Restricted accessResearch articleFirst published online 2021-5
Enhancing Wellbeing for Older Adults With Serious Mental Illnesses: Co-Producing a Positive Psychology Course With Certified Older Adult Peer Specialists
Compared to peers in the general population, persons aging with serious mental illnesses (SMIs) face physical health disparities, increased isolation, and decreased subjective experiences of quality of life and wellbeing. To date, limited intervention research focuses on addressing specific needs of persons aging with SMIs and no interventions targeted for that population are informed by the theory and science of positive psychology. With the aim of co-producing a positive-psychology-based program to enhance wellbeing for older adults with SMIs, the author held a series of focus groups and individual interviews with six certified older adult peer specialists. Analysis of the data developed in-depth insights into helpful processes, values, and priorities of individuals aging with SMIs, as well as the creation of a wellbeing-enhancing course curriculum.
BankoleA.CohenC. I.VahiaI.DiwanS.PalekarN.ReyesP.SapraM.RamirezP. M. (2008). Symptomatic remission in a multi-racial urban population of older adults with schizophrenia. American Journal of Geriatric Psychiatry, 16(12), 966–973. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2777609/
2.
BolierL.HavermanM.WesterhofG. J.RiperH.SmitF.BohgmeijerE. (2013). Positive Psychology interventions: A meta-analysis of randomized controlled studies. BMC Public Health, 13, Article 119. https://doi.org/10.1186/1471-2458-13-119
3.
BondG. R. (2004). Supported employment: Evidence for an evidence-based practice. Psychiatric Rehabilitation Journal, 27(4), 345–359. https://doi.org/10.2975/27.2004.345.359
4.
BondG. R.DrakeR. E. (2014). Making the case for IPS supported employment. Administration and Policy in Mental Health and Mental Health Services Research, 41(1), 69–73. https://doi.org/10.1007/s10488-012-0444-6
5.
BradshawW.ArmourM. P.RoseboroughD. (2007). Finding a place in the world: The experience of recovery from severe mental illness. Qualitative Social Work: Research and Practice, 6, 27–47. http://dx.doi.org/10.1177/1473325007074164
6.
ButlerJ.KernM. L. (2016). The PERMA-Profiler: A brief multidimensional measure of flourishing. International Journal of Wellbeing, 6(3), 1–48. https://doi.org/10.5502/ijw.v6i3.526
7.
CastleD. J.MorganV. (2008). Epidemiology. In MueserK. T.JesteD. V. (Eds.), Clinical handbook of schizophrenia (pp. 14–24). Guilford Press.
8.
CohnM. A.FredricksonB. L. (2010). In search of durable positive psychology interventions: Predictors and consequences of long-term positive behavior change. Journal of Positive Psychology, 5(5), 355–366. http://dx.doi.org/10.1080/17439760.2010.508883
9.
CollierE.GrantM. J. (2018). A literature review on the experience of long-term mental illness. Issues in Mental Health Nursing, 39(6), 506–513. https://doi.org/10.1080/01612840.2017.1404169
10.
CorriganP. W. (2016). Principles and practices of psychiatric rehabilitation: An empirical approach (2nd ed.). Guilford Press.
11.
CreswellJ. W. (2007). Qualitative inquiry and research design: Choosing among five approaches (2nd ed.). SAGE.
12.
CummingsS. M.KropfN. P. (2011). Aging with a severe mental illness: Challenges and treatments. Journal of Gerontological Social Work, 54(2), 175–188. https://doi.org/10.1080/01634372.2010.538815
13.
DavidsonL. (2003). Living outside mental illness: Qualitative studies of recovery in schizophrenia. New York University Press.
14.
DonaldsonS. I.DollwetM.RaoM. A. (2014). Happiness, excellence, and optimal human functioning revisited: Examining the peer-reviewed literature linked to positive psychology. Journal of Positive Psychology, 10(3), 185–195. http://dx.doi.org/10.1080/17439760.2014.943801
DugglebyW.PeacockS.PloegJ.SwindleJ.KaewwilaiL.HeunJungL. (2020). Qualitative research and its importance in adapting interventions. Qualitative Health Research, 30(30), 101605–101613. https://doi.org/10.1177/1049732320920229
17.
