Responses to nervous breakdowns in America over a 40-year period: Mental health policy implications.

Swindle, Ralph; Heller, Kenneth; Pescosolido, Bernice A.; Kikuzawa, Saeko

doi:10.1037/0003-066x.55.7.740

Cited by 158 publications

(79 citation statements)

References 31 publications

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“…This assumption is also supported by Swindle (2000) who found that between 1957 and 1996, the proportion of people with mental health problems in the US turning to informal support from social networks rose from 7% in 1957 to 28% in 1996. In Norway there seems to be a real change in the help seeking pattern with more people seeking different alternatives to traditional services (SSB 2008) 10 .…”

Section: Sum Of Experiences That Helpedmentioning

confidence: 72%

Social Networks for Mental Health Clients: Resources and Solution

Kogstad¹,

Mønness²,

Sørensen

2012

Community Ment Health J

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Høgskolen i HedmarkNotat nr. 2 -2012 Emneord: Sosial støtte, sosialt nettverk, mental helse klienter. Sammendrag:Dette notatet bygger på en undersøkelse der 850 medlemmer av brukerorganisasjonen Mental Helse svarte på spørsmål om erfaringer med ulike deler av hjelpeapparatet og i hvilken grad de hadde et sosialt nettverk og hvordan dette fungerte. Det ble også krysset av for alder, kjønn, sivilstand, skole-eller yrkestilknytning og bosituasjon. Bakgrunnen for undersøkelsen var et ønske om å forstå mer av samspillet mellom sosiale nettverk og profesjonelle tjenester. Mange studier har illustrert betydningen av sosial støtte og sosiale nettverk for personer med psykiske problemer eller lidelser, og dessuten vist at sosiale nettverk både kan bety redusert behov for profesjonelle tjenester og bedre tilgang til slike tjenester. Vi har likevel begrenset kunnskap om hvordan samspillet mellom sosiale nettverk og profesjonelle tjenester fungerer.Ca. 4000 medlemmer fikk tilsendt spørreskjemaet og knapt 1000 svarte. Støttemedlemmene ble ekskludert fra den kvantitative analysen (men inkludert i kvalitative analyser av det samme utvalget). Cirka 1/3 av respondentene var menn og alderen varierte fra 20 til 80 år, med hovedtyngden mellom 40 og 60 år. 67 % hadde uføretrygd, 13 % var i jobb og 20 % kombinerte trygd med jobb eller studier. Respondentene har erfaringer fra alle deler av hjelpeapparatet, d.v.s. fra tradisjonelle psykiatriske sykehus, DPS-er, dagsentra, individualterapi, familieterapi, hjelpetelefoner, krisesentra, kunst-og kroppsorienterte terapier m.m.Dataene viste at de aller fleste opplever å ha støttende sosiale nettverk. Videre fant vi at disse nettverkene på flere måter kan sies å erstatte profesjonelle tjenester. Når det gjelder hjelp til bedring, kan sosiale nettverk tilby kvaliteter som er på høyde med de profesjonelle tjenestene. Videre fant vi en positiv sammenheng mellom tillit til et sosialt nettverk og tillit til profesjonelle tjenester. Tillit til et sosialt nettverk øker også sannsynligheten for at erfaringene med de profesjonelle tjenestene blir positive.Det er flere konklusjoner som kan trekkes av denne studien. Bl.a. tilsier funnene at nettverkskvaliteter i større grad burde inkluderes i de profesjonelle tjenestene. De åpne nettverksmøtene, hvor profesjonelle og nettverksmedlemmer møtes på mer likeverdig basis, kan her vaere en god modell. Videre vil det ha stor betydning om profesjonelle kan hjelpe utsatte grupper med å bygge egne nettverk. Summary:Background: Several studies have illustrated the importance of social support and social networks for persons with mental health problems. Social networks may mean a reduced need for professional services, but also help to facilitate access to professional help. The interplay between social networks and professional services is complicated and invites further investigation.

