The Colloquium Committee of the Department of Psychiatric Rehabilitation and Counseling Professions, Rutgers, The State University of New Jersey, School of Health Professions would like to announce the upcoming Colloquium Series for 2016. This year the presentations focus on the research being conducted by faculty of the Department of Psychiatric Rehabilitation and Counseling Professions. We hope this will be informative for our audience and will generate ideas for future research.
Amy B. Spagnolo, PhD & Faculty
Director, Masters of Science in Psychiatric Rehabilitation, Leadership Track
Department of Psychiatric Rehabilitation and Counseling Professions
RBHS - SHP Rutgers University
TOPIC: Standardizing Strategies to Enhance Students' Experience in Online Courses
Derek Malenczak Department of Psychiatric Rehabilitation and Counseling Professions and the Integrated Employment Institute
“From Cognitive Specialist to Instructor: How Teaching Cognitive Remediation has Helped Me Better Understand Barriers that Exist in the Classroom”
This presentation will delve into Executive Functioning limitations that may exist when instructing college students with psychiatric conditions, as well as practical strategies that instructors can use to reduce the effects of these limitations, including basic Universal Design of Learning (UDL) best practices for online learning.
Become aware of Executive Functioning (EF) limitations impeding college success
Understand the relationship between EF limitations and the manner in which they manifest in the classroom and/or online
Define practical strategies that will reduce the effects of EF limitations and maximize student learning/success
William Waynor, Ph.D.
Department of Psychiatric Rehabilitation and Counseling Professions and the Integrated Employment Institute
“The Role of Social Cognitive Career Theory and Recovery Variables in Supported Employment Success for Individuals with Psychiatric Conditions”
This symposium will present research findings on the predictors of supported employment success among adults with psychiatric conditions, which includes variables relevant to Social Cognitive Career Theory and Hope theory. In addition, Dr. Waynor will discuss how a research project, which was originally conceived as an attempt to empirically link employment and recovery led to the study of several theoretical frameworks, and generated unforeseen scholarship opportunities.
Lies Korevaar, PhD, Jacomijn Hofstra, PhD, & Franca Hiddink, MRc
The Research & Innovation Center for Rehabilitation Hanze University of Applied Sciences in Groningen, the Netherlands
2 Sessions will be Presented
Session 1: The presenters will provide an overview of the Hanze University Groningen, their Research and Innovation Center for Rehabilitation, and the previous and current psychiatric rehabilitation research and innovation projects. The presenters will also discuss psychiatric rehabilitation curriculum and its inclusion in the School of Social Work and the School of Nursing.
Session 2: The presenters will share the history of Supported Education (SEd) in the Netherlands and describe the European ImpulSE and national SEd projects. Projects around SEd for youth with disabilities and other SEd research and innovation projects will be presented.
March 13, 2015
10AM - 12PM
Scotch Plains, Room 506
Founding director of the Center for Autism and Early Childhood Mental Health, College of Education and Human Services at Montclair State University
"Brains, Babies and Relationships: The Interpersonal Origins of Infant Mental Health and What New Jersey is Doing About It?"
The presenter will explore the nature of human attachment and the power of the earliest relationships to “sculpt” the infant brain and mind. The impact of stress on brain development will be explored and participants will learn about the growing field of interpersonal neurobiology, the cumulative impact of adverse experiences on infants and children, the critical importance of self- and “co” regulation, and understand ways to interact with infants and children that promote healthy human development. Programs that have been developed at the Center for Autism and Early Childhood Mental Health at Montclair State University, and important early childhood mental health initiatives will be described in light of the insights about the origins of well-being.
February 27, 2015
10AM - 12PM
Scotch Plains, Room 506
Elizabeth B. Torres, Ph.D.
Department of Psychology
Rutgers, School of Arts and Sciences New Outcome Measures of Intervention Efficacy: Detecting Physiologically Relevant Changes
Occupational and Physical Therapists (OT, PT) have an unmet critical need for objective outcome measures. Such metrics are needed to help insurance companies determine the efficacy of OT and PT interventions beyond subjective observational / verbal reports. In recent years the revolution of wearable sensing technology has enabled the continuous tracking of human motion with unprecedented precision. My lab has invented new analytics that can be paired with wearable sensors to detect physiologically relevant changes in human performance at very fine time and frequency scales. The advantage of such methods is that they enable the study of natural, unconstrained motions during activities of daily living and during interventions. In this talk I will describe the core elements of the new analytics and will provide examples of their use in different therapeutic and basic research contexts. The talk will describe the results from analyzing sample data from multiple populations. These include individuals with autism spectrum disorders, Parkinson’s disease, neuropathy and schizophrenia. My hope is to open a dialogue with experts in the Health Related Professions to begin tailoring our biometrics to the specific needs of their field.
May 2, 2014
10AM - 12PM
Scotch Plains, Room 330
Dr. Judy Thompson
Department of Psychiatric Rehabilitation & Counseling Professions
Rutgers, The State University of New Jersey
Prefrontal Dopamine D1 Receptors in Schizophrenia-Spectrum Conditions: Research Results and Implications for Intervention
Cognitive impairment is a key feature of schizophrenia that predicts poorer functional outcomes in areas such as work, school, and independent living, and is relatively intractable to commonly-available treatments. Thus there is a pressing need to advance the development and implementation of effective interventions that target cognitive dysfunction. Individuals with schizotypal personality disorder (SPD), a spectrum condition that shares many features of schizophrenia, can also experience clinically-relevant cognitive difficulties that are qualitatively similar to those observed in schizophrenia. Therefore studying cognitive impairments and their neurobiological correlates in SPD can be a powerful strategy for advancing knowledge regarding potential therapeutic targets for schizophrenia and other spectrum conditions. In this presentation, Dr. Thompson will discuss the use of positron emission tomography (PET) imaging in research efforts to characterize cortical dopamine functioning and its relation to cognitive performance in the schizophrenia spectrum, including a recently-completed study of prefrontal dopamine D1 receptors and working memory in SPD. The implications of such work for the development of interventions that aim to ameliorate cognitive dysfunction in schizophrenia-spectrum conditions with the ultimate goal of improving real-world role functioning will be discussed.
Dr. Aaron J. Levitt
Department of Psychiatric Rehabilitation & Counseling Professions
Rutgers, The State University of New Jersey
A Self-Regulation Model of Recovery from Psychiatric Disability
It is widely recognized that many people with serious mental illness experience severe distress and disruption of their goal and role functioning. There is also widespread and growing interest in personal recovery as a positive response to that distress and disruption. There is considerably less consensus as to what, precisely, constitutes “recovery” in this context, and what psychological mechanisms might underlie it. This colloquium will report on a study which tested a self-regulation model of goal structures, skills, efficacy, and affect to improve our understanding of this important phenomenon. This study, which examined recovery through the lens of self-regulation and control theory and related areas (i.e., affective neuroscience, neuroeconomics, basic emotion theory, social emotion theory, Reinforcement Sensitivity Theory, and temporal difference learning), found evidence supporting the framework’s validity and utility. The colloquium will also explore some implications for the design and provision of recovery-oriented services.
