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THE IMPACT OF PSYCHOSOCIAL REHABILITATION SERVICES ON
RECOVERY OUTCOMES FOR RACIAL/ETHNIC MINORITIES WITH SEVERE
MENTAL ILLNESS
by
Melissa Ann Edmondson
A Dissertation Presented to the
FACULTY OF THE USC SCHOOL OF SOCIAL WORK
UNIVERSITY OF SOUTHERN CALIFORNIA
In Partial Fulfillment of the
Requirements for the Degree
DOCTOR OF PHILOSOPHY
(SOCIAL WORK)
December 2012
Copyright 2012 Melissa Ann Edmondson
Object Description
| Title | The impact of psychosocial rehabilitation services on recovery outcomes for racial/ethnic minorities with severe mental illness |
| Author | Edmondson, Melissa Ann |
| Author email | medmonds@usc.edu;mae0210@gmail.com |
| Degree | Doctor of Philosophy |
| Document type | Dissertation |
| Degree program | Social Work |
| School | School of Social Work |
| Date defended/completed | 2012-07-30 |
| Date submitted | 2012-08-31 |
| Date approved | 2012-08-31 |
| Restricted until | 2012-08-31 |
| Date published | 2012-08-31 |
| Advisor (committee chair) | Brekke, John S. |
| Advisor (committee member) |
Lincoln, Karen D. McArdle, John J. Palinkas, Lawrence A. |
| Abstract | Psychosocial rehabilitation services (PRS) are designed to improve recovery outcomes (symptoms, functioning and quality of life) for individuals with severe mental illness. However, the heterogeneity in the course of severe mental illnesses suggests that there will be variation in response to PRS. Studies have shown that in addition to treatment effects, demographic and clinical factors may play a role in heterogeneity in recovery outcomes. In addition, limited research has examined recovery outcomes for racial/ethnic minorities with severe mental illness despite theory and research suggesting that cultural factors may influence recovery. Using quantitative data from an ongoing study funded by the National Institute of Mental Health, the goal of this dissertation was to understand the impact of PRS on recovery outcomes for racially/ethnically diverse individuals with a severe mental illness receiving services from five mental health clinics in Los Angeles County over the course of one year. The dissertation is organized as three studies. Study 1 examined the differential effects of PRS on recovery outcomes for Euro American, African American, Latino and multiracial individuals with a severe mental illness. Studies 2 and 3 explored the demographic, clinical, and service predictors of heterogeneity in recovery outcomes. Overall, the findings indicated that: 1) psychosocial rehabilitation services maintained or improved recovery outcomes over time, 2) there was variation across individuals in the trajectory of recovery outcomes, and 3) recovery outcomes differed based on a variety of demographic and clinical factors, including race and ethnicity. Mental health practice and research implications as well as suggestions for future research for racially/ethnically diverse individuals with severe mental illnesses are discussed. |
| Keyword | schizophrenia; severe mental illness; recovery; mental health outcomes; minorities |
| Language | English |
| Part of collection | University of Southern California dissertations and theses |
| Publisher (of the original version) | University of Southern California |
| Place of publication (of the original version) | Los Angeles, California |
| Publisher (of the digital version) | University of Southern California. Libraries |
| Provenance | Electronically uploaded by the author |
| Type | texts |
| Legacy record ID | usctheses-m |
| Contributing entity | University of Southern California |
| Rights | Edmondson, Melissa Ann |
| Physical access | The author retains rights to his/her dissertation, thesis or other graduate work according to U.S. copyright law. Electronic access is being provided by the USC Libraries in agreement with the author, as the original true and official version of the work, but does not grant the reader permission to use the work if the desired use is covered by copyright. It is the author, as rights holder, who must provide use permission if such use is covered by copyright. The original signature page accompanying the original submission of the work to the USC Libraries is retained by the USC Libraries and a copy of it may be obtained by authorized requesters contacting the repository e-mail address given. |
| Repository name | University of Southern California Digital Library |
| Repository address | USC Digital Library, University of Southern California, University Park Campus MC 7002, 106 University Village, Los Angeles, California 90089-7002, USA |
| Repository email | cisadmin@dots.usc.edu |
| Archival file | uscthesesreloadpub_Volume4/etd-EdmondsonM-1178.pdf |
Description
| Title | Page 1 |
| Contributing entity | University of Southern California |
| Repository email | cisadmin@dots.usc.edu |
| Full text | THE IMPACT OF PSYCHOSOCIAL REHABILITATION SERVICES ON RECOVERY OUTCOMES FOR RACIAL/ETHNIC MINORITIES WITH SEVERE MENTAL ILLNESS by Melissa Ann Edmondson A Dissertation Presented to the FACULTY OF THE USC SCHOOL OF SOCIAL WORK UNIVERSITY OF SOUTHERN CALIFORNIA In Partial Fulfillment of the Requirements for the Degree DOCTOR OF PHILOSOPHY (SOCIAL WORK) December 2012 Copyright 2012 Melissa Ann Edmondson |
