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Community Mental Health Journal

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https://www.readbyqxmd.com/read/28444574/a-randomized-controlled-trial-of-the-effectiveness-of-a-psychoeducational-intervention-on-family-caregivers-of-patients-with-mental-disorders
#1
Viviane Tabeleão, Elaine Tomasi, Luciana de Avila Quevedo
The present study aimed to investigate the effectiveness of a psychoeducational intervention on caregivers of patients assisted by the Center for Psychosocial Health Care (CPHC) focusing on the patient's psychopathology. This was a randomized clinical trial with 130 caregivers with higher mean burden scores assessed using the Zarit Burden Interview Scale (ZBI) (66 caregivers in the intervention group and 64 in the control group). The intervention included six home visits of psychoeducational interventions according to each mental disorder identified in the CPHC records...
April 25, 2017: Community Mental Health Journal
https://www.readbyqxmd.com/read/28401416/supporting-shared-decision-making-for-children-s-complex-behavioral-problems-development-and-user-testing-of-an-option-grid%C3%A2-decision-aid
#2
Erin R Barnett, Elizabeth A Boucher, William B Daviss, Glyn Elwyn
There is a lack of research to guide collaborative treatment decision-making for children who have complex behavioral problems, despite the extensive use of mental health services in this population. We developed and pilot-tested a one-page Option Grid™ patient decision aid to facilitate shared decision-making for these situations. An editorial team of parents, child psychiatrists, researchers, and other stakeholders developed the scope and structure of the decision aid. Researchers included information about a carefully chosen number of psychosocial and pharmacological treatment options, using descriptions based on the best available evidence...
April 11, 2017: Community Mental Health Journal
https://www.readbyqxmd.com/read/28382400/associations-among-depressive-symptoms-wellness-patient-involvement-provider-cultural-competency-and-treatment-nonadherence-a-pilot-study-among-community-patients-seen-at-a-university-medical-center
#3
Lisa M Hooper, Lauren E Huffman, John C Higginbotham, George C T Mugoya, Annie K Smith, Tia N Dumas
Treatment nonadherence is a pernicious problem associated with increasing rates of chronic diseases, escalating healthcare costs, and rising mortality in some patients. Although researchers have suggested numerous factors related to treatment nonadherence, several understudied aspects warrant attention, such as primary-care settings, provider cultural competence, and patient involvement. Adding to the research base, the present pilot study examined 88 primarily Black American and White American community patients from a large university medical center in the southern part of the United States...
April 5, 2017: Community Mental Health Journal
https://www.readbyqxmd.com/read/28378302/measuring-mental-health-provider-based-stigma-development-and-initial-psychometric-testing-of-a-self-assessment-instrument
#4
Jennifer L K Charles, Kia J Bentley
This article describes the development and initial psychometric testing of the Mental Health Provider Self-Assessment of Stigma Scale (MHPSASS), a 20-item instrument crafted in reflection of Charles' (Social Work in Mental Health 11:360-375, 2013) empirically derived, experience-based, five-themed model of provider stigmatization. Following model and item review by construct experts, 220 mental health service providers in Virginia's public mental health centers and in-patient facilities completed the survey package...
April 4, 2017: Community Mental Health Journal
https://www.readbyqxmd.com/read/28378301/incorporating-patients-social-determinants-of-health-into-hypertension-and-depression-care-a-pilot-randomized-controlled-trial
#5
Heather F McClintock, Hillary R Bogner
The objective of this study was to carry out a randomized controlled pilot trial to test the effectiveness of an integrated intervention for hypertension and depression incorporating patients' social determinants of health (enhanced intervention) versus an integrated intervention alone (basic intervention). In all, 54 patients were randomized. An electronic monitor was used to measure blood pressure, and the nine-item Patient Health Questionnaire (PHQ-9) assessed depressive symptoms. Patients in the enhanced intervention had a significantly improved PHQ-9 mean change from baseline in comparison with patients in the basic intervention group at 12 weeks (p = 0...
