Social and Behavioral Sciences Commons^™

Recovery In Mental Health: A Movement Towards Well-Being And Meaning In Contrast To An Avoidance Of Symptoms, Samantha Clarke, Lindsay G. Oades, Trevor Patrick Crowe

Faculty of Health and Behavioural Sciences - Papers (Archive)

Objective: This paper examines the types of goals being set by individuals in the context of Australian mental health services and whether goal type differs across the stages of recovery. Methods: Goal records of 144 individuals accessing services were reviewed to examine goal content, ratio of approach and avoidance oriented goals and changes across stages of psychological recovery. Results: Individuals further along in their recovery set significantly more approach goals and types of goals set appeared to reflect broader life roles. Conclusions and Implications for Practice: Setting approach goals and goals that reflect broader life roles tends to support the …

Hope, Meaning And Responsibility Across Stages Of Recovery For Individuals Living With An Enduring Mental Illness, Vedrana Copic, Frank P. Deane, Trevor P. Crowe, Lindsay G. Oades

Faculty of Health and Behavioural Sciences - Papers (Archive)

This study reports on the relationship between stage of recovery and hope, meaning and responsibility for individuals diagnosed with severe mental illness. Methods: Seventy-seven people with a diagnosis of a psychotic disorder of at least 6 months’ duration participated in the study. Participants completed the Self-Identified Stage of Recovery (SISR) scale, measures of component processes of recovery (Hope Scale; Positive Interpretation of Disease, SpREUK; Active Involvement, Personal Health Management Questionnaire (PHMQ) and the Recovery Assessment Scale-short (RAS). Results: Hope, meaning, Personal Confidence and Hope and Not Being Dominated by Symptoms varied significantly across stages of recovery; however, neither in a …

Dietary Fish Oil Reduces Skeletal Muscle Oxygen Consumption, Provides Fatigue Resistance And Improves Contractile Recovery In The Rat In Vivo Hindlimb, Gregory E. Peoples, Peter L. Mclennan

Faculty of Health and Behavioural Sciences - Papers (Archive)

Dietary fish oil modulates skeletal muscle membrane fatty acid composition. Similar changes in heart membrane composition modulate myocardial oxygen consumption and enhance mechanical performance. The rat in vivo autologous perfused hindlimb was used to investigate the influence of membrane composition on skeletal muscle function. Male Wistar rats were fed either saturated fat (SF), n-6 PUFA (linoleic acid rich) or n-3 PUFA (fish oil) diets for 8 weeks. Hindlimb skeletal muscle perfused using the animal’s own blood was stimulated via the sciatic nerve (1 Hz, 6-12 V, 0·05 ms) to contract in repeated 10 min bouts. The n-3 PUFA diet markedly …

Do Clinical Outcome Measures Assess Consumer-Defined Recovery?, Retta Andresen, Peter Caputi, Lindsay G. Oades

Faculty of Health and Behavioural Sciences - Papers (Archive)

There is an international call for mental health services to become recovery-oriented, and also to use evidence based practices. Addressing this call requires recovery-oriented measurement of outcomes and service evaluation.Mental health consumers view recovery as leading as meaningful life, and have criticised traditional clinical measures for being too disability-oriented. This study compares three measures of consumer-defined recovery fromenduring mental illness: the Recovery Assessment Scale, the Mental Health Recovery Measure and the Self-Identified Stage of Recovery, with four conventional clinical measures. Correlational analyses supported the convergent validity of the recovery measures, although certain subscaleswere unrelated to each other. More importantly, little …

Hope And Improvements In Mental Health Service Providers' Recovery Attitudes Following Training, Janaka D. Salgado, Frank P. Deane, Trevor P. Crowe, Lindsay G. Oades

Faculty of Health and Behavioural Sciences - Papers (Archive)

No abstract provided.

