Barriers to and Facilitators of the Acceptance Process for Individuals With Serious Mental Illness

Mizock, Lauren; Russinova, Zlatka; Millner, Uma Chandrika

doi:10.1177/1049732314545889

Cited by 7 publications

(19 citation statements)

References 36 publications

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“…Although evidence emphasizes the importance of post-hospital discharge programs to achieve continuity of care, there was no follow-up or plan to address the patient's problems. These problems may increase in the post-discharge period (Rahmani, et al, 2016;Bäuml, et al, 2016;Mizock, Russinova, & Millner, 2014). Therefore, there is a gap between the actual needs of patients and their families and the routine care provided to them in some mental health care delivery systems (Navidian, et al, 2012;Matsuda, & Kohno, 2016).…”

Section: Discussionmentioning

confidence: 99%

“…Patients’ nonadherence could be a pervasive threat to the health of all patients with chronic disease, which could lead to recurrence and frequent readmission and impose a high economic burden on the family (Martin et al, 2005). Although evidence emphasizes the importance of posthospital discharge programs to achieve continuity of care there was no follow-up or plan to address the patient’s problems, which increase in post-discharge period (Bäuml et al, 2016; Mizock, Russinova, & Millner, 2014; Rahmani et al, 2016). Therefore, there is a gap between the actual needs of patients and their families and the routine care of people with severe mental illness in some mental health care delivery systems (Matsuda & Kohno, 2016; Navidian et al, 2012).…”

Section: Discussionmentioning

confidence: 99%

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Barriers to Family Caregivers’ Coping With Patients With Severe Mental Illness in Iran

et al. 2018

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The broad spectrum of problems caused by caring for a patient with mental illness imposes a high burden on family caregivers. This can affect how they cope with their mentally ill family members. Identifying caregivers' experiences of barriers to coping is necessary to develop a program to help them overcome these challenges. This qualitative content analysis study explored barriers impeding family caregivers' ability to cope with their relatives diagnosed with severe mental illness (defined here as schizophrenia, schizoaffective disorders, and bipolar affective disorders). Sixteen family caregivers were recruited using purposive sampling and interviewed using a semi-structured in-depth interview method. Data were analyzed by a conventional content analytic approach. Findings consisted of four major categories: the patient's isolation from everyday life, incomplete recovery, lack of support by the mental health care system, and stigmatization. Findings highlight the necessity of providing support for caregivers by the mental health care delivery service system.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Barriers to Family Caregivers’ Coping With Patients With Severe Mental Illness in Iran

et al. 2018

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“…These interventions can reduce stigma and facilitate the acceptance of mental illness among people with serious mental illness and within their cultural communities. Future research is needed to further delineate the barriers and facilitators to mental illness, and this research is underway (Mizock, Russinova, & Millner 2013a; Mizock, Russinova, & Millner 2013b).…”

Section: Discussionmentioning

confidence: 99%

Racial and Ethnic Cultural Factors in the Process of Acceptance of Mental Illness

