The negotiation of identity among people with mental illness in rural communities.

Abstract:

:Integration and normalization are goals within the community-based care of people with mental illness. The implementation of this care policy has led to increased contact between people with mental illness and so-called normal people and society at large. But we know little about how this change affects the former patients' identity and experience of stigma and stereotyping. This study is based on qualitative interviews with people with mental illness (N=15) living in rural communities in four different municipalities. The focus in the study is on the informants' subjective experiences and the results show that they adapt in different ways, depending on how they negotiate their identity. Those who accept their role as "mental patients" seem to have easier access to services, they experience less stigmatization and fewer conflicts with their surroundings than those who oppose the patient role. Seem from our informants' perspectives there seems to be a simple definition of integration: Being integrated is feeling accepted as yourself. Some implications for policy and mental health services are discussed.

authors

Ekeland TJ,Bergem R

doi

10.1007/s10597-006-9034-y

subject

Has Abstract

pub_date

2006-06-01 00:00:00

pages

225-32

issue

3

eissn

0010-3853

issn

1573-2789

journal_volume

42

pub_type

杂志文章
  • The effect of psychiatric rehabilitation on the activity and participation level of clients with long-term psychiatric disabilities.

    abstract::During the last decades of the 20th century, many psychiatric hospitals changed the living environments of their clients with long-term psychiatric disabilities. We investigated the effect of this environmental psychiatric rehabilitation and normalization process on the activity and participation level of such clients...

    journal_title:Community mental health journal

    pub_type: 杂志文章

    doi:10.1023/b:comh.0000003014.01612.70

    authors: van Wel T,Felling A,Persoon J

    更新日期:2003-12-01 00:00:00

  • Empowerment and its associations in schizophrenia: a cross-sectional study.

    abstract::Empowerment denotes a sense of personal competence which is considered an essential requisite of fair outcome in schizophrenia. The current study assessed empowerment along with other relevant variables in patients with schizophrenia and a comparison group. Hierarchical multiple linear regression analysis identified i...

    journal_title:Community mental health journal

    pub_type: 杂志文章

    doi:10.1007/s10597-014-9729-4

    authors: Jana AK,Ram D,Praharaj SK

    更新日期:2014-08-01 00:00:00

  • Routine outcomes monitoring to support improving care for schizophrenia: report from the VA Mental Health QUERI.

    abstract::In schizophrenia, treatments that improve outcomes have not been reliably disseminated. A major barrier to improving care has been a lack of routinely collected outcomes data that identify patients who are failing to improve or not receiving effective treatments. To support high quality care, the VA Mental Health QUER...

    journal_title:Community mental health journal

    pub_type: 杂志文章

    doi:10.1007/s10597-010-9328-y

    authors: Young AS,Niv N,Chinman M,Dixon L,Eisen SV,Fischer EP,Smith J,Valenstein M,Marder SR,Owen RR

    更新日期:2011-04-01 00:00:00

  • The pain and the possibility: the family recovery process.

    abstract::The onset of a mental illness is a traumatic experience for all the members of a family. While the mental illness in their family member may be life long, family members can experience their own recovery from the trauma, just as their family member with a mental illness can experience recovery. This article will descr...

    journal_title:Community mental health journal

    pub_type: 杂志文章

    doi:10.1007/s10597-010-9315-3

    authors: Spaniol L

    更新日期:2010-10-01 00:00:00

  • A qualitative analysis of barriers, challenges, and successes in meeting the needs of Hurricane Katrina evacuee families.

    abstract::Hurricane Katrina caused many individuals to evacuate to towns and cities throughout the United States. Psychological First Aid (PFA) is a treatment program designed to help clinicians and other disaster relief workers address the needs of adults, youth, and families immediately following disasters. We conducted focus...

    journal_title:Community mental health journal

    pub_type: 杂志文章

    doi:10.1007/s10597-011-9446-1

    authors: Legerski JP,Vernberg EM,Noland BJ

    更新日期:2012-12-01 00:00:00

  • Probable Post-traumatic Stress Disorder and Self-harming Behaviour: Potential Barriers to Employment?

    abstract::The current study screened for post-traumatic stress disorder (PTSD) and self-harming behaviours, often related to borderline personality disorder (BPD), among individuals in a job centre considered unemployable primarily for psychological reasons. Participants (N = 112) filled in questionnaires on PTSD symptoms (n = ...

    journal_title:Community mental health journal

    pub_type: 杂志文章

    doi:10.1007/s10597-017-0180-1

    authors: Hansen JS,Simonsen E

    更新日期:2018-08-01 00:00:00

  • Vocational Counselors in France: Comparison to Competencies of Employment Specialists Working in Canadian IPS Programs.

