Outdoor adventure for young people with a mental illness.

AIM: The study aims to evaluate the efficacy of an Outdoor Adventure Group (OAG) for young people with a mental illness. It was hypothesized that participating in OAG would result in an increase in self-esteem, sense of mastery and social connectedness, compared with those who attended other Psychosocial Recovery Group Program groups based at Orygen Youth Health. In addition, those in the OAG would show an improved performance of personal goals. METHODS: Twenty-one youths (aged 15 to 25) participated in the OAG and 12 participated in other Psychosocial Recovery Group Program groups and served as the comparison group. Pre- and post-evaluation measures included (i) Rosenberg Self Esteem Scale; (ii) Mastery Scale; (iii) Social Connectedness Scale; and (iv) personal goals for attending the OAG, rated 1-10 on current performance. The groups were based at Orygen Youth Health, Melbourne, Australia and run over an 8 to 10-week period. RESULTS: Participants of the OAG experienced an improvement in self-esteem (P = 0.001) and mastery (P = 0.001); these changes were not observed in the controls. There were a total of 80 personal goals for the OAG, with an average of 3.81 per person, and performance significantly improved in 66 (82.5%) goals. There were 10 categories of goals; the most common goals were related to self-improvement and social skills development. CONCLUSIONS: Increased self-esteem and mastery, and achievement of personal goals gained through the OAG, may facilitate, or be a precursor to, a young person's psychosocial recovery.

Group programmes in early intervention services.

AIM: Group interventions can be a developmentally appropriate treatment option for young people with mental illness; however, there is a paucity of research into these programmes. This study had three aims: (i) to document and compare both clinicians' and clients' reasons for referral to the Orygen Youth Health Recovery Group Program (RGP); (ii) to describe demographic characteristics of patients referred to the RGP; and (iii) to delineate and differentiate characteristics of clients who do and do not engage with the RGP's activities. METHODS: Referral and assessment data from 212 clients referred to the RGP between July 2001 and November 2003 were collated and analysed. RESULTS: Main reasons for referral to the programme were relationships followed by vocational/educational issues. Similarly, the most common goals identified by clients were around relationships, followed by time use and vocational issues. Clients referred to the RGP but who did not attend were more likely to have a psychotic disorder, to be older, unemployed and have difficulties with time management and substance use. CONCLUSIONS: Social functioning and vocation are important considerations in facilitating young people's recovery from mental illness. Such issues can be addressed within the context of psychosocial recovery group programmes. Further research is needed not only to address problems regarding client engagement but also to evaluate outcomes from participation in such programmes.

Social networks of people with dual diagnosis: the quantity and quality of relationships at different stages of substance use treatment.

This study compares the social networks, perceived levels of social support, and satisfaction with this support, for people with serious mental illnesses and comorbid problematic use of alcohol and other drugs who are at different stages of substance use recovery. Participants in the late stage of recovery were more likely to perceive greater social support from their non substance-using social contacts than participants in the early stage. This social support was more likely to be from professionals than other non-substance-using contacts in their networks. The support from professionals is discussed in relation to engagement in integrated dual diagnosis interventions.