scholarly journals Mental health system change

2020 ◽  
Author(s):  
Meagan Wiederman ◽  
Celina Everling ◽  
Nathan Leili ◽  
Saba Shahab
Keyword(s):  
Mental Health ◽  
Mental Illness ◽  
Personal Recovery ◽  
Health System Change ◽  
Psychological Wellness ◽  
People With Mental Illness ◽  
Discharge Plan ◽  
Innovative Solution ◽  
Mentor Support ◽  
Mental Health Association

Mental health is the psychological wellness of a person. Currently, mental health illnesses are treated by hospital and community. Due to the transition of this system from psychiatric institutes, the hospital and community are not necessarily well connected. It is essential that the hospital and community are connected since patients need to feel supported by their community at all stages of their recovery in order to make a network of wellness. In order to tackle the problem of connecting the hospital and community for the personal recovery of people with severe mental illness, my team, Re-MIND London, proposed an innovative solution suite, involving: a liaison between community and hospital; a shared menu of resources; information sharing through education and samplers; having patients engage on community outings; and providing peer mentor support. In installing this solution, we have re-kindled connection between Parkwood Institute for Mental Health and the Canadian Mental Health Association in London, ON, at an administrative level, as well as staffer and patient level. Patients report that they need to feel like they in the community to have hope towards a proper discharge plan. In installing sections of this innovative solution, our team learned self-empowerment to challenge the existing system, regardless of our position. We are connecting, at many levels, diverse individuals and organizations to leverage their strengths to form a strong and sustainable partnership that will insulate people with mental illness in a community throughout treatment.

scholarly journals Recovery narratives: 'see how far i've come'

2012 ◽  
Vol 20 (4) ◽  
pp. 448-452 ◽  
Author(s):  
Richard Weingarten ◽  
Maria E. Restrepo-Toro
Keyword(s):  
Mental Health ◽  
Mental Illness ◽  
Health System ◽  
Lived Experience ◽  
Mental Health System ◽  
Personal Recovery ◽  
People With Mental Illness ◽  
College Class ◽  
The Media ◽  
Recovery Narratives

As the paradigm shift towards a recovery-oriented mental health system becomes more prominent, individuals with lived experience of mental illness will continue to write and speak their narratives of mental illness and recovery. This article discusses the social reality of people with mental illness: how they are stigmatized by the media and how competing narratives within the mental health system afflict people with this disability. It also discusses the empowering process of constructing a narrative that enables the narrator/speaker to find meaning in her/his experience while putting a realistic 'face' on mental illness and recovery for the general public. It further describes how telling a narrative to diverse audiences, including a college class of 'people in recovery' enhances the author's personal recovery by giving his life new meaning and purpose.

scholarly journals Time Waits for No One: Longitudinal Study on the Effects of an Anti-Stigma Seminar on the Psychology Student Population

2021 ◽  
Vol 18 (10) ◽  
pp. 5441
Author(s):  
Luca Pingani ◽  
Sara Evans-Lacko ◽  
Sandra Coriani ◽  
Silvia Ferrari ◽  
Maria Filosa ◽  
...  
Keyword(s):  
Mental Health ◽  
Mental Illness ◽  
Online Survey ◽  
Student Population ◽  
Post Intervention ◽  
People With Mental Illness ◽  
T1 And T2 ◽  
One Year ◽  
Intended Behaviour

The primary aim is to describe the changes in the knowledge of mental health conditions, the attitudes toward the mentally ill, and the intended behaviour towards people with mental illness among the entire student population of the third year of a degree course in Psychology. A total of 570 students attended a seminar on stigma towards mental illness and were invited to complete an online survey which collected data on sociodemographic characteristics and three validated questionnaires evaluating different aspects of stigma at three different time points (pre-intervention, post-intervention, and at one year follow up). A total of 253 students (44.39%) completed the questionnaires at t0, t1, and t2. The mean age of the sample was 23.7 (SD = ±5.89), and 86.96% (n = 220) were females. Between t0 and t1, a statistically significant improvement was observed for all three outcomes, while the intended behaviour outcome was no longer significant between t1 and t2 (Z = −0.70; p = 0.48). Females and who participated live at the seminar maintained a significant knowledge of mental illness and a better attitude toward community mental health care. The effects of the seminar focused on reducing stigma tended to diminish over time at one year follow-up, particular in relation to intended behaviour.

