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Biomedical subjects

W A Anthony

Publications and source records attributed to W A Anthony.

At least 19 recordsLinked to original sources
PubMed1991

Supported education: an additional program resource for young adults with long term mental illness.

Young adults with long term mental illness have been a particular challenge to mental health programs. Supported education is designed to present young adults with a programming resource which is significantly different from most existing mental health and rehabilitation programs. In this article the supported education concept is defined and alternative program models used to implement the concept are described. Young adults who have successfully experienced each of these program models discuss their experiences. Suggestions are presented as to how mental health and rehabilitation programs could develop supported education programs.

Activities of Daily Living↗
PubMed1991

Comparison of outcomes for clients seeking and assigned to supported housing services.

As part of state-supported interventions to reduce risk of rehospitalization, seriously disabled psychiatric patients who had been involuntarily hospitalized twice in the previous three years were assigned to receive supported housing services in an Oregon community. Compared with 22 voluntary clients in the same supported housing program, the 21 involuntary (assigned) clients rated higher on risk factors such as history of suicide attempts, self-neglect, homelessness, and medication noncompliance, The involuntary clients showed a much higher utilization of supported housing services and case management, psychiatric, and shelter services during the nine months after entry into the program, and they had a higher one-year rehospitalization rate. However, they used substantially fewer inpatient days in the six months after entry in the program than in the six months before.

Adult↗
PubMed1991

A supported education program for young adults with long-term mental illness.

Fifty-two young adults with severe psychiatric disabilities were selected to participate in a university-based supported education program aimed at helping them develop the skills to choose and implement a career plan. Thirty-five of the subjects completed the four-semester program. After the intervention, 42 percent of the students were competitively employed or enrolled in an educational program, compared with 19 percent before the intervention. The number of hospitalizations experienced by the subjects in the first year of the program decreased significantly, and the subjects' self-esteem increased significantly. The results indicate that rehabilitation services on a university campus may be a viable adjunct to more traditional rehabilitation services for persons with psychiatric disabilities.

Adolescent↗
PubMed1988

Professional pre-service training for working with the long-term mentally ill.

The knowledge base with respect to helping persons with long-term mental illness is expanding dramatically. Specific skills can be identified as critical for those who work with the long-term mentally ill. In contrast to in-service training, preservice (university-based) programs have been slow in offering relevant skills-based curricula. A model is proposed for describing current and future pre-service curricula. Curricula can be categorized as to whether it provides exposure, experience, or expertise in working with the long-term mentally ill. More than ever before the pre-service training programs seem ripe for the introduction of skill-based curricula relevant to helping persons who are psychiatrically disabled.

Chronic Disease↗
PubMed1988

The chronically mentally ill case management--more than a response to a dysfunctional system.

The service systems which assist the long-term mentally ill to function in the community have been routinely described as fragmented and uncoordinated. The development and implementation of case management has been seen as one response to this dysfunctional system. This article examines case management from the perspective that case management is a needed function no matter how coordinated and integrated the system. From this perspective, case management is driven by the clients' goals and not the systems' goals. Case management is viewed as a process by which the person with severe psychiatric disability is supported in negotiating for the various services that they want and need. Four unique activities are identified as performed by the case manager: Connecting with Clients, Planning for Services, Linking Clients with Services, and Advocating for Service Improvements. Case management must be seen as a uniquely human response to the client's specific service needs and overall goals. For persons with long-term psychiatric disabilities, case management brings to life the human dimension of the human service system.

Chronic Disease↗
PubMed1988

Symptoms and functioning of patients with bipolar disorder six months after hospitalization.

The relationship between symptoms and functioning of patients with bipolar disorder who were hospitalized for a manic episode was examined in a prospective study. At six-month follow-up, symptomatic outcome was clearly superior to functional outcome. Almost 80 percent of patients were symptom free or mildly symptomatic. However, only 43 percent of patients were employed, and only 21 percent were working at their expected level of employment. Thirty percent were rated as being unable to work. Additional analyses showed that 64 percent of the first-admission subjects were employed at some level at follow-up, compared with only 33 percent of subjects with multiple admissions. The results suggest that factors other than symptoms are related to the functioning of patients with bipolar disorder and that treatment should be targeted to the patient's disability as well to symptom amelioration.

Adolescent↗
PubMed1986

Psychiatric rehabilitation: past myths and current realities.

Psychiatric rehabilitation treatment has a unique and complementary contribution to make to the treatment of persons with a severe psychiatric disability. However, the development of the psychiatric rehabilitation field, and the adoption of its philosophy and techniques by mental health agencies, has been hampered by past myths. Research carried out in the 1960s and 1970s has exposed these myths as a part of the past, no longer relevant to the present practice of rehabilitating persons with severe psychiatric disabilities.

Combined Modality Therapy↗
PubMed1986

The practice of psychiatric rehabilitation: historical, conceptual, and research base.

With the recognition that most psychiatric disorders are associated with severe and persisting disability and the development of effective procedures for improving the long-term outcome of patients, the term "psychiatric rehabilitation" is becoming routinely used in the mental health field. Psychiatric rehabilitation has begun to take its place as a viable, credible intervention approach, even infiltrating professionals' jargon and administrators' program descriptions. The field of psychiatric rehabilitation has progressed to the stage where its history can be traced; its conceptual base and treatment strategies described; its practice observed, monitored, and replicated; and its future growth anchored in a research foundation.

Adaptation, Psychological↗
PubMed1986

Training mental health workers in psychiatric rehabilitation.

Staff members from nine mental health agencies were trained in psychiatric rehabilitation technology. The trainers then received intensive followup to assist them in implementing the technology in their own agencies. Evaluation of the impact of the "training of trainers" strategy suggested that mental health workers were able to acquire and apply the skills of psychiatric rehabilitation. The training strategy also appeared to be effective in helping the agencies adopt the philosophy, principles, and skills of psychiatric rehabilitation.

Community Mental Health Centers↗
PubMed1976

Bilateral renal vein and inferior vena cava thrombosis with nephrotic syndrome treated by thrombectomy: case report with 3-year followup.

A previously healthy 19-year-old woman taking anovulatory medication presented with symptoms of the nephrotic syndrome and lupus erythematosus. Diagnosis of inferior vena cava and bilateral renal vein thrombosis was made angiographically. The patient was treated successfully by thrombectomy and anticoagulation, and remains well 3 years later. Laboratory data indicate normal renal function and only mild proteinuria. This is the longest followup of a patient with this entity reported in the literature.

Adult↗
PubMed1975

The relationship between patient demographic characteristics and psychiatric rehabilitation outcome.

Professionals engaged in psychiatric rehabilitation need to know what specific factors contribute to the success or failure of attempts to reintegrate the psychiatric patient back into the community. A review of the research literature succeeded in identifying various demographic charcteristics of expsychiatric patients that are related to recidivism and posthospital employment. A composite picture of patients who are more likely to be recidivists or unemployed (or both) was advanced. The factors that appear to be related to posthospital employment are not consistently the same factors that are related to recidivism.

Age Factors↗