Bibliografias temáticas / Mental recovery

Literatura científica selecionada sobre o tema "Mental recovery"

Autor: Grafiati

Publicado: 23 de junho de 2021

Última modificação: 12 de fevereiro de 2022

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Artigos de revistas sobre o assunto "Mental recovery":

Jones, Lani V., Eric R. Hardiman e Jenneth Carpenter. "Mental Health Recovery". Journal of Human Behavior in the Social Environment 15, n.º 2-3 (29 de novembro de 2007): 251–69. http://dx.doi.org/10.1300/j137v15n02_15.

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Dihoff, Debra G., e Michael Weaver. "Mental Health Recovery". North Carolina Medical Journal 73, n.º 3 (maio de 2012): 212–15. http://dx.doi.org/10.18043/ncm.73.3.212.

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Whitwell, David. "The myth of recovery from mental illness". Psychiatric Bulletin 23, n.º 10 (outubro de 1999): 621–22. http://dx.doi.org/10.1192/pb.23.10.621.

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Recovery from mental illness is a fairly straightforward concept to members of the general public: “am I going to recover”, “what are the chances of recovery”, or “is our son/daughter ever likely to recover”? These are the sorts of questions that doctors and psychiatrists get asked every day.

Oshodi, Abiola, e Gavin Rush. "Recovery from mental illness: changing the focus of mental health services". Irish Journal of Psychological Medicine 28, n.º 3 (setembro de 2011): 161–64. http://dx.doi.org/10.1017/s0790966700012180.

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AbstractThe concept of recovery entered the lexicon of the mental health services in the 1980s following the publication of a series of studies and personal narratives which demonstrated that the course of mental illness was not always one of inevitable deterioration and that people diagnosed with severe mental illness could reclaim or recover meaningful lives. For a long time, recovery was not thought possible by many family members, service providers and researchers. However globally, specific policy and clinical strategies are being developed to implement recovery principles although key questions remain. In fact, the possibility of recovery is still debated by some. In this paper, we include information about the recovery model and the medical model; we provide evidence for recovery and document changes in mental health practices and policies incorporating recovery as the guiding principle. We also attempt to address the debate as to whether recovery is an evidence based practice. We propose that evidence based practice should be complementary to value-based and narrative-based practices and we suggest an integrative model that maximises the virtues and minimises the weaknesses of each practices (see Figure 1).

Williams, Anne, Ellie Fossey, John Farhall, Fiona Foley e Neil Thomas. "Recovery After Psychosis: Qualitative Study of Service User Experiences of Lived Experience Videos on a Recovery-Oriented Website". JMIR Mental Health 5, n.º 2 (8 de maio de 2018): e37. http://dx.doi.org/10.2196/mental.9934.

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Background Digital interventions offer an innovative way to make the experiences of people living with mental illness available to others. As part of the Self-Management And Recovery Technology (SMART) research program on the use of digital resources in mental health services, an interactive website was developed including videos of people with lived experience of mental illness discussing their recovery. These peer videos were designed to be watched on a tablet device with a mental health worker, or independently. Objective Our aim was to explore how service users experienced viewing the lived experience videos on this interactive website, as well as its influence on their recovery journey. Methods In total, 36 service users with experience of using the website participated in individual semistructured qualitative interviews. All participants had experience of psychosis. Data analysis occurred alongside data collection, following principles of constructivist grounded theory methodology. Results According to participants, engaging with lived experience videos was a pivotal experience of using the website. Participants engaged with peers through choosing and watching the videos and reflecting on their own experience in discussions that opened up with a mental health worker. Benefits of seeing others talking about their experience included “being inspired,” “knowing I’m not alone,” and “believing recovery is possible.” Experiences of watching the videos were influenced by the participants’ intrapersonal context, particularly their ways of coping with life and use of technology. The interpersonal context of watching the videos with a worker, who guided website use and facilitated reflection, enriched the experience. Conclusions Engaging with lived experience videos was powerful for participants, contributing to their feeling connected and hopeful. Making websites with lived experience video content available to service users and mental health workers demonstrates strong potential to support service users’ recovery.

Parker, J. "Recovery in mental health". South African Medical Journal 104, n.º 1 (19 de novembro de 2013): 77. http://dx.doi.org/10.7196/samj.7732.

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Lipczynska, Sonya. "Recovery from mental illness". Journal of Mental Health 20, n.º 4 (19 de julho de 2011): 420–22. http://dx.doi.org/10.3109/09638237.2011.600787.

