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How Evidence-Based Practices Contribute to Community Integration

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Abstract

Since the groundbreaking work of the Robert Wood Johnson Conference in 1998 identifying six evidence-based practices (EBPs) for people with severe mental illness (SMI), the mental health field has moved in the direction of re-examination and redesign of service systems. Surprisingly, one area that has not been fully explicated is the role that EBPs play in promoting community integration. In this paper, we explain how community integration is a unifying concept providing direction and vision for community mental health for people with SMI. As one crucial aspect of the recovery process, community integration clarifies the link between EBPs and recovery. We propose an alternate view, grounded in the empirical literature, to the assertion by Anthony, Rogers, and Farkas [2003, Community Mental Health Journal, 39, 101–114] that “EBP research has rarely demonstrated a positive impact on recovery related outcomes.”

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REFERENCES

  • Alverson, H., Alverson, M., & Drake, R. E. (2000). An ethnographic study of the longitudinal course of substance abuse among people with severe mental illness. Community mental health journal, 36, 557-569.

    PubMed  Google Scholar 

  • Angell, B. (2003). Contexts of social relationship development among assertive community treatment clients. Mental Health Services Research,5,13-25.

    PubMed  Google Scholar 

  • Anthony, W. A., Rogers, E. S., & Farkas, M. D. (2003). Research on evidence-based practices: Future directions in an era of recovery. Community Mental Health Journal, 39, 101-114.

    PubMed  Google Scholar 

  • Becker, D. R., Drake, R. E., Farabaugh, A., & Bond, G. R. (1996). Job preferences of clients with severe psychiatric disorders participating in supported employment programs. Psychiatric Services, 47, 1223-1226.

    PubMed  Google Scholar 

  • Bedell, J. R., Draving, D., Parrish, A., Gervey, R., & Guastadisegni, P. (1998). A description and comparison of experiences of people with mental disorders in supported employment and paid prevocational training. Psychiatric Rehabilitation Journal, 21(3), 279-283.

    Google Scholar 

  • Beutler, L. E. (2000). David and Goliath: When empirical evidence and clinical standards of practice meet. American Psychologist, 55, 997-1007.

    PubMed  Google Scholar 

  • Bond, G. R. (2004). Supported employment: Evidence for an evidence-based practice.Psychiatric Rehabilitation Journal.

  • Bond, G. R., Drake, R. E., Mueser, K. T., & Latimer, E. (2001). Assertive community treatment for people with severe mental illness: Critical ingredients and impact on patients. Disease Management & Health Outcomes, 9, 141-159.

    Google Scholar 

  • Bond, G. R., Evans, L., Salyers, M. P., Williams, J., & Kim, H. K. (2000). Measurement of fidelity in psychiatric rehabilitation. Mental Health Services Research, 2, 75-87.

    PubMed  Google Scholar 

  • Bond, G. R., Resnick, S. R., Drake, R. E., Xie, H., McHugo, G. J., & Bebout, R. R. (2001). Does competitive employment improve nonvocational outcomes for people with severe mental ill-ness? Journal of Consulting and Clinical Psychology, 69, 489-501.

    PubMed  Google Scholar 

  • Braitman, A., Counts, P., Davenport, R., Zurlinden, B., Rogers, M., Clauss, J., Kulkarni, A., Kymla, J., & Montgomery, L. (1995). Comparison of barriers to employment for unemployed and employed clients in a case management program: An exploratory study. Psychiatric Rehabilitation Journal, 19(1), 3-18.

    Google Scholar 

  • Burland, J. F. (1998). Family-to-family: A trauma and recovery model of family education. New Directions for Mental Health Services, 77,33-44.

    PubMed  Google Scholar 

  • Carling, P. J. (1995). Return to community: Building support systems for people with psychiatric disabilities. New York: Guilford.

    Google Scholar 

  • Carlson, L., Eichler, M. S., Huff, S., & Rapp, C. A. (2003). A tale of two cities: Best practices in supported education. Lawrence, KS: The University of Kansas School of Social Welfare.

