Books, Articles and Research
Press releases: President Obama calls for Mental Health First Aid in gun control proposal
Linda Rosenberg, President and CEO of the National Council for Behavioral Health, begins this January 2013 statement as follows: "As part of his recommendations to protect our communities from gun violence, President Obama today rightly called for Mental Health First Aid training to help teachers and staff recognize the signs of mental health disorders in young people and find them appropriate care." The statement defines Mental Health First Aid as an evidence-based training program that helps people identify mental health problems in youth and connect them with support as needed, and that also teaches individuals how to respond in a crisis situation. This approach to addressing mental disorders in youth provides an opportunity for the community to discuss mental health while also engaging young adults and their families.
Meeting the behavioral health needs of veterans: Operation Enduring Freedom and Operation Iraqi Freedom
With 30 percent of the 2 million active duty and reserve military personnel deployed since 2001 in need of mental health treatment, the challenge of addressing the mental health needs of veterans is a significant one. In this article, the National Council discusses different ways this challenge is being addressed. Although a number of approaches, including evidence-based care and cognitive behavioral therapy, have been shown to be effective in addressing posttraumatic stress disorder and major depression, the focus has also turned to increasing the number of veterans utilizing care and ensuring the availability of care for veterans. This article also explores the benefits of community-based mental health care investments in veterans and the potential economic benefits of addressing veterans' mental health needs.
Strategies to fight stigma toward people with mental disorders: Perspectives from different stakeholders
This study explores a variety of approaches to fighting negative and harmful attitudes and beliefs toward people with mental disorders by different stakeholders. After completing a survey, 15 categories and six themes of strategies to fight stigma emerged. The six themes included education, contact, protestation, person-centered, working on recovery and social inclusion, and reflexive consciousness. Education was the most common strategy mentioned; it is an approach directed toward the general population that aims to help bring understanding to others, correcting stereotypes and other misconceptions that feed negative and harmful beliefs about mental disorders. Also, about 15 percent of stakeholder survey respondents highlighted social inclusion as a strategy, with one clinician respondent stating that it is part of his work to reduce prejudice through integration of people with mental disorders into the community.
Hyde: Health care reform to offer new opportunities for consumers
This article at the Web site of Peers Envisioning and Engaging in Recovery Services (P.E.E.R.S.) covers the opening keynote at the 2012 Alternatives conference. The keynote was presented by Pamela Hyde, the Administrator for the Substance Abuse and Mental Health Services Administration. In her talk, she shared her view on the Affordable Care Act and ways it will help support individuals with mental and substance use disorders in their recovery. Hyde discussed the importance of integrating behavioral and primary health care, emphasizing the impact that mental health issues can have on physical health. Beginning in 2014, the Affordable Care Act will mandate that mental and substance use disorder services be included in non-grandfathered individual insurance plans. Along with many other expectations of this new law, it is estimated that the law will provide access to coverage for 32 million uninsured Americans. Hyde shared her belief that this Act represents a significant shift in the way mental health treatment is viewed, in recognizing that individuals with mental and substance use disorders can take responsibility for their symptoms and make good treatment decisions for themselves.
First in a series of three policy briefs on peer supports in mental health delivery systems. Policy issue #1: Organizational models for peer support
This issue brief, the first in a series of three issue briefs on peer support from Independent Living Research Utilization in collaboration with the Human Services Research Institute, provides information on two key peer support models: consumer-operated service programs (COSPs) and peer providers. This series of issue briefs has as its goal encouraging conversations about peer services among state policymakers. It discusses practices for each of these models, ways policymakers can choose the right approach for their communities, and questions for policymakers looking to develop and/or support these models.
Final report of the World Conference on Social Determinants of Health
The World Conference on Social Determinants of Health, brought together in 2011 in Brazil by the World Health Organization (WHO), was a global conference that sought to encourage action on the social determinants of health. This event provided an opportunity for stakeholders to share their experiences with strategies for reducing health inequities and to discuss potential next steps of the WHO Commission on Social Determinants of Health. This final report, available for download, provides a full summary of this important conference.
United Nations convention on the rights of persons with disabilities: A roadmap for change
This study examines the United Nations Convention on the Rights of Persons with Disabilities as a means of advancing the social inclusion of individuals with mental disorders or intellectual disabilities. This convention focused on many social barriers that impact the full social participation of people with disabilities while also providing guidance on ways of incorporating disability policy in different countries. The researcher of this study goes on to discuss ways the mental health community will need to work on moving toward creating a new disability discussion that looks at services and supports needed to help people with mental disorders gain complete access to society.
Resolution on APA endorsement of the concept of recovery for people with serious mental illness
A significant body of data now shows a rise in numbers of individuals with mental disorders improving over time, leading full, independent lives. With Federal and State agencies recommending a shift to treatment that is less symptom-oriented, the concept of recovery is expanding. In this resolution, a rationale for the concept of recovery is explored and recommendations on promoting this concept through the American Psychological Association (APA) are discussed.
