Attitudes of Mental Health Peer-Run Organizations Towards Health Homes: Recommendations for Policy and Practice

This study examined peer-run organizations’ attitudes towards collaborating in health homes. Data were drawn from the 2012 National Survey of Peer-Run Organizations. Multinomial logistic regression modeled the association between organizational willingness to participate in a health home and salient factors. Current efforts, planned efforts to encourage physical healthcare, and staff size were associated with willingness to collaborate in health homes. Some organizations were concerned about power dynamics with potential medical collaborators. Relationships with medical providers, staffing capacity, and concerns about coercion should be considered when integrating peer-run organizations and health homes.

Journal ArticleLaysha OstrowJuly 13, 2021peer support, peer-run organizations, research, healthcare

Self-Reliance and Belonging: Guest Experiences of a Peer Respite

Peer respites strengthen self-reliance and social connectedness and offer a viable alternative to traditional crisis services for some people some of the time. The results suggest potential “key ingredients” for peer respites, including a homelike environment, voluntary and self-determined supports, and peer support staff who possess the capacity for developing healing and genuine connections with guests while also promoting shared responsibility and self-reliance. Future research should further develop this theory of change and establish peer respite fidelity criteria based on program elements that seem to contribute to positive outcomes.

Journal ArticleLaysha OstrowJuly 13, 2021peer support, research, peer respite

Development and properties of a measure designed to assess core competencies in intentional peer support.

This research study developed a measure to look at service users’ experience of IPS. The IPSCC scale was found to address three underlying factors: Connection, Risk, and Communication. It had acceptable measurement properties commonly used in scale development, and the results fit with theories of peer support. It can also be used in research studies on other forms of peer support. (PsycInfo Database Record (c) 2021 APA, all rights reserved)

Journal ArticleLaysha OstrowJuly 13, 2021peer support, research, research methods

Self-Employment for People with Psychiatric Disabilities: Advantages and Strategies

Advantages of self-employment for people with psychiatric disabilities, who may have disrupted educational and employment histories, include opportunities for self-care, additional earning, and career choice. Self-employment fits within a recovery paradigm because of the value placed on individual preferences, and the role of resilience and perseverance in business ownership. This commentary elucidates the positive aspects of self-employment in the context of employment challenges experienced by individuals with psychiatric disabilities and provides recommendations based on larger trends in entrepreneurship.

Journal ArticleLaysha OstrowJuly 13, 2021commentary, self-employment/entrepreneurship

“It suits my needs”: Self-employed individuals with psychiatric disabilities and small businesses

This exploratory study identified characteristics of individuals’ work and disability histories, as well as business characteristics, that can inform policy and practice development in support of disability-owned small businesses. Self-employment is not necessarily a fit for everyone, but for individuals with psychiatric disabilities, it may be a pathway back to work. The size of the respondent businesses and the part-time nature of the work suggests that individuals with psychiatric disabilities are operating very small businesses that may serve as a wage employment alternative if they are able to grow in the future, or be sustained as a part-time adjunct to public benefits or other paid or unpaid work.

Journal ArticleLaysha OstrowJuly 13, 2021research, self-employment/entrepreneurship

Supporting business owners with psychiatric disabilities: An exploratory analysis of challenges and supports

Self-employed individuals with psychiatric disabilities used informal business supports more than help from institutions. Friends, family, mentors, online resources, and other business owners were most frequently a source of support and were rated most helpful. Institutional supports, for example the Small Business Development Center, were less frequently used and less likely to be considered helpful. Entrepreneurs with psychiatric disabilities may benefit from supports specific to their needs and preferences. (PsycInfo Database Record (c) 2021 APA, all rights reserved)

Journal ArticleLaysha OstrowJuly 13, 2021research, self-employment/entrepreneurship

Discontinuing Psychiatric Medications: A Survey of Long-Term Users

To enhance service user choice and prevent undesirable outcomes, this first U.S. survey of a large sample of longer-term users sought to increase knowledge about users’ experience of medication discontinuation. About half (54%) met their goal of completely discontinuing one or more medications; 46% reported another outcome (use was reduced, use increased, or use stayed the same). Of respondents who completely discontinued, 82% were satisfied with their decision.

An exploratory analysis of the role of social supports in psychiatric medication discontinuation: results related to family involvement

Individuals in psychiatric treatment frequently choose to stop taking psychiatric medications, but little is known about the role of social supports in this process. Of all social support groups, only family was significantly associated with medication discontinuation. Respondents who rated family as helpful in the discontinuation process were less likely to completely discontinue than those who rated family as unhelpful or who reported no family involvement. Additionally, we observed a statistically significant but nonlinear relationship where respondents who rated their families as either “very supportive” or “very unsupportive” of the decision to discontinue were less likely to meet their original discontinuation goal than those with more neutral ratings. The results of this study suggest families have an important and complex role in medication decision-making.

User perspectives on professional support and service use during medication discontinuation

This paper describe the results of a survey to explore professional support to service users during medication discontinuation to inform clinical practice and guide future research. Only 65% of respondents reported seeing a prescriber and less than 50% reported seeing a psychotherapist while attempting to discontinue psychiatric medication. Combined with respondents’ answers describing the decision-making process and support received from these services, this paper identifies gaps in service and the need to improve providers’ ability to support individuals while they discontinue psychiatric medication.

Journal ArticleLaysha OstrowDecember 1, 2018medication use, discontinuation

Medicare Mental Health Parity: A High Potential Change that is Long Overdue

Recent changes in legislation regarding mental health parity in Medicare will revolutionize payment for mental health care and delivery systems. This commentary discusses why this policy change was essential to promote adequate care for populations served by Medicare and to address expected changes in beneficiary, provider, and plan behavior as more equitable payments by Medicare are implemented.

Journal ArticleLaysha OstrowJuly 16, 2017financing, healthcare, federal policy

Morro Bay | California

Newsletter

Articles & Media

Morro Bay | California

Newsletter