    Google Scholar 

  • Compton, S. N., Swanson, J. W., Wagner, H. R., Swartz, M. S., Burns, B. J., & Elbogen, E. B. (2003). Involuntary outpatient commitment and homelessness in persons with severe mental illness. Mental Health Services Research, 5,27-38.

    PubMed  Google Scholar 

  • Crane-Ross, D., Roth, D., & Lauber, B. G. (2000). Consumers' and case managers' perceptions of mental health and community support service needs. Community Mental Health Journal, 36, 161-178.

    PubMed  Google Scholar 

  • Cutler, D. H., Bevilacqua, J., & McFarland, B. H. (2003). Four decades of community mental health: A symphony in four movements. Community Mental Health journal, 39, 381-398.

    PubMed  Google Scholar 

  • Deegan, P. E. (1999). Seasons of recovery. In P. Ridgway (Ed.), The Recovery Papers: Vol. I. Lawrence, KS: University of Kansas School of Social Welfare.

    Google Scholar 

  • Dennis, D. L., & Monahan, J. (1996). Coercion and aggressive community treatment: A new frontier in mental health law.: Plenum Series in Social/Clinical Psychology.

  • Ditton, P. J. (1999). Bureau of Justice Statistics Special Report: Mental Health Treatment of Inmates and Probationers. Washington, D.C: U.S. Department of justice.

    Google Scholar 

  • Dixon, L., McFarlane, W. R., Lefley, H., Lucksted, A., Cohen, M., Falloon, I., Mueser, K. T., Miklowitz, D., Solomon, P., & Sondheimer, D. (2001). Evidence-based practices for services to families of people with psychiatric disabilities. Psychiatric Services, 52, 903-910.

    PubMed  Google Scholar 

  • Drake, R. E., Becker, D. R., Bond, G. R., & Mueser, K. T. (2003). A process analysis of integrated and non-integrated approaches to supported employment. Journal of Vocational Rehabilitation, 18,51-58.

    Google Scholar 

  • Drake, R. E., Essock, S. M., Shaner, A., Carey, K. B., Minkoff, K., Kola, L., Lynde, D., Osher, F. C., Clark, R. E., & Rickards, L. (2001). Implementing dual diagnosis services for clients with severe mental illness. Psychiatric Services, 52(4), 469-476.

    PubMed  Google Scholar 

  • Drake, R. E., Goldman, H. H., Leff, H. S., Lehman, F., Dixon, L., Mueser, K. T., & Torrey, W. C. (2001). Implementing evidence-based practices in routine mental health service settings. ]Psychiatric Services, 52(2), 179-182.

    PubMed  Google Scholar 

  • Drake, R. E., Green, A. I., Mueser, K. T., & Goldman, H. H. (2003). The history of community mental health treatment and rehabilitation for persons with severe mental illness. Community Mental Health Journal, 39, 427-440.

    PubMed  Google Scholar 

  • Drake, R. E., McHugo, G. J., Becker, D. R., Anthony, W. A., & Clark, R. E. (1996). The New Hampshire study of supported employment for people with severe mental illness: Vocational outcomes. Journal of Consulting and Clinical Psychology, 64, 391-399.

    PubMed  Google Scholar 

  • Drake, R. E., Rosenberg, S. D., Teague, G. B., Bartels, S. J., & Torrey, W. C. (2003). Fundamental principles of evidence-based medicine applied to mental health care. Psychiatric Clinics of North America, 24, 811-820.

    Google Scholar 

  • Elbogen, E. B., Swanson, J. W., & Swartz, M. S. (2003). Effects of legal mechanisms on perceived coercion and treatment adherence among persons with severel mental illness. Journal of Nervous and Mental Disease, 191, 629-637.

    PubMed  Google Scholar 

  • Essock, S. M., Goldman, H. H., Van Tosh, L., Anthony, W., Appell, C., Bond, G. R., Dixon, L., Dunakin, L., Ganju, V., Gorman, P., Ralph, R., Rapp, C. A., Teague, G., & Drake, R. E. (2003).Evidence-based practices: Setting the context and responding to concerns. Psychiatric Clinics of North America, 24, 919-938.

