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Community Mental Health Journal

Jihène Ben Thabet, Manel Mâalej, Hana Khemakhem, Sourour Yaich, Wafa Abbes, Sana Omri, Lobna Zouari, Nasreddine Zouari, Jamel Dammak, Nada Charfi, Mohamed Maâlej
Under-diagnosed and under-treated, depression has a pejorative prognosis. The general practitioners (GP) represent the most often consulted healthcare professionals by depressed patients. The aim was to describe how the Tunisian GPs manage the depressed patients and to note the difficulties they encounter in order to suggest corrective measures. A survey was conducted among 140 GPs in Sfax Governorate. The percentage of the GPs whose responses conformed to the scientific data in at least 67% of the items was 31...
September 19, 2018: Community Mental Health Journal
Mark A Amdur
Supplemental security income (SSI), is the lifeline for our patients living in the community. Absent disability benefits most of our patients are homeless. Many will be hungry, poorly clothed, and have only rudimentary health care. The disability determination system will approve disability for < 30% of those adults making an initial application. The rate of actual disability is much higher. A large cohort (n = 251) of likely disability applicants had comprehensive diagnostic evaluations. These evaluations revealed extensive co-occurring psychiatric symptoms and features, particularly obsessive-compulsive features...
September 17, 2018: Community Mental Health Journal
Brittany C L Lange, Laura S Callinan, Megan V Smith
The objective of this study was to understand the relationship between the early adverse childhood experiences (ACEs) of parents and their later parenting stress and practices. At the baseline visit of an 8-week course of cognitive behavioral therapy, parenting women completed the Parenting Stress Index-Short Form (PSI-SF) and the Positive Parenting Practices (PPP) scale. Linear regression procedures were used to assess the relationship between a parent's own early experience of ACEs and current parenting stress and practices, including if there was a dose-response relationship...
September 7, 2018: Community Mental Health Journal
Erin M Rodríguez, Lauren E Gulbas, Julia George-Jones, Annette Leija, David Burrows, Celia Neavel
Integrated behavioral health services have positive outcomes for patients and providers, but little is known about providers' perspectives on implementing these services. This community-based participatory research collaboration with a Federally Qualified Health Center examined provider perspectives on implementing a collaborative psychiatry consultation program in pediatric primary care. We interviewed providers (N = 14) from psychiatry, social work, primary care, and psychology regarding their experiences implementing the program, and their recommendations for its sustainability...
August 31, 2018: Community Mental Health Journal
Tracey A Bone
This study sought to evaluate the impact of participation in a 6-month community-based participatory arts program on mental health recovery. Using a case study methodology, a total of nine recent graduates from one of five separate groups held during the study period (2012-2015) were interviewed. All but one of the nine participants reported positive personal, emotional, physical and/or mental health changes as a result of her or his participation in the program. Voices of all participants are explored. Analysis of the interviews revealed four key themes: safe space to create, change in identity, biggest impact, and program-related challenges...
August 30, 2018: Community Mental Health Journal
Poreddi Vijayalakshmi, Rohini Thimmaiah, Sailaxmi Gandhi, Suresh BadaMath
This was a cross sectional descriptive study carried out among Medical and Nursing students to assess the presence of eating disorders. Data was collected using self administered 'Sick, Control, One, Fat, Food' (SCOFF) and 'Eating Attitudes Test (EAT-26)' questionnaires. It was found that 34.1% and 10.4% of the participants were at high risk to suffer from eating disorders on SCOFF and EAT-26 scales. Further, age, gender and education found to have significant association on SCOFF and EAT-26 scores (p < 0...
August 29, 2018: Community Mental Health Journal
Mehnaz Nuruddin Gitay, Sarah Fatima, Shahama Arshad, Basmah Arshad, Ahsan Ehtesham, Muhammad Ameen Baig, Muhammad Furqan Ilyas, Shaad Farhat Rizvi, Qadeer Farooqui, Muhammad Masroor, Zeba Haque
The aim of the present was to assess and compare the mental health of male and female healthcare students in a Health University of Karachi, Pakistan. A cross-sectional study was conducted for which questionnaire was designed along the standard scoring scales of depression (PHQ-9), anxiety (GAD-7) and phobia (IAPT) completed by 300 enrolled students. Females (52%) of the medical institute suffered from mild to moderately-severe depression in contrast to the males (33%). Females were found to be affected by mild anxiety and phobia (42...
