5,348 results
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2. Reply to Drs. Solomon and geller regarding my paper “Psychiatric education in the State Hospital: A current approach”
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Wilson, William H.
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- 1992
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3. Call for papers
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- 1981
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4. Call for papers
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- 1980
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5. Call for papers
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- 1978
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6. Call for papers
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- 1980
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7. Call for papers
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- 1978
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8. Call for papers
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- 1979
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9. Call for papers
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- 1981
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10. Call for papers
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- 1979
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11. Call for papers
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- 1980
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12. Call for papers
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- 1981
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13. Call for papers
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- 1980
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14. Developing a Needs Assessment Process to Address Gaps in a Local System of Care
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M. Courtney Hughes, Ethan Spana, and Deanna Cada
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Rural Population ,Original Paper ,Health (social science) ,Community-based participatory research ,Mental Disorders ,education ,Public Health, Environmental and Occupational Health ,Parent support ,Focus Groups ,Health Services ,Psychiatry and Mental health ,Mental illness ,Qualitative research ,Child, Preschool ,Humans ,Child ,Children ,Needs Assessment ,Visual mapping - Abstract
Early diagnosis and access to behavioral health services can improve the health outcomes for young children suffering from mental illness. Often, children and their families' behavioral health needs are not met due to a broken local system of care. Developing a deep understanding of the situation by exploring all stakeholders' needs across a community in conjunction with a comprehensive review of the existing scientific literature prepared one rural midwestern county to build a better local system of care. This study's unique aspects include visual mapping using art in focus groups and close collaboration between a public mental health board, academic faculty, student researchers, local behavioral health organizations, and schools. Major themes found about the existing barriers were dysfunctional patterns in families, lack of resources, reliance on the school system, and lack of access to healthcare professionals. Other communities can use this approach as a model for a local needs assessment.
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- 2022
15. 'It’s a Big Family Here.' Becoming and Belonging in a Service Providing Employment-Related Support for People with Mental Health Problems: An Interpretative Phenomenological Analysis
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John Wattis, Nisha Chauhan, and Dawn Leeming
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Value (ethics) ,Mental Health Services ,030506 rehabilitation ,Health (social science) ,media_common.quotation_subject ,Identity (social science) ,Lived experience ,Interpretative phenomenological analysis ,03 medical and health sciences ,0302 clinical medicine ,Employment, Supported ,Humans ,Empowerment ,Qualitative Research ,Supported employment ,media_common ,Service (business) ,Original Paper ,business.industry ,Mental Disorders ,Public Health, Environmental and Occupational Health ,Public relations ,Mental health ,Work experience ,030227 psychiatry ,Psychiatry and Mental health ,Mental Health ,0305 other medical science ,business ,Psychology ,RC - Abstract
The impact of employment for individuals with mental health problems is complex. However, research suggests that when support is provided for accessing employment and gaining roles and skills that are valued by others, a positive effect can be seen on recovery. Employment-related support can take many forms and there is a need for further research into the experience of accessing different kinds of services. The current paper examines the lived experience of 11 people participating in a UK social enterprise providing work experience, training, and skills development for those with mental health problems. Although ‘sheltered’, the organisational ethos strongly emphasised service-user empowerment, co-production, equality with staff, provision of valued social roles and person-centred support. Phenomenological analysis revealed that participants valued a sense of belonging and authentic relationships within the service, whilst being given the opportunity to rediscover an identity that may have been lost because of their mental health problem. However, participants also discussed how, although the service improved their self-value, some feared the ‘real world’ outside of the service and were unsure whether they would be met with the same support. Tensions between field dominant approaches in supported employment and the experiences and values of the participants are explored. We argue that the findings highlight the importance of a nurturing working environment and the value for recovery of a range of meaningful roles, beyond competitive employment.
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- 2021
16. A Systematic Literature Review of Substance-Use Prevention Programs Amongst Refugee Youth
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Aleer, Elijah, Alam, Khorshed, and Rashid, Afzalur
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- 2024
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17. Addressing Socioeconomic Determinants of Youth Suicidal Ideation: Lessons from a Youth Development Approach in India.
