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8 - From Deinstitutionalization to Deprescribing and Beyond

from Part III - The Future

Published online by Cambridge University Press:  03 March 2022

By
Rebecca Miller  and
Anthony Pavlo
Edited by
Meaghan Stacy  and
Charlie A. Davidson
Meaghan Stacy
Affiliation:
Yale University, Connecticut
Charlie A. Davidson
Affiliation:
Emory University, Atlanta
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Summary

Deinstitutionalization informs a movement toward a civil rights-informed perspective, and connects to the current trend of deprescribing in psychiatry. This emerging practice is growing. We look at the intersection of scientific evidence, social and cultural trends, and economic influences, then outline potential trajectories for the future, including de-diagnosis and deconstructing. “De-diagnosing” a mental illness is rarely discussed but seems a somewhat natural reordering and recalibration of decades of diagnostic expansion. The uptick in diagnosing in psychiatry reflects broader cultural movements and is impacted by and has influenced the need for deprescribing. The relocation of individual distress from within a person to societal barriers and inequities reflects a progression and decolonization of psychiatry as a vehicle for self-blame. Similarly, deconstructing reflects the necessary step of taking apart current evidence by including lived experience and cocreated stakeholder science, and reapplying them by identifying evidence, or lack thereof, for approaches such as hospitalization.

Keywords

deinstitutionalizationdeprescribingde-diagnosisanti-psychiatry
Type
Chapter
Information
Recovering the US Mental Healthcare System
The Past, Present, and Future of Psychosocial Interventions for Psychosis
 , pp. 183 - 205
Publisher: Cambridge University Press
Print publication year: 2022

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References

Adams, W. E. (2020). Unintended consequences of institutionalizing peer support work in mental healthcare. Social Science & Medicine, 262, 113249.Google Scholar
Aggarwal, N. K., Rosenheck, R. A., Woods, S. W., & Sernyak, M. J. (2012). Race and long-acting antipsychotic prescription at a community mental health center: A retrospective chart review. The Journal of Clinical Psychiatry, 73(4), 513–517. https://doi.org/10.4088/JCP.11m07161Google Scholar
Agrawal, S., & Edwards, M. (2013). Personal accounts: Upside down: The consumer as advisor to a psychiatrist. Psychiatric Services, 64(4), 301–302.Google Scholar
Agrawal, S., Kalocsai, C., Capponi, P., Kidd, S., Ringsted, C., Wiljer, D., & Soklaridis, S. (September 12, 2020). “It was great to break down the walls between patient and provider”: Liminality in a co-produced advisory course for psychiatry residents. Advances in Health Sciences Education. https://doi.org/10.1007/s10459–020-09991-w.CrossRefGoogle Scholar
American Psychiatric Association. (1980). Diagnostic and statistical manual of mental disorders (3rd ed.) APA and Washington, DC.Google Scholar
American Psychiatric Association (APA). (2021). APA’s apology to Black, Indigenous and People of Color for its support of structural racism in psychiatry. American Psychiatric Association. Retrieved January 20 from https://www.psychiatry.org/newsroom/apa-apology-for-its-support-of-structural-racism-in-psychiatry.Google Scholar
Americans with Disabilities Act, Pub. L. No. 101-336, 42 § 12101 et seq. (1990).Google Scholar
Anthony, W. A. (1993). Recovery from mental illness: The guiding vision of the mental health service system in the 1990s. Psychosocial Rehabilitation Journal, 16(4), 11.CrossRefGoogle Scholar
Barber, J. A., Rosenheck, R. A., Armstrong, M., & Resnick, S. G. (2008). Monitoring the dissemination of peer support in the VA healthcare system. Community Mental Health Journal, 44(6), 433–441.CrossRefGoogle ScholarPubMed
Bellamy, C., Schmutte, T., & Davidson, L. (2017). An update on the growing evidence base for peer support. Mental Health and Social Inclusion, 21 (3), 1–7.Google Scholar
