Changing Directions, Changing Lives: The Mental Health Strategy for Canada
01 Dec 2013-Canadian journal of community mental health (Canadian Periodical for Community Studies)-Vol. 32, Iss: 4, pp 1-8
About: This article is published in Canadian journal of community mental health.The article was published on 2013-12-01. It has received 351 citations till now. The article focuses on the topics: Mental health.
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TL;DR: In the setting of geographical and population diversity, long waits for elective care demand the capacity and commitment to scale up effective and sustainable models of care delivery across the country, which will hinge on more engaged roles for the federal government and the physician community than have existed in previous decades.
253 citations
TL;DR: In this paper, the most persistent criticisms focus on the individualism underpinning many recovery approaches in mental health, and they are not without its critics, however, they focus on individualism.
Abstract: Objective: While the recovery approach in mental health currently enjoys immense support, it is not without its critics. The most persistent criticisms focus on the individualism underpinning many ...
186 citations
TL;DR: This article proposes an alternative seven messages which are both empirically defensible and more helpful to mental health stakeholders: Recovery is best judged by the person living with the experience, many people with mental health problems recover, and diagnosis is not a robust foundation.
Abstract: Two discourses exist in mental health research and practice. The first focuses on the limitations associated with disability arising from mental disorder. The second focuses on the possibilities for living well with mental health problems. This article was prompted by a review to inform disability policy. We identify seven findings from this review: recovery is best judged by experts or using standardised assessment; few people with mental health problems recover; if a person no longer meets criteria for a mental illness, they are in remission; diagnosis is a robust basis for characterising groups and predicting need; treatment and other supports are important factors for improving outcome; the barriers to receiving effective treatment are availability, financing and client awareness; and the impact of mental illness, in particular schizophrenia, is entirely negative. We selectively review a wider range of evidence which challenge these findings, including the changing understanding of recovery, national mental health policies, systematic review methodology and undertainty, epidemiological evidence about recovery rates, reasoning biased due to assumptions about mental illness being an illness like any other, the contested nature of schizophrenia, the social construction of diagnoses, alternative explanations for psychosis experiences including the role of trauma, diagnostic over-shadowing, stigma, the technological paradigm, the treatment gap, social determinants of mental ill-health, the prevalence of voice-hearing in the general population, and the sometimes positive impact of psychosis experience in relation to perspective and purpose. We propose an alternative seven messages which are both empirically defensible and more helpful to mental health stakeholders: Recovery is best judged by the person living with the experience; Many people with mental health problems recover; If a person no longer meets criteria for a mental illness, they are not ill; Diagnosis is not a robust foundation; Treatment is one route among many to recovery; Some people choose not to use mental health services; and the impact of mental health problems is mixed.
185 citations
TL;DR: The evidence supporting the effectiveness of IPS and the benefits of working are summarized, the barriers to implementing IPS in the U.S. are discussed, and policy changes that could expand its access are suggested.
Abstract: Individual Placement and Support (IPS) is an evidence-based practice for helping people with severe mental illness (SMI) gain competitive employment, yet those who could benefit often find it difficult to obtain IPS services. We summarize the evidence supporting the effectiveness of IPS and the benefits of working, discuss the barriers to implementing IPS in the U.S., and suggest policy changes that could expand its access.
148 citations
TL;DR: It is argued that residents represent a largely untapped resource in attempts to advance the quality of psychosocial care and a model-Resident Engagement and Peer Support (REAP) is offered for designing interventions that advance residents' social identity, enhance reciprocal relationships and increase social productivity.
110 citations
References
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01 Jan 1935
TL;DR: In this paper, Neuberg and Heine discuss the notion of belonging, acceptance, belonging, and belonging in the social world, and discuss the relationship between friendship, membership, status, power, and subordination.