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Dinniss, S. "Recovery-oriented mental healthcare". British Journal of Psychiatry 189, n.º 4 (outubro de 2006): 384. http://dx.doi.org/10.1192/bjp.189.4.384.

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Egeland, Karina Myhren, Jūratė Šaltytė Benth e Kristin Sverdvik Heiervang. "Recovery‐oriented care: mental health workers’ attitudes towards recovery from mental illness". Scandinavian Journal of Caring Sciences 35, n.º 3 (10 de fevereiro de 2021): 998–1005. http://dx.doi.org/10.1111/scs.12958.

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Dickens, Geoff, Judy Weleminsky, Yetunde Onifade e Philip Sugarman. "Recovery Star: validating user recovery". Psychiatrist 36, n.º 2 (fevereiro de 2012): 45–50. http://dx.doi.org/10.1192/pb.bp.111.034264.

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Aims and methodMental Health Recovery Star is a multifaceted 10-item outcomes measure and key-working tool that has been widely adopted by service providers in the UK. We aimed to explore its factorial validity, internal consistency and responsiveness. Recovery Star readings were conducted twice with 203 working-age adults with moderate to severe mental health problems attending a range of mental health services, and a third time with 113 of these individuals.ResultsMental Health Recovery Star had high internal consistency and appeared to measure an underlying recovery-oriented construct. Results supported a valid two-factor structure which explained 48% of variance in Recovery Star ratings data. Two Recovery Star items (‘relationships’ and ‘addictive behaviour’) did not load onto either factor. There was good statistically significant item responsiveness, and no obvious item redundancy. Data for a small number of variables were not normally distributed and the implications of this are discussed.Clinical implicationsRecovery Star has been received enthusiastically by both mental health service providers and service users. This study provides further evidence for its adoption in recovery-focused mental health services and indicates that items relating to addictive behaviour, responsibilities and work could be further developed in future.

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Teses / dissertações sobre o assunto "Mental recovery":

Dey, Josephine M. "Mental patients constructions of recovery /". Title page, contents and forward only, 1985. http://web4.library.adelaide.edu.au/theses/09P/09pd528.pdf.

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Andresen, Retta. "The experience of recovery from schizophrenia development of a definition, model and measure of recovery /". Access electronically, 2007. http://www.library.uow.edu.au/adt-NWU/public/adt-NWU20080703.161126/index.html.

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Harvey, Megan E. "Mental Health Service Provider Knowledge, Attitudes and Competencies Regarding Recovery From Serious Mental Illness". University of Cincinnati / OhioLINK, 2006. http://rave.ohiolink.edu/etdc/view?acc_num=ucin1147840868.

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Bibby, Paul. "Experiences of recovery in mental illness". Thesis, University of Edinburgh, 2009. http://hdl.handle.net/1842/4104.

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Introduction In recent years the concept of ‘recovery’ has become increasingly prevalent in both government and health service policy, and in the terminology used by mental health service users. The current study examines the experiences of recovery as described by service users living in a rural / semi-rural population. This is in contrast to the majority of similar studies, which have tended to focus on urban centres where population characteristics, and the services available to service users, differ in many ways. As such, the aim of the current study was to add to the growing theory regarding what constitutes recovery from the viewpoint of service users living in a relatively remote area of the UK. Methodology Eight adult participants, all of whom defined themselves as either recovering or having recovered from significant mental health problems, were interviewed about their experiences using a semi-structured interview. Interviews were audio-recorded, transcribed and analysed for emerging themes using a social constructionist version of Grounded Theory. Data Analysis & Discussion Analysis revealed a consistent set of themes emerging from the participant interviews. These are encapsulated in the concept of reflection and integration, and the dynamic nature of these phenomena over time. Participants made reference to the nature of their problems and the impact they had on relationships, the treatment they had sought and received, and the effects of their experiences on their notions of themselves as individuals. Conclusions The findings of the current study are discussed in the light of existing relevant literature and in relation to current policy initiatives. Comparisons to the emerging theory regarding recovery are drawn, and distinctions made between the existing theory and the findings which appear to be particularly pertinent to the sample population. Suggestions for clinical applications are made. Limitations of the study are also addressed, and areas for potential further research are outlined.