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Mathiyazhagan, Siva, Kulandai Raj, Francis, Fitrianingsih, Kartika, Raja, Vaiju, and Mayom, Dawood
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HEALTH services accessibility ,QUANTITATIVE research ,SOCIOECONOMIC factors ,SUICIDAL ideation ,RISK assessment ,QUALITATIVE research ,HELPLINES - Abstract
Socioeconomic situations in young people's families and communities make them more vulnerable to suicidal ideations. The Youth Helpline has made a significant difference in youth's lives and livelihoods by addressing their social and economic needs with positive mental health support. The quantitative and qualitative data validate the micro- and macro-level impact of the Youth Helpline in Puducherry. However, the multi-stakeholder model faces challenges in ensuring accountability, particularly from government partners. This paper highlights how direct intervention on the socio-economic determinants of youth suicidal ideation has positively affected youth mental health and reduced suicidal ideation in Puducherry. Social identity-based inequalities and access and affordability to mental health services are the major contributors to youth mental health problems. This paper critically discusses the Youth Helpline's multi-stakeholder process and youth-led approach to addressing socio-economic determinants, as well as the Helpline's impact on youth mental health. [ABSTRACT FROM AUTHOR]
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- 2024
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18. Factors Influencing Elevated Mortality Rates of Patients with Schizophrenia Hospitalized with COVID
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Kathleen Crapanzano, Sydney Smith, and Rebecca Hammarlund
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medicine.medical_specialty ,Health (social science) ,Coronavirus disease 2019 (COVID-19) ,Schizophrenia (object-oriented programming) ,Context (language use) ,behavioral disciplines and activities ,Health care ,Pandemic ,mental disorders ,medicine ,Humans ,COVID ,Retrospective Studies ,Original Paper ,business.industry ,SARS-CoV-2 ,Mortality rate ,Public Health, Environmental and Occupational Health ,COVID-19 ,Hospitalization ,Psychiatry and Mental health ,Emergency medicine ,Schizophrenia ,Impaired insight ,Mortality rates ,Congregate settings ,business ,Diagnosis of schizophrenia - Abstract
Work completed since the pandemic began has repeatedly demonstrated elevated mortality rates in people with schizophrenia hospitalized with COVID. They are a vulnerable group due to multiple issues-for example high co-morbidity rates of medical illness, often impaired insight and judgment, barriers to obtaining health care, and trouble understanding and implementing preventive measures. The objective of this study was to evaluate if a diagnosis of schizophrenia in the context of COVID-19 requiring hospitalization increased the risk for people with a diagnosis of schizophrenia to be intubated, admitted to the ICU or die when compared to people hospitalized with COVID-19 who did not have schizophrenia. This was accomplished by doing a retrospective chart review of 123 people with schizophrenia and matched controls. Although we found elevated rates of these outcomes in the patients with schizophrenia, our analysis attributed these differences to congregate living, rather than the illness itself.
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- 2021
19. Prevalence, Psychological Responses and Associated Correlates of Depression, Anxiety and Stress in a Global Population, During the Coronavirus Disease (COVID-19) Pandemic
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Danish Mohammad, Muhammad Fazal Hussain Qureshi, Syed Mustafa Ali Shah, Mohammad Zain Abbas, and Sameeha Aleem
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Adult ,Male ,Health (social science) ,Coronavirus disease 2019 (COVID-19) ,Adolescent ,Disease ,Computer-assisted web interviewing ,Anxiety ,Stress ,Health(social science) ,03 medical and health sciences ,Young Adult ,0302 clinical medicine ,Surveys and Questionnaires ,Pandemic ,Stress (linguistics) ,medicine ,Prevalence ,Humans ,030212 general & internal medicine ,Pandemics ,Depression (differential diagnoses) ,Aged ,Original Paper ,business.industry ,Depression ,SARS-CoV-2 ,Public Health, Environmental and Occupational Health ,COVID-19 ,Middle Aged ,Mental health ,030227 psychiatry ,Psychiatry and Mental health ,Cross-Sectional Studies ,Mental Health ,Social Isolation ,Quarantine ,Corona ,Female ,medicine.symptom ,business ,COVID 19 ,Stress, Psychological ,Clinical psychology - Abstract
Uncertainty and isolation have been linked to mental health problems. Uncertainty surrounding the COVID-19 pandemic has the potential to trigger mental health problems, which include anxiety, stress, and depression. This paper evaluates the prevalence, psychological responses, and associated correlates of depression, anxiety, and stress in a global population during the Coronavirus Disease (COVID-19) pandemic. A cross-sectional study design was adopted. 678 completed forms were collected during the COVID-19 quarantine/lockdown. An online questionnaire was designed and DASS-21 was used as the screening tool. A non-probability sampling technique strategy was applied. 50.9% of participants showed traits of anxiety, 57.4% showed signs of stress, and 58.6% exhibited depression. Stress, anxiety, and depression are overwhelmingly prevalent across the globe during this COVID-19 pandemic, and multiple factors can influence the rates of these mental health conditions. Our factorial analysis showed notable associations and manifestations of stress, anxiety, and depressive symptoms. People aged 18-24, females, and people in non-marital relationships experienced stress, anxiety, and depression. Separated individuals experienced stress and anxiety. Married people experienced anxiety. Single and divorced people experienced depression. Unemployed individuals experienced stress and depression. Students experienced anxiety and depression. Canada, the UK, and Pakistan are all countries that are experiencing stress and depression as a whole. An extended number of days in quarantine was associated with increased stress, anxiety, and depression. Family presence yielded lower levels of stress, anxiety, and depression. Lastly, lack of exercise was associated with increased stress, anxiety, and depression.
