Martha Staeheli

Martha Staeheli
Yale University | YU · Department of Psychiatry

PhD

About

38
Publications
16,418
Reads
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1,267
Citations
Additional affiliations
July 2019 - present
Yale School of Medicine, New Haven, United States
Position
  • Instructor
January 2016 - present
Yale School of Medicine
Position
  • Research Associate
August 2008 - December 2015
UConn Health Center
Position
  • Research Assistant

Publications

Publications (38)
Article
Full-text available
People living with serious mental illness are often poor and financially vulnerable, but little is known about their experiences of using financial services. Using data from qualitative interviews with 31 clients of a public mental health center, this article explores the use of financial services, including bank accounts, prepaid cards, bill payme...
Article
Full-text available
Objective: This article presents findings from a randomized controlled trial of a peer support mentorship intervention designed for individuals with serious mental illness and frequent, recurrent psychiatric hospitalizations. Methods: Seventy-six individuals who were diagnosed as having a major psychotic or mood disorder and who had at least two...
Article
Full-text available
Integrating primary care with behavioral health services at community mental health centers is one response to the disparity in mortality and morbidity experienced by adults with serious mental illnesses and co-occurring substance use disorders. Many integration models have been developed in response to the Primary and Behavioral Health Care Integr...
Article
Full-text available
Introduction Behavioral health disorders remain under recognized and under diagnosed among urban primary care patients. Screening patients for such problems is widely recommended, yet is challenging to do in a brief primary care encounter, particularly for this socially and medically complex patient population. Methods In 2013, intervention patien...
Article
Summary: Urban, underserved populations experience significant disparities in the screening, prevention, and treatment of chronic disease. Electronic risk screening provides one method of eliminating disparities in the identification of risks, while limiting the burden on providers. This paper reviews the process, success, and challenges of impleme...
Article
Background: Urban, underserved populations experience considerable disparities in the screening, prevention, and treatment of chronic disease, including behavioral health disorders. Screening patients for such problems is widely recommended, yet is challenging to do in a brief primary care encounter, particularly for this complex patient population...
Article
Full-text available
Women with serious mental illnesses who are homeless and have histories of substance abuse, poverty, social dislocation, ruptured relationships, and/or experiences of abuse and trauma can encounter barriers to fully engaging in formal treatment and related services. Many local public mental health systems are often ill-equipped to accommodate these...
Article
Full-text available
Little is known about the experiences of peer support providers. This report describes a qualitative study of such experiences drawn from a project offering peer support to persons with mental illnesses who had multiple inpatient admissions within an 18-month period. Interviews focused on peer staff's relationships with participants; identifying an...
Article
Although the Signs of Suicide (SOS) suicide prevention program has been implemented at both the middle and high school levels, its efficacy has been demonstrated previously only among high school students. The current study evaluated SOS implemented in high military impact middle schools. Compared to controls, SOS participants demonstrated improved...
Article
Full-text available
Homeless women comprise a significant portion of the homeless population and may encounter multiple life stressors including mental illness, substance abuse, and trauma. Women who are homeless may experience difficulty gaining access to resources such as shelter and health care. In addition, the interaction of behavioral health problems with intima...
Article
Full-text available
Iraqi refugees face difficulties resettling in the US, which may be partially due to high rates of torture. This study determines the rates of torture experience, primary and secondary, among Iraqi refugees in the US; and the association to physical and mental health symptoms on arrival. A retrospective review was conducted in 2011 on the post-arri...
Article
Full-text available
The study examined the feasibility and effectiveness of using peer support to reduce recurrent psychiatric hospitalizations. A randomized controlled design was used, with follow-up at nine months after an index discharge from an academically affiliated psychiatric hospital. Patients were 18 years or older with major mental illness and had been hosp...
Article
In the process of becoming an expert in the mental health field the newcomer, through reading, lectures, and supervision, is taught what to notice and how to structure and conceptualize that information. A less recognized part of this learning process is that the newcomer is also taught, explicitly or implicitly, what not to notice, what not to pay...
Article
Full-text available
