New directions for psychiatric rehabilitation in the USA

Bond, Gary R.; Drake, Robert E.

doi:10.1017/s2045796016000834

Cited by 28 publications

(20 citation statements)

References 36 publications

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“…Internationally, there have been multiple calls for further increased proportionate funding of rehabilitation services (Bond & Drake ; Edwards et al . ; Medibank Private Limited & Nous Group ; Wolfson et al .…”

Section: Introductionmentioning

confidence: 97%

Understanding consumers’ initial expectations of community‐based residential mental health rehabilitation in the context of past experiences of care: A mixed‐methods pragmatic grounded theory analysis

Parker

Newman

Fletcher

et al. 2018

Int J Mental Health Nurs

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This study explores how consumers expect community-based residential mental health rehabilitation to compare with previous experiences of care. Understanding what consumers hope to receive from mental health services, and listening to their perspectives about what has and has not worked in previous care settings, may illuminate pathways to improved service engagement and outcomes. A mixed-methods research design taking a pragmatic approach to grounded theory guided the analysis of 24 semi-structured interviews with consumers on commencement at three Community Care Units (CCUs) in Australia. Two of these CCUs were trialling a staffing model integrating peer support work with clinical care. All interviews were conducted by an independent interviewer within the first 6 weeks of the consumer's stay. All participants expected the CCU to offer an improvement on previous experiences of care. Comparisons were made to acute and subacute inpatient settings, supported accommodation, and outpatient care. Consumers expected differences in the people (staff and co-residents), the focus of care, physical environ, and rules and regulations. Participants from the integrated staffing model sites articulated the expected value of a less clinical approach to care. Overall, consumers' expectations aligned with the principles articulated in policy frameworks for recovery-oriented practice. However, their reflections on past care suggest that these services continue to face significant challenges realizing these principles in practice. Paying attention to the kind of working relationship consumers want to have with mental health services, such as the provision of choice and maintaining a practical and therapeutic supportive focus, could improve their engagement and outcomes.

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Section: Introductionmentioning

confidence: 97%

Understanding consumers’ initial expectations of community‐based residential mental health rehabilitation in the context of past experiences of care: A mixed‐methods pragmatic grounded theory analysis

Parker

Newman

Fletcher

et al. 2018

Int J Mental Health Nurs

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“…The re‐engagement of community psychology (CP) in community mental health (CMH) can be achieved through the application of implementation science and systems theory to CCIs. In doing so, community psychologists can help address the research–practice gap for people with serious mental illness (Bond & Drake, ) in a way that facilitates implementation of valued interventions within community contexts. CCIs consist of multiple interconnected components that are characterized by complex pathways between specific intervention components and outcomes (Craig et al., ).…”

Section: Re‐engagement In Community Mental Health Through Complex Commentioning

confidence: 99%

“…Health and social science disciplines, including CP, have made substantial contributions to the implementation science of evidence‐based practices in health and social services (e.g., Wandersman, Chien & Katz, ; Wandersman et al., ). Implementation science is an area of research developed to address the research–practice gap which is especially pronounced in CMH (Bond & Drake, ). In the last two decades, approaches to implementation have evolved from passive strategies (in which it was assumed new practices would be adopted), toward interactive strategies in which researchers engage with community stakeholders to build capacity and actively support the uptake of innovative practices (Wandersman et al., , ).…”

Section: Supporting Early Implementation Of Housing First In Canadamentioning

confidence: 99%

Understanding Systems Change in Early Implementation of Housing First in Canadian Communities: An Examination of Facilitators/Barriers, Training/Technical Assistance, and Points of Leverage

Loomis

Hasford

Macnaughton

et al. 2017

American J of Comm Psychol

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We present interim findings of a cross-site case study of an initiative to expand Housing First (HF) in Canada through training and technical assistance (TTA). HF is an evidence-based practice designed to end chronic homelessness for consumers of mental health services. We draw upon concepts from implementation science and systems change theory to examine how early implementation occurs within a system. Case studies examining HF early implementation were conducted in six Canadian communities receiving HF TTA. The primary data are field notes gathered over 1.5 years and evaluations from site-specific training events (k = 5, n = 302) and regional network training events (k = 4, n = 276). We report findings related to: (a) the facilitators of and barriers to early implementation, (b) the influence of TTA on early implementation, and (c) the "levers" used to facilitate broader systems change. Systems change theory enabled us to understand how various "levers" created opportunities for change within the communities, including establishing system boundaries, understanding how systems components can function as causes of or solutions to a problem, and assessing and changing systems interactions. We conclude by arguing that systems theory adds value to existing implementation science frameworks and can be helpful in future research on the implementation of evidence-based practices such as HF which is a complex community intervention. Implications for community psychology are discussed.

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“…Group-based interventions that target symptoms, promote pro-mental and physical health behaviors and foster interpersonal engagement are a mainstay of RS based psychosocial treatment for CP ( 12 ). While there has been increased interest in the use of digital therapies for this population ( 6 , 13 ), regulations and HIPAA compliant technology to support group based interventions have lagged.…”

Section: Introductionmentioning

confidence: 99%

The Design, Implementation, and Acceptability of a Telehealth Comprehensive Recovery Service for People With Complex Psychosis Living in NYC During the COVID-19 Crisis

2020

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Introduction The COVID-19 crisis and subsequent stay-at-home orders have produced unprecedented challenges to the dissemination of recovery oriented behavioral health services (RS) that support the treatment of those with complex psychosis (CP).This population has typically been managed with in-person pharmacotherapy and/or RS, with the goals of relieving symptoms, improving life satisfaction and increasing community engagement. COVID-19 related social distancing measures have required rapid shifts in care management, while easing of telehealth regulations has allowed for flexibility to approach RS differently. It is essential to learn from the RS telemedicine implementation experience, so that RSs can maintain care for this vulnerable and needy population. Method This paper describes the successful telehealth conversion of a NYC-based, university affiliated RS that serves adults with severe mental illnesses (SMI; n = 64). Results focus on the telehealth acceptance rates of the subset of participants with CP ( n = 23). Results The RS continued providing services including intake, care coordination, group psychotherapies, skills training groups, individual skills coaching, and vocational/educational supports. The telehealth conversion rates of the CP subsample indicated that 90% of CP patients accepted telehealth sessions and maintained their specific treatment plans in the virtual format. Mean comparisons between session attendance and cancellations/no-shows during the six-week period before and after telehealth conversion showed no significant differences in service utilization. Discussion RSs play an essential role in the treatment of CP and telehealth may prove to be a viable format of care delivery even after the COVID-19 crisis subsides. The multiple factors in the inner and outer treatment setting that contributed to successful conversion to telehealth will be considered along with the challenges that clinicians and patients encountered.

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New directions for psychiatric rehabilitation in the USA

Cited by 28 publications

References 36 publications

Understanding consumers’ initial expectations of community‐based residential mental health rehabilitation in the context of past experiences of care: A mixed‐methods pragmatic grounded theory analysis

Understanding consumers’ initial expectations of community‐based residential mental health rehabilitation in the context of past experiences of care: A mixed‐methods pragmatic grounded theory analysis

Understanding Systems Change in Early Implementation of Housing First in Canadian Communities: An Examination of Facilitators/Barriers, Training/Technical Assistance, and Points of Leverage

The Design, Implementation, and Acceptability of a Telehealth Comprehensive Recovery Service for People With Complex Psychosis Living in NYC During the COVID-19 Crisis

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