Murphy, K. "Recovery-orientation in mental health services". Thesis, Canterbury Christ Church University, 2012. http://create.canterbury.ac.uk/11184/.

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Policy initiatives are calling for mental health services to change their ways of working to prioritising the promotion of service users’ personal recovery. This requires a major re-negotiation of working practices and the relationship between service users and staff/services and their respective social positions. Preliminary research has shown that change has been problematic. The present study aimed to explore the construction of recovery and the positioning of service users and staff during the adoption of recovery-oriented practices in a community support and recovery team. Transcripts of two rounds of focus groups with service users (n=9) and staff (n=5) held six months apart, service user care plans and Recovery Star notes were analysed using a Foucauldian Discourse Analysis. The study found that recovery was constructed as clinical/medical and personal recovery, at different times and in tension with each other. These constructions positioned service users as dependent, passive and hopeless or empowered and hopeful, and staff as helpless or facilitative. It was also apparent that a discourse of personal recovery was not available to service users. Staff oscillated between the constructions of recovery as medical and personal resulting in different subject positions and opportunities for action. The study concluded that adopting a recovery-orientation in services should lead to service users being positioned as more influential in decisions about their treatment and modes of support from the service, and services less likely to dictate their treatment. However, this can only happen if the recovery-orientation constitutes a widely shared discourse with all its assumptions and associated practices. The problematic aspects of the medical discourse and how it can position people socially and how those positions impact on the potential for personal recovery needs to be highlighted.

Jackson-Blott, Kim. "Recovery in mental health : multiple perspectives". Thesis, Cardiff University, 2018. http://orca.cf.ac.uk/114445/.

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Recovery has become a guiding principle for mental health service delivery. This thesis aimed to address gaps in the recovery literature and is presented as three papers: (1) a systematic literature review, (2) an empirical study and (3) a critical reflection. The systematic literature review used narrative synthesis methodology to explore and consolidate the quantitative literature regarding recovery-oriented training programmes for mental health professionals. Sixteen studies of variable methodological quality were included. The heterogeneity among study designs and training programmes limited the conclusions that could be drawn. Recovery training appeared somewhat effective in improving recovery-oriented outcomes for mental health professionals, however the evidence regarding service-user and service-level outcomes was inconclusive. The review concludes that staff recovery training may have limited capacity to influence clinical practice if implemented in isolation. Key implications for clinical practice and future research are identified. The empirical study used Q methodology to explore staff and service-users’ views on factors deemed important to recovery from psychosis in a forensic setting. Four distinct perspectives were identified: (1) Personal growth and psychosocial aspects of recovery, (2) Gaining insight and reducing recidivism, (3) Self-focused aspects of recovery, and (4) Making amends and service engagement. The heterogeneity of recovery beliefs indicated that multiple dimensions of recovery are important within clinical practice, however the bio-medical model of care appeared most prominent. Notions of ‘personal recovery’ (aligning with the recovery movement) were most strongly expressed in factor 1, which was not endorsed by psychiatrists or service-user participants. The findings highlight important considerations for clinical practice and future research. The final paper includes a critical reflection on the research process. This entails an appraisal of the decision-making processes and of the research conducted. Consideration is also given to the thesis as a whole with reference to its strengths, limitations and implications.

Adame, Alexandra Lynne. "Recovered voices, recovered lives a narrative analysis of psychiatric survivors' experiences of recovery /". Oxford, Ohio : Miami University, 2006. http://rave.ohiolink.edu/etdc/view?acc%5Fnum=miami1152813614.

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O'Rourke, Michael. "The Role of the Wellness Management and Recovery (WMR) Program in Promoting Mental Health Recovery". Connect to full text in OhioLINK ETD Center, 2009. http://rave.ohiolink.edu/etdc/view?acc_num=toledo1244751085.

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Quenneville, Brenda. "Walking Recovery Talk : Mental Health Organizational Change". Thesis, Laurentian University of Sudbury, 2014. https://zone.biblio.laurentian.ca/dspace/handle/10219/2180.

