Publications by authors named "Carol A Harvey"

Article Synopsis
  • Time use is crucial for understanding health and well-being, especially for those with severe mental illness, as it highlights their activity patterns and personal challenges.
  • A scoping review identified 29 studies that explored how time use assessments and interventions can enhance community mental health practices, emphasizing the need for structured methods and real-time data collection.
  • The findings revealed that time use assessments and interventions, often rooted in occupational therapy, generally led to improved activity engagement, quality of life, and personal recovery among participants.
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Objective: The authors used survey data to investigate patients' experiences of restrictive interventions in inpatient settings.

Methods: The 2010 Australian Survey of High Impact Psychosis (N=1,825) asked about restrictive interventions experienced during a mental health admission in the previous year (N=428), ranging from restrictions on leaving a ward to seclusion. The authors explored the relationship between perceived benefit (good or limited versus no benefit) and the number of different types of restrictive interventions experienced.

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Education is recognized in many sectors of society as essential for empowerment and better lives, and postsecondary education is increasingly a prerequisite for many occupations. Given its onset in late adolescence and early adulthood, mental illness frequently disrupts secondary or tertiary education, and resulting lower educational attainment contributes to reduced lifetime employment and earning potential. Yet, supporting people with mental illnesses to pursue postsecondary education offers pathways to vocational qualifications and more diverse opportunities for employment and career advancement.

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Background: The viewpoints of employed people experiencing mental ill-health receive limited attention in reviews of employment-related research.

Purpose: To identify implications from studies investigating the employment-related views of people with persistent mental ill-health to guide the further development of employment supports available to this group.

Methods: Published qualitative studies between 1998 and 2008 were searched, resulting in 20 studies for qualitative metasynthesis.

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Background: Most studies of outcome in schizophrenia have focused on incidence cohorts or samples identified through specialist mental health services; population-based samples provide a more complete picture of the effectiveness of community services.

Aims: To examine whether outcome predictors, derived from studies of selected patients with prolonged schizophrenia, would emerge in a largely community-dwelling population sample.

Methods: A follow-up sample of 114 adults with schizophrenia was identified via two censuses of key informants conducted for two prevalence surveys in North London, five years apart.

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This column presents the Consultation-Liaison in Primary-Care Psychiatry model, which was developed in Australia. This model is a structured approach to collaborative care of people with mental illnesses between primary care services and specialist mental health services. The first component of the model is a consultation, liaison, and education service provided by psychiatric consultants at participating general practices.

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In Australia, the configuration of public mental health services varies between States and Territories, but, overall, community-based services are increasingly integrated and responsive to people with schizophrenia. Community-based services include mobile crisis teams, providing home-based acute treatment, and case-management services for ongoing treatment. Service improvements have been uneven across Australia.

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