Bromage, B., Encandela, J. A., Cranford, M., Diaz, E., Williamson, B., Spell, V. T., & Rohrbaugh, R. M. (2018). Understanding health disparities through the eyes of community members: A structural competency education intervention. Academic Psychiatry, 43(2), 244–247.Google Scholar
Brown, J. D., Barrett, A., Caffrey, E., Hourihan, K., & Ireys, H. T. (2014). State and demographic variation in use of depot antipsychotics by Medicaid beneficiaries with schizophrenia. Psychiatric Services, 65(1), 121–124. https://doi.org/10.1176/appi.ps.201300001Google Scholar
Carel, H., & Kidd, I. J. (2014). Epistemic injustice in healthcare: A philosophial analysis. Medicine, Health Care and Philosophy, 17(4), 529–540.CrossRefGoogle ScholarPubMed
Carlat, D. (2010). Unhinged: The trouble with psychiatry ? A doctor’s revelations about a profession in crisis. Free Press: A Division of Simon & Schuster, Inc. New York, NY.Google Scholar
Carr, E., & Miller, R. (in preparation). Experiential context training: Using an inpatient guided visualization to increase empathy.Google Scholar
Carr, E. R., Green, B., & Ponce, A. N. (2015). Women and the experience of serious mental illness and sexual objectification: Multicultural feminist theoretical frameworks and therapy recommendations. Women & Therapy, 38(1–2), 53–76.CrossRefGoogle Scholar
Chen, J. A., Kontos, N., & Wilson, S. N. (2018). What’s in a med check? Unpacking the “psychopharmacology” encounter. Harvard Review of Psychiatry, 26(1), 27–35.Google Scholar
Chinman, M., George, P., Dougherty, R. H., Daniels, A. S., Ghose, S. S., Swift, A., & Delphin-Rittmon, M. E. (April 01, 2014). Peer support services for individuals with serious mental illnesses: Assessing the evidence. Psychiatric Services, 65(4), 429–441. https://doi.org/10.1176/appi.ps.201300244CrossRefGoogle ScholarPubMed
Copeland, M. E. (1997). Wellness recovery action plan. Peachtree Press.Google Scholar
Corrigan, P. W., Kosyluk, K., & Kottsieper, P. (2015). The problem of adherence and the importance of self-determination. In Corrigan, P. (Ed.), Person-centered care for mental illness: The evolution of adherence and self-determination. Washington DC. American Psychological Association.Google Scholar
Covell, N. H., Jackson, C. T., Evans, A. C., & Essock, S. M. (2002). Antipsychotic prescribing practices in Connecticut’s public mental health system: Rates of changing medications and prescribing styles. Schizophrenia Bulletin, 28(1), 17–29. https://doi.org/10.1093/oxfordjournals.schbul.a006920Google Scholar
Crichton, P., Carel, H., & Kidd, I. J. (2017). Epistemic injustice in psychiatry. BJPsych Bulletin, 41(2), 65–70.Google Scholar
Davidson, L., Bellamy, C., Guy, K., & Miller, R. (2012). Peer support among persons with severe mental illnesses: A review of evidence and experience. World Psychiatry, 11(2), 123–128.Google Scholar
Delano, L. (2021). The inner compass initiative. Retrieved Janary 8 from www.theinnercompass.orgGoogle Scholar
DeSisto, M. J., Harding, C. M., McCormick, R. V., Ashikaga, T., & Brooks, G. W. (1995). The Maine and Vermont three-decade studies of serious mental illness: I. Matched comparison of cross-sectional outcome. British Journal of Psychiatry, 167(3), 331–338.Google Scholar
Duncan, B. L., & Reese, R. J. (2015). The Partners for Change Outcome Management System (PCOMS) revisiting the client’s frame of reference. Psychotherapy: Theory, Research & Practice, 52(4), 391.Google Scholar
Duncan, B. L., Sparks, J. A., & Timimi, S. (2018). Beyond critique: The partners for change outcome management system as an alternative paradigm to psychiatric diagnosis. Journal of Humanistic Psychology, 58(1), 7–29.Google Scholar
Duxbury, S. W., Frizzell, L. C., & Lindsay, S. L. (2018). Mental illness, the media, and the moral politics of mass violence: The role of race in mass shootings coverage. Journal of Research in Crime and Delinquency, 55(6), 766–797.Google Scholar
