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Pedrosa B, Cardoso G, Azeredo-Lopes S, Aluh D, Grigaitė U, Dias M, Silva M, Caldas de Almeida J. Experiences of care perceived by users of supported accommodations for people with serious mental disorders: Can they impact quality of life? Int J Soc Psychiatry 2022; 69:626-638. [PMID: 36300907 DOI: 10.1177/00207640221127928] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
BACKGROUND To understand if supported accommodations (SA) are promoting the recovery of people with serious mental disorders, quality of life (QoL) is an important outcome. This study aimed to analyse the association between QoL and experiences of care in general and to identify specific experiences of care that are associated with QoL in users of SA. METHODS A random sample of users of 42 SA was interviewed to obtain standardized measures of QoL and personal experiences of care. The sample was also characterized according to sociodemographic and clinical aspects. Linear regressions models analysed the association between QoL and experiences of care, adjusting for potential confounders. Results include estimated regression coefficients, corresponding 95% confidence intervals and p-values. RESULTS The number of users interviewed was 272. The median QoL was 4.9 (2.3-6.8) out of 7. Although 84.9% of users were satisfied with the care received, only 16.2% felt involved in their treatment. Feeling safe (β = .73; 95% CI [0.22-1.24], p = .006) and having privacy (β = .42; 95% CI [0.09-0.75], p = .014) influenced QoL. Involvement in care (β = .44; 95% CI [0.13-0.74], p = .006), safety and privacy (β = .72; 95% CI [0.44-0.99], p = 8.38e-07) and user-professional relationship (β = .42; 95% CI [0.14-0.69], p = .003) were also associated with QoL. CONCLUSIONS Feeling safe, having privacy, feeling involved in care and having good user-professional relationships influence the QoL of users. These findings have implications from the political and economic level to the organizational and individual levels.
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Affiliation(s)
- Bárbara Pedrosa
- Lisbon Institute of Global Mental Health, Lisbon, Portugal.,Comprehensive Health Research Centre (CHRC), NOVA Medical School
- Faculdade de Ciências Médicas, NMS
- FCM, Universidade Nova de Lisboa; Lisboa, Portugal
| | - Graça Cardoso
- Lisbon Institute of Global Mental Health, Lisbon, Portugal.,Comprehensive Health Research Centre (CHRC), NOVA Medical School
- Faculdade de Ciências Médicas, NMS
- FCM, Universidade Nova de Lisboa; Lisboa, Portugal
| | - Sofia Azeredo-Lopes
- Comprehensive Health Research Centre (CHRC), NOVA Medical School
- Faculdade de Ciências Médicas, NMS
- FCM, Universidade Nova de Lisboa; Lisboa, Portugal.,Department of Statistics and Operational Research, Faculdade de Ciências, Universidade de Lisboa, Lisboa, Portugal
| | - Deborah Aluh
- Lisbon Institute of Global Mental Health, Lisbon, Portugal.,Comprehensive Health Research Centre (CHRC), NOVA Medical School
- Faculdade de Ciências Médicas, NMS
- FCM, Universidade Nova de Lisboa; Lisboa, Portugal.,Department of Clinical Pharmacy and Pharmacy Management, University of Nigeria, Nsukka, Nigeria
| | - Ugnė Grigaitė
- Lisbon Institute of Global Mental Health, Lisbon, Portugal.,Comprehensive Health Research Centre (CHRC), NOVA Medical School
- Faculdade de Ciências Médicas, NMS
- FCM, Universidade Nova de Lisboa; Lisboa, Portugal
| | - Margarida Dias
- Lisbon Institute of Global Mental Health, Lisbon, Portugal.,Comprehensive Health Research Centre (CHRC), NOVA Medical School
- Faculdade de Ciências Médicas, NMS
- FCM, Universidade Nova de Lisboa; Lisboa, Portugal
| | - Manuela Silva
- Lisbon Institute of Global Mental Health, Lisbon, Portugal.,Comprehensive Health Research Centre (CHRC), NOVA Medical School
- Faculdade de Ciências Médicas, NMS
- FCM, Universidade Nova de Lisboa; Lisboa, Portugal
| | - José Caldas de Almeida
- Lisbon Institute of Global Mental Health, Lisbon, Portugal.,Comprehensive Health Research Centre (CHRC), NOVA Medical School
- Faculdade de Ciências Médicas, NMS
- FCM, Universidade Nova de Lisboa; Lisboa, Portugal
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2
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Oh J, Kim J. Relationship between Mental Health and House Sharing: Evidence from Seoul. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:ijerph18052495. [PMID: 33802482 PMCID: PMC7967625 DOI: 10.3390/ijerph18052495] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 02/03/2021] [Revised: 02/23/2021] [Accepted: 02/27/2021] [Indexed: 11/16/2022]
Abstract
While the association between general housing and mental health has been well documented, little is known about the mental health outcomes of house sharing. As shared housing has been viewed as an economically and socially viable housing option for young adults, a broader understanding of how shared housing affects the residents’ quality of life, including mental health, is needed. In this context, this study aims to provide empirical evidence about the relationship between mental health and house sharing after controlling for residents’ self-selection. We conducted a survey of 834 young single adults living in shared housing and non-shared housing in Seoul, Korea. Then, to control for residential self-selection, we applied the residential dissonance framework. The main findings of this study were two-fold: first, house-sharers with a positive attitude toward shared housing were more likely to respond that their mental health status improved after they started residing in shared housing; second, if young adults are forced to live in shared housing, this could increase the potential risk of social dysfunction of house-sharers. Based on these findings, we suggest policy measures for shared housing, including pre-occupancy interviews, resident behavior codes, and fostering a livable dwelling environment to ensure a healthier life in shared living arrangements.
