In contrast to the institutional approach of years past, today most people with mental illness live in the community, and decide for themselves whether, and to what extent, to participate in treatment. Providers are now beginning to ask, "How do I provide services that help people achieve their recovery goals?" rather than, "How do I get my patient to adhere to the prescribed treatment?" Contributors to this volume describe the public health benefits that emerge when providers respect personal health care decisionseven when the person making them has a serious mental illness. They also share evidence-based practices that enhance self-determination, such as: creating an advance psychiatric directive addressing clients' information processing difficulties, so they can better understand their treatment options motivational interviewing to support employment as part of a recovery plan Rich examples of consumer-provider interactions illustrate how providers can instill hope and help activate the client's support network to facilitate goal-setting and decision-making.
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| Acknowledgments |
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| Introduction |
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Chapter 1 The Problem of Adherence and the Importance of Self-Determination |
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Chapter 2 Beyond the Rational Patient: Implications for Health Decisions and Behaviors |
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29 | (24) |
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Chapter 3 How Does Stigma Impede Adherence and Self-Determination? |
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53 | (28) |
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Chapter 4 Person-Centered Care |
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81 | (22) |
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Chapter 5 Psychiatric Advance Directives |
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103 | (14) |
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Chapter 6 Shared Decision Making |
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117 | (24) |
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Chapter 7 Increasing Employment Motivation for Individuals With Psychiatric Disabilities |
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141 | (14) |
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Chapter 8 Cognitive Approaches That Impact Self-Determination |
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155 | (18) |
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Chapter 9 Self-Determination Within the Context of Legally Mandated Treatment |
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173 | (18) |
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Chapter 10 Peer Support and Service Engagement |
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191 | (20) |
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Chapter 11 Self-Determination and Cultural Considerations: An Asian Perspective |
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211 | (24) |
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Chapter 12 Critical Last Thoughts About Self-Determination and Recovery |
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235 | (8) |
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| Index |
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243 | (8) |
| About the Editor |
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251 | |
Patrick W. Corrigan, PsyD, is Distinguished Professor of Psychology at the Illinois Institute of Technology. Previously, he was professor of psychiatry at the University of Chicago, where he directed the Center for Psychiatric Rehabilitation.
His research examines psychiatric disability and the impact of stigma on recovery and rehabilitation. Currently, he is principal investigator of the National Consortium for Stigma and Empowerment (NCSE) funded by the National Institute of Mental Health, NCSE is a collaboration of investigators from more than a dozen research institutions.
He is also principal investigator of current grants from the National Institute for Minority Health and Health Disparities and Patient-Centered Outcomes Research Institute, and he is conducting stigma research with support from the Department of Defense, the Veterans Administration, and the Canadian Institutes of Health Research.
Dr. Corrigan has authored or edited more than a dozen books, most recently The Stigma of Disease and Disability: Understanding Causes and Overcoming Injustices, published by APA.
Dr. Corrigan has published more than 3 peer-reviewed articles and is editor emeritus of the American Journal of Psychiatric Rehabilitation.
