Recoveries from Severe Mental Illness

Summary

Principal Investigator: Carla Green
Abstract: [unreadable] DESCRIPTION (provided by applicant): Severe mental illnesses are costly conditions for individuals, families, societies, and health systems and are among the leading causes of disability in developed countries. Despite similarities in personal characteristics, histories, life circumstances, illness characteristics, and types of treatment, however, some individuals with these disorders struggle with mental health problems for most of their lives, some adapt successfully, and some recover completely. To date, we know little about what differentiates these individuals or about how to facilitate recovery among those who are faring less well. Using multiple data sources, this project will employ qualitative and quantitative methods to understanding of the factors that lead to recovery among people with severe mental illnesses. The project has three aims: (1) to identify processes, factors, actions, and experiences that facilitate recovery, (2) to describe the prior and current roles played by mental health care providers, and the mental health care system, in facilitating improvements in functioning, life satisfaction, quality of life, and happiness, and (3) to identify patterns in health plan service use for the year prior to study participation and two years following study entry, examining how volume and type of service use relate to participants' reports of symptom levels, functioning, life difficulties, and life satisfaction. To accomplish these aims, we will identify a group of HMO members with severe mental illnesses and follow them prospectively for 24 months. We will interview participants about the course of their lives and mental health problems, measure their quality of life, life satisfaction, happiness, and recovery, and extract health plan data about their service and medication use, linking those data to questionnaire and interview data. We will describe commonalities in what participants identify as important indicators of life satisfaction and the factors that have led to improvements in their lives and functioning, and describe how participants are currently affected by their mental health problems. Finally, we will describe and statistically model participants' recovery trajectories, and delineate the approaches they use in managing day-to-day life and the stressful situations they encounter. Few studies have systematically described what recovery means to individuals with severe mental illnesses or studied the factors consumers identify as influential in producing the recovery outcomes important to them. The proposed project will accomplish both of these goals and compare participant perspectives to traditional outcome measures. As such, proposed project will inform efforts to facilitate recovery individuals with severe psychiatric disabilities. [unreadable] [unreadable] [unreadable] [unreadable]
Funding Period: 2005-03-26 - 2008-02-28
more information: NIH RePORT

Top Publications

  1. pmc 'Stealing me from myself': identity and recovery in personal accounts of mental illness
    Jennifer P Wisdom
    Columbia University, Department of Psychiatry, New York, NY 10032, USA
    Aust N Z J Psychiatry 42:489-95. 2008
  2. pmc Engaging youths with serious mental illnesses in treatment: STARS study consumer recommendations
    Carla A Green
    Center for Health Research, Kaiser Permanente Northwest, Portland, Oregon 97227 1110, USA
    Psychiatr Rehabil J 35:360-8. 2012
  3. pmc Development of the Patient Activation Measure for mental health
    Carla A Green
    Center for Health Research, Kaiser Permanente Northwest, 3800 N Interstate Avenue, Portland, OR 97227 1110, USA
    Adm Policy Ment Health 37:327-33. 2010
  4. pmc Understanding how clinician-patient relationships and relational continuity of care affect recovery from serious mental illness: STARS study results
    Carla A Green
    Center for Health Research, Kaiser Permanente Northwest, Oregon Health and Science University, Portland, OR 97227 1110, USA
    Psychiatr Rehabil J 32:9-22. 2008
  5. pmc Social support, activities, and recovery from serious mental illness: STARS study findings
    Michael Hendryx
    Department of Community Medicine, Institute for Health Policy Research, West Virginia University, PO Box 9190, Morgantown, WV 26506, USA
    J Behav Health Serv Res 36:320-9. 2009
  6. pmc New endeavors, risk taking, and personal growth in the recovery process: findings from the STARS study
    Andrew T Young
    Center for Health Research, Science Programs Department, Kaiser Permanente Northwest KPNW, Portland, Oregon, USA
    Psychiatr Serv 59:1430-6. 2008
  7. pmc Another breed of "service" animals: STARS study findings about pet ownership and recovery from serious mental illness
    Jennifer P Wisdom
    Department of Mental Health Services and Policy Research, New York State Psychiatric Institute, New York, NY 10032, USA
    Am J Orthopsychiatry 79:430-6. 2009

Scientific Experts

Detail Information

Publications8

  1. pmc 'Stealing me from myself': identity and recovery in personal accounts of mental illness
    Jennifer P Wisdom
    Columbia University, Department of Psychiatry, New York, NY 10032, USA
    Aust N Z J Psychiatry 42:489-95. 2008
    ....
  2. pmc Engaging youths with serious mental illnesses in treatment: STARS study consumer recommendations
    Carla A Green
    Center for Health Research, Kaiser Permanente Northwest, Portland, Oregon 97227 1110, USA
    Psychiatr Rehabil J 35:360-8. 2012
    ..The purpose of this study was to identify better methods of engaging youths in mental health services by asking experienced mental health consumers for suggestions for clinicians...
  3. pmc Development of the Patient Activation Measure for mental health
    Carla A Green
    Center for Health Research, Kaiser Permanente Northwest, 3800 N Interstate Avenue, Portland, OR 97227 1110, USA
    Adm Policy Ment Health 37:327-33. 2010
    ..The PAM-MH appears to be a reliable and valid measure of patient activation among individuals with mental health problems. It appears to have potential for use in assessing change in activation...
  4. pmc Understanding how clinician-patient relationships and relational continuity of care affect recovery from serious mental illness: STARS study results
    Carla A Green
    Center for Health Research, Kaiser Permanente Northwest, Oregon Health and Science University, Portland, OR 97227 1110, USA
    Psychiatr Rehabil J 32:9-22. 2008
    ..All rely upon good clinician-patient relationships, yet little is known about how relational continuity and clinician-patient relationships interact, or their effects on recovery from mental illness...
  5. pmc Social support, activities, and recovery from serious mental illness: STARS study findings
    Michael Hendryx
    Department of Community Medicine, Institute for Health Policy Research, West Virginia University, PO Box 9190, Morgantown, WV 26506, USA
    J Behav Health Serv Res 36:320-9. 2009
    ..The results suggest that both social support and activities may promote recovery, and that for persons with poor social support, engagement in a variety of individualized activities may be particularly beneficial...
  6. pmc New endeavors, risk taking, and personal growth in the recovery process: findings from the STARS study
    Andrew T Young
    Center for Health Research, Science Programs Department, Kaiser Permanente Northwest KPNW, Portland, Oregon, USA
    Psychiatr Serv 59:1430-6. 2008
    ..Clinical approaches cited by patients as most helpful in making significant changes were also identified...
  7. pmc Another breed of "service" animals: STARS study findings about pet ownership and recovery from serious mental illness
    Jennifer P Wisdom
    Department of Mental Health Services and Policy Research, New York State Psychiatric Institute, New York, NY 10032, USA
    Am J Orthopsychiatry 79:430-6. 2009
    ..Participants' reports of pet-related contributions to their well-being provide impetus to conduct more formal research on the mechanisms by which pets contribute to recovery and to develop pet-based interventions...