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3
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Drapalski AL, Lucksted A, Brown CH, Fang LJ. Outcomes of Ending Self-Stigma, a Group Intervention to Reduce Internalized Stigma, Among Individuals With Serious Mental Illness. Psychiatr Serv 2021; 72:136-142. [PMID: 33234053 DOI: 10.1176/appi.ps.201900296] [Citation(s) in RCA: 10] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Abstract
OBJECTIVE Ending Self-Stigma is a nine-session group intervention designed to teach individuals experiencing mental illness a set of tools and strategies to effectively deal with self-stigma and its effects. The authors examined the efficacy of Ending Self-Stigma with an active comparison group focused on general health and wellness education (the Health and Wellness intervention) in a cohort of veterans. METHODS Veterans with serious mental illness (N=248) were randomly assigned to either the Ending Self-Stigma or the Health and Wellness intervention. Participants completed assessments of symptoms, internalized stigma, recovery, sense of belonging, and other aspects of psychosocial functioning at baseline, posttreatment, and 6-month follow-up. Repeated-measures, mixed-effects models were used to examine the effects of group × time interactions on outcomes. RESULTS Individuals in both groups experienced significant but modest reductions in self-stigma and increases in psychological sense of belonging after the treatments. The Ending Self-Stigma and Health and Wellness interventions did not significantly differ in primary (self-stigma) or secondary (self-efficacy, sense of belonging, or recovery) outcomes at posttreatment. Significant psychotic symptoms moderated treatment effects on self-stigma, such that among individuals with significant psychotic symptoms at baseline, those who participated in Ending Self-Stigma had a significantly greater reduction in internalized stigma than those in the Health and Wellness intervention. CONCLUSIONS Interventions directly targeting self-stigma and those that may address it more indirectly may be helpful in reducing internalized stigma. Individuals experiencing psychotic symptoms may be more likely to benefit from interventions that specifically target self-stigma.
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Affiliation(s)
- Amy L Drapalski
- U.S. Department of Veterans Affairs (VA) Capitol Health Care Network, Veterans Integrated Service Network 5 (VISN 5), Mental Illness Research, Education, and Clinical Center (MIRECC), Baltimore (Drapalski, Lucksted, Brown); Department of Psychiatry (Drapalski, Lucksted, Fang) and Department of Epidemiology and Public Health (Brown), University of Maryland School of Medicine, Baltimore
| | - Alicia Lucksted
- U.S. Department of Veterans Affairs (VA) Capitol Health Care Network, Veterans Integrated Service Network 5 (VISN 5), Mental Illness Research, Education, and Clinical Center (MIRECC), Baltimore (Drapalski, Lucksted, Brown); Department of Psychiatry (Drapalski, Lucksted, Fang) and Department of Epidemiology and Public Health (Brown), University of Maryland School of Medicine, Baltimore
| | - Clayton H Brown
- U.S. Department of Veterans Affairs (VA) Capitol Health Care Network, Veterans Integrated Service Network 5 (VISN 5), Mental Illness Research, Education, and Clinical Center (MIRECC), Baltimore (Drapalski, Lucksted, Brown); Department of Psychiatry (Drapalski, Lucksted, Fang) and Department of Epidemiology and Public Health (Brown), University of Maryland School of Medicine, Baltimore
| | - Li Juan Fang
- U.S. Department of Veterans Affairs (VA) Capitol Health Care Network, Veterans Integrated Service Network 5 (VISN 5), Mental Illness Research, Education, and Clinical Center (MIRECC), Baltimore (Drapalski, Lucksted, Brown); Department of Psychiatry (Drapalski, Lucksted, Fang) and Department of Epidemiology and Public Health (Brown), University of Maryland School of Medicine, Baltimore
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4
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Marsella O, Forchuk C, Oudshoorn A. Exploring harm reduction among Canadian Veterans experiencing homelessness. JOURNAL OF MILITARY, VETERAN AND FAMILY HEALTH 2020. [DOI: 10.3138/jmvfh-2019-0042] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
Abstract
Introduction: In Canada, Veteran homelessness is an increasing concern. It is estimated that approximately 2,950 Veterans experienced homelessness in 2016. Some may also have substance use disorders, which has been linked to loss of housing and homelessness many years after exiting military service. A strategy that facilitates housing stability and reduces the harms of substance use is harm reduction. This study explored how Veterans who have experienced homelessness perceive and experience harm reduction. Methods: This study was a secondary analysis of data collected from the Canadian Model for Housing and Support of Veterans Experiencing Homelessness study that evaluated a Veteran-specific housing model in four Canadian cities. In the primary study, 78 participants received housing and related programming intervention. Focus groups with Veterans occurred at each of the four housing sites from 2012 to 2014. Across all sites, 24 Veterans attended both the 2012 and 2013 focus groups. A total of 39 Veterans attended the final focus groups in 2014. The authors conducted a thematic analysis of Veteran focus group data where data were extracted from transcripts and organized into themes. Results: Various themes emerged from the data including (1) regimented structure, (2) understanding both worlds, (3) congruent recovery journeys, (4) location close enough to services, far enough from harm, and (5) harm reduction is housing stability and housing stability is harm reduction. These themes represent the interface between military culture and homeless culture. Overall, Veterans considered harm reduction as an essential component of housing. Discussion: This study has shown that harm reduction may be part of the solution to ending Veteran homelessness in Canada. The findings of this study may inform how Veteran housing and substance use needs are addressed. Additional research is needed to explore further how harm reduction can be effectively incorporated into Housing First for Veterans.