Housing for people with mental illness: Update of a report to the President's New Freedom Commission
This article summarizes many of the issues associated with the high rates of homelessness for individuals with mental disorders, all of which were reviewed by the Subcommittee on Housing and Homelessness of the President's New Freedom Commission. The article examines key subcommittee recommendations, as well as other topics related to preventing and responding to the issue of homelessness among people with mental disorders.
Prejudice, social stress, and mental health in lesbian, gay, and bisexual populations: conceptual issues and research evidence.
This article examines research evidence that shows lesbians, gay men, and bisexuals (LGB) having higher rates of mental disorders than heterosexuals. In seeking to understand this disparity, the author has developed and presents a framework to examine the factors contributing to this increased prevalence. He suggests that minority stress, which includes prejudice and discrimination experienced or anticipated by LGBs as well as a number of other factors, makes for a hostile and stressful environment that leads to the development of mental disorders.
Gender differences in mental health
In an effort to identify effective approaches to treating and preventing mental disorders, this paper examines gender differences in various mental disorders including eating disorders, schizophrenia, and depression.
Dismantling the poverty trap: Disability policy for the twenty-first century
This article explores the high rate of poverty and unemployment that many individuals with disabilities experience and the role that economic reforms can play in addressing these issues. Researchers share recommendations for guiding such reforms.
Substance abuse prevention dollars and cents: A cost-benefit analysis
This report explores the importance of supporting substance abuse prevention programs. It analyzes substance use, including that of youth, costs of substance abuse to the country, and some potential cost savings of successful prevention programs and policies.
"Mental health is everybody's business": Roles for an intersectoral approach in South Africa
This study, which involved surveys, structured interviews, and focus groups, evaluates South Africa's progress in engaging multiple sectors of society in addressing the social determinants of mental health. This study also provides recommendations for this type of collaboration to help guide other countries in these types of efforts. Study findings included the need to develop programs and make legislative changes, the importance of raising awareness in various sectors to build engagement across these sectors, and the need for an overall structured approach to action to promote and support mental health.
Models for developing trauma-informed behavioral health systems and trauma-specific services
This report explores some history of trauma-informed services in State mental health systems, describes guidelines for establishing a trauma-informed mental health service system, and also describes the variety of trauma-informed service models and approaches for State systems and providers. It includes a broad range of models including trauma-informed models for parenting, for working with child abuse survivors, and for developing trauma-informed service systems and organizations.
Population mental health: Evidence, policy, and public health practice
This book explores the evidence base for including issues related to mental disorders as a priority in the public health agenda. It discusses the connection between physical and mental disorders, the impact of health policies on the care of people with mental disorders, some of the barriers to developing a revised public health approach to mental disorders, and the use of public health intervention models.
Mental health and social inclusion: Making psychiatry and mental health services fit for the 21st century
For this publication, a group employed by the Royal College of Psychiatrists of the United Kingdom set out to examine social inclusion among individuals with mental disorders. It not only describes social exclusion, psychiatry, and current treatment of consumer/survivors in the UK but it expands on the importance of psychiatrists making an effort to adapt their skills to become more socially inclusive. This publication also discusses social inclusion of individuals with mental disorders and how it relates to recovery, treatment services, policy, and specific challenges for the 21st century.
Social inclusion and mental health
This article describes recent approaches to enhancing social inclusion for individuals with mental disorders. Specific limitations and benefits of these methods are discussed. The four approaches discussed include legislation, community-based supports/services, antidiscrimination initiatives, and system monitoring and evaluation.
Tenemos Voz National Latino Consumer Network
This network is comprised of Latinos with mental and substance use disorders who work to promote holistic approaches to health and wellness in recovery through equal access to treatment. The network engages in advocacy to influence policy, eliminate disparities, and improve treatment outcomes. It also provides educational and networking opportunities and support for consumer/survivors.
The Community Defined Evidence Project (CDEP)
This project is a collaborative effort between the National Latino Behavioral Health Association (NLBHA) and National Network to Eliminate Disparities in Behavioral Health (NNED) to advance understanding of effective community-based practices for Latinos. The project plans to develop an evidence base that uses key cultural and community indicators and to use this information to influence research, evaluation, policymakers, and funders to support efforts to implement and use community-based practices to reduce disparities and improve both access and quality of care for Latinos..
Policy Responses to Social Inclusion: Towards Inclusion?
This article defines social exclusion and addresses various aspects of life related to the concept including the labor market, education, health, housing, and access to services. This publication goes on to describe policy responses to social exclusion and identifies themes and issues influencing policy initiatives. The ways in which past policy interventions have created or contributed to current issues are discussed as well as recommendations for developing effective policies to reduce exclusionary practices and evaluate these efforts.
