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Query: UMLS:C0277787 (stigma)
 13,352 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

This article describes the descent into psychosis of the author and his recovery, both mental and cognitive. It discusses the problems of stigma that the author overcame as he searched for a new identity as a person given a label. In discussing recovery, the article contrasts traditional mental health services with the PACT model described by Allness and Knoedler (1998). Finally the article argues for the validity of the Peer Specialist as part of a professional mental health team.
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PMID:How I quit being a "mental patient" and became a whole person with a neurochemical imbalance: conceptual and functional recovery from a psychotic episode. 1560 57

International implementation of the patient-centered medical home (PCMH) model for delivering primary care has dramatically increased in the last decade. A majority of research on PCMH's impact has emphasized the care provided by clinically trained staff. In this article, we report our ethnographic analysis of data collected from Department of Veterans Affairs staff implementing PACT, the VA version of PCMH. Teams were trained to use within-team delegation, largely accomplished through attention to clinical licensure, to differentiate staff in providing efficient, patient-centered care. In doing so, PACT may reinforce a clinically defined culture of care that countermands PCMH ideals. Such competing rubrics for care are brought into relief through a focus on the care work performed by clerks. Ethnographic analysis identifies clerks' care as a kind of emotional dirty work, signaling important areas for future anthropological study of the relationships among patient-centered care, stigma, and clinical authority.
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PMID:Gatekeepers as Care Providers: The Care Work of Patient-centered Medical Home Clerical Staff. 2685 83