illness

2005 ◽  
Vol 36 (4) ◽  
pp. 28-34 ◽  
Author(s):  
Gregory G. Garske ◽  
Connie J. McReynolds
Keyword(s):  
Mental Illness ◽  
Severe Mental Illness ◽  
Psychiatric Rehabilitation ◽  
Effective Means ◽  
Life Goals

Many individuals with severe mental illness (SMI) have a unique set of disabilities that interfere with their life goals. In addition, many of these people must also deal with another obstacle, the stigma associated with mental illness. The purpose of this paper is to address how this population has been stigmatized, both externally and internally. The focus will then be turned to psychiatric rehabilitation, an effective means of de-stigmatizing the lives of people with SMI.

Effectiveness of Psychiatric Rehabilitation Approaches for Employment of People with Severe Mental Illness

1999 ◽  
Vol 10 (1) ◽  
pp. 18-52 ◽  
Author(s):  
Gary R. Bond ◽  
Robert E. Drake ◽  
Deborah R. Becker ◽  
Kim T. Mueser
Keyword(s):  
Mental Illness ◽  
Severe Mental Illness ◽  
Psychiatric Rehabilitation

Aquatic activity and emotional experience in adults with severe mental illness

2017 ◽  
Vol 13 (3) ◽  
pp. 7
Author(s):  
Alysha A. Walter, MS, CTRS ◽  
Bryan P. McCormick, PhD, CTRS
Keyword(s):  
Mental Illness ◽  
Severe Mental Illness ◽  
Positive Emotion ◽  
Positive Emotions ◽  
Negative Emotion ◽  
Mental Health Center ◽  
Emotional Experience ◽  
Psychiatric Rehabilitation ◽  
Physical Exertion ◽  
Potential Effect

This study examined the relationship of aquatic activity to positive and negative emotion in individuals with a severe mental illness (SMI). Individuals with SMI have been found to experience decreased positive emotions and higher negative emotions as compared to controls. It was hypothesized that aquatic activity participation would be associated with greater positive emotion and lower negative emotion post participation. Eighteen participants with a severe mental illness were recruited from a community mental health center. The study employed a pre-post design with a structured aquatic activity designed for moderate physical exertion. Participants demonstrated statistically significant increase in positive emotion and decrease in negative emotion pre to post activity. The findings of this study provide support for the potential effect of aquatic activities in psychiatric rehabilitation.

Psychosocial rehabilitation

2020 ◽  
pp. 229-242
Author(s):  
Mariam Ujeyl ◽  
Wulf Rössler
Keyword(s):  
Mental Health ◽  
Mental Illness ◽  
Severe Mental Illness ◽  
Social Inclusion ◽  
Psychiatric Rehabilitation ◽  
Symptom Control ◽  
Psychosocial Rehabilitation ◽  
Models Of Care ◽  
Community Treatment ◽  
Mental Health Systems

Psychosocial rehabilitation (synonymously referred to as psychiatric rehabilitation) is a field and service within mental health systems that shifted the treatment focus from symptom control to social inclusion by functional recovery. It aims to help individuals with severe mental illness live in the community as independently as possible. Psychosocial rehabilitation (PR) developed in the 1970s, when psychiatric reform, including the process of deinstitutionalization, had already paved the way to more responsive and balanced provision of mental health care. This chapter outlines major developments in and obstacles to the reform in European and other high-income countries. It introduces the evolving principles of PR and presents evidence on important models of care, such as assertive community treatment (ACT) and individual placement and support (IPS), that share the objectives of PR to improve integration of people with severe mental illness into the labour market and society in general.

Qualitative assessment of verbal and non-verbal psychosocial interventions for people with severe mental illness

2006 ◽  
Vol 15 (3) ◽  
pp. 343-353 ◽  
Author(s):  
Ilanit Hasson-Ohayon ◽  
Shlomo Kravetz ◽  
David Roe ◽  
Silvio Rozencwaig ◽  
Mark Weiser
Keyword(s):  
Mental Illness ◽  
Severe Mental Illness ◽  
Psychosocial Interventions ◽  
Qualitative Assessment
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