- Mental Health and Patient Involvement
- Mental Health and Psychiatry
- Schizophrenia research and treatment
- Mental Health Treatment and Access
- Psychiatric care and mental health services
- Family Caregiving in Mental Illness
- Psychotherapy Techniques and Applications
- Health Policy Implementation Science
- Homelessness and Social Issues
- Adolescent and Pediatric Healthcare
- Child and Adolescent Psychosocial and Emotional Development
- Counseling, Therapy, and Family Dynamics
- Healthcare Decision-Making and Restraints
- Community Health and Development
- Substance Abuse Treatment and Outcomes
- Psychosomatic Disorders and Their Treatments
- Mental Health Research Topics
- Phenomenology and Existential Philosophy
- Primary Care and Health Outcomes
- Counseling Practices and Supervision
- Healthcare innovation and challenges
- Family and Disability Support Research
- Digital Mental Health Interventions
- Health, psychology, and well-being
- Philosophy, Ethics, and Existentialism
Yale University
2015-2024
New York State Psychiatric Institute
2014-2024
Icahn School of Medicine at Mount Sinai
2024
University of Birmingham
2024
Yale New Haven Health System
2005-2023
University of California, Davis
2022
New York University
2014-2022
Connecticut Department of Mental Health and Addiction Services
2013-2021
Hartford Financial Services (United States)
2013-2021
Connecticut Mental Health Center
1995-2020
Peer support is based on the belief that people who have faced, endured, and overcome adversity can offer useful support, encouragement, hope, perhaps mentorship to others facing similar situations. While this well accepted for many conditions, such as addiction, trauma, or cancer, stigma stereotypes about mental illness impeded attempts part of in recovery supports within health system. Beginning early 1990s with programs deployed provide conventional services case management, opportunities...
This report based on research interviews conducted with persons struggling to recover from prolonged psychiatric disorders suggests that the rediscovery and reconstruction of an enduring sense self as active responsible agent provides important aspect improvement. process developing a functional in midst persisting psychotic symptoms dysfunction is described, its implications for understanding severe mental illness processes change are discussed. It suggested viewing development dynamic...
Background: There is an increasing global commitment to recovery as the expectation for people with mental illness. remains, however, little consensus on what means in relation illness.Aims: To contribute current efforts tease apart various aspects of appearing psychiatric literature by describing two conceptualizations from and illness.Method: Review empirical use term clinical rehabilitative practice.Results: Two potentially complementary meanings were identified. The first meaning illness...
The notion of recovery has become a dominant force in mental health policy, evident reports the Surgeon General and President's New Freedom Commission. In both reports, is stipulated as overarching goalof care foundation for reforms at state local levels. Little consensus exists regarding nature illness, however, or about most effective ways to promote it. authors offer conceptual framework distinguishing between various uses term, provide definition health. conclude with discussion...
Qualitative analysis of recovery-oriented practice guidance from six countries� the U.S., England, Scotland, Republic Ireland, Denmark, and New Zealand�showed an emerging consensus about what constitutes services aimed at promoting recovery.
The notion of "recovery" has recently taken center stage in guiding mental health policy and practice. However, it is not yet clear what the term means to be entailed transforming nation's system promote it. authors discuss various meanings recovery as applied illness list top ten concerns encountered efforts articulate implement recovery-oriented care. These include following: old news, care adds burden already stretched providers, involves cure, happens very few people, represents an...
Background: Recent literature on recovery describes the process as deeply personal and unique to each individual. While there are aspects of that individual, this article argues focusing solely these overlooks fact unfolds within a social interpersonal context. Materials: Drawing from qualitative data, involve contributions others, environment society. Discussion: These include relationships, adequate material conditions responsive services supports. Conclusion: The authors consider...
The recovery movement, which broadly recognizes the ability of people with mental illnesses to participate in mainstream society, stems from a confluence factors, including longitudinal data showing that many eventually recover serious illness. Perhaps as important emergence and growth movement has been increasing role "in recovery" have played advocating for person-centered care, greater self-determination those illnesses, an enhanced focus on restoring functioning individuals above beyond...
Purpose As peer support services have become increasingly used in mental health settings as a recovery-oriented practice, so has the body of published research on this approach to care. The purpose paper is provide an update current evidence base for adults with illness two domains: and recovery, physical wellness. Design/methodology/approach To robust, non-redundant, up-to-date review, first authors searched meta-analyses systematic reviews. Second, found individual studies not included any...
Background: Recovery in severe mental illness is often seen as an individual process that occurs health settings. Recent research has begun to explore the nature of recovery a social process. As further exploration this issue, paper examines processes they unfold everyday life, attempting capture both simplicity well complexity daily life experiences people recovery.Aim: Exploring within context person's life.Method: Qualitative study, using narrative phenomenological methods, based on...
The Recovery Self Assessment (RSA) was developed to gauge perceptions of the degree which programs implement recovery-oriented practices. Nine hundred and sixty-seven directors, providers, persons in recovery, significant others from 78 mental health addiction completed instrument. Factor analysis revealed five factors: Life Goals, Involvement, Diversity Treatment Options, Choice, Individually-Tailored Services. Agencies were rated highest on items related helping people explore their...
The study examined the feasibility and effectiveness of using peer support to reduce recurrent psychiatric hospitalizations.A randomized controlled design was used, with follow-up at nine months after an index discharge from academically affiliated hospital. Patients were 18 years or older major mental illness had been hospitalized three more times in prior months. Seventy-four patients recruited, randomly assigned usual care (N=36) a mentor plus (N=38), assessed months.Participants who...
The prevailing, clinical view of schizophrenia, as reflected in the psychiatric literature, suggests both that people with schizophrenia have lost their sense self and they a diminished capacity to create coherent narratives about own lives. Drawing on our empirical research growing area recovery, we describe not only disruptions discontinuities introduced by illness its social personal consequences, but also person's efforts overcome these, reconstruct self, regain agency life narrative. We...
ABSTRACT As part of a growing literature describing processes recovery in psychotic disorders, this report presents findings an intensive, international study. Open-ended qualitivite interviews were conducted Italy, Norway, Sweden, and the United States with total twelve individuals who have experience psychosis. All translated into English transcribed. Investigators from each these countries collaborated analyzing identifying common elements across narratives. Themes identified following...
Five adults with longstanding histories of psychiatric disabilities were recruited for a ten-week therapeutic horseback riding program. Individuals learned basic skills and had the opportunity to bond horse. In addition, riders participated in post-riding process group that used artistic creative exercises promote individual expression. By end often weeks, reported success learning horsemanship and, doing so, also additional psychosocial benefits, including an augmented sense self-efficacy...
Abstract Two hundred and sixty people with psychiatric disabilities who were socially isolated withdrawn randomly assigned to one of three conditions facilitate their engagement in social recreational activities: They (a) not matched a volunteer partner ( N = 70), (b) had personal history disability 95), or (c) no 95). Participants volunteers received $28 stipend each month cover the expenses activities. Comprehensive assessments symptoms, functional impairment, self‐esteem, satisfaction...