Suchergebnisse

About the Cover List of Contributors Acknowledgements About the Book Part I: Theoretical Perspectives 1. Overview of Peplau's Theory; Cheryl Forchuk 2. The Orientation Phase of the Nurse-Client Relationship: Testing Peplau's Theory; Cheryl Forchuk Part II: Care Recipient Perspectives 3. A Review of Our Understanding of the Care Recipient Perspective; Sebastian Gyamfi and Shirley Tran 4. Factors Influencing Movement of Chronic Psychiatric Patients from the Orientation to the Working Phase of the Nurse-Client Relationship on an Inpatient Unit; Cheryl Forchuk, Jan Westwell, Mary-Lou Martin, Wendy Azzopardi, Donna Kosterewa-Tolman, and Margaret Hux Part III: Care Provider Perspectives 5. A Review of Our Understanding of the Care Provider Perspective; Amy Lewis 6.

There are complex issues surrounding hospital discharge planning for people experiencing homelessness. The issue involves the disconnection across policy areas of housing, income supports and mental health, and later health generally. Different models for different types of communities (large urban, mid-size, small and rural areas) likely need to be developed as well as for different types of conditions and different housing histories. The quality of data needs improvement including accuracy. Housing items need to be part of admission processes so that the need for post-discharge housing can be quickly flagged and more accurate data can be made available. System improvements need to include all levels of government, people with lived experience, and health as well as housing/homeless sectors. The income support sector also needs to be included. Discharge planning often assumes there is a fixed address after discharge. This clearly misses the needs of people who have lost their housing.

Cover page -- Half-title page -- Title page -- Copyright page -- Contents -- Preface -- Acknowledgements -- Section I: Introduction -- Chapter 1: The Unspoken Intersection of Mental Illness and Poverty -- Chapter 2: Creating Social Exclusion -- Chapter 3: Playing Musical Chairs -- Section II: Methodological Studies -- Chapter 4: Doing Participatory Action Research -- Chapter 5: The Article Idea Chart -- Chapter 6: Strategies for Retaining a Sample of Homeless Youth -- Chapter 7: The Stigma Scale -- Section III: Becoming Socially Excluded -- Chapter 8: Poverty Trajectories Experienced by Persons with Mental Illness -- Chapter 9: Using a Capabilities Approach to Understand Poverty and Social Inclusion of Mental Health Consumer-Survivors -- Chapter 10: "Until You Hit Rock Bottom There's No Support" -- Chapter 11: Sheltering Indigenous Women with Mental Illness in Ontario -- Chapter 12: The Mental Health of Those Who Serve Canada -- Chapter 13: Addressing Homelessness among Canadian Veterans -- Section IV: Creating Social Inclusion -- Chapter 14: Peer Support as a Direct Benefit of Focus Group Research -- Chapter 15: Seeking and Securing Work -- Chapter 16: Iris Scanning -- Chapter 17: The Effectiveness of a Shelter Diversion Intervention for Families Who Experience Homelessness -- Chapter 18: Preventing Mental Illness Discharge to Homelessness -- Chapter 19: An Evaluation of the London Community Addiction Response Strategy -- Chapter 20: Service Preferences of Homeless Youth with Mental Health Issues -- Author Biographies -- Copyright Acknowledgements -- Index -- Back cover.

Volume 1. Foundations of social science methods -- Volume 2. Social science methods in basic biomedical research -- Volume 3. Social science methods in clinical research -- Volume 4. Social science methods in health organizations research -- Volume 5. Social science methods in health systems research -- Volume 6. Social science methods in public health research

Participatory-action research encourages the involvement of all key stakeholders in the research process and is especially well suited to mental health research. Previous literature outlines the importance of engaging stakeholders in the development of research questions and methodologies, but little has been written about ensuring the involvement of all stakeholders (especially non-academic members) in dissemination opportunities such as publication development. The Article Idea Chart was developed as a specific methodology for engaging all stakeholders in data analysis and publication development. It has been successfully utilised in a number of studies and is an effective tool for ensuring the dissemination process of participatory-action research results is both inclusive and transparent to all team members, regardless of stakeholder group.Keywords: participatory-action research, mental health, dissemination, community capacity building, publications, authorship

The primary goal of this scoping review was to assess and summarize existing research on homelessness among female Veterans to understand their unique experiences. A total of 52 relevant studies were found and included. All identified studies had been conducted in the United States, with one in the United States and Puerto Rico. The findings provided important insight on services access/utilization, indicating that homeless female Veterans with substance abuse, physical health conditions, and mental health issues have high rates of accessing services; however, there is a lack of housing services available for female Veterans with children. Although the findings revealed many studies conducted in the United States, research investigating the issue needs to be conducted across the international community. In doing so, alternative methods and policies for supporting female Veterans experiencing homelessness can be identified and transferred. In particular, exploratory qualitative studies are needed to further understand the experience of homelessness for female Veterans.