Exploring Identity Within The Recovery Process Of People With Serious Mental Illnesses, Kellie Buckley-Walker, Trevor P. Crowe, Peter Caputi

Faculty of Health and Behavioural Sciences - Papers (Archive)

Objective: To examine self-identity within the recovery processes of people with serious mental illnesses using a repertory grid methodology. Method: Cross-sectional study involving 40 mental health service consumers. Participants rated different "self" and "other" elements on the repertory grid against Constructs related to recovery, as well as other recovery focused measures. Results: Perceptions of one's "ideal self" represented more advanced recovery in contrast to perceptions of "a person mentally unwell." Current perceptions of self were most similar to perceptions of "usual self" and least similar to "a Person who is mentally unwell." Increased identification with one's "ideal self" reflected increased …

Therapeutic Homework To Support Recovery From Severe Mental Illness, Peter Kelly, Frank P. Deane

Faculty of Health and Behavioural Sciences - Papers (Archive)

Therapeutic homework refers to activities that clients complete between their visits with mental health workers. The aim of such homework is to facilitate progress toward h'eatment goals. There is an increasing body of research indicating that homework completion is associated with improved outcomes of psychotherapy across a wide range of clinical disorders (such as depression and anxiety). However, there is limited research into the role of homework in mental health case management for people with severe mental illnesses such as schizophrenia.

Mental Health Consumers' Perceptions Of Receiving Recovery-Focused Services, Sarah Marshall, Lindsay G. Oades, Trevor P. Crowe

Faculty of Health and Behavioural Sciences - Papers (Archive)

Method: A self-report questionnaire was developed drawing on key aspects of the Collaborative Recovery Model (CRM) (responsibility, collaboration, autonomy, motivation, needs, goals, homework). Ninety-two adult consumers from metropolitan, regional and rural non-government organizations and public mental health services in eastern Australian states completed the questionnaire. Results: Consumers using services provided by CRM trained workers identified significant changes to service delivery in relation to frequency with which they were encouraged to take responsibility for their recovery, degree to which they collaborated with staff and the extent to which they were encouraged to complete homework activities to assist them to achieve their …

Supporting Recovery Orientated Services For People With Severe Mental Illness, Frank P. Deane, Samson Tse, Chris Lloyd, Geoff Waghorn

Faculty of Health and Behavioural Sciences - Papers (Archive)

There is now wide agreement that people with severe mental illness can be adequately treated and cared for in the community, provided back-up hospital care is available when needed. Another important development has been the recognition that clinical treatment and care is insufficient for recovery and restoration of role functioning following illness onset, and must be supplemented by evidence-based practices in psychiatric rehabilitation. This article describes how allied health professionals can lead recovery oriented approaches that incorporate evidence-based forms of psychiatric rehabilitation. Family psychoeducation and supported employment are provided as examples of such evidence-based practices that require wider implementation.

Cardiac Electrophysiology During Progressive And Controlled Dehydration: Inferences From Ecg Analysis During Steady-State Exercise And Recovery, Gregory E. Peoples, M. Brown, Anne M.J Van Den Heuvel, Pete Kerry, Nigel A.S. Taylor

Faculty of Health and Behavioural Sciences - Papers (Archive)

When fluid intake is insufficient to match sweat losses, dehydration develops. It is well established that dehydration impacts unfavourably upon cardiovascular function, including cardiac output and peripheral blood flow (Gonzalez-Alonso et al., 1998). However, the limitations of cardiac electrophysiology in the dehydrated state are not known. In light of possible electrolyte imbalances, particularly when water deficit moves towards 7% of total body mass, it is worth considering the possibility of adverse conduction changes, as reflected within the electrocardiogram (ECG), may accompany electrolyte loss. In addition, the ECG can also be employed to investigate other cardiac limitations, such as myocardial ischaemia. …

Recovery: An International Perspective, Lindsay G. Oades, Mike Slade, Michaela Amering

Faculty of Health and Behavioural Sciences - Papers (Archive)

SUMMARY. Aims To review developments in recovery-focussed mental health services internationally. Methods Two forms of recovery which have been used in the literature are considered, and international examples of recovery-focussed initiatives reviews. A litmus test for a recovery-focussed service is proposed. Results Clinical recovery has emerged from professional literature, focuses on sustained remission and restoration of functioning, is invariant across individuals, and has been used to establish rates of recovery. Personal recovery has emerged from consumer narratives, focuses on living a satisfying, hopeful and contributing life even with limitations caused by the illness, varies across individuals, and the empirical evidence …

Midlife Women Maintaining Enriching Recovery From Alcohol Dependence, J B. Withnall, S B. Hill, Sharon R. Bourgeois

