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ABSTRACT: The mental health field continues to be concerned about the use of seclusion and of mechanical and chemical restraints in treatment settings. Recovery Innovations, Inc. (RI), a nonprofit corporation that operates a range of recovery-oriented programs, successfully eliminated use of seclusion and nonchemical restraints in a crisis center. This success was the impetus behind implementation and evaluation of a "no force first" (NFF) policy, described in this column, that targeted the crisis center's use of chemical restraint. Successful implementation of the policy in the crisis center led to the concurrent adoption of the NFF policy as a best practice at all of RI's 19 behavioral health programs.
Psychiatric services (Washington, D.C.) 05/2012; 63(5):415-7. · 2.81 Impact Factor
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ABSTRACT: This study examines the outcomes of a statewide implementation of Intensive Psychiatric Rehabilitation (IPR) for improving residential and employment status and earnings among individuals with severe mental illnesses and also examines its implementation with respect to mental health service utilization and costs.
This study employs a pre-post design with participants acting as their own controls for rehabilitation outcomes (residential status, vocational outcomes and earnings) comparing those who "completed" or had a sufficiently intense dose of IPR (one year) to those who dropped out early (before six months of service) and those who dropped out later in service (6-12 months). A separate analysis was conducted examining the relationship of IPR to other mental service use and costs using a quasi-experimental design that contrasted IPR completers with a control group matched via propensity scores.
The results suggested significant improvement in residential status, employment status and gross monthly earnings for IPR completers relative to other groups. IPR completers also tended to use more mental health services or have more shallow decreases in use and cost of services relative to matched controls.
Gains in rehabilitation outcomes can be expected for those who engage in and complete IPR services, but IPR cannot be expected to result in reduced overall mental health service use and costs. Rather, IPR may improve service access or perhaps ameliorate any containment effect of managed care on service use.
Psychiatric Rehabilitation Journal 01/2011; 35(1):9-19. · 0.75 Impact Factor
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Behavioral healthcare 09/2010; 30(8):10, 12-3.
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Behavioral healthcare 05/2010; 30(5):10, 12-3.
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Behavioral healthcare 04/2010; 30(4):14-5.
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Behavioral healthcare 03/2010; 30(3):8-9.
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Behavioral healthcare 02/2010; 30(2):22-3.
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William A Anthony
Psychiatric Rehabilitation Journal 01/2010; 33(3):175-6. · 0.75 Impact Factor
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Behavioral healthcare 01/2010; 30(1):22, 24.
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William A Anthony
Psychiatric Rehabilitation Journal 01/2010; 33(4):259. · 0.75 Impact Factor
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ABSTRACT: Psychiatric rehabilitation has become accepted by the mental health field as a legitimate field of study and practice. Over the last several decades various psychiatric rehabilitation programme models and procedures have been developed, evaluated and disseminated. At the same time the process of psychiatric rehabilitation has been specified and its underlying values and practitioner technology articulated. This review describes the psychiatric rehabilitation process and in so doing differentiates psychosocial interventions that can be classified as psychiatric rehabilitation interventions from other psychosocial interventions. Furthermore, the major psychiatric rehabilitation interventions are examined within a framework of the psychiatric rehabilitation process with a review of their evidence. The review concludes that psychiatric rehabilitation interventions are currently a mixture of evidence-based practices, promising practices and emerging methods that can be effectively tied together using the psychiatric rehabilitation process framework of helping individuals with serious mental illnesses choose, get and keep valued roles, and together with complementary treatment orientated psychosocial interventions, provide a broad strategy for facilitating recovery.
International Review of Psychiatry 01/2010; 22(2):114-29. · 1.80 Impact Factor
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William A Anthony
Psychiatric Rehabilitation Journal 01/2010; 34(2):87-8. · 0.75 Impact Factor
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Behavioral healthcare 10/2009; 29(9):12-3.
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Behavioral healthcare 09/2009; 29(8):8, 10.
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ABSTRACT: To facilitate future research on recovery from schizophrenia a qualitative, longitudinal analysis was conducted with individuals participating in rehabilitation to identify themes associated with improvement in functioning and subjective experience. Twelve individuals with a diagnosis of schizophrenia or schizoaffective disorder were randomly selected from a just concluded two-year study of psychiatric rehabilitation. Each individual was followed for an additional four years. Every four to eight months each person participated in a semistructured,audiotaped interview about his or her current life experiences. Tapes were evaluated independently by three assessors for themes and phases that emerged from these life experiences. The qualitative analysis characterized the process of recovery as having phases, dimensions, indicators, and barriers to recovery. This empirically derived description of the process of recovery, from the perspective of people who are experiencing it, can be used to generate research hypotheses for future studies to further our understanding and to promote recovery from schizophrenia.
07/2009; 14(4):327-336.
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Behavioral healthcare 07/2009; 29(6):10, 12-3.
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Behavioral healthcare 06/2009; 29(5):10-1.
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Behavioral healthcare 05/2009; 29(4):12-3.
