Publications

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    ABSTRACT: Previous analyses have suggested that the personal experience of schizophrenia might be different from its depiction in the DSM-IV-TR. In this study, 17 people with schizophrenia or schizoaffective disorder were interviewed about their experiences of the DSM-IV-TR diagnostic criteria for schizophrenia. Descriptive phenomenological analysis was used to analyze the ways in which the personal experiences of the people in this study were similar to or different from the depiction of schizophrenia in the DSM-IV-TR. The personal experience of schizophrenia was similar in some way to each of the five diagnostic criteria for schizophrenia. Participants' personal experiences also went beyond the DSM-IV-TR criteria. Specifically, participants described strong emotional reactions to their symptoms, including fear, sadness, embarrassment, and alienation. Also, participants described intense interest but severe disruptions in goal-directed behavior due to their hallucinations being engrossing, confusing, and distracting. Further, participants described not sharing their experiences in order to avoid social stigma. These findings suggest that the description of schizophrenia in DSM-5 may benefit from a change to DSM-IV-TR criteria to incorporate more of the personal experience of schizophrenia. Further research is needed to establish the representativeness, reliability, and validity of the qualitative findings described here.
    Psychiatry Interpersonal & Biological Processes 01/2012; 75(4):375-86. · 2.58 Impact Factor
  • Priscilla Ridgway
    Psychiatric services (Washington, D.C.) 05/2011; 62(5):567-568. · 2.81 Impact Factor
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    ABSTRACT: Research on recovery has proliferated in recent years. Some investigators have advanced stages of change models that segment the overall process of recovery into discrete and sequential phases, through which a person progresses from being overwhelmed by mental illness to taking on an increasingly active role in understanding, managing and overcoming the impact of psychiatric disability. The authors review this body of literature, and reflect on the contributions and limitations of stages of change approaches to understanding mental health recovery. They conclude that stages of change models need to more accurately reflect the non-linear nature of recovery, the fact that processes are influenced by person-disorder-environment interactions, and the fact that the persons own motivations for change and decisions in this regard while of central importance are by no means exclusive factors in recovery, as they do not take into account sufficiently such issues as discrimination and the presence or absence of crucial resources and supports. A richer set of concepts is needed as we continue to deepen our understanding of the complex, dynamic and ongoing process of mental health recovery.
    The Israel journal of psychiatry and related sciences 01/2010; 47(3):213-21. · 1.36 Impact Factor
  • Larry Davidson, Janis Tondora, Priscilla Ridgway
    American Journal of Psychiatric Rehabilitation 01/2010; 13(1):1-8.
  • 03/2009: pages 87 - 98; , ISBN: 9780470743157
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    ABSTRACT: To help inform the design of a self-management intervention for improving the physical health of adults with serious mental illnesses, we conducted focus groups about their perceived medical care and physical health needs. Adults with serious mental illnesses participated in four semi-structured focus groups conducted at a transitional living facility, a social club, and a Hispanic outpatient mental health clinic. Questions included their recent experiences of seeking medical care, the effect of having a mental illnesses diagnosis, strategies for active self-care, and perceived barriers to better physical health. In addition to various systemic barriers to better medical care, participants articulated limited knowledge and self-efficacy regarding active self-management of their physical health. Despite their interest in learning more about health promotion, most participants expressed a sense of personal futility and powerlessness in improving their health. These data suggest that any effort to improve the wellbeing of these adults will need to address self-efficacy in the hope of improving self-care for their physical health needs.
    Psychiatric Quarterly 01/2009; 80(1):1-8. · 1.26 Impact Factor
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    ABSTRACT: This article offers examples of the ways in which qualitative methods have informed, and may inform, mental health policy in Canada and beyond. Three initial uses of these methods are identified: to generate hypotheses to be tested by other means; to explore the subjective experiences and everyday lives of people with mental illnesses; and to investigate processes of recovery and the active role of the individual in recovery. Given the recent focus in mental health policy in Canada, the United States, and around the world on transforming mental health systems to promote recovery and the emphasis recovery places on the individual's own first-hand perspective, we argue that qualitative methods will become increasingly useful as psychiatry shifts away from symptom reduction to enabling people to live satisfying, hopeful, and meaningful lives in the community.
    Canadian journal of psychiatry. Revue canadienne de psychiatrie 04/2008; 53(3):137-44. · 2.48 Impact Factor
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    ABSTRACT: As mental health recovery gains traction, many people have put forward varying definitions. Few attempts have been made to create a dimensional analysis of the recovery literature that assesses the growing consensus about what recovery is or what its definition should entail. This paper incorporates an ecological framework to take the individual's life context into account while emphasizing both the reestablishment of one's mental health (i.e., first order change) and the mitigation of the oppressive nature of barriers imposed by the greater community (i.e., second order change) so that people may experience social integration and community inclusion.
