Value of psychiatric rehabilitation in a behavioral health medicaid managed care system.

Abstract:

OBJECTIVE:The present study was designed to describe individuals receiving psychiatric rehabilitation (PR) service and investigate program outcomes and factors associated with progress in a multisite, descriptive evaluation across Pennsylvania. METHOD:Through an outcomes-monitoring process integrated into routine service delivery, survey responses from 408 individuals participating in PR were summarized. Linear mixed models were used to examine change over time in self-reported progress ratings in rehabilitation domains and factors associated with progress. RESULTS:Significantly lower utilization of inpatient psychiatric service was observed in the 12 months after initiating PR versus the 12 months before service (15% vs. 24%; p = .002). Peer and case management service increased after initiation of PR. Specifying a domain as a goal in the service plan was associated with higher progress ratings in the learning (β = .75, p < 0001), working (β = 1.06, p < .0001), and physical wellness (β = 1.27, p < .0001) domains. Average hopefulness rating was positively and significantly associated with self-reported progress in all domains. CONCLUSIONS AND IMPLICATIONS FOR PRACTICE:The current investigation provides some evidence that individuals participating in PR decrease utilization of inpatient service. This finding and the goals and activities reported in domains over time support the added value of PR as a Medicaid-reimbursable service to managed care efforts to promote rehabilitation outcomes and recovery for individuals with psychiatric disabilities. (PsycINFO Database Record

journal_name

Psychiatr Rehabil J

authors

Hutchison SL,MacDonald-Wilson KL,Karpov I,Maise AM,Wasilchak D,Schuster JM

doi

10.1037/prj0000271

subject

Has Abstract

pub_date

2017-06-01 00:00:00

pages

216-224

issue

2

eissn

1095-158X

issn

1559-3126

pii

2017-25655-003

journal_volume

40

pub_type

杂志文章
  • Is recovery possible outside the financial mainstream?

    abstract::As psychiatric rehabilitation practitioners, we have solid evidence that our field's services are effective in helping people become employed, participate in social and civic life, avoid restrictive and coercive psychiatric treatment, and thrive in stable and secure community residences. Yet, hundreds of thousands of ...

    journal_title:Psychiatric rehabilitation journal

    pub_type: 杂志文章

    doi:10.1037/prj0000242

    authors: Cook JA,Mueser KT

    更新日期:2016-12-01 00:00:00

  • Towards a unified program of rehabilitation for those with psychiatric disabilities in Singapore.

    abstract::This paper sets out in detail how the Singapore Anglican Welfare Council (SAWC) has worked from its charter vision to a number of interlocking strategies and programs in the rehabilitation of those with psychiatric disabilities in Singapore. While the pathway toward a holistic and integrated model of rehabilitation ma...

    journal_title:Psychiatric rehabilitation journal

    pub_type: 杂志文章

    doi:10.2975/26.2002.3.12

    authors: Thio S

    更新日期:2002-07-01 00:00:00

  • Measurement equivalence of the Empowerment Scale for White and Black persons with severe mental illness.

    abstract:OBJECTIVE:The current study examined the measurement equivalence on a measure of personal empowerment for Black and White consumers of mental health services. METHOD:Confirmatory factor analysis was used to assess measurement equivalence of the 28-item Empowerment Scale (Rogers, Chamberlin, Ellison, & Crean, 1997), us...

    journal_title:Psychiatric rehabilitation journal

    pub_type: 杂志文章

    doi:10.1037/prj0000069

    authors: Morris SB,Huang J,Zhao L,Sergent JD,Neuhengen J

    更新日期:2014-12-01 00:00:00

  • Time use among people with psychiatric disabilities: implications for practice.

    abstract:TOPIC:This paper reviewed the current literature regarding time use among people with psychiatric disabilities. PURPOSE:The purpose was to investigate what characterizes time use, occupational balance and occupational patterns among people with psychiatric disabilities, how time use relates to health in this group, an...

