Despite evidence that suggests many psychiatric services help people with serious mental illness manage their illness and attain their life goals, some individuals who might benefit from these services opt not to participate or not to fully engage after beginning treatment. Treatment adherence is a complex and sometimes contentious concept that has been discussed for decades to explain failures to fully participate in and benefit from services. In this same time period, mental health consumers, service providers and researchers have begun to develop frameworks around concepts of empowerment, which emphasize consumer choice in treatment and services. The goal of our proposed Developing Center for Interventions and/or Services Research (DCISR) is to better understand relationships among these phenomena and to examine change strategies that enhance empowerment and adherence, which, in turn, influence participation in quality services and achievement of personally meaningful goals. Treatment adherence research has a rich empirical base which, unfortunately, offers little in terms of theory or treatment concepts (except perhaps for research on extended or intensive monitoring). The empowerment literature, by comparison, have developed a strong conceptual and theoretical approach but lack much empirical testing or development. We contend that generative, positive development in both these fields can be fostered by the intentional effort to develop a national scale research program, grounded in the efforts of productive investigators. Such a research program would support developmental activities that produce emergent theoretical frameworks that can be empirically tested, and theoretically driven research that contributes to new knowledge. Such knowledge could drive public health policy towards new, pro-active directions that improve the lives of people with mental illness.

Public Health Relevance

One prominent goal of services research is to identify evidence-based practices (EBPs) that help people with serious mental illness achieve these outcomes. Many people who might benefit from EBPs and other psychiatric services decide not to seek them out or fully participate in them. One way in which service participation may be understood is in terms of the number of people who might benefit from psychiatric services but never seek them out.

Agency
National Institute of Health (NIH)
Institute
National Institute of Mental Health (NIMH)
Type
Exploratory Grants (P20)
Project #
5P20MH085981-04
Application #
8325155
Study Section
Special Emphasis Panel (ZMH1-ERB-B (01))
Program Officer
Azrin, Susan
Project Start
2009-09-09
Project End
2014-08-31
Budget Start
2012-09-01
Budget End
2013-08-31
Support Year
4
Fiscal Year
2012
Total Cost
$910,511
Indirect Cost
$120,975
Name
Illinois Institute of Technology
Department
Psychology
Type
Schools of Arts and Sciences
DUNS #
042084434
City
Chicago
State
IL
Country
United States
Zip Code
60616
Markowitz, Fred E; Engelman, Douglas J (2017) The ""Own"" and the ""Wise"": Does Stigma Status Buffer or Exacerbate Social Rejection of College Students with a Mental Illness? Deviant Behav 38:744-755
Eyrich-Garg, Karin M; Moss, Shadiya L (2017) How Feasible is Multiple Time Point Web-Based Data Collection with Individuals Experiencing Street Homelessness? J Urban Health 94:64-74
Corrigan, Patrick W; Michaels, Patrick J; Powell, Karina et al. (2016) Who Comes Out With Their Mental Illness and How Does It Help? J Nerv Ment Dis 204:163-8
Canada, Kelli E; Markway, Greg; Albright, David (2016) Psychiatric symptoms and mental health court engagement. Psychol Crime Law 22:513-529
Angell, Beth; Bolden, Galina B (2015) Justifying medication decisions in mental health care: Psychiatrists' accounts for treatment recommendations. Soc Sci Med 138:44-56
Markowitz, Fred E (2015) Involvement in mental health self-help groups and recovery. Health Sociol Rev 24:199-212
Corrigan, Patrick W; Powell, Karina J; Fokuo, J Konadu et al. (2014) Does humor influence the stigma of mental illnesses? J Nerv Ment Dis 202:397-401
Morris, Scott B; Huang, Jialin; Zhao, Lei et al. (2014) Measurement equivalence of the Empowerment Scale for White and Black persons with severe mental illness. Psychiatr Rehabil J 37:277-83
Corrigan, Patrick W; RĂ¼sch, Nicolas; Ben-Zeev, Dror et al. (2014) The rational patient and beyond: implications for treatment adherence in people with psychiatric disabilities. Rehabil Psychol 59:85-98
Angell, Beth; Matthews, Elizabeth; Barrenger, Stacey et al. (2014) Engagement processes in model programs for community reentry from prison for people with serious mental illness. Int J Law Psychiatry 37:490-500

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