Outcomes Framework for Mental Health Services
This framework--adopted as a number of health and social services in the United Kingdom redirect their efforts to advance social inclusion-- focuses on working-age adults with mental disorders. The framework serves as a resource to government officials and providers to help monitor, evaluate, and document progress made toward implementing socially inclusive practices and meeting nationally established standards.
The Imperative of a New Approach to Warrior and Veteran Care
Recognizing the alarming rates of depression, brain injury, and suicide among active service members and veterans, this policy brief describes the need for: a new model for dispersing federal funds; changes to the relationship between the Department of Defense (DOD) and Department of Veterans Affairs (VA); and inclusion of private-sector stakeholders, such as nonprofit organizations, in addressing these issues. It provides current statistics on service member and veteran mental and substance use disorders and recommendations for the White House, the DOD, and the VA to improve care.
Introduction to "Building communities from the inside out: A path toward finding and mobilizing a community's assets"
This publication is an introduction to a guide on rebuilding troubled communities that emphasizes identifying and building upon community strengths rather than focusing on deficits within the community. It includes success stories of communities that have thrived and the role that the asset-based community development strategy has played in developing steps toward community growth. This introduction explores ways the traditional approach has failed communities, identifies problems, and discusses solutions and assets of a community, including those of individuals, associations, and institutions.
Building the capacity of the homeless service workforce
This article discusses the importance of addressing the professional development needs of homeless service providers to strengthen this workforce and thereby facilitate improvement in the delivery of services to individuals who are homeless. Challenges of work in homeless services such as low wage environments and the need to confront negative public attitudes are discussed. Researchers also describe the role of developing supportive organizations, providing competency-based training, and encouraging collaboration among Federal agencies in enhancing and developing careers in homeless services.
GLBTQI Mental Health: Recommendations for Policies and Services
Gay, lesbian, bisexual, transgender, questioning, or intersex (GLBTQI) individuals are often reported to have limited access to behavioral health services or to experience unwelcoming environments where behavioral health programs and rehabilitative care is provided. This publication makes recommendations for policy makers and service providers to ensure equal access to and quality services for GLBTQI individuals and to promote recovery and community integration. It includes an assessment of barriers experienced by GLBTQI individuals seeking behavioral health care and suggestions for ways to address these barriers.
Evidence-based practices and multicultural mental health
Current trends in the behavioral health field show a significant increase in the promotion of evidence-based practices (EBPs) and requirement that they be incorporated into health and behavioral health care services. This emphasis reflects efforts to increase quality and accountability in services provided. This article not only addresses the use of EBPs and what it means for health and behavioral health services but also how they relate to better care for multicultural populations. Some key factors discussed include the history of EBPs, cultural competence and adaptations of EBPs, and recommendations for policy.
Strategies for Strengthening Substance Use Prevention, Treatment, and Recovery Systems: Provider Networks and Impact on the Workforce
Due to diminished resources and high outcome demands, current trends of today suggest that addiction agencies must find new methods of collaborating in order to maximize resources, retain staff, and provide higher quality services based on evidence-based practices. This report explores the various collaborative efforts of nine successful addictions provider networks across the U.S. These nine case studies examined demonstrate strategies and solutions for addressing common challenges thoughout the addictions system. This report also includes recommendations viewed as important to consider in forming a network.
Leading Change: A Plan for SAMHSA's Roles and Actions 2011-2014
This publication describes SAMHSA's plans for 2011 through 2014 to help people with behavioral health problems and their families. Their main focus is to help in developing strong communities, prevent behavioral health problems, and promote better health for all Americans. This plan is outlined by the eight new Strategic Initiatives that will guide SAMHSA's work, each Initiative with its own purpose, specific goal, action step, and measure for determining success.
"A disease like any other?" A decade of change in public reactions to schizophrenia, depression, and alcohol dependence
Over the last 15 years, behavioral health conditions have increasingly been described as medical diseases by behavioral health professionals, advocates, and policy makers as a way to counter lack of service use and negative and harmful attitudes and misconceptions. This study examined the effects that this neurobiological explanation has had on the rate of those seeking treatment and on the general public's attitude toward people with mental health challenges during the period of 1996-2006. Results suggest that this medical disease approach to understanding behavioral health problems has led to increased support for services but has not significantly reduced negative and harmful beliefs and attitudes. Researchers suggest that to reduce negative attitudes and discrimination, providers and advocates must shift to an emphasis on competence and inclusion.
No health without mental health
This document from the United Kingdom discusses an outcome strategy for behavioral health, highlighting the significant influence behavioral health has on all other aspects of life. It describes ways in which quality behavioral health and wellness translate into social and economic benefits for society as a whole, stressing the need for both government and community support to ensure these outcomes. Some agreed-upon goals developed through collaboration of governmental departments, local organizations, and behavioral health professionals are that more people will have positive experiences while provided care and support, that there will be a reduction in negative and harmful attitudes towards people with behavioral health issues, and that more of those with behavioral health problems will have good physical health.
