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"People with mental disabilities -- Rehabilitation"
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Recovery's edge : an ethnography of mental health care and moral agency
\"In 2003 the Bush Administration's New Freedom Commission asked mental health service providers to begin promoting \"recovery\" rather than churning out long-term, \"chronic\" mental health service users. Recovery's Edge sends us to urban America to view the inner workings of a mental health clinic run, in part, by people who are themselves \"in recovery\" from mental illness. In this provocative narrative, Neely Myers sweeps us up in her own journey through three years of ethnographic research at this unusual site, providing a nuanced account of different approaches to mental health care. Recovery's Edge critically examines the high bar we set for people in recovery through intimate stories of people struggling to find meaningful work, satisfying relationships, and independent living. This book is a recipient of the Norman L. and Roselea J. Goldberg Prize from Vanderbilt University Press for the best book in the area of medicine\"--Provided by publisher.
Book
Profound intellectual and multiple disabilities : nursing complex needs
PROFOUND INTELLECTUAL AND MULTIPLE DISABILITIES
Nursing Complex Needs
Children and adults with profound and multiple learning disabilities (PMLD) are among the most marginalised people in society. They have some of the highest support needs and are most reliant on services. This accessible and practical text presents and promotes current best practice regarding interventions to meet the complex health needs of a person with profound and multiple learning disabilities.
Divided into two sections, Profound Intellectual and Multiple Disabilities first looks at assessing complex needs, exploring topics such as communication, maintaining health, and quality of life. Part two then discusses meeting complex needs, looking at topics such as mental health problems, epilepsy, vision impairment, aural health, respiratory health, nutrition, and dysphagia.
KEY FEATURES:
* Examines current theory and practice in supporting people with profound and multiple learning disabilities and/or complex needs
* Identifies the key knowledge and skills required by learning disability nurses and other health care professionals
* Provides evidence-based best-practice guidelines about caring for people with PMLD
* Offers insights into parent carer and professional carer experiences
eBook
Recovery's Edge
In 2003 the Bush Administration's New Freedom Commission asked
mental health service providers to begin promoting \"recovery\"
rather than churning out long-term, \"chronic\" mental health service
users. Recovery's Edge sends us to urban America to view
the inner workings of a mental health clinic run, in part, by
people who are themselves \"in recovery\" from mental illness. In
this provocative narrative, Neely Myers sweeps us up in her own
journey through three years of ethnographic research at this
unusual site, providing a nuanced account of different approaches
to mental health care. Recovery's Edge critically examines
the high bar we set for people in recovery through intimate stories
of people struggling to find meaningful work, satisfying
relationships, and independent living. This book is a recipient
of the Norman L. and Roselea J. Goldberg Prize from Vanderbilt
University Press for the best book in the area of medicine.
eBook
Arctic spring
In this book, the author compares the characteristics of autistic child psychotherapies and those of the adult cases illustrated. She describes clinical cases to show the development of analysis, which was long and complex due to the underlying difficulties.
eBook
Drawing on Difference
This book reveals how art therapy can support and validate the emotional and mental health needs of people with learning difficulties. Case studies present work with adults and children with differing degrees of difficulty such as personality disorder, autism or severe learning difficulties and discuss the needs of people with learning difficulties who have experienced traumas such as rape or bereavement. Particular emphasis is placed on service evaluation and standards and on the client's personal experience. Contributors discuss practical, professional and political issues such as:- * the practical challenges of providing an art therapy service within and beyond the hospital setting * the similarities and differences between art therapy and other allied professions such as music and dramatherapy * clinical effectiveness and clinical supervision Drawing on Difference brings together for the first time discussion from leading professionals in this increasingly popular area of specialisation within psychotherapy.
eBook
Vocational rehabilitation and mental health
Vocational Rehabilitation and Mental Health is a practical guide for all members of the healthcare team to implementing effective services leading to sustained career development among people with mental illness. It examines the barriers to employment such as stigma, discrimination and fluctuating health and discusses the evidence underpinning the provision of effective employment services. The book goes on to examine some of the challenges with implementing evidence-based practice and discusses ways to overcome these challenges.
