Assessing Community Functioning and Independent Living Skills of Individuals with Severe Mental Illness

2016 ◽  
Vol 47 (3) ◽  
pp. 6-14 ◽  
Author(s):  
Jennifer Sánchez ◽  
Fong Chan ◽  
Rana Yaghmaian ◽  
Ebonee T. Johnson ◽  
Joseph S. Pfaller ◽  
...  

Background: Community integration and participation are important predictors of successful rehabilitation and recovery in individuals with severe mental illness (SMI). However, individuals with SMI still experience considerable psychosocial barriers to meaningful participation in social, community, civic, and daily living activities. Aims: The purpose of this study was to evaluate and validate a revised version of the Independent Living Skills Survey-Self-Report (ILSS-SR), the R-ILSS-SR, for use by rehabilitation researchers and practitioners in psychiatric rehabilitation settings. Method: One hundred ninety-four individuals with SMI were recruited from four mental health agencies in two states in the Midwestern and Southern United States. Factorial validity of the R-ILSS-SR was evaluated using exploratory factor analysis (EFA). Findings: Principal components analysis of the R-ILSS-SR yielded a four-factor measurement structure (self-care, home maintenance, and health maintenance; meaningful activity/work; transportation; and job maintenance). R-ILSS-SR subscales also correlated with known predictors of community participation in the expected directions. Conclusions: This study validated the R-ILSS-SR as a measure of community participation in a sample of adults with SMI. The ILSS-SR is the only measure of community participation specifically developed and validated for adults with SMI. Given that community participation is an integral aspect of recovery for adults with SMI, the R-ILSS-SR can be used to assess participation in psychiatric rehabilitation research and practice.

1995 ◽  
Vol 89 (6) ◽  
pp. 531-540 ◽  
Author(s):  
J.D. Beach ◽  
J.M. Robinet ◽  
J. Hakim-Larson

This report of a study of 36 adults with visual impairments found that self-esteem was related to three self-report measures of skills: dependence on others, difficulty, and motivation to learn. Relationships were found between educational level and self-esteem, educational level and the three measures of skills, and employment status and motivation to learn.


2010 ◽  
Vol 39 (3) ◽  
pp. 375-391 ◽  
Author(s):  
KRISTY MUIR ◽  
KAREN R FISHER ◽  
DAVID ABELLO ◽  
ANN DADICH

AbstractPeople with mental illness can be profoundly disabled and at risk of social exclusion. Transitional models of supported housing have limited effectiveness in improving community participation. Stable, individualised psychosocial housing support programmes have been found to assist in improving mental health and decreasing hospitalisations, but little is understood about whether or how these programmes facilitate social and community participation. This article argues that, if certain supports are available, supported housing models can assist people with high levels of psychiatric disability to participate meaningfully in the community. To make this case, the article uses findings of a longitudinal evaluation of a supported housing model in Australia: the Housing and Accommodation Support Initiative Stage One (HASI). HASI is a partnership between the New South Wales Government Departments of Health and Housing and non-government organisations. It is a coordinated approach that provides clients with housing and community-based clinical support, as well as support with daily living skills and community participation. An analysis of questionnaire, database, interview and clinical data is used to demonstrate how HASI contributes to increased social and community participation. The article concludes with policy implications for supported housing models that aim to facilitate meaningful community participation for people with mental illness.


2009 ◽  
Vol 15 (2) ◽  
pp. 239-247 ◽  
Author(s):  
G.H.M. PIJNENBORG ◽  
F.K. WITHAAR ◽  
J.J. EVANS ◽  
R.J. VAN DEN BOSCH ◽  
M.E. TIMMERMAN ◽  
...  

AbstractThe objective of this study was to examine the unique contribution of social cognition to the prediction of community functioning and to explore the relevance of social cognition for clinical practice. Forty-six schizophrenia patients and 53 healthy controls were assessed with tests of social cognition [emotion perception and Theory of Mind (ToM)], general cognition, and, within the patient sample, psychiatric symptoms. Community functioning was rated by nurses or family members. Social cognition was a better predictor of community functioning than general cognition or psychiatric symptoms. When the contributions of emotion perception and ToM were examined separately, only ToM contributed significantly to the prediction of community functioning. Independent living skills were poor in patients with impaired social cognition. In controls, social cognition was not related to community functioning. ToM was the best predictor of community functioning in schizophrenia. However, to fully understand a patient’s strengths and weaknesses, assessment of social cognition should always be combined with assessment of general cognition and psychiatric symptoms. (JINS, 2009, 15, 239–247).


2020 ◽  
Vol 23 ◽  
pp. 168-184
Author(s):  
Dale Curry ◽  
Andrew Schneider-Muñoz

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