Paxton House: Integrating mental health and diabetes care for people with serious mental illnesses in a residential setting.

BACKGROUND Many people are affected by mental health conditions, yet its prevalence in certain populations are not well documented. OBJECTIVE The aim of this study is to describe the attributes of people with mental health conditions in U.S and SG in terms of: perception of mental health recovery and its correlates such as strengths self-efficacy, resourcefulness and stigma experience. With the findings, not only could the knowledge base for mental health recovery in both countries be enhanced but interventions and policies relating to self-efficacy, resourcefulness and de-stigmatization for mental health recovery could be informed. METHODS A A cross-sectional, descriptive study with convenience sample of 200 community dwelling adults were selected, 100 pax from the United States (U.S) and 100 pax from Singapore (SG). Adults with serious mental illnesses without substance abuse impacting on their recovery were recruited. Participants completed self-administered questionaires measuring their mental health recovery, strengths self-efficacy, resourcefulness and stigma experience. RESULTS This study offered the unique opportunity to examine mental health recovery as well as its correlates such as strengths self-efficacy, resourcefulness and stigma experience from both the United States and Singapore. While the perception of mental health recovery and positive attributes like strengths self-efficacy and resourcefulness remained strong in participants with serious mental illnesses across both countries, people with serious mental illnesses in both countries still experienced negative perception like stigma. The findings would not only inform strategies to promote mental health recovery but also enhance the focus on correlates such as strengths self-efficacy and resourcefulness across both countries. CONCLUSIONS The findings would not only inform strategies to promote mental health recovery but also enhance the focus on correlates such as strengths self-efficacy and resourcefulness across both countries.

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A study to examine the uses of personal strength in relation to mental health recovery in adults with serious mental illnesses: a research protocol

Health Psychology Research ◽

10.4081/hpr.2015.2209 ◽

2015 ◽

Vol 3 (2) ◽

Author(s):

Huiting Xie ◽

Peng Yuan ◽

Song Song Cui ◽

Melissa Sng Siok Yen

Keyword(s):

Mental Health ◽

Self Efficacy ◽

Community Dwelling ◽

Mental Illnesses ◽

Mental Health Recovery ◽

Cross Sectional ◽

Convenience Sample ◽

Personal Strengths ◽

Mental Health Practices ◽

Serious Mental Illnesses

This study will explore the relationships among strengths self-efficacy, resourcefulness, stigma experience and mental health recovery in community-dwelling adults with serious mental illnesses. Mental health practices have focued on psychopathphysiology. Stigma heavily plagued clients with mental illnesses and is one of the greatest barriers to mental health recovery. Personal strengths like strengths self-efficacy, people’s confidence in using their personal strengths, and resourcefulness, the ability to carry out daily activities, have been linked to positive mental health. However, the linkage between strengths self-efficacy, resourcefulness and mental health recovery remains uncharted. A cross-sectional, descriptive, mixed methods study will be conducted. A funded study by the Sigma Theta Tau, Upsilon Eta Chapter, August 2013, involving a convenience sample of 100 participants is planned. Included are community dwelling adults between 21 to 65 years old having been diagnosed with serious mental illnesses. Clients with current co-occurring substance abuse will be excluded. Participants complete questionnaires and undergo an interview. Correlations among the study variables will be examined. Regression analysis will determine if recovery can be predicted by strengths self-efficacy, resourcefulness and stigma experience. Interview data will be transcribed and analyzed by thematic analysis. This study will look beyond clients’ disability to focus on their recovery and healing capacities such as strengths self-efficacy and resourcefulness. Findings will expand our knowledge about mental health recovery. Knowledge gained from this study may pave the way for future nursing strategies to aid recovery and inform the development of positive, strengths-based interventions.

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The case for removing intellectual disability and autism from the Mental Health Act

The British Journal of Psychiatry ◽

10.1192/bjp.2019.26 ◽

2019 ◽

Vol 215 (5) ◽

pp. 633-635

Author(s):

Sheila Hollins ◽

Keri-Michèle Lodge ◽

Paul Lomax

Keyword(s):

Mental Health ◽

Intellectual Disability ◽

Health Services ◽

Mental Disorder ◽

Learning Disability ◽

Mental Illnesses ◽

Mental Health Act ◽

Definition Of ◽

Serious Mental Illnesses

SummaryIntellectual disability (also known as learning disability in UK health services) and autism are distinct from the serious mental illnesses for which the Mental Health Act is designed to be used. Their inclusion in the definition of mental disorder is discriminatory, resulting in unjust deprivations of liberty. Intellectual disability and autism should be excluded from the Mental Health Act.Declaration of interestNone.

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A brief history of the criminalization of mental illness

CNS Spectrums ◽

10.1017/s1092852920000103 ◽

2020 ◽

Vol 25 (5) ◽

pp. 638-650 ◽

Cited By ~ 2

Author(s):

Joel A. Dvoskin ◽

James L. Knoll ◽

Mollie Silva

Keyword(s):

Mental Health ◽

United States ◽

Mental Illness ◽

Community Mental Health ◽

Mental Disorders ◽

The United States ◽

Mental Illnesses ◽

The People ◽

History Of ◽

Serious Mental Illnesses

This article traces the history of the way in which mental disorders were viewed and treated, from before the birth of Christ to the present day. Special attention is paid to the process of deinstitutionalization in the United States and the failure to create an adequately robust community mental health system to care for the people who, in a previous era, might have experienced lifelong hospitalization. As a result, far too many people with serious mental illnesses are living in jails and prisons that are ill-suited and unprepared to meet their needs.

