This hermeneutic phenomenological study of 45 adults with serious and persistent mental illness (SPMI) examines the experience of recovery over 3 years. After a brief review of the results from the first two phases, this article reports the findings from the third phase of the recovery process. Five essential themes are identified: (1) reintegration in the community; (2) reintegration with family and friends; (3) reintegration with the case manager; (4) reintegration with oneself; (5) barriers to social inclusion. Findings highlight the unmet needs for consumers in their relationships with case managers and barriers to inclusion at the macro level. Implications for practice include the delineation of client and case manager tasks specific to each essential theme.
This article reports the results of a meta-analysis of the effects of victim offender mediation (VOM) on juvenile recidivism. Analyses were conducted on fifteen studies consisting of 9,172 juveniles in twenty-one service sites in the United States. Participation in VOM accounted for a 34 percent reduction in juvenile recidivism. Recommendations for methodological improvements in future research are discussed.
This mixed methods study examined the lived experience of African American persons recovering from serious and persistent mental illness (SPMI) and assessed changes in demoralization, engulfment and coping over time. Psychological measures were administered and semi-structured interviews were conducted at three time points (6, 12, and 18 months) with nine African Americans with SPMI. Qualitative analysis was done from an Afrocentric perspective. The interviews were transcribed, read and coded to cluster thematic aspects in each case and across cases. Atlas-ti was used to recode transcripts and retrieve quotes to dimensionalize each essential theme. Four themes were identified: 1) striving for normalcy, 2) striving for a positive and proactive outlook, 3) mastering the challenges posed by mental illness, and 4) leaning on the supports that watch out for and over me. Paired t-tests were performed on the dependent variables of demoralization, coping, and engulfment. There was a significant change in reduction of
The relative and combined effects of individual characteristics, severity of illness, psychosocial functioning, treatment intensity, and milieu variables on self-esteem, distress and satisfaction with life were examined in a study of 103 subjects diagnosed with schizophrenia or schizoaffective disorder, all of whom had been in either high-intensity or low-intensity community-based interventions for at least six months. Implications of the findings for treatment and for research on subjective experience in schizophrenia are discussed.
This exploratory study examines cognitive risk factors, anxiety sensitivity, and positive and negative affect, as related to the development of anxiety and depression. In a mailed survey, adolescents completed the Child Anxiety Sensitivity Index and the Positive and Negative Affectivity Scale. Previous research utilized the broad and unified variable of anxiety sensitivity as a predictor of anxiety. In this study, we separate and examine the four specific factors of anxiety sensitivity: mental incapacitation concerns, social concerns, disease concerns, and unsteady concerns, and relate it to specific anxiety disorders and depression. Results indicate good convergent validity and improved divergent validity when utilizing the four factors of anxiety sensitivity as compared to using it as one construct. Results also suggest: (1) OCD and GAD share numerous similarities and (2) the importance of the role of negative affectivity in anxiety and depression. Being aware of the components of anxiety sensitivity and how they relate to specific anxiety disorders can help a social worker when rendering a diagnosis.A review of the literature establishes that anxiety and depression are common in adolescents with a 12-month prevalence rate of 6.9% for anxiety and 1.7% for depression (Roberts et al. 2006). These disorders can develop during childhood or later in adolescence and can potentially create a significant burden for the
Both restorative justice in general and victim offender mediation specifically continue to be identified with primarily, if not exclusively, addressing non-violent property crimes, and perhaps even minor assaults. This article will challenge such assumptions by providing empirical evidence that suggests that many of the principles of restorative justice can be applied in crimes of severe violence, including murder. Some would even suggest that the deepest healing impact of restorati ve justice is to be found in addressing and responding to such violent crime. An increasing number of victims of sexual assault, attempted homicide, and survivors of murder victims, in Canada and the United States, are requesting the opportunity to meet the offender to express the full impact of the crime upon their life, to get answers to many questions they have and to gain a greater sense of closure so that they can move on with their lives. In most cases this occurs many years after the crime occurred and the actual mediation/dialogue session is typically held in a secure institution where the offender is located. This article addresses four topics. First, the case development process of victim sensitive offender dialogue (VSOD) in crimes of severe violence is described, with an emphasis of how the process is far more intensi ve in such cases. Second, the specific type of victim sensitive mediation employed in such cases is briefly presented. Humanistic mediation is 'dialogue driven' rather than 'settlement driven' and is essential to the application of restorative justice principles in cases of severe violence. Third, a review of the few current studies of such an intervention is offered, including preliminary data that is emerging from a two state multi-year study by the author. Fourth, two specific case studies related to the above research are presented with an emphasis upon implications for practitioners. Finally, several conclusions are offered, including a number of unanswered questions and the need for further research.
Research regarding persons with schizophrenia has been a neglected area in social work group research. This article describes the development and testing of a structured group treatment. This experimental pretest-posttest treatment control study examines the effecriveness of group coping skills training (CST) in reducing relapse in persons with schizophrenia. CST involves training in time management, managing physiological arousal, cognitive restructuring, and social skills training. Results indicate that clients in CST had fewer hospitalizations, shorter hospital stays, and significantly better achievement of treatment goals compared with clients in the treatment control group both at posttest and at six-month follow-up.
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