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Affiliation(s)
- Olivia Marsella
- Arthur Labatt Family School of Nursing, Western University, London, Ontario, Canada
| | - Cheryl Forchuk
- Arthur Labatt Family School of Nursing, Western University, London, Ontario, Canada
- Lawson Health Research Institute, London, Ontario, Canada
| | - Abe Oudshoorn
- Arthur Labatt Family School of Nursing, Western University, London, Ontario, Canada
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5
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Monari E, Booth R, Harerimana B, Forchuk C. The Experiences of Migration among Homeless Male and Female Psychiatric Survivors. Issues Ment Health Nurs 2020; 41:467-475. [PMID: 32356675 DOI: 10.1080/01612840.2019.1701154] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
Abstract
Globally, individuals with psychiatric disorders experience an increased risk for homelessness and frequent migration. The present qualitative study used intersectionality and thematic analysis to examine how male and female psychiatric survivors experienced the phenomenon of frequent migration in Canada. The study findings underscored aspects of frequent migration, including negative experiences associated with poverty, as well as increased risks for homelessness and mental health, stigma, and discrimination. The present findings call for bespoken services and programs to address male and female psychiatric survivors' specific needs; thereby alleviating pathways to frequent migrations among psychiatric survivors.
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Affiliation(s)
- Esther Monari
- Arthur Labatt Family School of Nursing, Western University, London, Canada
| | - Richard Booth
- Arthur Labatt Family School of Nursing, Western University, London, Canada
| | - Boniface Harerimana
- Arthur Labatt Family School of Nursing, Western University, London, Canada.,Lawson Health Research Institute, London, Canada
| | - Cheryl Forchuk
- Arthur Labatt Family School of Nursing, Western University, London, Canada.,Lawson Health Research Institute, London, Canada.,Schulich School of Medicine and Dentistry, Department of Psychiatry, Western University, London, Canada.,Parkwood Institute Research, London, Canada
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6
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Brunt D, Schröder A, Lundqvist LO, Rask M. Residents' Perceptions of Quality in Supported Housing for People with Psychiatric Disabilities. Issues Ment Health Nurs 2019; 40:697-705. [PMID: 31099719 DOI: 10.1080/01612840.2019.1585496] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
Abstract
The residents' perspective of the quality of housing support for people with psychiatric disabilities living in congregate supported housing has been studied and a comparison has been made with the findings from those from a previous study in ordinary housing with outreach support. One-hundred and seventy-eight residents from 27 supported housing facilities in eight Swedish municipalities completed the Quality of Psychiatric Care-Housing (QPC-H) instrument. The highest quality ratings were found for: Secluded Environment, Encounter and Support, while Participation, Housing Specific and Secure Environment were rated at lower levels. Despite relatively high ratings, a majority of items did not attain the 80% cutoff point deemed as defining satisfactory quality of service. The residents in ordinary housing with outreach support rated higher levels for the majority of the QPC-H dimensions in comparison with those in supported housing. A conclusion is that the quality of care in supported housing facilities has a number of deficiencies that need to be addressed. Supported housing is generally rated as having a lower quality of care than in ordinary housing with outreach support. Suggestions for the content of staff training are made based on the results.
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Affiliation(s)
- David Brunt
- a School of Health and Caring Sciences , Linnaeus University , Växjö , Sweden
| | - Agneta Schröder
- b University Health Care Research Center, Faculty of Medicine and Health , Örebro University , Örebro , Sweden.,c Department of Nursing, Faculty of Health, Care and Nursing , Norwegian University of Science and Technology (NTNU) , Gjövik , Norway
| | - Lars-Olov Lundqvist
- b University Health Care Research Center, Faculty of Medicine and Health , Örebro University , Örebro , Sweden
| | - Mikael Rask
- a School of Health and Caring Sciences , Linnaeus University , Växjö , Sweden
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7
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Watson J, Fossey E, Harvey C. A home but how to connect with others? A qualitative meta-synthesis of experiences of people with mental illness living in supported housing. HEALTH & SOCIAL CARE IN THE COMMUNITY 2019; 27:546-564. [PMID: 30027684 DOI: 10.1111/hsc.12615] [Citation(s) in RCA: 13] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/18/2017] [Revised: 05/18/2018] [Accepted: 06/16/2018] [Indexed: 05/18/2023]
Abstract
Supported housing principles emphasise the importance of decent, stable and affordable housing, and the provision of individualised support to enable people experiencing mental illness to live in their preferred communities, and to recover. This study sought to synthesise qualitative research addressing the question: how does living in supported housing facilitate social connections and participation from the viewpoints of people living with mental illness? Three databases (CINAHL, PsycINFO, Medline) were systematically searched to identify 19 peer-reviewed reports on 17 studies published during 2001-2016, in which the views and experiences of supported housing residents with mental illness were reported. Most studies were informed by grounded theory and used interview methods. Appraisal indicated the reports were of varying quality, but all met the inclusion criterion of reporting qualitative data relevant to the research question. Constant comparative methods were used to synthesise the reported data, and to identify themes across the studies. There were four overarching themes regarding the lived experience of supported housing for people with mental illness: (a) living in supported housing gave individuals privacy, a sense of control, stability and security; (b) stable housing supported residents' confidence to rebuild an identity and meaning in life, (c) there is a delicate balance between appreciating privacy and dealing with loneliness, and (d) opportunities and support to reconnect with families, friends and community are valued. The meta-synthesis findings highlight that supported housing residents face challenges of protecting their privacy and being lonely when on their own. Individualised support approaches need to attend to personal preferences for social participation and their varied meanings and significance. Further research is required to better understand how individualised forms of support can enable supported housing residents to connect with family, friends and community in their preferred ways.