Farrelly, S., Lester, H., Rose, D., Birchwood, M., Marshall, M., Waheed, W., … Thornicroft, G. (2016). Barriers to shared decision making in mental health care: Qualitative study of the Joint Crisis Plan for psychosis. Health Expectations, 19(2), 448–458.Google Scholar
Frances, A. (2013). The crisis of confidence in psychiatric diagnosis. Annals of Internal Medicine, 159(3), 221–223.Google Scholar
Gabbard, G. O. (2009). Deconstructing the “med check.” Psychiatric Times, 26(9), 48.Google Scholar
Gertner, A. K., Rotter, J. S., & Shafer, P. R. (2019). Association between state minimum wages and suicide rates in the US. American Journal of Preventive Medicine, 56(5), 648–654.Google Scholar
Giacco, D., Mavromara, L., Gamblen, J., Conneely, M., & Priebe, S. (2018). Shared decision-making with involuntary hospital patients: A qualitative study of barriers and facilitators. BJPsych Open, 4(3), 113–118.Google Scholar
Grim, K., Tistad, M., Schön, U.-K., & Rosenberg, D. (2019). The legitimacy of user knowledge in decision-making processes in mental health care: An analysis of epistemic injustice. Journal of Psychosocial Rehabilitation and Mental Health, 6(2), 157–173.Google Scholar
Groot, P. C., & van Os, J. (2018). Antidepressant tapering strips to help people come off medication more safely. Psychosis, 10(2), 142–145.Google Scholar
Groot, P. C., & van Os, J. (2020). Outcome of antidepressant drug discontinuation with tapering strips after 1–5 years. Therapeutic Advances in Psychopharmacology, 10, 1–8.Google Scholar
Gumley, A. I., MacBeth, A., Reilly, J. D., O’grady, M., White, R. G., McLeod, H., … Power, K. G. (2015). Fear of recurrence: Results of a randomized trial of relapse detection in schizophrenia. British Journal of Clinical Psychology, 54(1), 49–62.Google Scholar
Gupta, S., & Cahill, J. D. (2016). A prescription for “deprescribing” in psychiatry. Psychiatric Services, 14(1), 4–11.Google Scholar
Gupta, S., Miller, R., & Cahill, J. (2019). Deprescribing in Psychiatry. Oxford University Press, New York.Google Scholar
Guy, A., Brown, M., Lewis, S., & Horowitz, M. (2020). The ‘patient voice’: Patients who experience antidepressant withdrawal symptoms are often dismissed, or misdiagnosed with relapse, or a new medical condition. Therapeutic Advances in Psychopharmacology, 10, 2045125320967183.CrossRefGoogle ScholarPubMed
Hall, W., Bergman, C., McNamara, J., & Sorensen, J. (2007). Harm reduction guide to coming off psychiatric drugs. Icarus Project, New York.Google Scholar
Harding, C. M., Brooks, G. W., Ashikaga, T., Strauss, J. S., & Breier, A. (1987a). The Vermont longitudinal study of persons with severe mental illness, I: Methodology, study sample, and overall status 32 years later. American Journal of Psychiatry, 144(6), 718–726.Google ScholarPubMed
Harding, C. M., Brooks, G. W., Ashikaga, T., Strauss, J. S., & Breier, A. (1987b). The Vermont longitudinal study of persons with severe mental illness, II: Long-term outcome of subjects who retrospectively met DSM-III criteria for schizophrenia. American Journal of Psychiatry, 144(6), 727–735.Google Scholar
Harrington, A. (2019). Mind fixers: Psychiatry’s troubled Search for the biology of mental illness. WW Norton & Company, New York.Google Scholar
Harris, L. (2020). The “Anosognosia” label is psychiatric gaslighting masquarading as science. Rooted in Rights.Google Scholar
Harrow, M., & Jobe, T. H. (2013). Does long-term treatment of schizophrenia with antipsychotic medications facilitate recovery? Schizophrenia Bulletin, 39(5), 962–965.Google Scholar
Haushofer, J., Mudida, R., & Shapiro, J. P. (2020). The comparative impact of cash transfers and a psychotherapy program on psychological and economic well-being. National Bureau of Economic Research in Cambridge, Mass. http://www.nber.org/papers/w28106Google Scholar
Hengartner, M. P., Schulthess, L., Sorensen, A., & Framer, A. (2020). Protracted withdrawal syndrome after stopping antidepressants: A descriptive quantitative analysis of consumer narratives from a large internet forum. Therapeutic Advances in Psychopharmacology, 10, 2045125320980573.CrossRefGoogle ScholarPubMed
