New directions for psychiatric rehabilitation in the USA. (21st November 2016)

• Record Type: Journal Article
• Authors: Bond, G. R.; Drake, R. E.
• Is Part Of: Epidemiology and psychiatric sciences. Volume 26:Number 3(2017)
• Page Start: 223
• Page End: 227
• Publication Date: 2016-11-21
• Subjects: Community mental health, -- evidence-based psychiatry, -- rehabilitation, -- schizophrenia; Epidemiology -- Periodicals; Mental illness -- Periodicals; Community psychiatry -- Periodicals; 362.2
• DOI: 10.1017/S2045796016000834
• Languages: English
• ISSNs: 2045-7960

Abstract

Abstract : American researchers have led the world in developing, evaluating, and disseminating evidence-based psychiatric rehabilitation practices for people with serious mental illness. Paradoxically, however, the USA lags behind most industrialized nations in providing access to high-quality mental health and psychiatric services. This essay examines several evidence-based practices developed in the USA, the spread of these practices, the barriers to ensuring availability to people who could benefit from these services, and some promising directions for overcoming the barriers. Factors influencing the growth and sustainment of effective client-centred practices include the availability of adequate and stable funding, committed leadership, and the influence of vested interests. Two strategies for promoting the spread and sustainment of well-implemented evidence-based practices are the adoption of fidelity scales and learning communities.