Ending chronic homelessness: Cost-effective opportunities for interagency collaboration
This article explores the opportunity for Federal policies and programs to change the approach to assisting people who are homeless. It discusses both cost savings that could be realized and improved outcomes in maintaining housing stability, outcomes that would benefit both individuals and the community. It suggests new ideas and approaches to directing policies and practices as a means of enhancing the current approach to addressing homelessness.
Long-term care fundamentals No. 5: Implementing Olmstead in California
This brief provides background information on the 1999 U.S. Supreme Court Olmstead decision which found that the unnecessary institutionalization of people with disabilities is a violation of the Americans with Disabilities Act of 1990. Implications of this decision are discussed, as well as States' efforts toward expanding home- and community-based options for individuals with disabilities including a detailed discussion of efforts undertaken within the State of California.
Joint Statement of the Department of Housing and Urban Development and the Department of Justice: Reasonable accommodations under the Fair Housing Act
This statement outlines the responsibilities of the Department of Justice (DOJ) and the Department of Housing and Urban Development (HUD) in enforcing the federal Fair Housing Act, which prohibits housing discrimination based on race, color, religion, sex, national origin, familial status, and disability. It describes some of the common complaints that HUD and DOJ respond to regarding the Fair Housing Act as well as common questions and answers regarding the rights and duties of people with disabilities and housing providers under the Act relating to reasonable accommodations.
Housing First: The Pathways Model to End Homelessness for People with Mental Illness and Addiction
This manual provides a strong basis for introducing the evidence-based Housing First approach in addressing homelessness. It includes guidance in developing policies and programs. The DVD offered with this manual demonstrates the concepts shared, also including success stories of clients, model teams in action, and useful tips.
Journal of Primary Prevention "SPECIAL ISSUE: Homelessness & Mental Illness"
This journal issue includes 16 articles that focus on the issues of homelessness and behavioral health problems. Articles included in this issue focus on a variety of related topics including homelessness prevention, Critical Time Intervention, homelessness among veterans, reemployment, and the role of family contact and housing stability.
Social Inclusion for the United States
This paper describes ways the concept of social inclusion is used throughout the United Kingdom and how it could be used within the United States. The paper highlights ways in which social inclusion has become a framework for addressing many social policy issues within the UK and the many dimensions of social inclusion including health, education, housing, skills, advancement, and opportunity.
Recovery: A Philosophy of Hope and Resilience
This newsletter emphasizes programs that support recovery from substance abuse and addiction, research on recovery, and National Alcohol and Drug Addiction Recovery Month.
From Study to Action: A Strategic Plan for Transformation of Mental Health Care
This document discusses the findings and recommendations of four different policy reports including: the Institute of Medicine Quality Chasm, the President's New Freedom Commission report, the SAMHSA Federal Action Agenda, and the Institute of Medicine Improving the Quality of Health Care for Mental and Substance-Use Conditions. The discussion of these four policy reports provides strategies and an in-depth framework to aid in the transformation of the mental health system.
Shelter from the storm: Trauma-informed care in homelessness services settings
As the field of homeless services has advanced, providers have increasingly realized the importance of addressing long-term healing for people who have experienced homelessness, many of whom are trauma survivors. Trauma-Informed Care (TIC) provides a framework that can be used to support trauma survivors in homeless service settings and represents a promising area for increasingly effective and sensitive service approaches for highly vulnerable people. This paper explores the evidence for TIC within homelessness service settings and examines implications for providers, programming, policy, and research.
Transforming the nation's health: Next steps in mental health promotion
In this commentary, A. Kathryn Power, Director of the SAMHSA Center for Substance Abuse Prevention, advocates for a public health approach to behavioral health promotion and behavioral disorder prevention. She discusses the relationship of behavioral health to overall health and presents a strategy to build resilience at the individual, family, and community levels. She also describes SAMHSA's work to attain the goals within the strategy.
Mental health promotion in a reformed health care system
This article discusses the opportunity that the 2010 health care reform law provides for public health, health promotion, and disease prevention to become more central to U.S. health care. Because a cornerstone of public health is behavioral health promotion, the authors consider how this important element could fit into a reformed health care system.
Mental health, social exclusion and social inclusion
This article outlines a social systems approach to understanding social exclusion of people with behavioral health problems. The author notes that social exclusion and inclusion are not opposites and offers an alternative way of thinking about them both. She asserts that society needs policy initiatives to eliminate structural barriers that lead to social exclusion and to challenge negative ideas and misconceptions about people with behavioral health problems.
