Recovery from severe mental illness

Palmer, Victoria; Gunn, Jane

doi:10.1503/cmaj.141558

Cited by 28 publications

(24 citation statements)

References 8 publications

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“…For the purposes of this study, SMI was defined as an umbrella term covering schizophrenia, bi-polar disorder, major depression and schizoaffective disorder. These disorders share basic characteristics including high levels of community stigma and severe functional impairment when untreated [34]. Participants were recruited through snowball sampling from three psychosocial drop-in centres in these cities serving people with SMI through staff announcements, printed posters and word of mouth.…”

Section: Feasibilitymentioning

confidence: 99%

Can participatory video reduce mental illness stigma? Results from a Canadian action-research study of feasibility and impact

2020

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Background: Evidence suggests that stigma against people with mental illness remains high. This demands innovative approaches to reduce stigma. One innovative stigma reduction method is participatory video (PV), whereby marginalized people come together to script, film and produce bottom-up educational videos about shared issues. These videos are then shown to target groups. This paper has two objectives (i) to examine the feasibility of using participatory video with people with severe mental illness (SMI); and (ii) to assess viewer impressions of the resultant videos and subsequent subjective impact. Methods: We conducted a participatory action research study with three workgroups of people with severe mental illness situated in different Canadian cities, who set out to create and disseminate locally-grounded mental-health themed videos. This involved process and outcome evaluation to assess feasibility and impact. Specifically, we (i) observed fidelity to a co-designed action-plan in all three workgroups; (ii) distributed brief purpose-built questionnaires to viewers at organized screenings to assess preliminary impact; and (iii) conducted focus groups with viewers to elicit further impressions of the videos and subsequent subjective impact. Results: The three workgroups achieved high-fidelity to the action-plan. They successfully produced a total of 26 videos, over double the targeted number, during an 18-month period. Likewise, the workgroups organized 49 screenings at a range of venues attended by 1542 people, again exceeding the action-plan targets. Results from the viewer questionnaires (N = 1104, response rate 72%) indicated that viewers reported that their understandings had improved after watching the videos. Four themes emerged from six viewer focus groups (N = 30), with participants frequently noting that videos were (i) educational and informative; (ii) real and relatable; (iii) attention-grabbing; and (iv) change-inducing. Conclusions: To our knowledge, this study is the first large-scale multi-site project examining the feasibility and impact of a participatory video program for people with severe mental illness. The results indicate that participatory video is a feasible method in this population and gives preliminary evidence that resultant videos can reduce viewer stigma. Thus, participatory video should be considered a promising practice in the ongoing effort to reduce mental illness stigma.

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Section: Feasibilitymentioning

confidence: 99%

Can participatory video reduce mental illness stigma? Results from a Canadian action-research study of feasibility and impact

2020

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“…The recovery approach challenges previously held paternalistic beliefs regarding treatment and prognosis, allowing for a more individualized, holistic approach that respects personal definitions of recovery (3). The literature suggests that recovery is both a process and an outcome, with symptom remission as only one of many possible directions a personal experience with mental illness can take (4). Research has demonstrated that recovery-oriented services are understood differently depending on the stakeholders involved (5,6).…”

Section: Introductionmentioning

confidence: 99%

Essential Elements That Contribute to the Recovery of Persons With Severe Mental Illness: A Systematic Scoping Study

et al. 2020

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Introduction: There is an increasing emphasis on recovery-oriented care in the design and delivery of mental health services. Research has demonstrated that recovery-oriented services are understood differently depending on the stakeholders involved. Variations in interpretations of recovery lead to challenges in creating systematically organized environments that deliver a consistent recovery-oriented approach to care. The existing evidence on recovery-oriented practice is scattered and difficult to apply. Through this systematic scoping study, we aim to identify and map the essential elements that contribute to recovery outcomes for persons living with severe mental illness. Methods: We used the Arksey & O'Malley framework as our guiding approach. Seven key databases (MEDLINE, PubMed, CINAHL/EBSCO, EMBASE, ProQuest, PsycINFO, and Google Scholar) were searched using index terms and keywords relating to recovery and severe mental illness. To be included, studies had to be peer-reviewed, published after 1988, had persons with severe mental illness as the focal population, and have used recovery in the context of mental health. The search was conducted in August 2018 and last updated in February 2020. Results: Out of 4,496 sources identified, sixty (n = 60) sources were included that met all of the selection criteria. Three major elements of recovery that emerged from the synthesis (n = 60) include relationships, sense of meaning, and participation. Some sources (n = 20) highlighted specific elements such as hope, resilience, self-efficacy, spirituality, social support, empowerment, race/ethnicity etc. and their association with the processes underpinning recovery. Discussion: The findings of this study enable mental health professionals to incorporate the identified key elements into strategic interventions to facilitate recovery for clients with severe mental illness, and thereby facilitate recovery-oriented practice. The review also documents important gaps in knowledge related to the elements of recovery and identifies a critical need for future studies to address this issue.

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“…The term “severe mental illness” is often used to identify individuals with psychological problems that seriously impair the functionality of individuals and their ability to engage in professional activities. Diagnoses such as schizophrenia, schizoaffective disorder, bipolar disorder, and major depressive disorder are often referred to as severe mental illness . Patients who were close to being discharged were included in the study.…”

Section: Methodsmentioning

confidence: 99%

“…Diagnoses such as schizophrenia, schizoaffective disorder, bipolar disorder, and major depressive disorder are often referred to as severe mental illness. 18 Patients who were close to being discharged were included in the study. This information was taken from the healthcare team in the clinic and the patients were taken by sampling.…”

Section: Settings and Participantsmentioning

confidence: 99%

Perception of physical health by patients with severe mental illness and their family caregivers: A qualitative study

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2019

Perspect Psychiatr Care

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Purpose The aim of this study is to determine the perceptions of both individuals with severe mental illness and their family caregivers regarding the physical health status of patients. Design and methods A descriptive qualitative design was implemented, and 11 individuals with severe mental illness and 12 caregivers were analysed. Findings Two main themes emerged as a result of the content analysis: a “physical health‐related barriers” theme and a “need for better physical health” theme. Practice implications Patients and their family caregivers experience a number of barriers and difficulties related to maintaining and improving physical health. Psychiatric nurses should recognize these barriers and assist in empowering both patients and their family caregivers to overcome them.

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Recovery from severe mental illness

Cited by 28 publications

References 8 publications

Can participatory video reduce mental illness stigma? Results from a Canadian action-research study of feasibility and impact

Can participatory video reduce mental illness stigma? Results from a Canadian action-research study of feasibility and impact

Essential Elements That Contribute to the Recovery of Persons With Severe Mental Illness: A Systematic Scoping Study

Perception of physical health by patients with severe mental illness and their family caregivers: A qualitative study

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