DunnE. C.WewiorskiN. J.RogersE. S. (2008). The meaning and importance of employment to people in recovery from serious mental illness: Results of a qualitative study. Psychiatric Rehabilitation Journal, 32(1), 59–62. http://dx.doi.org/10.2975/32.1.2008.59.62
18.
FeredayJ.Muir-CochraneE. (2006). Demonstrating rigor using thematic analysis: A hybrid approach of inductive and deductive coding and theme development. International Journal of Qualitative Methods, 5(1), 80–92. https://doi.org/10.1177/160940690600500107
GunnmoP.BergmanH. F. (2011). What do individuals with schizophrenia need to increase their well-being. International Journal of Qualitative Studies on Health and Well-Being, 6, 1283–1294. http://dx.doi.org/10.3402/qhw.v6i1.5412
23.
HafnerH.HeidenW. (2008). Course and outcomes. In MueserK. T.JesteD. V. (Eds.), Clinical handbook of schizophrenia (pp. 100–116). Guilford Press.
24.
HenwoodB. F.KatzM. L.GilmerT. P. (2014). Aging in place within permanent supportive housing. International Journal of Geriatric Psychiatry, 30, 80–87. https://doi.org/10.1002/gps.4120
HoH. C. Y.YeungD. Y.KwokS. Y. C. L. (2014). Development and evaluation of the positive psychology intervention for older adults. Journal of Positive Psychology, 9(3), 187–197. http://dx.doi.org/10.1080/17439760.2014.888577
27.
HsiehH. F.ShannonS. E. (2005). Three approaches to qualitative content analysis. Qualitative Health Research, 15(9), 1277–1288. https://doi.org/10.1177/1049732305276687
28.
KattariS. K.LaveryA.HascheL. (2017). Applying a social model of disability across the life span. Journal of Human Behavior in the Social Environment, 27(8), 865–880. https://doi.org/10.1080/10911359.2017.1344175
29.
KropfN.CummingsS. M. (2017). Evidence-based treatment with older adults: Theory, practice, and research. Oxford University Press.
30.
KrupaT.ChenS. P. (2013). Psychiatric/psychosocial rehabilitation (PSR) in relation to vocational and educational environments: Work and learning. Current Psychiatry Reviews, 9(3), 195–206. https://doi.org/10.2174/1573400511309030005
31.
MeeksT. W.JesteD. V. (2008). Older individuals. In MueserK. T.JesteD. V. (Eds.), Clinical handbook of schizophrenia (pp. 390–397). Guilford Press.
32.
Melendez MoralJ. C.Fortuna TerreroF. B.Sales GalanA.RodriguezT. M. (2014). Effect of integrative reminiscence therapy on depression, well-being, integrity, self-esteem, and life satisfaction in older adults. Journal of Positive Psychology, 10.3, 103, 240–247. http://dx.doi.org/10.1080/17439760.2014.936968
33.
MeyerP. S.GingerichS.MueserK. T. (2010). A guide to implementation and clinical practice of illness management and recovery for people with schizophrenia. In RubinA.SpringerD. W.TrawverK. (Eds.), Psychosocial treatment of schizophrenia (pp. 23–87). Wiley.
34.
ModiniM.TanL.BrinchmannB.WangM. J.KillackeyE.GlozierN.MykletunA.HarveyS. B. (2016). Supported employment for people with severe mental illness: Systematic review and meta-analysis of the international evidence. The British Journal of Psychiatry, 209(1), 14–22. https://doi.org/10.1192/bjp.bp.115.165092
35.
MowbrayC. T.CollinsM. E.BellamyC. D.MegivernD. A.BybeeD.SzilvagyiS. (2005). Supported education for adults with psychiatric disabilities: An innovation for social work and psychosocial rehabilitation practice. Social Work, 50(1), 7–20. https://doi.org/10.1093/sw/50.1.7
36.