April 5, 2013
Vaishali Singhal, DMD, MS
Oral Implications of Psychiatric Disorders
Oral health is important to the physical and psychological well being of each individual. Unfortunately, psychiatric disorders can have a serious detrimental effect on oral health, negatively impacting physical health as well as self-esteem. A literature review conducted for primary studies of the impact of psychiatric disorders on oral health reveals that there are multiple factors that lead to the decline of a healthy oral condition. However, not all of the factors are considered to be significant. Furthermore, improvement in oral health is evident in this population when programs that provide oral hygiene instruction on a regular basis are available. Thus, evidence demonstrates that addressing the significant factors that impact the deterioration of oral health and implementing oral hygiene instructional programs in this particular population can lead to the greatest improvement. The information provided by this literature review should prompt oral health care professionals and the patient’s psychiatrist to collaborate in order to ensure that the patient receives the oral care needed to prevent deterioration of the dentition and its supporting structures. Furthermore, this literature review suggests that oral healthcare professionals should receive training in the appropriate identification and management of patients with psychiatric disorders participant recruitment and clinical supervision. The final effort to be described in the colloquium is the piloting of this approach. Results will be presented from testing the approach among 33 OIF/OEF Veterans with PTSD using a randomized design with matched attention. Following this, we will have an open discussion and question and answer period on the whys and hows of designing educational supports for Veterans.
October 18, 2012
Marsha Langer Ellison, Ph.D.
Health Research Scientist
VHA Center for Health Quality, Outcomes, and Economic Research
Bedford VA Hospital in Massachusetts
Veteran Supported Education Treatment Manual
This colloquium will address the pressing need for Veterans with PTSD and related disabling conditions who are returning from recent wars (OIF/OEF Veterans) and who wish to advance their education. The Post 9/11 G.I. Bill (2009) offers OIF/OEF Veterans greatly expanded benefits for tuition, stipends and books. However, while many Veterans with disabilities aspire to use their GI Bill, many too are challenged to attain and retain higher education. In recognition of this problem, the Veterans Health Administration has funded three recent efforts that will be presented in this colloquium. The first was a needs assessment for supported education among OIF/OEF Veterans with PTSD who had an educational goal. Findings from focus groups with 31 Veterans will be presented that review: barriers and facilitators to educational goals, recommendations for a Veteran supported education service, and other related identified needs. The second effort is the development of The Veteran Supported Education Treatment Manual (VetSEd). This recently released manual describes a Veteran-centric approach to using the Choose, Get, Keep model of psychiatric rehabilitation for supported education. It is a recovery oriented, community-based, individualized, and peer provided model of service. During the colloquium we will review the three Parts of the manual: One, a Summative overview for administrators and program designers; Two, a Treatment manual for peer VetSEd providers and clinical supervisors which includes Worksheets to be used during delivery; and Three: an Implementation Toolkit that contains background information and other guidance for program staffing, participant recruitment and clinical supervision. The final effort to be described in the colloquium is the piloting of this approach. Results will be presented from testing the approach among 33 OIF/OEF Veterans with PTSD using a randomized design with matched attention. Following this, we will have an open discussion and question and answer period on the whys and hows of designing educational supports for Veterans.
June 29, 2012
William Waynor, MS, CRC, CPRP
Brittany Stone, MS, CRC, CPRP
The Paradoxial Relationship between Hope and Educational Level
Education is considered a vitally important asset in our society, and many people living with serious mental illness have both college and other advanced degrees. However, the disruption in one’s life from serious mental illness is often a barrier to actualizing career goals that were formulated before the onset of mental illness. This colloquium will present the findings of a current study that asks the question: does a higher educational level for an ethnically diverse sample of participants in rehabilitation services seeking employment lead to a more hopeful outlook, after controlling for symptoms.
Hierarchical multiple regression was utilized to determine the relationship between the criterion variable hope and the predictor variables. The findings indicated a significant inverse relationship between hope and symptoms, and a significant inverse relationship between hope and educational level.
Although this study assessed participants receiving SE services, there are implications for SED and PsyR services. We will speculate on the implications for SED & PsyR services, and consider future directions for further research based upon these findings.
May 4, 2012
Catherine N. Colucci, MA, OTR
Karen Z. Kowalski, MPH, OTR
Margaret Swarbrick, PhD, OTR
The Occupational Therapy Assistant (OTA) Program
The Occupational Therapy Assistant (OTA) Program is a recently State approved addition to the Department of Psychiatric Rehabilitation and Counseling Professions. In an innovative industry-academia partnership, funding for its start up has been provided by Genesis Healthcare. This colloquium provides a forum for introducing the OTA Program to the Department. The OTA program’s mission, philosophy, and curriculum design will be presented to promote discussion about new collaborative educational and scholarly opportunities within the Department. Fieldwork education will be described as an integrating feature of the curriculum. The accreditation process through the Accreditation Council for Occupational Therapy Education (ACOTE) will be briefly explained with regards to the program’s timelines and expectations for students.
March 2, 2012
Annette Backs, MSW, LCSW, CPRP
Peter Basto, CPRP
Applying Cultural Relevance to Training in Singapore: The Chunk, Chew, Produce, & Process Method
Planning ahead to adapt training to make it culturally relevant is not always sufficient for reaching participants. Instead, it may be necessary to re-design the training and related materials on the spot to help break through cultural differences, and establish commonality between participants and trainers. Annette Backs and Peter Basto will discuss their recent experience developing and delivering training for a large group of mental health practitioners in Singapore where they developed and applied the Chunk, Chew, Produce, & Process method. In addition to the cultural aspects of training in Singapore, the presentation will include Singaporean perspectives on recovery, their service system, and key issues of difference in mental health practices.
October 7, 2011 Francine Bates, M.S., LPC, CPRP
Joni Dolce, M.S., CRC, CPRP
Ni Gao, PhD, LCSW
William Waynor, M.S., CRC, CPRP
Developing an Evidence-based Training and Technical Assistance Approach
With the advent of recovery-oriented services and evidenced-based practices in the psychiatric rehabilitation field (PsyR), there is also a need for evidenced-based training and technical assistance technologies that help providers facilitate the recovery process for persons with serious mental illness (Chow, Cichocki, & Leff, 2009). Nonetheless, there is a paucity of training and technical assistance methodologies cited in the literature that would qualify as evidenced-based (Chow et al., 2009). Further, there is even less emphasis in the literature on training and technical assistance methodologies geared towards training staff the knowledge, attitudes and skills to provide community based employment services.
The Rutgers-SHP, Department of Psychiatric Rehabilitation and Counseling Professions Integrated Employment Institute have been providing training and technical assistance to community mental health providers for nearly a decade. Faculty members from the Institute have published articles describing training and technical assistance approaches that emphasize organizational support from agency management with a social learning theory/social constructivist inspired direct staff training approach towards improving consumer employment outcomes. With the lack of literature on this topic, the Institutes work has left a footprint in the literature. Consequently, our training methodology that focuses on organizational support of employment services with an innovative direct staff training approach, cognitive apprenticeship may represent an emerging practice as a transfer of training technology in psychiatric rehabilitation.
October 6, 2011
Ann Murphy Attribution Theory and Mental Illness Stigma: Does the Data Support this Model?
Attribution theory has been proposed as a model to explain mental illness stigma and evaluate the effectiveness of anti-stigma efforts. While a theoretical foundation for understanding and testing stigma is critical, the model upon which this foundation rests must be sound and supportive of recovery goals. Previous evaluations of Attribution theory and stigma have mixed results, with data regarding a variety of stigmas fitting the model well, but not fully supporting the model when applied to mental illnesses. Using data collected from adolescents as part of an anti-stigma intervention evaluation, this study will further assess the application of the Attribution model to mental illness stigma. The inter-relationships of high school students’ self-reported responses to questions addressing the components of the Attribution model will be explored.