    abstract::Supported employment programs are evidence-based practices to help people with severe mental illness to obtain competitive employment. The competencies of employment specialists working in these programs are key elements related to work integration. In France, the Messidor Association, a prevocational organisation, ha...

    journal_title:Community mental health journal

    pub_type: 杂志文章

    doi:10.1007/s10597-017-0109-8

    authors: de Pierrefeu I,Corbière M,Pachoud B

    更新日期:2017-10-01 00:00:00

  • Comorbid Moderate-Severe Depressive Symptoms and their Association with Quality of Life in Chinese Patients with Schizophrenia Treated in Primary Care.

    abstract::This study described the prevalence and correlates of comorbid moderate-severe depressive symptoms (comorbid depression thereafter) and their association with quality of life (QOL) in schizophrenia patients treated in primary care. 623 schizophrenia patients were enrolled. Patients' socio-demographic and clinical char...

    journal_title:Community mental health journal

    pub_type: 杂志文章

    doi:10.1007/s10597-016-0023-5

    authors: Hou CL,Ma XR,Cai MY,Li Y,Zang Y,Jia FJ,Lin YQ,Chiu HF,Ungvari GS,Hall BJ,Zhong BL,Cao XL,Xiang YT

    更新日期:2016-11-01 00:00:00

  • Mexican-American usage of state mental hospital facilities.

    abstract::Factors in the social processes by which communities act to send persons to the state mental hospital produce differences in admission rates for Mexican-Americans in certain age-sex-diagnosis specific populations. These factors are seen as related to ethnic discrimination at all stages of the process. ...

    journal_title:Community mental health journal

    pub_type: 杂志文章

    doi:10.1007/BF01436059

    authors: Wignall CM,Koppin LL

    更新日期:1967-06-01 00:00:00

  • Measuring agency investment in community mental health.

    abstract::This paper reports a study of the extent to which essential elements of community mental health are part of mental health agencies' practices. A sample of 263 social workers reported on the nature of programming and services of 19 mental health facilities ranging from city and state community mental health centers to ...

    journal_title:Community mental health journal

    pub_type: 杂志文章

    doi:10.1007/BF01424803

    authors: Cohen SZ,Reid WJ,Berg LK

    更新日期:1975-10-01 00:00:00

  • The ombudsman: a serendipitous mental health intervention.

    abstract::It is proposed that the ombudsman program, originally conceived of as a protection of the political rights of individual citizens, can be profitably viewed as a primary prevention of psychological disorders. The ombudsman attempts to alleviate reality problems prior to the onset of psychological disruption by engaging...

    journal_title:Community mental health journal

    pub_type: 杂志文章

    doi:10.1007/BF02161197

    authors: Wolkon GH,Moriwaki S

    更新日期:1977-10-01 00:00:00

  • Linking planning with evaluation in community mental health.

    abstract::A suggested example of a systematic approach for linking planning with evaluation is presented. The proposed systematic processes would help deal with the ambiguities of the mental health field and provide a more objective way of planning and evaluating programs. Program evaluation can then be related to the predeterm...

    journal_title:Community mental health journal

    pub_type: 杂志文章

    doi:10.1007/BF01419657

    authors: Olkon SH

    更新日期:1975-01-01 00:00:00

  • Group debriefing for people with chronic diseases during the SARS pandemic: Strength-Focused and Meaning-Oriented Approach for Resilience and Transformation (SMART).

    abstract::This study presented preliminary results on the efficacy of a novel group debriefing model called Strength-Focused and Meaning-Oriented Approach for Resilience and Transformation (SMART). The SMART debriefing (1) aimed at boosting resilience and catalyzing transformation among persons undergoing stressful events, (2) ...

    journal_title:Community mental health journal

    pub_type: 杂志文章,随机对照试验

    doi:10.1007/s10597-005-9002-y

    authors: Ng SM,Chan TH,Chan CL,Lee AM,Yau JK,Chan CH,Lau J

    更新日期:2006-02-01 00:00:00

  • The "true prevalence" of mental illness in a new england state.

    abstract::Utilizing the 22-Item Mental Health Scale developed by the staff of the Midtown Manhattan Project, the mental health status of a sample of 600 New Hampshire residents is examined. The findings suggest that more than one-quarter of the respondents in the sample are psychosocially impaired to varying degrees. The result...

