Margaret Swarbrick

Margaret Swarbrick
Rutgers, The State University of New Jersey | Rutgers · Center of Alcohol and Substance Use Studies; Graduate School of Applied and Professional Psychology

PhD

About

123
Publications
48,821
Reads
How we measure 'reads'
A 'read' is counted each time someone views a publication summary (such as the title, abstract, and list of authors), clicks on a figure, or views or downloads the full-text. Learn more
825
Citations
Additional affiliations
March 2021 - present
Rutgers, The State University of New Jersey
Position
  • Professor
May 2016 - February 2021
Rutgers, The State University of New Jersey
Position
  • Managing Director
July 2014 - May 2016
Rutgers, The State University of New Jersey
Position
  • Professor (Associate)

Publications

Publications (123)
Preprint
Full-text available
In the aftermath of mass trauma, posttraumatic stress disorder (PTSD) symptoms follow prototypical trajectories of resilience, recovery, or chronic distress. The coronavirus disease 2019 (COVID-19) pandemic represented an unheralded opportunity to better understand heterogeneous trajectories of PTSD symptoms across a prolonged period of social disr...
Article
The need for behavioral health care prevention, treatment, and recovery supports, including crisis alternatives, has grown and is now receiving federal support through enhanced funding. When a person experiences severe emotional distress, crisis alternatives are a viable option instead of inpatient hospitalization to address the distress and restor...
Preprint
Full-text available
Objective: This project aimed to develop a synthesized framework of multidimensional wellness for people aging with serious mental health conditions (SMHC) using existing frameworks to serve as a guide for policy and interventions to address the unique needs, experiences, and strengths of the population. Method: A concept analysis compared a wid...
Article
Objective: Little is known about the employment experiences of people with preexisting behavioral health conditions during the coronavirus disease of 2019 (COVID-19) pandemic, despite the recognized importance of work for this group. Method: Two hundred and seventy two adults with behavioral health conditions, recruited through statewide mental...
Article
A constellation of factors detrimentally affects Black mental health at individual and community levels. Issues such as racism, trauma, and a lack of culturally relevant services prevent access to timely, high-quality mental health treatment. These negative experiences, exacerbated by the current impacts of the COVID-19 pandemic, contribute to the...
Article
A training and coaching team embarked on a training and technical assistance program evaluation project to examine the development of a tool used to determine the impact of training on staff and families serving youth with behavioral health challenges and their families. The training evaluation project centered on the development of a tool to exami...
Article
The COVID-19 pandemic had a significant impact worldwide in every aspect of society including occupational therapy assistant students enrolled in academic coursework. This manuscript examines the unique experience of occupational therapy assistant faculty in a northeast state who were able to quickly modify classroom and lab teaching-learning strat...
Article
Full-text available
People with behavioral health disorders may be particularly vulnerable to the impact of the COVID-19 pandemic, yet little is known about how they are faring. A mixed-methods, anonymous needs assessment was conducted to understand changes in the lives of adults with mental health and substance use disorders since the pandemic onset. A cross-sectiona...
Article
The purpose of this study was to explore sleep habits and routines in individuals (N = 52) with mental and/or substance-use disorders attending community wellness centers. Outcome measures included Pittsburgh Sleep Quality Index (PSQI), a researcher developed survey to analyze habits and routines and its effect on sleep, and semi-structured intervi...
Article
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 tha...
Article
Full-text available
Caregivers of persons with Alzheimer’s disease and Related Dementia (CADRD) provide a significant amount of support to their family members, however, experience many challenges and stress that impacts their quality of life, emotional and physical well-being. They also have difficulty accessing services. Peers supporters, or CADRD with specialized t...
Conference Paper
Full-text available
Multi-dimensional wellness is a holistic, person-centered clinical approach, that offers promise as a framework for improving the health and well-being of older adults. This approach can be especially helpful for older adults who are experiencing mental health conditions as it focuses on strengths, resilience and recovery comprehensively. Few clini...
Article
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) o...
Article
This pre posttest study explored feasibility of a mobility program for nine community dwelling adults living with mental disorders. Using mixed methodology, outcome measures included phenomenological pre and post semi-structured interviews, surveys and subscales of Impact of Autonomy and Participation Questionnaire (IPAQ). The IPAQ confidence facto...