Consumer-delivered services as a best practice in mental health care delivery and the development of practice guidelines
This article examines evidence related to using consumer-delivered services in behavioral health care. Based on a review of available literature, the author recommends ways to implement this type of service and discusses how the evidence and these recommendations may affect policymakers and providers.
Towards an agenda for disability research in Europe: Learning from disabled people's organizations
This policy statement from the European Research Agendas for Disability Equality (EuRADE) project makes the case for including people with disabilities at every stage of social policy research, from the planning stages to completion. The authors assert that disability must be mainstreamed in research and disability-related research must be grounded in the social model of disability. The statement notes the challenges and opportunities for integrating people with disabilities into European research and outlines ways to promote acceptance and disability equality in research.
Mental health self-help: Consumer and family initiatives
This book includes an overview of the mental health self-help movement, which is a movement for behavioral health consumers and advocates to provide or improve treatment for people experiencing behavioral health problems. The authors provide a history of the movement, consider issues in training and funding for treatment, and suggest future directions for the movement. This book will be useful for community, clinical psychology, and public health researchers, as well as clinicians, counselors, social workers, case managers, and policymakers.
The role of peer support services in the creation of recovery-oriented mental health systems
Research shows that peer-provided services encourage a recovery-oriented mindset that empowers mental health consumers. This position statement from Mental Health America (MHA) promotes the use of peer-provided services and calls on behavioral health professionals to incorporate peer support in community-based services.
An update on affirmative businesses or social firms for people with mental illness
Affirmative businesses employ people with mental health problems at fair-market wages to provide needed services and products. The model emerged in Italy in the 1970s, subsequently spreading throughout Europe and independently appearing in North America and Asia. This article provides an overview of the affirmative business model, its development and diffusion, and its current state.
Mental health reform in the Russian Federation: An integrated approach to achieve social inclusion and recovery
This article describes a multifaceted, comprehensive approach to mental health interventions and policy reform, which included training, policy discussion, multidisciplinary collaboration, and support for nongovernmental organizations. Through a 3-year action-research project, the approach was piloted at three sites in a Russian region. Investigators found promising results, as hospital admissions decreased at two sites and the rate of readmission decreased at all sites.
Community work - a cure for stigma and social exclusion?
This article includes a description of social exclusion and its effects, and the author suggests that interdependence within communities can help promote social inclusion and reduce exclusion. The author suggests that one way to promote social inclusion is to ensure that the mental health system, communities, and individuals are both giving and receiving benefits.
Public beliefs about and attitudes towards people with mental illness: a review of population studies
This article reports on a review of 62 studies conducted between 1990 and 2004 that examined attitudes concerning people with mental health problems. Many of the studies were conducted in Europe. The review concluded that significant progress has been made in attitude research in psychiatry during this time period. However, much work remains to provide a sound research base for developing evidence-based interventions aimed at reducing negative perceptions and improving attitudes towards people with mental health problems.
The Department of Defense plan to achieve the vision of the DoD task force on mental health: A report to congress
This document, written and presented to Congress in September 2007, describes the Department of Defense's plan to address the categories of recommendations in the mental health task force's vision of change through a focus on six key areas: (1) leadership, culture, and advocacy; (2) access to care; (3) quality of care; (4) resilience building and stigma reduction; (5) surveillance, research, and evaluation; and (6) care transition and coordination.
An achievable vision: Report of the Department of Defense task force on mental health
This 2007 report of the Department of Defense Task Force on Mental Health identifies four interconnected goals that the task force deemed essential to maintaining the psychological health, enhancing the resilience, and ensuring the recovery of service members and their families, all of which are essential to maintaining a ready and fully capable military force. The report provided detailed recommendations for necessary steps to achieve these goals.
Q&A: First lady Rosalynn Carter on America's mental health crisis
TIME interviewed Former First Lady Rosalynn Carter, advocate for improving the mental health system and ending the negative perceptions that keep many people from getting proper care. In the interview, Mrs. Carter comments on topics including psychiatric drugs for children and the needs of returning service members.
Within our reach: Ending the mental health crisis
This book, written by former first lady Rosalynn Carter with Susan Golant and Kathryn Cade, offers an assessment of the current state of mental health. The book focuses on both the progress Mrs. Carter has seen during her 35 years of advocacy and the serious issues that must still be addressed before the mental health system can adequately meet the needs of people with mental health problems.
IAVA and Ad Council launch historic campaign
This press release announces the launch of a historic public service announcement (PSA) campaign. Through a partnership of IAVA and the Ad Council, this groundbreaking, multiyear effort seeks to ease the readjustment for service members returning home from Iraq and Afghanistan. The PSAs direct viewers to the first and only online community exclusive to Iraq and Afghanistan veterans, www.CommunityofVeterans.org. The social networking site offers a unique platform for veterans to connect with one another confidentially and serves as a portal for comprehensive mental health resources.