Heyman, J., & Ariely, D. (2004). Effort for payment: A tale of two markets. Psychological Science, 15(11), 787–793.CrossRefGoogle ScholarPubMed
Himmelstein, D. U., Ariely, D., & Woolhandler, S. (2014). Pay-for-performance: Toxic to quality? Insights from behavioral economics. International Journal of Health Services, 44(2), 203–214.Google Scholar
Holman, H., & Lorig, K. (2004). Patient self-management: A key to effectiveness and efficiency in care of chronic disease. Public Health Reports, 119(3), 239–243.Google Scholar
Hunter, N. (2018). Trauma and madness in mental health services. Palgrave McMillan.CrossRefGoogle Scholar
IIPDW. (2021). International Institute for Psychiatric Drug Withdrawal. www.iipdw.orgGoogle Scholar
Jaffe, D. (2017). Insane consequences: How the mental health industry fails the mentally ill. Prometheus Books.Google Scholar
Johnstone, L. (2018). Psychological formulation as an alternative to psychiatric diagnosis. Journal of Humanistic Psychology, 58(1), 30–46.Google Scholar
Johnstone, L., & Dallos, R. (2013). Formulation in psychology and psychotherapy: Making sense of people’s problems. Routledge.Google Scholar
Jones, N., Niu, G., Thomas, M., Riano, N. S., Hinshaw, S. P., & Mangurian, C. (2019). Peer specialists in community mental health: Ongoing challenges of inclusion. Psychiatric Services, 70(12), 1172–1175.Google Scholar
Kamens, S. R., Cosgrove, L., Peters, S. M., Jones, N., Flanagan, E., Longden, E., … Miller, R. (2019). Standards and guidelines for the development of diagnostic nomenclatures and alternatives in mental health research and practice. Journal of Humanistic Psychology, 59(3), 401–427.Google Scholar
Kamens, S. R., Flanagan, E. H., & Robbins, B. D. (2018). Introduction to the second special issue on diagnostic alternatives. Journal of Humanistic Psychology, 58(1), 3–6.Google Scholar
Khalifeh, H., Moran, P., Borschmann, R., Dean, K., Hart, C., Hogg, J., … Howard, L. (2015). Domestic and sexual violence against patients with severe mental illness. Psychological Medicine, 45(4), 875–886.Google Scholar
Kirk, S. A., & Kutchins, H. (1994). The myth of the reliability of DSM. The Journal of Mind and Behavior, 71–86.Google Scholar
Kline, W. (2010). Eugenics in the United States. In Bashford, A. & Levine, P. (Eds.), The Oxford handbook of the history of eugenics. Oxford Handbooks Online. https://www.oxfordhandbooks.com/view/10.1093/oxfordhb/9780195373141.001.0001/oxfordhb-9780195373141-e-31?print=pdfGoogle Scholar
Lawson, W., Johnston, S., Karson, C., Offord, S., Docherty, J., Eramo, A., … Nasrallah, H. A. (2015). Racial differences in antipsychotic use: Claims database analysis of Medicaid-insured patients with schizophrenia. Annals of Clinical Psychiatry, 27(4), 242–252.Google Scholar
Leifer, R. (1990). Introduction: The medical model as the ideology of the therapeutic state. The Journal of Mind and Behavior, 247–258.Google Scholar
McHugh, P. R., & Slavney, P. R. (1998). The perspectives of psychiatry. JHU Press.Google Scholar
Mead, S. (2003). Defining peer support. Intentional peer support: An alternative approach. http://www.intentionalpeersupport.orgGoogle Scholar
Metzl, J. M. (2010). The protest psychosis: How schizophrenia became a black disease. Beacon Press.Google Scholar
Miller, R., Howe, D. M., Olsen, S., & Carr, E. R. (Unpublished manuscript). “We’re people first”: Peers as educators to new employees in behavioral health.Google Scholar
Miller, R., & Pavlo, A. J. (2018). Two experts, one goal: Collaborative deprescribing in psychiatry. Current Psychiatry Reviews, 14(1), 12–18.Google Scholar
Miller, R., Ponce, A. N., & Thompson, K. (2011). Deinstitutionalization and the community mental health movement, 1954–1976. In Rowe, M., Lawless, M. S., Thompson, K., & Davidson, L. (Eds.), Classics of community psychiatry (pp. 9–20). Oxford University Press.Google Scholar
Moran, M. (2009). Psychiatrists lament decline of key treatment modality. Psychiatric News, 44(8).Google Scholar
