An investigation of the perception of factors associated with daily living activities of comprehensive psychiatric rehabilitation consumers
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[ACCESS RESTRICTED TO THE UNIVERSITY OF MISSOURI AT REQUEST OF AUTHOR.] For the last 60 years, there has been an increasing number of American adults identified as suffering from one or more severe diagnosable mental disorders that reduce an individual's ability to perform living and working tasks. Many of these consumers participate in services through comprehensive psychiatric rehabilitation (CPR) programs throughout the United States. CPR services attempt to meet the needs of individuals with severe psychiatric disabilities (Barton, 1999). Informed by ecological systems theory (EST) (Bronfenbrenner,1979) and empowerment theory (ET; Perkins and Zimmermen,1995; Rappaport, 1981; Rappaport 1990), this study utilized a survey in which CPR consumers rated numerous demographic and study variables regarding how helpful each was to their daily living activities. At the end of six-weeks of data collection, 122 consumers' surveys had been collected for data analysis. Descriptive statistics and linear regression analysis were employed to address four research questions. Half of the participants were 45 years of age or younger and half were 46 years of age or older. Most of the participants were female and identified as white. More than half of the participants lived on their own in the community, with most of the remaining living in an RCF (residential care facility) and a few living in a group setting with family or with friends. Most of the participants reported that their parents were married or divorced, that their parents are still living and that they have contact with their parents. Most of the participants had siblings and reported having contact with their siblings. Most of the participants reporting having weekly contact with their Community Support Specialist. Results of the regression analyses with the demographic variables and each of the system variables revealed several microsystem variables and several mezzo-system variables as strong predictors of DLA-20 scores; however, no macro-system variables met significance to be considered predictive of DLA-20 scores. The regression analysis, with the demographic variables and the system variables combined, found significant predictors of DLA-20 that came from all three system variables: micro-, mezzo-, and macro-system variables. The results of this study can be used to support the implementation of individual treatment plans, through the SMART (specific, measurable, attainable, relevant, and time-limited) goals and treatment approach in CPR programs so that the services provided to CPR consumers truly help them successfully complete their activities of daily living.
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