April 29, 2011
Dr. Weili Lu and Dr. Michael Giantini
Trauma and its impact: Screening, Treatment Methods and Outcomes for Post Traumatic Stress Disorder and Borderline Personality Disorder for Persons with Severe Mental Illness
Individuals with severe mental illness (SMI) are more likely than the general population to have experienced traumatic events during childhood and adulthood, and are at increased risk of developing PTSD. Specifically, the prevalence of current PTSD among persons with SMI ranges from 19% to 43% in contrast with estimated rates of 7.8 to 9.2% in the general population. We will describe screening measures to screen PTSD in public mental health agencies. Findings from a large comprehensive screening effort of trauma and PTSD symptoms among public mental health clients in a statewide community mental health system treating people with SMI will be presented. Data on trauma exposure, traumatic events identified as most distressing by more than 900 clients in a public mental health agency will be presented and clinical implications discussed.
Borderline Personality Disorder effects 8 to 11% of psychiatric outpatients and 14 to 20% of inpatients and is considered a serious, debilitating illness. Within the mental health system there are traditionally poor treatments to help persons recover from this disorder and improve the quality of their lives. In addition, because persons with this disorder can harm themselves and others and require skill development to change behaviors, they are particularly vulnerable to remaining institutionalized. Dialectical Behavior Therapy is an empirically based practice for the treatment of Borderline Personality Disorder. More recent adaptations indicate success for aggressive/assaultive behaviors. In order to support persons with behavior dysreglation, AKFC, the NJ forensic psychiatric hospital, requested implementation of DBT in lieu of IMR. A service delivery model of DBT has demonstrated unexpected positive results.
January 21, 2011
Ann Sullivan Soydan, Sc.D. Suicide Prevention on Campus
Suicide takes the lives of more than 30,000 Americans every year, and is the 11th leading cause of death in Americans.The problem is most pronounced in college students. Untreated depression is the leading cause of suicide, and recent research suggests that about half the student body may experience depression in college--often for the first time.About 44 percent of college students report having felt, at least once, so depressed it was difficult to function. Of these students, nearly 10 percent attempted suicide and 1 percent succeeded in ending their lives. A growing concern is the addition of returning young veterans, a population who accounts for a full 20 percent of all completed suicides. A national groundswell of campus suicide prevention initiatives have emerged in response to these data, and a number of creative interventions are now in practice and being evaluated.
This colloquium will describe the problem of suicide on campus, with its unique risks and challenges to everyone in the academic community.A range of suicide prevention and “postvention” initiatives and specific strategies will be discussed, including federal funding initiatives that promote mental health and focus on suicide prevention. Also included will be some of the core components of Battlemind Resilience Training, the US Army's mental health resilience training system which provides a developmental approach to mental health skill building timed to the specific phases of the Soldiers' career and deployment cycle. The goal of this colloquium is to increase knowledge of suicide prevention by providing an in-depth look at the mental health risks and the psychological and social stressors experienced by students and endured by young veterans on US campuses.
“We can’t always predict or prevent suicide, but we can educate ourselves and know the warning signs. If someone tells you they are thinking about suicide, take them seriously. Listen to what they are saying, get professional help, and don’t leave them alone. Support, information and hope are available.” James Styron, MD, 2010.
December 17, 2010
Annette Backs, M.S.W. and Peter Basto, M.S.
Engagement Strategies for Undergraduate Psychiatric Rehabilitation Web-Adverse Students
The acceptance of web based academic courses is increasing for students, faculty, and employers. However, students in Psychiatric Rehabilitation courses continue to voice opposition to courses they are required to take in this format, stating that they prefer traditional classroom settings with face-to-face interaction. This project’s intention is to test strategies which increase student acceptance and satisfaction with required web courses.
December 16, 2010
Aaron Levitt, M.S.
"A Self-goal Structured Model of Recovery"
December 2, 2010
William Waynor, M.S., CPRP
"The Role of Work-Related Self Efficacy in Supported Employment"
Friday, October 1, 2010
Russ Smith, M.S. and Carlos Pratt, Ph.D.
Report on Psychiatric Rehabilitation in Pakistan Project -
Sharing Psychiatric Rehabilitation via Web-based Education and SKYPE
Department faculty have been consulting, training and supervising with staff from an inpatient/outpatient facility in Karachi, Pakistan. Much of this work is being carried out via on-line education and SKYPE which allows for weekly face-to-face contact. The ability to conduct international education and training, the importance of continued training support and cultural issues around introducing evidence-based practices in an Asian nation will be discussed. Some slides of Smith and Pratt’s recent trip to Karachi and a real-time SKYPE connection with staff at the Karachi site will help provide a feel for the project.
September 10, 2010
Kenneth J. Gill, PhD, CPRP
"Strategies for Finding the Money to Pursue Support for One's Research, Service, and Academic Agenda"
A look at where to find the money you need to get your own resources and develop the proposals to pursue it.
July 22, 2010
Dr. Kenneth Gill
Proposal Development and Financial Management Before and After the Grant
This colloquium is presented as part of the Department’s Leadership Development Initiative. It will be available in-person, via v-tel to Stratford and via elluminate.
June 11, 2010
Peggy Swarbrick, Ph.D., Amy Spagnolo, Ph.D., Michelle Zechner, M.S.W., Ann Murphy, M.A.
Peer Wellness Coach Project
In order to address the unacceptable health disparity facing people living with mental illness faculty and peers in the community collaborated to design a new role for peers, the "Peer Wellness Coach". A peer wellness coaching training program was created to prepare the workforce to meet the health and wellness needs of peers at risk of or facing co morbid medical conditions. This colloquium will highlight how we involved key stakeholders in a participatory process to offer data to inform the curriculum content, design and research plan. Project outcome data will be shared as well as future research activities. We invite colloquium participants to participate in a scholarly dialogue focused on the directions for further research, practice and policy implications. Please join us so you can learn about this exciting new role and possibilities we can explore.
June 4, 2010
Jerry Lindauer, LCSW, Clinical Instructor
“Reflections on Organizational Change: The Ancora Experience”
In a recent Sunday NY Times magazine article, Rahm Emmanuel, White House Chief of Staff, was quoted as saying, “Transformation requires attending to the continual tension between getting things done within the system and changing the system.” This is also our own important challenge as consultants, trainers, educators and professional leaders, at a time when calls for transformation abound but evidence for them is thin. (See the New Freedom Commission Report and the NJ Wellness and Recovery Transformation Plan).
State psychiatric hospitals are a good place to experience the challenges of “changing the system”, partly because the “system” is such a dominant and pervasive presence. In this symposium, I hope I can shed light on and stimulate discussion about the cultural element of system change- what organizational culture is, where it comes from, how to make it more tangible and thus workable for consultant and staff, implications for our work as change agents, how to look at culture from a “trauma-informed” perspective and the relationship of culture at an organizational level to “recovery” at the person to person service level.
Social Cognitive Career Theory (SCCT), based on Bandura’s (Bandura, 1997) Social Learning Theory, establishes a relationship between social cognitive constructs and career-related outcomes, including interests, goals, and performance ((Lent, Brown, & Hackett, 1994). This theory is highly applicable for addressing the barriers to employment related to psychiatric disabilities as well as those faced by persons from different ethnic and racial backgrounds because it takes into account background contextual affordances (i.e., resources or hardships based on culture, gender role socialization, etc.). Central to SCCT are the concepts of work self-efficacy and outcome expectations. In this colloquium we will explore this intriguing theory, examine its relationship to current department research efforts, and discuss its utility as a theoretical framework for the department’s research agenda.