Mueser, K. T., Corrigan, P., Hilton, D. W., Tanzman, B., Schaub, A., Gingerich, S., … Herz, M. I. (2002). Illness management and recovery: A review of the research. Psychiatric Services, 53(10), 1272–1284. https://doi.org/10.1176/appi.ps.53.10.1272Google Scholar
New Freedom Commission on Mental Health. (2003). Achieving the promise: Transforming mental health care in America.Google Scholar
Oedegaard, C. H., Davidson, L., Stige, B., Veseth, M., Blindheim, A., Garvik, L., … Engebretsen, I. M. S. (August 08, 2020). “It means so much for me to have a choice”: A qualitative study providing first-person perspectives on medication-free treatment in mental health care. BMC Psychiatry, 20(1), 399. https://doi.org/10.1186/s12888–020-02770-2Google Scholar
Olbert, C. M., Nagendra, A., & Buck, B. (2018). Meta-analysis of Black vs. White racial disparity in schizophrenia diagnosis in the United States: Do structured assessments attenuate racial disparities? Journal of Abnormal Psychology, 127(1), 104–115. https://doi.org/10.1037/abn0000309Google Scholar
Olmstead v. L.C., 527 Supreme Court of the United States (1999).Google Scholar
Patfield, M. (2011). Undiagnosis: An important new role for psychiatry. Australasian Psychiatry, 19(2), 107–109. https://doi.org/10.3109/10398562.2010.539226Google Scholar
Pavlo, A. J., Flanagan, E. H., Leitner, L. M., & Davidson, L. (2019). Can there be a recovery-oriented diagnostic practice? Journal of Humanistic Psychology, 59(3), 319–338.Google Scholar
Pavlo, A. J., O’Connell, M., Olsen, S., Snyder, M. K., & Davidson, L. (2019). Missing ingredients in shared decision-making? Psychiatric Quarterly, 90(2), 333–338.CrossRefGoogle ScholarPubMed
Pistrang, N., Barker, C., & Humphreys, K. (2008). Mutual help groups for mental health problems: A review of effectiveness studies. American Journal of Community Psychology, 42(1–2), 110–121.Google Scholar
Proctor, G. (2006). Therapy: Opium of the masses or help for those who least need it. In Proctor, G., Cooper, M., Sanders, P., & Malcolm, B. (Eds.), Politicizing the person-centred approach: An agenda for social change (pp. 66–79). PCCS Books.Google Scholar
Read, J., Bentall, R., Mosher, L., & Dillon, J. (2013). Models of madness: Psychological, social and biological approaches to psychosis. Routledge.Google Scholar
Reeve, E., Shakib, S., Hendrix, I., Roberts, M. S., & Wiese, M. D. (2014). Review of deprescribing processes and development of an evidence‐based, patient‐centred deprescribing process. British Journal of Clinical Pharmacology, 78(4), 738–747.Google Scholar
Reeves, R. R., Pendarvis, E. J., & Kimble, R. (2000). Unrecognized medical emergencies admitted to psychiatric units. The American Journal of Emergency Medicine, 18(4), 390–393.Google Scholar
Rose, N. (2018). Our psychiatric future. John Wiley & Sons.Google Scholar
Rosenhan, D. L. (1973). On being sane in insane places [10.1126/science.179.4070.250]. Science, 179(4070), 250. http://science.sciencemag.org/content/179/4070/250.abstractGoogle Scholar
Scott, I. A., Gray, L. C., Martin, J. H., & Mitchell, C. A. (2012, June). Minimizing inappropriate medications in older populations: A 10-step conceptual framework. American Journal of Medicine, 125(6), 529–537.e524. https://doi.org/10.1016/j.amjmed.2011.09.021Google Scholar
Scott, A., & Wilson, L. (2010). Valued identities and deficit identities: Wellness Recovery Action Planning and self-management in mental health. Nursing Inquiry, 18(1), 40–49.Google Scholar
Scrutton, A. P. (2017). Epistemic injustice and mental illness. In The Routledge Handbook of Epistemic Injustice (pp. 347–355). Routledge.Google Scholar
Seikkula, J., Aaltonen, J., Alakare, B., Haarakangas, K., Keränen, J., & Lehtinen, K. (March 01, 2006). Five-year experience of first-episode nonaffective psychosis in open-dialogue approach: Treatment principles, follow-up outcomes, and two case studies. Psychotherapy Research, 16(2), 214–228. https://doi.org/10.1080/10503300500268490Google Scholar
