The For The Illness Management And Recovery ( Imr ) Program

The Michael R. Zent (MRZ) Integrated Healthcare Center was established in January 2006 to provide comprehensive and integrated healthcare services to individuals with mental health illness in Phoenix Arizona. The integration behavioral and physical health services across the continuum of care provide a seamless care delivery system that offers patients a holistic care based on their psychosocial needs and diagnoses. Achieving a sustainable efficient and effective integrated care program requires multiple evaluation and modification of operational and administrative processes using a Plan, Do, Study, Act (PDSA) methodology.

Regarding the treatment of mental illness, there are two effective forms that have caused considerable debates in the field of psychology: the medical and the recovery models. While there are significant differences between these two models, they are both effective when used concurrently. The efficacy of the medical model alone is diminishing as it focuses too narrowly on treatment goals, and may ignore the needs of the client. On the other hand, the recovery model focuses on the client and allows them to take control of their treatment and rehabilitation, which helps promote positive change. Recovery is often seen as a lifelong journey that requires the client to be wholly involved in the recovery process. This is why the recovery model values

The conditions of psychiatric hospitals were poorly maintained yet again. From the late 1800s until the mid-1900s, the conditions of these institutions were hit or miss. Despite the rising population of those in need of mental health treatment, conditions were deteriorating across the board. This pushed in the deinstitutionalization movement (Nevid, Rathus, & Green, 2014). This was a push to remove patients from state-run hospitals into a more community-based treatment center. In most cases today, there are treatment plans in place depending upon the severity of the disorder an individual may be suffering from. It’s more about treating an individual with any variety of modern techniques or therapies and trying to reintegrate them into society rather than a lifelong stay in an institution. Deinstitutionalization didn’t work the way it was intended. After it was put into place there was a rise in the homeless population and different programs that were supposed to be put into place didn’t live up to

In an inpatient setting, patients admit with a mental health crisis and are especially sensitive to interactions with others. Often the first levels of engagement are challenging due to medications that are first given to stabilize each patient. During the engagement with Mark, it was important to encourage the sense of wellbeing towards recovery and placing a focus on his strengths. Engaging a client with their challenges and goals are suggested to be of focus instead of an individual’s mental health status or symptoms (Novotná, Urbanoski, & Rush, 2011).

In 1955, over 559,000 individuals resided in inpatient psychiatric hospitals. By 1995, however, the number had drastically diminished to 69,000, (National Health Policy Forum, 2000). This drastic reduction was largely due to the discovery of antipsychotic medications in the 1950s, and the deinstitutionalization movement of the 1960s, wherein several thousands of mentally ill individuals were released from psychiatric institutions to return to their communities for treatment. Mental health centers (MHCs) were conceptualized during deinstitutionalization to provide treatment to these newly-released mentally ill persons in their communities. Although efforts were well-intended, the MHCs failed to serve the

The basic premise of any doctor’s assessment is to address the patient’s concerns, perform lab work, diagnose the condition, perhaps administer medication, and monitor the patient for improvement or problems associated with medication. In general, patients are expected to follow the advice of a certified physician; however, mental illness challenges the rudimentary design of doctor and patient relationships. Psychiatry entails assessments that are elaborate and while often reducing patient symptoms, continue to pose challenges to the psychiatric field due to the level of maintenance and the evolution of recovery (Jacob, K., S. 2015.) Moreover, the approach to recovery in mental illness patients does not end with medication as management and continuous care dominate the mental illness landscape.

Therefore, Spelman, Hunt, Seal, & Burgo-Black (2012) recommend that the best practices for care should consist of an interdisciplinary approach involving integrated teams of primary care, mental health, and social work providers which can normalize and de-stigmatize mental health treatment. Recognizing that co-located, interdisciplinary care may not be feasible for many providers, they suggest utilizing local resources and facilitating interagency collaboration with local Veteran Centers or with the VA (Spelman et al., 2012).

In 1946, President Truman signed the National Mental Health Act, allowing federal funds for education and research in mental health. By the time of the Great Depression and the World War II, asylums’ were in unsustainable conditions and traumatized veterans were returning home needing psychiatric attention. Also in a federal extent, Congress passed the Mental Health Study Act in 1955, establishing a commission to check policies and propose reforms in psychiatric treatments. Around that time the deinstitutionalization movement started changing the mental health picture.

AOT was proposed in the 1980’s by families of mentally ill citizens. This treatment program was formally known as Involuntary Outpatient Commitment (IOC). Anosognosia individuals resist treatment due to their belief of not having a mental illness and as a result they become a danger to themselves and potentially

In today’s society there is a greater awareness of mental illnesses. With this greater awareness one might assume that there would be a substantial increase in government involvement or funding in the area of mental illness treatment. Unfortunately this isn’t the case in the U.S. today. There are hundreds of thousands of people with mental illness that go untreated. These potential patients go untreated for many reasons. These reasons are discussed in the Time article “Mental Health Reform: What Would it Really Take.

Some of these initiatives include the Americans with Disabilities Act, Surgeon General’s report on Mental Health, President’s New Freedom Commission on Mental Health, and the Center for Medicare and Medicaid Services’ (CMS) letter of

The mental health recovery movement has played a prominent role in shaping of mental health care, policies, and ideology. In December of 1999, The U.S. Surgeon General David Satcher released a groundbreaking report, the first of its kind, that called for all mental health care to be "consumer oriented and focused on promoting recovery", with recovery being described as "not limited to symptom reduction but . . . restoration of a meaningful and productive life" (United States Department of Health and Human Services, 1999, p. 455). In 2004, “the U.S. Department of Health and Human Services issued a consensus statement on mental health recovery based on the New Freedom Commission’s recommendation that public mental health organizations

The aim of the study is to examine the effects of a cognitive remediation program on schizophrenia symptoms. As more than a hundred people with schizophrenia have participated, I had the opportunity to apply to them the cognitive remediation program which was developed in our Unit as well as all the appropriate clinical and cognitive evaluation tests mentioned in my CV. Participating in this research has been a rewarding experience as it gave me the knowledge, skills and confidence to explore the field of clinical psychology. Moreover, it has given me a better perception of what goes into research, enable me to write and speak on an academic level and increased my confidence in pursuing my goals. Working at the hospital I had the opportunity to interact and collaborate with health care professionals always showed support and interest in me as well as my efforts. My goal was to enhance my educational background through this study, but what I gained surpassed my expectations. I was able to see not only the result of my hard work but also why it

Illness perceptions are the organized cognitive representations and the beliefs that service users all have about their illness. These perceptions have been found to be important determinants of our behaviour and they have been associated with numerous important outcomes, like, treatment adherence and functional recovery.

Specific Purpose: To inform my audience how treatment of mental illness in America has changed.