Pillars of peer support: Transforming mental health systems of care through peer support services
This report summarizes the results and findings of the Pillars of Peer Support Services Summit, held at The Carter Center in November 2009. The Summit brought together representatives from States that currently provide formal training and certification for peer providers working in mental health systems. The purpose was to examine the multiple levels of support States need to provide in order to create a strong and vital peer workforce that is able to engage in mental health systems transformation.
The Importance of Community Development For Health and Well-Being
This report examines the key role that environmental and community forces play in promoting health and preventing disease. In addition, the authors assert that social and public works programs will be more successful if people living in impacted neighborhoods are afforded the opportunity to participate in the creation and management of the initiatives that affect them.
Action towards healthy living-for all
This journal article suggests that remedial measures are necessary to ensure that public policies become more closely aligned with the findings of biomedical and social research regarding the key essentials of health and well-being.
Fair society, healthy lives: Strategic review of health inequalities in England post 2010
This paper describes British issues in health equity, social determinants of health, and UK-style societal interventions in both mental health and overall health with mental health playing a critical role.
EMCI think tank: Mental healthcare media blueprint
This document details the recommendations from a 2008 roundtable discussion brought together leaders from entertainment, media, and mental health to discuss potential strategies to change the national dialogue regarding mental health problems.
Notes from roundtable session on stigma in mental health and addiction
This report outlines the findings of a 2008 mental health stigma conference sponsored by the Mental Health Commission of Canada and the Hotchkiss Brain Institute.
Implementation of mental health parity: lessons from California.
This article reports the experiences of health plans, providers, and consumers with California's mental health parity law and discusses implications for implementation of the 2008 Federal parity law.
Recovering Consumers and a Broken Mental Health System in the United States: Ongoing Challenges for Consumers/ Survivors and the New Freedom Commission on Mental Health. Part I: Legitimization of the Consumer Movement and Obstacles to It.
This article is the first of a two-article series that examines how multiple counteracting forces have situated the psychiatric consumer movement today, either propelling it or trying to reverse its achievements in shaping the production of mental health services. This part of the series describes how professionals came to embrace consumer/survivor perspectives, as well as attempts of oppositional forces to de-legitimize the movement's gains early in federally funded initiatives of consumer-run demonstration projects.
Social Inclusion as a determinant of mental health and wellbeing
This Research Summary was developed as part of the VicHealth Mental Health Promotion Plan in 2005 to provide an overview of the impact of social inclusion on mental health.
Vision and Progress: Social Inclusion and Mental Health
This report examines the progress of the National Social Inclusion Programme as it works to implement the activities outlined by the 2004 Mental Health and Social Exclusion Report. Details are given on the progress made so far and on the work still to be done.
Mental Health and Social Exclusion: Social Exclusion Unit Report
This report examines the impact mental health problems have on increasing social exclusion. The report also developed a 27-point action plan to address this problem.
Closing the gap in a generation: Health equity through action on the social determinants of health
This report examines the final findings from the World Health Organization's Commission on Social Determinants of Health.
The Social Determinants of Health: How Can a Radical Agenda Be Mainstreamed?
This article is a commentary on the World Health Organization's Report on the Social Determinants of Health (SDOH).
The military's war on stigma
In this article the author addresses the stigma that is felt by many service members of the United States' Armed Forces. The author also shares information on the stigma reduction efforts being implemented by the Deparment of Defense.
Relationships between stigma, depression, and treatment in white and African American primary care patients
This study examined the relationships among depression, mental health stigma, and treatment in African American and white primary care patients.
SESAMI study of employment support for people with severe mental health problems: 12-month outcomes
In the context of UK policy to promote employment for people with disability as a means to greater social inclusion, this study investigated how people with severe mental health problems fare in existing supported employment agencies. The aim of the study was to identify factors associated with successful placement in work and to test the impact of working on psychological well-being in this group.
Stigma and coercion in the context of outpatient treatment for people with mental illnesses.
The policies and institutional practices developed to care for people with mental illnesses have critical relevance to the production of stigma as they can induce it, minimize it or even block it. This manuscript addresses two prominent and competing perspectives on the consequences for stigma of using coercion to insure compliance with outpatient mental health services.
Perceived dangerousness of children with mental health problems and support for coerced treatment
This study examined the public's beliefs regarding the potential for harm to self and others and the public's willingness to invoke coercive or legal means to ensure treatment of children.
Transformation of children's mental health services: The role of school mental health
This article examines the intersection of school mental health programs and the New Freedom Commission's recommendations in order to highlight the role of school mental health in the transformation of the child and adolescent mental health system.
