The professional component of this thesis focuses on how deinstitutionalisation and the current public mental health system have affected individuals with schizophrenia. Chapter one discusses the process of deinstitutionalisation and the research that has examined the impact of this initiative. Chapter two concentrates on schizophrenia, specifically the symptoms, course, etiological theories and treatments of this illness. Four case studies are then provided in order to explore how deinstitutionalisation and the current mental health system have affected individuals with schizophrenia. The names and identifying characteristics of these clients and their families have been modified to ensure anonymity. Chapter three describes a 47 year old woman, AA, who was referred for a neuro-psychological assessment. Chapter four outlines the second case study, a 23 year old male, BB, who was referred for a psychological assessment regarding diagnosis and treatment recommendations. Chapter five describes the third case study, a 54 year old woman, CC, who was referred for therapy and consultation regarding future treatment recommendations. Chapter six discusses the fourth case study, a 21 year old male, DD, who was seen for crisis intervention and treated in the community. Each of these case studies outlines the background history, formulation and treatment approaches. These case reports are used to illustrate how deinstitutionalisation and the present public mental health system affect individuals with schizophrenia. Chapter seven provides an overall discussion and conclusion to these case studies.

The criminal justice and mental health systems increasingly overlap as persons with mental illness (PMI) are disproportionately present throughout components of the criminal justice system, a concern to mental health and criminal justice professionals alike. In response, various initiatives (aimed across components of the criminal justice system) have been developed and implemented as a means of combating this overrepresentation. The following research will focus on one specialized police-based initiative, the Crisis Intervention Team (CIT), which aims to train police how to recognize mental illness, de-escalate persons in crisis, and to seek treatment-based alternatives to arrest, when appropriate (Schwarzfeld, Reuland, & Plotkin, 2008). Alternatives to arrest consist of various community-based mental health services such as public hospitals (some of which are designated as emergency receiving facilities, or ERFs) or private clinics. While the components of CIT training likely influence officers in unique ways, research has yet to empirically examine how CIT influences police perception, behavior or the incidence of referrals to mental health treatment. As an initial step, this research assessed the attitudes police have regarding the hospital and mental health system within their district. Specifically, this research provides a basic understanding of how police regard their local hospitals and mental health facilities that are posited as available alternatives to arrest, and help identify the role CIT plays in shaping these attitudes. This study found almost no significant difference in the attitudes CIT-trained officers had towards district ERF and the local mental health system as compared to non-CIT officers. Only in one of the six departments studied was there a significant difference between the attitudes of CIT-officers and non-CIT officers; with the non-CIT officers actually having more positive attitudes about their local mental health system than CIT-officers. The six departments studied had nearly similar attitudes of their mental health resources, which would barely be considered passing on a standard grading scale. While officers in this study do not have very positive attitudes towards the ERF they use to transport PMI or their districts’ mental health system, these attitudes may in fact be more positive than many police departments without any specialized approach or initiative. The significance and policy implications of these attitudes are discussed at length, as these findings speak to the need for increased attention by both the mental health and criminal justice systems. Recommendations for future research, including expanding this study to rural departments or agencies with no connection to CIT, are also outlined.

The criminal justice and mental health systems increasingly overlap as persons with mental illness (PMI) are disproportionately present throughout components of the criminal justice system, a concern to mental health and criminal justice professionals alike. In response, various initiatives (aimed across components of the criminal justice system) have been developed and implemented as a means of combating this overrepresentation. The following research will focus on one specialized police-based initiative, the Crisis Intervention Team (CIT), which aims to train police how to recognize mental illness, de-escalate persons in crisis, and to seek treatment-based alternatives to arrest, when appropriate (Schwarzfeld, Reuland, & Plotkin, 2008). Alternatives to arrest consist of various community-based mental health services such as public hospitals (some of which are designated as emergency receiving facilities, or ERFs) or private clinics. While the components of CIT training likely influence officers in unique ways, research has yet to empirically examine how CIT influences police perception, behavior or the incidence of referrals to mental health treatment. As an initial step, this research assessed the attitudes police have regarding the hospital and mental health system within their district. Specifically, this research provides a basic understanding of how police regard their local hospitals and mental health facilities that are posited as available alternatives to arrest, and help identify the role CIT plays in shaping these attitudes. This study found almost no significant difference in the attitudes CIT-trained officers had towards district ERF and the local mental health system as compared to non-CIT officers. Only in one of the six departments studied was there a significant difference between the attitudes of CIT-officers and non-CIT officers; with the non-CIT officers actually having more positive attitudes about their local mental health system than CIT-officers. The six departments studied had nearly similar attitudes of their mental health resources, which would barely be considered passing on a standard grading scale. While officers in this study do not have very positive attitudes towards the ERF they use to transport PMI or their districts’ mental health system, these attitudes may in fact be more positive than many police departments without any specialized approach or initiative. The significance and policy implications of these attitudes are discussed at length, as these findings speak to the need for increased attention by both the mental health and criminal justice systems. Recommendations for future research, including expanding this study to rural departments or agencies with no connection to CIT, are also outlined.

