Abstract
Clinical recovery may vary gender-wise across various psychiatric disorders; however, personal recovery is individual specific and a unique process. There are several gender-specific factors that may determine recovery in the context of women with mental illness such as physical abuse, violence, abandonment, homelessness, stigma, and discrimination. Their access to mental health services and legal aid need to improve. Rehabilitative practices are becoming recovery oriented across the world, albeit slowly. These need to be mindful of the rehabilitation needs of women with mental illness. Motherhood, parenting, and work may be important to consider in a rehabilitative plan for women. Consumer movement, peer support, caregiver groups, and nongovernmental agencies will increasingly play a pivotal role in services that are recovery oriented. Gender-sensitive services and practices should be integrated across all levels of rehabilitative care. Institutional, long stay and forensic settings pose unique challenges in rehabilitation of women with mental illness. In this chapter, we examine the influence of these factors on rehabilitation and recovery of women with mental illness. We also briefly provide a case example of policy and legislative changes from a developing country – India – that are important drivers of improving rehabilitative services for women with mental illness.
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References
Anthony WA (1993) Recovery from rehabilitation and recovery, psychiatric: the guiding vision of the mental health service system in the 1990s. Psychosoc Rehabil J 16:11–23
Bassuk EL (1993) Homeless women – economic and social issues: introduction. Am J Orthopsychiatry 63(3):337–339
Becker GS (1991) A treatise on the family. Harvard University Press, Cambridge, MA
Bonfils KA, Adams EL, Firmin RL, White LM, Salyers MP (2014) Parenthood and severe rehabilitation and recovery, psychiatric: relationships with recovery. Psychiatr Rehabil J 37(3):186–193. https://doi.org/10.1037/prj0000072
Bonin J, Fournier L, Blais R (2009) A typology of mentally disordered users of resources for homeless people: towards better planning of mental health services. Adm Policy Ment Health Ment Health Serv Res 36(4):223–235
Breakey WR, Fischer PJ, Kramer M et al (1989) Health and mental health problems of homeless men and women in Baltimore. JAMA 262(10):1352–1357
Buckner JC, Bassuk EL, Zima BT (1993) Mental health issues affecting homeless women: implications for intervention. Am J Orthopsychiatry 63(3):385–399
Carpiniello B, Pinna F, Tusconi M, Zaccheddu E, Fatteri F (2012) Gender differences in remission and recovery of schizophrenic and schizoaffective patients: preliminary results of a prospective cohort study. Schizophr Res Treat 2012:576369
Chandra PS, Carey MP, Carey KB, Shalinianant A, Thomas T (2003) Sexual coercion and abuse among women with a severe mental illness in India: an exploratory investigation. Compr Psychiatry 44(3):205–212. https://doi.org/10.1016/S0010-440X(03)00004-X
Cogan JC (1998) The consumer as expert: women with serious mental illness and their relationship-based needs. Psychiatr Rehabil J 22(2):142–154
Cook JA (2003) Depression, disability, and rehabilitation services for women. Psychol Women Q 27(2):121–129
Craig T, Timms P (2000) Facing up to social exclusion: services for homeless mentally ill people. Int Rev Psychiatry 12(3):206–211
David DH, Styron T, Davidson L (2011) Supported parenting to meet the needs and concerns of mothers with severe mental illness. Am J Psychiatr Rehabil 14(2):137–153
Dean Klinkenberg W, Calsyn RJ (1998) Gender differences in the receipt of aftercare and psychiatric hospitalization among adults with severe mental illness. Compr Psychiatry 39(3):137–142. https://doi.org/10.1016/S0010-440X(98)90072-4
Dickens G, Weleminsky J, Onifade Y, Sugarman P (2012) Recovery star: validating user recovery. Psychiatrist 36(2):45–50