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Section: Sum Of Experiences That Helpedmentioning

confidence: 72%

Social Networks for Mental Health Clients: Resources and Solution

Kogstad¹,

Mønness²,

Sørensen

2012

Community Ment Health J

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“…For example, one possible scenario underlying our main result is that persons who initially seek treatment from master's level therapists or psychologists have an underlying latent (to the researcher) predisposition not to follow through with treatment subsequently. The predisposed patient we have in mind is drawn to a non-medical provider in 19 order to find out about treatment but then decides against it or seeks follow-up care through selfhelp groups or pastoral counseling (Swindle et al 2000). Another possibility for the relatively high incidence of treatment among medical providers is data construction.…”

Section: Discussionmentioning

confidence: 99%

“…Care differences can also be partly determined by the preferences of patients, who choose providers based on the types of care they offer. Based on the limited existing literature, it appears that patients' preferences are more likely to affect the decision to seek any care rather than the type of care (Frank and Kamlet 1989;Ettner and Herman 1997;Fortney, Rost, and Zhang 1998;Swindle et al 2000). So, patient demographic factors, such as age, gender, health, and mental health status have not been found to predict well the choice of particular provider specialties.…”

Section: Brief Review Of Provider Specialty In Mental Health Carementioning

confidence: 99%

“…There is some support in the literature for the perspective that care is hard to afford based on studies of persons seeking mental health treatment (Fortney, Rost, and Zhang 1998;Holmes and Deb 1998). Many other studies that include a larger, community perspective find that there are many forces affecting provider choice other than insurance, and that non-insurance factors are also probably more important than insurance (Swindle et al 2000).…”

Section: Datamentioning

confidence: 99%

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Provider type and depression treatment adequacy

Kniesner¹,

Powers²,

Croghan³

2005

Health Policy

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We investigate the effect of initial provider (primary care physician, psychiatrist, or nonphysician mental health specialist) on the adequacy of subsequent treatment for persons with depression. Our data are from MarketScan ® , a medical and pharmacy insurance claims database, which we use to estimate models of the likelihood of treatment for depression and the likelihood that any treatment received is adequate. Patients initially seeing psychiatrists are most likely to receive adequate treatment. Provider type has a statistically and medically significant effect on whether any treatment occurs but a smaller effect on treatment adequacy among treated patients.The results show the importance of provider type in treatment patterns, but the effects on patient outcomes are yet to be determined definitively.

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“…It may also point to strategies for recovery. Nevertheless, a potential problem associated with belonging to this group is that there are stereotyped beliefs attached to severe mental illness (Martin et al, 2000;Swindle et al, 2000). Categorically referred to as stigma, these beliefs are spread across all levels of society and include expectations of violent and disorderly behavior as well as the conviction that persons with schizophrenia cannot work or make informed decisions about their welfare (Link et al, 1999;Phelan et al, 2000).…”

Section: Introductionmentioning

confidence: 99%

Associations of multiple domains of self-esteem with four dimensions of stigma in schizophrenia

Lysaker

Tsai

Yanos

et al. 2008

Schizophrenia Research

122

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Research suggests global self-esteem among persons with schizophrenia may be negatively affected by stigma or stereotyped beliefs about persons with severe mental illness. Less clear however, is whether particular dimensions of self-esteem are linked to particular domains of stigma. To examine this we surveyed a range of self-esteem dimensions including lovability, personal power, competence and moral self-approval and four domains of stigma: Stereotype endorsement, Discrimination experience, Social withdrawal and Stigma rejection. Participants were 133 adults with diagnoses of schizophrenia or schizoaffective disorder. Stepwise multiple regressions controlling for a possible defensive response bias suggested that aspects of self-esteem related to lovability by others were more closely linked with lesser feelings of being alienated from others due to mental illness. Aspects of self-esteem related to the ability to manage one's own affairs were more closely associated with the rejection of stereotypes of mental illness. A sense of being able to influence others was linked to both the absence of discrimination experiences and the ability to ward off stigma. Implications for treatment are discussed.

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Responses to nervous breakdowns in America over a 40-year period: Mental health policy implications.

Abstract: in extending their original survey to a partial 40-year follow-up. A special thanks to J. Scott Long for his gracious statistical guidance. Teresa Damush, Jaya Rao, and Morris Weinberger provided helpful comments on earlier versions of this article.

Cited by 158 publications

References 31 publications

Social Networks for Mental Health Clients: Resources and Solution

Social Networks for Mental Health Clients: Resources and Solution

Provider type and depression treatment adequacy

Associations of multiple domains of self-esteem with four dimensions of stigma in schizophrenia

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