Recovery college features and context: advancing a recovery and well-being policy agenda

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Amadene Woolsey ◽  
Gillian Mulvale
Keyword(s):  
Mental Health ◽  
Mental Illness ◽  
Health System ◽  
Mental Health System ◽  
Well Being ◽  
System Reform ◽  
Educational Approach ◽  
Content Type ◽  
Policy Objectives ◽  
Mental Health Association

Purpose Internationally, there has been a move towards more recovery-oriented mental health policies for people living with mental illness, and some countries have included well-being as a population-level objective. In practice, these policy objectives can be difficult to achieve because of deeply rooted policy legacies, including a biomedical approach to care and the stigma associated with mental illness. The purpose of this paper is to investigate how interventions that operate outside the formal mental health system, such as recovery colleges (RCs), may advance these policy objectives more easily than efforts at broader system reform. Design/methodology/approach This study conducted a scoping review to explore the features and context of RCs that make the model an attractive and feasible opportunity to advance a recovery and well-being agenda. Our research is motivated by the initial and growing adoption of RCs by the Canadian Mental Health Association. This paper applies the consolidated framework for implementation research to analyse features of the model and the context of its implementation in Canada. Findings The RC’s educational approach, adaptability, coproduced nature and positioning outside the formal mental health system are key features that facilitate implementation without disrupting deeply entrenched policy legacies. Other facilitators in the Canadian context include the implementing organisation’s independence from government, its federated structure and the model’s alignment with national policy objectives. Originality/value This paper highlights how interventions outside the formal mental healthcare system can promote stated recovery and well-being policy goals.

scholarly journals Lay Beliefs about Treatments for People with Mental Illness and Their Implications for Antistigma Strategies

2005 ◽  
Vol 50 (12) ◽  
pp. 745-752 ◽  
Author(s):  
Christoph Lauber ◽  
Nordt Carlos ◽  
Rössler Wulf
Keyword(s):  
Mental Health ◽  
Mental Illness ◽  
Health Literacy ◽  
Social Distance ◽  
Mental Health Literacy ◽  
Belief Systems ◽  
People With Mental Illness ◽  
Evidence Based Treatments ◽  
Social Treatment ◽  
Nonmedical Treatment

Objective: First, to describe factors influencing the public's attitude toward treatment recommendations for people with mental illness; second, to identify coherent belief systems about the helpfulness of specific interventions; and third, to discuss how to ameliorate mental health literacy and antistigma strategies. Method: Participants of a representative telephone survey in the general population ( n = 1737) were presented with a vignette depicting a person with either schizophrenia or depression. From a list of suggestions, they were asked to recommend treatments for this person. We used a factor analysis to group these proposals and used the factors as the dependent variables in a multiple regression analysis. Results: Treatment suggestions are summarized in 4 groups, each characterizing a specific therapeutic approach: 1) psychopharmacological proposals (that is, psychotropic drugs), 2) therapeutic counselling (from a psychologist or psychiatrist or psychotherapy), 3) alternative suggestions (such as homeopathy), and 4) social advice (for example, from a social worker). Medical treatments were proposed by people who had a higher education, who had a positive attitude toward psychopharmacology, who correctly recognized the person depicted in the vignette as being ill, who were presented with the schizophrenia vignette, who kept social distance, and who had contact with mentally ill people. The variables could explain alternative and social treatment proposals only to a small extent. Conclusions: The public's beliefs about treatment for people with mental illness are organized into 4 coherent systems, 2 of which involve evidence-based treatments. Medical treatment proposals are influenced by adequate mental health literacy; however, they are also linked to more social distance toward people with mental illness. Additionally, efforts to better explain nonmedical treatment suggestions are needed. Implications for further antistigma strategies are discussed.

