자연주의적 탐구조사(Naturalistic Inquiry)

Man's Search for Meaning: An Introduction to Logotherapy.

The Psychology of Religion and Coping: Theory, Research, Practice

We describe different models of community care for persons with severe mental illness and review the research literature on case management, including the results of 75 studies. Most research has been conducted on the assertive community treatment (ACT) or intensive case management (ICM) models. Controlled research on ACT and ICM indicates that these models reduce time in the hospital and improve housing stability, especially among patients who are high service users. ACT and ICM appear to have moderate effects on improving symptomatology and quality of life. Most studies suggest little effect of ACT and ICM on social functioning, arrests and time spent in jail, or vocational functioning. Studies on reducing or withdrawing ACT or ICM services suggest some deterioration in gains. Research on other models of community care is inconclusive. We discuss the implications of the findings in terms of the need for specialization of ACT or ICM teams to address social and vocational functioning and substance abuse. We suggest directions for future research on models of community care, including evaluating implementation fidelity, exploring patient predictors of improvement, and evaluating the role of the helping alliance in mediating outcome.

/pdf/models-of-community-care-for-severe-mental-illness-a-review-1v610n37t5.pdf

Models of community care for severe mental illness : A review of research on case management

This critical review of 29 studies published through 1996 on the gain experienced among informal caregivers of older adults, identifies 13 conceptual (i.e., definitions and theoretical frameworks) and methodological (i.e., sampling, design, measurement, analysis) observations. Key limitations of prior research are highlighted and recommendations necessary for the advancement of research in this area of inquiry are made. Drawing upon relevant theoretical frameworks and the observations noted in this review, a conceptual framework is proposed to bring some consistency to the ways in which future research on positive aspects of caregiving proceeds.

Gain in the Caregiving Experience: Where Are We? What Next?

A Strengths Perspective for Social Work Practice

The future of strength based social work is both promising and precarious. In this article we seek to capture this uncertain state by sketching the evolution of the strengths approach and offering and offering a brief evaluation of its status today. There are any number of approaches to both theory and practice at present that profess to be strengths-based. It is imperative that we develop stable and concrete criteria for determining whether a given perspective if framework is, in fact, funded by strengths principles and practices. We offer six standards for making such a judgment. We also examine the future of the strengths model. Of course, writing on the future tempts one to make predictions. We have eschewed such folly. Instead, we offer four tasks that we believe would bolster the development of strengths-based social work in the future.

/pdf/the-future-of-strengths-based-social-work-38zay2k82w.pdf

The Future of Strengths-Based Social Work

Because many consumers view spirituality as important in their recovery, mental health professionals can benefit from a clearer understanding of the role of religion from the consumer's perspective.

Recoiling, regrouping, and recovering: First‐person accounts of the role of spirituality in the course of serious mental illness

The impact of stigma and discrimination against persons with mental illness is well documented. Less well researched are the interpersonal and intrapersonal mechanisms that mediate how acts of discrimination impact persons with mental illness, specifically social support. Past research has focused on the buffering, or moderating impact of perceived social support. We hypothesize that perceived social support is a psychological process, changed by interactions with the outside world, including stressful interactions. In this study, we explore perceived social support as a mediator between the impact of experienced discrimination and mental health. We also test the moderating hypotheses as a way to determine if past research on the role of perceived social support is a better model than the mediating model. We used data from a subset of the Canadian Community Health Survey–Mental Health. We tested the mediating role of perceived social support using the bootstrapped estimate of the 95% confidence interval of the indirect effect. We also tested the buffering hypothesis of perceived social support, using the product of the impact of decimation measure and perceived social support measure. The results suggest that perceived social support does mediate the relationship between the impact of experienced discrimination and mental health. The buffering hypothesis did not hold. Results suggest a new way to model the relationship of perceived social support, stigma, and mental health. Further, the results provide insights into the importance of intervening at the point of discrimination.

The mediating effect of social support on the relationship between the impact of experienced stigma and mental health.

The Strengths Model/Perspective was developed by social workers and the profession continues to be the leader in its practice, research and refinement. This article traces the three decades of evolution of this approach and the continuing expansion of its use around the world. Cautionary notes are provided and an agenda for future development is proposed.

https://advancesinsocialwork.iupui.edu/index.php/advancesinsocialwork/article/download/16643/16890

W. Patrick Sullivan

Papers

A Strengths Perspective for Social Work Practice

The Future of Strengths-Based Social Work

Recoiling, regrouping, and recovering: First‐person accounts of the role of spirituality in the course of serious mental illness

The mediating effect of social support on the relationship between the impact of experienced stigma and mental health.

The Strengths Model: Birth to Toddlerhood