Faculty of Health and Behavioural Sciences - Papers (Archive)

Poster presented at The Joint Scientific Meeting of the Research Society on Alcoholism and the International Society for Biomedical Research on Alcoholism June 27– July 2, 2008—Washington, D.C., United States

A Review Of Consumer Involvement In Evaluations Of Case Management: Consistency With A Recovery Paradigm, Sarah L. Marshall, Trevor P. Crowe, Lindsay G. Oades, Frank F. Deane, David J. Kavanagh

Faculty of Health and Behavioural Sciences - Papers (Archive)

This Open Forum examines research on case management that draws on consumer perspectives. It clarifies the extent of consumer involvement and whether evaluations were informed by recovery perspectives. Searches of three databases revealed 13 studies that sought to investigate consumer perspectives. Only one study asked consumers about experiences of recovery. Most evaluations did not adequately assess consumers' views, and active consumer participation in research was rare. Supporting an individual's recovery requires commitment to a recovery paradigm that incorporates traditional symptom reduction and improved functioning, with broader recovery principles, and a shift in focus from illness to well-being. It also requires …

Testing The Validity Of The Recovery Assessment Scale Using An Australian Sample, Mandy Mcnaught, Peter Caputi, Lindsay G. Oades, Frank P. Deane

Faculty of Health and Behavioural Sciences - Papers (Archive)

Objective: Mental health services in Australia are increasingly becoming recovery orientated. However, there are varying meanings for recovery and few measures that specifically target recovery outcomes. The current study aimed to assess the construct and concurrent validity of a patient self-report measure, the Recovery Assessment Scale (RAS).

Method: Participants were 168 individuals with severe and persistent psychiatric disability who were participants in the Australian Integrated Mental Health Initiative (AIMhi) project. They completed self-report recovery and other mental health measures and their case workers completed the Health of the Nation Outcome Scales. Exploratory and confirmatory factor analyses were carried out to …

Stages Of Recovery Instrument: Development Of A Measure Of Recovery From Serious Mental Illness., Retta Andresen, Peter Caputi, Lindsay G. Oades

Faculty of Health and Behavioural Sciences - Papers (Archive)

Objective: In order to realize the vision of recovery-orientated mental health services, there is a need for a model and a method of measuring recovery as the concept is described by mental health consumers. A preliminary five-stage model based on consumer accounts was developed in an earlier study by the authors. This next stage of the research program describes the development and initial testing of a stage measure which, when validated, can be used in testing that model. Method: Existing measures of recovery were reviewed to assess their concordance with the model, and a new measure, the Stages of Recovery …

Evolution And Sustainability Of The Helping Hands Volunteer Program: Consumer Recovery And Mental Health Comparisoins Six Years On, Frank P. Deane, Retta Andresen

Faculty of Health and Behavioural Sciences - Papers (Archive)

The Helping Hands program commenced in 1999 and partners volunteers with mental health consumers for support and to increase social contact, recreational and friendship opportunities. The aim of the present study is to describe the evolution and sustainability of the program over the first 6 years. A description of consumers accessing the program using recovery-oriented measures and traditional measures of behavioural functioning is also provided. Service data was collected on the development of the program, service utilisation, volunteer participation and funding patterns. Cross-sectional measures of recovery and baseline and follow-up Health of the Nation Outcome Scales (HoNOS) were collected on …

Collaborative Recovery: An Integrative Model For Working With Individuals Who Experience Chronic And Recurring Mental Illness, Lindsay G. Oades, Frank P. Deane, Trevor P. Crowe, Gordon Lambert, David Kavanagh, Christopher Lloyd

Faculty of Health and Behavioural Sciences - Papers (Archive)

Objectives: Recovery is an emerging movement in mental health. Evidence for recovery-based approaches is not well developed and approaches to implement recovery-oriented services are not well articulated. The collaborative recovery model (CRM) is presented as a model that assists clinicians to use evidencebased skills with consumers, in a manner consistent with the recovery movement. A current 5 year multisite Australian study to evaluate the effectiveness of CRM is briefly described. Conclusion: The collaborative recovery model puts into practice several aspects of policy regarding recovery-oriented services, using evidence-based practices to assist individuals who have chronic or recurring mental disorders (CRMD). It …