eBook
Upcycling Sheltered Workshops
At a time when the traditional sheltered workshop model has fallen under rightful criticism, and a new paradigm for disability programming is not yet in place, Upcycling Sheltered Workshops offers a revolutionary alternative.
eBook
Developing a VR program on the Tohono O'Odham reservation
The development of a vocational rehabilitation (VR) program on the Tohono O'Odham Indian reservation is described. The program has been successful in creating employment opportunities on reservations and in rural areas.
Journal Article
Individual placement and support for young adults at risk of early work disability (the SEED trial). A randomized controlled trial
Objectives Individual placement and support (IPS) is an effective approach for helping people with severe mental illness gain employment. This study aimed to investigate if IPS can be effectively repurposed to support young adults at risk of early work disability due to various social and health related problems. Methods A randomized controlled trial including 96 young adults (18‒29 years; 68% men) was conducted in Norway. Participants were not in employment, education, or training, received temporary benefits due to social or health-related problems, and were eligible for traditional vocational rehabilitation (TVR). Participants were randomized to IPS (N=50) or TVR (N=46). Self-reported data were collected at baseline and at 6- and 12-months follow-up. The primary outcome was obtaining any paid employment in the competitive labor market during follow-up. Secondary outcomes were physical and mental health, well-being, coping, alcohol consumption, and drug use. Results Significantly more IPS participants obtained competitive employment compared to TVR participants during 12-months follow-up (48% versus 8%; odds ratio 10.39, 95% confidence interval 2.79‒38.68). The IPS group reported significantly better outcomes than the TVR group in subjective health complaints, helplessness, and hopelessness. In post hoc analyses adjusted for baseline and missing data, the IPS group reported significantly better outcomes on these measures in addition to level of disability, optimism about future well-being, and drug use. Conclusions IPS is effective for young adults at risk of early work disability. IPS was superior to TVR in increasing competitive employment and promoted improvements in some non-vocational outcomes. IPS services should be offered to improve employment rates in this vulnerable group.
Journal Article
Effectiveness of Workplace Interventions in Return-to-Work for Musculoskeletal, Pain-Related and Mental Health Conditions: An Update of the Evidence and Messages for Practitioners
Purpose The objective of this systematic review was to synthesize evidence on the effectiveness of workplace-based return-to-work (RTW) interventions and work disability management (DM) interventions that assist workers with musculoskeletal (MSK) and pain-related conditions and mental health (MH) conditions with RTW. Methods We followed a systematic review process developed by the Institute for Work & Health and an adapted best evidence synthesis that ranked evidence as strong, moderate, limited, or insufficient. Results Seven electronic databases were searched from January 1990 until April 2015, yielding 8898 non-duplicate references. Evidence from 36 medium and high quality studies were synthesized on 12 different intervention categories across three broad domains: health-focused, service coordination, and work modification interventions. There was strong evidence that duration away from work from both MSK or pain-related conditions and MH conditions were significantly reduced by multi-domain interventions encompassing at least two of the three domains. There was moderate evidence that these multi-domain interventions had a positive impact on cost outcomes. There was strong evidence that cognitive behavioural therapy interventions that do not also include workplace modifications or service coordination components are not effective in helping workers with MH conditions in RTW. Evidence for the effectiveness of other single-domain interventions was mixed, with some studies reporting positive effects and others reporting no effects on lost time and work functioning. Conclusions While there is substantial research literature focused on RTW, there are only a small number of quality workplace-based RTW intervention studies that involve workers with MSK or pain-related conditions and MH conditions. We recommend implementing multi-domain interventions (i.e. with healthcare provision, service coordination, and work accommodation components) to help reduce lost time for MSK or pain-related conditions and MH conditions. Practitioners should also consider implementing these programs to help improve work functioning and reduce costs associated with work disability.
Journal Article