Chyrell D Bellamy | Yale University School of Medicine (original) (raw)
Papers by Chyrell D Bellamy
The Journal of Behavioral Health Services & Research, 2001
In order to promote replication of supported education, an exemplary rehabilitation model for adu... more In order to promote replication of supported education, an exemplary rehabilitation model for adults with psychiatric disabilities, funds were accessed through a Community Action Grant from the Center for Mental Health Services of the Substance Abuse and Mental Health Services Administration. Three communities in Michigan participated in a multistage process designed to maximize community ownership by encouraging local adaptations involving all stakeholder groups and providing technical assistance. The stages in the process were organizing the community for supported education development, acquiring knowledge about supported education basics, collecting information (needs assessment and barrier identification), and developing the plan. All three sites have begun implementation, providing services to adults with psychiatric disabilities who wish to pursue post-secondary education. The approach employed has applicability for other local communities.
American Journal of Orthopsychiatry, 2017
Community participation is often cited as a crucial component of wellness for people with mental ... more Community participation is often cited as a crucial component of wellness for people with mental health diagnoses. Few studies explore community participation from the perspective of lesbian, gay, bisexual, trans, and queer (LGBTQ) people with diagnoses of schizophrenia and bipolar disorder. This article describes an in-depth qualitative study with 16 LGBTQ people; 18 social service workers; and 2 key informants in Toronto, Ontario that examined access to communities for LGBTQ people with mental health diagnoses. Results indicate that community participation is particularly relevant to this group given the functions of communities for marginalized people as a source of support and resistance. However, the participants faced barriers to accessing support and creating social networks due to the lack of intersectional inclusion in various contexts, including LGBTQ communities and mental health/mad communities. (PsycINFO Database Record
OTJR: Occupation, Participation and Health, 2007
Psychiatric rehabilitation journal, Jan 16, 2015
This article describes the development and piloting of a bilevel intervention codeveloped by pers... more This article describes the development and piloting of a bilevel intervention codeveloped by persons in recovery from mental illness and addiction and university faculty with expertise in cultural competence to improve the cultural competence of a community mental health center in the northeastern United States. Two faculty and 5 persons in recovery met for 6 months to develop the bilevel training intervention. They discussed experiences of culturally responsive care and developed experiential activities and case examples for the 2-day training. Forty-five community mental health service providers attended the 2-day training. Trainees' self-reported awareness, knowledge, and skills in cultural competence were measured pre and post training and analyzed with repeated measure t tests. Next, faculty and persons in recovery provided follow-up training and helped to establish an infrastructure supported to support the agency cultural competence plan. One hundred twenty-five providers...
Evidence-Based Practices in Behavioral Health, 2016
Psychiatry Interpersonal Biological Processes, Feb 27, 2014
Issues in Mental Health Nursing, 2016
Understanding barriers and facilitators of healthcare for people with mental illness is essential... more Understanding barriers and facilitators of healthcare for people with mental illness is essential for healthcare and mental healthcare organizations moving towards patient centered care. This paper presents findings of a measure on barriers and facilitators of healthcare completed by 204 patients being served at a co-located wellness center (primary healthcare clinic) located in an urban mental health center. The top 10 results show important findings for planning healthcare services that are responsive to the needs of people with mental illness. Basic structural issues as a result of poverty are extremely important (transportation, housing, payment) as well as difficulty with public healthcare that often involves long wait-times for appointments and at the doctor's office and hours that might not be convenient. Healthcare services that want to meet the needs of people with mental illness need to address these issues. What facilitates healthcare is not just removing the barriers to receiving healthcare services but instead involves more interpersonal aspects of healthcare such as liking your provider, being able to talk with your provider, feeling your provider cares about you and listens to you. Structural supports such as also being in mental health services, having systems for remembering appointments, and/or having appointment times that are convenient also facilitate seeking healthcare. Facilitating healthcare seeking also seems to involve a sense of agency-looking forward to taking charge of your health and feeling capable of following healthcare provider instructions. Healthcare systems for people with mental illness need to support these facilitators to give care-seekers the support they need. Key points are provided on how organizations and staff can work more effectively in implementing patient centered care.