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The full experience of mental illness cannot be described in isolation from the context in which one lives, yet the internal physical manifestation of symptoms has been the focus of treatment in western cultures. The “recovery” paradigm is emerging as best-practice philosophy for mental health practice and represents a significant departure from existing standards thereby challenging mental health organizations to re-negotiate their relationship with the dominant bio-medical model. Despite the growing acceptance of recovery philosophy, literature exploring large-scale recovery-oriented organizational change is sparse. The purpose of this research was twofold; 1) to outline the steps taken by change agents within an organization embarking on recovery organizational change, and 2) to understand the experience, including successes and challenges associated with change. The qualitative data obtained from interviewing seventeen participants revealed the impact of organizational contextual factors, leadership and communication on recovery organizational change. Further, the data exposed the complexity of challenging preconceptions and practice when trying to adopt recovery approaches. The findings may guide other community based mental health organizations in their recovery journey.

Carless, David. "Mental health and physical activity in recovery". Thesis, University of Bristol, 2003. http://hdl.handle.net/1983/261d3734-2195-480d-aef8-64dde3fed29e.

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Livros sobre o assunto "Mental recovery":

Coleman, Ron. Recovery: An alien concept. Wormit: P & P Press, 2004.

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Pilgrim, David, e Ann McCranie. Recovery and Mental Health. London: Macmillan Education UK, 2013. http://dx.doi.org/10.1007/978-1-137-35889-9.

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Andresen, Retta. Psychological recovery: Beyond mental illness. Chichester, West Sussex, UK: Wiley, 2011.

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Benders-Hadi, Nikole, e Mary E. Barber, eds. Motherhood, Mental Illness and Recovery. Cham: Springer International Publishing, 2014. http://dx.doi.org/10.1007/978-3-319-01318-3.

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Drennan, Gerard. Secure recovery: Approaches to recovery in forensic mental health settings. Abingdon, Oxon: Routledge, 2012.

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McNamara, Sue. Voices of recovery. Boston, MA: Center for Psychiatric Rehabilitation, 2009.

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Spaniol, LeRoy J. The experience of recovery. Boston, Mass: Center for Psychiatric Rehabilitation, 1994.

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Yap, Patricia. The write to recovery: Personal stories and lessons about recovery from mental health concerns. Singapore: Wellsprings Catholic Books, 2011.

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Tondora Psy.D., Janis, Rebecca Miller Ph.D., Mike Slade Ph.D. e Larry Davidson Ph.D., eds. Partnering for Recovery in Mental Health. Chichester, UK: John Wiley & Sons, Ltd, 2014. http://dx.doi.org/10.1002/9781118388532.

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Slade, Mike. Personal recovery and mental illness: A guide for mental health professionals. Cambridge: Cambridge University Press, 2009.

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Capítulos de livros sobre o assunto "Mental recovery":

Fisher, Daniel B. "Promoting Recovery". In Learning about Mental Health Practice, 119–39. Chichester, UK: John Wiley & Sons, Ltd, 2008. http://dx.doi.org/10.1002/9780470699300.ch7.

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Pilgrim, David, e Ann McCranie. "Recovery from what?" In Recovery and Mental Health, 7–34. London: Macmillan Education UK, 2013. http://dx.doi.org/10.1007/978-1-137-35889-9_2.

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Pilgrim, David, e Ann McCranie. "Evaluating recovery policy". In Recovery and Mental Health, 125–65. London: Macmillan Education UK, 2013. http://dx.doi.org/10.1007/978-1-137-35889-9_6.

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Danylchuk, Lisa. "Foundations of Mental Health". In Yoga for Trauma Recovery, 12–26. New York, NY : Routledge, 2019.: Routledge, 2019. http://dx.doi.org/10.4324/9781315166773-2.

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Robson, Helen, Sally Gomme e Francis Thompson. "Supporting Recovery". In Promoting Recovery in Mental Health Nursing, 31–48. 1 Oliver's Yard, 55 City Road London EC1Y 1SP: SAGE Publications, Inc., 2017. http://dx.doi.org/10.4135/9781473983427.n4.

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Pilgrim, David, e Ann McCranie. "Reflecting sociologically on recovery". In Recovery and Mental Health, 166–94. London: Macmillan Education UK, 2013. http://dx.doi.org/10.1007/978-1-137-35889-9_7.

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Amering, Michaela. "Promotion of Mental Health—Recovery". In Global Mental Health, 103–11. Cham: Springer International Publishing, 2017. http://dx.doi.org/10.1007/978-3-319-59123-0_10.

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Brown, Louis D. "Role Development and Recovery". In Consumer-Run Mental Health, 151–66. New York, NY: Springer New York, 2011. http://dx.doi.org/10.1007/978-1-4614-0700-3_8.