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Affiliation(s)
| | - Ellie Fossey
- School of Primary and Allied Health Care, Monash University - Peninsula Campus, Frankston, Vic., Australia
| | - Carol Harvey
- Psychosocial Research Centre, Department of Psychiatry, University of Melbourne, & NorthWestern Mental Health, Coburg, Vic., Australia
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8
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Krotofil J, McPherson P, Killaspy H. Service user experiences of specialist mental health supported accommodation: A systematic review of qualitative studies and narrative synthesis. HEALTH & SOCIAL CARE IN THE COMMUNITY 2018; 26:787-800. [PMID: 29609195 DOI: 10.1111/hsc.12570] [Citation(s) in RCA: 25] [Impact Index Per Article: 4.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Accepted: 02/23/2018] [Indexed: 06/08/2023]
Abstract
Specialist supported accommodation services have become a key component of most community-based mental healthcare systems. While mental health policies highlight the importance of service user involvement in service development and care planning, there are no comprehensive literature reviews synthesising services users' perspectives on, or experiences of, supported accommodation services. This systematic review was undertaken to fill this gap. We searched electronic databases (January 2015, updated June 2017), conducted hand searches and used forward-backward snowballing to identify 13,678 papers. We inspected the full-text of 110 papers and included 50 of these in the final review. Data extraction and quality assessments were conducted. We used narrative synthesis to develop a conceptual model of service users' experiences that included structural, process, relational and contextual factors, such as the characteristics of the service, relationships with staff and other service users, the intensity and nature of support, the physical environment, and social and community integration. The review highlights the complex interplay of individual, service-level and community factors in shaping the lived experience of service users and their impact on personal identity and recovery. Our approach addressed some of the widely reported limitations of the quantitative research in this field, providing a conceptual model relevant to service user experiences across supported accommodation service types, population groups and countries.
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Affiliation(s)
- Joanna Krotofil
- Division of Psychiatry, Faculty of Brain Sciences, UCL, London, UK
| | - Peter McPherson
- Division of Psychiatry, Faculty of Brain Sciences, UCL, London, UK
| | - Helen Killaspy
- Division of Psychiatry, Faculty of Brain Sciences, UCL, London, UK
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Holley J, Gillard S. Developing and Using Vignettes to Explore the Relationship Between Risk Management Practice and Recovery-Oriented Care in Mental Health Services. QUALITATIVE HEALTH RESEARCH 2018; 28:371-380. [PMID: 28836488 DOI: 10.1177/1049732317725284] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/07/2023]
Abstract
There is a lack of literature evaluating the development and use of vignettes to explore contested constructs in qualitative health care research where a conventional interview schedule might impose assumptions on the data collected. We describe the development and validation of vignettes in a study exploring mental health worker and service user understandings of risk and recovery in U.K. mental health services. Focus groups with mental health workers and service users explored study questions from experiential perspectives. Themes identified in the groups were combined with existing empirical literature to develop a set of vignettes. Feedback focus groups were conducted to validate and amend the vignettes. Following use in research interviews, results suggested that the vignettes had successfully elicited data on issues of risk and recovery in mental health services. Further research using creative, comparative methods is needed to fully understand how vignettes can best be used in qualitative health care research.
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Affiliation(s)
| | - Steven Gillard
- 2 St. George's, University of London, London, United Kingdom
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10
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Désormeaux-Moreau M, Larivière N, Aubin G. Modelizing home safety as experienced by people with mental illness. Scand J Occup Ther 2017; 25:190-202. [PMID: 28562154 DOI: 10.1080/11038128.2017.1335343] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
Abstract
RATIONALE As more individuals with mental disorders now live in the community and as the custodial care housing model has shifted to supported housing, home safety has become a rising issue, however, not well documented. OBJECTIVES To describe the phenomenon of home safety for people with a mental disorder as well as its contributing factors. METHODS A descriptive qualitative design was used. Individual interviews were conducted with persons with a mental disorder (n = 8), while focus groups were conducted with relatives, health and social service providers and community stakeholders (n = 21). The data were analyzed with the grounded theory analysis as described by Paillé (1994). RESULTS Findings suggest that home safety implies risk and protective factors, which are associated with (1) the person's characteristics; (2) the quality of the home environment; (3) the nature of the activities in which the individual engages. These dimensions are interrelated so that home incidents arise from a dynamic interaction between risk and protective factors. CONCLUSIONS Home incidents therefore occur when the interaction between these dimensions is altered. Considering this situation, Occupational Therapists are well positioned to play a leading role and act as key contributors in the area of home safety in people with mental disorders.
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Affiliation(s)
| | - Nadine Larivière
- b École de réadaptation , Université de Sherbrooke , Sherbrooke , QC , Canada
| | - Ginette Aubin
- c Department of Occupational Therapy , Université du Québec , Trois-Rivières , QC , Canada
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11
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Désormeaux-Moreau M, Dumont C, Aubin G, Larivière N. [Home safety and severe mental disorders: Developing an evaluation tool]. The Canadian Journal of Occupational Therapy 2015; 82:129-40. [PMID: 26281436 DOI: 10.1177/0008417414561998] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
BACKGROUND Home safety evaluation is an important issue within the context of current perspectives on accommodation for people with a serious mental illness who favour a more independent way of life. PURPOSE This paper describes the development and content validation of the Evaluation de la sécurité a domicile et de la gestion des risques (ESGR), an occupational therapy assessment tool for people with a serious mental illness. METHOD The ESGR was developed from scientific knowledge and clinical experience. Assessing content validity was done in two phases and involved the consultation of 11 experts. FINDINGS In its current form, the ESGR includes 67 items organized into three categories (environment, occupation, person). IMPLICATIONS According to the experts consulted, there is a clinical interest in using the ESGR to support occupational therapists in the assessment of home safety for people with serious mental illness. The statements are clear and representative of the concept and the target audience.
