Larry Davidson

..The authors suggest that useful lessons learned from these efforts can be applied to the present challenge of affording all individuals with serious mental illnesses the "life in the community" to which they are entitled...

..Following descriptions of the first four steps, the authors offer a few lessons that might benefit other states engaged in similar processes of transformation...

..These concerns are addressed through discussion of the two over-arching challenges that they pose, namely the issues of resources and risk...

..A number of forces have converged to promote participatory research in mental health. Aim: To present the findings of a user-led project in which eight people in recovery conducted narrative interviews with 80 peers...

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..We conclude by considering briefly the implications of this research for clinical practice...

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..We conclude by suggesting that peer support is still early in its development as a form of mental health service provision and encourage further exploration and evaluation of this promising, if yet unproven, practice...

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..A richer set of concepts is needed as we continue to deepen our understanding of the complex, dynamic and ongoing process of mental health recovery...

..Implications for future research and policy are suggested based on these data...

..We then discuss the implications of these findings for the community integration of individuals with psychiatric disabilities...

..This relationship is neither simple nor straightforward, but results in a whole that is greater than the sum of its parts through which each element benefits from the influence of the other...

..Peer services, or support provided by others who have experience in the behavioral health system, is a promising new avenue for helping those with behavioral health concerns move forward in their lives...

..It also assessed the value of positive relationship qualities in predicting motivation for and use of community-based services for persons with severe mental illness...

..These data suggest that any effort to improve the wellbeing of these adults will need to address self-efficacy in the hope of improving self-care for their physical health needs...

..This paper describes the instrument and its preliminary psychometric properties, and provides an example of its utility in assessing the training needs of staff who increasingly are being expected to deliver recovery-oriented care...

..These forms of stigma may present a barrier to help seeking. However, little is known about stigma in the early stages of evolving psychotic disorder...

..The study examined the feasibility and effectiveness of using peer support to reduce recurrent psychiatric hospitalizations...

..We examined patient accounts of illness and care among primary care patients whose medical services costs were high in order to illuminate factors associated with high cost...

..Stigma within mental health settings may be equally detrimental to people with mental illnesses as societal stigma...

..Associations between six- and 12-month outcomes and validating and invalidating provider communications were also examined...

..In this exploratory study, we examined the extent of burden reported by families of patients during a putative prodromal period and in the after-math of psychosis onset...

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..This study examined the frequency with which persons in the community with psychiatric disorders, substance use disorders, and both types of disorders are victims of violence...

..These findings elucidate the central role of interpersonal relatedness as a foundation for self-definition in recovery from psychosis...

..To describe and better understand adults' responses to the onset, accrual and influence of multiple chronic conditions and to social support in adapting to consequent difficulties...

..These findings, which are consistent with the scar model, highlight the fragile nature of the self and the importance of social functioning in recovery from SMI...

..Racial-ethnic differences in referral source, diagnosis, and length of stay in substance abuse treatment were examined...

..Qualitative research methods were used to understand the experiences of families seeking treatment for young people with recent-onset psychosis; such knowledge can inform services design...

..Diagnostic criteria that accurately reflect patients' subjective experience could also increase clinicians' ability to empathize with patients, one of the most important variables in treatment alliances...

..Our results encourage further exploration of the role of childhood maltreatment in the adaptation of people with severe mental illness...

..g. reinterpretation) and potentially maladaptive 'avoidant' strategies (denial/disengagement, use of alcohol and drugs). Little is known about coping strategies used by families of individuals with incipient or emergent psychosis...

..We suggest that these mechanisms are not specific to people with schizophrenia, and briefly discuss implications of these ideas for models of outpatient treatment...

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..This article provides a brief review of the perennially under-recognized reality of suicide in older men and prevention strategies that, if implemented, might help stem this rising tide of suicide in this vulnerable population...

..The RSA is a useful, self-reflective tool to identify strengths and areas for improvement as agencies strive to offer recovery-oriented care...

..By taking initiative to forward the integration of treatment and rehabilitation, psychiatrists better serve seriously ill patients and more effectively define their own work and roles...

..Preliminary analyses that evaluate Welcome Basket's effectiveness are included, and we discuss the implications of these data for future research and program development in this area...

..The yield of new cases obtained by screening relatives of current patients appears to be low if the purpose is to recruit a sample for an early intervention study over a relatively short period of time...

..A significant minority endorsed some feeling of coercion, and coercion was associated with a weaker therapeutic alliance...

..Guidelines to support sound clinical practice while respecting client autonomy are also discussed...

..Implications of these findings for the development of an agency-wide training to enhance the collaborative nature of treatment planning are discussed...

..Further research is needed to establish the representativeness, reliability, and validity of the qualitative findings described here...

..In sum, this adjunctive therapy can facilitate the recovery process...

..This review of the Connecticut Mental Health Center Patient Profile Project illustrates the utility of a continuous evaluation system in promoting improvements in a large mental health treatment system...

..For each strategy we offer several recommendations for implementation...

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..These clinical recommendations are based on a synthesis of selected cultural constructs and the clinical experiences of the authors' work in a large community-based Hispanic mental health clinic...

..Reasons why classification systems must classify disorders instead of people, possible sources for the misconception that people are being classified, and the clinical implications of this issue are discussed...

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..Results indicate that the co-occurrence of panic and psychosis is associated with increased likelihood of psychiatric comorbidity and suicidality. These findings need replication...

..This article reviews the growing literature regarding recovery, offers a conceptual framework for understanding recovery, and discusses a specific manner in which systems transformation has begun to occur...

..Using literature and study findings, an organizational change framework and other strategies to overcome potential implementation challenges of CP services are suggested...

..This article discusses the compelling need for researchers and policy-makers to make efforts to work collaboratively to develop improved social policy informed by research findings...

..Results indicated the need to understand suicidal behavior as a component of interactive social processes in the design of clinical interventions...

..Although preliminary, these results suggest that a trajectory of change in personality, relationships, and behavior from an essentially normal baseline may be consistent with increased risk for psychosis among prodromal adolescents...

..Future work is needed to determine the nature of this association and to determine whether treatment of one prevents onset of the other...

..If successful in the state of Connecticut, the project will offer a model that then can be replicated throughout the country to enhance care for this historically underserved population. ..

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