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- 2020
20. Introducing Compassionate and Relational Enquiry (CARE): A Three-Day Training for Mental Health Clinicians on Relational Ways of Working.
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Razzaque, Russell and Mckenzie, Emma
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NATIONAL health services , *EMPATHY , *MENTAL health services , *HUMAN services programs , *INTERPROFESSIONAL relations , *COMPASSION , *QUESTIONNAIRES , *PHYSICIANS' attitudes , *DESCRIPTIVE statistics , *THEMATIC analysis , *PATIENT-centered care , *ABILITY , *THERAPEUTIC alliance , *DATA analysis software , *TRAINING - Abstract
Research shows that, in mental healthcare, empathy and active listening skills play a fundamental role in the therapeutic relationship. Despite this, clinicians receive little training in cultivating these qualities, and there is a dearth of training in therapeutic relationships and relational care in this field more generally. In response to this paucity of training, a new intensive three-day training programme has been developed called Compassionate and Relational Enquiry (CARE). The CARE training programme has recently been delivered to a number of mental health teams in different boroughs of an NHS Trust and has undergone several rounds of redevelopment. This paper outlines the CARE training programme's objectives and mode of delivery, and subsequently presents questionnaire results from recent CARE trainees regarding their experience of the nature and utility of the training. Four main themes emerged from responses to the question of the utility of the training, these were 'A shift towards more person-centred care', 'Strengthens the therapeutic relationship', 'Facilitates more collaborative care with patients and their families' and 'Development of new skills and therapeutic techniques'. The paper concludes by discussing the potential of this training to help forge a substantial shift in the culture of mental health services in a systemic way. [ABSTRACT FROM AUTHOR]
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- 2024
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21. Critical Issues in Leadership Development for Peer Support Specialists
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Michael S. Shafer, Nicole Janich, and G. Trey Jenkins
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Counseling ,Health (social science) ,Health Personnel ,Supervision ,Peer support ,Lived experience ,03 medical and health sciences ,0302 clinical medicine ,Recovery ,Spirituality ,Humans ,Healthcare workforce ,030212 general & internal medicine ,Qualitative Research ,Original Paper ,Leadership development ,ComputingMilieux_THECOMPUTINGPROFESSION ,business.industry ,Public Health, Environmental and Occupational Health ,Professional communication ,Public relations ,Focus group ,030227 psychiatry ,Psychiatry and Mental health ,Leadership ,Push and pull ,Personal experience ,business ,Psychology ,Specialization - Abstract
This paper is a qualitative analysis of perspectives on leadership development among working peer support specialists and highlights the challenges, needs and efficacy these individuals experience in their work settings. Six participants engaged in a 2 h semi-structured focus group. Participants were guided through a series of nine questions regarding their transition to leadership, professional communication and relationships. Seven themes emerged: managing dual relationships; having difficult conversations; push and pull of leadership; taking responsibility for others; taking responsibility for self-care; addressing stigma in the workplace, and, spirituality/a calling to help. These professionals integrate their personal experiences of recovery into their direct care and leadership approaches in the workplace. This blending of recovery concepts and supervision approaches reflect some of the powerful elements that peer recovery specialists are uniquely qualified to lead in the healthcare workforce. These findings provide important implications for leadership development among this growing segment of the healthcare workforce.
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- 2020
22. The ParentingWell Learning Collaborative Feasibility Study: Training Adult Mental Health Service Practitioners in a Family-Focused Practice Approach
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Joanne Nicholson, Kelly English, and Miriam Heyman
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Adult ,Mental Health Services ,Parents ,Health (social science) ,Psychological intervention ,Exploratory research ,Practitioner training ,Coaching ,03 medical and health sciences ,0302 clinical medicine ,Humans ,Learning ,030212 general & internal medicine ,Medical education ,Original Paper ,business.industry ,Debriefing ,Parents with mental illness ,Public Health, Environmental and Occupational Health ,Mentoring ,Collaborative learning ,Mental health ,Learning collaborative ,030227 psychiatry ,Psychiatry and Mental health ,Helpfulness ,Feasibility Studies ,Psychology ,business ,Qualitative research ,Family-focused practice - Abstract
This study investigates the feasibility and impact of the ParentingWell Learning Collaborative (PWLC) model in supporting mental health practitioners in implementing the family-focused ParentingWell practice approach with adults with mental illness. An exploratory design and qualitative methods were employed. Practitioners (n = 29) participated in in-person orientation, training and debriefing sessions; virtual coaching sessions; and via an interactive online hub. Researchers obtained data on participant engagement and satisfaction, and participants’ reports of use, helpfulness, intention to use and impact. Participants were engaged in and highly satisfied with the PWLC. They deployed PWLC skills, tools and resources with parents. Evidence of impact was provided at the personal, practice and organizational levels. This study provides preliminary support for the feasibility and impact of the PWLC. Clear specification of a theoretically-based training model for practitioners is an essential step in adapting, implementing and testing interventions in new contexts .