Mizock

Russinova

2013

Rehabilitation Counseling Bulletin

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Rehabilitation Counseling Bulletin has called attention to the need for qualitative research on recovery from serious mental illness (Hanley-Maxwell, Al Hano, & Skivington, 2007). The recovery movement in mental illness treatment defines recovery as a process of living a satisfying life of well-being and autonomy, as opposed to symptom elimination alone (Davidson, Drake, Schmutte, Dinzeo, & Andres-Hyman, 2009). A number of leaders of the recovery movement have identified acceptance of mental illness as a crucial stage in the recovery process, and one of the most challenging (Deegan, 1996;Ridgway, 2001;Spaniol & Gagne, 1997). Acceptance of mental illness has been reasoned to be critical to medical and mental health management of the illness as well as overall quality of life (Kravetz, Faust, & David, 2000). In this article, we define acceptance as a multidimensional process of understanding and recognizing one's mental illness, and actively engaging in the management of related symptoms and experiences. An important factor is the role of one's racial and ethnic cultural background in impacting the process of acceptance of mental illness (Carpenter-Song et al., 2010;Chen & Mak, 2008;Kirmayer & Bhugra, 2009).To examine racial/ethnic (i.e., racioethnic) cultural factors in the acceptance process for people with serious mental illness, we conducted the present study of qualitative interviews with 30 participants with serious mental illness. The cultural backgrounds of these individuals varied with regard to race, ethnicity, gender, age, immigration experiences, and acculturation levels. To contextualize this research, we will begin with an overview of the literature on the acceptance process and cultural issues in the experience of serious mental illness. Next, we will provide five case narratives of participants to illustrate these racioethnic factors in the acceptance process. These narratives are presented to assist rehabilitation practitioners in considering racioethnic factors in the acceptance process. Finally, we will highlight implications for culturally relevant rehabilitation counseling and research pertaining to the process of acceptance of mental illness. Acceptance of Mental IllnessAcceptance is a crucial stage in the recovery from serious mental illness, and one of the most challenging (Deegan, 1996). A serious mental illness (or mental illness) is a mental disorder that interferes with at least two areas of functioning-social functioning, vocational functioning, and self-care (National Institute of Mental Health, 2008). Acceptance is an emotional, cognitive, and behavioral process that can foster empowerment and hope (Spaniol & Gagne, 1997). Acceptance can involve self-education, overcoming negative self-judgment, developing a positive identity, working past denial, and achieving understanding of one's mental illness (Ridgway, 2001). However, 475823R CB56410.1177/0034355213475823Rehabil itation Counseling BulletinMizock and Russinova

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“…Basically, if you're diagnosed with a mental disease, then you're an outcast, a failure in the family, like married wrong, and so on." (Mizock et al, 2014(Mizock et al, , p. 1271 Poor experiences within clinical mental health services also contribute to stigma, with individuals becoming labelled as a "patient" (Baker et al, 2016;De Ruysscher et al, 2019;Lawson et al, 2014;Mizock et al, 2014;Parr, 2006;Yanos et al, 2010). Such stigmatised perceptions become internalised, overwhelming identity and leading to the formation of a negative illness identity (Lloyd et al, 2007;Yanos et al, 2010).…”

Section: Contextsmentioning

confidence: 99%

Community arts, identity and recovery: A realist review of how community‐based arts activities enables the identity change recovery process from serious mental illness

Peters,

Gomersall,

Booth

et al. 2023

Community & Applied Soc Psy

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Identity has been empirically established as a recovery process from serious mental illness (SMI) yet is often overlooked within intervention evaluations. Community arts presents one such intervention with emerging evidence illustrating the potential for recovery to occur within this context. However, research indicates numerous mechanisms may be involved in the identity recovery process, making it difficult to determine what works, for whom and in what context. The current review aimed to generate new theories to explain how, why and in what context community arts enable the identity change recovery process for individuals with SMI. A realist review was conducted between January and September 2021, with 22 articles and reports reviewed and synthesised to develop a theory. A safe and empowering intervention context was found to be vital to activate three key mechanism pathways: (a) feeling in control of SMI through coping; (b) achieving acceptance through connectedness and (c) overcoming personal challenges. The outcome was the development of positive self‐awareness, which enables individuals to redefine identity beyond SMI through both social and personal identities. Novel insights are presented through theory development, utilising the Social Identity Approach to Health and Transformative Learning Theory to conceptualise the findings through a multi‐theoretical lens. Please refer to the Supplementary Material section to find this article's Community and Social Impact Statement.

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Barriers to and Facilitators of the Acceptance Process for Individuals With Serious Mental Illness

Cited by 7 publications

References 36 publications

Barriers to Family Caregivers’ Coping With Patients With Severe Mental Illness in Iran

Barriers to Family Caregivers’ Coping With Patients With Severe Mental Illness in Iran

Racial and Ethnic Cultural Factors in the Process of Acceptance of Mental Illness

Community arts, identity and recovery: A realist review of how community‐based arts activities enables the identity change recovery process from serious mental illness

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