Priorities of Consumers, Providers, and Family Members in the Treatment of Schizophrenia

Fischer, Ellen P.; Shumway, Martha; Owen, Richard R.

doi:10.1176/appi.ps.53.6.724

Cited by 93 publications

(64 citation statements)

References 26 publications

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“…Previous work provided preliminary validation of the EBPAS; our findings support the notion that attitudes may be affected not only by the context within which providers deliver mental health services but also by the leader-staff interactions and exchanges in the workplace that can affect job performance and organizational citizenship (62)(63)(64). This suggests that leadership development targeted at improving the organizational change process could be considered before or concurrent with evidence-based practice implementation.…”

Section: Discussionsupporting

confidence: 76%

Transformational and Transactional Leadership: Association With Attitudes Toward Evidence-Based Practice

Aarons¹

2006

Psychiatric Services

261

253

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Objective-Leadership in organizations is important in shaping workers' perceptions, responses to organizational change, and acceptance of innovations, such as evidence-based practices. Transformational leadership inspires and motivates followers, whereas transactional leadership is based more on reinforcement and exchanges. Studies have shown that in youth and family service organizations, mental health providers' attitudes toward adopting an evidence-based practice are associated with organizational context and individual provider differences. The purpose of this study was to expand these findings by examining the association between leadership and mental health providers' attitudes toward adopting evidence-based practice.Methods-Participants were 303 public-sector mental health service clinicians and case managers from 49 programs who were providing mental health services to children, adolescents, and their families. Data were gathered on providers' characteristics, attitudes toward evidence-based practices, and perceptions of their supervisors' leadership behaviors. Zero-order correlations and multilevel regression analyses were conducted that controlled for effects of service providers' characteristics.Results-Both transformational and transactional leadership were positively associated with providers' having more positive attitudes toward adoption of evidence-based practice, and transformational leadership was negatively associated with providers' perception of difference between the providers' current practice and evidence-based practice.Conclusions-Mental health service organizations may benefit from improving transformational and transactional supervisory leadership skills in preparation for implementing evidence-based practices.There is growing momentum and pressure to move evidence-based mental health interventions into real-world practice settings (1-5). Most of these practice settings involve a relationship between a clinical or case management supervisor and practitioners who provide services. Often in community settings the clinical supervisor also supervises work activities, including conducting performance appraisals and other human resource functions. Leadership is important in these activities. Recent work has also demonstrated that mental health service providers' attitudes toward adopting evidence-based practice are associated with organizational context (for example, structure and policies) and individual provider differences (for example, education and experience) (6,7). Yet, although leadership is held to influence the adoption of innovations, such as evidence-based practices (8), there has been little research on the association between leadership of the mental health supervisor and staff attitudes toward adopting evidence-based practice. However, some more general leadership studies have been conducted.Leadership research is pervasive in the organizational literature, and studies in mental health services suggest that leadership is important for both for the organizational proces...

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Section: Discussionsupporting

confidence: 76%

Transformational and Transactional Leadership: Association With Attitudes Toward Evidence-Based Practice

Aarons¹

2006

Psychiatric Services

261

253

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“…O grau de acordo obtido na presente pesquisa entre pacientes e familiares contrasta com resultados de outros estudos 12,13 , que avaliaram a opinião destes dois grupos sobre outros aspectos dos serviços, como as prioridades dos resultados do tratamento e dos serviços prestados. Os autores relataram resultados majoritários de desacordo entre pacientes e familiares.…”

Section: Discussionunclassified

“…Há poucos estudos, na literatura da área, que incluem a perspectiva de ambos, pacientes e familiares. Fisher et al 12 apontam que pacientes e familiares tendem a expressar opiniões diferentes com relação às suas prioridades sobre os resultados do tratamento, evidenciando a importância de se incorporar múltiplas perspectivas no processo de planejamento dos serviços. Segundo Holley et al 13 , os pontos em que houver acordo entre as opiniões podem constituir uma base sólida para o atendimento das necessidades dos pacientes, enquanto os pontos de desacordo podem fornecer informações para o planejamento estratégico, a definição de prioridades de serviço e a identificação das áreas que necessitam reformulações nas intervenções terapêuticas e medicamentosas, adaptando-as às necessidades dos pacientes e dos seus familiares, em função dos efeitos do tratamento.…”

