Journal article
From Adherence to Self-Determination: Evolution of a Treatment Paradigm for People With Serious Mental Illnesses
Psychiatric services (Washington, D.C.), v 63(2), pp 169-173
01 Feb 2012
PMID: 22302335
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
Treatment adherence and nonadherence is the current paradigm for understanding why people with serious mental illnesses have low rates of participation in many evidence-based practices. The authors propose the concept of self-determination as an evolution in this explanatory paradigm. A review of the research literature led them to the conclusion that notions of adherence are significantly limited, promoting a value-based perspective suggesting people who do not opt for pre-scribed treatments are somehow flawed or otherwise symptomatic. Consistent with a trend in public health and health psychology, ideas of decisions and behavior related to health and wellness are promoted. Self-determination frames these decisions as choices and is described herein via the evolution of ideas from resistance and compliance to collaboration and engagement. Developments in recovery and hope-based mental health systems have shepherded interest in self-determination. Two ways to promote self-determination are proffered: aiding the rational actor through approaches such as shared decision making and addressing environmental forces that are barriers to choice. Although significant progress has been made toward self-determination, important hurdles remain.
Metrics
Details
- Title
- From Adherence to Self-Determination: Evolution of a Treatment Paradigm for People With Serious Mental Illnesses
- Creators
- Patrick W. Corrigan - Illinois Institute of TechnologyBeth Angell - Rutgers, The State University of New JerseyLarry Davidson - Yale UniversitySteven C. Marcus - University of PennsylvaniaMark S. Salzer - Temple UniversityPetra Kottsieper - Philadelphia College of Osteopathic MedicineJonathon E. Larson - Illinois Institute of TechnologyColleen A. Mahoney - University of Wisconsin–MadisonMaria J. O'Connell - Yale UniversityVictoria Stanhope - NYU, Silver Sch Social Work, New York, NY USA
- Publication Details
- Psychiatric services (Washington, D.C.), v 63(2), pp 169-173
- Publisher
- Amer Psychiatric Publishing, Inc
- Number of pages
- 5
- Grant note
- MH 085981 / National Institute of Mental Health; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Institute of Mental Health (NIMH) P20MH085981 / NATIONAL INSTITUTE OF MENTAL HEALTH; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Institute of Mental Health (NIMH)
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Psychological and Brain Sciences (Psychology)
- Web of Science ID
- WOS:000327269900013
- Scopus ID
- 2-s2.0-84857676123
- Other Identifier
- 991021877712804721
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InCites Highlights
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- Collaboration types
- Domestic collaboration
- Web of Science research areas
- Health Policy & Services
- Psychiatry
- Public, Environmental & Occupational Health