scholarly journals Review of smoking cessation treatments for people with mental illness

2008 ◽  
Vol 14 (3) ◽  
pp. 208-216 ◽  
Author(s):  
Jonathan Campion ◽  
Ken Checinski ◽  
Jo Nurse
Keyword(s):  
Mental Health ◽  
Mental Illness ◽  
Smoking Cessation ◽  
General Population ◽  
Antipsychotic Medication ◽  
Gold Standard ◽  
Standard Treatment ◽  
Mental Health Problems ◽  
Quit Smoking ◽  
People With Mental Illness

This article reviews the current literature regarding treatments for smoking cessation in both the general population and in those with mental health problems. The gold-standard treatment for the general population is pharmacotherapy (nicotine replacement therapy, bupropion or varenicline) coupled with individual or group psychological support. This is also effective in helping people with mental illness to reduce or quit smoking, but care must be taken to avoid adverse medication interactions and to monitor antipsychotic medication in particular as cigarette consumption reduces.

scholarly journals Association between recognition and help-seeking preferences and stigma towards people with mental illness

2016 ◽  
Vol 27 (1) ◽  
pp. 84-93 ◽  
Author(s):  
L. Picco ◽  
E. Abdin ◽  
S. Pang ◽  
J. A. Vaingankar ◽  
A. Jeyagurunathan ◽  
...  
Keyword(s):  
Mental Health ◽  
Mental Illness ◽  
Confidence Intervals ◽  
Mental Health Professionals ◽  
Help Seeking ◽  
Categorical Variables ◽  
Perceived Stigma ◽  
Compulsive Disorder ◽  
People With Mental Illness ◽  
The Relationship

Aims.The ability to recognise a mental illness has important implications as it can aid in timely and appropriate help-seeking, and ultimately improve outcomes for people with mental illness. This study aims to explore the association between recognition and help-seeking preferences and stigmatising attitudes, for alcohol abuse, dementia, depression, obsessive-compulsive disorder (OCD) and schizophrenia, using a vignette-based approach.Methods.This was a population-based, cross-sectional survey conducted among Singapore Residents (n = 3006) aged 18–65 years. All respondents were asked what they think is wrong with the person in the vignette and who they should seek help from. Respondents were also administered the Personal and Perceived sub scales of the Depression Stigma Scale and the Social Distance Scale. Weighted frequencies and percentages were calculated for categorical variables. A series of multiple logistic and linear regression models were performed separately by vignette to generate odd ratios and 95% confidence intervals for the relationship between help-seeking preference, and recognition and beta coefficients and 95% confidence intervals for the relationship between stigma and recognition.Results.Correct recognition was associated with less preference to seek help from family and friends for depression and schizophrenia. Recognition was also associated with increased odds of endorsing seeking help from a psychiatric hospital for dementia, depression and schizophrenia, while there was also an increased preference to seek help from a psychologist and psychiatrist for depression. Recognition was associated with less personal and perceived stigma for OCD and less personal stigma for schizophrenia, however, increased odds of social distancing for dementia.Conclusion.The ability to correctly recognise a mental illness was associated with less preference to seek help from informal sources, whilst increased preference to seek help from mental health professionals and services and less personal and perceived stigma. These findings re-emphasise the need to improve mental health literacy and reinforce the potential benefits recognition can have to individuals and the wider community in Singapore.