    journal_title:Psychiatric rehabilitation journal

    pub_type: 杂志文章,评审

    doi:10.2975/32.3.2009.177.191

    authors: Eklund M,Leufstadius C,Bejerholm U

    更新日期:2009-01-01 00:00:00

  • A strengths perspective in working with an adolescent with depression.

    abstract::Depression has long been a problem in our society. In this paper, the writer tries to contrast a disease orientation and a strengths perspective in helping an adolescent with depression. The strengths perspective advocates identifying needs and ability behind client's symptoms and deficits; nurturing individuals' posi...

    journal_title:Psychiatric rehabilitation journal

    pub_type: 杂志文章

    doi:10.2975/28.2005.362.369

    authors: Yip KS

    更新日期:2005-04-01 00:00:00

  • The acceptability and outcomes of a peer- and health-professional-led Stanford self-management program for Vietnam veterans with alcohol misuse and their partners.

    abstract:OBJECTIVE:The purpose of this study was to determine the acceptability of peer- and health-professional-led self-management education using the Stanford Program with Australian veterans and their partners. METHODS:The 6-week program taught problem-solving and decision-making skills to activate healthful behaviors, inc...

    journal_title:Psychiatric rehabilitation journal

    pub_type: 杂志文章,随机对照试验

    doi:10.1037/prj0000031

    authors: Beattie J,Battersby MW,Pols RG

    更新日期:2013-12-01 00:00:00

  • Social network correlates among people with psychiatric disabilities.

    abstract::This study explores three social network characteristics as they relate to demographic, clinical, and quality of life factors. The sample consists of 219 participants with serious mental illness. Results indicate that clients' social networks were small, and that network size is robustly related to symptoms and other ...

    journal_title:Psychiatric rehabilitation journal

    pub_type: 杂志文章

    doi:10.2975/26.2003.393.402

    authors: Goldberg RW,Rollins AL,Lehman AF

    更新日期:2003-04-01 00:00:00

  • The effects of supported employment in Latino consumers with severe mental illness.

    abstract:OBJECTIVE:Despite the large number of Latinos living in the United States, little research has evaluated the effectiveness of different vocational rehabilitation programs for individuals with severe mental illness in this rapidly growing minority population. This article presents a secondary analysis of a randomized, c...

    journal_title:Psychiatric rehabilitation journal

    pub_type: 杂志文章,随机对照试验

    doi:10.1037/prj0000062

    authors: Mueser KT,Bond GR,Essock SM,Clark RE,Carpenter-Song E,Drake RE,Wolfe R

    更新日期:2014-06-01 00:00:00

  • Self-stigma: A personal journey.

    abstract:TOPIC:This contribution describes a personal recovery journey and highlights the value and importance of engagement in peer-to-peer services to help promote growth and transformation. PURPOSE:In this contribution, the author emphasizes the significance of educating and supporting others to overcome the barriers of sel...

    journal_title:Psychiatric rehabilitation journal

    pub_type: 杂志文章

    doi:10.1037/prj0000140

    authors: Lipfird AC

    更新日期:2015-06-01 00:00:00

  • "It suits my needs": Self-employed individuals with psychiatric disabilities and small businesses.

    abstract:OBJECTIVE:Small business is a favorably regarded institution in America. Given employment disparities among individuals with psychiatric disabilities compared to other workers, self-employment has potential to promote career development and community integration. However, little is known about what has helped or hinder...

    journal_title:Psychiatric rehabilitation journal

    pub_type: 杂志文章

    doi:10.1037/prj0000341

    authors: Ostrow L,Smith C,Penney D,Shumway M

    更新日期:2019-06-01 00:00:00

  • Psychiatric leisure rehabilitation: conceptualization and illustration.

    abstract::Leisure or recreational rehabilitation is not much developed in psychiatric rehabilitation. I present some definitions and a (very) brief history of the notion of leisure, as well as the role of leisure in health. I then describe a novel classification of leisure activities relevant to people with psychiatric disabili...