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- 2021
23. Is Coping with Stigma by Association Role-Specific for Different Family Members? A Qualitative Study with Bipolar Disorder Patients’ Relatives
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Hélène Richard-Lepouriel, Sophie Favre, and Jean-Michel Aubry
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Coping (psychology) ,Health (social science) ,Bipolar Disorder ,Social Stigma ,Stigma (botany) ,03 medical and health sciences ,0302 clinical medicine ,Adaptation, Psychological ,medicine ,Humans ,Family ,030212 general & internal medicine ,Bipolar disorder ,Social isolation ,Association (psychology) ,Qualitative Research ,Family roles ,Original Paper ,Stigma by association ,Perspective (graphical) ,Public Health, Environmental and Occupational Health ,Targeted interventions ,medicine.disease ,Relatives ,030227 psychiatry ,Psychiatry and Mental health ,medicine.symptom ,Qualitative study ,Coping ,Psychology ,Clinical psychology ,Qualitative research - Abstract
Trying to cope with stigma by association (SBA) often results in behaviors leading to social isolation and withdrawal. This study aimed at exploring the stigma-related experiences of family members of persons living with bipolar disorder (PW-BD). A semi-structured interview was conducted with relatives of PW-BD. Open-ended questions addressed three issues: awareness of public stigma of bipolar disorder, experiences of associative stigma, and ways of coping with experiences of SBA. Data were collected from a purposive sample of 21 family members. Experiences of SBA were specifically related to the different family roles. Parents had to deal with responsibility, partners with the choice of staying or not, and siblings with “a sort of duty.” These specific prejudices enhanced specific coping strategies. This is the first study to highlight specific issues and coping from the perspective of family members. Based on these findings, specific targeted interventions could be developed.
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- 2021
24. Rising Mental Health Incidence Among Adolescents in Westchester, NY
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Rosy Chhabra, Saroja Rao, and A. Ravishankar Rao
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Adult ,Mental Health Services ,Health (social science) ,Adolescent ,New York ,Disease ,Big data analytics ,03 medical and health sciences ,0302 clinical medicine ,Health care ,Medicine ,Humans ,030212 general & internal medicine ,Healthcare data ,Child ,Government ,Original Paper ,business.industry ,Incidence (epidemiology) ,Incidence ,Mental Disorders ,Public Health, Environmental and Occupational Health ,Infant, Newborn ,Infant ,Middle Aged ,Mental health ,030227 psychiatry ,Psychiatry and Mental health ,Mental Health ,Analytics ,Child, Preschool ,Female ,business ,Demography - Abstract
Context Many governments have publicly released healthcare data, which can be mined for insights about disease conditions, and their impact on society. Methods We present a big-data analytics approach to investigate data in the New York Statewide Planning and Research Cooperative System (SPARCS) consisting of 20 million patient records. Findings Whereas the age group 30–48 years exhibited an 18% decline in mental health (MH) disorders from 2009 to 2016, the age group 0–17 years showed a 5.4% increase. MH issues amongst the age group 0–17 years comprise a significant expenditure in New York State. Within this age group, we find a higher prevalence of MH disorders in females and minority populations. Westchester County has seen a 32% increase in incidences and a 41% increase in costs. Conclusions Our approach is scalable to data from multiple government agencies and provides an independent perspective on health care issues, which can prove valuable to policy and decision-makers.
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- 2021
25. Closing the Gap: Increasing Community Mental Health Services in Rural Indiana
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Sara Farmer, Sam Harrell, Kristi Schultz, and Carol Hostetter
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Mental Health Services ,Rural Population ,Indiana ,Health (social science) ,media_common.quotation_subject ,Health Services Accessibility ,Mental health service ,03 medical and health sciences ,0302 clinical medicine ,Social work ,Humans ,Rural ,030212 general & internal medicine ,Sociology ,Mental health service delivery ,media_common ,Original Paper ,business.industry ,Closing (real estate) ,Public Health, Environmental and Occupational Health ,Public relations ,Mental health ,Texas ,Community Mental Health Services ,030227 psychiatry ,Psychiatry and Mental health ,Churches ,Rural Health Services ,Rural area ,business - Abstract
Due to the significant need for mental health services in rural Martin County, IN and lack of providers, this study examined the current strengths of the community as well as the barriers preventing mental health service delivery. The goal of the study was to propose community-specific solutions to overcoming the barriers. Using a strengths-based approach (Saleeby in The strengths perspective in social work practice, Longman, White Plains, NY, 1992), the authors first sought to understand Martin County residents’ current experiences with mental health services. Second, the authors sought to understand Martin County residents’ opinions about church/mental health partnerships. As a result of this analysis, the authors comprised a list of feasible and sustainable recommendations for Martin County and similar rural areas that incorporate the strengths in the community, address their identified challenges, and thus created a model for mental health service provision that can be replicated in other rural communities with similar strengths as well as similar challenges.