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Poreddi V, Ramachandra, Thimmaiah R, Math SB. Human rights violations among economically disadvantaged women with mental illness: An Indian perspective. Indian J Psychiatry 2015; 57:174-80. [PMID: 26124524 PMCID: PMC4462787 DOI: 10.4103/0019-5545.158182] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
Abstract
BACKGROUND Globally women confront manifold violations of human rights and women with poverty and mental illness are doubly disadvantaged. AIM The aim was to examine the influence of poverty in meeting human rights needs among recovered women with mental illness at family and community level. MATERIALS AND METHODS This was a descriptive study carried out among randomly selected (n = 100) recovered women with mental illness at a tertiary care center. Data were collected through face-to-face interview using structured needs assessment questionnaire. RESULTS Our findings revealed that below poverty line (BPL) participants were not satisfied in meeting their physical needs such as "access to safe drinking water" (χ(2) = 8.994, P < 0.02), "served in the same utensils" (χ(2) = 13.648, P < 0.00), had adequate food (χ(2) = 11.025, P < 0.02), and allowed to use toilet facilities (χ(2) = 13.565, P < 0.00). The human rights needs in emotional dimension, that is, afraid of family members (χ(2) = 8.233, P < 0.04) and hurt by bad words (χ(2) = 9.014, P < 0.02) were rated higher in above poverty line (APL) participants. Similarly, 88.9% of women from APL group expressed that they were discriminated and exploited by the community members (χ(2) = 17.490, P < 0.00). More than three-fourths of BPL participants (76.1%) believed that there were wondering homeless mentally ill in their community (χ(2) = 11.848, P < 0.01). CONCLUSION There is an urgent need to implement social welfare programs to provide employment opportunities, disability allowance, housing and other social security for women with mental illness. Further, mental health professionals play an essential role in educating the family and public regarding human rights of people with mental illness.
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Affiliation(s)
- Vijayalakshmi Poreddi
- Department of Nursing, College of Nursing, National Institute of Mental Health and Neuro Sciences (Institute of National Importance), Bengaluru, Karnataka, India
| | - Ramachandra
- Department of Nursing, National Institute of Mental Health and Neuro Sciences, Bengaluru, Karnataka, India
| | - Rohini Thimmaiah
- Department of Psychiatry, Vydehi Medical College, Bengaluru, Karnataka, India
| | - Suresh Bada Math
- Department of Psychiatry, National Institute of Mental Health and Neuro Sciences, Bengaluru, Karnataka, India
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13
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Piat M, Boyer R, Fleury MJ, Lesage A, O'Connell M, Sabetti J. Resident and proprietor perspectives on a recovery orientation in community-based housing. Psychiatr Rehabil J 2015; 38:88-95. [PMID: 25559078 PMCID: PMC4835231 DOI: 10.1037/prj0000104] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Abstract
OBJECTIVE Stable housing is a fundamental human right, and an important element for both mental health recovery and social inclusion among people with serious mental illness. This article reports findings from a study on the recovery orientation of structured congregate community housing services using the Recovery Self-Assessment Questionnaire (RSA) adapted for housing (O'Connell, Tondora, Croog, Evans, & Davidson, 2005). METHODS The RSA questionnaires were administered to 118 residents and housing providers from 112 congregate housing units located in Montreal, Canada. RESULTS Residents rated their homes as significantly less recovery-oriented than did proprietors, which is contrary to previous studies of clinical services or Assertive Community Treatment where RSA scores for service users were significantly higher than service provider scores. Findings for both groups suggest the need for improvement on 5 of 6 RSA factors. While proprietors favored recovery training and education, and valued resident opinion and experience, vestiges of a traditional medical model governing this housing emerged in other findings, as in agreement between the 2 groups that residents have little choice in case management, or in the belief among proprietors that residents are unable to manage their symptoms. CONCLUSIONS AND IMPLICATIONS FOR PRACTICE This study demonstrates that the RSA adapted for housing is a useful tool for creating recovery profiles of housing services. The findings provide practical guidance on how to promote a recovery orientation in structured community housing, as well as a novel approach for reaching a common understanding of what this entails among stakeholders. (PsycINFO Database Record
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Affiliation(s)
- Myra Piat
- Department of Psychiatry, Douglas Mental Health University Institute, McGill University
| | - Richard Boyer
- Department of Psychiatry, Mental Health University Institute of Montreal, University of Montreal
| | - Marie-Josée Fleury
- Department of Psychiatry, Douglas Mental Health University Institute, McGill University
| | - Alain Lesage
- Department of Psychiatry, Mental Health University Institute of Montreal, University of Montreal
| | - Maria O'Connell
- Department of Psychiatry, Center for Community Health and Recovery, Yale University
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14
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Gonzalez MT, Andvig E. The Lived Experience of Getting and Having a Home of One's Own: A Meta-Synthesis. Issues Ment Health Nurs 2015; 36:905-18. [PMID: 26631863 DOI: 10.3109/01612840.2015.1052866] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
Abstract
This study aimed to synthesize findings from qualitative studies that explored the lived experiences of persons with serious mental illness with regard to getting and having a home. A systematic search strategy was used. Data from 24 articles were extracted and analyzed using a phenomenological-hermeneutic approach. The total number of informants was N = 769. Four main themes emerged: (1) The Turning Point: The Transition to a Home, (2) The Key to Stability and Thriving: Having and Estating a Home, (3) Home: The Mental Health Hub, and (4) Home: The Base Camp for Reconnecting and Relating.