    journal_title:Psychiatric rehabilitation journal

    pub_type: 杂志文章

    doi:10.2975/29.2005.63.65

    authors: Rudnick A

    更新日期:2005-07-01 00:00:00

  • Culture, control, and family involvement: a comparison of psychosocial rehabilitation in India and the United States.

    abstract::Research has shown better prognosis rates for people with psychiatric disabilities in developing countries than in Western countries. By comparing psychosocial rehabilitation in India and the United States, this paper explores how cultual beliefs and practices impact the recovery of people with psychiatric disabilitie...

    journal_title:Psychiatric rehabilitation journal

    pub_type: 杂志文章

    doi:10.1037/h0095015

    authors: Stanhope V

    更新日期:2002-01-01 00:00:00

  • Employer attitudes about criminal histories.

    abstract:OBJECTIVE:Although the individual placement and support (IPS) approach has demonstrated superior competitive employment outcomes for people with severe mental illness, practitioners report that job obtainment for people with criminal convictions is particularly challenging. The current study examined employer hiring de...

    journal_title:Psychiatric rehabilitation journal

    pub_type: 杂志文章

    doi:10.1037/h0094498

    authors: Swanson SJ,Langfitt-Reese S,Bond GR

    更新日期:2012-09-01 00:00:00

  • Interest in technology-based therapies hampered by access: A survey of veterans with serious mental illnesses.

    abstract:OBJECTIVE:Computer technology is used in various ways to deliver and enhance health care. It is therefore important to understand technology use patterns among underserved populations such as persons with serious mental illnesses who often experience inequitable care. METHODS:A survey was administered to 210 veterans ...

    journal_title:Psychiatric rehabilitation journal

    pub_type: 杂志文章

    doi:10.1037/prj0000180

    authors: Klee A,Stacy M,Rosenheck R,Harkness L,Tsai J

    更新日期:2016-06-01 00:00:00

  • Conducting focus groups with women with severe psychiatric disabilities: a methodological overview.

    abstract::This article presents information on the methodology used in conducting focus groups with women with severe psychiatric disabilities. The purpose of the focus groups was to understand the experiences of low-income women with severe psychiatric disabilities in accessing and using primary health care services. Discussed...

    journal_title:Psychiatric rehabilitation journal

    pub_type: 杂志文章,评审

    doi:10.1037/h0095031

    authors: Koppelman NF,Bourjolly JN

    更新日期:2001-10-01 00:00:00

  • Church-based support groups for African American families coping with mental illness: outreach and outcomes.

    abstract::To better understand how church-based support groups help African American families of persons with mental illness, this study examined the outreach efforts used to provide information about the support group to congregants as well as the participation outcomes reported by families who attended support group meetings....

    journal_title:Psychiatric rehabilitation journal

    pub_type: 杂志文章

    doi:10.2975/26.2002.173.180

    authors: Pickett-Schenk SA

    更新日期:2002-10-01 00:00:00

  • Health literacy training: A model for effective implementation and sustainability.

    abstract:OBJECTIVE:Training the mental health workforce to provide health promotion and support to people using their services to manage comorbid conditions is essential if full integration of physical and mental health is to become a reality. We document how a training model was explicitly designed to extend curricula beyond t...

    journal_title:Psychiatric rehabilitation journal

    pub_type: 杂志文章

    doi:10.1037/prj0000166

    authors: Davis K,Swarbrick P,Krzos IM,Ruppert S,O'Neill S

    更新日期:2015-12-01 00:00:00

  • Employment outcomes from VA vocational services involving transitional work for veterans with a diagnosis of posttraumatic stress disorder.

    abstract:OBJECTIVE:Transitional work (TW) for veterans with psychiatric disabilities is the predominant model of vocational rehabilitation in the Veterans Health Administration (VA). Although, on average, TW employment outcomes have been demonstrated to be inferior to supported employment, little is known about the potential su...