    Psychiatric Rehabilitation Journal 02/2007; 31(1):9-22. · 1.16 Impact Factor
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    ABSTRACT: The ROSI is the work of the Mental Health Recovery: What Helps and What Hinders? A National Research Project for the Development of Recovery Facilitating System Performance Indicators. This research project evolved from collaborative efforts among a team of consumer and non-consumer researchers, state mental health authorities (SMHAs), and a consortium of sponsors working to operationalize a set of mental health system performance indicators for mental health recovery. Conceptualized and directed by five member research team (the majority of whom are primary consumers) as a multi phase process (i.e., grounded theory inquiry concerning the phenomenon of recovery, creation of prototype systems-level performance indicators, and large scale pilot testing). This briefing summarizes the research and contains the resulting measures and guidelines for their use. The ROSI is developed from and grounded in the lived experiences of adults with serious and prolonged psychiatric disorders. Thus, the ROSI consumer self-report survey and administrative profile are designed to assess the recovery orientation of community mental health systems for adults with serious and prolonged psychiatric disorders. These measures are in the public domain.
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    ABSTRACT: There is increasing convergence of defining mental health recovery as the ongoing, interactional process/personal journey and outcome of restoring a positive sense of self and meaningful sense of belonging while actively self-managing psychiatric disorder and rebuilding a life within the community. Recovery is facilitated or impeded through the complex, synergistic and dynamic interplay of the characteristics of the individual, the characteristics of the environment and the characteristics of the exchange between the two. Primarily informed by the research and work of the Mental Health Recovery: What Helps and What Hinders? A National Research Project for the Development of Recovery Facilitating System Performance Indicators, this paper contextualizes self determination theory (i.e., competence, relatedness, autonomy) and social self-determination within this ecologically based phenomenon of mental health recovery. It highlights enhancing and hindering environmental characteristics (such as service systems) and the powerful influences of the nature of the exchange between the
    The National Self-determination and Psychiatric Disability Invitational Conference, Chicago IL; 07/2004
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    ABSTRACT: Mental Health Recovery: What Helps and What Hinders? The National Research Project for the Development of Recovery Facilitating System Performance Indicators consisted of a team of consumer and non-consumer researchers, nine state mental health authorities, and a consortium of sponsors working to operationalize a set of mental health system performance indicators based on the lived experience of persons with psychiatric disabilities as to what helps and what hinders them in their recovery. This is the Phase One Research Report: A National Study of Consumer Perspectives on What Helps and Hinders Recovery. This research used a grounded theory approach concerning the phenomenon of recovery and the ways in which the social environment, including the mental health system, impacts the process. Consumer/survivors in ten focus groups across nine states provided in depth knowledge and experience concerning both the obstacles and the supports for recovery from their general environment and within the mental health system. The Phase One Research Report conveys the results of this research including design, cross-site findings, discussion and implications. Phase One identified the resources (e.g., safe housing) processes (e.g., choices), qualities (e.g., hope), relationships (e.g. peer support), and environments (e.g., mental health services) that influence recovery. This report significantly contributes to the developing knowledge base on mental health recovery, in particular, expanding our understanding of the dynamic, ecological interplay of factors that facilitate or impede recovery. This report strengthens the foundation from which to develop performance indicators and evaluation instruments to assess the recovery orientation of mental health services and systems.
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    ABSTRACT: The authors warn that some supportive housing development is creating a new generation of quasi-institutional settings, and they believe that developing units of housing is not as important as enabling each person to create a personalized home. A variety of processes for cocreating environments and social settings are proposed that will result in empowerment-oriented supportive housing programs. Such efforts require new staff roles and innovative techniques. Anticipated outcomes include improved self-identity and self-esteem, increased social status and a sense of security, increased residential stability due to improved person/environment fit, and improved personal competence among residents.
    The Journal of Behavioral Health Services & Research 08/1994; 21(4):407-418. · 0.78 Impact Factor
  • Priscilla Ridgway, Anthony M. Zipple
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    ABSTRACT: Describes a paradigm shift, beginning in the 1950s and reaching its zenith in the 1970s, toward supported housing models and deinstitutionalization of the mentally ill. The linear residential continuum model formed the basis for residential treatment and the provision of specialized environments that prepared patients/clients for life in the community. A supported housing paradigm shifts the primary role of the service recipient from patient to community and shifts the locus of control from staff to client. Other elements of the shift include an emphasis on (1) social integration rather than homogeneous grouping by disability and (2) the most facilitative environment and best functioning rather than the least restrictive environment and independence. (PsycINFO Database Record (c) 2012 APA, all rights reserved)
    Psychosocial Rehabilitation Journal. 03/1990;
  • Andrea K. Blanch, Paul J. Carling, Priscilla Ridgway
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    ABSTRACT: Presents a conceptual and historical overview of residential services for Ss with psychiatric disability and challenges the appropriateness and effectiveness of the "continuum of services" model. The authors propose that the goal of residential services should be to assist all people with psychiatric disabilities to choose, obtain, and maintain normal housing and that rehabilitation technology is currently available to accomplish this goal. Data indicate that despite high costs, most state mental health systems are continuing to make large scale investments in facility-based residential programs. (PsycINFO Database Record (c) 2012 APA, all rights reserved)
    Rehabilitation Psychology 01/1988; 33(1):47-55. · 1.91 Impact Factor

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