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- 2021
26. “I Think Peer Support Helps to Demystify People Who Have Mental Health Issues and Helps to Remove That Stigma”: Exploring the Defining Characteristics and Related Challenges of Youth Peer Support Through Participatory Research
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Halsall, Tanya, Daley, Mardi, Hawke, Lisa D., Henderson, Jo, Wilson, Anne, and Matheson, Kimberly
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- 2024
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27. Suicidal Behaviors and Risk Taking Among Homeless Individuals: A Systematic Review and Meta-Analysis.
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Armoon, Bahram, Griffiths, Mark D., Mohammadi, Rasool, and Ahounbar, Elaheh
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SUICIDE risk factors ,RISK-taking behavior ,ONLINE information services ,MEDICAL databases ,SUBSTANCE abuse ,META-analysis ,HEALTH services accessibility ,SYSTEMATIC reviews ,POST-traumatic stress disorder ,SUICIDAL ideation ,RISK assessment ,HEALTH behavior ,DESCRIPTIVE statistics ,HOMELESSNESS ,SOCIODEMOGRAPHIC factors ,MEDLINE ,MENTAL illness ,MENTAL health services ,HEALTH promotion - Abstract
The present systematic review and meta-analysis study aimed to determine sociodemographic characteristics, risky behaviors, mental health disorders, and substance use disorders associated with suicide behaviors including suicidal ideation and suicide attempts among homeless individuals. PubMed, Scopus, Web of Science, and Cochrane Library databases were searched to identify the relevant studies published between January 1, 1995 and November 1, 2022. After initial evaluation of 9,094 papers, a total of 23 studies met the eligibility criteria. Results of the present study showed that chronic physical illnesses, violent behaviors, mood and psychotic disorders, and substance use disorders were significantly associated with both suicidal ideation and suicide attempts, while being older, having a history of physical abuse, and having mood and post-traumatic stress disorders were associated with suicide attempts only. The present study's findings suggest a crucial need for facilitating access to mental healthcare plans and promoting mental healthcare seeking among homeless individuals. [ABSTRACT FROM AUTHOR]
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- 2023
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28. My Space, Your Space, Our Space: Exploring the Potential of Collaborative Group Facilitation Between Therapists and Peer Workers in Mental Health Settings.
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Hillman, Kirsten, Pedlar, David, and Bibb, Jennifer
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MENTAL illness treatment ,PROFESSIONAL ethics ,WORK ,PEER counseling ,MUSIC therapy ,TREATMENT effectiveness ,EXPERIENCE ,SOCIAL boundaries ,INTERPROFESSIONAL relations ,EXPERIENTIAL learning - Abstract
This paper explores the potential of collaborative group facilitation between therapists and peer workers in mental health. A case study of co-practice between a music therapist and a peer worker is used to illustrate how lived experience expertise can enrich and complement therapeutic groups. The paper aims to begin a discussion around collaborative group facilitation within mental health practice and to advocate for continued development of collaborative practice between peer workers and therapists. Experiences of collaboration are explored through the case study provided using a synthesis of the authors' reflections and dialogue. The importance of role negotiation, role definition, and open communication around changing roles and boundaries are discussed as key considerations for beginning collaborations, as well as the establishment and maintenance of a foundation of trust and support within the working relationship. [ABSTRACT FROM AUTHOR]
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- 2022
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29. Evolvement of Peer Support Workers’ Roles in Psychiatric Hospitals: A Longitudinal Qualitative Observation Study
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Jochen Vollmann, Anna Werning, Georg Juckel, Jakov Gather, Ina Otte, and Alexa Nossek
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Adult ,Hospitals, Psychiatric ,medicine.medical_specialty ,Health (social science) ,Process (engineering) ,Adult psychiatry ,Medizin ,Experienced involvement ,Peer support ,Peer Group ,Mental healthcare ,Qualitative empirical research ,03 medical and health sciences ,0302 clinical medicine ,Germany ,medicine ,Experiential knowledge ,Humans ,030212 general & internal medicine ,Longitudinal Studies ,Psychiatry ,Qualitative observation ,Qualitative Research ,Original Paper ,Public Health, Environmental and Occupational Health ,Individual development ,030227 psychiatry ,Psychiatry and Mental health ,Implementation ,Qualitative content analysis ,Psychology - Abstract
Peer support workers (PSWs) use their experiential knowledge and specific skills to support patients in their recovery process. The aim of our study was to examine the integration and role-finding process of PSWs in adult psychiatric hospitals in Germany. We conducted open nonparticipant observations of 25 multiprofessional team meetings and 5 transregional peer support worker meetings over a period of six months. The data were analyzed using qualitative content analysis. Regarding the integration of PSWs into multiprofessional teams, we identified three subcategories: “Features of success,” “challenges” and “positioning between team and patients.” Concerning the PSWs’ roles, we developed two subcategories: “Offers” and “self-perception.” The PSWs’ specific roles within a multiprofessional mental healthcare team evolve in a process over a longer period of time. This role-finding process should be supported by a framework role description which leaves sufficient freedom for individual development. Regular opportunities for mutual exchange among PSWs can help to address specific support needs at different points in time.