    journal_title:Psychiatric rehabilitation journal

    pub_type: 杂志文章,随机对照试验

    doi:10.1037/prj0000357

    authors: Davis LL,Resnick SG,Maieritsch KP,Weber KC,Erbes CR,Strom TQ,McCall KP,Kyriakides TC

    更新日期:2019-09-01 00:00:00

  • Perceived stigma and community integration among clients of assertive community treatment.

    abstract::Facilitating the integration of persons with psychiatric disabilities is an important goal of community programs. In addition to limitations such as inadequate housing, poverty, and unemployment, a common barrier to community adjustment identified by people with psychiatric disabilities is their perception of being st...

    journal_title:Psychiatric rehabilitation journal

    pub_type: 杂志文章

    doi:10.1037/h0095005

    authors: Prince PN,Prince CR

    更新日期:2002-04-01 00:00:00

  • Predictors of mental health services use among lesbian and heterosexual women.

    abstract::Studies examining mental health services have identified a series of indicators with demonstrated effects on services access, barriers, and utilization, including gender, race/ethnicity, and socioeconomic status, as well as indicators such as type of insurance, client attitudes toward mental health, and diagnosis. Thi...

    journal_title:Psychiatric rehabilitation journal

    pub_type: 杂志文章

    doi:10.2975/29.2006.289.298

    authors: Razzano LA,Cook JA,Hamilton MM,Hughes TL,Matthews AK

    更新日期:2006-04-01 00:00:00

  • Barriers to exercise among people with severe mental illnesses.

    abstract:OBJECTIVE:Lack of exercise is a risk factor for various negative health outcomes. Some research suggests people with severe mental illnesses are less likely to engage in exercise than the general population. The purpose of this report is to document, analyze, and understand self-identified barriers to exercise that may...

    journal_title:Psychiatric rehabilitation journal

    pub_type: 杂志文章

    doi:10.1037/h0094747

    authors: Glover CM,Ferron JC,Whitley R

    更新日期:2013-03-01 00:00:00

  • Interventions targeting mental health self-stigma: A review and comparison.

    abstract:OBJECTIVE:With growing awareness of the impact of mental illness self-stigma, interest has arisen in the development of interventions to combat it. The present article briefly reviews and compares interventions targeting self-stigma to clarify the similarities and important differences between the interventions. METHO...

    journal_title:Psychiatric rehabilitation journal

    pub_type: 杂志文章,评审

    doi:10.1037/prj0000100

    authors: Yanos PT,Lucksted A,Drapalski AL,Roe D,Lysaker P

    更新日期:2015-06-01 00:00:00

  • Is individual placement and support an "active" labor market policy?

    abstract:OBJECTIVE:The aim of this study was to propose individual placement and support (IPS) as an important component of modern labor market policies and as a paradigm to be considered while drafting and adopting them. BACKGROUND:Modern European labor market policies, termed activation policies, aim to support a personal co...

    journal_title:Psychiatric rehabilitation journal

    pub_type: 杂志文章

    doi:10.1037/prj0000396

    authors: Rizza R,Fioritti A

    更新日期:2020-03-01 00:00:00

  • Pushing the envelope: shared decision making in mental health.

    abstract:TOPIC:This article reviews the literature on shared decision making in health and mental health and discusses tools in general health that are proposed for adaptation and use in mental health. PURPOSE:To offer findings from literature and a product development process to help inform/guide those who wish to create or i...

    journal_title:Psychiatric rehabilitation journal

    pub_type: 杂志文章,评审

    doi:10.2975/34.1.2010.14.22

    authors: Curtis LC,Wells SM,Penney DJ,Ghose SS,Mistler LA,Mahone IH,Delphin-Rittmon M,del Vecchio P,Lesko S