Shifting from a problem-based system of supports for those who are experiencing co-occurring substance and mental health disorders, there has been an increased need to explore the importance of fun, play, and pleasure's role in recovery. The following article describes an innovative intervention, New Visions of Me, with women in New Haven, Connecti...
Chapter
We have defined and discussed the nature of various notions of recovery, grappled with the implications of a recovery vision for mental health system transformation, and begun to draw the outlines of a transformed system. Now we can turn to the question of how such services and supports can actually be offered to people who need them. Here we propo...
Chapter
We begin this second chapter where we left off in the preceding one, with the question of what is involved in the work of recovery and how practitioners can best support this work. On one hand, we understand the answer to this question to be very much a work in progress. There is much still to learn about recovery and recovery-oriented care, and we...
Book
This book takes a lofty vision of "recovery" and of "a life in the community" for every adult with a serious mental illness promised by the U.S. President's 2003 New Freedom Commission on Mental Health and shows the reader what is entailed in making this vision a reality. Beginning with the historical context of the recovery movement and its recent...
Chapter
We begin with a snapshot of the world we hope to leave behind. While it may not be necessary to reiterate the reasons why transformation is needed for most readers—who, as we noted in the Introduction, may be only too familiar with the challenges presented by our current systems of care—we think it useful nonetheless to establish a point of departu...
Chapter
What does a recovery-oriented system of care look like in practice? As we suggested in the preceding chapters, the primary aim of recovery-oriented care is to offer people with serious mental illness a range of effective and culturally responsive interventions from which they may choose those services and supports they find useful in promoting or p...
Chapter
The second chapter begins with descriptions of some of the many ways in which people with serious mental illness are key agents in their own recovery. In these descriptions, we fi nd that the cornerstones of recovery are both the hope that a better life is possible and the desire the person has to pursue such a better life once this hope has taken...
Article
Full-text available
As part of the emerging recovery paradigm, there is an increasing need for psychiatric treatment and rehabilitation to be strengths-based and to be driven by the desires and preferences of the person with mental illness. Yet if mental illness is a brain disease, it is not at all clear how these characteristics contribute to improvement in the perso...
Article
Within the last 5 years, concepts of recovery have taken center stage in psychiatry as the overarching goal of mental health services. In the course of this shift towards recovery, clinicians and consumers (and many others) have struggled to make the concept of recovery both measurable and meaningful. The clinical concept of recovery has focused up...
Article
Full-text available
The notion of recovery has become a dominant force in mental health policy, evident in reports of the Surgeon General and President's New Freedom Commission. In both reports, recovery is stipulated as the overarching goal of care and foundation for reforms at state and local levels. Little consensus exists regarding the nature of recovery in mental...
Chapter
This chapter argues that continued use of inherited models of case management limits the progress that otherwise could be made in actualizing this shift from a deficit- and institution-based framework to a recovery and community integration paradigm. This paradigm calls for new models of community-based practice that move beyond the management of c...
Article
Expanding on the introduction to the multinational study described in the first article, this article briefly reviews informants’ contexts of treatment across Italy, Norway, Sweden, and the United States, and provides a cursory description of each informant, organized according to her or his respective country. The informant descriptions are follow...
Article
As they began the journey of recovery from psychosis, informants described the importance of making their own initial decision to get well and maintain their physical and mental health. Developing a sense of self-control in their lives by managing their symptoms, determining how they spend their time, developing their own ways of defending themselv...
Article
This paper explores the role of friendship in the lives of people with psychiatric disabilities through the use of narrative. We suggest that the use of phenomenologically based investigation in experimental or other traditional research designs provides a more in-depth and complex view of the lives of people with serious mental illness. We offer t...
Article
This paper explores the status of language and suffering in recovery from psychosis from a transcendentally-informed phenomenological perspective. We suggest that each of these concepts can apply both to the illness itself and to the person with the illness. The relationship between the two will be one focus of this discussion. The other focus will...

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