April 23, 2010
Karin Brockelman , Ph.D.
Qualitative Research and Psychiatric Rehabilitation
Psychiatric Rehabilitation is committed to empowering people who have traditionally been relegated to a status as outliers in the occupational, educational, and social strata of society. The leadership, voices, perspectives, and experiential knowledge of people living with psychiatric disabilities are integral to the development of research, interventions, professional practices, and education. Qualitative research seeks to make every voice heard, outliers included. Qualitative methods place great importance on multiple ways of knowing and development of knowledge. These methods have deep roots in the field of Anthropology, emphasizing the need to acknowledge the cultural and philosophical perspectives of the researchers as well as the context of the phenomenon being studied. In this session we will discuss how qualitative research complements the philosophy of Psychiatric Rehabilitation as well as ways we can use qualitative methods in conjunction with quantitative methods in our field.
March 25, 2010
Anne Sullivan Soydan, Sc.D.
A Survey Of Binge Eating In Overweight Women With Severe Psychiatric Disability:
Issues And Implications For Treatment, Rehabilitation, And Recovery
This colloquia will focus on a research study that assessed binge eating behavior and binge eating disorder in ninety overweight women with severe psychiatric disability from twelve psychosocial clubhouses in eastern Massachusetts. Face-to-face research interviews were conducted using four surveys to assess binge eating behavior, self-esteem, emotional eating, and other relevant demographic, clinical, and psychiatric variables. Self-reported level of importance of eating patterns and behavior in the respondents' psychiatric treatment, rehabilitation, and recovery, together with their self-reported perception of their treatment and rehabilitation providers’ view of that importance also were assessed.
Results showed a high frequency of binge eating disorder (31%). Self-esteem and frequency of eating in response to negative emotion was also significantly higher for the women who met criteria for binge eating. Binge eating disorder has serious psychiatric and physical effects, yet 59% of the respondents had undetected binge eating disorder or behavior. Attention to eating patterns and behavior in women with severe psychiatric disabilities by mental health service providers and researchers is desired by the women in this study and is strongly recommended. This colloquia will present the data from this study and invite discussion on the study conclusions, as well as implications and recommendations for further study.
December 10, 2009
Amy Spagnolo, Ph.D.
Examining the Effect of Anti-Stigma Messages on the Attitudes of Early Adolescents
The majority of studies conducted to date that examine the attitudes of individuals toward people with psychiatric disabilities have focused on adults. There are few studies that assess the attitudes of children or adolescents toward those with mental illness. This group of individuals may respond differently to education about mental illness and exposure to people with mental illness than the adult population. Public education campaigns to disseminate information about the early warning signs of mental illness have begun to emerge around this country as well as internationally. Several of these programs provide an opportunity to meet and ask questions of a person with a psychiatric disability. However, little is known about what information should be communicated during these brief contact situations. This study assessed the effect of varying levels of disconfirmation of mental illness stereotypes on the attitudes of 12 and 13 year olds. Results from this study and possible future areas for adolescent research will be discussed in this colloquium presentation.
October 9, 2009
Peter Basto, M.S.
The Impact of Self-Help Center Characteristics on the Satisfaction and
Empowerment of People with Serious Mental Illness
Many individuals with psychiatric illness have become providers of mental health services, a significant transformation from the role of passive recipients to empowered participants. Consumer-operated Self-help Centers (COSHC) are a common type of mental health services managed and run by people living with mental illness. COSHC provide a supportive social setting where consumers can connect with peer networks, and gain practical assistance from peers without an imposed structure.
Previous research conducted with COSHC’s in NJ examined satisfaction and empowerment in terms of program characteristics. Satisfaction was found to be associated with the dimension of interpersonal relationships. In terms of empowerment, there was a correlation with the amount of time an individual has been involved with the COSHC, and how often they attended the center. To date there has been no research assessing the relationship between COSHC characteristics and participant outcomes.
The proposed study is designed to examine the association between the consumer-operated self-help center in terms of fidelity ratings and participant empowerment and satisfaction. A total of 300 participants diagnosed with a mental illness will be recruited from NJ COSHC and asked to complete two surveys: one measuring empowerment and the other measuring satisfaction. The results of the study will help to better understand the association between the self-help center characteristics and participant outcomes in order to develop a solid knowledge base for this service and provide insights to develop a best practice model. It may also impact COSHC not only in NJ but elsewhere to develop programs to increase member empowerment and satisfaction.
Mark Chae, Ph.D.
Relationship of Multidimensional Perfectionism, Procrastination,
and Self-efficacy among aDiverse College Population
The present study examined the relationship of multidimensional perfectionism, procrastination, and self-efficacy among 201 participants. A multiple regression indicated that Adaptive Perfectionism predicted high levels of self-efficacy (b = .480, p < .001) and low levels of procrastination (b = -.393, p < .001). In contrast, maladaptive perfectionism predicted high levels of procrastination (b = .500, p < .001) and low levels of self-efficacy (b = -.247, p < .001). Results also revealed that Hispanic Americans scored significantly higher on maladaptive perfectionism and procrastination than White Americans. Additionally, African American participants scored significantly higher on self-efficacy as compared to White Americans and Hispanic Americans. Implications for research and practice are presented.
Dr. John Fossella
Brain Mechanisms and Psychiatric Rehabilitation: Hypothesis Development and Study Design
Session 1: Brain Mechanisms and Psychiatric Rehab: An Overview and Review of the Literature
In the past 2 decades, neuroimaging and other biological and bio-physiological tools have revealed various anatomical and physiological
correlates associated with mental illness and developmental disabilities. Although much of this research has sought to identify the biological roots of mental illness, it is increasingly possible to begin to use physiological measurements to evaluate the biological basis of treatment response and rehabilitation. Although the course of research in biological psychiatry and psychiatric rehabilitation have progressed somewhat independently in the past decades, there is much to be gained in their convergence - wherein the social and clinical psychological principles of psychiatric rehabilitation are evaluated in the context of rigorous biological and anatomical neural network models. For example, the use of such biomarker technologies can begin to ascertain whether biological deficits in mental illness are appropriately targeted and remediated using psychiatric rehabilitative approaches.
This interactive discussion will therefore explore how biomarker technologies, such as neuroimaging, might be used to validate and/or improve treatment strategies in the area of psychiatric rehabilitation. We will review selected examples from the primary literature to assess (1) what are the major neural correlates of mental illness (2) what are the major neural correlates of various forms of medication response as well as cognitive and behavioral therapy. Much of the discussion will focus on structure/function of circuits in the frontal cortex and amygdala.
Session 2: Brain Mechanisms and Psychiatric Rehabilitation: Hypothesis Development and Study Design
As a follow-up discussion, we continue to evaluate the biological roots of mental illness and the extent to which neurophysiological deficits associated with mental illness are remediated in the course of psychiatric rehabilitation. We now seek to advance a research agenda that facilitates a meaningful assimilation of biomarker technologies (eg. neuroimaging) in support of psychiatric rehabilitation. With a more detailed understanding of some of the basic brain mechanisms that are engaged in the course of psychiatric rehabilitation (session 1) we can begin to ask whether there is evidence for overlap in the neural correlates of mental illness and the neural correlates of treatment response. In cases where there is no known evidence, we can begin to design research studies to address this question. Alternatively, in cases where there is some existing evidence that treatment can "target" specific neuroanatomical or neurophysiological deficits, we can then ask whether such forms treatment predict favorable outcomes. Since the convergence of psychiatric rehabilitation with biological psychiatry is a new direction, we expect that there will be many new ideas that can be tested using standardized study designs.