School mental health promotion: MindMatters as an example of mental health reform
In this article, a historical review of the development and implementation of MindMatters is used to exemplify the changes and outcomes of shifting policy and practice in school mental health promotion. Achievements include a conceptualisation of mental health as a positive concept, addressing stigma, building capacity in the education sector and developing evaluation strategies to address complex, whole-school change.
Involving Consumers in the Development of a Psychoeducational Booklet About Stigma for Black Mental Health Clients.
This article documents the process of developing a consumer-derived psychoeducational booklet for Black adults contemplating mental health treatment. Black mental health consumers provided the content for the booklet through qualitative interviews about their experiences and then provided feedback once it was developed. Results from this project suggest that the strategy of involving consumers is a feasible approach to develop psychoeducational materials that address treatment barriers in underserved populations.
MILITARY: Marine commanders told to remove stress stigma
This articles provides brief information on information that was shared during a three-day Marine Corps conference in San Diego addressing post-traumatic stress disorder, traumatic brain injuries and the effects those illnesses have on family members. The author also discusses the new tactics that the military is implementing to reduce stigma related to mental illness.
Don't call me nuts! Coping with the stigma of mental illness
Don't Call Me Nuts! is a handbook for persons with mental illness. In its pages are discussions about dealing with self-stigma, knowing when or whether to disclose a mental illness, seven ways to foster personal empowerment, and legal and political remedies. The book explores the public's reaction to stigma through the methods of contact, education, or protest.
Getting Beyond "Don?t Ask; Don?t Tell": An Evaluation of US Veterans Administration Post deployment Mental Health Screening of Veterans Returning From Iraq and Afghanistan
In this study the authors sought to evaluate outcomes of the Veterans Administration (VA) Afghan and Iraq Post-Deployment Screen for mental health symptoms. Among 750 Iraq and Afghanistan veterans who were referred to a VA medical center and 5 associated community clinics, 338 underwent post deployment screening; 233 (69%) screened positive for mental health problems.
Stigma as related to mental disorders
The authors begins this review with a multidisciplinary discussion of mechanisms underlying the strong propensity to devalue individuals displaying both deviant behavior and the label of mental illness. The article concludes with a brief review of multilevel efforts to overcome mental illness stigma, spanning policy and legislation, alterations in media depictions, changed attitudes and practices among mental health professionals, contact and empathy enhancement, and family and individual treatment.
Twelve month use of mental health services in a nationally representative, active military sample
This article findings indicate that military institutions should continue public education campaigns to de-stigmatize mental health problems and should make necessary changes in health delivery systems to gain the trust of military members. The primary objective of this study was to examine the patterns and predictors of mental health service use in active Canadian Force members. Additional objectives included identification of barriers to service use.
Higher education and psychiatric disabilities: National survey of campus disability services
This article reports the results of a survey of disability services offices at colleges and universities in 10 States.
Reducing stigma and discrimination against older people with mental disorders: A technical consensus statement
This technical consensus statement is jointly produced by the Old Age Psychiatry section of the World Psychiatric Association and the World Health Organization, and other non-governmental organizations. It is intended to be a tool for (i) promoting debate at all levels on the stigmatisation of older people with mental disorders; (ii) outlining the nature, causes and consequences of this stigmatisation; and (iii) promoting and suggesting policies, programmes and actions to combat this stigmatisation.
Chapter 5 of "Mental health: A report of the Surgeon General": Older adults and mental health
This chapter of the Surgeon General's report on mental health addresses various areas of interest for the older adult population, specifically considering mental disorders in older people - their diagnosis and treatment, and the various risk factors that may complicate the course or outcome of treatment.
Rural and frontier mental and behavioral health care: Barriers, effective policy strategies, best practices
This report focuses on the following areas: barriers to mental and behavioral health service delivery in rural America, model programs and effective activities for rural America, model policy strategies for rural mental and behavioral health care delivery, the role telehealth should play in service delivery to rural America, and the role that State Offices of Rural Health and other State and local organizations should play in service delivery to rural America.
A survey of preferred terms for users of mental health services.
This survey was conducted to determine how users of mental health services would like to be addressed by professionals. Three hundred two persons participating in a variety of inpatient and outpatient psychiatric programs were surveyed.
Evaluating the effectiveness of a consumer-provided mental health recovery education presentation
The current study investigated the effectiveness of the In Our Own Voice (IOOV) mental health education program in improving knowledge and attitudes about mental illnesses.
Solutions to discrimination in work and housing identified by people with mental illness
This study examines perceived solutions to discrimination in housing and employment situations.
Mental illness and employment discrimination
This article presents a review of recent research that seeks to determine employment-related stigma and discrimination experienced by people with mental disabilities. In this study, researchers take an extensive view of the stigmatization process to include cognitive, attitudinal, behavioral, and structural disadvantages.