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- 2020
30. Task Sharing or Task Dumping: Counsellors Experiences of Delivering a Psychosocial Intervention for Mental Health Problems in South Africa
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Y. Jacobs, Bronwyn Myers, C. van der Westhuizen, Katherine Sorsdahl, and Carrie Brooke-Sumner
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Counseling ,Training and supervision ,Health (social science) ,Psychological intervention ,Common mental disorders ,Psychosocial Intervention ,03 medical and health sciences ,South Africa ,0302 clinical medicine ,Task sharing ,Nursing ,Dumping ,Humans ,030212 general & internal medicine ,Cluster randomised controlled trial ,Competence (human resources) ,Task-sharing ,Original Paper ,030503 health policy & services ,Debriefing ,Public Health, Environmental and Occupational Health ,Mental health ,Psychiatry and Mental health ,Counselors ,Mental Health ,0305 other medical science ,Psychology ,Psychosocial - Abstract
Given task-sharing mental health counselling to non-specialist providers is a recognised strategy to increase service capacity, ensuring that their training, supervision, and support needs are met is necessary to facilitate the sustainable delivery of a high-quality service. Using in-depth interviews, we qualitatively explored the experiences of 18 facility-based counsellors (FBCs) tasked with delivering a counselling intervention within chronic disease services offered within primary care facilities participating in the project MIND cluster randomised controlled trial. Findings show that project MIND training with a strong emphasis on role playing and skills rehearsal improved FBCs’ confidence and competence, complemented by highly structured supervision and debriefing provided by a registered counsellor, were key strategies for supporting the implementation of task-shared mental health counselling. FBCs perceived many benefits to providing mental health counselling in primary healthcare but systemic interventions are needed for sustained implementation.
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- 2020
31. Recovery in supported accommodations
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Jaap van Weeghel, Chijs van Nieuwenhuizen, Diana Roeg, and Neis Bitter
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Gerontology ,Occupational therapy ,REHABILITATION ,medicine.medical_specialty ,Health (social science) ,SELF-ESTEEM ,Psychological intervention ,Poison control ,MUSIC-THERAPY ,Suicide prevention ,law.invention ,03 medical and health sciences ,Supported accommodation ,Supported housing ,0302 clinical medicine ,Randomized controlled trial ,law ,Health care ,SOCIAL-SKILLS ,Severe mental illness ,medicine ,Humans ,030212 general & internal medicine ,Mental health recovery ,OLDER-ADULTS ,Original Paper ,business.industry ,Mental Disorders ,Public Health, Environmental and Occupational Health ,Human factors and ergonomics ,NURSING INTERVENTION ,RANDOMIZED CONTROLLED-TRIAL ,Mental illness ,medicine.disease ,030227 psychiatry ,Psychiatry and Mental health ,OCCUPATIONAL-THERAPY ,Societal participation ,COGNITIVE REMEDIATION ,HEALTH-CARE ,business - Abstract
Research on the recovery domains beside clinical recovery of people with severe mental illness in need of supported accommodations is limited. The aim of this study was (1) to investigate which recovery interventions exist for this group of people and (2) to explore the scientific evidence. We conducted a scoping review, including studies with different designs, evaluating the effectiveness the recovery interventions available. The search resulted in 53 eligible articles of which 22 focused on societal recovery, six on personal recovery, five on functional recovery, 13 on lifestyle-interventions, and seven on creative and spiritual interventions. About a quarter of these interventions showed added value and half of them initial promising results. The research in this area is still limited, but a number of recovery promoting interventions on other areas than clinical recovery have been developed and evaluated. Further innovation and research to strengthen and repeat the evidence are needed.