    journal_title:Community mental health journal

    pub_type: 杂志文章

    doi:10.1007/BF01420320

    authors: Phillips DL

    更新日期:1966-03-01 00:00:00

  • Adolescence Predictors for Drug Crime Offending: A Follow-up Study of Former Adolescent Psychiatric Inpatients.

    abstract::Our aim was to examine adolescent predictors (family- and school-related factors, substance use, and psychiatric disorders) for drug crime offending. The initial study population consisted of 508 former adolescent psychiatric inpatients aged between 13 and 17 years. Of them, 60 (12%) had committed a drug crime by youn...

    journal_title:Community mental health journal

    pub_type: 杂志文章

    doi:10.1007/s10597-020-00708-2

    authors: Kontu M,Hakko H,Riala K,Riipinen P

    更新日期:2020-09-10 00:00:00

  • Do we really want a program evaluation strategy based solely on individualized goals? A critique of goal attainment scaling.

    abstract::Goal attainment scaling is a program evaluation technique that measures program success using individualized client goals rather than the same measuring instrument for all clients. Although the reliability of the goal attainment scales is generally acceptable, such scales have not exhibited satisfactory validity. Also...

    journal_title:Community mental health journal

    pub_type: 杂志文章

    doi:10.1007/BF00778605

    authors: Calsyn RJ,Davidson WS

    更新日期:1978-01-01 00:00:00

  • "Mental illness" and "disease": outmoded concepts in alcohol and drug rehabilitation.

    abstract::Are the addict and alcoholic mentally ill? By traditional standards, yes. The validity of the "mental illness" concept and its associated psychiatric labeling process, however, is challenged. A synthesis of the human ecological systems and third-force frames of reference is presented as a viable alternative to the med...

    journal_title:Community mental health journal

    pub_type: 杂志文章,评审

    doi:10.1007/BF01419665

    authors: Carroll JF

    更新日期:1975-01-01 00:00:00

  • Mental Health Consumers' Motives for Seeking Advocacy Support: A Qualitative Exploration.

    abstract::Advocacy plays a vital role in ensuring that mental health consumers' rights are maintained. However, the primary issues for which consumers seek advocacy support remain unknown. Understanding these issues provides a sound basis from which advocacy organisations may develop a clear service delivery focus. This study a...

    journal_title:Community mental health journal

    pub_type: 杂志文章

    doi:10.1007/s10597-017-0177-9

    authors: Stomski NJ,Morrison P,Whitely M,Brennan P

    更新日期:2018-07-01 00:00:00

  • Predictors of Receipt of Physical Health Services in Mental Health Clinics.

    abstract::To inform efforts to improve physical health care for adults with serious mental illness, this study examines predictors of provision and receipt of physical health services in freestanding mental health clinics in New York state. The number of services provided over the initial 12-months of implementation varied acro...

    journal_title:Community mental health journal

    pub_type: 杂志文章

    doi:10.1007/s10597-019-00399-4

    authors: Breslau J,Pritam R,Guarasi D,Horvitz-Lennon M,Finnerty M,Yu H,Leckman-Westin E

    更新日期:2019-11-01 00:00:00

  • Warm Connections: Integration of Infant Mental Health Services into WIC.

    abstract::Low-income women experience disproportionately high rates of adverse maternal mental health outcomes, such as pregnancy-related depression, and have less access to behavioral health support. Adverse maternal mental health affects children through compromising bonding, impeding early childhood development, and increasi...

    journal_title:Community mental health journal

    pub_type: 杂志文章

    doi:10.1007/s10597-020-00744-y

    authors: Klawetter S,Glaze K,Sward A,Frankel KA

    更新日期:2020-11-07 00:00:00

  • Motivational interviews as goal assessment for persons with psychiatric disability.

    abstract::A necessary first step in the psychosocial treatment of persons with severe mental illness is helping them identify their goals. Unfortunately, goal assessment is often viewed as a categorical process in which individuals list needs for which they require services. Motivational interviews provide a more sophisticated ...

    journal_title:Community mental health journal

    pub_type: 杂志文章

    doi:10.1023/a:1002757631131

    authors: Corrigan PW,McCracken SG,Holmes EP

    更新日期:2001-04-01 00:00:00

  • Ableist Microaggressions and the Mental Health of Disabled Adults.

    abstract::Microaggressions perpetuate inequalities and stereotypes against people from marginalized communities. Research demonstrates that ongoing experiences of identity-related microaggressions can negatively impact mental health outcomes, increase somatic symptoms, and increase negative affect. This study explores the relat...

    journal_title:Community mental health journal

    pub_type: 杂志文章

    doi:10.1007/s10597-020-00615-6

    authors: Kattari SK

    更新日期:2020-08-01 00:00:00

  • Client-level measures of services integration among chronically homeless adults.