Article
Family caregivers of persons with Alzheimer's disease and related dementias (CADRD) provide significant support to their family members but often experience challenges and stress that impact their quality of life. Peer supporters can be an important resource to help alleviate stress associated with caregiving, yet few published studies have examine...
Article
Employment has the potential to contribute to positive health outcomes for people with serious mental illnesses; however, its flipside, long-term unemployment, is a social determinant that has not been consistently recognized for its negative effects. Therefore, in this column, the authors examined how the widely accepted notion that unemployment i...
Article
Full-text available
Background An extensive literature exists describing treatment interventions and recovery from eating disorders (EDs); however, this body of knowledge is largely symptom‐based and from a clinical perspective and thus limited in capturing perspectives and values of individuals with lived experience of an ED. In this study, we performed a systematic...
Article
Background: Despite national calls to develop gender-specific interventions for women with opioid use disorder (OUD) with co-occurring trauma and posttraumatic stress disorder (PTSD) symptoms, there remains a dearth of research on what modalities or treatment components would be most feasible for this population. This study interviewed women with O...
Article
Full-text available
Many people with serious mental illnesses live in poverty, which can worsen mental and overall health. The authors suggest strategies to improve health outcomes through behavioral health services and supports that directly target financial wellness while reducing dependence on public benefits. Although some services focus on financial education, th...
Article
OBJECTIVE: Adults with serious mental illnesses have a lower life expectancy attributable to many factors including metabolic disorders and cancer. Access to cancer screening has been shown to decrease morbidity and increase chances of survival. This study examined access to cancer screening services among individuals with serious mental illnesses...
Article
Developed in collaboration with WHO Department of Mental Health and Substance Abuse, this study (conducted in India, the UK, and the USA) integrated feedback from mental health service users into the development of the chapter on mental, behavioural, and neurodevelopmental disorders for ICD-11. The ICD-11 will be used for health reporting from Janu...
Article
Date Presented 04/04/19 The purpose of this descriptive, mixed-methods study was to examine perceived impacts of participation in a financial management program for those with mental-health or substance-use disorders. Data from 17 participants included demographics, overall well-being from the PHS-WB scale, and perceived impact of a financial manag...
Article
Full-text available
This qualitative study explored peer specialists’ contributions to a healthy lifestyle intervention for obese/overweight individuals with serious mental illness (SMI) living in supportive housing. Intervention participants, peer specialists, and supervisors were interviewed and a grounded model emerged from the data identifying essential interperso...
Article
National behavioral health care efforts have opened opportunities to reignite occupational therapy mental health practice and research. The profession's person-centered and occupation-based practice fits well with the growing needs of people with serious mental illness (SMI) served in community-based settings. The nine articles in this special issu...
Article
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. T...
Article
Individuals living with mental health disorders served by the public mental health system often face comorbid medical conditions that affect their quality of life and lifespan. The effect of physical limitations on the engagement in daily activities among individuals living with mental health disorders has not been extensively researched. Adults at...
Article
BACKGROUND: The Individual Placement and Support (IPS) Learning Community was established in 2002 to increase access to Individual Placement and Support (IPS) supported employment. In 2008, learning community leaders launched the Family Advocacy Project to advance the role of families in providing education and advocacy for IPS. OBJECTIVE: This pap...
Article
Music is a meaningful occupation; a summary of current literature and the authors’ experiences regarding health and wellness benefits and potential for music as a therapeutic medium in occupational therapy practice is presented. An interview and a summary of the authors’ experiences illustrate the role for music and its benefits for occupational th...
Article
Objective: As part of a study of health status among 457 adults with diagnostically heterogeneous serious mental illnesses served by the public mental health system in four U.S. states, we assessed predictors of current cigarette smoking. Methods: We examined bivariate relationships between smoking status and risks for drug and alcohol use disor...
Article
To date, whether individuals with mental illness use high energy drinks (HED) to offset their symptoms, or whether their use began after diagnosis or psychoac-tive drugs were prescribed is unknown. Their degree of knowledge regarding their symptoms, diagnosis, or what strategies they have used to feel better is also undetermined. A search of the li...