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Affiliation(s)
| | - Ellen Andvig
- b Buskerud and Vestfold University College , Faculty of Health Sciences , Drammen , Norway
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15
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Doherty J, Wright A, Forchuk C, Edwards B. A Canadian Community-University Research Alliance: Focus on Poverty and Social Inclusion for Psychiatric Consumer-Survivors. WORLD MEDICAL & HEALTH POLICY 2014. [DOI: 10.1002/wmh3.93] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022]
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16
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Vijayalakshmi P, Ramachandra, Reddemma K, Math SB. Impact of socio-economic status in meeting the needs of people with mental illness; human rights perspective. Community Ment Health J 2014; 50:245-50. [PMID: 23288490 DOI: 10.1007/s10597-012-9577-z] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/04/2012] [Accepted: 12/21/2012] [Indexed: 11/27/2022]
Abstract
The present descriptive study investigated the impact of socio-economic status in meeting the human rights needs among randomly selected recovered psychiatric patients (n = 100) at a tertiary care center. Data was collected through face to face interview, using structured Needs Assessment Questionnaire. The findings revealed that the participants from below poverty line were deprived of physical needs such as 'electricity facilities' (χ (2) = 6.821, p < .009) 'safe drinking water' (χ (2) = 13.506, p < .004) and purchasing medications (χ (2) = 9.958, p < .019). Conversely, participants from above poverty line were dissatisfied in emotional needs dimension i.e. 'commenting on physical appearance (χ (2) = 8.337, p < .040), afraid of family members (χ (2) = 17.809, p < .000). Thus, there is an urgent need to implement mental illness awareness campaigns and government should take active steps for providing employment, disability pension, free housing, free treatment and free transportation service for people with mental illness to attend hospital or rehabilitation centres.
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Affiliation(s)
- Poreddi Vijayalakshmi
- Department of Nursing, College of Nursing, National Institute of Mental Health and Neuro Sciences, Deemed University, Bangalore, 560 029, India,
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Landlords' experiences of housing tenants suffering from severe mental illness: a Swedish empirical study. Community Ment Health J 2014; 50:111-9. [PMID: 23361470 DOI: 10.1007/s10597-013-9596-4] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/30/2012] [Accepted: 01/15/2013] [Indexed: 10/27/2022]
Abstract
The aim of this Swedish study was to describe landlords' experiences of having tenants suffering from severe mental illness. Sixteen landlords working in private and public housing agencies participated in open in-depth interviews. Data were subjected to a thematic latent content analysis. The results showed that having tenants with severe mental illness entails being confronted with various difficult circumstances, ranging from mismanagement of apartments to sensitivity among neighbours as well as issues regarding provocative behaviour. It involved providing assistance that was far beyond their professional obligations and to be neglected by the community-based psychiatric service system when in need of help. In order to support landlords and to prevent evictions of individuals with severe mental illness, community-based psychiatric services need to be more pro-active in their attempts to achieve collaboration with the parties at hand.
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Forchuk C, Godin M, Hoch JS, Kingston-MacClure S, Jeng (Mo) MS, Puddy L, Vann R, Jensen E. Preventing Psychiatric Discharge to Homelessness. ACTA ACUST UNITED AC 2013. [DOI: 10.7870/cjcmh-2013-028] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Affiliation(s)
| | - Mike Godin
- Canadian Mental Health Association London Middlesex
| | | | | | | | - Liz Puddy
- Canadian Mental Health Association Sudbury-Manitoulin
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Piat M, Boyer R, Cloutier S, Fleury MJ, Lesage A. Les conditions d’hébergement favorables au rétablissement : perspective des usagers et usagères. CANADIAN JOURNAL OF COMMUNITY MENTAL HEALTH = REVUE CANADIENNE DE SANTE MENTALE COMMUNAUTAIRE 2012; 31:67-85. [PMID: 27099410 PMCID: PMC4835238 DOI: 10.7870/cjcmh-2012-0006] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Abstract
The aim of this study is to better understand the role of housing in the recovery of people living with severe mental illness. Forty residents of various kinds of structured community housing facilities were questioned about housing conditions that were favourable to their recovery. The results indicate that, for the residents, material conditions have a determining influence on recovery. Their concerns are related to basic needs such as food, costs, conveniences and quality of housing. Social relationships with their immediate circle also have a strong influence on people's recovery, and they want above all to preserve the modest gains that they have made, both material and social. This stability is a prerequisite for their recovery.
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Affiliation(s)
- Myra Piat
- Université McGill et Institut universitaire en santé mentale Douglas
| | - Richard Boyer
- Université de Montreal et Centre de recherche Fernand-Séguin de l'hôpital Louis-H. Lafontaine
| | | | | | - Alain Lesage
- Université de Montreal et Centre de recherche Fernand-Séguin de l'hôpital Louis-H. Lafontaine
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20
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Mental health service utilization among patients with severe mental disorders. Community Ment Health J 2011; 47:365-77. [PMID: 20490675 DOI: 10.1007/s10597-010-9320-6] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/29/2009] [Accepted: 04/29/2010] [Indexed: 10/19/2022]
Abstract
In light of healthcare reforms, the study aims to assess variables associated with mental healthcare service utilization in general and in both primary and specialized care by patients with severe mental disorders (SMD, mainly schizophrenia). The study is based on a sample of 140 patients with SMD from five regions in Quebec (Canada). Variables were organized in accordance with Andersen's conceptual model into four factors: predisposing, enabling, needs, and service utilization. Secondary analyses were also conducted comparing patients who were hospitalized or used emergency rooms (H.ER-Group) with patients who did not use such services (WH.ER-Group). Accessibility of services, continuity of care, and having a case manager appear to be core variables that enable service utilization. Compared with the WH.ER-Group, the H.ER-Group used twice as many services. The study highlights the importance of developing a gamut of coordinated services, easily accessible in local networks, including case managers, family physicians, and shared-care development.