LAY SUMMARY This study sought to evaluate a Housing First program for Veterans experiencing homelessness. Housing First is an approach made up of many different aspects of care including peer support and greater access to care resources within the home. These aspects of care are offered in order to address underlying issues and maintain housing stability. The program was implemented across four cities in Canada including London, Toronto, Calgary, and Victoria. To assess the program, interviews with Veterans were conducted at time of enrollment, 3, 9, and 15 months. The Veterans in this study demonstrated a significant reduction in homelessness. As well, a significant reduction in emergency room visits was reported. Other health care interactions and quality-of-life scores remained stable. These findings could, therefore, lead to potential future cost savings in the health care sector. This study demonstrates why this approach to housing for Veterans can be a highly effective and useful way to ensure housing stability.

Introduction: In Canada, Veteran homelessness is an increasing concern. It is estimated that approximately 2,950 Veterans experienced homelessness in 2016. Some may also have substance use disorders, which has been linked to loss of housing and homelessness many years after exiting military service. A strategy that facilitates housing stability and reduces the harms of substance use is harm reduction. This study explored how Veterans who have experienced homelessness perceive and experience harm reduction. Methods: This study was a secondary analysis of data collected from the Canadian Model for Housing and Support of Veterans Experiencing Homelessness study that evaluated a Veteran-specific housing model in four Canadian cities. In the primary study, 78 participants received housing and related programming intervention. Focus groups with Veterans occurred at each of the four housing sites from 2012 to 2014. Across all sites, 24 Veterans attended both the 2012 and 2013 focus groups. A total of 39 Veterans attended the final focus groups in 2014. The authors conducted a thematic analysis of Veteran focus group data where data were extracted from transcripts and organized into themes. Results: Various themes emerged from the data including (1) regimented structure, (2) understanding both worlds, (3) congruent recovery journeys, (4) location close enough to services, far enough from harm, and (5) harm reduction is housing stability and housing stability is harm reduction. These themes represent the interface between military culture and homeless culture. Overall, Veterans considered harm reduction as an essential component of housing. Discussion: This study has shown that harm reduction may be part of the solution to ending Veteran homelessness in Canada. The findings of this study may inform how Veteran housing and substance use needs are addressed. Additional research is needed to explore further how harm reduction can be effectively incorporated into Housing First for Veterans.

LAY SUMMARY This two-year study implemented a Housing First approach among homelessness services for Veterans in four cities across Canada (Victoria, Calgary, London, and Toronto). This approach included peer support and harm reduction resources for Veterans. To obtain a detailed evaluation of personal experiences and opinions, focus groups were held with Veterans, housing staff, and stakeholders at three time points during the study: July-September 2012, May-June 2013, and January 2014. Harm reduction and peer support were regarded as positive aspects of this new approach to housing and homelessness. It was suggested that greater mental health support, support from peers with military experience, and issues regarding roommates should be considered in future implementations of housing services for Veterans. It was also noted that to support personal stabilization, permanent housing is preferred over transitional or temporary housing. Future housing programs serving Veterans experiencing homelessness should consider the addition of harm reduction and peer support to further enhance services and help maintain housing stability.

Many myths exist regarding mental illness and those with mental health issues. Under the auspices of a Community-University Research Alliance on Housing and Mental Health, a partnership between academics, community health and social service agencies and representatives of consumer-survivor groups, fourteen consumer-survivor and eight family member focus groups were held throughout Southwestern Ontario. Individual interviews were also conducted with 150 male and 150 female community-based mental health system consumer-survivors living in a variety of housing environments in London, Ontario. The findings dispute beliefs around four myths: that people with mental health problems are a homogenous population, which was highlighted by significant differences between men and women in frequency and length of psychiatric hospitalizations, primary diagnosis, problem severity, psychoactive drug use and sexual abuse, are unemployed because they are uneducated, are violent and dangerous and thus spend extended periods of time incarcerated and are unsupported by their families which then leads to housing problems. Challenging these and other equally erroneous myths is essential in responding to the oppression faced by mental-health consumer-survivors and in developing a national strategy for mental health.

"Practical tools for working with people experiencing mental health challenges Person-centered mental health care is essential for keeping service users at the center of care. This handbook uses practical examples across clinical care, research, education, and healthcare administration to illustrate the 'how' of person-centered approaches for the growing population of service users with mental health challenges. Looking at the different service points that service users encounter enables service providers to visualize the effective, comprehensive implementation of person-centered care. This book is intended for use by service users as well as service providers and others. Each chapter follows a concrete example exploring different techniques, tools, and resources that can be used with service users with mental health challenges. An appendix provides the resources in printable form. Written by experts in person-centered care with diverse experiences with mental health related practices and policies, this comprehensive resource is a valuable resource for mental health practitioners, researchers, educators, and policy makers who work with people with mental health challenges."--