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Self-employment is an alternative to wage employment and an opportunity to increase labor force participation by people with psychiatric disabilities. Self-employment refers to individuals who work for themselves, either as an unincorporated sole proprietor or through ownership of a business. Advantages of self-employment for people with psychiatric disabilities, who may have disrupted educational and employment histories, include opportunities for self-care, additional earning, and career choice. Self-employment fits within a recovery paradigm because of the value placed on individual preferences, and the role of resilience and perseverance in business ownership. Self-employment creates many new US jobs, but remains only a small percentage of employment closures for people with psychiatric disabilities, despite vocational rehabilitation and Social Security disability policies that encourage it. This commentary elucidates the positive aspects of self-employment in the context of employment challenges experienced by individuals with psychiatric disabilities and provides recommendations based on larger trends in entrepreneurship.

Regardless of an individual’s mental health status, habits are difficult to establish and/or eliminate. Given the importance of good habits to overall health and wellness, nurses and other mental health service providers need to understand the force of habits (positive and negative), factors that make habit change difficult, and approaches that are likely to facilitate building and maintaining good habits. The current article provides a cursory overview of several factors (i.e., motivation, will-power, and rewards) that impact habit formation. Relevant theories and research are presented. Habit formation can be fostered through a careful analysis of current behaviors, specific and measurable short-term goals or objectives, and a detailed action plan. [Regardless of an individual’s mental health status, habits are difficult to establish and/or eliminate. Given the importance of good habits to overall health and wellness, nurses and other mental health service providers need to understand the force of habits (positive and negative), factors that make habit change difficult, and approaches that are likely to facilitate building and maintaining good habits. The current article provides a cursory overview of several factors (i.e., motivation, will-power, and rewards) that impact habit formation. Relevant theories and research are presented. Habit formation can be fostered through a careful analysis of current behaviors, specific and measurable short-term goals or objectives, and a detailed action plan. [ Journal of Psychosocial Nursing and Mental Health Services, 53 (9), 24–30.]

Individuals served by behavioral health programs experience risk factors that threaten health and longevity. Health behavior changes may be supported through environmental modifications known as nudges. The current review (a) examines the potential value of nudges for helping individuals receiving services from behavioral health programs, and (b) offers physical and social environment strategies to support positive health behaviors. The authors discuss literature related to nudges and environmental influences on health behaviors. The research related to nudges supports the potential value of this framework for nurses in behavioral health settings, who are in a strong position to help address health and wellness concerns disproportionately experienced by individuals in behavioral health programs. [Journal of Psychosocial Nursing and Mental Health Services, 59(1), 21–28.]

Caregivers are a source of support for family members with disabilities. However, caregivers are at risk for caregiver burden, which can erode self-care skills and lead to poor physical and mental health outcomes. Caregiver Wellness Self-Care, developed to address that risk, is a 5-week group program in which participants learn about strategies that cultivate their inner resources, while connecting with others for support. Wellness, self-care, mindfulness, and yoga-based information and practices are taught in the sessions and included in participant handouts. Self-reflection and planning activities with facilitated discussions further support awareness and personal transformation. Designed by and for people providing care to an adult family member with a mental health disorder and a developmental/intellectual disability, the program was piloted three times. The current article describes the development of the program through caregiver involvement, participant and facilitator feedback, and implications for future efforts to build caregiver wellness self-care skills. Implications for nurses are highlighted. [Journal of Psychosocial Nursing and Mental Health Services, 59(5), 25–32.]

Individuals with major mental disorders could benefit from low cost, functional ways to support healthy lifestyles. Walking is a popular, preferred, accessible, and safe physical activity for many people. Walking is free, requiring no specialized equipment or membership fee, and is important to support engagement in other daily living activities. The current study explores the benefits of walking and strategies for promoting walking among community-dwelling individuals with major mental disorders. Key issues include strengthening engagement, tracking progress, and sustaining participation to achieve goals related to walking. The authors propose ways that nurses can support increased walking behavior for improved health and well-being in this population. [ Journal of Psychosocial Nursing and Mental Health Services, 56 (3), 25–32.]

Purpose: Psychiatric rehabilitation is recognized as a field with specialized knowledge and skills required for practice. The certified psychiatric rehabilitation practitioner (CPRP) credential, an exam-based certification process, is based on a regularly updated job task analysis that, in its most recent iteration, identified the new core competency domain of \"supporting health and wellness.\" This article explains the relevance of this domain to the current practice of psychiatric rehabilitation. Methods: We present a multidimensional foundation model of wellness that describes the job tasks highlighted in the newest CPRP competency domain and examines implications for rehabilitation educators and practitioners who do not hold the CPRP credential but still provide rehabilitation services to individuals with psychiatric disabilities. Results: The health and wellness competencies identified for CPRPs may not translate directly into competencies needed by service providers in other roles; however, practices that involve experiencing personal goal setting and action plan implementation, especially around wellness goals, can be included across service domains. Conclusion: Attending to the health and wellness of people with psychiatric disabilities is imperative. Rehabilitation practitioners who embrace the multidimensional foundation model of wellness can effectively provide services that are holistic and promote recovery and achievement of rehabilitation goals.

Although researchers and policy-makers now recognize that people do recover from psychiatric disabilities, direct service providers still know little about factors that influence recovery, and often lack the knowledge and skill to facilitate the recovery process. This article reviews the recent research on recovery and presents implications for practice in vocational rehabilitation.

Through personal experience, the author reestablishes the value of some principles that are basic to the practice of rehabilitation counseling. The challenges they pose for both rehabilitation consumers and providers are exemplified, and ways of truly embracing them are recommended.

Purpose: Psychiatric rehabilitation is recognized as a field with specialized knowledge and skills required for practice. The certified psychiatric rehabilitation practitioner (CPRP) credential, an exam-based certification process, is based on a regularly updated job task analysis that, in its most recent iteration, identified the new core competency domain of \"supporting health and wellness.\" This article explains the relevance of this domain to the current practice of psychiatric rehabilitation. Methods: We present a multidimensional foundation model of wellness that describes the job tasks highlighted in the newest CPRP competency domain and examines implications for rehabilitation educators and practitioners who do not hold the CPRP credential but still provide rehabilitation services to individuals with psychiatric disabilities. Results: The health and wellness competencies identified for CPRPs may not translate directly into competencies needed by service providers in other roles; however, practices that involve experiencing personal goal setting and action plan implementation, especially around wellness goals, can be included across service domains. Conclusion: Attending to the health and wellness of people with psychiatric disabilities is imperative. Rehabilitation practitioners who embrace the multidimensional foundation model of wellness can effectively provide services that are holistic and promote recovery and achievement of rehabilitation goals.