August 25, 2018: Community Mental Health Journal
Giuliana Mogorovich, Nerina J Caltabiano
Treatments for anorexia nervosa provided early in the onset of the illness lead to better outcomes. Despite the treatment approach used, the therapeutic alliance may be instrumental in successful outcomes. The aim of this study was to explore the young people and their families' experiences of the illness, and their access to and satisfaction with the services received. Of particular interest was their view of the working alliance with their therapist/s. Participants were interviewed by telephone using a semi-structured questionnaire...
August 23, 2018: Community Mental Health Journal
Hanieh Salehi-Pourmehr, Soudabeh Niroomand, Seyed Kazem Shakouri, Zoleikha Asgarlou, Azizeh Farshbaf-Khalili
This was an observational, longitudinal study investigated the association between anxiety and depression in trimesters of pregnancy and early postpartum with weight retention 1 year after childbirth. Sixty-two pregnant women aged 18-35 years with a BMI of 35 or higher and 245 pregnant women with normal BMI (BMI 18.5-24.9 kg/m2 ) were recruited at their initial prenatal visit in the health centers. The Edinburgh Postnatal Depression Scale (EPDS) and Beck Anxiety Inventory (BAI-II) were completed in five time points, the first, second, third trimester of pregnancy, 6-8 weeks and 12 months after delivery...
August 23, 2018: Community Mental Health Journal
Emily J Hauenstein, Rachael S Clark, Elizabeth I Merwin
The Health Disparities and Outcomes (HDO) model originally created to explain the complexity of obtaining healthcare in rural settings has been revised and updated using emerging theoretical models of adversity and inequity and two decades of empirical work by the authors. With a strong orientation to explaining population-based health inequities, the HDO is applied to individuals with Serious Mental Illness (SMI), to explain their high rates of morbidity and mortality compared to the general population. Individual-, community-, and system-level factors that reflect an understanding of life-long risk, accrued hazards associated with multiple and intersecting disadvantages, and difficulty obtaining healthcare that meets accepted standards are described...
August 22, 2018: Community Mental Health Journal
Zeynep Kotan, Sevil Ozger Ilhan, Mustafa Necmi Ilhan, Zehra Arikan
Cannabis is the most prevalent illicit drug used in the world. We aimed to determine prevalence and some characteristics of cannabis use in Turkey. The study was based on a cross-sectional survey conducted with a nationally representative sample of 8045 individuals with in-house interviews. The life-time prevalence of substance use was found as 2.8%. Cannabis with 0.7% life-time prevalence, was the most commonly used substance. Cannabis users were concerned about some adverse outcomes such as anxiety with withdrawal (14%), losing control about using the drug (14%), daily performance problems (10...
August 20, 2018: Community Mental Health Journal
Danielle B Rice, Alexandra Zorn, Maxine Sigman
This paper evaluates an outpatient group for persons living with schizophrenia. Qualitative changes and psychiatric admissions among group members were reviewed to measure recovery. Thirty-two members have attended sessions for up to 28 years. Meaningful interactions (e.g., supportive comments) have increased and hospitalizations have decreased. The support of the therapists and the other group members has allowed for personal recovery and developing and maintaining social connections. Prior to starting the group, 67% of members had > 1 hospitalization and 26% had none...
October 2018: Community Mental Health Journal
Dana Perlman, Ellie Taylor, Luke Molloy, Renee Brighton, Chris Patterson, Lorna Moxham
Over the last three decades, resilience has become a key area in mental health research, practice and policy, due to its potential to positively impact on wellbeing and quality of life. Research findings have identified that resilience positively correlates with an individual's subjective sense of well-being and decreased mental health problems. Given the potential benefits of resilience for those living with mental illness, research should examine ways in which these individuals can increase their resilience levels...