Dr. John Fossella, directs the Laboratory of Molecular Imaging Genetics as an Assistant Professor in the Department of Psychiatry at The Mount Sinai School of Medicine. The main focus of the laboratory is to explore how imaging-genetic information can be used to improve diagnosis and treatment outcome in neuropsychiatric and brain developmental disorders. Dr. Fossella's findings, such as those published in the Proceedings of the National Academy of Sciences, reveal how genetic variation can influence neural network dynamics in brain areas that are disrupted in many brain disorders and are targets for cognitive remediation. In addition, Dr. Fossella is active, through his 501(c)(3) non-profit company (http://genes2brains2mind2me.org) in the development of biomarker and informatic tools to aid consumers in a shift to consumer-directed healthcare with an emphasis on mental healthcare.
Kenneth J. Gill, PhD, CPRP
Margaret Swarbrick, PhD
Addressing Metabolic Syndrome through Innovative Approaches
Serious health conditions including metabolic syndrome negatively impact the quality and quantity of life among persons living with serious mental illness. Two innovative projects, an integrated health project and a peer delivered wellness coach model will be discussed. Proposed research projects will be reviewed. Colloquium attendees willhave the opportunity to contribute constructive feedback regarding the project and research design.
Kenneth J. Gill, PhD, CPRP, is Founding Chair and Professor in the Department of Psychiatric Rehabilitation and Counseling Professions at UMDNJ - School of Health Professions. The first department of its nature in the country, it offers associates, bachelor, masters and doctoral degrees in psychiatric rehabilitation as well as post-doctoral studies in psychiatric rehabilitation and a masters degree in rehabilitation counseling. He is principal investigator or co-investigator on 1.5 million dollars in extramural funding.
Margaret Swarbrick, PhD, CPRP is a part time assistant faculty in the department of Psychiatric Rehabilitation a Counseling Professions at UMDNJ - School of Health Professions and the Institute for Wellness and Recovery Initiatives Training Director for Collaborative Support Programs of New Jersey, a largepeer-operated self-help organization. Dr. Swarbrick has presented and published on the topics of peer delivered services, wellness, recovery and employment.
Erin Martz, PhD
Coping as a Moderator of Disability and Psychosocial Adaptation Among Vietnam Theater Veterans
Stumbling Reform of Mental Health Service in Israel: Factors Hindering Transference of the Locus of Services to the Community
Dr. Uri Aviram is Zena Harman Professor Emeritus of Social Work at the Hebrew University of Jerusalem and Chairperson of the Israel National Council for the Rehabilitation in the Community of Persons with a Mental Disability. Prior to his current position, he was a professor at the Institutes of Health Care Policy and Aging Research and the School of Social Work at Rutgers University. At Rutgers, he established and directed the Community Mental Health Program. In addition, Dr. Aviram has had visiting appointments at Case Western Reserve University, University of California at Berkeley, University of Melbourne, The University of Sydney and Cornell University. His publications include: The Mentally Ill in Community Based Sheltered Care: A Study of Community Care and Social Integration, Community Mental Health in Israel, Psychiatric Treatment and Civil Liberties, Social Work in Mental Health and Mental Health Services in Israel: Trends and Issues. His main areas of interest are community care for severely mentally ill persons, social planning and policy development and the interface between psychiatry and law. In addition to his interest in the mental health field, Dr. Aviram has been involved in studies that assessed culturally sensitive social work education, longitudinal study on professional careers of social workers and social policy development matters. The results of these studies are his most recent publications: Social Work Education in Israel and Social Policy Development in Israel.
The topic that Dr. Aviram will disucuss assesses efforts to reform the mental health services system in Israel. It is aimed to understand why those efforts which involved transferrring the locus of treatment and care from the mental health hospital system to the community have consistently failed over the last 35 years. An attempt is being made to identify factors that have hindered the efforts to change the policy and factors that might have facilitated the planned reforms. The results of the analysis of this study as well as facilitation of strategies also will be discussed.
Jean Campbell, PhD
Jean Campbell, PhD, research associate professor, directs the Program in Consumer Studies and Training at the Missouri Institute of Mental Health. As an internationally known mental health consumer researcher, speaker, and consultant, she is a forerunner in the effort to define recovery and well-being of mental health service recipients in research and report cards, study and to promote multi-stakeholder approaches in evaluation and service delivery. Currently, she is working with the Missouri Department of Mental Health to promote consumer-operated service programs as an evidence-based practice and is part of the national effort to develop the COSP Evidence Based Practices KIT for SAMHSA. Dr. Campbell was the Principal Investigator of a coordinating center for a large, multi-site federal research initiative to study the cost-effectiveness of consumer-operated programs as an adjunct to traditional mental health services. She has also developed an evaluation protocol to study outcomes of community based peer support programs, researched the core competencies of consumer-operated programs, wrote a guidebook on conducting consumer satisfaction assessments, and consulted on an epidemiological study of organized self-help groups in the United States . She was a consultant to the President's New Freedom Commission on Mental Health, and led the effort to develop a consumer research plank for the National Mental Health Consumer Summit as part of her goal to establish a consumer research agenda. In addition, she has worked with state mental health agencies in New York , Oklahoma , Washington , Nebraska , West Virginia and Alaska on mental health performance measurement systems. Dr. Campbell served as chair of the Research and Evaluation Technical Advisory Group for the Consumer Organization Networking Technical Assistance Center (CONTAC), the Work Group for Computerization of Behavioral Health and Human Services Records, the Professional Technical Advisory Committee of the Joint Commission on Accreditation of Health Organizations, and was formerly a member of the Board of Directors of the International Association of Psychosocial Rehabilitation Services, and the Advisory Board of the Evaluation Center at HSRI. She has written over forty articles and reports on the development and use of management information systems in service system improvement, shared decision-making, privacy of health records, peer-support programs and consumer health informatics. Dr. Campbell is a trained group facilitator and has pioneered the use of concept-mapping focus group technologies for planning, development, consensus building and evaluation. From 1992-1994 she was Director of Research, Quality Assurance, and Information Systems for the Maine Department of Mental Health. Her doctoral degree is in social sciences from the University of California-Irvine, and she completed an NIMH post-doctoral fellowship in mental health services research at the University of North Carolina -Chapel Hill and Duke University . Dr Campbell is best known for her ground-breaking work as Principal Investigator of the Well-Being Project (1986-1989), the watershed consumer-directed survey research project that identified the factors that promoted and deterred the well-being of people commonly labeled as mentally ill in California . The first consumer research project ever conducted, the project developed three interview protocols, trained consumers as researchers, surveyed face-to-face over 500 respondents, and produced: (1) a report entitled The Well-Being Project: Mental Health Clients Speak for Themselves, (2) an award-winning 56 minute video-documentary called People Say I'm Crazy, and, (3) a compendium of statistics, oral history, art, poetry and prose by the same name. In the past few years, she has presented her research at international conferences, including the first international user-research conference, "In Search of User Voices," in London , England , the International Congress of the Law and Mental Health in Sienna , Italy , and the World Congress of Mental Health in Melbourne , Australia in 2003. In 1995 she was awarded the University of Missouri Diversity Achievement Award and she received the Silver Key Award from the Mental Health Association of Greater Saint Louis in 2004.