Abstract: VOLUME 2. Part III: The Social World. 21. EVOLUTIONARY SOCIAL PSYCHOLOGY (Steven L. Neuberg, Douglas T. Kenrick, and Mark Schaller). 22. MORALITY (Jonathan Haidt and Selin Kesebir). 23. AGGRESSION (Brad J. Bushman and L. Rowell Huesmann). 24. AFFILIATION, ACCEPTANCE, AND BELONGING: THE PURSUIT OF INTERPERSONAL CONNECTION (Mark R. Leary). 25. CLOSE RELATIONSHIPS (Margaret S. Clark and Edward P. Lemay, Jr.). 26. INTERPERSONAL STRATIFICATION: STATUS, POWER, AND SUBORDINATION (Susan T. Fiske). 27. SOCIAL CONFLICT: THE EMERGENCE AND CONSEQUENCES OF STRUGGLE AND NEGOTIATION (Carsten K. W. De Dreu). 28. INTERGROUP RELATIONS 1(Vincent Yzerbyt and Stephanie Demoulin). 29. INTERGROUP BIAS (John F. Dovidio and Samuel L. Gaertner). 30. SOCIAL JUSTICE: HISTORY, THEORY, AND RESEARCH (John T. Jost and Aaron C. Kay). 31. INFLUENCE AND LEADERSHIP (Michael A. Hogg). 32. GROUP BEHAVIOR AND PERFORMANCE (J. Richard Hackman and Nancy Katz). 33. ORGANIZATIONAL PREFERENCES AND THEIR CONSEQUENCES (Deborah H. Gruenfeld and Larissa Z. Tiedens). 34. THE PSYCHOLOGICAL UNDERPINNINGS OF POLITICAL BEHAVIOR (Jon A. Krosnick, Penny S. Visser, and Joshua Harder). 35. SOCIAL PSYCHOLOGY AND LAW (Margaret Bull Kovera and Eugene Borgida). 36. SOCIAL PSYCHOLOGY AND LANGUAGE: WORDS, UTTERANCES, AND CONVERSATIONS (Thomas Holtgraves). 37. CULTURAL PSYCHOLOGY (Steven J. Heine). AUTHOR INDEX. SUBJECT INDEX.
13,453 citations
TL;DR: In this article, the prevalence of mental disorders in lesbians, gay men, and bisexuals (LGBs) was investigated using meta-analyses and it was shown that LGBs have a higher prevalence than heterosexuals.
Abstract: In this article the author reviews research evidence on the prevalence of mental disorders in lesbians, gay men, and bisexuals (LGBs) and shows, using meta-analyses, that LGBs have a higher prevalence of mental disorders than heterosexuals. The author offers a conceptual framework for understanding
3,352 citations
TL;DR: The fundamental services and assumptions of a recovery-oriented mental health system are outlined, which could have major implications for how future mental health systems are designed.
Abstract: he implementation of deinstitutionalization in the 1960s and 1970s, and the increasing ascendance of the community support system concept and the practice of psychiatric rehabilitation in the 1980s, have laid the foundation for a new 1990s vision of service delivery for people who have mental illness. Recovery from mental illness is the vision that will guide the mental health system in this decade. This article outlines the fundamental services and assumptions of a recovery-oriented mental health system. As the recovery concept becomes better understood, it could have major implications for how future mental health systems are designed. The seeds of the recovery vision were sown in the aftermath of the era of deinstitutionalization. The failures in the implementation of the policy of deinstitutionalization confronted us with the fact that a person with severe mental illness wants and needs more than just symptom relief. People with severe T CHANGING TOWARD THE FUTURE
3,129 citations
01 Jan 2013
TL;DR: An esteemed panel of speakers discuss how has Canada committed to the equality and full social inclusion of persons with disabilities and what does the Convention mean for Nova Scotians with disabilities.
Abstract: At this session, an esteemed panel of speakers discuss: • How has Canada committed to the equality and full social inclusion of persons with disabilities? • Are persons with disabilities enjoying the rights guaranteed by the Convention on the Rights of Persons with Disabilities? • What does the Convention mean for Nova Scotians with disabilities, and how can we ensure an inclusive and accessible Nova Scotia?
2,196 citations
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