    Google Scholar 

  • Fisher, D. B., & Ahern, L. (2000). Personal assistance in community existence (PACE): An alternative to PACT. Ethical Human Sciences and Services, 2,87-92.

    Google Scholar 

  • Flaum, M. (2003, october 10). Ready or not, here they come. Paper presented at the Iowa Psychiatric Society Annual Meeting, Iowa.

  • Frese, F. J., Stanley, J., Kress, K., & Vogel-Scibilia, S. (2001). Integrating evidence-based practices and the recovery model. Psychiatric Services, 52, 1462-1468.

    PubMed  Google Scholar 

  • Geller, J. L. (2000). The last half-century of psychiatric services as reflected in Psychiatric Services. Psychiatric Services, 51,41-67.

    PubMed  Google Scholar 

  • Gold Award. (2001). Helping mentally ill people break the cycle of jail and homelessness. Psychiatric Services, 52, 1380-1382.

    Google Scholar 

  • Goldman, H. H., Ganju, V., Drake, R. E., Gorman, P. G., Hogan, M., Hyde, P. S., & Morgan, O. (2001). Policy implications for implementing evidence-based practices. Psychiatric Services, 52, 1591-1597.

    PubMed  Google Scholar 

  • Gomory, T. (2001). A critique of the effectiveness of assertive community treatment. Psychiatric Services, 52, 1394.

    PubMed  Google Scholar 

  • Goodman, L. A., Salyers, M. P., Mueser, K. T., Rosenberg, S. D., Swartz, M., Essock, S. M., Osher, F. C., Butterfield, M. I., & Swanson, J. (2001). Recent victimization in women and men with severe mental illness: Prevalence and correlates. Journal of Traumatic Stress, 14(4), 615-632.

    PubMed  Google Scholar 

  • Gowdy, E. A., Carlson, L. S., & Rapp, C. A. (2003). Practices differentiating high-performing from low-performing supported employment programs. Psychiatric Rehabilitation Journal, 26, 232-239.

    PubMed  Google Scholar 

  • Hall, L. L., Graf, A. C., Fitzpatrick, M. J., Lane, T., & Birkel, R. C. (2003). Shattered lives: Results of a national survey of NAMI members living with mental illness and their families. Arlington, VA: NAMI/TRIAD (Treatment/Recovery Information and Advocacy Data Base).

    Google Scholar 

  • Harding, C. M., Brooks, G. W., Ashikaga, T., Strauss, J. S., & Breier, A. (1987). The Vermont longitudinal study of persons with severe mental illness, II: Long-term outcome of subjects who reprospectively met DSM-III criteria for schizophrenia. American Journal of Psychiatry, 144, 727-735.

    PubMed  Google Scholar 

  • Hughes, R., & Weinstein, D. (Eds.). (1997). Best practices in psychosocial rehabilitation. Columbia, MD: International Association of Psychosocial Rehabilitation.

    Google Scholar 

  • Hyde, P. S., Falls, K., Morris, J. A., & Schoenwald, S. K. (2003). Turning knowledge into practice: A manual for behavioral health administrators and practitioners about understanding and implementing evidence-based practices (http://tacinc.org/CMS). Boston, MA: Technical Assistance Collaborative.

    Google Scholar 

  • Lehman, A. F., Steinwachs, D. M., & PORT Co-Investigators. (1998). Patterns of usual care for schizophrenia: Initial results from the Schizophrenia Patient Outcomes Research Team (PORT) client survey. Schizophrenia Bulletin, 24, 11-23.

    Google Scholar 

  • McFarlane, W. R., Dushay, R. A., Deakins, S. M., Stastny, P., Lukens, E. P., Toran, J., & Link, B. (2000). Employment outcomes in Family-aided Assertive Community Treatment. American Journal of Orthopsychiatry, 70, 203-214.

    PubMed  Google Scholar 

  • McGrew, J. H., Wilson, R., & Bond, G. R. (2002). An exploratory study of what clients like least about assertive community treatment. Psychiatric Services, 53, 761-763.

    PubMed  Google Scholar 

  • McQuilken, M., Zahniser, J. H., Novak, J., Starks, R. D., Olmos, A., & Bond, G. R. (2003). The work Project Survey: Consumer perspectives on work. Journal of Vocational Rehabilitation, 18,59-68.

