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Community Mental Health Journal

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https://www.readbyqxmd.com/read/28497399/money-social-relationships-and-the-sense-of-self-the-consequences-of-an-improved-financial-situation-for-persons-suffering-from-serious-mental-illness
#1
Alain Topor, Ingemar Ljungqvist
During a 9-month period, 100 persons with SMI were given approx. 73 USD per month above their normal income. Sixteen of the subjects were interviewed. The interviews were analysed according to the methods of thematic analysis. The money was used for personal pleasure and to re-establish reciprocal relations to others. The ways in which different individuals used the money at their disposal impacted their sense of self through experiences of mastery, agency, reciprocity, recognition and security. The findings underline the importance of including social circumstances in our understanding of mental health problems, their trajectories and the recovery process...
May 11, 2017: Community Mental Health Journal
https://www.readbyqxmd.com/read/28488111/mental-health-nurses-attitudes-and-practice-toward-physical-health-care-in-jordan
#2
Amal N Ganiah, Mahmoud Al-Hussami, Majdi M B Alhadidi
Patients with mental illnesses are at high risk for physical disorders and death. The aim of this study is to describe mental health nurses' attitudes and practice toward physical health care for patients with mental illnesses. A descriptive cross-sectional design was used to collect data using self- reported questionnaire from 202 mental health nurses working in mental health settings in Jordan. The study adopted translated version of Robson and Haddad Physical Health Attitudes Scale to the Arabic language...
May 9, 2017: Community Mental Health Journal
https://www.readbyqxmd.com/read/28474141/inpatient-profile-of-patients-with-major-depression-in-portuguese-national-health-system-hospitals-in-2008-and-2013-variation-in-a-time-of-economic-crisis
#3
Daniel Francisco Santos Rodrigues, Carla Nunes
The economic crisis has placed Portugal in a situation of budgetary constraints with repercussions on mental health, since 2009. This study analyses the association between economic crisis and the inpatient profile of major depression in the working-age population in Portuguese National Health System hospitals. This was an observational, descriptive and cross-sectional study. An individual analysis of hospitalisation and an ecological analysis at district level, were performed before 2008 and during the crisis (2013)...
May 4, 2017: Community Mental Health Journal
https://www.readbyqxmd.com/read/28470461/an-exploratory-analysis-of-unhealthy-and-abusive-relationships-for-adults-with-serious-mental-illnesses-living-in-supportive-housing
#4
Brad Forenza, Autumn M Bermea
Individuals living with serious mental illness are at high risk of chronic homelessness, victimization, and intimate partner violence. In recent years, supportive housing programs have emerged as one way to prevent homelessness and victimization for this population, while also expanding social interactions and social networks. In concert with a focal supportive housing program, this research conducted two focus groups with 18 individuals who have a serious mental illness diagnosis. The authors sought to answer the research question, "What are perceptions of healthy and unhealthy relationships among formerly homeless people with serious mental illness?" To this end, the eight-item questionnaire was created around dimensions of power and control, as well as relationship equality...
May 3, 2017: Community Mental Health Journal
https://www.readbyqxmd.com/read/28470460/navigating-the-disability-determination-process-from-the-perspective-of-incarcerated-adults-with-serious-mental-illnesses
#5
Erin McCauley, Leah Samples
In the U.S. serious mental illness (SMI) is common in jails, which are often primary healthcare providers. Incarceration and healthcare are intertwined-lack of care access increases the risk of imprisonment which decreases care access. This case study explores a jail program which assists people with SMI with the disability determination process. Interviews with employees (n = 4) and clients (n = 25), and administrative data from jail databases on recidivism, benefit receipt, and demographics highlight the importance of reentry planning and access to resources in crime desistance, as well as how the program increased resource access, and provided feelings of hope and safety...
May 3, 2017: Community Mental Health Journal
https://www.readbyqxmd.com/read/28466238/resilience-and-depressive-symptoms-among-korean-americans-with-history-of-traumatic-life-experience
#6
Kunsook Bernstein, So-Young Park, Kathleen M Nokes
This study investigates socio-demographic characteristics and resilience and depressive symptoms among Korean Americans (KAs) with traumatic life experiences. Community-residing 285 KAs living in New York City and Teaneck, New Jersey completed questionnaires measuring traumatic life experiences, depressive symptoms, and resilience. Descriptive statistics, Pearson's correlations, and two-step hierarchical multiple regression analyses were conducted. 54% of KAs with traumatic life experiences reported at least mild depressive symptoms; greater resilience was associated with fewer such symptoms...
May 2, 2017: Community Mental Health Journal
https://www.readbyqxmd.com/read/28466237/an-exploration-of-factors-that-effect-the-implementation-of-peer-support-services-in-community-mental-health-settings
#7
Michael A Mancini
This study explored the integration of peer services into community mental health settings through qualitative interviews with peer-providers and non-peer mental health workers. Results show peer job satisfaction was contingent upon role clarity, autonomy, and acceptance by non-peer coworkers. Mental health workers reported the need for organizational support for peer services and guidance about how to utilize peers, negotiate their professional boundaries and accommodate their mental health needs. Effective peer integration requires organizational readiness, staff preparation and clear policies and procedures...
May 2, 2017: Community Mental Health Journal
https://www.readbyqxmd.com/read/28456858/higher-impulsivity-and-hiv-risk-taking-behaviour-in-males-with-alcohol-dependence-compared-to-bipolar-mania-a-pilot-study
#8
Sakshi Rai, Biswa Ranjan Mishra, Sukanto Sarkar, Samir Kumar Praharaj, Sudipta Das, Rituparna Maiti, Nidhi Agrawal, S Haque Nizami
To study the association of impulsivity, high-risk behaviours and incidence of HIV infection in patients with alcohol dependence and bipolar mania. This was a cross-sectional hospital-based pilot study and the sample consisted of male patients divided into three groups: 25 patients with alcohol dependence and 25 with bipolar mania as per ICD-10 Diagnostic Criteria for Research and 25 normal controls. Severity of Alcohol Dependence Questionnaire (SADQ) and Young Mania Rating Scale (YMRS) were administered on alcohol dependent and bipolar patients, respectively...
April 29, 2017: Community Mental Health Journal
https://www.readbyqxmd.com/read/28451843/attachment-and-mental-help-seeking-in-the-perinatal-period-the-role-of-stigma
#9
Ana Fonseca, Mariana Moura-Ramos, Maria Cristina Canavarro
This study aimed at (1) examining how women's attachment representations influence their intentions to seek formal help for their emotional problems, either directly or by affecting attitudes towards professional help-seeking (stigma and psychological openness), and (2) examining whether these effects are moderated by the presence of clinically significant psychopathological symptoms. A cross-sectional online survey including 226 women during the perinatal period was conducted. Results showed that, when clinically significant psychopathological symptoms were present, women's more insecure attachment representations were associated with lower intentions to seek professional help, and this influence occurred throughout a decrease in women's indifference to stigma associated with mental healthcare...
April 27, 2017: Community Mental Health Journal
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
#10
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
#11
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
#12
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
#13
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
#14
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
#15
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
#16
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
#17
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
#18
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
#19
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
#20
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
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