NgR. M.PearsonV.LamM.LawC. W.ChiuC. P.ChenE. Y. (2008). What does recovery from schizophrenia mean? Perceptions of long-term patients. The International Journal of Social Psychiatry, 54, 118–130. http://dx.doi.org/10.1177/0020764007084600
37.
NuechterleinK. H.SubotnikK. L.TurnerL. R.VenturaJ.BeckerD. R.DrakeR. E. (2008). Individual placement and support for individuals with recent-onset schizophrenia: Integrating supported education and supported employment. Psychiatric Rehabilitation Journal, 31(4), 340–349. https://doi.org/10.2975/31.4.2008.340.349
38.
OgdenL. P. (2014a). Interpersonal relationship narratives of older adults with schizophrenia-spectrum diagnoses. American Journal of Orthopsychiatry, 84(6), 674–684. https://doi.org/10.1037/ort0000035
39.
OgdenL. P. (2014b). “My life as it is has value”: Narrating schizophrenia in later years. Qualitative Health Research, 24(10), 1342–1355. https://doi.org/10.1177/1049732314546752
40.
OgdenL. P. (2018). “To fill the emptiness”: The importance of work in life history narratives of older adults with schizophrenia-spectrum diagnoses. Qualitative Social Work: Research and Practice, 17(4), 556–576. https://doi.org/10.1177/1473325016688368
41.
OgdenT. H. (2004). On holding and containing, being and dreaming. The International Journal of Psychoanalysis, 85(6), 1349–1364. https://doi.org/10.1516/T41H-DGUX-9JY4-GQC7
42.
OkpychN. J.YuJ. L. (2014). A historical analysis of evidence-based practice in social work: The unfinished journey toward an empirically grounded profession. Social Service Review, 88(1), 3–58. https://doi.org/10.1086/674969
43.
PadgettD. K.BondL.GurdakK.HenwoodB. F. (2020). Eliciting life priorities of older adults living in permanent supportive housing. The Gerontologist, 60(1), 60–68. https://doi.org/10.1093/geront/gnz040
44.
ParkJ.ChenR. (2016). Positive psychology and hope as means to recovery from mental illness. Journal of Applied Rehabilitation Counseling, 47(2), 34–42. https://doi.org/10.1891/0047-2220.47.2.34
45.
ParkerA.TritterJ. (2006). Focus group method and methodology: Current practice and recent debate. International Journal of Research & Method in Education, 29(1), 23–37. https://doi.org/10.1080/01406720500537304
46.
RandallW. L. (2011). Memory, metaphor and meaning: Reading for wisdom in the stories of our lives. In KenyonG. M.BohlmeijerE.RandallW. L. (Eds.), Storying later life: Issues, investigations, and interventions in narrative gerontology (pp. 18–36). Oxford University Press.
47.
ReynoldsK.MedvedM.MackenzieC. S.FunkL. M.KovenL. (2020). Older adults’ narratives of seeking mental health treatment: Making sense of mental health challenges and “muddling through” to care. Qualitative Health Research, 30(10), 1517–1528. https://doi.org/10.1177/1049732320919094
48.
RubinA.SpringerD. W.TrawverK. (2011). Psychosocial treatment of schizophrenia (Vol. 8). John Wiley & Sons.
49.
SeligmanM. E. (2002). Authentic happiness: Using the new positive psychology’ to realize your potential for lasting fulfillment. Free Press.
50.
SeligmanM. E. (2012). Flourish: A visionary new understanding of happiness and well-being. Simon and Schuster.
51.
SeligmanM. E.SteenT. A.ParkN.PetersonC. (2005). Positive psychology progress: Empirical validation of interventions. American Psychologist, 60(5), 410–421. https://doi.org/10.1037/0003-066X.60.5.410
52.
ShibusawaT.PadgettD. (2009). The experiences of “aging” among formerly homeless adults with chronic mental illness: A qualitative study. Journal of Aging Studies, 23(3), 188–196. https://doi.org/10.1016/j.jaging.2007.12.019
53.
SladeM.BrownellT.RashidT.SchrankB. (2016). Positive psychotherapy for psychosis: A clinician’s guide and manual. Taylor & Francis.
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