Psychosocial Services for Individuals With Serious Mental Illness/Severe Emotional Disturbance: Clinical Practice Guideline Toolkit

Jansen, Mary A.

doi:10.1080/00332747.2018.1440116

Cited by 8 publications

(4 citation statements)

References 51 publications

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“…Patients with severe mental illness (SMI) are often described as a group of heterogeneous people who suffer from severe psychiatric disorders together with long-term mental disturbances such as schizophrenia, bipolar disorder, schizoaffective disorders, major recurrent depressive disorder and personality disorders ( Jansen, 2018 ). Patients with SMI often require high levels of care and consume many social and health resources available within the psychiatric and social healthcare network ( Nguyen et al, 2020 ).…”

Section: Introductionmentioning

confidence: 99%

The Influence of Health Literacy and Social Support on Loneliness Among Patients With Severe Mental Illness in Rural Southwest China

et al. 2021

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Loneliness is an important risk factor for poor health outcomes among adults, especially among those with severe mental illnesses (SMIs). Existing research has shown that adults with SMIs often lack health literacy, which contributes to more restricted social networks and low levels of social support. The objective of this cross-sectional study was to examine the influence of health literacy and social support on the loneliness of patients with SMI in rural Southwest China. We recruited 300 patients with SMI in rural Southwest China between December, 2017 to May, 2018 via a multi-stage stratified random sampling approach. We used structural equation modeling (SEM) test the hypothesized relationships among the variables of the 270 patients who completed the survey. Results of the SEM showed that health literacy was both directly and indirectly associated with loneliness, with social support playing a mediating role. These findings suggest psychoeducation for SMI patients, and their informal caregivers, may offer beneficial effects toward reducing loneliness in this vulnerable population. Further, social support is another potential target for intervention development for improving patient outcomes.

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Section: Introductionmentioning

confidence: 99%

The Influence of Health Literacy and Social Support on Loneliness Among Patients With Severe Mental Illness in Rural Southwest China

et al. 2021

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“…The specialty has developed comprehensive competencies, training guidelines, and an evaluation instrument in SMI Psychology (see the training page on the Specialty Council website, https://www.psychtrainingsmi.com/). The competencies, training guidelines, and evaluation instrument complement and supplemental training materials designed specifically for psychologists such as the Recovery to Practice Curriculum (APA & Jansen, 2014) and a Clinical Practice Guideline Toolkit (Jansen, 2018). The recent text Recovering the U.S.…”

Section: We Now Have Established Smi Psychology Competencies and A Tr...mentioning

confidence: 99%

Serious mental illness—Psychology’s call to action: If not us, who? If not now, when?

Glynn,

Jansen

2024

Psychological Services

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While psychology has much to contribute to the care of individuals living with a serious mental illness (SMI), psychologists have been and continue to be underrepresented as their treatment providers. However, serving those living with an SMI presents an urgent public health need. In this article, we provide an overview of the historical role of psychology in the care of individuals with SMIs, and we argue that a confluence of factors renders this a propitious time for psychologists to increase their commitment to the care of those living with an SMI. These factors include (a) the availability of strengths-based and/or functional assessment tools and effective psychosocial interventions, often created or empirically tested and enhanced by psychologists, (b) the continuing evolution of a recovery movement which brings more optimism to the field, and (c) the establishment, over the past 15 years, of an APA recognized and approved infrastructure to provide and recognize formal SMI Psychology training and expertise.

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“…Patients prefer to see all possibilities, even options not presently available, and to be given time to consider before deciding (Rodenburg et al, 2020). Jansen’s (2018) six-step clinical practice guideline toolkit recommends identifying goals and developing a plan with the patient to provide ongoing care and discern future needs.…”

Section: Aimsmentioning

confidence: 99%

Improving Patient-Centered Care for Veterans With Treatment-Resistant Depression Using Shared Decision-Making Tools

Allen

Bray

2022

J Am Psychiatr Nurses Assoc

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Introduction: Treatment-resistant depression (TRD) exists when patient depression continues without remission or reduction despite treatment. There are no standardized guidelines for identifying TRD, but one failed antidepressant treatment at an adequate dose and duration can constitute TRD, especially in cases of severe depression or suicidality. TRD rates for depressed patients average approximately 50% to 60% of the general population. These numbers are higher in the military population and are often complicated by comorbidities. Aim: Chart audits revealed 68% of psychiatric clinic outpatient veterans met criteria for TRD. Only 25% of patients were being treated adequately for TRD, and 0% were offered other options for treatment. This project aimed to improve patient-centered TRD care at a veteran’s hospital to 80% within 90 days. Methods: This quality improvement project was implemented using plan-do-study-act (PDSA) cycles. Interventions were tested over four rapid-cycle phases with improvements for screening, handouts, surveys, and team meetings over 8 weeks. Four core interventions were followed throughout the project: screening for TRD, right-care case management tracking, patient engagement with shared decision-making (SDM), and team engagement. Results: Starting from a baseline right-care score of 25%, the project attained an overall mean of 99.6% representing improved patient-centered TRD care and surpassing the 80% goal defined in the aim. Conclusion: Overall TRD care was improved using SDM options and inter-clinic teamwork and communication.

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Psychosocial Services for Individuals With Serious Mental Illness/Severe Emotional Disturbance: Clinical Practice Guideline Toolkit

Cited by 8 publications

References 51 publications

The Influence of Health Literacy and Social Support on Loneliness Among Patients With Severe Mental Illness in Rural Southwest China

The Influence of Health Literacy and Social Support on Loneliness Among Patients With Severe Mental Illness in Rural Southwest China

Serious mental illness—Psychology’s call to action: If not us, who? If not now, when?

Improving Patient-Centered Care for Veterans With Treatment-Resistant Depression Using Shared Decision-Making Tools

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