Dipple H, Smith S, Andrews H, Evans B (2002) The experience of motherhood in women with severe and enduring mental illness. Soc Psychiatry Psychiatr Epidemiol 37(7):336–340. https://doi.org/10.1007/s00127-002-0559-2
Eklund M, Tjörnstrand C (2013) Psychiatric rehabilitation in community-based day centers: motivation and satisfaction. Scand J Occup Ther 20:438–445
Farkas M (2007) The vision of recovery today: what it is and what it means for services. World Psychiatry 6:68–74
Ferrarini T, Duvander AZ (2010) Earner-carer model at the crossroads: reforms and outcomes of Sweden’s family policy in comparative perspective. Int J Health Serv 40:373–398
Fistein EC, Holland AJ, Clare IC, Gunn MJ (2009) A comparison of mental health legislation from diverse commonwealth jurisdictions. Int J Law Psychiatry 32(3):147–155. https://doi.org/10.1016/j.ijlp.2009.02.006
Gajendragad JM (2015) Struggles of women with mental illness. IOSR J Humanit Soc Sci 20(4):37–41. e-ISSN: 2279-0837, p-ISSN: 2279-0845. http://iosrjournals.org/iosr-jhss/papers/Vol20-issue4/Version-1/H020413741.pdf
Gehart DR (2012) The mental health recovery movement and family therapy, part I: consumer led reform of services to persons diagnosed with severe mental illness. J Marital Fam Ther 38(3):429–442
Gilbert E, Marwaha S, Milton A, Johnson S, Morant N, Parsons N, Fisher A, Singh S, Cunliffe D (2013) Social firms as a means of vocational recovery for people with rehabilitation and recovery, psychiatric: a UK survey. BMC Health Serv Res 13(1):270. https://doi.org/10.1186/1472-6963-13-270
Goodman LA, Dutton MA, Harris M (1995) Episodically homeless women with serious rehabilitation and recovery, psychiatric: prevalence of physical and sexual assault. Am J Orthopsychiatry 65(4):468–478
Gururaj G, Varghese M, Benegal V, Rao GN, Pathak K, Singh LK, Mehata RY, Ram D, Shibukumar TM, Koane A, Lenin Singh RK, Chavan BS, Sharma P, Ramasubramanian C, Dalal PK, Saha PK, Deuri SP, Giri AK, Kavishvar AB, Sinha VK, Thavody J, Chatterji R, Akoijam BS, Das S, Kashyap A, Raghavan VS, Singh SK, Misra RM, NMHS Collaborators Group (2015–16) National mental health survey of India, 2015–16: summary, 2016 edn. National Institute of Mental Health and Neuro Sciences (NIMHANS), Bengaluru
Hanlon C (2017) Next steps for meeting the needs of people with severe mental illness in low- and middle-income countries. Epidemiol Psychiatr Sci 26(4):348–354. https://doi.org/10.1017/S2045796016001013
Hurlburt MS (1997) An empirical framework for the evaluation of mental health care strategies targeted to community integration of severely mentally ill homeless individuals (Order no. 9722820). Available from ProQuest dissertations & theses global: the humanities and social sciences collection. (304328346). Retrieved from https://search.proquest.com/docview/304328346?accountid=5068
India Today (2018) Abuse at Bihar shelter homes: what TISS report says. India Today Webdesk, New Delhi, 6 Aug 2018. https://www.indiatoday.in/india/story/bihar-shelter-homes-rapecase-tiss-report-1306304-2018-08-06
Khan F, Chithiramohan A (2016) Conveyance of mentally ill person from their property: which legislation to use? – Mental Capacity Act (MCA) or Mental Health Act (MHA) or Court of Protection. J Gerontol Geriatr Res 5:297. https://doi.org/10.4172/2167-7182.1000297
Kidd SA, Virdee G, Krupa T, Burnham D, Hemingway D, Margolin I, Patterson M, Zabkiewicz D (2013) The role of gender in housing for individuals with severe rehabilitation and recovery, psychiatric: a qualitative study of the Canadian service context. BMJ Open 3. https://doi.org/10.1136/bmjopen-2013-002914
Killaspy H, White S, Taylor TL, King M (2012) Psychometric properties of the mental health recovery star. Br J Psychiatry 201(1):65–70
Kumar S, Jeyaseelan L, Suresh S, Ahuja RC (2005) Domestic violence and its mental health correlates in Indian women. Br J Psychiatry 187:62–67. https://doi.org/10.1192/bjp.187.1.62
Larivière N, Couture É, Blackburn C, Carbonneau M, Lacombe C, Schinck S-A, St-Cyr-Tribble D (2015) Recovery, as experienced by women with borderline personality disorder. Psychiatr Q 86(4):555–568