Http Dx Doi Org 10 1080 07347324 2010 511057, Oct 1, 2010
Recovery capital—the quantity and quality of internal and external resources to initiate and main... more Recovery capital—the quantity and quality of internal and external resources to initiate and maintain recovery—is explored with suggestions for how recovery support services (RSS) (nontraditional, and often nonprofessional support) can be utilized within a context of comprehensive addiction services. This article includes a brief history of RSS, conceptual and operational definitions of RSS, a framework for evaluating RSS, along with
Journal of Community Psychology, Sep 1, 2003
This article describes a strategy of organizing community stakeholder groups for the purpose of p... more This article describes a strategy of organizing community stakeholder groups for the purpose of planning and implementing an innovative mental health program-supported education services for adults with mental illnesses who were interested in pursuing postsecondary education. A common planning framework was used in several different communities within the same state. The framework is described, as well as each community's characteristics and their planning and development activities-those typically identified in the literature as predictors of successful innovation diffusion efforts. We then present the outcomes of the planning process in each community and suggest conclusions about which community characteristics and0or planning activities seem to be most associated with success.
American Journal of Psychiatric Rehabilitation, 2004
ABSTRACT Established in 1973, Redirection Through Education (RTE) is a full-time supported educat... more ABSTRACT Established in 1973, Redirection Through Education (RTE) is a full-time supported education program for adult consumer/survivors seeking to return to postsecondary educational environments, with the ultimate goal of employment and/or participation in other productive activities within their communities. RTE is onsite at Toronto's George Brown Community College, and serves an average of 100 students at a time. This article explains the history of RTE, as well as providing an understanding of its program structure, stakeholder collaborations, challenges and barriers, and student outcomes.
Yale Textbook of Public Psychiatry, 2016
Yale Textbook of Public Psychiatry, 2016
American Journal of Psychiatric Rehabilitation
A large proportion of people diagnosed with mental illness have difficulty managing their money, ... more A large proportion of people diagnosed with mental illness have difficulty managing their money, and therefore many psychiatric treatments involve providing money management assistance. However, little is known about the subjective experience of having a money manager, and extant literature is restricted to people forced to work with a representative payee or conservator. In this qualitative study, fifteen people were interviewed about their experience receiving a voluntary money management intervention designed to minimize substance use. Clients emphasized the importance of trusting the money manager, financial mindfulness (an enhanced awareness of the financial transactions in clients' day-to-day lives), agency over their own affairs, and addiction. In contrast to evaluations of people assigned representative payees and/or conservators, there was little mention of feeling coerced. These findings suggest that money management programs can address client concerns by building tru...
Alcoholism Treatment Quarterly, 2010
Recovery capital—the quantity and quality of internal and external resources to initiate and main... more Recovery capital—the quantity and quality of internal and external resources to initiate and maintain recovery—is explored with suggestions for how recovery support services (RSS) (nontraditional, and often nonprofessional support) can be utilized within a context of comprehensive addiction services. This article includes a brief history of RSS, conceptual and operational definitions of RSS, a framework for evaluating RSS, along with
Psychiatric services (Washington, D.C.), 2007
This study compared the effectiveness of two interventions in reducing alcohol use, drug use, and... more This study compared the effectiveness of two interventions in reducing alcohol use, drug use, and criminal justice charges for persons with severe mental illnesses: first, a community-oriented group intervention with citizenship training and peer support that was combined with standard clinical treatment, including jail diversion services, and second, standard clinical treatment with jail diversion services alone. A total of 114 adults with serious mental illness participated in a 2 x 3 prospective longitudinal, randomized clinical trial with two levels of intervention (group and peer support for the experimental condition and standard services for the control) and three interviews (baseline, six months, and 12 months). Self-report questionnaires assessed alcohol and drug use, and program databases assessed criminal justice contacts. The authors used a mixed-models analysis to assess alcohol and drug use, repeated-measures analysis of covariance to assess criminal justice charges, a...