Article
Persons with a serious mental illness have more physical health problems and shorter life expectancy compared to the general population, in part due to modifiable at-risk health behaviors like obesity. This study provides a systematic review and meta-analysis of the available evidence on the efficacy of weight management interventions when compared...
Article
Objective: This paper provides examples of the development, implementation, and funding of peer-delivered health and wellness services in three states, a key strategy to address the health disparities facing people living with mental health and substance use disorders served by the public behavioral healthcare system. Methods: Information was compi...
Article
Objective: People with psychiatric disabilities experience substantial economic exclusion, which hinders their ability to achieve recovery and wellness. The purpose of this article is to describe a framework for a peer-supported economic empowerment intervention grounded in empirical literature and designed to enhance financial wellness. Method:...
Article
In this special issue entitled Peer-Delivered Services: Current Trends and Innovations, we provide further information about the growing peer workforce, as well as new and innovative developments in peer-delivered services. In order to do that, we must first define our terms: We consider peer-delivered services to be a broad umbrella of services de...
Article
Abstract 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 competen...
Article
Full-text available
Objective: This study examined the prevalence and correlates of co-occurring obesity and diabetes among community mental health program members. Methods: Medical screenings of 457 adults with serious mental illnesses were conducted by researchers and peer wellness specialists in four U.S. states. Body mass index was measured directly. Diabetes w...
Article
Full-text available
The prevalence of obesity and its associations with gender, clinical factors, and medical co-morbidities were examined among 457 adults attending public mental health programs in 4 U.S. states. BMI was measured directly and other information was gathered by interview. Over half (59 %, n = 270) were obese including 18 % (n = 83) who were morbidly ob...
Article
Full-text available
Objective: People receiving publicly funded behavioral health services for severe mental disorders have shorter lifespans and significantly impaired health-related quality of life compared to the general population. The aim of this article was to explore how peer wellness coaching (PWC), a manualized approach to pursue specific physical wellness g...
Article
Growing evidence suggests health disparities exist in services for individuals with mental disorders served by the public mental health system. The current study assessed the use of cancer screening services among New Jersey residents in publicly funded mental health programs. Self-administered written surveys were completed by 148 adults using pee...
Article
Full-text available
Objective: This paper evaluates a pilot multidisciplinary intervention intended to increase health-promoting behaviors and reduce the negative effects of metabolic syndrome disorders among persons with serious mental illnesses. Exercise, nutritional counseling, health literacy education, and peer wellness coaching were provided by allied health pr...
Article
Full-text available
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...
Research
Full-text available
Swarbrick, M., Jonikas, J., Yudof, J., Kenny, M., Cohn, J., Serrano, C., Yost, C., Razzano, L., & Cook, J. (2014). Promoting Wellness for People in Mental Health Recovery A Step-by-Step Guide for Planning and Conducting a Successful Health Fair http://www.integration.samhsa.gov/health-wellness/wellness-strategies/UIC_CSPNJ_Health_Fair_Manual.pdf....
Article
Full-text available
This column describes the experience of prejudice and discrimination that some mental health service users encounter in their interactions with service providers and organizations. The intent of this column is to highlight potential action steps to address the negative beliefs and attitudes of service providers that contribute to prejudice and disc...
Article
Full-text available
Physical health screenings were conducted by researchers and peer wellness specialists for adults attending publicly-funded community mental health programs. A total of 457 adults with serious mental illnesses attended health fairs in 4 U.S. states and were screened for 8 common medical co-morbidities and health risk factors. Also assessed were sel...
Article
Full-text available
People who are served by the public mental health system often live with chronic medical conditions, exhibit many risk factors for metabolic syndrome, and experience high rates of early mortality. This research project assessed the recency of screenings and perceptions of overall health of 148 people served by the public mental health system and at...
Article
This study examined the prevalence and treatment of 17 co-occurring physical health conditions among adults with serious mental health disorders, and factors associated with prevalence of the 5 most common medical co-morbidities. Data were collected from 457 adults attending publicly funded mental health programs who participated in community healt...