    abstract:INTRODUCTION:While several major studies have examined services integration at the system or interagency level, there has been far less effort to measure the integration of services at the client-level and its correlates. METHODS:This study presents three client-level measures of services integration, two objective me...

    journal_title:Community mental health journal

    pub_type: 杂志文章

    doi:10.1007/s10597-008-9138-7

    authors: Mares AS,Greenberg GA,Rosenheck RA

    更新日期:2008-10-01 00:00:00

  • The influence of racial factors on psychiatric diagnosis: a review and suggestions for research.

    abstract::Research on race and diagnosis initially focused on black-white differences in depression and schizophrenia. Statistics showing a higher treated prevalence of schizophrenia and a lower prevalence of depression for blacks seemed to support the claim that blacks did not suffer from depression. Others argued, however, th...

    journal_title:Community mental health journal

    pub_type: 杂志文章,评审

    doi:10.1007/BF00755677

    authors: Neighbors HW,Jackson JS,Campbell L,Williams D

    更新日期:1989-01-01 00:00:00

  • The State Health Authority Yardstick (SHAY).

    abstract::State mental health authorities have a leadership role in implementing evidence-based practices (EBPs), but few instruments are available to assess the impact of this role. We describe the development of the State Mental Health Authority Yardstick (SHAY), a behaviorally anchored instrument designed to assess state-lev...

    journal_title:Community mental health journal

    pub_type: 杂志文章

    doi:10.1007/s10597-009-9181-z

    authors: Finnerty MT,Rapp CA,Bond GR,Lynde DW,Ganju V,Goldman HH

    更新日期:2009-06-01 00:00:00

  • How does the residential care system change? A longitudinal survey in a large region of Italy.

    abstract::To describe 5-year changes in the provision of Residential Facilities (RFs) in a large Italian Region and in the characteristics of their staffing and patients. 2000 census data of all RFs with >4 residential beds in the Emilia-Romagna Region were compared with 2005 census data. The number of residential beds increase...

    journal_title:Community mental health journal

    pub_type: 杂志文章

    doi:10.1007/s10597-010-9355-8

    authors: Neri G,Guzzetta F,Pazzi L,Bignami R,Picardi A,de Girolamo G

    更新日期:2011-04-01 00:00:00

  • Adherence with referrals for outpatient follow-up from a VA psychiatric emergency room.

    abstract::This study identifies patient characteristics associated with adherence to outpatient mental health treatment referrals from a VA psychiatric emergency department. Attendance of outpatient appointments was monitored for 12 weeks following emergency department visits (N = 241). Overall attendance of the first appointme...

    journal_title:Community mental health journal

    pub_type: 杂志文章

    doi:10.1023/a:1018786512676

    authors: Dobscha SK,Delucchi K,Young ML

    更新日期:1999-10-01 00:00:00

  • Public Recognition and Perceptions of Obsessive Compulsive Disorder.

    abstract::Previous research has indicated that the public's knowledge on obsessive compulsive disorder (OCD) is poor. Public understanding and perception of OCD may be one contributor to this issue. Given that mental health literacy is an important first step for those to receive the appropriate care, we sought to understand mo...

    journal_title:Community mental health journal

    pub_type: 杂志文章

    doi:10.1007/s10597-018-0323-z

    authors: Stewart E,Grunthal B,Collins L,Coles M

    更新日期:2019-01-01 00:00:00

  • The psychiatric services in Cremona: a case study of the Italian reform law.

    abstract::Italy's mental health law of 1978 provided for the gradual phasing out of psychiatric hospitals (PH) and the creation of comprehensive community-based systems. However, these changes have taken place at different times and in different forms. There are now three different organizational and care models operating in It...

    journal_title:Community mental health journal

    pub_type: 杂志文章

    doi:10.1007/BF00752444

    authors: de Girolamo G,Cappiello V

    更新日期:1989-04-01 00:00:00

  • Analysis of the Association of Clubhouse Membership with Overall Costs of Care for Mental Health Treatment.

    abstract::We examined whether frequency of attendance at the B'More Clubhouse was associated with lower mental health care costs in the Medicaid database, and whether members in the B'More Clubhouse (n = 30) would have lower mental health care costs compared with a set of matched controls from the same claims database (n = 150)...

    journal_title:Community mental health journal

    pub_type: 杂志文章

    doi:10.1007/s10597-016-0041-3

    authors: Hwang S,Woody J,Eaton WW

    更新日期:2017-01-01 00:00:00