Lisa Razzano, PhD is a social psychologist and Associate Professor of Psychiatry with tenure in the Department of Psychiatry, University of Illinois at Chicago. Currently, she is the Director of Research for the UIC National Research and Training Center on Psychiatric Disability and principal investigator for other federally-funded programs at the Department's Center on Mental Health Services Research and Policy (CMHSRP). Dr. Razzano has over 16 years of experience in mental health services and rehabilitation research, including projects in areas such as psychiatric services, psychosocial rehabilitation, vocational services and employment outcomes, and the mental health aspects of HIV/AIDS, as well as expertise in evaluation and biostatistics. She is the author of peer-reviewed journal articles, book chapters, technical reports, and evidence-based training materials regarding psychiatric rehabilitation and mental health services research, and has presented outcomes and results from her own projects, as well as those of the CMHSRP at more than 100 professional conferences, federal project meetings, and consumer/advocacy organizations. Dr. Razzano is an elected member of the Research Committee of the United States Psychiatric Rehabilitation Association (USPRA), and served as committee chair in 2004-2005. In 2004, Dr. Razzano was selected as one of 15 national scholars in the Primary Study Group for the Rehabilitation Services Administration's 30th Institute on Rehabilitation Issues focused on “Innovative Models of Vocational Rehabilitation” at the U.S. Department of Education, and is co-author of a federal monograph on that topic. In May 2005, Dr. Razzano was the recipient of the Armin Loeb Award from USPRA for Excellence in psychiatric rehabilitation and services research.
Post-Doctoral Fellow Colloquium Exploring Relationships among Self-Determination, GPA, and Use of Mental Health among University Students
The overarching goal of this dissertation study was to examine the relationships among self-determination, mental health service use, and GPAs of university students. A secondary purpose was exploring students' perceptions of their self-determination and use of mental health services. The design of this study employed both quantitative and qualitative methods. A web-based survey was the predominant data source, with face-to-face interviews to complement the survey data. Students with high self-determination tended to have high GPAs and the GPAs of students who used mental health services did not differ from their peers who used no mental health services. Students who used mental health services in the community tended to have lower self-determination than students who used other mental health services. For students who share similar levels of self-determination, using a combination of mental health services on campus and in the community was predictive of lower GPAs.
Karin Brockelman completed her Ph.D. in Special Education at the University of Illinois at Urbana-Champaign in May of 2007. She is currently a Post-Doctoral Fellow in the Department of Psychiatric Rehabilitation here at UMDNJ.
Dr. Solomon is internationally known for her research on clinical services and service system issues related to adults with severe mental illness and their families. Her research has specifically focused on family interventions, consumer provided services, and the intersection of criminal justice and mental health services. Her expertise is in mental health service delivery issues, psychiatric rehabilitation, and research methods. Her research has been recognized by such diverse organizations as American Association of Community Psychiatrists, US Psychiatric Rehabilitation Association, and Society for Social Work and Research. For more details of her work, see the following link: http://www.sp2.upenn.edu/people/faculty/solomon/
Staff members of Collaborative Support Programs of New Jersey and Self-help Center Participants
The FACIT/SHOUT Project: Developing a Fidelity Scale for Consumer Operated Self-Help Centers
The use of consumer operated services (COS) has proliferated in recent years spurred on by the consumer movement and managed care, which views it as a source of inexpensive services. Research supports the use of COS , with evidence demonstrating COS are at least as effective as traditional mental health services. New Jersey has funded 27 consumer operated self-help centers around the state. These centers are designed to provide friendly warm environments where people can make friends, find support and begin the process of recovery. Research to date has not evaluated which elements of COS , and in this specific case self-help centers, are related to positive outcomes. This is the basic issue the FACIT Project has set out to address.
The FACIT is a self-help center fidelity scale developed with SAMHSA funding. Combining fidelity assessments of self-help centers with data from a state wide, consumer designed and operated data collection system (dubbed SHOUT) and additional data collected for this project will allow us to relate self-help center characteristics to consumer outcomes.
The goal of this colloquium is for the FACIT team to glean constructive criticism and creative ideas to assist this project going forward.
Jill Williams, MD, is an Associate Professor of Psychiatry and Director of Mental Health Tobacco Services at the UMDNJ-Robert Wood Johnson Medical School . Dr. Williams is the recipient of a National Institute on Drug Abuse Career Development Award (K23), entitled, Nicotine Dependence Treatment in Psychiatric Comorbidity. Dr. Williams specializes in the development of pharmacologic and psychosocial treatments for tobacco dependence in schizophrenia and is also the Co-PI on the Treatment of Addiction to Nicotine in Schizophrenia Grant, which is a behavioral therapy development project (Ziedonis, PI).
Dr. Williams received her residency training at Duke University where she was the Executive Chief Resident. She completed an Addictions fellowship at UMDNJ-Robert Wood Johnson Medical School and is the recipient of several awards including the Alcohol Medical Scholars Program, the APA American Psychiatric Institute for Research and Education-Janssen Pharmaceutica Public Policy Leadership Program Fellow, the American Psychiatric Association (APA) 's Research Colloquium for Junior Investigators, and the George Ginsberg-American Association of Directors of Psychiatric Residency Training (AADPRT) Charter Fellowship.
She is an expert in nicotine dependence and psychiatric co-morbidity and worked on several important national and state initiatives related to tobacco and mental health including a National Advisory Panel sponsored by the Robert Wood Johnson Foundation on the topic of Addressing Tobacco among Individuals with Mental Illness or Addiction. She co-edited of the July 2003 Issue of Psychiatric Annals on Addressing Tobacco Use in Mental Health and Addiction Settings, with Dr Douglas Ziedonis, which was the first issue of this journal dedicated entirely to tobacco. Her work in tobacco and mental health has been highlighted in JAMA Medical News and Perspectives (Sept 2004) and APA President Michelle Riba's Column in Psychiatric News (April 2005). The focus of her recent work is increasing the demand for tobacco treatment services among smokers with mental illness by working directly to educate them. She serves as a Consultant on Tobacco to the Mental Health Association of New Jersey (MHANJ). Dr Williams is the PI on research collaboration with the MHANJ and funded by the American Legacy Foundation entitled, “Using Peer Counselors for Addressing Tobacco among Mental Health Consumers” which is an innovative proposal to use peer counselors to educate and motivate with smokers with mental illness to seek treatment.
Attention Shaping as Supported Cognition for Schizophrenia
Dr. Steven M. Silverstein is the director of the Division of Schizophrenia Research at UMDNJ-Robert Wood Johnson Medical School . He has been the principal investigator on several grants examining the cognitive-perceptual impairments in schizophrenia. Many of these studies examined visual and auditory perceptual organization deficits in schizophrenia. His recent research has demonstrated that these deficits are examples of a more widespread processing dysfunction in the coordination of cognitive activity. Evidence for this comes from the consistent findings of links between impairments in perceptual organization, and deficits in the organization of linguistic and motor activity in schizophrenia. Dr. Silverstein has also received NIMH R01 funding for his work in the area of cognitive rehabilitation of schizophrenia. These studies have demonstrated the effectiveness of using behavioral approaches, specifically the technique of shaping, to improve attentiveness and participation among consumers with schizophrenia who are considered “treatment-refractory”. Dr. Silverstein is currently PI on a multi-site grant which is developing and evaluating the effectiveness of a manualized attention shaping intervention. Lastly, Dr. Silverstein has been active in the area of research methodology. He has written papers addressing methodological issues in hypnosis research, methods to avoid the problem of the generalized deficit in schizophrenia research, the use of intraclass correlation in staff training and program evaluation research, and he has developed several new measures for assessing cognition in schizophrenia.