Psychiatry: Interpersonal and Biological Processes, 2014
The Journal of Behavioral Health Services & Research, 2001
In order to promote replication of supported education, an exemplary rehabilitation model for adu... more In order to promote replication of supported education, an exemplary rehabilitation model for adults with psychiatric disabilities, funds were accessed through a Community Action Grant from the Center for Mental Health Services of the Substance Abuse and Mental Health Services Administration. Three communities in Michigan participated in a multistage process designed to maximize community ownership by encouraging local adaptations involving all stakeholder groups and providing technical assistance. The stages in the process were organizing the community for supported education development, acquiring knowledge about supported education basics, collecting information (needs assessment and barrier identification), and developing the plan. All three sites have begun implementation, providing services to adults with psychiatric disabilities who wish to pursue post-secondary education. The approach employed has applicability for other local communities.
American Journal of Orthopsychiatry, 2017
Community participation is often cited as a crucial component of wellness for people with mental ... more Community participation is often cited as a crucial component of wellness for people with mental health diagnoses. Few studies explore community participation from the perspective of lesbian, gay, bisexual, trans, and queer (LGBTQ) people with diagnoses of schizophrenia and bipolar disorder. This article describes an in-depth qualitative study with 16 LGBTQ people; 18 social service workers; and 2 key informants in Toronto, Ontario that examined access to communities for LGBTQ people with mental health diagnoses. Results indicate that community participation is particularly relevant to this group given the functions of communities for marginalized people as a source of support and resistance. However, the participants faced barriers to accessing support and creating social networks due to the lack of intersectional inclusion in various contexts, including LGBTQ communities and mental health/mad communities. (PsycINFO Database Record
OTJR: Occupation, Participation and Health, 2007
Psychiatric rehabilitation journal, Jan 16, 2015
This article describes the development and piloting of a bilevel intervention codeveloped by pers... more This article describes the development and piloting of a bilevel intervention codeveloped by persons in recovery from mental illness and addiction and university faculty with expertise in cultural competence to improve the cultural competence of a community mental health center in the northeastern United States. Two faculty and 5 persons in recovery met for 6 months to develop the bilevel training intervention. They discussed experiences of culturally responsive care and developed experiential activities and case examples for the 2-day training. Forty-five community mental health service providers attended the 2-day training. Trainees' self-reported awareness, knowledge, and skills in cultural competence were measured pre and post training and analyzed with repeated measure t tests. Next, faculty and persons in recovery provided follow-up training and helped to establish an infrastructure supported to support the agency cultural competence plan. One hundred twenty-five providers...
Evidence-Based Practices in Behavioral Health, 2016
Psychiatry Interpersonal Biological Processes, Feb 27, 2014
Issues in Mental Health Nursing, 2016
Understanding barriers and facilitators of healthcare for people with mental illness is essential... more Understanding barriers and facilitators of healthcare for people with mental illness is essential for healthcare and mental healthcare organizations moving towards patient centered care. This paper presents findings of a measure on barriers and facilitators of healthcare completed by 204 patients being served at a co-located wellness center (primary healthcare clinic) located in an urban mental health center. The top 10 results show important findings for planning healthcare services that are responsive to the needs of people with mental illness. Basic structural issues as a result of poverty are extremely important (transportation, housing, payment) as well as difficulty with public healthcare that often involves long wait-times for appointments and at the doctor's office and hours that might not be convenient. Healthcare services that want to meet the needs of people with mental illness need to address these issues. What facilitates healthcare is not just removing the barriers to receiving healthcare services but instead involves more interpersonal aspects of healthcare such as liking your provider, being able to talk with your provider, feeling your provider cares about you and listens to you. Structural supports such as also being in mental health services, having systems for remembering appointments, and/or having appointment times that are convenient also facilitate seeking healthcare. Facilitating healthcare seeking also seems to involve a sense of agency-looking forward to taking charge of your health and feeling capable of following healthcare provider instructions. Healthcare systems for people with mental illness need to support these facilitators to give care-seekers the support they need. Key points are provided on how organizations and staff can work more effectively in implementing patient centered care.
