Publications

  • Thomas J. Blakely, Gregory M. Dziadosz
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    ABSTRACT: This article presents a clinical paradigm for the delivery of rehabilitation services, meaning that whatever mental health problems clients experience are not a major factor in how they live their life. It consists of assessment, treatment, and social support of clients who have a serious psychiatric condition. It combines social role theory (SRT), social role valorization (SRV), and task-centered treatment (TCT). It emphasizes behavior change by a client with help from a social worker to move from nonnormative behaviors and a devalued social position associated with a psychiatric condition to the achievement of normative behaviors in a valued social position. Normative behavior is that behavior acceptable to observers. SRT and SRV are used for assessment of adaptation and social functioning. TCT is used for the achievement of treatment goals.
    Care Management Journals 01/2014; 15(3).
  • Thomas J Blakely, Gregory M Dziadosz
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    ABSTRACT: This article describes the process of the merger of two mental health agencies with a primary care physical health provider to establish within the merged structure an integrated behavioral and physical health delivery system. The purpose of this article is to share our experience with those administrators and staff of agencies planning an integration initiative of behavioral and physical health services.
    Care Management Journals 06/2013; 14(2):84-8.
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    ABSTRACT: This article describes a demonstration project carried out by a special team at a mental health agency serving adults with a serious psychiatric condition. The project consisted of combining the evidence-based practices of cognitive therapy, Motivational Interviewing and Stages of Change with Social Role Theory and the Chronic Care Model that were the organizing concepts of the agency's assessment and treatment program. Measures of the results of clients' improved mental health and social functioning indicated the successful use of this combination.
    Community Mental Health Journal 09/2012; · 1.03 Impact Factor
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    ABSTRACT: This article reports an exploratory study of the relationship between case manager's attachment styles and outcomes of client services. The primary purpose of this study was to discover whether a measure of attachment could be used as part of a preemployment screening process for potential case managers. Two attachment measures were completed by a group of randomly selected staff. Each of them was also asked to complete a valid outcomes measure for clients. The scores for the attachment measures and the outcomes measures were correlated. The results supported the hypothesis that these attachment scales could be used effectively as part of preemployment screening.
    Care Management Journals 12/2011; 12(4):154-8.
  • Thomas J Blakely, Gregory M Dziadosz
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    ABSTRACT: This paper describes the successful application of the Chronic Care Model (CCM) at Touchstone innovaré, a large mental health agency serving a population of persons with a serious psychiatric condition. Based on our experience with the CCM, it is proposed that it could be applied in behavioral health care in the same manner as it is in physical health care. It is our contention that "chronic condition" should be the key phrase, and that there should not be a distinction in the application of a treatment model, whether the chronic condition is behavioral or physical.
    Population Health Management 01/2009; 11(6):341-6. · 1.18 Impact Factor
  • Thomas J Blakely, Gregory M Dziadosz
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    ABSTRACT: This article proposes a reorganized model of case management for persons with a serious psychiatric illness, including a substance abuse disorder. The model was designed as a response to the changing demands of federal laws public funding sources, and social work licensure requirements in some states. It partners case management with social role theory and uses the person-in-situation paradigm and social functioning as organizing concepts. This model may be helpful for those adult mental health agencies serving this population who are faced with making adjustments to changing demands of federal law, public funding sources, and the requirements of social work licensure in some states, all of which place restrictions on service delivery. An important feature of the model is partnering case management with social role theory in a way that enhances the delivery of case management services. It is being implemented at Touchstone innovaré, a mental health agency serving adults who have a serious psychiatric condition or a co-occurring disorder.
    Care Management Journals 02/2008; 9(3):106-12.
  • THOMAS J. BLAKELY, GREGORY M. DZIADOSZ
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    ABSTRACT: This article concerns the creation of a community agency's integrated mental illness and substance abuse co-occurring disorders assessment and treatment program, with a focus on the barriers and strategies encountered as its development progressed. The discussion of barriers was framed according to the factors (attitude, mastery, leadership, staffing, policies, workflow, and program monitoring) identified by Moser and colleagues (Moser, DeLuca, Bond, & Rollins, 20049. Moser , L. , DeLuca , N. , Bond , G. , & Rollins , A. ( 2004 ). Implementing evidence-based psychosocial practices: Lessons learned from statewide implementation of two practices . CNS Spectrums , 9 ( 12 ), 926 – 936 , 942 . [PubMed], [Web of Science ®]View all references) in their comparison of the implementation of Assertive Community Treatment and Integrated Dual Disorders Treatment. It was found that resolution of these barriers was important to the implementation of this program.
    American Journal of Psychiatric Rehabilitation 02/2007; 10(1):1-18.
  • Thomas J Blakely, Gregory M Dziadosz
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    ABSTRACT: This article describes the development of an original outcomes measurement scale titled Psychiatric Well-Being (PWB). The scale is a series of statements that are characteristics of the agency's product ofpsychiatric well-being for an adult population of persons with a serious psychiatric disorder, many of whom also have a substance abuse disorder. Validity, reliability, and internal consistency of the PWB scale have been determined The scale may be adapted directly to measuring outcomes of agencies serving similar populations or its characteristics may be modified for measurement use with other populations.
    Care Management Journals 02/2007; 8(3):113-9.
  • Thomas J Blakely, Kristine Smith, Michael Swenson
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    ABSTRACT: An electronic record will be a significant component of a mental health agency's infrastructure in the future. It is a convenient, safe, time-saving way of managing records in larger systems. This paper describes an electronic record system and its advantages and disadvantages at a large, private, non-profit mental health agency.
    Psychiatric Rehabilitation Journal 02/2004; 27(3):271-4. · 1.16 Impact Factor
  • Thomas J Blakely, Gregory M Dziadosz
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    ABSTRACT: This article describes one agency's model of delivering case management services to an adult population of seriously and persistently mentally ill persons. It was developed following improvements in psychotropic medications that have resulted in considerable symptom relief for many clients. The treatment program, both medical and psychosocial aspects, is focused on recovery rather than maintenance. Outcome measures of treatment and rehabilitation objectives demonstrated that the program has been successful.
    Care Management Journals 02/2003; 4(3):129-35.
  • Thomas J. Blakely
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    ABSTRACT: This article proposes a model of distance education for schools of social work. The model involves use of videotapes, an on-site discussion leader/field instructor, computers, and direct observation by field instructors. Possible problems are addressed as are evaluation concerns and policy issues. (DB)
    Journal of social work education 12/1991; · 0.77 Impact Factor
  • THOMAS JOSEPH BLAKELY
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    ABSTRACT: DISSERTATION (PH.D.)--THE UNIVERSITY OF MICHIGAN Dissertation Abstracts International,
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    Thomas J Blakely, Gregory M Dziadosz
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    ABSTRACT: This article describes the experience of a social work mental health agency with Social Role Theory (SRT), that is an organizing concept for the delivery of its assessment and treatment program. SRT has been called the process variable of the program, meaning how services are delivered. Socialfunctioning, a concept taken from SRT, is a treatment outcome. The overall purposes of the article are to describe the contribution of sociology to social work practice, and to advance the argument thatsocial functioning is a common base for social work practice generally.

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