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Community Mental Health Journal

Lauren Wonders, Anne Honey, Nicola Hancock
Family inclusion in treatment planning and delivery for people living with mental illness is advocated in government policy but is yet to be widely translated into practice. While external barriers have been identified, including concerns about consumers' best interests, little is known about consumers' own views. This study explores consumers' experiences and perspectives of including family in treatment. Semi-structured interviews were conducted with 13 adult consumers who could identify supportive family members...
July 7, 2018: Community Mental Health Journal
Lea Thaler, Shiri Freiwald, Chloe Paquin Hodge, Émilie Fletcher, Danaelle Cottier, Esther Kahan, Erika Rossi, Myra Piat, Shalini Lal, Mimi Israel, Howard Steiger
The original version of this article unfortunately contained a mistake in EAT-26 values under "Patients Receiving Treatment for an ED in their Sector" section.
July 6, 2018: Community Mental Health Journal
Jay A Gorman, Arielle A J Scoglio, John Smolinsky, Anthony Russo, Charles E Drebing
The original version of this article unfortunately contained a mistake in co-author name and his affiliation. The author name should be Anthony Russo instead it was published as Antony Russo and his affiliation has been corrected.
July 3, 2018: Community Mental Health Journal
Jonghyun Lee
This article reports the findings from a study that examined the role of economic stress and coping resources in predicting hwabyung symptoms among Koreans in the United States. The literal meaning of hwabyung is "fire illness" or "anger illness." Koreans believe that chronic stress can cause the onset of hwabyung, manifested mainly through somatic symptoms. Data collected from an anonymous survey of 242 voluntary participants were analyzed using hierarchical multiple regression (R2 ). The findings demonstrated the important role that social support and sense of self-esteem play in explaining hwabyung symptoms...
June 27, 2018: Community Mental Health Journal
Marwa Mohamed Zalat, Eman Mohamed Mortada, Omnia Samir El Seifi
This study was conducted to assess the level of mental health difference between working and non-working women, to explore their stigma and attitude toward seeking psychological help for mental-health problems. World Health Organization's Self-reporting questionnaire (SRQ-20), adoption of Discrimination-Devaluation scale (D-D) scale for measuring self-stigma and attitude toward Seeking Mental Health Services (IASMHS) Inventory were used. The sampled teachers reported a higher attitude towards seeking mental health services when compared to housewives...
June 21, 2018: Community Mental Health Journal
Heidi C Waters, Michael F Furukawa, Shari L Jorissen
Serious mental illness (SMI) affects 5% of the United States population and is associated with increased morbidity and mortality, and use of high-cost healthcare services including hospitalizations and emergency department visits. Integrating behavioral and physical healthcare may improve care for consumers with SMI, but prior research findings have been mixed. This quantitative retrospective cohort study assessed whether there was a predictive relationship between integrated healthcare clinic enrollment and inpatient and emergency department utilization for consumers with SMI when controlling for demographic characteristics and disease severity...
June 14, 2018: Community Mental Health Journal
Ines Testoni, Elisa Francescon, Diego De Leo, Anna Santini, Adriano Zamperini
This article presents the qualitative analysis of reports obtained through participant observations collected over a 4-year period in a series of suicide survivor self-help group meetings. It analysed how grievers' healing was managed by their own support. The longitudinal study was focused on self/other blame and forgiveness. Results show how self-blame was continuously present along all the period and how it increased when new participants entered the group. This finding indicates that self-blame characterizes especially the beginning of the participation, and that any new entrance rekindles the problem...
June 13, 2018: Community Mental Health Journal
Jay A Gorman, Arielle A J Scoglio, John Smolinsky, Antony Russo, Charles E Drebing
Veterans transitioning from military to civilian life are vulnerable to a loss of social support and an increase in isolation from their communities, which can exacerbate other difficulties they may be experiencing, such as physical or mental health problems. Veteran Coffee Socials are an innovative community-building pilot intervention designed to foster social support and community between veterans. In seven target communities, certified peer specialists initiated and facilitated weekly "Veteran Coffee Socials"-open peer support groups for veterans, held in local coffee shop or restaurants...
June 13, 2018: Community Mental Health Journal
J K Schnackenberg, M Fleming, C R Martin
The individual approach of the Hearing Voices Movement, Experience Focussed Counselling or Making Sense of Voices, claims a strong life context and trauma focus. This qualitative study represented the first to explore whether Experience Focussed Counselling with voice hearers, when compared to Treatment As Usual, could be considered trauma-sensitive. Twenty-five semi-structured interviews with voice hearers and mental health professionals in routine German mental health settings were analysed as part of an Applied Thematic Analysis...
June 12, 2018: Community Mental Health Journal
Emily K Hamovitch, Mimi Choy-Brown, Victoria Stanhope
Person-centered care has been gaining prominence in behavioral health care, and service planning has shifted towards "person-centered care planning" (PCCP), where individuals, in partnership with providers, identify life goals and interventions. A strong therapeutic alliance has been identified as key to a person-centered approach, but little is known about how the therapeutic relationship influences person-centered processes and outcomes. Using an explanatory sequential mixed methods design, this study investigated: (1) the association between the therapeutic alliance and PCCP, and (2) how the therapeutic relationship influences the process and outcomes of PCCP...
June 12, 2018: Community Mental Health Journal
John P Muehsam
Mobile mental health crisis programs are a widely used and valuable community resource. Literature analyzing the service, however, is sparse and descriptive in nature. This study uses multinomial logistic regression to analyze clinical data from a mobile crisis program in Pennsylvania over 12 months. 793 individuals recommended to various levels of care were analyzed. Clinical and demographic presentations were used as predictor variables and level of care recommendation as outcome variable. Several clinical presentations were found to increase the likelihood of various levels of care recommendations...