    Google Scholar 

  • Mellman, T. A., Miller, A. L., Weissman, E. M., Crismon, M. L., Essock, S. M., & Marder, S. R. (2001). Evidence-based pharmacologic treatment for people with severe mental illness: A focus on guidelines and algorithms. Psychiatric Services, 52(5), 619-625.

    PubMed  Google Scholar 

  • Mowbray, C. T. (Ed.). (2000). Supported education and psychiatric rehabilitation: Models and methods. Columbia, MD: International Association of Psychosocial Rehabilitation Services.

    Google Scholar 

  • Mueser, K. T., Corrigan, P. W., Hilton, D. W., Tanzman, B., Schaub, A., Gingerich, S., Copeland, M. E., Essock, S. M., Tarrier, N., Morey, B., Vogel-Scibilia, S., & Herz, M. I. (2002). Illness management and recovery: A review of the research. Psychiatric Services, 53, 1272-1284.

    PubMed  Google Scholar 

  • Mueser, K. T., Noordsy, D. L., Drake, R. E., & Fox, L. (2003). Integrated treatment for dual disorders: A guide to effective practice. New York: Guilford Publications.

    Google Scholar 

  • Mueser, K. T., Torrey, W. C., Lynde, D., Singer, P., & Drake, R. E. (2003). Implementing evidence-based practices for people with severe mental illness. Behavior Modification, 27(3), 387-411.

    PubMed  Google Scholar 

  • Nelson, G., Lord, J., & Ochocka, J. (2001). Empowerment and mental health in community: Narratives of psychiatric consumer/survivors. Journal of Community & Applied Social Psychology, 11, 125-142.

    Google Scholar 

  • New Freedom Commission on Mental Health. (2003). Achieving the promise: Transforming mental health care in America. Final Report. DHHS Pub. No. SMA-pp03-3832. Rockville, MD: Substance Abuse and Mental Health Services Administration.

    Google Scholar 

  • Newman, S. J. (2001). Housing attributes and serious mental illness: Implications for research and practice. Psychiatric Services, 52, 1309-1317.

    PubMed  Google Scholar 

  • Noble, J. H., Honberg, R. S., Hall, L. L., & Flynn, L. M. (1997). A legacy of failure: The inability of the federal-state vocational rehabilitation system to serve people with severe mental illness. Arlington, VA: National Alliance for the Mentally Ill.

    Google Scholar 

  • Onken, S. J., Dumont, J. M., Ridgway, P., Dornan, D. H., & Ralph, R. O. (2002). Mental health: what helps and what hinders? Alexandria, VA: National Technical Assistance Center for State Mental Health Planning.

    Google Scholar 

  • Parker, S., & Knoll, J. L. (1990). Partial hospitalization: An update. American Journal of Psychiatry, 147, 156-160.

    PubMed  Google Scholar 

  • Prince, P. N., & Prince, C. R. (2002). Perceived stigma and community integration among clients of assertive community treatment. Psychiatric Rehabilitation Journal, 25, 323-331.

    PubMed  Google Scholar 

  • Rain, S. D., Steadman, H. J., & Robbins, P. C. (2003). Perceived coercion and treatment adherence in an outpatient commitment program. Psychiatric Services, 54, 399-401.

    PubMed  Google Scholar 

  • Ralph, R. O. (2000). A synthesis of a sample of recovery literature 2000. Alexandria, VA: National Technical Center for State Mental Health Planning, National Association for State Mental Health Program Directors.

    Google Scholar 

  • Regier, D. A., Farmer, M. E., Rae, D. S., Locke, B. Z., Keith, S. J., Judd, L. L., & Goodwin, F. K. (1990). Comorbidity of mental disorders with alcohol and other drug abuse. Results from the Epidemiologic Catchment Area (ECA) Study.[comment]. Journal of the American Medical Association, 264, 2511-2518.

    PubMed  Google Scholar 

  • Resnick, S. G., & Bond, G. R. (2001). The Indiana Job Satisfaction Scale: Job satisfaction in vocational rehabilitation for people with severe mental illness. Psychiatric Rehabilitation Journal, 25,12-19.

