Training Chronic Mental Patients to Independently Practice Personal Grooming Skills

Wong, Stephen E.; Flanagan, Stephen G.; Kuehnel, Timothy G.; Liberinan, Robert P.; Hunnicutt, Ron; Adams-Badgert, Jean

doi:10.1176/ps.39.8.874

Cited by 13 publications

(20 citation statements)

References 11 publications

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“…As reported in this study, caregivers are usually committed and devoted to ensuring that patients are as clean as possible. Similar findings had been reported more than three decades in California where mentally ill patients in the community were taught to keep themselves clean [42].…”

Section: Psychiatry Journalsupporting

confidence: 86%

Promoting Recovery in Mental Illness: The Perspectives of Patients, Caregivers, and Community Members in Dar es Salaam, Tanzania

Iseselo

Ambikile

2020

Psychiatry Journal

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Background. Promoting mental health and care in the community setting leads to the recovery of patients with mental illness. Although recovery in mental health is a complex phenomenon, caregivers and community members have important roles to play in the recovery process for patients with mental illness. Little is documented on how recovery is promoted in the community setting. This study explored the experience of patients, caregivers, and community members on how recovery can be realized in a patient with severe mental illness in Dar es Salaam. Methods. We conducted four focus group discussions (FGDs): two with caregivers and the other two with community members. Also, six in-depth interviews were held with patients with mental illness. Participants were purposively selected based on the type of information needed. Both FGD and in-depth interviews were digitally recorded and transcribed. Qualitative content analysis was used to analyze data. Findings. Four themes emerged from this study, which include promoting patients’ participation in household activities, improving patients’ support system, promoting patients’ self-care management, and providing safety and protection among patients with mental illness. However, financial, psychological, and establishing care and support centers and professional supports emerged as subthemes from patients’ support system. Conclusion. Caregivers and community members are significant stakeholders for promoting recovery for people with mental illness. The current study reveals that patients’ involvement in home activities, promoting self-care management, improving patients’ support systems, and providing safety and protection are important factors that promote recovery for people with mental illness. Advocating mental health awareness for caregivers and community members will bridge the gap to enhance the recovery for people with mental illness. Further research is needed in this area to explore the health care providers’ perspectives on the recovery process of mental illness in the hospital setting.

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Section: Psychiatry Journalsupporting

confidence: 86%

Promoting Recovery in Mental Illness: The Perspectives of Patients, Caregivers, and Community Members in Dar es Salaam, Tanzania

Iseselo

Ambikile

2020

Psychiatry Journal

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“…Situated learning allows for (1) client choice and involvement to address those skills the individual wants and needs to learn, (2) didactic learning with modeling and practice in a context preferred by the individual, (3) evaluation of the skill in a specific context to identify barriers and supports needed to be successful in the skill, and 4) an individualized process that considers the individual's level of functioning. This approach has been used to teach social skills but not to implement or evaluate life skills interventions in relation to homeless persons with mental illness developing the skills to maintain housing (Liberman and Kopelowicz 2002;Liberman et al 1986;Wallace 1998;Wong et al 1988).…”

Section: Theoretical Approaches To Intervention: Empowerment Theory Amentioning

confidence: 99%

Outcomes of a Life Skills Intervention for Homeless Adults with Mental Illness

Helfrich

Fogg

2007

J Primary Prevent

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A manualized life skills intervention based on empowerment theory and situated learning was tested on 51 homeless adults with mental illness living in emergency or single room occupancy housing. The intervention improved skills in food, money, room, and self-care management and safe community participation. Participation included baseline measures with intervention post-tests and three and six month follow up measures. Comparisons were made to examine effectiveness between modules. There were significant improvements over time for the room and self-care and safe community participation modules, whereas the other modules did not reach statistical significance. The results suggest that through intervention this population may develop and retain the life skills needed to maintain residential stability.

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“…For example, social skills training (Kurtz & Mueser, 2008)—consisting of verbal instructions, modeling, behavioral rehearsal, corrective feedback, and positive reinforcement—has been utilized to increase the frequency of conversational skills up from zero to multiple occurrences of the skills in each social encounter (Wong & Woolsey, 1989; Wong et al, 1993). A similar set of educative procedures combined with tangible reinforcement has been used to raise self-care and grooming skills from a near zero level to a daily performance or more frequent basis (Nelson & Cone, 1979; Wong et al, 1988). Recreational activities have been introduced to reduce bizarre vocal and motor behavior (Corrigan, Liberman, & Wong, 1993; Wong et al, 1987; Wong, Wright, Terranova, Bowen, & Zarate, 1988) and increase appropriate leisure behavior (Wong et al, 1988) in psychiatric patients of varied diagnoses including schizophrenia.…”

Section: Logical Contradictions and Imprecisionmentioning

confidence: 99%

A Critique of the Diagnostic Construct Schizophrenia

Wong

2013

Research on Social Work Practice

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This article examines problems in the clinical utility of the diagnosis of schizophrenia including reliance on questionable data, arbitrary criteria and categorization, inadequate precision for assessment and treatment evaluation, and omission of information on causal current and historical environmental factors. Some alternatives to the Diagnostic and Statistical Manual of Mental Disorders, fifth edition (DSM-5) are briefly considered including continuous recording of individual client's specific problems and goals, and functional assessments and functional analyses. The article discusses how biomedical assumptions implicit in the DSM-5 diverts mental health workers' attention from social adversity factors contributing to the development of psychotic behavior and available psychosocial interventions for this disorder, thereby perpetuating biomedical dominance of mental health services.

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Training Chronic Mental Patients to Independently Practice Personal Grooming Skills

Cited by 13 publications

References 11 publications

Promoting Recovery in Mental Illness: The Perspectives of Patients, Caregivers, and Community Members in Dar es Salaam, Tanzania

Promoting Recovery in Mental Illness: The Perspectives of Patients, Caregivers, and Community Members in Dar es Salaam, Tanzania

Outcomes of a Life Skills Intervention for Homeless Adults with Mental Illness

A Critique of the Diagnostic Construct Schizophrenia

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