The sympathetic discriminator: Mental illness, hedonic costs, and the ADA
Discrimination against people with mental illness occurs in part because of how those with mental illness can make other people feel.Thus, a central basis for discrimination in this context is what I call hedonic costs. Hedonic costs are affective or emotional costs: an influx of negative emotion or loss of positive emotion. In addition, the phenomenon of emotional contagion, which is one source of hedonic costs, makes discrimination against people with mental illness peculiarly intractable.
Stigma interventions and research for international health
This paper is one of several delivered at an international conference, Stigma and Global Health: Developing a Research Agenda, sponsored by the National Institutes of Health's Fogarty International Center (FIC) in September 2001. The paper includes a definition of health-related stigma and six research objectives, based on the stigma definition.
"It's important to be proud of the place you live in": Housing problems and preferences of psychiatric survivors.
This paper reports findings from a series of focus group meetings held with survivors of mental illness to address issues concerning housing preferences and housing needs.
The Carter Center Mental Health Program: Addressing the public health crisis in the field of mental health through policy change and stigma reduction.
This article examines the public health crisis in the field of mental health and focuses on The Carter Center Mental Health Program?s initiatives, which work to increase public knowledge of and decrease the stigma associated with mental illnesses.
Advocacy for mental health: Roles for consumers and family organizations and governments
The World Health Organization urges countries to become more active in advocacy efforts to put mental health on governments' agendas. Health policy makers, planners and managers, advocacy groups, consumer and family organizations, through their different roles and actions, can move the mental health agenda forward. This paper outlines the importance of the advocacy movement, describes some of the roles and functions of the different groups and identifies some specific actions that can be adopted by Ministries of Health.
Combat duty in Iraq and Afghanistan, mental health problems, and barriers to care
This study provides an initial look at the mental health of members of the Army and the Marine Corps who were involved in combat operations in Iraq and Afghanistan. Our findings indicate that among the study groups there was a significant risk of mental health problems and that the subjects reported important barriers to receiving mental health services, particularly the perception of stigma among those most in need of such care.
Structural stigma in state legislation
This article discusses examples of structural stigma that results from state governments' enactment of laws that diminish the opportunities of people with mental illness.
A family's painful journey
This article discusses the issues faced in Maryland in seeking assistance for children with severe mental illness. It focuses on State budget cuts for wraparound mental health coverage.
Mental health: culture, race, and ethnicity: A supplement to Mental health: A report of the Surgeon General
This report is a supplement to the first ever Surgeon General's Report on Mental Health, Mental Health: A Report of the Surgeon General. This supplement covers the four most recognized racial and ethnic minority groups in the United States and the barriers to services that are encountered by persons of certain social and cultural groups.
American with Disabilities Act of 1990
The current text of the Americans with Disabilities Act of 1990 [?ADA?], as amended.
Consumer experience of stigma: A national survey
This article summarizes the results of a nationwide survey of 1,301 mental health consumers concerning their experience of stigma and discrimination.
President's New Freedom Commission on Mental Health
The Commission?s mission was to study the United States mental health service delivery system, including both private and public sector providers. The Commission advised the President on methods to improve the system. The Commission?s goal was to recommend improvements that will enable adults with a serious mental illness and children with a serious emotional disturbance to live, work, learn, and participate fully in their communities.
Housing and mental health: Reducing housing difficulties for people with mental illness
This paper outlines key issues in housing provision for people with serious mental illness and suggests a policy framework. It draws on the limited research available on the housing needs of people with mental illness and on information available from the mental health sector. It is intended to generate discussion and better understanding of the issues in the mental health and housing sectors.
Challenging two mental illness stigmas: Personal responsibility and dangerousness
This study set out to examine path models that explain how these attitudes lead to discriminatory behavior and to assess the impact of antistigma programs on components of personal responsibility and dangerousness models.
What factors explain how policy makers distribute resources to mental health services?
Advocates hope to influence the resource allocation decisions of legislators and other policy makers to capture more resources for mental health programs. Findings from social psychological research suggest factors that, if pursued, may improve advocacy efforts. In particular, allocation decisions are affected by policy makers' perceptions of the scarcity of resources, effectiveness of specific programs, needs of people who have problems that are served by these programs, and extent of personal responsibility for these problems. These perceptions are further affected by political accountability, that is, whether politicians perceive that their constituents will closely monitor their decisions. Just as the quality of clinical interventions improves when informed by basic research on human behavior, the efforts of mental health advocates will be advanced when they understand the psychological forces that affect policy makers' decisions about resources.
Prevalence, severity, and unmet need for treatment of mental disorders in the World Health Organization World Mental Health surveys
Little is known about the extent or severity of untreated mental disorders, especially in less-developed countries. This study estimates prevalence, severity, and treatment of Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition (DSM-IV) mental disorders in 14 countries (6 less developed, 8 developed) in the World Health Organization (WHO) World Mental Health (WMH) Survey Initiative.