Identification of evidence-based treatments (EBTs) has been an important development; however recently, some shortcomings of the approach have been highlighted. These complexities have led to a surge in transportability research in mental health services science with goals of identifying needed strategies to encourage the adoption of innovations. The mental health system ecological (MHSE) model is an approach necessary to assist with closing this gap effectively as it integrates mental health contexts: client-level, provider-level, intervention-specific, service delivery, organizational, and service system characteristics. The aim of this study is to use the MHSE model to examine perspectives of mental health stakeholders on their needs. Data consists of qualitative transcripts from parent, therapist, and administrator interviews/focus groups. Mixed methods were used to develop and analyze codes according to the MHSE model. Results suggested that stakeholder groups mentioned needs relevant to the group of interest and thus have implications for future dissemination efforts.

This exegesis interrogates the mental illness Pure Erotomania, the rare delusional disorder which presents with the sufferer having the delusional (and therefore unshakeable) belief that the person they objectify is in love with them. My play Yellow Roses in Fortitude Valley is about one woman's emotional journey as she is relentlessly stalked by a Pure Erotomanic male. It is a fascinating mental illness, which includes all the 'box office type' features, which make it an exciting and frightening subject to write a dramatic work about. It is confusing, illusory, surreal and frightening, but best of all for the writer and audience it is a real human condition. Yellow Roses in Fortitude Valley is written in a style that truthfully represents and portrays the journey and struggle for both the victim and the sufferer. The research undertaken for both the play and exegesis was a hybrid of many overlapping disciplines involved in the current discourse. As a recently diagnosed and recognized disorder, it is still new territory for professionals in the field and for audience members. I believe this makes it an opportune time for an academically researched creative project to enter into current discourse. Previous creative works on this topic, some of which I have interrogated, have approached the issue of stalking as a predator/victim scenario, an unrequited love or a domestic violence situation. I wished to portray the stalking as a mental illness in the form of the psychiatric disorder Erotomania, my approach undertaking to explain victim impact and the prolonged and chronic course of Erotomanic stalking. I also wished to illustrate the underlying themes which I uncovered during my research, being; female victims of sex crimes; dominant patriarchal ideology; and the current interventions in stalking by the legal and mental health systems.

Enligt WHO ökar den psykiska ohälsan globalt, i bakgrund till detta har vi valt att fördjupa oss i hur individer med psykisk ohälsa upplever att de blir bemötta och handlagda av följande myndigheter Arbetsförmedlingen, Försäkringskassan och Socialförvaltningen. Ansatsen i studien har varit en kvalitativ metodansats med hermeneutisk ingång som genomfördes via fem kvalitativa intervjuer. Syfte med denna studie är i första hand att få insikt på hur myndigheterna uppfyller de lagar och regleringar som finns lagstadgat angående psykisk ohälsa samt belysa myndigheternas hantering och bemötande. Våra teorier har varit system och livsvärld, organisationsteori och roller/rollkonflikter. Resultatet indikerar att myndigheterna följer anvisade lagar och riktlinjer, att målen är att kunna bistå de klienter de dagligen möter på ett professionellt sätt. Vi kan konstateras att förhållandet mellan individen och myndigheterna präglas av vissa oklarheter kring handläggande. / According to the WHO, mental health increases globally, in the background to this we have chosen to immerse ourselves in how individuals with mental ill-health feel that they are treated and handled by the following Arbetsförmedlingen, Försäkringskassan and Socialförvaltningen. The approach of this study has been a qualitative metodansats with a hermeneutic entrance, which was carried out five qualitative interviews were conducted. The purpose of this study is to gain insight in how the authorities are complying with the laws and regulations that are legislated on the subject of mental illness, as well as to highlight the authorities ' management and staff. Our work has been in the system, and pain, as well, organizational theory and the role/research. The results indicate that the comply with the designated laws, regulations, and guidelines, and that they are able to provide assistance to the clients, and they meet every day in a professional manner. We can conclude that the relationship between the individual and the public authorities are characterised by a certain lack of precision about the process.