Advancing research in adult secure mental health services in England

2021 ◽  
pp. 002580242110669
Author(s):  
Howard Ryland ◽  
Louise Davies ◽  
Jeremy Kenney-Herbert ◽  
Michael Kingham ◽  
Mayura Deshpande
Keyword(s):  
Mental Health ◽  
Mental Illness ◽  
Mental Health Services ◽  
Health Services ◽  
Learning Disability ◽  
Personality Disorders ◽  
Forensic Mental Health ◽  
Policy Makers ◽  
People With Mental Illness ◽  
Low Volume

Forensic mental health services in high income countries are typically high cost and low volume, providing care to people with mental illness, personality disorders, learning disability and autism deemed to pose a risk to others. Research into how forensic mental health services work as a whole system is limited. Such research is urgently needed to guide policy makers and ensure that services operate effectively.

scholarly journals Mental Illness, Social Suffering and Structural Antagonism in the Labour Process

2019 ◽  
Vol 33 (6) ◽  
pp. 948-965
Author(s):  
Megan Woods ◽  
Rob Macklin ◽  
Sarah Dawkins ◽  
Angela Martin
Keyword(s):  
Mental Health ◽  
Mental Illness ◽  
Future Research ◽  
Social Suffering ◽  
Labour Process ◽  
Workplace Conditions ◽  
People With Mental Illness ◽  
The Social ◽  
And Control ◽  
Discursive Resources

Workplace conditions and experiences powerfully influence mental health and individuals experiencing mental illness, including the extent to which people experiencing mental ill-health are ‘disabled’ by their work environments. This article explains how examination of the social suffering experienced in workplaces by people with mental illness could enhance understanding of the inter-relationships between mental health and workplace conditions, including experiences and characteristics of the overarching labour process. It examines how workplace perceptions and narratives around mental illness act as discursive resources to influence the social realities of people with mental ill-health. It applies Labour Process Theory to highlight how such discursive resources could be used by workers and employers to influence the power, agency and control in workplace environments and the labour process, and the implications such attempts might have for social suffering. It concludes with an agenda for future research exploring these issues.

scholarly journals Contact with recovered peers: buffering disempowering service experiences and promoting personal recovery in serious mental illness

BJPsych Open ◽  
2019 ◽  
Vol 5 (6) ◽  
Author(s):  
Bronte McLeod ◽  
Denny Meyer ◽  
Greg Murray ◽  
Fiona Foley ◽  
Nev Jones ◽  
...  
Keyword(s):  
Mental Health ◽  
Mental Illness ◽  
Serious Mental Illness ◽  
Self Efficacy ◽  
Process Models ◽  
Future Research ◽  
Involuntary Treatment ◽  
Personal Recovery ◽  
Treatment Experience ◽  
Stigma Of Mental Illness

Background Mental health patients can experience involuntary treatment as disempowering and stigmatising, and contact with recovered peers is cited as important for countering stigma and fostering agency and autonomy integral to recovery. Aims To advance understanding of the interaction between involuntary treatment and contact with recovered peers, and explore hypothesised relationships to mechanisms of self-evaluation relevant to recovery. Method Eighty-nine adults diagnosed with serious mental illness completed items to assess involuntary treatment experience and the extent of prior contact with recovered peers, the Internalised Stigma of Mental Illness Scale, the Self-efficacy for Personal Recovery Scale, the Questionnaire about the Process of Recovery and relevant demographic and clinical scales. Results Contact with recovered peers was found to moderate the effects of involuntary treatment on internalised stigma. Sequential conditional process models (i.e. moderated mediation) then demonstrated that conditional internalised stigma (i.e. moderated by contact with recovered peers) mediated the indirect effect of involuntary treatment on recovery-specific self-efficacy, which in turn influenced recovery. Compared with those with low contact with recovered peers, recovery scores were 3.54 points higher for those with high contact. Conclusions Although study methods limit causative conclusions, findings are consistent with proposals that contact with recovered peers may be helpful for this patient group, and suggest this may be particularly relevant for those with involuntary treatment experience. Directions for future research, to further clarify measurement and conceptual tensions relating to the study of (dis)empowering experiences in mental health services, are discussed in detail.

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