Societal participation: examining the impact of a rehabilitation approach for young people with schizophrenia

Wel, T.F. van; Landsheer, Johannes A.

doi:10.1111/j.1365-2850.2011.01854.x

Cited by 6 publications

(7 citation statements)

References 26 publications

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“…The main question in this study was to find care factors that can be influenced by MHC workers in order to achieve SR and/or FR. The predictive value found for the change in unmet care needs in psychological distress and daytime activities for FR and psychological distress and company for SR is in line with several studies (Meesters et al 2013;Ochoa et al 2003;Van Wel and Landsheer 2012;Wiersma et al 2009). Other studies (Chang et al 2013) have also found that social-environmental factors have an important influence on recovery.…”

Section: Discussionsupporting

confidence: 87%

Symptomatic and Functional Remission in Young Adults with a Psychotic Disorder in a Rehabilitation Focused Team

Kwakernaak

Swildens

Wel

et al. 2019

Community Ment Health J

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The aim of this study is to assess symptomatic remission (SR) and functional remission (FR) in a rehabilitation focused program for young adults with a psychotic disorder in the Netherlands, and to investigate which individual and mental health care factors are associated with SR and/or FR, by using Routine Outcome Monitoring data and data on met needs and unmet needs for care. Data of 287 young adults were collected. Almost 40% achieved or maintained SR, 34% FR, and 26% achieved or maintained both. In addition to sociodemographic factors, living independently, paid employment, higher levels of compliance with treatment, and better fulfillment of unmet needs for care in relation to psychological distress, company and daytime activities were associated with better outcomes on SR and/or FR. Our findings underscore that to successfully improve and sustain remission in young adults with a psychotic disorder, it is needed to conduct specific research into the relationship between SR and FR.

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Section: Discussionsupporting

confidence: 87%

Symptomatic and Functional Remission in Young Adults with a Psychotic Disorder in a Rehabilitation Focused Team

Kwakernaak

Swildens

Wel

et al. 2019

Community Ment Health J

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“…These approaches are based on principles of respect and a partnership with people receiving healthcare (Hamann et al, 2006; Law, Baptiste, & Mills, 1995). One problem regarding implementation of the BPR is that traditional mental healthcare systems often have a main focus on the reduction of psychotic symptoms and the prevention of relapses (Van Wel & Landsheer, 2011). A strict provider-centered approach in mental health services mainly focusing on medical treatment may not automatically increase quality of life and the ability to achieve personal goals among persons with severe mental illness (Chee, 2009).…”

Section: Discussionmentioning

confidence: 99%

“…The traditional mental healthcare system in Sweden, like in many other counties, has a strong normative orientation, with a main focus on the reduction of psychiatric symptoms and the prevention of relapses (Van Wel & Landsheer, 2011). This indicates an adherence to behavioral norms mandated for successfully obtaining and maintaining needed support such as housing or entry into a community reintegration program (Lovell, Richmond, & Shern, 1993; Shern et al, 2000).…”

mentioning

confidence: 99%

Clients’ experiences of the Boston Psychiatric Rehabilitation Approach: A qualitative study

Jormfeldt

Svensson

Hansson

et al. 2014

International Journal of Qualitative Studies on Health and Well

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The Boston Psychiatric Rehabilitation Approach (BPR) is person-centered and characterized by being based entirely on the individual's unique needs and preferences in the areas of working, learning, social contacts, and living environment. Nevertheless, the person-centered approach is lacking firm evidence regarding outcomes, and empirical studies regarding clients’ experiences of this particular model are needed. A qualitative content analysis of 10 transcribed semistructured individual interviews was used to describe and explore clients’ experiences of the BPR during an implementation project in Sweden. The findings from the interviews could be summarized in “A sense of being in communion with self and others” theme, consisting of three categories: increased self-understanding, getting new perspectives, and being in a trusting relationship. The results showed that clients do not always recognize nor are able to verbalize their goals before they have been given the possibility to reflect their thoughts in collaboration with a trusted person. The guidelines of the approach are intended to support the clients’ ability to participate in decision making regarding their own care. More research about efficacy of different rehabilitation approaches and exploration of fidelity to guidelines of rehabilitation programs are required.

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“…The mental health-care system in Sweden, as in many other counties, has a strong focus on the reduction of psychiatric symptoms and prevention of relapses (Van Wel & Landsheer, 2011 ) in which positive dimensions of health have not been viewed as suitable for evidence-based practice in health care (Jormfeldt, 2011 ). Barriers regarding health promotion among persons with severe mental illness have been associated with stigma, as well as professional and organizational obstacles in the health-care services provided (Ehrlich et al, 2014 ).…”

mentioning

confidence: 99%

Experiences of housing support in everyday life for persons with schizophrenia and the role of the media from a societal perspective

Jormfeldt

Hallén

2016

International Journal of Qualitative Studies on Health and Well

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BackgroundThe mental health-care system in Sweden, as in many other counties, has its main focus on the reduction of psychiatric symptoms and the prevention of relapses. People diagnosed with schizophrenia often have significant health issues and experience reduced well-being in everyday life. The social imaginary of mental illness as an imbalance of the brain has implications concerning general attitudes in society. The news media are an important source of information on psychiatric disorders and have an important role in cultivating public perceptions and stigma. News media can contribute to the mental illness stigma and place individuals with mental illnesses at risk of not receiving adequate care and support. The aim of this preliminary study was to describe users’ experiences of housing support in everyday life.ResultsThe results revealed three themes of housing support, which were needed, but frequently insufficiently fulfilled in the municipality. The three themes were: “Support to Practice Healthy Routines in Daily Life,” “Support to Shape Meaningful Contents in Everyday Life,” and “Support to Meet Needs of Integrity and Respect.”ConclusionsThe findings support previous studies arguing that current health care and housing support fails to meet basic needs and may lead to significant and unnecessary health risks. Further investigation is needed regarding the links between attitudes to mental illness in society and political and financial principles for health care and housing support for persons with schizophrenia. Further research is needed regarding the role of the media in policymaking concerning health promotion interventions for people diagnosed with schizophrenia.

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Societal participation: examining the impact of a rehabilitation approach for young people with schizophrenia

Cited by 6 publications

References 26 publications

Symptomatic and Functional Remission in Young Adults with a Psychotic Disorder in a Rehabilitation Focused Team

Symptomatic and Functional Remission in Young Adults with a Psychotic Disorder in a Rehabilitation Focused Team

Clients’ experiences of the Boston Psychiatric Rehabilitation Approach: A qualitative study

Experiences of housing support in everyday life for persons with schizophrenia and the role of the media from a societal perspective

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