Book
Hutchinson, D., & Swarbrick, M. (2014). Wellness. In Best Practices in Psychiatric Rehabilitation, Eds Nemec, P., & Furlong-Norman, K.. United States Psychiatric Rehabilitation Association.
Chapter
1. Hutchinson, D., & Swarbrick, M. (2014). Wellness. In Best Practices in Psychiatric Rehabilitation, Eds Nemec, P., & Furlong-Norman, K.. United States Psychiatric Rehabilitation Association.
Article
Full-text available
Recovery-oriented service systems explicitly value including people with lived experiences of a mental and substance use diagnosis in the design, delivery, and evaluation of those services. Including first-person accounts as part of the education and training of service providers "demonstrates" recovery is possible, promotes empathy, offers insight...
Article
Full-text available
Nurses can play an important role in community-based health screenings, which are a practical resource to empower people living with mental and substance use disorders to make positive lifestyle changes. The experiences, struggles, and strengths of screening participants provides insights for nurses to engage people in health and wellness dialogues...
Article
Full-text available
Peer wellness coaching is workforce innovation that empowers individuals with mental and substance use disorders to achieve recovery. This article briefly describes how this approach can help peer providers develop self-care skills to improve job tenure and promote satisfaction. Promising results of this new approach are presented. [Journal of Psyc...
Article
Full-text available
Many individuals with major mental disorders live with medical comorbidities that contribute to poor quality of life and shortened life span (Parks, Svendsen, Singer, Foti, & Mauer, 2006). We conducted a study to screen for, identify, and document co-occurring physical health conditions, health risk factors, and use of health care services among in...
Article
Full-text available
People with lived experience of mental illness have become leaders of an influential movement to help the mental health system embrace the notion of whole health and wellness in the areas of advocacy, policy, and care delivery. Wellness-oriented peer approaches delivered by peer-support whole-health specialists and wellness coaches can play an impo...
Chapter
Ramsey, R., & Swarbrick, M. (2013). Providing Occupational Therapy Services for Persons with Psychiatric Disabilities. In eds Barbara A. Boyt Schell, Willard & Spackman Occupational Therapy, Twelfth Edition. Lippincott Williams & Wilkins
Chapter
Swarbrick, M., & Drake, R. (2013). Supported Housing, Socialization Education and Employment. In Eds. K. Yeager, D., Cutler, D. Svendsen, G. Sill, Modern Community Mental Health: An Interdisciplinary Approach. Oxford Press.
Book
Swarbrick, M., & Drake, R. (2013). Supported Housing, Socialization Education and Employment. In Eds. K. Yeager, D., Cutler, D. Svendsen, G. Sill, Modern Community Mental Health: An Interdisciplinary Approach. Oxford Press.
Chapter
The process of aging often poses unique challenges to the practice of couple's counseling. This highlights the importance for mental health professionals working with this population to be aware of these challenges and provide effective interventions in an empathic and well-informed manner. Therefore, this chapter examines how Rational Emotive and...
Article
Full-text available
The Million Hearts initiative is a good way to spread the word about cardiovascular health. It is an important initiative that will raise awareness, and nurses in the mental health community should be particularly interested in joining the campaign. Joining forces with Million Hearts will encourage nurses to identify individuals at cardiac risk, en...
Chapter
McMahon, J., Hickey, M., & Swarbrick, M. (2012). Helping Couples Deal with Aging. In Cognitive and Rational-Emotive Therapy for Couples. Ed. A. Vernon. Springer.
Article
Full-text available
This project assessed the effectiveness of group provision of four modules of illness management and recovery (IMR): recovery strategies, building social support, coping with problems and symptoms, and reducing relapse. Sixty-six adults (ages 20–68) diagnosed with severe mental illness recruited from consumer-run self-help centers in New Jersey par...
Article
Full-text available
The purpose of the present study was to investigate and describe from the participants' perspectives the factors and processes influencing their choice as to whether to use prescribed psychiatric medication. Thematic content analysis of data was obtained from semi-structured interviews with 19 individuals diagnosed with mental illnesses. Central th...
Article
Full-text available
This brief report presents the conceptual framework for the development of the peer wellness coach role including the definition of a new job role for peer providers and an overview of the knowledge and skills required for this role. People with serious mental illnesses are at greater risk of living with untreated chronic medical conditions that se...