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Williams, Alex. "The recovery of hope". In Mental Health Still Matters, 218–20. London: Macmillan Education UK, 2009. http://dx.doi.org/10.1007/978-1-349-92322-9_32.

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Pilgrim, David, e Ann McCranie. "Introduction". In Recovery and Mental Health, 1–6. London: Macmillan Education UK, 2013. http://dx.doi.org/10.1007/978-1-137-35889-9_1.

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Trabalhos de conferências sobre o assunto "Mental recovery":

"Rehabilitation and Recovery". In Congress on mental health meeting the needs of the XXI century. Gorodets, 2016. http://dx.doi.org/10.22343/mental-health-congress-compendium317-319.

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Huiting, Xie. "Supporting Mental Health Recovery with Strengths-based Approach". In 1st Annual Worldwide Nursing Conference (WNC 2013). Global Science and Technology Forum Pte Ltd, 2013. http://dx.doi.org/10.5176/2315-4330_wnc13.21.

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"Psychosocial Rehabilitation as the Most Important Direction of Mental Health Care Targeting Social Recovery of Mentally Ill". In Congress on mental health meeting the needs of the XXI century. Gorodets, 2016. http://dx.doi.org/10.22343/mental-health-congress-compendium316-317.

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Xie, Huiting. "Voices of Personal Strengths and Recovery: A Qualitative Study on People with Serious Mental Illnesses with Serious Mental Illnesses". In The Annual International Conference on Cognitive - Social, and Behavioural Sciences (icCSBs 2014). Cognitive-crcs, 2014. http://dx.doi.org/10.15405/epsbs.2014.05.4.

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Sudjiwanati, Ms, e Mr Suparno. "The Benefit of Renewable Indonesian Traditional Therapyto Enhance Recovery of Physical-Mental Illness". In 2018 3rd International Conference on Education, Sports, Arts and Management Engineering (ICESAME 2018). Paris, France: Atlantis Press, 2018. http://dx.doi.org/10.2991/amca-18.2018.133.

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Martin, Jennifer, Elspeth McKay e Janki Shankar. "Bias Misinformation and Disinformation: Mental Health Employment and Human Computer Interaction". In InSITE 2006: Informing Science + IT Education Conference. Informing Science Institute, 2006. http://dx.doi.org/10.28945/3016.

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This paper explores the design and application of information communication technologies and human computer interaction for people recovering from severe mental illness wishing to gain employment. It is argued bias, misinformation and disinformation limit opportunities for people recovering from mental illness who are seeking employment. Issues of bias are explored in relation to systems design as well as dominant socially constructed paradigms of ‘mental health’ and ‘mental illness’ and employment. Misinformation is discussed according to the contemporary dominant paradigm of ‘recovery’ as well as web resources, discrimination and employment. Disinformation is considered in terms of media myths and stereotypes and vocational rehabilitation. Multidisciplinary collaboration is required to meet the ICT needs of this diverse group.

Chi'e Soga, Shinji Miyake e Chikamune Wada. "Recovery patterns in the physiological responses of the autonomic nervous system induced by mental workload". In SICE Annual Conference 2007. IEEE, 2007. http://dx.doi.org/10.1109/sice.2007.4421195.

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Немцева, Елена Владимировна, Оксана Александровна Кононенко e Игорь Георгиевич Клепиков. "THE RELATIONSHIP BETWEEN MENTAL AND PHYSICAL ACTIVITY ON PERSONAL DEVELOPMENT". In Поколение будущего: сборник избранных статей Международной студенческой научной конференции (Санкт-Петербург, Сентябрь 2020). Crossref, 2020. http://dx.doi.org/10.37539/pb187.2020.79.19.003.

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В статье проведён анализ связи между физической активностью и умственной деятельностью человека. Связь заключается в том, что физическая активность осуществляет благоприятные условия для мозговой деятельности. Был изучен процесс утомления организма в ходе физических нагрузок. А также рассмотрены варианты его восстановления. The article analyzes the relationship between physical activity and mental activity of a person. The connection is that physical activity provides favorable conditions for brain activity. The process of body fatigue during physical exertion was studied. And also considered options for its recovery.

Mihai, Felicia. "Formation of scientific notions in students with mental deficiency". In Condiții pedagogice de optimizare a învățării în post criză pandemică prin prisma dezvoltării gândirii științifice. "Ion Creanga" State Pedagogical University, 2021. http://dx.doi.org/10.46728/c.18-06-2021.p54-60.