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Gunnmo P, Bergman HF. What do individuals with schizophrenia need to increase their well-being. Int J Qual Stud Health Well-being 2011; 6:QHW-6-5412. [PMID: 21562628 PMCID: PMC3091845 DOI: 10.3402/qhw.v6i1.5412] [Citation(s) in RCA: 23] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 01/11/2011] [Indexed: 12/19/2022] Open
Abstract
The aim of this qualitative study was to deepen the knowledge of how individuals with schizophrenia themselves describe what they need in order to increase their well-being in everyday life. Seven patients were interviewed. An open explorative approach was applied and grounded theory was used for the analysis resulting in five categories illustrating how patients with schizophrenia handle their struggle for a normal life. The patients stressed first the importance of receiving information about the disease: for themselves, for society, and for their families. Taking part in social contacts such as attending meeting places and receiving home visits were identified as important as well as having meaningful employment. They also pointed out the importance of taking part in secure professional relationships. Mainly they expressed the need for continuity in the relationships and the wish to be heard and seen by the professionals. Finally, interviewees addressed the need for support for sustaining independent living through practical housekeeping and financial help. To conclude, the participants in the present study described their need for help as mainly linked to activities in their overall life situation rather than just their psychosis.
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Affiliation(s)
- Petra Gunnmo
- Psychology Department, Stockholm University, Stockholm, Sweden
| | - Helena Fatouros Bergman
- Department of Clinical Neuroscience, Division of Psychiatry, Centre for Psychiatric Research and Education, Karolinska Institutet, Stockholm, Sweden
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Andonian L. Community Participation of People with Mental Health Issues within an Urban Environment. ACTA ACUST UNITED AC 2010. [DOI: 10.1080/0164212x.2010.518435] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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Tsai J, Bond GR, Davis KE. Housing Preferences among Adults with Dual Diagnoses in Different Stages of Treatment and Housing Types. AMERICAN JOURNAL OF PSYCHIATRIC REHABILITATION 2010; 13:258-275. [PMID: 21415937 PMCID: PMC3057217 DOI: 10.1080/15487768.2010.523357] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
Abstract
Housing is an essential component of psychiatric rehabilitation, particularly for consumers with dual diagnoses. Research has not clearly examined why and when consumers prefer different types of housing. This exploratory study examined 1) whether housing preferences differ between stage of treatment for substance abuse, 2) whether consumers who prefer certain housing types have preferences for certain characteristics, and 3) whether consumers living in different types of housing report differences in social support, choice, and housing satisfaction. A total of 103 participants living in supervised housing (n= 65), independent apartment housing (n= 22), single room occupancy hotels (n= 11), and with family (n= 5) completed self-report questionnaires. Results showed that 1) the majority of participants preferred their own apartment or house across different stages of treatment, 2) preference for supervised housing was associated with on-site staff and peer support while preference for apartment housing was associated with autonomy and privacy, and 3) consumers in single room occupancies reported the least choice and lowest satisfaction. These findings contribute to the understanding of consumers' housing preferences and the differences consumers perceive between certain housing types.
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Affiliation(s)
- Jack Tsai
- Department of Psychiatry, Yale University, New Haven, CT 06516
| | - Gary R. Bond
- Department of Psychology, Indiana University-Purdue University Indianapolis, Indianapolis, IN 46202
- Department of Psychiatry, Dartmouth Psychiatric Research Center, Lebanon, NH 03766
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Abstract
OBJECTIVE The aim of this exploratory study was to investigate the process of transition to independent accommodation for people with schizophrenia. METHOD The study employed a grounded theory approach. Multiple semi-structured and responsive e-mails and interviews were conducted with a total of seven participants currently living in independent accommodation. Through constant-comparative analysis of interview and e-mail data, three central processes were identified. RESULTS The three processes are developing a sense of control; establishing a relationship between illness and place; and attaining a sense of belonging. CONCLUSION By attending to each of these three processes, mental health professionals may better assist people with schizophrenia to make a successful transition to independent accommodation, and in turn, to living well in the community.
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Masuda A, Price M, Anderson PL, Schmertz SK, Calamaras MR. The Role of Psychological Flexibility in Mental Health Stigma and Psychological Distress for the Stigmatizer. JOURNAL OF SOCIAL AND CLINICAL PSYCHOLOGY 2009. [DOI: 10.1521/jscp.2009.28.10.1244] [Citation(s) in RCA: 38] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
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Fagan-Pryor EC, Haber LC, Harlan D, Rumple S. The impact of a recovery-based program on veterans with long inpatient psychiatric stays. Issues Ment Health Nurs 2009; 30:372-6. [PMID: 19499437 DOI: 10.1080/01612840802488640] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
Abstract
The study's purpose was to report outcomes for 47 veterans who participated in a recovery-based psychiatric rehabilitation program. On the whole, these veterans had a history of long continuous hospital stays, ranging from 6 months to less than 45 years. The discharged veterans (15, 32%) experienced statistically greater community tenure (paired t (28) = -4.158, p < 0.0001, two-tailed) and decrease in number of admissions (pre M = 2.7; post M = 1.9) after participation. While community tenure and number of admissions remained the same for non-discharged veterans, increased positive staff-veteran interactions were reported by staff.
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Affiliation(s)
- Ellen Catherine Fagan-Pryor
- Veterans Affairs, Northern Indiana Health Care System, Patient Care Service, (118F), 2121 Lake Avenue, FortWayne, IN 46805-0588, USA.