Lloyd C, Williams PL, Machingura T, Tse S (2016) A focus on recovery: using the mental health recovery star as an outcome measure. Adv Ment Health 14(1):57–64
Luo H, McNeil EB, Feng Q, Li H, Chen Q, Qin X, Assanangkornchai S (2018) Utilization of psychiatric rehabilitation services and influencing factors among people with psychotic disorders in rural communities of Guangxi. China. Int J Ment Heal Syst 12:17. https://doi.org/10.1186/s13033-018-0197-z
Mathew S (2016) Gender issues in psychosocial rehabilitation. Indian J Soc Psychiatry 32(1):63–68
McPhail ME, Falvo DR, Burker EJ (2012) Psychiatric disorders in incarcerated women: treatment and rehabilitation needs for successful community reentry. J Appl Rehabil Couns 43(1):19–26
Messina N, Calhoun S, Warda U (2012) Gender-responsive drug court treatment: a randomized controlled trial. Crim Justice Behav 39(12):1539–1558. https://doi.org/10.1177/0093854812453913
Mizock L (2019) Development of a gender-sensitive and recovery-oriented intervention for women with serious mental illness. Psychiatr Rehabil J 42(1):3–8
Moorkath F, Vranda M, Naveenkumar C (2018) Lives without roots: institutionalized homeless women with chronic mental illness. Indian J Psychol Med 40(5):476–481. https://doi.org/10.4103/IJPSYM.IJPSYM_103_18
Mowbray CT, Oyserman D, Bybee D, MacFarlane P, Rueda-Riedle A (2001) Life circumstances of mothers with serious mental illnesses. Psychiatr Rehabil J 25(2):114–123. https://doi.org/10.1037/h0095034
Mowbray CT, Nicholson J, Bellamy CD (2003) Psychosocial rehabilitation service needs of women. Psychiatr Rehabil J 27(2):104–113. https://doi.org/10.2975/27.2003.104.113
Murthy P, Naveen Kumar C, Chandra PS, Bharath S, Math SB, Bhola P, Gandhi S, Vranda MN, Jaisoorya TS, Dahale AB, Vishwakarma H, Naaz F, Venkatalakshmi C (2016) Addressing concerns of women admitted to mental hospital in India: an in-depth analysis. National Institute of Mental Health and Neurosciences/National Commission for Women, Bangalore/New Delhi. Accessed 30 Oct 2018
Nagaswami V, Valecha V, Thara R, Rajkumar S, Menon MS (1985) Rehabilitation needs of schizophrenic patients – a preliminary report. Indian J Psychiatry 27(3):213–220
Nalini Rao P (2005) Rehabilitation of the wandering seriously mentally ill (WSMI) women. Soc Work Health Care 39(1–2):49–65
Nicholson J, Henry AD (2003) Achieving the goal of evidence-based psychiatric rehabilitation practices for mothers with mental illnesses. Psychiatr Rehabil J 27(2):122–130. https://doi.org/10.2975/27.2003.122.130
Noiseux S, Tribble St-Cyr D, Corin E, St-Hilaire PL, Morissette R, Leclerc C, Fleury D, Vigneault L, Gagnier F (2010) The process of recovery of people with Rehabilitation and recovery, psychiatric: the perspectives of clients, family members and care providers: part 1. BMC Health Serv Res 10(161):1–14
Oyserman D, Mowbray CT, Zemencuk JK (1994) Resources and supports for mothers with severe mental illness. Health Soc Work 19(2):132–142
Patel V, Araya R, Chatterjee S, Chisholm D et al (2007) Global mental health 3: treatment and prevention of mental disorders in low-income and middle-income countries. Lancet 370(9591):991–1005
Plunkett C, Peters S, Wieck A, Wittkowski A (2017) A qualitative investigation in the role of the baby in recovery from postpartum psychosis. Clin Psychol Psychother 24:1099–1108
Rathod S, Pinninti N, Irfan M, Gorczynski P, Rathod P, Gega L, Naeem F (2017) Mental health service provision in low- and middle-income countries. Health Serv Insights 10:1178632917694350. https://doi.org/10.1177/1178632917694350
Ritsher JE, Coursey RD, Farrell EW (1997) A survey on issues in the lives of women with severe mental illness. Psychiatr Serv 48(10):1273–1282. https://doi.org/10.1176/ps.48.10.1273
Sajatovic M, Donenwirth K, Sultana D, Buckley P (2000) Admissions, length of stay, and medication use among women in an acute care state psychiatric facility. Psychiatr Serv 51(10):1278–1281. https://doi.org/10.1176/appi.ps.51.10.1278
