The labyrinth of community mental health: In search of meaningful occupation.

Factors influencing subjective perceptions of everyday occupations: Comparing day centre attendees with non-attendees

“…This would be in line with reports showing that many people with PD lack community integration and everyday occupations that they perceive as meaningful (7,39). Thus, alternative strategies should be considered.…”

Being candidates in a transitional vocational course: experiences of self, everyday life and work potentials

“…In particular, feeling as an equal member of a group encouraged them to know the true value of their life experiences and to establish friendships. As this finding is equivalent to previous research that suggests that people with mental illness need opportunities for accepting, meaningful social participation that promotes success and reduces stigma (Rebeiro 1999;Inman, McGurk, and Chadwick 2007), these facets are interesting. However, the fact that several of the participants in this study resisted being a 'service user', and that this course was located in a sheltered setting raises certain debates about segregation.…”

The Recovery Process and People with Serious Mental Illness Living in the Community

“…The psychiatric rehabilitation and occupational therapy literature have documented, typically through personal narrative or qualitative 52 OCCUPATIONAL THERAPY IN MENTAL HEALTH means, that successful recovery requires a shift in service delivery from strict adherence to the medical model, to treating the whole person, using a client-centered approach (Deegan, 1996;Pitts, 2004;Rebeiro, 1999;Russinova, 1999). It has been extremely challenging for community mental health programs to adopt the recovery philosophy despite support in the literature and in federal and state policy.…”

“…People who are engaging in the recovery process gradually assume more control of the daily decisions affecting their lives and reduce the role that mental health programs play. Often, serious mental illness affects complex social problem solving, thus, people rely on mental health professionals to facilitate problem solving and decision making in everyday situations (Green, 1996;Rebeiro, 1999).…”

“…Blank (2004) discusses the challenges of providing client-centered care and promoting empowerment for people with serious and persistent mental illness. Environmental barriers such as chronic under-funding of community mental health services have been implicated in restricting the occupational needs of this population relative to recovery (Rebeiro, 1999;Brown, Cosgrove, & DeSelm, 1997).…”