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The article briefly presents a didactic research that analyzes the formation and introduction of scientific notions specific to Chemistry through active-participatory methods for obtaining higher school results, triggering students' interest, active involvement in their own training, thus ensuring the optimization of the teaching and learning chemistry to students with mental disabilities in special school. The fundamental objective of the research was to demonstrate the importance of active-participatory methods in the formation of notions in the Sciences curricular area in general, respectively in the discipline of Chemistry in particular, where the student becomes an active participant in his own training. Through active-participatory methods used in the process of learning, recovery and socialization of the mentally handicapped, it becomes possible to achieve the fundamental objectives of acquiring knowledge, to accelerate students’ work pace, bring the class working together and train as many students as possible during the lessons. During the activities based on interactive methods organized in groups, it was found that the students modeled their behavior, the spirit of organization increased being more orderly and more involved in solving the work tasks received; interpersonal relationships and cooperation between students have improved (better students help their colleagues to understand the notions taught, this fact leading to an increase in their own results).

Nishifuji, S. "EEG recovery enhanced by acute aerobic exercise after performing mental task with listening to unpleasant sound". In 2011 33rd Annual International Conference of the IEEE Engineering in Medicine and Biology Society. IEEE, 2011. http://dx.doi.org/10.1109/iembs.2011.6090953.

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Relatórios de organizações sobre o assunto "Mental recovery":

Omoregie, Jesse. Exploring recurrent variables in individual narratives of recovery from mental illnesses. Matters of Behaviour, maio de 2018. http://dx.doi.org/10.26455/mob.v2i1.11.

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Terry, Rachel. Individual and Community Supports that Impact Community Inclusion and Recovery for Individuals with Serious Mental Illnesses. Portland State University Library, maio de 2020. http://dx.doi.org/10.15760/etd.7338.

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Terry, Rachel. The Influence of Sense of Community on the Relationship Between Community Participation and Recovery for Individuals with Serious Mental Illnesses. Portland State University Library, janeiro de 2000. http://dx.doi.org/10.15760/etd.5563.

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Niconchuk, Michael. Whose Vulnerability? Trauma Recovery in the Reintegration of Former Violent Extremists. RESOLVE Network, junho de 2021. http://dx.doi.org/10.37805/pn2021.16.vedr.

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Violent extremism has a trauma problem. Psychological trauma plays a role in the genesis, perpetration, and resolution of violent extremism. Despite evidence attesting to the positive effects of trauma-informed rehabilitation programs and trauma recovery support for armed combatants and criminal offenders, there has been limited donor interest or coordinated policy effort to meaningfully integrate trauma recovery into the design of rehabilitation and reintegration of violent extremists specifically. Research in global mental health confirms trauma is not only relevant to the emergence of violent extremism but is also a consequence of participation in violent extremism. While there is a general dearth of data on the psychobiological markers of trauma among extremist populations specifically, the limited data we have from child recruits, as well as from other conflict-affected populations calls for a more prominent role of psychological rehabilitation and trauma recovery in the reintegration of violent extremists.

McKenna, Patrick, e Mark Evans. Emergency Relief and complex service delivery: Towards better outcomes. Queensland University of Technology, junho de 2021. http://dx.doi.org/10.5204/rep.eprints.211133.