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- 2020
32. Risk Factors of Metabolic Syndrome Among Patients Receiving Antipsychotics: A Retrospective Study
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Hammoudeh, Samer, Al Lawati, Hawra, Ghuloum, Suhaila, Iram, Huma, Yehya, Arij, Becetti, Imen, Al-fakhri, Nora, Ghabrash, Hany, Shehata, Mena, Ajmal, Nighat, Amro, Iman, Safdar, Hira, Eltorki, Yassin, and Al-Amin, Hassen
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Male ,Metabolic Syndrome ,Public health ,Original Paper ,Retrospective ,Clinical sciences ,Arabs ,Risk Factors ,Antipsychotics ,Humans ,Mental health ,Prospective Studies ,Qatar ,Antipsychotic Agents ,Retrospective Studies - Abstract
This study aimed to assess the differential effects of first-generation (FGA) and second-generation antipsychotics (SGA) on the prevalence of risk factors for metabolic syndrome among mentally ill patients in Qatar. We also wanted to check if there is proper adherence with the guidelines for prescribing antipsychotics and the monitoring of metabolic effects in this population. We collected the available retrospective data (socio-demographic, psychiatric, anthropometric, and metabolic measures) from the records of 439 patients maintained on antipsychotics. The majority were males, married, employed, having a psychotic disorder, and receiving SGA. Patients on SGA showed more obesity, higher BP, and more elevated triglycerides compared to those on FGA. The prevalence of the abnormal metabolic measures was high in this sample, but those on SGA showed a significantly higher prevalence of abnormal body mass index and BP. Obesity and hypertension were common in patients maintained on antipsychotics, especially those on SGA. Polypharmacy was common, and many metabolic measures were not monitored properly in those maintained on antipsychotics. More prospective studies with guided monitoring of the patients' clinical status and metabolic changes are needed to serve better this population of patients.Other Information Published in: Community Mental Health Journal License: https://creativecommons.org/licenses/by/4.0See article on publisher's website: http://dx.doi.org/10.1007/s10597-019-00537-y
- Published
- 2019
33. Correlation Between Subjective Happiness and Pleasant Activities at Workplace in Nursing Staff for Older Individuals in Japan
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Shinya Takeda, Md. Sahab Uddin, Atsumi Hiramoto, Masahiko Inoue, and Shigeki Nakayama
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Health (social science) ,Nursing staff ,genetic structures ,Happiness ,complex mixtures ,Correlation ,03 medical and health sciences ,0302 clinical medicine ,Pleasant activities ,Japan ,Surveys and Questionnaires ,Humans ,030212 general & internal medicine ,Workplace ,Subjective happiness ,Original Paper ,030504 nursing ,Public Health, Environmental and Occupational Health ,Mental health ,Work experience ,Psychiatry and Mental health ,Scale (social sciences) ,Nursing Staff ,0305 other medical science ,Psychology ,Clinical psychology - Abstract
The purpose of this study was to investigate the correlations between nursing staff’s mental health, number of years worked, night shifts performed, and pleasant activities at the workplace. One hundred forty-three subjects who had no missing data were analyzed. Questions consisted of basic attributes, subjective happiness scale (SHS), and pleasant activities conducted at the workplace. Denouements of SHS indicated a significant trend for the main effect, with more pleasant activities in the high SHS group than the low SHS group. The interaction was significant, with fewer pleasant activities in participants in the low SHS group who worked the night shift compared with those who worked the night shift regardless of work experience. The outcomes of this study suggest that it is essential to expand the repertoire of pleasant activities at the workplace to increase the subjective happiness of nursing staff for older individuals.
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- 2019
34. Perception of Community Pharmacists in Malaysia About Mental Healthcare and Barriers to Providing Pharmaceutical Care Services to Patients with Mental Disorders
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Zhi Jean Wong, Sabrina Anne Jacob, Yin Xuan Wong, Ab Fatah Ab Rahman, and Tahir Mehmood Khan
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Adult ,Male ,medicine.medical_specialty ,RM ,Health Knowledge, Attitudes, Practice ,Health (social science) ,Adolescent ,Attitude of Health Personnel ,media_common.quotation_subject ,BF ,Pharmacists ,030226 pharmacology & pharmacy ,Mental healthcare ,03 medical and health sciences ,0302 clinical medicine ,Pharmaceutical care ,Professional Role ,Perception ,medicine ,Humans ,Lack of knowledge ,030212 general & internal medicine ,Medical prescription ,media_common ,Aged ,Original Paper ,Psychotropic Drugs ,Psychotropics ,Mental Disorders ,Public Health, Environmental and Occupational Health ,Malaysia ,Middle Aged ,Community pharmacist ,Psychiatry and Mental health ,Cross-Sectional Studies ,Mental Health ,Family medicine ,Pharmaceutical Services ,Mental health care ,Female ,Psychology ,RA - Abstract
The aim of this study was to assess community pharmacists’ perceptions toward mental healthcare, and the barriers faced in providing pharmaceutical care services to these patients. A 40-item survey was posted to community pharmacists. Ninety-six pharmacists participated. The majority (84.2%) agreed there is a role for community pharmacists to play in mental health care, while approximately 60% agreed it is their responsibility to provide pharmaceutical care to these patients. The biggest barrier to providing this service is the lack of knowledge, cited by close to 50% of respondents. This corresponds with the revelation that close to 60% believe that they have a poor or fair understanding of mental disorders. About 30% of respondents said they do not stock psychotropic drugs at all, mainly due to medico-legal reasons, and low prescription requests. Our findings highlight the need for more training of community pharmacists in managing patients with mental disorders.