Section: Introductionunclassified

A percepção de pacientes e familiares sobre os resultados do tratamento em serviços de saúde mental

et al. 2011

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A necessidade de avaliação dos resultados do tratamento em serviços de saúde mental, na perspectiva dos usuários, tem sido destacada na literatura. O objetivo deste estudo foi comparar a avaliação dos pacientes e dos seus familiares, em termos das suas percepções de mudanças ocorridas na vida do paciente, em função do tratamento recebido. Para isso, a Escala de Mudança Percebida (EMP) foi aplicada em cem pacientes psiquiátricos e cem familiares, atendidos em serviços públicos de saúde mental. Os resultados mostraram uma alta porcentagem de acordo entre as percepções de mudança dos dois grupos, para a maioria dos itens da escala e para as respostas à questão aberta da escala. Estes resultados confirmaram dados de estudos precedentes que compararam a satisfação de pacientes e familiares em relação a outros aspectos dos serviços. A convergência entre as percepções de mudanças, encontrada no presente estudo, atesta a validade das respostas dos pacientes ao fazer um julgamento sobre os resultados do tratamento em serviços de saúde mental.

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“…8,9,11,[33][34][35] This included hope, self-esteem, empowerment, good relationships, positive and stable affect, stigma and shame, identity, meaning, purpose and satisfaction with life. From this a comprehensive list of questions about psychosocial recovery was compiled.…”

Section: Design Of the Serve Scalementioning

confidence: 99%

“…It is concerned with psychological, social and spiritual aspects of recovery without making any attempt to directly measure symptom severity. The psychological and social dimensions of recovery have been frequently written about [8][9][10][11][12][13][14][15] and there are already some scales in the literature to measure them, although none inclusive of all the issues raised. [16][17][18][19][20][21][22][23] To date the spiritual component of recovery has been rather neglected, despite its proven importance to many service users.…”

mentioning

confidence: 99%

Importance of spiritual well-being in assessment of recovery: the Service-user Recovery Evaluation (SeRvE) scale

et al. 2012

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Aims and methodTo develop a self-report questionnaire to measure mental health recovery from the service user viewpoint. Literature searches and scoping exercises indicated that psychological, social and spiritual issues should be included. The resultant provisional scale was completed by 107 service users.ResultsThe provisional scale was shortened as a result of factor analysis. The finalised version was highly reliable (Cronbach's alpha 0.911) and valid, correlating significantly with an already established recovery scale. It contained nine recognisable subscales, the first two describing existential and religious well-being. Separate well-being and ill-being factors were also identified.Clinical implicationsAn inclusive tool for service users' assessment of their own recovery, the Service User Recovery Evaluation (SeRvE) scale, has been validated. This can be used both as a research tool and clinically to monitor interventions. The importance of spiritual care for service users is highlighted.

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Priorities of Consumers, Providers, and Family Members in the Treatment of Schizophrenia

Abstract: Current goal-setting in nonresearch clinical settings is generating neither consensus nor a shared understanding of consumers' priorities. Priorities vary widely among consumers, among providers, and among family members.

Cited by 93 publications

References 26 publications

Transformational and Transactional Leadership: Association With Attitudes Toward Evidence-Based Practice

Transformational and Transactional Leadership: Association With Attitudes Toward Evidence-Based Practice

A percepção de pacientes e familiares sobre os resultados do tratamento em serviços de saúde mental

Importance of spiritual well-being in assessment of recovery: the Service-user Recovery Evaluation (SeRvE) scale

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