Recoveries from Severe Mental Illness

严重精神疾病的康复

• 批准号: 7022896
• 负责人: Carla A. Green
• 金额: $ 35.11万
• 依托单位: KAISER FOUNDATION RESEARCH INSTITUTE
• 依托单位国家: 美国
• 财政年份: 2005
• 资助国家: 美国
• 起止时间: 2005-03-26 至 2008-02-28
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7022896
• 关键词: behavioral /social science research tag; clinical research; disease /disorder etiology; emotions; functional ability; health care service utilization; human subject; interview; longitudinal human study; managed care; mental disorders; quality of life; questionnaires; satisfaction

DESCRIPTION (provided by applicant): Severe mental illnesses are costly conditions for individuals, families, societies, and health systems and are among the leading causes of disability in developed countries. Despite similarities in personal characteristics, histories, life circumstances, illness characteristics, and types of treatment, however, some individuals with these disorders struggle with mental health problems for most of their lives, some adapt successfully, and some recover completely. To date, we know little about what differentiates these individuals or about how to facilitate recovery among those who are faring less well. Using multiple data sources, this project will employ qualitative and quantitative methods to understanding of the factors that lead to recovery among people with severe mental illnesses. The project has three aims: (1) to identify processes, factors, actions, and experiences that facilitate recovery, (2) to describe the prior and current roles played by mental health care providers, and the mental health care system, in facilitating improvements in functioning, life satisfaction, quality of life, and happiness, and (3) to identify patterns in health plan service use for the year prior to study participation and two years following study entry, examining how volume and type of service use relate to participants' reports of symptom levels, functioning, life difficulties, and life satisfaction. To accomplish these aims, we will identify a group of HMO members with severe mental illnesses and follow them prospectively for 24 months. We will interview participants about the course of their lives and mental health problems, measure their quality of life, life satisfaction, happiness, and recovery, and extract health plan data about their service and medication use, linking those data to questionnaire and interview data. We will describe commonalities in what participants identify as important indicators of life satisfaction and the factors that have led to improvements in their lives and functioning, and describe how participants are currently affected by their mental health problems. Finally, we will describe and statistically model participants' recovery trajectories, and delineate the approaches they use in managing day-to-day life and the stressful situations they encounter. Few studies have systematically described what recovery means to individuals with severe mental illnesses or studied the factors consumers identify as influential in producing the recovery outcomes important to them. The proposed project will accomplish both of these goals and compare participant perspectives to traditional outcome measures. As such, proposed project will inform efforts to facilitate recovery individuals with severe psychiatric disabilities.

描述（由申请人提供）：严重精神疾病对个人、家庭、社会和卫生系统来说代价高昂，并且是发达国家残疾的主要原因之一。尽管个人特征、病史、生活环境、疾病特征和治疗类型相似，然而，一些患有这些疾病的人一生的大部分时间都在与心理健康问题作斗争，有些人成功适应，有些人完全康复。迄今为止，我们对这些人的区别以及如何促进那些状况不佳的人的康复知之甚少。该项目将利用多个数据源，采用定性和定量方法来了解导致严重精神疾病患者康复的因素。 该项目有三个目标：(1) 确定促进康复的过程、因素、行动和经验，(2) 描述精神卫生保健提供者和精神卫生保健系统在促进功能、生活满意度、生活质量和幸福改善方面先前和当前所发挥的作用，以及 (3) 确定参与研究前一年和进入研究后两年的健康计划服务使用模式，检查服务使用量和类型与 参与者的症状水平、功能、生活困难和生活满意度的报告。为了实现这些目标，我们将确定一组患有严重精神疾病的 HMO 成员，并对他们进行为期 24 个月的前瞻性跟踪。我们将采访参与者的生活历程和心理健康问题，衡量他们的生活质量、生活满意度、幸福感和康复情况，并提取有关他们的服务和药物使用的健康计划数据，将这些数据与问卷和访谈数据联系起来。我们将描述参与者认为重要的生活满意度指标的共性以及导致其生活和功能改善的因素，并描述参与者目前如何受到心理健康问题的影响。最后，我们将描述参与者的恢复轨迹并对其进行统计建模，并描述他们在管理日常生活和遇到压力情况时使用的方法。 很少有研究系统地描述康复对患有严重精神疾病的人意味着什么，或者研究消费者认为对产生对他们来说重要的康复结果有影响的因素。拟议的项目将实现这两​​个目标，并将参与者的观点与传统的成果衡量标准进行比较。因此，拟议的项目将为促进患有严重精神障碍的人的康复工作提供信息。

项目成果

Fostering Recovery from Life-Transforming Mental Health Disorders: A Synthesis and Model.

• DOI: 10.1057/palgrave.sth.8700036
• 发表时间: 2004-11-01
• 期刊: Social theory & health : STH
• 作者: Green, Carla A

New endeavors, risk taking, and personal growth in the recovery process: findings from the STARS study.

恢复过程中的新努力、冒险和个人成长：STARS 研究的结果。

• DOI: 10.1176/ps.2008.59.12.1430
• 发表时间: 2008
• 期刊: Psychiatric services (Washington, D.C.)
• 作者: Young,AndrewT;Green,CarlaA;Estroff,SueE
• 通讯作者: Estroff,SueE

Another breed of "service" animals: STARS study findings about pet ownership and recovery from serious mental illness.

• DOI: 10.1037/a0016812
• 发表时间: 2009-07
• 期刊: AMERICAN JOURNAL OF ORTHOPSYCHIATRY
• 影响因子: 3.3
• 作者: Wisdom, Jennifer P.;Saedi, Goal Auzeen;Green, Carla A.
• 通讯作者: Green, Carla A.

Development of the Patient Activation Measure for mental health.

• DOI: 10.1007/s10488-009-0239-6
• 发表时间: 2010-07
• 期刊: ADMINISTRATION AND POLICY IN MENTAL HEALTH AND MENTAL HEALTH SERVICES RESEARCH
• 影响因子: 2.6
• 作者: Green, Carla A.;Perrin, Nancy A.;Polen, Michael R.;Leo, Michael C.;Hibbard, Judith H.;Tusler, Martin
• 通讯作者: Tusler, Martin

'Stealing me from myself': identity and recovery in personal accounts of mental illness.

“从我自己那里偷走我”：精神疾病个人账户中的身份和康复。

• DOI: 10.1080/00048670802050579
• 发表时间: 2008
• 期刊: The Australian and New Zealand journal of psychiatry
• 作者: Wisdom,JenniferP;Bruce,Kevin;Saedi,GoalAuzeen;Weis,Teresa;Green,CarlaA
• 通讯作者: Green,CarlaA