Occupational Therapy's Professional Development: A Historical Analysis
Chris Peters, PhD, OTR is a Post-Doctoral fellow in the Department of Psychiatric Rehabilitation at UMDNJ, Scotch Plains Campus.A brief description of the presentation: History can inform today's practice. Dr. Peters will present her research about occupational therapy's profession evolution during post Cold War America. Introducing historical inquiry to the audience, she will share how leaders and scholars shaped the profession scientifically, philosophically and politically.
Examination of the Impact of a Peer Delivered Recovery and Wellness Program
Margaret Swarbrick, PhD, CPRP, is the Institute for Wellness and Recovery Initiatives Training Director for Collaborative Support Programs of New Jersey, a large consumer-operated self-help organization in New Jersey. CSP employees many persons living with a mental illness in many capacities within the agency structure (full time there are over 45 consumers working and part-time over 120 consumers working).
Peggy has been involved in the mental health field since 1977 personally and professionally since 1986. Peggy was able to access work and education as key tools for personal recovery and has been able to articulate the value of work and meaningful occupation as key elements for recovery and well-being. Dr. Swarbrick is currently a post doctoral fellow in the Psychiatric Rehabilitation Program at university of Medicine and Dentistry of NJ (Psychiatric rehabilitation Program) and also worked as an adjunct faculty for two occupational therapy programs in New Jersey. Peggy worked in as an occupational therapist in a variety of settings (state hospital, crisis intervention unit, partial hospital program, congnitive rehabilitation and home health care) designing and delivering services focused on wellness and recovery. Peggy successful passed her doctoral oral examination on July 5, 2005. The dissertation study focused on examination of the relationship between the social environment of consumer operated self-help centers and its effects on member empowerment and satisfaction.
A brief description of the presentation: Peer delivered services are a promising practice and are a viable resource that consumers can access for support. The Recovery Network program was designed by and for mental health consumers at the five state psychiatric hospitals in New Jersey The presentation will review the program model and implementation as well as challenges to date. Preliminary program evaluation data collected to date will be discussed. Colloquium participants will have the opportunity to brainstorm ideas for two possible futures studies that can be designed to examine the impact of this peer delivered approach.
Petra Kottsieper, PhD, MEd, is a Post-doctoral fellow in the Department of Psychiatric Rehabilitation at UMDNJ, Scotch Plains Campus.A brief description of the presentation: Aftercare appointment non-adherence and rehospitalization of individuals with serious mental illnesses has personal, economic, and clinical costs. Seventy-four participants were recruited from a hospital-based psychiatric unit to investigate factors associated with initial aftercare non-adherence, and rehospitalization in a 3-month post-discharge follow-up period. In addition to demographic, clinical, and system risk factors, this research investigated variables approximating the Health Belief Model(HBM) and the Transtheoretical Model of Change(TTM) as theoretical frameworks to predict health-care decision making. Two separate logistic regression analyses were conducted to establish which model best accounted for the two outcomes. Results, implications, study limitations, and future directions will be discussed.
November 3, 2006
Predicting Initial Aftercare Appointment Adherence and Rehospitalization for Individuals with Serious Mental Illness Discharged from an Acute Inpatient Stay
Philip T. Yanos, PhD, is an Associate Professor in the Department of Psychology at Hohn Jay College of Criminal Justice, City University of New York. He is currently supported by an NIMH-funded Career Development Award focused on increasing the knowledge base on the relationship between coping and community functioning among people diagnosed with severe mental illness. He has been involved in research on recovery and been striving to provide recovery-oriented clinical services with people diagnosed with severe mental illness since 1995. A major area of interest is the way in which individual (e.g., coping) and systemic (e.q., housing and financing of services) factors impact the degree to which people with severe mental illness are able to achieve recovery, with an emphasis on how these factors can be influenced through intervention or policy change to maximize opportunities for recovery.
Donald M. Linhorst, PhD, MSW
Saint Louis University
Donald M. Linhorst, PhD, MSW, is an Associate Professor in the School of Social Work at Saint Louis University. He recently authored the book Empowering People with Severe Mental Illness: A Practical Guide, published by Oxford University Press. Prior toe entering academia, he worked for 14 years with people with mental illness, including seven years at an agency that provided supported housing services and operated a psychosocial rehabilitation center, and seven years at a state psychiatric hospital for clients committed primarily by the criminal courts. He has published widely in various areas of mental health, particularly empowerment and the insanity defense. His current research interests include empowerment; use of the harm reduction approach with persons diagnosed with the co-occurring disorders of mental illness and substance abuse; and the intersection of the mental health and criminal justice systems, including the insanity defense, mental health courts, and substance abuse treatment in jails and prisons.
Robert Drake, MD, PhD, is the Andrew Thomson Professor of Psychiatry and Community and Family Medicine at Dartmouth Medical School and the Director of the New Hampshire-Dartmouth Psychiatric Research Center. He has been at Dartmouth for 20 years. In addition to working actively as a clinician in community mental health center for 25 years, he has been developing and evaluating innovative community programs for persons with severe mental disorders. he is well known for his work in rehabilitation and diverse aspects of adjustment and quality of life among persons with severe mental disorders and those in their support systems.