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Bahm A, Forchuk C. Interlocking oppressions: the effect of a comorbid physical disability on perceived stigma and discrimination among mental health consumers in Canada. HEALTH & SOCIAL CARE IN THE COMMUNITY 2009; 17:63-70. [PMID: 18647186 DOI: 10.1111/j.1365-2524.2008.00799.x] [Citation(s) in RCA: 17] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/26/2023]
Abstract
People living with mental health problems often face stigma and discrimination; however, there is a lack of research that examines how comorbid conditions affect this perceived stigma. This study sought to determine whether people who have a comorbid physical and psychiatric disability experience more stigma than those with only a psychiatric disability. It also looked at how perceived stigma and discrimination affect physical and mental health. A secondary analysis on data from interviews with 336 former and current clients of the mental health system in a mid-size Canadian city in 2005 was performed. Of these, 203 (60.4%) reported they had a psychiatric disability, 112 (33.0%) reported that they had a physical disability, with 74 reporting both a psychiatric and a physical disability. People with a self-reported psychiatric disability and a self-reported comorbid physical disability faced more overall perceived discrimination/stigma (P = 0.04), than those with a psychiatric disability alone. Perceived discrimination/stigma was positively correlated with psychiatric problem severity (P = 0.02), and negatively correlated with self-rated general health (P < 0.001), physical condition (P < 0.001), emotional well-being (P < 0.001) and life satisfaction (P < 0.001). These results bring to light the aggravating effect of a physical disability on the perceived stigma for those living with a mental illness, and also strengthen the knowledge that stigma and discrimination have a negative impact on health. Healthcare providers should recognise this negative impact and screen for these comorbid conditions. Policy-makers should take measures such as improving access to housing and employment services to help reduce stigma and discrimination against this particularly vulnerable group.
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Affiliation(s)
- Allison Bahm
- Schulich School of Medicine and Dentistry, The University of Western Ontario, Canada.
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Kirkpatrick H, Byrne C. A narrative inquiry: moving on from homelessness for individuals with a major mental illness. J Psychiatr Ment Health Nurs 2009; 16:68-75. [PMID: 19192088 DOI: 10.1111/j.1365-2850.2008.01331.x] [Citation(s) in RCA: 45] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
Abstract
This narrative study explores the experience of 'moving on' from homelessness for individuals with major mental illnesses, after they have obtained permanent housing with supports. Twelve participants were interviewed up to three times over 6 months. There were various routes to homelessness, participants were homeless for varying lengths of time, and they described different journeys of 'moving on' in their lives. Place, and a series of places, were central for participants in this experience. The experience of homelessness for many could be described as 'on the move', in a circular pattern from shelter to shelter or street. Permanent housing and supports allowed participants to 'move on', reconnecting with family, getting jobs and planning for the future. Several participants wanted their stories used to send messages of hope, courage and survival. This study highlights the need for nurses to be aware of the concept of 'place' in the process of recovery from mental illness.
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Affiliation(s)
- H Kirkpatrick
- Best Practice Spotlight Organization, St. Joseph's Healthcare Hamilton, ON, Canada.
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Jormfeldt H, Arvidsson B, Svensson B, Hansson L. Construct validity of a health questionnaire intended to measure the subjective experience of health among patients in mental health services. J Psychiatr Ment Health Nurs 2008; 15:238-45. [PMID: 18307653 DOI: 10.1111/j.1365-2850.2007.01219.x] [Citation(s) in RCA: 17] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Abstract
Mental health services have been lacking systematic health-promoting activities, and health is often perceived as the absence of disease from a biomedical perspective. It is vital to develop methods to assess perceived health among patients in a broader perspective. The aim of the study was to investigate construct validity of a newly developed health questionnaire intended to measure subjectively experienced health among patients in mental health services. A cross-sectional study, including a randomly selected sample of 139 outpatients in contact with the mental health services, was performed in order to explore the relationship between perceived health and self-reported levels of self-esteem, symptoms, empowerment, quality of life and experiences of stigmatization. Self-esteem, symptoms, empowerment and quality of life altogether accounted for 70% of the variation in overall perceived health. Overall perceived health showed positive associations to self-esteem, empowerment and quality of life and negative associations to psychiatric symptoms, discrimination and rejection experiences. The findings suggest that perceived health as measured by the health questionnaire can be a meaningful and valid construct that may be useful for measuring health in clinical mental healthcare practice and in mental health services research.
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Affiliation(s)
- H Jormfeldt
- Department of Health Sciences, Lund Unviersity, Lund, Sweden.
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Sylvestre J, Nelson G, Sabloff A, Peddle S. Housing for people with serious mental illness: a comparison of values and research. AMERICAN JOURNAL OF COMMUNITY PSYCHOLOGY 2007; 40:125-37. [PMID: 17587174 DOI: 10.1007/s10464-007-9129-9] [Citation(s) in RCA: 19] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/15/2023]
Abstract
This article contrasts values associated with the delivery of housing programs for people with serious mental illness with the typical topics pertaining to housing that are studied by researchers. Six values were identified through a search and content analysis of the literature on housing for people with serious mental illness. A second review of the literature was conducted to identify research on housing for this population. A comparison of findings from the two reviews suggested that whereas values concerned with the therapeutic benefits of housing had received considerable research attention, those concerned with a citizenship dimension had received relatively little. The findings are discussed in terms of their implications for the delivery of housing services and for housing research.
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Affiliation(s)
- John Sylvestre
- School of Psychology, University of Ottawa, 125 University Street, Ottawa, ON, Canada.
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