April 4, 2017: Community Mental Health Journal
https://www.readbyqxmd.com/read/28378300/development-of-a-shared-decision-making-model-in-a-community-mental-health-center
#6
REVIEW
Shreedhar Paudel, Neeta Sharma, Astha Joshi, Melinda Randall
Shared Decision Making (SDM) is an essential component of recovery oriented treatment for clients with severe and persistent mental illnesses. SDM has been found to be effective in improving outcome of treatment of non-psychiatric ailments, and studies of SDM in community mental health settings are limited. We designed and implemented a low tech SDM program in a non-academic community mental health center and evaluated the outcome on decisional certainty and satisfaction with services. The results suggest that SDM can be effectively integrated with evidence based psychiatric rehabilitation practices utilizing already existing resources...
April 4, 2017: Community Mental Health Journal
https://www.readbyqxmd.com/read/28364300/providers-behaviors-and-beliefs-on-prescribing-antipsychotic-medication-to-children-a-qualitative-study
#7
W David Lohr, Kyle B Brothers, Deborah Winders Davis, Carla A Rich, Lesa Ryan, Michael Smith, Michelle Stevenson, Yana Feygin, Charles Woods, John Myers, Gilbert C Liu
Fragmentation in behavioral and mental health care to children has resulted in suboptimal care and high rates of psychotropic medication use, especially antipsychotic medications (APM). A qualitative study, based on the Theory of Planned Behavior (TPB), aimed to better understand prescribing practices, barriers to optimal treatment, and potential interventions to safeguard the use of APM for children in Kentucky. The most common barrier to optimal care was access to mental health specialists. Social norms and pressure from families contribute to increased medication use...
March 31, 2017: Community Mental Health Journal
https://www.readbyqxmd.com/read/28364299/life-satisfaction-and-psychological-status-of-mothers-with-disabled-children-a-descriptive-study
#8
Emine Ela Küçük, Dilek Küçük Alemdar
The purpose of this study is to determine the life satisfaction, general health conditions, and depression levels of mothers with disabled children and the problems they experienced. This descriptive study was conducted between 1 and 30 December 2014 in a rehabilitation center that renders services for totally 254 physically and mentally-disabled children in Turkey. 184 mothers participated in the study. The data were collected by using an information form, the life satisfaction scale, the general health questionnaire, and the Beck depression inventory...
March 31, 2017: Community Mental Health Journal
https://www.readbyqxmd.com/read/28341891/homecoming-of-citizen-soldiers-postdeployment-problems-and-service-use-among-army-national-guard-soldiers
#9
James Griffith
The present study described the types and amount of problems and services sought among returned deployed Army National Guard soldiers (4568 soldiers in 50 units). The study responds to gaps in the research literature to better understand community intervention needs of reservists. About half (48%) of the soldiers reported one or two problems, mostly those of psychological well-being, such as feelings of anger and frustration, upsetting memories, and troubled sleep (34% of the study sample), followed by problems of social support (18%), alcohol use (17%), feelings of isolation including suicidal thoughts (13%), and financial difficulties (11%)...
March 24, 2017: Community Mental Health Journal
https://www.readbyqxmd.com/read/28317086/process-evaluation-of-a-randomized-controlled-trial-of-group-support-psychotherapy-for-depression-treatment-among-people-with-hiv-aids-in-northern-uganda
#10
Etheldreda Nakimuli-Mpungu, Kizito Wamala, James Okello, Sheila Ndyanabangi, Steve Kanters, Ramin Mojtabai, Jean B Nachega, Edward J Mills, Seggane Musisi
We describe the process evaluation for a randomized controlled trial that compared group support psychotherapy (GSP) with group HIV education for treatment of depression among people with HIV. Process data were obtained using mixed methods. Variables evaluated were indicators of feasibility and acceptability; causal mediating processes and contextual influences. GSP was feasible and acceptable. Potential mediating variables between GSP and reduction of depression were improved emotional and social support, better coping strategies, and pursuit of livelihoods...
