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Personalisation in recovery and risk assessment

Dieneke Hubbeling


Personalisation of mental healthcare is essential for the recovery approach whereby service users are encouraged to discover what works for them and what they can do to try to live the life they want to live despite still experiencing some effects of their illness. However, there is a tension between service users making their own decisions and the increased risk of violence in people with mental illness, even though the actual risk is quite small. Furthermore, mental health professionals are not able to reliably identify future risk and the effect of treatment is still unclear. A possible solution worth exploring will be to incorporate the risk assessment in the recovery and personalisation approach, which includes discussing the possibility of violent acts with service users and what they think would work for them in preventing them.

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Roberts, G. & Wolfson, P. (2004). The rediscovery of recovery: open to all. Advances in Psychiatric Treatment 10, 37-49.

Davidson, L. & Roe, D. (2007). Recovery from versus recovery in serious mental illness: One strategy for lessening confusion plaguing recovery. Journal of Mental Health 16 (4) 459-470.

Anthony, W.A. (1993). Recovery from mental illness: the guiding vision of the mental health system in the 1990s. Innovations and Research 2 (3) 17-24.

Windell, D., Norman, R. & Malla, A.K. (2012). The Personal Meaning of Recovery Among Individuals Treated for a First Episode of Psychosis. Psychiatric Services 63 (6) 548-553.

Ramon, S., Healy, B. & Renouf, N. (2007). Recovery from Mental Illness as an Emergent Concept and Practice in Australia and the UK. International Journal of Social Psychiatry 53, 108-122.

Wood, L., Price, J., Morrison, A. & Haddock, G. (2010). Conceptualisation of recovery from psychosis: a service-user. The Psychiatrist 34 465-470.

Fazel, S., Lăngström, N., Hjern, A., Grann, M. & Lichtenstein, P. (2009). Schizophrenia, Substance Abuse, and Violent Crime. Journal of the American Medical Association 301 (19) 2016-2023.

Van Dorn, R., Volavka, J. & Johnson, N. (2012). Mental disorder and violence: is there a relationship beyond substance use? Social Psychiatry and Psychiatric Epidemiology 47, 487-503.

Walsh, E., Buchanan, A. & Fahy, T. (2002). Violence and schizophrenia: examining the evidence. British Journal of Psychiatry 180, 490-495.

Wolff, J. (2006). Risk, Fear, Blame, Shame and the Regulation of Public Safety. Economics and Philosophy 22, 409-427.

Pouncey, C.L. & Lukens, J.M. (2010). Madness versus badness: the ethical tension between the recovery movement and forensic psychiatry. Theoretical Medicine and Bioethics 31, 93-105.

Pilgrim, D. (2008). 'Recovery' and current mental health policy. Chronic Illness 4, 295-304.

Davidson, L. (2012). ‘Recovery’ as response to oppressive social structures. Chronic Illness 4, 305-306.

Szmukler, G., Everitt, B. & Leese, M. (2012). Risk assessment and receiver operating characteristic curves. Psychological Medicine 42, 895-898.

Braham, L.G., Trower, P. & Birchwood, M. (2004). Acting on command hallucinations and dangerous behavior: A critique of the major findings in the last decade. Clinical Psychology Review 24, 513-528.

Large, M.M., Ryan, C.J., Singh, S.P., Paton, M.B. & Nielssen, O.B. (2011). The Predictive Value of Risk Categorization in Schizophrenia. Harvard Review of Psychiatry 19, 25-33.

Beck, U. (2006). Living in the world risk society. Economy and Society 35 (3) 329-345.

Keown, P., Weich, S., Bhui, K.S. & Scott, J. (2011). Association between provision of mental illness beds and rate of involuntary admissions in the NHS in England 1988-2008 : ecological study. British Medical Journal 343, d3736.

Van Der Post, L.F.M., Dekker, J.J., Jonkers, J.F., Beekman, A.T., Mulder, C.L., de Haan, L., Mulder, W.G. & Schoevers, R.A. (2010). Crisis intervention and Acute Psychiatry in Amsterdam. International Journal of Social Psychiatry 56, 348-358.

Swanson, J.W., Swartz, M.S., Van Dorn, R.A., Volavka, J., Monahan, J., Stroup, T.S., McEvoy, J.P., Wagner, H.R., Elbogen, E.B., Lieberman, J.A. & CATIE investigators. (2008). Comparison of antipsychotic medication effects on reducing violence in people with schizophrenia. British Journal of Psychiatry 193 (1) 37-43.

Whitaker, R. (2004). The case against antipsychotic drugs: a 50-year record of doing more harm than good. Medical Hypotheses 62, 5-13.

Wunderink, L., Sytema, S., Nienhuis, F.J. & Wiersma, D. (2009). Clinical Recovery in First-Episode Psychosis. Schizophrenia Bulletin 35 (2) 362-369.

Andresen, R., Caputi, P. & Oades, L.G. (2010). Do clinical outcome measures assess consumer-defined recovery ? Psychiatry Research 177 (3) 309-317.

Penston, J. (2007). Patients’ preferences shed light on the murky world of guideline-based medicine. Journal of Evaluation in Clinical Practice 13, 154-159.

Stip, E., Lungo, O.V., Anselmo, K., Letourneau, G., Mendrek, A., Stip, B., Lipp, O., Lalonde, P. & Bentaleb, L.A. (2012). Neural changes associated with appetite information processing in schizophrenic patients after 16 weeks of olanzapine treatment. Translational Psychiatry 2, e128.

Leff, J., Kuipers, L., Berkowitz, R. & Sturgeon, D. (1985). A controlled trial of social intervention in the families of schizophrenic patients: two year follow-up. British Journal of Psychiatry 146, 594-600.

Penston, J. (2011). The irrelevance of statistics-based research to individual patients. International Journal of Person Centered Medicine 1 (2) 240-249.

Sackett, D.L., Rosenberg, W.M.C., Muir Gray, J.A., Haynes, R.B. & Scott Richardson, W. (1996). Evidence based medicine: what it is and what it isn’ t. British Medical Journal 312, 71-72.

Rosmalen, J.G.M., Wenting, A.M.G., Roest, A.M., De Jonge, P. & Bos, E.H. (2012). Revealing Causal Heterogeneity Using Time Series Analysis of Ambulatory Assessments: Application to the Association Between Depression and Physical Activity After Myocardial Infarction. Psychosomatic Medicine 74, 377-386.



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