Barriers to social network interventions with persons with severe and persistent mental illness: A survey of mental health case managers

1995 ◽  
Vol 31 (4) ◽  
pp. 335-349 ◽  
Author(s):  
David E. Biegel ◽  
Elizabeth M. Tracy ◽  
Li-yu Song
Keyword(s):  
Mental Health ◽  
Mental Illness ◽  
Social Network ◽  
Case Managers ◽  
Persistent Mental Illness

Comment: ‘Devining’ The Role of the Consultant Psychiatrist in a Public Mental Health Service

1998 ◽  
Vol 32 (5) ◽  
pp. 612-615 ◽  
Author(s):  
Alan Rosen
Keyword(s):  
Mental Health ◽  
Mental Illness ◽  
Mental Health Service ◽  
Public Mental Health ◽  
Consultant Psychiatrist ◽  
Persistent Mental Illness ◽  
Public Mental Health Service ◽  
Key Players ◽  
Recovery Program

We admitted to ourselves, …and to our colleagues that we cannot treat people with severe and persistent mental illness as independent practitioners, and asked to be key players on the multidisciplinary team (Extract from A 12-Step Recovery Program for Psychiatrists [1]).

scholarly journals A Taxonomy for Homework Used by Mental Health Case Managers When Working with Individuals Diagnosed with Severe Mental Illness

2007 ◽  
Vol 43 (6) ◽  
pp. 565-581 ◽  
Author(s):  
Peter J. Kelly ◽  
Frank P. Deane ◽  
Robert King ◽  
Nikolaos Kazantzis ◽  
Trevor P. Crowe
Keyword(s):  
Mental Health ◽  
Mental Illness ◽  
Severe Mental Illness ◽  
Case Managers

scholarly journals Heard, known and safe in general practice? An interview study with patients with severe and persistent mental illness

BJGP Open ◽  
2021 ◽  
pp. BJGPO.2021.0201
Author(s):  
Nancy Jennifer Sturman ◽  
Ryan Williams ◽  
Marianne Wyder ◽  
Johanna Lynch
Keyword(s):  
Mental Health ◽  
Mental Illness ◽  
General Practice ◽  
Physical Health ◽  
Mental Healthcare ◽  
Health Issues ◽  
Structured Interviews ◽  
Convenience Sample ◽  
Persistent Mental Illness ◽  
Community Mental Health Clinics

BackgroundAlthough GPs provide care to many patients with severe and persistent mental illness, the role and skillset of the GP in this space are contested. Patients are less satisfied with GP care of mental health than physical health issues.AimTo explore patient expectations and experiences of GP roles in their mental health, and identify opportunities for improving mental health care in general practice.Design & settingPatient participants were recruited from community mental health clinics in Brisbane, Australia.MethodIndividual semi-structured interviews were conducted with a convenience sample of patients. Interviews were audio-recorded and transcribed professionally. The authors conducted an inductive thematic analysis, attending to participant vulnerability and reflexivity.Results16 interviews were conducted by one author (RW), average duration 29 minutes. Three overarching themes were identified: being heard; being known; and being safe. Participants greatly valued ‘good GPs’ who were able to detect early signs of relapse, and with whom they came to feel heard, known and safe over time. Experiences of perfunctory, hurried care and avoidance of mental health issues were also reported. Many participants were uncertain whether GP training in mental health was sufficient to keep them safe. Patients may suspect negative attitudes to mental illness in GPs who actively engage predominantly with their physical health.ConclusionSome GPs play central roles in patients’ mental healthcare. Barriers for others need further exploration, and may include time, confidence and/or expertise. Findings challenge GPs to engage more actively and effectively with these patients in theirgeneral practice consultations.

scholarly journals Children of adults with severe mental illness: mental health, help seeking and service use

2004 ◽  
Vol 28 (2) ◽  
pp. 43-46 ◽  
Author(s):  
Vicki Cowling ◽  
Ernest S. L. Luk ◽  
Cristea Mileshkin ◽  
Peter Birleson
Keyword(s):  
Mental Health ◽  
Mental Illness ◽  
Help Seeking ◽  
Parental Education ◽  
Service Use ◽  
Mental Health Problems ◽  
Case Managers ◽  
Service Utilisation ◽  
Childhood Mental Health ◽  
Scale Scores

Aims and MethodWe aimed to determine the prevalence of childhood mental health problems in children of parents registered with an Australian area mental health service, and to study the parents' help-seeking and service use for their children. Parents were recruited through their case managers, and asked to complete the Strengths and Difficulties Questionnaire (SDQ), the Service Utilisation Questionnaire and the Help-seeking Questionnaire.ResultsA quarter of the children were in the clinical range of the SDQ total scores, with high sub-scale scores. However, 63% of the parents reported reluctance to seek help, and 19% reported not using services.Clinical ImplicationsChildren of parents with mental illness are at higher risk of childhood psychiatric disorders. Assessment of the child at the time of referral of the parent is an opportunity for problem identification, parental education, and early intervention.

An Evaluation of the Outcomes of a Court Outreach Program for People with Severe and Persistent Mental Illness Who Are Legally Involved

2010 ◽  
Vol 29 (S5) ◽  
pp. 157-172
Author(s):  
Tim Aubry ◽  
John Sylvestre ◽  
Jaclynne Smith ◽  
Donna Pettey ◽  
Marnie Smith
Keyword(s):  
Mental Health ◽  
Mental Illness ◽  
Severe Mental Illness ◽  
Outreach Program ◽  
Client Outcomes ◽  
Mental Health Symptoms ◽  
Health Symptoms ◽  
Persistent Mental Illness ◽  
Individualized Services

The current study evaluated the outcomes of an outreach program that provides individualized services to people with severe mental illness who are legally involved. Client outcomes included increased community ability and reduced homelessness for a group of 45 clients still receiving services from the program, and increased community ability and diminished severity of mental health symptoms for 50 clients who had been discharged from the program. Only 2 of the 50 discharged clients (4%) were found to be incarcerated at termination; 1 other client (2%) was detained at termination through the Ontario Review Board.

An Ego-Centric Model of Criminal Arrest Among Mental Health Court Participant Network

2021 ◽  
pp. 104438942110323
Author(s):  
Jeremiah W. Jaggers ◽  
David C. Kondrat ◽  
Kelli E. Candida ◽  
Keith Miller
Keyword(s):  
Mental Health ◽  
Social Support ◽  
Mental Illness ◽  
Social Network ◽  
Emotional Support ◽  
Network Density ◽  
Multilevel Logistic Regression ◽  
Mental Health Courts ◽  
Social And Emotional ◽  
History Of

People with serious mental illness are disproportionately represented among prison/jail populations. Mental health courts (MHC) serve as an alternative to incarceration. In this study, we explore the extent to which MHC participants have members of their social network who were reported as having a history of arrests. Multilevel logistic regression demonstrated friends who used drugs, race, and network density were all predictive of MHC participants’ friends who have a history of arrest. Results demonstrate an association between MHC participation and arrest among individuals in their social network. Given the importance of social support in recovery from mental illness and in desisting from crime, such limitations can be problematic. MHC participants may be disinclined to engage with the very individuals who are able to provide social and emotional support.

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