March 19, 2017: Community Mental Health Journal
https://www.readbyqxmd.com/read/28315972/emotional-health-and-self-esteem-among-adolescents-in-malaysian-orphanages
#11
Marjan Mohammadzadeh, Hamidin Awang, Hayati Kadir Shahar, Suriani Ismail
This study aimed to assess the prevalence and risk factors of depression, anxiety, stress and low self-esteem among institutional Malaysian adolescents. This cross-sectional descriptive study included 287 adolescents aged 12-18 years living in six selected orphan homes. Study's instruments included Socio-demographic questionnaire, validated Malay version of Depression Anxiety Stress Scale-21 and Rosenberg Self-Esteem Scale. The findings revealed that 85.2, 80.1 and 84.7% of participants had depression, anxiety and stress respectively...
March 18, 2017: Community Mental Health Journal
https://www.readbyqxmd.com/read/28303445/interactive-effect-of-parent-and-adolescent-psychiatric-symptoms-on-substance-use-among-adolescents-in-community-treatment
#12
Lourah M Kelly, Sara J Becker, Jennifer C Wolff, Hannah Graves, Anthony Spirito
Both adolescent and parent psychiatric symptoms are well-established risk factors for adolescent substance use (SU), but the ways that these symptoms interact are not well understood. This study examined the interactive effects of parent and adolescent psychiatric symptoms on adolescent frequency of alcohol and marijuana use, over and above the effects of parental SU. Seventy adolescents presenting to a community mental health center (CMHC) participated. Parent and adolescent psychiatric symptoms were measured with the brief symptom inventory (BSI) and child behavior checklist (CBCL), respectively...
March 16, 2017: Community Mental Health Journal
https://www.readbyqxmd.com/read/28303444/outcomes-of-a-therapeutic-fly-fishing-program-for-veterans-with-combat-related-disabilities-a-community-based-rehabilitation-initiative
#13
Jessie L Bennett, Jennifer A Piatt, Marieke Van Puymbroeck
The purpose of this study was to examine the outcomes of a therapeutic fly-fishing program for veterans with combat-related disabilities. A total of 40 veterans participated in the 4-day therapeutic fly-fishing program and this study. The outcomes examined included reducing symptoms of posttraumatic stress (PTS), depression, perceived stress, functional impairment (i.e., work, relationships, physical, and everyday life), increasing self-determination, and leisure satisfaction. Each research participant completed pretest, posttest, and 3-month follow-up questionnaires...
March 16, 2017: Community Mental Health Journal
https://www.readbyqxmd.com/read/28293800/the-challenges-of-using-self-report-measures-with-people-with-severe-mental-illness-four-participants-experiences-of-the-research-process
#14
Jennifer Bibb, Katrina Skewes McFerran
This study aimed to explore four mental health consumers' experiences of completing self-report outcome measures in a research project. Participants were recruited from a community mental health organisation in Melbourne and were interviewed upon completion of a mixed methods research study where they were asked to complete a series of self-report outcome measures. Descriptive phenomenological micro-analysis was used to analyse interview data and is presented along with the researchers' observations during the data collection process...
March 14, 2017: Community Mental Health Journal
https://www.readbyqxmd.com/read/28293799/the-impact-of-daily-sleep-hours-on-the-health-of-korean-middle-aged-women
#15
Chang Ho Ha, Minyong Lee
This study aimed to examine the association between sleep and health in order to provide useful information to manage the health of obese women in the future. One hundred fifty-five Korean women aged 40-60 years without a previous diagnosis of abnormal glucose metabolism or other health problems and with body fat percentages greater than 30 percent were classified into two groups: a non-obese group and an obese group. Sleep hours exhibited a significant positive correlation with weight, body mass index, muscle mass, and glucose levels in the obese group...