June 9, 2018: Community Mental Health Journal
Lea Thaler, Shiri Freiwald, Chloe Paquin Hodge, Émilie Fletcher, Danaelle Cottier, Esther Kahan, Erika Rossi, Myra Piat, Shalini Lal, Mimi Israel, Howard Steiger
We describe the implementation and impact of a province-wide program of knowledge exchange (KE), aimed at developing capacity for the treatment of people with eating disorders (EDs). The program is designed to equip clinicians working in nonspecialized health-care installations with skills to evaluate and treat people with EDs. Trainings were conducted at 21 institutions. The majority of clinicians reported satisfaction with the KE program and indicated that the trainings enhanced their confidence and ability to treat patients with EDs...
June 9, 2018: Community Mental Health Journal
Katie Ashcroft, Edward Kim, Erica Elefant, Carmela Benson, John A Carter
With the recent movement toward a personal-recovery paradigm to treat schizophrenia, the locus of mental health care delivery has shifted toward community-based care. Family caregivers comprise a substantial component of that community, and are often providing care for longer periods, but often have no formal training or support. Caregiver-directed psychosocial interventions (CDPI) have been developed to train and assist caregivers in their efforts to maximize the odds of treatment success for those in their care...
June 9, 2018: Community Mental Health Journal
Jonathan D Prince, Olivia Mora, Andrew D Schonebaum
There are times when people with severe mental illness (SMI) must be willing to ask for help (e.g., with managing symptoms). But what makes one person ask for help and another decide to go it alone? We used logistic regression to assess willingness to request assistance among 150 people with SMI. Hispanics were more likely (OR 8.51, CI 2.05-35.36, p < .01) than Caucasians to be willing to ask for help, and people with the highest incomes (relative to the lowest) were more likely (OR 7.23, CI 1.76-29...
June 9, 2018: Community Mental Health Journal
H D Hadjistavropoulos, Y N Faller, A Klatt, M N Nugent, B F Dear, N Titov
Therapist-assisted internet-delivered cognitive behaviour therapy (T-ICBT) involves patients reading online treatment materials, completing relevant exercises, and receiving therapist support. This study aimed to understand the preferences and recommendations of 225 patients enrolled in a T-ICBT course for depression and anxiety via an online therapy unit in collaboration with community mental health clinics dispersed across one Canadian province. An open-ended survey asked participants their opinions of the course and responses were analyzed using a content analysis approach...
May 26, 2018: Community Mental Health Journal
José de Jager, Roos van Greevenbroek, Annet Nugter, Jim van Os
This qualitative study aims to explore the difficulties people with a psychotic disorder have in sexual expression, and associated determinants. Twenty-eight semi-structured interviews were conducted and analyzed using the Grounded Theory method. Almost all participants experienced unfulfilled needs in sexual expression. These unfulfilled needs were associated with a range of factors, including antipsychotic medication, psychotic symptoms, sexual abuse, social skills and stigma, all of which may converge on a pathway involving (sexual) self-esteem...
May 18, 2018: Community Mental Health Journal
D M Coviello, R Lovato, K Apostol, M M Eisenberg, D S Metzger, R Szucs-Reed, N Kiryankova-Dalseth, D Kelly, A Jackson, M Plano, M B Blank
A consistently suppressed viral load enables HIV (+) patients to live longer, healthier lives and reduces the probability of transmitting the virus. Since the prevalence of HIV is four times higher among those with psychiatric disorders than in the general population, it is likely that this group would also have greater difficulty remaining in care and achieving viral suppression. A secondary data analysis utilizing screening data from the Preventing AIDS Through Health (PATH) for Triples (PFT) Study were examined to assess HIV load suppression among 254 psychiatric inpatients with comorbid substance use disorders in Philadelphia...
May 11, 2018: Community Mental Health Journal
Carolyn S Dewa, Jeffrey S Hoch, Marc Corbière, Patrizia Villotti, Lucy Trojanowski, Hélène Sultan-Taïeb, Sara Zaniboni, Franco Fraccaroli
Because of work's contribution to recovery, governments have moved to improve employment rates of people with severe mental disorders (SMDs). Social enterprises (SEs) have been identified as a means to achieve employment. In Ontario, Canada, the Ministry of Health and Long-Term Care (MOHLTC) have provided SEs government subsidies. Public funding arrangements create a potential trade-off for governments that must decide how to distribute constrained budgets to meet a variety of public needs. In Ontario, the government is potentially faced with choosing between supporting employment versus healthcare services...
May 8, 2018: Community Mental Health Journal
Giuseppe Guaiana, Richard O'Reilly, Luigi Grassi
We examine the possibility the Organisation for Economic Co-operation and Development (OECD) bed count for Italy may be an underestimation of the actual beds available. We compared bedded services for mental disorders in two regions in Italy and Canada respectively. We found out that if we consider acute psychiatric beds only, the district of Ferrara has 30 beds (8.5 per 100,000) and the Middlesex and Elgin Counties have 89 beds (16.3 beds for 100,000). However, if we include the rehabilitation beds (that are located within a hospital setting in Ontario and in a residential community setting in Ferrara), we find that the district of Ferrara has 95 beds (27...
May 3, 2018: Community Mental Health Journal
Erin L Kelly, Joel T Braslow, John S Brekke
Individuals with serious mental illnesses have high rates of comorbid physical health issues and have numerous barriers to addressing their health and health care needs. The present pilot study tested the feasibility of a modified form of the "Bridge" peer-health navigator intervention delivered in a usual care setting by agency personnel. The modifications concerned the use of an electronic personal health record with individuals experiencing with housing instability. Twenty participants were randomized to receive the intervention immediately or after 6 months...
May 3, 2018: Community Mental Health Journal
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