    PubMed  Google Scholar 

  • Ridgway, P., & Zipple, A. M. (1990). The paradigm shift in residential services: From the linear continuum to supported housing approaches. Psychosocial Rehabilitation Journal, 13(4), 11-31.

    Google Scholar 

  • Rog, D. J. (2004). The evidence base on housing approaches for persons with serious mental illness. Psychiatric Rehabilitation Journal.

  • Rogers, E. S., Walsh, D., Masotta, L., & Danley, K. (1991). Massachusetts survey of client preferences for community support services: Final report. Boston: Center for Psychiatric Rehabilitation.

    Google Scholar 

  • Rogers, J. A. (1995). Work is key to recovery. Psychosocial Rehabilitation Journal, 18(4), 5-10.

    Google Scholar 

  • Rosenberg, S. D., Mueser, K. T., Friedman, M. J., Gorman, P. G., Drake, R. E., Vidaver, R. M., Torrey, W. C., & Jankowski, M. K. (2001). Developing effective treatments for posttraumatic disorders among people with severe mental illness. Psychiatric Services, 52, 1453-1461.

    PubMed  Google Scholar 

  • SAMHSA. (1997). Just the Facts: The prevalence of co-occurring mental and substance disorders in the criminal justice system. Rockville, MD: National GAINS Center, Substance Abuse and Mental Health Services Administration.

    Google Scholar 

  • Segal, S. P., & Aviram, U. (1978). The mentally ill in community-based sheltered care: A study of community care and social integration. New York: Wiley-International.

    Google Scholar 

  • Shepherd, L. (1993). School daze. Psychosocial Rehabilitation Journal, 17(1), 7-10.

    Google Scholar 

  • Steele, K., & Berman, C. (2001). The day the voices stopped. New York: Basic Books.

    Google Scholar 

  • Steinwachs, D. M., Kasper, J. D., & Skinner, E. A. (1992). Family perspectives on meeting the needs for care of severely mentally ill relatives: A national survey. Baltimore, MD: Center on the Organization and Financing of Care for the Severely Mentally Ill, Johns Hopkins.

    Google Scholar 

  • Strauss, J. S., Hafez, H., Lieberman, P., & Harding, C. M. (1985). The course of psychiatric disorder, III: Longitudinal principles. American Journal of Psychiatry, 142, 289-296.

    PubMed  Google Scholar 

  • Torrey, E. F. (2001). Surviving schizophrenia: A manual for families, consumers, and providers (4th ed.). New York: Harper-Collins.

    Google Scholar 

  • Tracy, B. (2003). Evidence-based practices or value-based services. Psychiatric Services, 54, 1437.

    PubMed  Google Scholar 

  • Turner, J. C., & Tenhoor, W. J. (1978). The NIMH community support program: pilot approach to a needed social reform. Schizophrenia Bulletin, 4, 319-348.

    Google Scholar 

  • Unger, K. V. (1998). Handbook on supported education: Services for students with psychiatric disabilities. Baltimore, MD: Brookes.

    Google Scholar 

  • Williamson, T. (2002). Ethics of assertive outreach (assertive community treatment teams).Current Opinion in Psychiatry, 15, 543-547.

    PubMed  Google Scholar 

  • Witheridge, T. F. (1990). Assertive community treatment as a supported housing approach. ]Psychosocial Rehabilitation Journal, 13(4), 69-75.

    Google Scholar 

  • Wolfensberger, W., & Tullman, S. (1982). A brief outline of the principle of normalization. Rehabilitation Psychology, 27, 131-145.

    Google Scholar 

  • Wong, Y. I., & Solomon, P. L. (2002). Community integration of persons with psychiatric disabilities in supportive independent housing: A conceptual model and methodological considerations. Mental Health Services Research, 4,13-28.

    PubMed  Google Scholar 

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Bond, G.R., Salyers, M.P., Rollins, A.L. et al. How Evidence-Based Practices Contribute to Community Integration. Community Ment Health J 40, 569–588 (2004). https://doi.org/10.1007/s10597-004-6130-8

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