Social Support-Centered Versus Symptom-Centered Models in Predicting Functional Outcomes for Individuals with Schizophrenia

Pahwa, Rohini; Smith, Melissa Edmondson; McCullagh, Charlotte; Hoe, Maanse; Brekke, John S.

doi:10.1086/686770

Cited by 5 publications

(4 citation statements)

References 63 publications

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“…Participants who described stronger ties to the mainstream community (partly due to volunteering or working) and participants who described stronger ties to the mental health service community via peer provider roles all spoke to the benefits of being employed, being productive members of the society, giving back in various ways and being respected in the work that they do, regardless of the setting. This finding can be traced back to the literature on supported employment, whereby, an individual who is offered support to gain and sustain employment show an array of positive outcomes (Dixon et al, 2010;Pahwa, Smith, McCullagh, Hoe, & Brekke, 2016). Additional benefits to employment as a peer provider such as improvements in mental and physical health; social, emotional, and spiritual well-being; and overall quality of life have been well documented in the literature (Solomon, 2004).…”

Section: Discussionmentioning

confidence: 96%

The Ties That Bind and Unbound Ties: Experiences of Formerly Homeless Individuals in Recovery From Serious Mental Illness and Substance Use

et al. 2018

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This report explores the nature and quality of social ties of formerly homeless individuals in recovery from serious mental illness and substance abuse and how these ties relate to experiences of community. Using grounded theory and cross-case analysis techniques, we analyzed 34 qualitative interviews conducted with predominantly racial/ethnic minority individuals receiving mental health services. Participants described a range of involvement and experiences in the mental health service and mainstream communities indicating a combination of weak or strong ties in these communities. Across participants, two broad themes emerged: ties that bind and obstacles that “get in the way” of forming social ties. Salient subthemes included those related to family, cultural spaces, employment, substance abuse, stigma and mental health service providers and peers. The current study integrates our understanding of positive and negative aspects of social ties and provides a theoretical framework highlighting the complexity of social ties within mainstream and mental health service communities.

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Section: Discussionmentioning

confidence: 96%

The Ties That Bind and Unbound Ties: Experiences of Formerly Homeless Individuals in Recovery From Serious Mental Illness and Substance Use

et al. 2018

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“…The internal reliability for the measure was .75 in the current study. The scale has been commonly used in research with similar populations (Pahwa, Smith, McCullagh, Hoe, & Brekke, 2016; Robitaille, Orpana, & McIntosh, 2011).…”

Section: Methodsmentioning

confidence: 99%

Mental illness disclosure decision making.

Pahwa

Fulginiti

Brekke

et al. 2017

American Journal of Orthopsychiatry

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Disclosure related to mental illness has been linked to various positive outcomes, including better mental health. However, many individuals with serious mental illness (SMI) continue to practice non-disclosure. Even though disclosure inherently occurs within the context of one's social relationships, research has generally conceptualized mental illness disclosure as an individual level phenomenon and neglected to consider preferences concerning to whom an individual discloses and the factors that influence this decision. The current study uses the disclosure decision-making model (DD-MM) by Greene (2009) to better understand the processes of mental illness disclosure preference and selective disclosure for individuals with SMI (n = 60) using multivariate random intercept logistic regression with an emphasis on the constituent factors of disclosure preference at both individual and relational levels. The majority of participants were found to practice selective disclosure, with 68% of the participants identifying at least 1 network member to whom they could disclose. Family members and friends were central to the selective disclosure process, comprising the greatest proportion of network members who, both were and were not identified as preferred confidants. Women were found to show higher odds of preference for mental illness disclosure than men. Having lower perceived social support was associated with lower odds of disclosure preference. Among relational factors, greater relationship availability and lower dyadic tangible social support were associated with lower odds of disclosure preference. Practice and research implications of using social network analysis to get a deeper understanding of disclosure and disclosure preference are discussed, including implications for future interventions targeting stigma reduction. (PsycINFO Database Record

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“…Mental health social work training has long included relationship work as one component of their duties (Perlman, 1979). More recently, this has received attention as part of recovery principles, allied with concepts of ‘hope’, ‘strengths’ and ‘control’ to improve social functioning and promote engagement in the wider community (Allen, 2014; Pahwa, Smith, McCullagh, Hoe, & Brekke, 2016). An emphasis on self-awareness including limited self-disclosure (Golightley & Geomans, 2014) and the ability to actively listen and empathise with service users (Faust, 2008; Penhale & Young, 2015) were also skills acknowledged to be required to build positive working relationships.…”

Section: Resultsmentioning

confidence: 99%

“…Practical interventions dominated accounts in the literature, such as Priebe, Fakhoury, Hoffmann and Powell (2005) who found that 82% of social workers in London reported that support in, and training of, daily living skills was one of their main roles. Other interventions targeted social functioning with the aim of improving engagement in the community and enabling individuals to enter meaningful vocations (Pahwa et al., 2016; Ramon, 2010; Stromwall & Hurdle, 2003). Social workers used psychological interventions (Davis & Jung, 2012), including counselling (Beresford, 2007; Lang et al., 2011; Peck & Norman, 1999), psycho-education around medication effectiveness and side effects (Davies, 2012; Pahwa et al., 2016) and emotional support to individuals in crisis (Marshall et al., 1995; Raiff & Shore, 1993).…”

Section: Resultsmentioning

confidence: 99%

Mental health social work in multidisciplinary community teams: An analysis of a national service user survey

Boland

Abendstern

Wilberforce

et al. 2019

Journal of Social Work

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Summary The article addresses the continued lack of clarity about the role of the mental health social worker within community mental health teams for working age adults and particularly the limited evidence regarding this from the perspective of service users. It compares findings from the literature, found to originate from a predominantly professional viewpoint, with secondary analysis of a national survey of service users to assess their views. Findings Three particular aspects of mental health social workers’ role identified in the literature were, to some extent, also located within the national survey and can be summarised as: approaches to practice, nature of involvement, and scope of support. The presence of these features was largely not substantiated by the survey results, with few differences evident between service users’ experiences of mental health social workers compared with other mental health staff. When nurses and social workers were compared, results were either the same for both professions or favoured nurses. The findings point both to the difficulty of articulating the social work contribution and to the limitations of the secondary data. Application The findings are a useful benchmark, highlighting the limited evidence base and the need for further research to improve both the understanding of the mental health social work role and how it is experienced by service users. The profession is keen to emphasise its specific contribution. Research evidence is required to underscore this and to ensure that the role is not subsumed within generic practice.

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Social Support-Centered Versus Symptom-Centered Models in Predicting Functional Outcomes for Individuals with Schizophrenia

Cited by 5 publications

References 63 publications

The Ties That Bind and Unbound Ties: Experiences of Formerly Homeless Individuals in Recovery From Serious Mental Illness and Substance Use

The Ties That Bind and Unbound Ties: Experiences of Formerly Homeless Individuals in Recovery From Serious Mental Illness and Substance Use

Mental illness disclosure decision making.

Mental health social work in multidisciplinary community teams: An analysis of a national service user survey

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