Schön U-K (2010) Recovery from severe mental illness, a gender perspective. Scand J Caring Sci 24(3):557–564. https://doi.org/10.1111/j.14716712.2009.00748.x
Schön U-K (2013) Recovery in involuntary psychiatric care: is there a gender difference? J Ment Health 22(5):420–427
Shidhaye R, Kermode M (2013) Stigma and discrimination as a barrier to mental health service utilization in India. Int Health 5(1):6–8. https://doi.org/10.1093/inthealth/ihs011
Tew J, Ramon S, Slade M, Bird V, Melton J, Le Boutillier C (2011) Social factors and recovery from mental health difficulties: a review of the evidence. Br J Soc Work 42(3):443–460. https://doi.org/10.1093/bjsw/bcr076
The Rights of Persons with Disabilities Act, 2016 (2016) http://www.disabilityaffairs.gov.in/upload/uploadfiles/files/RPWD%20ACT%202016.pdf. Accessed 4 Oct 2018
Thomas TL, Prasad Muliyala K, Jayarajan D, Angothu H, Thirthalli J (2019) Vocational challenges in severe rehabilitation and recovery, psychiatric: a qualitative study in persons with professional degrees. Asian J Psychiatr 42:48–54. https://doi.org/10.1016/j.ajp.2019.03.011
Thornicroft G, Leese M, Tansella M, Howard L, Toulmin H, Herran A, Schene A (2002) Gender differences in living with schizophrenia. A cross-sectional European multi-site study. Schizophr Res 57(2–3):191–200. https://doi.org/10.1016/s0920-9964(01)00318-8
Townley G, Miller H, Kloos B (2013) A little goes a long way: the impact of distal social support on community integration and recovery of individuals with psychiatric disabilities. Am J Community Psychol 52(1–2):84–96. https://doi.org/10.1007/s10464-013-9578-2
United States Psychiatric Rehabilitation Association Core Principle (2009) https://www.psychrehabassociation.org/principles-multicultural-psychiatric-rehabilitation-services. Accessed 10 Oct 2018
US Psychiatric Rehabilitation Association (2002) USPRA core principles & values. https://uspra.ipower.com/Certification/USPRA_CORE_PRINCIPLES2009.pdf. Accessed 20 Sept 2018
Wenzel SL, Koegel P, Gelberg L (2000) Antecedents of physical and sexual victimization among homeless women: a comparison to homeless men. Am J Community Psychol 28(3):367–390
Whitley R, Harris M, Anglin J (2008) Refuge or rehabilitation? Assessing the development of a women’s empowerment center for people with severe mental illness. Community Ment Health J 44(4):253–260. https://doi.org/10.1007/s10597-008-9125-z
World Health Organization (2010) Gender disparities in mental health. Department of Mental Health and Substance Dependence, World Health Organization, Geneva
World Health Organization(2011) Concept paper World Health Organization guidelines on health-related rehabilitation (Rehabilitation guidelines). http://www.who.int/disabilities/care/rehabilitation_guidelines_concept.pdf. Accessed 3 Oct 2018
World Health Organization, Division of Mental Health and Prevention of Substance Abuse (1996) PsychoSocial rehabilitation a consensus statement. http://apps.who.int/iris/bitstream/handle/10665/60630/WHO_MNH_MND_96.2.pdf?sequence=1&isAllowed=y. Accessed 4 Oct 2018
Young SL, Ensing DS (1999) Exploring recovery from the perspective of people with psychiatric disabilities. Psychiatr Rehabil J 22(3):219–231. https://doi.org/10.1037/h0095240
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Angothu, H., Jadhav, P., Muliyala, K.P. (2020). Rehabilitation and Recovery of Women with Mental Illness. In: Chandra, P., Herrman, H., Fisher, J., Riecher-Rössler, A. (eds) Mental Health and Illness of Women. Mental Health and Illness Worldwide. Springer, Singapore. https://doi.org/10.1007/978-981-10-0371-4_38-2
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Rehabilitation and Recovery of Women with Mental Illness- Published:
- 20 December 2019
DOI: https://doi.org/10.1007/978-981-10-0371-4_38-2
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Rehabilitation and Recovery of Women with Mental Illness- Published:
- 15 October 2019
DOI: https://doi.org/10.1007/978-981-10-0371-4_38-1