Http Dx Doi Org 10 1080 07347324 2010 511057, Oct 1, 2010
Recovery capital—the quantity and quality of internal and external resources to initiate and main... more Recovery capital—the quantity and quality of internal and external resources to initiate and maintain recovery—is explored with suggestions for how recovery support services (RSS) (nontraditional, and often nonprofessional support) can be utilized within a context of comprehensive addiction services. This article includes a brief history of RSS, conceptual and operational definitions of RSS, a framework for evaluating RSS, along with
Journal of Community Psychology, Sep 1, 2003
This article describes a strategy of organizing community stakeholder groups for the purpose of p... more This article describes a strategy of organizing community stakeholder groups for the purpose of planning and implementing an innovative mental health program-supported education services for adults with mental illnesses who were interested in pursuing postsecondary education. A common planning framework was used in several different communities within the same state. The framework is described, as well as each community's characteristics and their planning and development activities-those typically identified in the literature as predictors of successful innovation diffusion efforts. We then present the outcomes of the planning process in each community and suggest conclusions about which community characteristics and0or planning activities seem to be most associated with success.
American Journal of Psychiatric Rehabilitation, 2004
ABSTRACT Established in 1973, Redirection Through Education (RTE) is a full-time supported educat... more ABSTRACT Established in 1973, Redirection Through Education (RTE) is a full-time supported education program for adult consumer/survivors seeking to return to postsecondary educational environments, with the ultimate goal of employment and/or participation in other productive activities within their communities. RTE is onsite at Toronto's George Brown Community College, and serves an average of 100 students at a time. This article explains the history of RTE, as well as providing an understanding of its program structure, stakeholder collaborations, challenges and barriers, and student outcomes.
Yale Textbook of Public Psychiatry, 2016
Yale Textbook of Public Psychiatry, 2016
American Journal of Psychiatric Rehabilitation
A large proportion of people diagnosed with mental illness have difficulty managing their money, ... more A large proportion of people diagnosed with mental illness have difficulty managing their money, and therefore many psychiatric treatments involve providing money management assistance. However, little is known about the subjective experience of having a money manager, and extant literature is restricted to people forced to work with a representative payee or conservator. In this qualitative study, fifteen people were interviewed about their experience receiving a voluntary money management intervention designed to minimize substance use. Clients emphasized the importance of trusting the money manager, financial mindfulness (an enhanced awareness of the financial transactions in clients' day-to-day lives), agency over their own affairs, and addiction. In contrast to evaluations of people assigned representative payees and/or conservators, there was little mention of feeling coerced. These findings suggest that money management programs can address client concerns by building tru...
Alcoholism Treatment Quarterly, 2010
Recovery capital—the quantity and quality of internal and external resources to initiate and main... more Recovery capital—the quantity and quality of internal and external resources to initiate and maintain recovery—is explored with suggestions for how recovery support services (RSS) (nontraditional, and often nonprofessional support) can be utilized within a context of comprehensive addiction services. This article includes a brief history of RSS, conceptual and operational definitions of RSS, a framework for evaluating RSS, along with
Psychiatric services (Washington, D.C.), 2007
This study compared the effectiveness of two interventions in reducing alcohol use, drug use, and... more This study compared the effectiveness of two interventions in reducing alcohol use, drug use, and criminal justice charges for persons with severe mental illnesses: first, a community-oriented group intervention with citizenship training and peer support that was combined with standard clinical treatment, including jail diversion services, and second, standard clinical treatment with jail diversion services alone. A total of 114 adults with serious mental illness participated in a 2 x 3 prospective longitudinal, randomized clinical trial with two levels of intervention (group and peer support for the experimental condition and standard services for the control) and three interviews (baseline, six months, and 12 months). Self-report questionnaires assessed alcohol and drug use, and program databases assessed criminal justice contacts. The authors used a mixed-models analysis to assess alcohol and drug use, repeated-measures analysis of covariance to assess criminal justice charges, a...
Psychiatry: Interpersonal and Biological Processes, 2014