Shefer, G., Cross, S., Howard, L. M., Murray, J., Thornicroft, G., & Henderson, C. (2015). Improving the diagnosis of physical illness in patients with mental illness who present in emergency departments: Consensus study. Journal of Psychosomatic Research, 78(4), 346–351.Google Scholar
Shefer, G., Henderson, C., Howard, L. M., Murray, J., & Thornicroft, G. (2014). Diagnostic overshadowing and other challenges involved in the diagnostic process of patients with mental illness who present in emergency departments with physical symptoms – A qualitative study. PLoS One, 9(11), e111682.Google Scholar
Singh, D., Negin, J., Otim, M., Orach, C. G., & Cumming, R. (2015). The effect of payment and incentives on motivation and focus of community health workers: Five case studies from low-and middle-income countries. Human Resources for Health, 13(1), 1–12.Google Scholar
Stea, J. (January 14, 2020). When promoting knowledge makes you a target. Scientific American. https://blogs.scientificamerican.com/observations/when-promoting-knowledge-makes-you-a-target/Google Scholar
Stea, J., Black, T., & Pierre, J. (2020). Op-ed: Why anti-psychiatry now fails and harms. Medpage Today, (1).Google Scholar
Steingard, S. (2019). Critical psychiatry: Controversies and clinical implications. Springer Nature. https://doi.org/https://doi.org/10.1007/978-3-030-02732-2Google Scholar
Strata, A. (2021). Retrieved January 8 from Forums – Surviving Antidepressants. www.survivingantidepressants.org.Google Scholar
Styron, T., Utter, L., & Davidson, L. (February 01, 2017). The hearing voices network: Initial lessons and future directions for mental health professionals and systems of care. Psychiatric Quarterly, 1–17. https://doi.org/10.1007/s11126–017-9491-1Google Scholar
Szasz, T. S. (1960). The myth of mental illness. American Psychologist, 15(2), 113.Google Scholar
Thompson, W., & Farrell, B. (2013). Deprescribing: What is it and what does the evidence tell us? The Canadian Journal of Hospital Pharmacy, 66(3), 201.Google Scholar
Thornicroft, G., Rose, D., & Kassam, A. (2007). Discrimination in health care against people with mental illness. International Review of Psychiatry, 19(2), 113–122.Google Scholar
Torrey, E. F. (June 01, 2010). Documenting the failure of deinstitutionalization. Psychiatry, 73(2), 122–124. https://doi.org/10.1521/psyc.2010.73.2.122Google Scholar
Treatment Advocacy Center. (2021). Retrieved January 9 from www.treatmentadvocacycenter.orgGoogle Scholar
Urban Dictionary. (2021). “Off your meds.” https://www.urbandictionary.com/define.php?term=Off%20Your%20MedsGoogle Scholar
Washington, N. (2018). Contextualism as a solution to paternalism in psychiatric practice. Philosophy, Psychiatry, & Psychology, 25(4), 235–243.Google Scholar
Whitaker, R. (2001). Mad in America: Bad science, bad medicine, and the enduring mistreatment of the mentally ill. Basic Books.Google Scholar
Whitaker, R. (2005). Anatomy of an epidemic: Psychiatric drugs and the astonishing rise of mental illness in America. Ethical Human Psychology and Psychiatry, 7(1), 23.Google Scholar
Woodward, M. C. (2003). Deprescribing: Achieving better health outcomes for older people through reducing medications. Journal of Pharmacy Practice and Research, 33, 323–328.Google Scholar
Wunderink, L., Nienhuis, F. J., Sytema, S., Slooff, C. J., Knegtering, R., & Wiersma, D. (2007). Guided discontinuation versus maintenance treatment in remitted first-episode psychosis: Relapse rates and functional outcome. Journal of Clinical Psychiatry, 68(5), 654–661.Google Scholar
Yanos, P. T., Roe, D., & Lysaker, P. H. (2010). The impact of illness identity on recovery from severe mental illness. American Journal of Psychiatric Rehabilitation, 13(2), 73–93.Google Scholar
Yeisen, R. A., Bjørnestad, J., Joa, I., Johannessen, J. O., & Opjordsmoen, S. (2019). Psychiatrists’ reflections on a medication-free program for patients with psychosis. Journal of Psychopharmacology, 33(4), 459–465.CrossRefGoogle ScholarPubMed

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