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Gender and Serious Mental Illness: A Feminist Perspective

Psychology of Women Quarterly ◽

10.1111/j.1471-6402.1992.tb00243.x ◽

1992 ◽

Vol 16 (1) ◽

pp. 107-126 ◽

Cited By ~ 13

Author(s):

Carol T. Mowbray ◽

Sandra E. Herman ◽

Kelly L. Hazel

Keyword(s):

Mental Health ◽

Mental Illnesses ◽

Gender Composition ◽

Future Research ◽

Male Clients ◽

Problem Formulations ◽

Serious Mental Illnesses ◽

Female Clients ◽

Statistical Clustering

Perhaps in reaction to criticisms of “woman as problem” formulations, psychological literature has nearly ignored women with serious mental illnesses (SMI), although epidemiological research indicates that women are overrepresented in these diagnoses. Data are presented on characteristics, functioning, and services received for a sample of nearly 2,500 SMI clients. Statistical clustering of clients with similar profiles produced four out of six clusters with significant differences in proportions of female versus male clients represented. The results indicate that the extent to which SMI clients display gender-related symptoms and behaviors is a significant factor in clinician perceptions and in service utilization. However, results also show substantial overlap in gender composition of the clusters. Discussion centers on the quality of care and appropriateness of services for female clients. Future research is suggested, utilizing a feminist understanding of women's diversity and of sociopolitical factors related to mental health.

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A Capabilities Approach to Mental Health Transformation: A Conceptual Framework for the Recovery Era

Canadian Journal of Community Mental Health ◽

10.7870/cjcmh-2009-0021 ◽

2009 ◽

Vol 28 (2) ◽

pp. 35-46 ◽

Cited By ~ 28

Author(s):

Larry Davidson ◽

Priscilla Ridgway ◽

Melissa Wieland ◽

Maria O'Connell

Keyword(s):

Mental Health ◽

United States ◽

Health Care ◽

Conceptual Framework ◽

Systems Of Care ◽

The United States ◽

Capabilities Approach ◽

Mental Illnesses ◽

The Past ◽

Serious Mental Illnesses

Recent commissions in Canada and the United States have stipulated recovery to be the overarching aim of mental health care and have called for systems of care to be transformed to be made consistent with this aim. If these efforts are not simply to repeat the mistakes of the past, a new conceptual framework will be needed to provide an alternative foundation for rethinking the nature of care for people with serious mental illnesses. In this paper, the authors identify the limitations of the conceptual framework of the deinstitutionalization movement and then offer the capabilities approach developed by Sen (1992, 1999) and others as a more adequate framework for the post-institutional era.

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The mental capacity tribunal under the model law: what are we arguing about?

International Journal of Mental Health and Capacity Law ◽

10.19164/ijmhcl.v0i20.243 ◽

2014 ◽

pp. 55

Author(s):

Robert Robinson

Keyword(s):

Mental Health ◽

Psychiatric Treatment ◽

Dental Health ◽

Legal Framework ◽

Mental Illnesses ◽

Health Law ◽

Mental Health Law ◽

Mental Health Act ◽

Model Law ◽

Serious Mental Illnesses

It would be a mistake to think of mental health law as a generic form of law directed at a particular class of people, those described as suffering from mental disorders. If a person who has a mental disorder will accept treatment, whether or not they have the capacity to consent to it, there is in general no need to have recourse to mental health law. The Mental Health Act 1983 (‘MHA’) exists for the specific purpose<br />of regulating, and ultimately adjudicating upon, the conflict between a person who objects to receiving psychiatric treatment and the professionals on whom the law confers powers of compulsion. But, as advocates of a capacity-based legal framework would surely agree, it is not the existence of mental health law that gives rise to this conflict. That we have a Mental Health Act but not, say, a Dental Health Act is explained by features characteristic of serious mental illnesses which are not, by and large, found in other medical conditions.

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Women with Serious Mental Illness

10.1093/med-psych/9780190922351.001.0001 ◽

2020 ◽

Author(s):

Lauren Mizock ◽

Erika Carr

Keyword(s):

Mental Health ◽

Mental Illness ◽

Serious Mental Illness ◽

Severe Depression ◽

Mental Illnesses ◽

Post Traumatic Stress ◽

Class Culture ◽

History Of ◽

Serious Mental Illnesses ◽

Work Class

Women with Serious Mental Illness: Gender-Sensitive and Recovery-Oriented Care calls attention to a topic and a population that have been overlooked in research and psychotherapy—women with serious mental illnesses (schizophrenia, severe depression, bipolar disorder, and complex post-traumatic stress disorder). The book focuses on the history of mistreatment, marginalization, and oppression women with serious mental illness have encountered, not only from the general public but within the mental health system as well. This book provides an overview of recovery-oriented care for women with serious mental illness—a process of seeking hope, empowerment, and self-determination beyond the effects of mental illness. The authors provide a historical overview of the treatment of women with mental illness, their resilience and recovery experiences, and issues pertaining to relationships, work, class, culture, trauma, and sexuality. This book also offers the new model, the Women’s Empowerment and Recovery-Oriented Care intervention, for working with this population from a gender-sensitive framework. The book is a useful tool for mental health educators and providers and provides case studies, clinical strategies lists, discussion questions, experiential activities, diagrams, and worksheets that can be completed with clients, students, and peers.

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