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Emergency Relief (ER) is a Department of Social Services (DSS) funded program, delivered by 197 community organisations (ER Providers) across Australia, to assist people facing a financial crisis with financial/material aid and referrals to other support programs. ER has been playing this important role in Australian communities since 1979. Without ER, more people living in Australia who experience a financial crisis might face further harm such as crippling debt or homelessness. The Emergency Relief National Coordination Group (NCG) was established in April 2020 at the start of the COVID-19 pandemic to advise the Minister for Families and Social Services on the implementation of ER. To inform its advice to the Minister, the NCG partnered with the Institute for Governance at the University of Canberra to conduct research to understand the issues and challenges faced by ER Providers and Service Users in local contexts across Australia. The research involved a desktop review of the existing literature on ER service provision, a large survey which all Commonwealth ER Providers were invited to participate in (and 122 responses were received), interviews with a purposive sample of 18 ER Providers, and the development of a program logic and theory of change for the Commonwealth ER program to assess progress. The surveys and interviews focussed on ER Provider perceptions of the strengths, weaknesses, future challenges, and areas of improvement for current ER provision. The trend of increasing case complexity, the effectiveness of ER service delivery models in achieving outcomes for Service Users, and the significance of volunteering in the sector were investigated. Separately, an evaluation of the performance of the NCG was conducted and a summary of the evaluation is provided as an appendix to this report. Several themes emerged from the review of the existing literature such as service delivery shortcomings in dealing with case complexity, the effectiveness of case management, and repeat requests for service. Interviews with ER workers and Service Users found that an uplift in workforce capability was required to deal with increasing case complexity, leading to recommendations for more training and service standards. Several service evaluations found that ER delivered with case management led to high Service User satisfaction, played an integral role in transforming the lives of people with complex needs, and lowered repeat requests for service. A large longitudinal quantitative study revealed that more time spent with participants substantially decreased the number of repeat requests for service; and, given that repeat requests for service can be an indicator of entrenched poverty, not accessing further services is likely to suggest improvement. The interviews identified the main strengths of ER to be the rapid response and flexible use of funds to stabilise crisis situations and connect people to other supports through strong local networks. Service Users trusted the system because of these strengths, and ER was often an access point to holistic support. There were three main weaknesses identified. First, funding contracts were too short and did not cover the full costs of the program—in particular, case management for complex cases. Second, many Service Users were dependent on ER which was inconsistent with the definition and intent of the program. Third, there was inconsistency in the level of service received by Service Users in different geographic locations. These weaknesses can be improved upon with a joined-up approach featuring co-design and collaborative governance, leading to the successful commissioning of social services. The survey confirmed that volunteers were significant for ER, making up 92% of all workers and 51% of all hours worked in respondent ER programs. Of the 122 respondents, volunteers amounted to 554 full-time equivalents, a contribution valued at $39.4 million. In total there were 8,316 volunteers working in the 122 respondent ER programs. The sector can support and upskill these volunteers (and employees in addition) by developing scalable training solutions such as online training modules, updating ER service standards, and engaging in collaborative learning arrangements where large and small ER Providers share resources. More engagement with peak bodies such as Volunteering Australia might also assist the sector to improve the focus on volunteer engagement. Integrated services achieve better outcomes for complex ER cases—97% of survey respondents either agreed or strongly agreed this was the case. The research identified the dimensions of service integration most relevant to ER Providers to be case management, referrals, the breadth of services offered internally, co-location with interrelated service providers, an established network of support, workforce capability, and Service User engagement. Providers can individually focus on increasing the level of service integration for their ER program to improve their ability to deal with complex cases, which are clearly on the rise. At the system level, a more joined-up approach can also improve service integration across Australia. The key dimensions of this finding are discussed next in more detail. Case management is key for achieving Service User outcomes for complex cases—89% of survey respondents either agreed or strongly agreed this was the case. Interviewees most frequently said they would provide more case management if they could change their service model. Case management allows for more time spent with the Service User, follow up with referral partners, and a higher level of expertise in service delivery to support complex cases. Of course, it is a costly model and not currently funded for all Service Users through ER. Where case management is not available as part of ER, it might be available through a related service that is part of a network of support. Where possible, ER Providers should facilitate access to case management for Service Users who would benefit. At a system level, ER models with a greater component of case management could be implemented as test cases. Referral systems are also key for achieving Service User outcomes, which is reflected in the ER Program Logic presented on page 31. The survey and interview data show that referrals within an integrated service (internal) or in a service hub (co-located) are most effective. Where this is not possible, warm referrals within a trusted network of support are more effective than cold referrals leading to higher take-up and beneficial Service User outcomes. However, cold referrals are most common, pointing to a weakness in ER referral systems. This is because ER Providers do not operate or co-locate with interrelated services in many cases, nor do they have the case management capacity to provide warm referrals in many other cases. For mental illness support, which interviewees identified as one of the most difficult issues to deal with, ER Providers offer an integrated service only 23% of the time, warm referrals 34% of the time, and cold referrals 43% of the time. A focus on referral systems at the individual ER Provider level, and system level through a joined-up approach, might lead to better outcomes for Service Users. The program logic and theory of change for ER have been documented with input from the research findings and included in Section 4.3 on page 31. These show that ER helps people facing a financial crisis to meet their immediate needs, avoid further harm, and access a path to recovery. The research demonstrates that ER is fundamental to supporting vulnerable people in Australia and should therefore continue to be funded by government.