March 14, 2017: Community Mental Health Journal
https://www.readbyqxmd.com/read/28281097/factors-in-maintaining-a-stable-patient-physician-relationship-among-individuals-with-schizophrenia
#16
Hsin-Hui Huang, Chuan-Yu Chen, Jen-Huoy Tsay, Yiing-Jenq Chou, Nicole Huang
This study aimed to determine whether adequate continuity of care (COC) existed among individuals with schizophrenia, and what the associated determinants were. The National Health Insurance Research Database of Taiwan was used to identify individuals with newly diagnosed schizophrenia from 2000 to 2009. Two outcome indicators were first derived to conduct the continuity assessment based on the usual provider continuity (UPC) index and the continuity of care index (COCI). The average scores of the UPC and COCI were 0...
March 9, 2017: Community Mental Health Journal
https://www.readbyqxmd.com/read/28258526/the-effects-of-direct-to-consumer-advertising-on-mental-illness-beliefs-and-stigma
#17
Seth A Brown
Despite widespread use, little is known about how video direct-to-consumer-advertising (DTCA) influences beliefs about or stigma towards mental illness. The purpose of this study was to examine the effects of a medication advertisement on beliefs and stigma towards one mental disorder-bipolar disorder. A total of 424 participants were randomly assigned to view a medication or automobile advertisement and completed measures of beliefs and stigma towards bipolar disorder before and immediately after the advertisement...
March 3, 2017: Community Mental Health Journal
https://www.readbyqxmd.com/read/28255637/involuntary-processes-knowledge-base-of-health-care-professionals-in-a-tertiary-medical-center-in-upstate-south-carolina
#18
Sharon M Holder, Calvert Warren, Kenneth Rogers, Benjamin Griffeth, Eunice Peterson, Dawn Blackhurst, Christian Ochonma
The involuntary hospitalization law provides a means by which love ones, caregivers and healthcare professionals can intervene when a mentally ill patient is a danger to self or others. Our study assessed the knowledge of professionals in one of the Greenville Health System (GHS) emergency department (ED) about the involuntary hospitalization process of mental health patients in South Carolina (SC). An eight item survey on the South Carolina involuntary hospitalization and commitment process was developed and distributed to GHS ED staff including: physicians, physician assistants, nurse practitioners, nurses, social workers and technicians...
March 2, 2017: Community Mental Health Journal
https://www.readbyqxmd.com/read/28236207/translating-interventions-that-target-criminogenic-risk-factors-for-use-in-community-based-mental-health-settings
#19
Amy Blank Wilson, Natalie Bonfine, Kathleen J Farkas, Janelle Duda-Banwar
This study explored facilitators and barriers associated with engaging criminogenic interventions in community mental health service settings. Focus groups and guided large group discussions were conducted with 46 consumers, providers and administrators. Results suggest that participants were generally supportive of offering criminogenic interventions to justice involved persons with serious mental illness in community based mental health service settings. Key issues to consider when engaging criminogenic interventions in community mental health service settings include identifying sustainable funding sources, providing adequate training for staff, and tailoring the delivery and pace of the content to the particular treatment needs of SMI participants...
February 24, 2017: Community Mental Health Journal
https://www.readbyqxmd.com/read/28233137/reducing-length-of-acute-inpatient-hospitalization-using-a-residential-step-down-model-for-patients-with-serious-mental-illness
#20
Theodore Zarzar, Brian Sheitman, Alan Cook, Brian Robbins
Psychiatric inpatient bed numbers have been markedly reduced in recent decades often resulting in long emergency department wait times for acutely ill psychiatric patients. The authors describe a model utilizing short-term residential treatment to substitute for acute inpatient care when the barrier to discharge for patients with serious mental illness (SMI) is finding appropriate community placement. Thirty-eight patients (community hospital (n = 30) and a state hospital (n = 8)) were included. Clinical variables, pre-/post-step down length of stay, and adverse outcomes are reported...
February 23, 2017: Community Mental Health Journal
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