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Approaches For And Barriers To The Long-Term Execution Of A Recovery-Oriented Rehabilitation Model Of Treatment In A Community Day Psychiatric Rehabilitation Setting, Sarah Fischer

Department of Psychology: Dissertations, Theses, and Student Research

This dissertation explores the process of creating, implementing, adapting and evaluating a program of care that is composed of specific program features that promote the acquisition of independent living skills, prosocial behavior, progress toward personal recovery goals, and more integrated community living. This program was created and implemented at a community mental health agency that provides integrated mental health care services for individuals with serious mental illness (SMI).

The goals of this dissertation were to (1) compare initial and long-term fidelity to the psychiatric rehabilitation model in order to establish the program’s ability to prevent drift, (2) explore the culture …

Creating A “Good” Olmstead Plan For People With Serious Mental Illness: An Empirical Evaluation Of The Legal Frameworks, Andrea Avila

Department of Psychology: Dissertations, Theses, and Student Research

Olmstead v. L.C. ex rel Zimring (1999) was a landmark US Supreme Court decision holding that unjustified segregation of people with disabilities is impermissible discrimination; specifically, if the clinician and client believe community integration to be appropriate, the state must have reasonable accommodations in place for the client to be in the community. Enforcement of the Olmstead decision for people with serious mental illness has taken many shapes, from the DOJ’s settlement agreements requiring substantive development of community mental health services and aggressive community integration protocols, to the Third Circuit approach which requires only lower census numbers in the state …

Peer Support For Consumers With Psychosis, Elizabeth Ann Cook

Department of Psychology: Dissertations, Theses, and Student Research

The purposes of this project were: 1) to collaboratively adapt an existing cognitive-behavioral intervention for consumers with serious mental illness (SMI) so that it could be provided by peers, and 2) to evaluate the feasibility of the resulting group intervention and perform a preliminary analysis of its effectiveness. Focus groups consisting of 7 consumers with SMI and 9 peer providers assisted in the determination of group content and structure. Results from the focus groups suggested significant overlap between topics covered and educational strategies utilized in traditional psychosocial interventions and preferences for the peer-based group. However, participants expressed a preference for …

Examining The Interrater Reliability Of The Comprehensive Inventory Of Mental Health And Recovery And Rehabilitation Services (Cimhrrs), Robert W. Johnson

Department of Psychology: Dissertations, Theses, and Student Research

This dissertation is one step in the continuing development, evaluation, and validation of the Comprehensive Inventory of Mental Health and Recovery and Rehabilitation Services (CIMHRRS). The CIMHRRS is an instrument to guide comprehensive assessment of programs that provide integrated services to people with serious mental illness (SMI).

The project described in this dissertation evaluated three key aspects of its performance in real world application: practical feasibility, internal consistency and reliability, and ability to distinguish between different programs. Investigators utilized a combination of principles and methods, associated with psychometric scale development, field methods, and program evaluation. Using a structured site review …