Resources and Supports for Mothers with Severe Mental Illness

摘要: Over the past 20 years, community mental health services have enabled individuals with severe illness (SMI) to spend more time in and greater opportunities ace normal developmental life tasks. Currently, women SMI appear be as likely children general population. Although these mothers tend single parents, often live inadequate housing, small social networks, lack emotional supports, they received little treatment attention. This article presents a systematic review of literature published decade that describes interventions for SMI. These are critiqued, implications future drawn using psychiatric rehabilitation framework. Severe refers long-term persistent disorders such schizophrenia or major affective disrupt capacities carry out primary aspects daily (Dennis, Buckner, Lipton, & Levine, 1991; Gonzales, Kelly, Mowbray, Hays, Snowden, 199 1). goal has been enable thus develop personal skills necessary coping Psychosocial can used within rubric address this goal. It involves development both specific individual environmental resources assist functioning successfully environments their choice minimum ongoing professional intervention (Farkas Anthony, 1989). Theoretically, psychosocial re- habilitation encompass any wide variety domains which may choose function. Unfortunately, community-based conceptualized dealing clientele whom gender socioeconomic issues unimportant (see, example, Bachrach Igadebon, 1988; Mowbray Benedek, Herman, Hazel, 1992). Yet those must sensitive characteristics clients if truly meet needs (Gonzales et al., When is generic, it de facto appropriate men than dominant rather subordinate positions. techniques concentrated primarily on vocational rehabilitation, some consideration given educational housing living arrangements. Only peripheral attention relationships friendship, intimate parenting all but ignored. Indeed, assumption present text describing concern younger adults, family origin being only kinship bonds reviews programs described from 1983 1992, reviewing what currently tried effect. then assessed against perspective: extent focus simultaneously developing needed ensuring supportive environments. From assessment, we suggest improvements service delivery Ten articles were reviewed. Diagnostic criteria change time, not completely reliable, culturally biased. In spite difficulties, every attempt was made include studies exclude diagnoses other Some problems vagaries ameliorated by focusing research conducted decade. …