August 18, 2018: Community Mental Health Journal
Whitney L Stuard, Kathryn Squiers, Adina Suss, Emily Schrader, Dina Triantafyllou, Adam Brenner, Carol S North
This article chronicles the development and implementation of Monday Psychiatry Clinic, a psychiatry component of a medical student-operated free clinic (The Monday Clinic) in Dallas, Texas, providing assessment data systematically collected in the clinic. The established clinical purpose of Monday Psychiatry Clinic is to assess common psychiatric disorders and refer patients in need to appropriate sources of care. This clinic provided leadership education and volunteering opportunities to medical students who learned to interact with patients with psychiatric concerns, established clinical interviewing skills, and became familiar with psychiatric diagnostic criteria...
August 14, 2018: Community Mental Health Journal
Elizabeth Siantz, Benjamin Henwood, Lourdes Baezcondi-Garbanati
This qualitative study explored peer provider experiences working in newly integrated mental health and primary care pilot programs within a large public mental health system. Nineteen peer providers participated in semistructured interviews that focused on experiences delivering care within integrated teams. Interviews were analyzed using constant comparative methods informed by grounded theory. Findings were organized into three themes that speak to variation in the definition and function of peers; lack of clarity in the peer role; and relating to other providers...
August 14, 2018: Community Mental Health Journal
Morgan E Dynes, Carolyn J Tompsett, Sarah E Domoff
Parent engagement is a well-documented challenge when delivering child and adolescent mental health treatments. Therapists' internal experiences, and how they respond to parents, may create a barrier to the parent engagement process. The current study developed the 13-item Therapist Barriers to Engaging Parents measure (TBEP) to assess providers' internal and external experiences that operate as barriers to parent engagement. The TBEP was completed by 148 child and family therapists across the United States...
October 2018: Community Mental Health Journal
Karin Persson, Margareta Östman, Karin Ingvarsdotter, Fredrik Hjärthag
Treatment and support of people diagnosed with severe mental illness in Sweden takes place in out-patient psychiatric services or municipality services. Most of the responsibility for support in daily life are provided by the close family. One crucial matter is how to support these families. This research project aimed to investigate the Swedish construction with shared responsibility between county psychiatric care and municipality social care for consumers with severe mental illness affects actions in municipalities in relation to family support...
August 14, 2018: Community Mental Health Journal
Elyse Stewart, Breanna Grunthal, Lindsey Collins, Meredith Coles
Previous research has indicated that the public's knowledge on obsessive compulsive disorder (OCD) is poor. Public understanding and perception of OCD may be one contributor to this issue. Given that mental health literacy is an important first step for those to receive the appropriate care, we sought to understand more about the public's awareness and perceptions of OCD. Data regarding knowledge of OCD were collected through a New York statewide telephone survey (N = 806). Results indicated that those who had never heard of OCD were more likely to be ethnic minorities, have a lower income, and less education...
August 12, 2018: Community Mental Health Journal
Thomson J Ling, Kristy N Percario, Jessica M Hauck, Emily P Holland, Daniel Isenberg, Tiffany Henawi, Melanie A Peters, Jenna Karahalios, Rebecca Messano
Mental health on college campuses is a growing issue. Despite a rise in demand for services, counseling centers generally offer assistance during business hours, with a limited number of clinicians. Hotlines can provide an avenue for suicide prevention and intervention while offering training to graduate counseling students. The present study used a qualitative approach to examine the benefits and challenges of using hotlines as a clinical training modality. Interviews with nine graduate students volunteering at a hotline were analyzed using a consensual qualitative research methodology...
August 12, 2018: Community Mental Health Journal
Michael J Silverman
For adults with mental illness, coping skills represent an integral component of illness management and recovery (IMR) programs. Music therapy can be used to target IMR but empirical research specific to coping is needed. The purpose of this study was to determine if educational music therapy can influence coping self-efficacy in acute care mental health inpatients. Adults on an acute care mental health unit (N = 92) were cluster-randomized to one of three single-session conditions over 24 group-based sessions: educational lyric analysis, educational songwriting, or control...
August 11, 2018: Community Mental Health Journal
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