June 29, 2006
Future of Evidence-Based Practices in Mental Health
Xavier Amador, PhD, is an adjunct professor in Clinical Psychology at Teacher's College, Columbia University in New York City and is on the Board of Directors of the National Alliance for the Mentally Ill (NAMI). Dr. Amador was co-chair of the last text revision of the Schizophrenia and related disorders section of the DSM IV-TR (often referred to as the Psychiatrists' Bible). Previously, he was a professor in the Department of Psychiatry at Columbia University, College of Physicians & Surgeons; Director of Research at NAMI; and the Director of Psychology at the New York State Psychiatric Institute. He has published over 100 peer-reviewed scientific papers, and many other publications that include five books; among them: I am Not Sick, I bDon't Need Help!? When Someone You Love is Depressed: how to Help Without Losing yourself; and Insight and psychosis. His books and other publications have been translated into 18 languages and are frequently cited by scientists and policy-makers worldwide. Dr. Amador's expert opinon is frequently sought by the news media. He has worked as an NBC News Consultant and Today Show Contributor, and has also appeared regularly on numerous other programs: e.g., NBC's Today Show, Good Morning America, CBS This Morning, NBC Nightly News, CBS 60 Minutes, ABC Prime Time Live, CNN, NBC Dateline, Fox News Channel, Cout TV, A&E Network, Discovery Channel, BBC, and PBS among others. He has been interviewed by the New York Times, USA Today, Reader's Digest, the New Yorker, and other national print media. In addition to national media, he is frequently called upon for local TV, radio and newspaper interviews, both in the USA and overseas. For more detailed information, see http://www.xavieramador.com
Sam Tsemberis, PhD, who founded Pathways to Housing in 1992, advocates for housing as a basic right for all people and is credited with establishing the Housing First movement. Pathways to Housing, which he directs, provides immediate access to independent permanent apartments to individuals who are homeless and who have psychiatric diasabilities and substance use disorders. Dr. Tsemberis also assists agencies in cities around the nation to develop Housing First programs. These programs successfully demonstrate that providing persons with their own housing is a powerful first step towards recovery; rather than a distant goal to be achieved only after their psychiatric symptoms and addictions have been stabilized. A faculty member of the Department of Psychiatry, New york University, Dr. Tesemberis' research and innovations have received wide recognition from sources including the Center for Mental Health Services, the National Alliance to End Homelessness, and the United States Interagency Council on Homelessness. In October 2005 Pathways received the American Psychiatric Association Psychiatric Services Gold Award for first place in programs for community mental health program. Pathways to Housing has been profiled by National Public Rado's All things Considered, Public Broadcasting System's (PBS) The Newshour with Jim Leher, and Religion and Ethics and written about in The New York Times and The Christian Science Monitor. There are currently more than 15 replication of the Pathways program across the country each achieving remarkable success in ending homeless for people with psychiatric disabilities. (For more information please see http://www.pathwaystohousing.org)
April 6, 2006
History, Philosophy, and Practice of Housing First: with Results from a 3 Year Study
Housing First in the Context of the Nation's Plans to End Chronic Homelessness: Issues of Replication and Fidelity to a Model
Margaret Swarbrick, PhD
Margaret Swarbrick, PhD, is the Institute for Wellness and recovery Initiatives Training Director for Collaborative Support Programs of New Jersey, a large consumer-operated self-help organization in New jersey. CSP employees many persons living with a mental illness in many capacities within the agency structure (full time there are over 45 consumers working and part-time over 120 consumers working). Peggy has been involved in the mental health field since 1977 personally and professionally since 1986. Peggy was able to access work and education as key tools for personal recovery and has been able to articulate the value of work and meaningful occupation as key elements for recovery and well-being. Dr. Swarbrick is currently a post doctoral fellow in the Psychiatric Rehabilitation Program at University of Medicine and Dentistry of NJ (Psychiatric rehabilitation Program) and also worked as an adjunct faculty for two occupational therapy programs in New jersey. Peggy worked in as an occupational therapist in a variety of settings (state hospital, crisis intervention unit, partial hospital program, cognitive rehabilitation and home health care) designing and delivering services focused on wellness and recovery. Peggy successful passed her doctoral oral examination on July 5, 2005. The dissertation study focused on examination of the relationship between the social environment of consumer operated self-help centers and its effects on member empowerment and satisfaction.
John Strauss, MD, is a psychiatrist and Professor of Psychiatry Emeritus, Yale University School of Medicine. He has held several senior positions including collaborating investigator with the World Health Organization, chief Psychiatric Assessment Section at NIMH, Consultant on the DSM-III, Director of Yale Psychiatric Institute and director of the Center for Studies of Prolonged Psychiatric Disorder at Yale. John Strauss has received world recognition for a wide range of clinical research he carried out with persons who have severe mental disorders. These studies have focused on issues of diagnosis, course of disorder, and the processes of improvement and subjective experience. During his distinguished career, which included 20 years of NIMH funding, he has wrote books, published over two hundred articles, served on many editorial boards and received several professional honors and recognition, including the Armin Loeb Award of the International Association of psycho-Social Research Services for Rehabilitation Research (1990) and Distinguished Life Fellow award from the American psychiatric Association, 1997.
March 9, 2006
Being Human & Mental Illness
March 10, 2006
Research & the Real World of Patients
Bruce Link, PhD
Mailman School of Public Health of Columbia University
Bruce G. Link, PhD, is Research Scientist at new york State psychiatric Institute and professor of Epidemiology and Sociomedical Sciences (in Psychiatry) at the Mailman School of Public health of Columbia University. Dr. link received his Ph.D. in Sociology from Columbia University in 1980 where he received training in psychiatric epidemiology. Upon completing his Ph.D., Dr. link took a Masters Degree in Biostatistics also from Columbia University. He joined the faculty of the School of Public Health in 1981 and has remained at Columbia ever since. he received the Leonard Pearlin Award for career achievement from the Mental health Section of the American Sociological Association and was elected to the Institute of Medicine in 2002. Dr. Link's interests are centered on topics in psychiatric and social epidemiology. he has written on the connection between socioeconomic status and health, homelessness, violence, stigma and discrimination. Currently he is conducting research aimed at understanding: 1) health disparities by race/ethnicity and socioeconomic status, 2) the consequences of social stigma for people with mental illnesses, 3) the connection between mental illnesses and violent behaviors, and 4) the effects of outpatient commitment on people with serious mental illnesses. He is the Director of the Psychiatric Epidemiology training Program, the Director of the Center for Violence Research and Prevention and a Director (with Peter Bearman) of the Robert Wood Johnson Health and Society Scholars Program at Columbia University.
Sue Estroff, PhD
University of North Carolina at Chapel Hill
Sue Estroff, PhD, is a professor of Anthropology, Psychiatry and Social Medicine. An anthropologist by training, she is the author of the landmark ethnographic study of persons with severe mental illness, Making It Crazy, and was one of the first anthropologists to examine issues having to do with severe mental illness from an anthropological perspective. She is primarily interested in sociocultural forces that influence the biographical experiences of persons with disabling chronic illnesses. In her work, she seeks to illuminate the interrelations between social and personal experience and prognosis. Some of the sociocultural factors that have occupied her attention in research are: representations of illness and identity; individual economies of disability; the impact of disability income on identity and illness trajectory; and how use of mental health or psychiatric services influences self labeling and illness accounts among persons with major psychiatric disorders. She is also interested in exploring how interpersonal and contextual factors influence the occurrence of violence by persons with serious mental illnesses, as well as how such violence is conceived of and operationalized by researchers with varied agendas and training. The study of persons with serious mental illness has occupied most of her research career, and while she specializes in qualitative methods, increasingly she is combining them with quantitative analysis techniques.
January 20, 2006
You Want to Measure What? Unapologetic Qualitative Inquiry
Larry Davidson, PhD
Yale Medical School
Larry Davidson, PhD, is Director of the Program on Recovery and Community Health at Yale University, where he is an associate professor of psychology. He is an established investigator who has received national and international recognition for research on processes of recovery in serious mental illness, the effectiveness of peer support and consumer-run programs, and the development and evaluation of innovative recovery-oriented practices and transformation to recovery-oriented systems of care.
December 2, 2005
Research on Recovery: What We Know and What We Still Need to Learn
Paul Lysaker, PhD
University of Indiana Medical School
Paul Lysaker, PhD, is a staff psychologist at the Roudbeush VA Medical Center and Assistant Professor of Clinical Psychology Department of Psychiatry, Indiana university School of Medicine, both in Indianapolis. Lysaker has been involved in treatment and research in schizophrenia for over 16 years, and has published over one hundred articles in that area and is currently the proncipal investigator in a federally funded study of the effects of cognitive behavior therapy on work outcome in schizophrenia.
November 10, 2005
Effects of Cognitive Based Psychotherapy on Vocational Rehabilitation in Schizophrenia
November 11, 2005
Self Experience as a Domain of Recovery for Persons with Severe Mental Illness
David Roe, PhD
Rutgers Institute of Health
David Roe, PhD, is a clinical psychologist fellow at the Institute of Health Research at Rutgers University. He is a consultant for the Center for Excellence in Psychiatry at UBHC/UMDNJ, implementing IMR in NJ. Most of his research focuses on the active role of the person in his or her recovery process and the implementation and efficacy of IMR.
October 27, 2005
Integrating Qualitative and Quantitative Research to Understand and Improve Course and Outcome in Severe Mental Illness
Different Ways to Contribute to Knowledge and Conduct Research