    更新日期:2010-07-01 00:00:00

  • Interdependent recovery of adults with schizophrenia: Asian American consumer perspectives of family involvement and influence.

    abstract:OBJECTIVE:Family involvement is important in the recovery experience of culturally diverse adults with schizophrenia. However, little is known about the influence of family among consumers purported to have close family ties without regular contact. This study explored Asian American consumers' views about family relat...

    journal_title:Psychiatric rehabilitation journal

    pub_type: 杂志文章

    doi:10.1037/prj0000076

    authors: Lee KK,Yamada AM,Kim MA,Dinh TQ

    更新日期:2015-09-01 00:00:00

  • Enhancing systematic implementation of skills training modules for persons with schizophrenia: three steps forward and two steps back?

    abstract:OBJECTIVE:This brief report addresses the systematic implementation of skills training modules for persons with schizophrenia or related disorders in three Dutch mental health agencies. METHODS:Information on barriers, strategies and integration into routine daily practice was gathered at 0, 12 and 24 months through i...

    journal_title:Psychiatric rehabilitation journal

    pub_type: 杂志文章

    doi:10.2975/33.1.2009.50.52

    authors: van Erp NH,van Vugt M,Verhoeven D,Kroon H

    更新日期:2009-07-01 00:00:00

  • Community participation as a predictor of recovery-oriented outcomes among emerging and mature adults with mental illnesses.

    abstract:OBJECTIVE:The promotion of recovery and quality of life is a major focus of national and local mental health system transformation efforts. There has been simultaneous interest in enhancing community participation as a facilitator of recovery. This study examines the community participation experiences of emerging adul...

    journal_title:Psychiatric rehabilitation journal

    pub_type: 杂志文章

    doi:10.2975/35.3.2012.219.229

    authors: Kaplan K,Salzer MS,Brusilovskiy E

    更新日期:2012-01-01 00:00:00

  • Predictors of attendance in a group-based model of case management for supported housing.

    abstract:OBJECTIVE:To examine the frequency and predictors of group attendance in a new group-intensive peer support (GIPS) model of case management for the Veterans Affairs supported housing program. METHODS:Administrative data and group attendance records from 1 GIPS program were analyzed using bivariate and regression analy...

    journal_title:Psychiatric rehabilitation journal

    pub_type: 杂志文章

    doi:10.1037/prj0000059

    authors: Tsai J,Stefanovics E,Rosenheck RA

    更新日期:2014-12-01 00:00:00

  • Effectiveness of peer-delivered Center for Independent Living supports for individuals with psychiatric disabilities: A randomized, controlled trial.

    abstract:OBJECTIVE:The goal of this study was to examine the effectiveness of peer-delivered core services of Centers for Independent Living (CILs), which include advocacy, information and referral, skills training, and peer support. METHOD:Ninety-nine individuals with a schizophrenia-spectrum or affective disorder who identif...

    journal_title:Psychiatric rehabilitation journal

    pub_type: 杂志文章,随机对照试验

    doi:10.1037/prj0000220

    authors: Salzer MS,Rogers J,Salandra N,O'Callaghan C,Fulton F,Balletta AA,Pizziketti K,Brusilovskiy E

    更新日期:2016-09-01 00:00:00

  • Community discharge of patients with schizophrenia: a Japanese experience.

    abstract::In Japan, admission to a psychiatric facility for people with schizophrenia is usually for life. We developed a rehabilitation program aimed at discharging these patients into the Tokyo community. This paper describes the results for the 224 patients. Using an inpatient ward at the Tokyo Musashino Hospital, patients w...

    journal_title:Psychiatric rehabilitation journal

    pub_type: 杂志文章

    doi:10.2975/28.2004.143.149

    authors: Noda F,Clark C,Terada H,Hayashi N,Maeda K,Sato M,Ito K,Kitanaka J,Asai T,Nishimura T,Kushigami K,Okada K,Taniguchi Y,Mantani T

    更新日期:2004-10-01 00:00:00