Article
Full-text available
Although not strictly "education and training," promoting staff wellness is an important component in hiring, supervising, and evaluating psychiatric rehabilitation practitioners. Certainly, a "well" staff member is likely to have reduced absenteeism, but also is likely to be a more efficient worker and a more effective learner. Given the emphasis...
Chapter
Solomon, P., Schmidt, L., Swarbrick, M., & Mannion, E. (2011). Chapter 22. Innovative Programs for Consumer with Psychiatric Disabilities. In Service Delivery for Vulnerable Populations: New Directions in Behavioral Health, Eds. Steven A. Estrine, S., Hettenbach, R., Messina, M. Springer Publishing.
Chapter
Swarbrick, M. (2011). Expertise from Experience: Mental Health Recovery and Wellness. In Eds. Graham, G., Thornicroft, G., Szmukler, G., Mueser, KT., & Drake, RE. Oxford Textbook of Community Mental Health. Oxford University Press.
Technical Report
Full-text available
Numerous studies have shown that substantial proportions of individuals with psychiatric disabilities have annual incomes falling at or below the federal poverty level. Other studies have shown that asset development programs can enhance the economic security of low-income populations. The purpose of this report was to describe how asset developmen...
Chapter
Full-text available
Overview According to Gates and Akabas , practices conducive to effectively integrating peer providers as staff of mental health agencies include: clearly defined job structure, adequate training, support and guidance regarding disclosure of peer status, and opportunities for networking and social support. Practices that seem to undermine successfu...
Article
Full-text available
Studies indicate that asset development programs such as Individual Development Accounts (IDAs) can enhance the economic security of low-income populations; however, only a handful of asset development programs have been implemented specifically to serve people with psychiatric disabilities, and larger programs have not collected disability-specifi...
Article
Full-text available
This article provides an overview of the national actions by key groups on recovery from psychiatric disability and how a shift is needed to transform health care service delivery in mental health. Fundamental components of recovery are outlined, and examples are provided from the literature in nursing and related disciplines that reflect similar r...
Article
Full-text available
Book
A collection of new and previously published articles, gives the reader an up-to-date appreciation for how people in recovery are establishing themselves within mutual support organizations, peer-support programs, as well as psychiatric service settings. Topics include: evolution of persons in recovery as providers, peer operated services and self...
Chapter
Swarbrick, M. (2010) Peer-operated Service Model. In Persons in Recovery as Providers of Psychiatric Rehabilitation Services: Building on the Wisdom of Experience. (Eds). Swarbrick, M., Schmidt, L., & Gill, K. United States Psychiatric Rehabilitation Association.
Chapter
Swarbrick, M. (2010). People in Recovery as Leaders and Innovators. In People in Recovery as Providers of Psychiatric Rehabilitation Services: Building on the Wisdom of Experience. United States Psychiatric Rehabilitation Association
Chapter
Swarbrick, M., Madara, E., White, B., & Schmidt, L. (2010). People in Recovery as Members of Self-help Groups. In People in Recovery as Providers of Psychiatric Rehabilitation Services: Building on the Wisdom of Experience. (Eds). Swarbrick, M., Gill, K., & Schmidt, L. United States Psychiatric Rehabilitation Association.
Chapter
Swarbrick, M. (2010). Chapter 15: Lived Experience: Recovery and Wellness Concepts for Systems Transformation. In Occupational Therapy in Mental Health: Considerations for Advanced Practice. (Ed). Scheinholtz, M. American Occupational Therapy Association (AOTA) Self-Paced Clinical Course.
Chapter
Swarbrick, M. (2010). Chapter 3: Occupational focused Community Health and Wellness Programs. In Occupational Therapy in Mental Health: Considerations for Advanced Practice. (Ed). Scheinholtz, M. American Occupational Therapy Association (AOTA) Self-Paced Clinical Course.
Chapter
Swarbrick, M., Bates, F, & Roberts, M. (2010). Peer Employment Support Model. In People in Recovery as Providers of Psychiatric Rehabilitation Services: Building on the Wisdom of Experience. (Eds). Swarbrick, M., Gill, K., & Schmidt, L. United States Psychiatric Rehabilitation Association.