- Published
- 2019
35. Challenges Experienced by Behavioral Health Organizations in New York Resulting from COVID-19: A Qualitative Analysis
- Author
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Michelle Zechner, Sean Karyczak, Pamela Rothpletz-Puglia, Kenneth J. Gill, Joni N. Dolce, Ann A. Murphy, and Francine M. Bates
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Mental Health Services ,Health (social science) ,Service delivery framework ,media_common.quotation_subject ,New York ,Telehealth ,Health(social science) ,Behavioral Medicine ,03 medical and health sciences ,0302 clinical medicine ,Surveys and Questionnaires ,Health care ,Agency (sociology) ,Humans ,030212 general & internal medicine ,Qualitative Research ,media_common ,Original Paper ,SARS-CoV-2 ,business.industry ,Communication ,Public Health, Environmental and Occupational Health ,COVID-19 ,Behavioral health ,Public relations ,Business operations ,Service delivery ,Telemedicine ,030227 psychiatry ,Psychiatry and Mental health ,Organizational communication ,Survey data collection ,Female ,Grief ,business ,Delivery of Health Care ,Content analysis - Abstract
This paper presents a qualitative content analysis of survey data collected from behavioral health care providers from throughout New York regarding the challenges faced as a result of COVID-19. Survey responses from 295 agency and program administrators and staff, representing 238 organizations, were analyzed. Ten themes were identified: business operations, service provision, telehealth, safety, client concerns, staff concerns, supplies, technology, illness/grief/loss, and communication. These themes represent concerns that arose from the rapid transition to widespread use of telehealth, limited technology accessibility for both staff and clients, reduced revenue and billing changes, impact of COVID-19 infection itself and subsequent deaths of clients and staff, and necessary modifications for organizational communication both internally and externally. The implications of these challenges and the need for further research to identify how to best address them are discussed.
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- 2020
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36. Cracks that Let the Light in: Collective Reflections on Integrating Lived Experience of Psychosis in Research and Policy in the Context of a Global Commission.
- Author
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Lee, Ying Ying, Buyanga, Musa, Mehta, Akriti, Omowunmi, Olayinka Aturu, Ryan, Grace, Sunkel, Charlene, Vasquez, Alberto, and Jones, Nev
- Subjects
POLICY sciences ,PATIENT selection ,PSYCHIATRY ,GROUP identity ,MENTAL health ,HUMAN research subjects ,ETHNOLOGY research ,POPULATION geography ,EXPERIENCE ,ATTITUDE (Psychology) ,PSYCHOSES ,PRACTICAL politics ,PATIENT participation ,CULTURAL pluralism - Abstract
Within psychiatric research fields, there has been a marked uptick of interest in service user involvement in recent years. Nevertheless, it is often unclear how robust or impactful common forms of inclusion are, and the extent to which they have included individuals with psychosis. Using collective auto-ethnography, this paper describes the experiences of 8 academic and non-academic members of the 'lived experience' and participatory research workgroup of a global psychosis Commission and our navigation of power and power hierarchies, differences in background and training, and multiple vectors of identity, diversity, and privilege. We conclude that the realities of "involvement" are much messier, more fraught, and less intrinsically empowering than often signaled in calls for involvement and co-production. We nevertheless stress the power of collective dialogue and support—between and among a pluralistic group—and of honesty and transparency about challenges, barriers, and the colonial underpinnings and geopolitics of global mental health. [ABSTRACT FROM AUTHOR]
- Published
- 2023
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- View/download PDF
37. Implementation and Use of a Client-Facing Web-Based Shared Decision-Making System (MyCHOIS-CommonGround) in Two Specialty Mental Health Clinics
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Deborah Layman, Kimberly Hoagwood, Daisy Ng-Mak, Molly Finnerty, Krithika Rajagopalan, Edith Kealey, Elizabeth Austin, and Qingxian Chen
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Mental Health Services ,Health (social science) ,Health information technology ,Specialty ,Peer support ,03 medical and health sciences ,0302 clinical medicine ,Nursing ,Web application ,Humans ,030212 general & internal medicine ,Shared decision-making ,Original Paper ,Internet ,User profile ,business.industry ,Mental Disorders ,Public Health, Environmental and Occupational Health ,Patient Preference ,Mental health ,Serious mental illness ,030227 psychiatry ,Psychiatry and Mental health ,Workflow ,Implementation ,business ,Psychology ,Medicaid ,Decision Making, Shared - Abstract
Electronic shared-decision making programs may provide an assistive technology to support physician–patient communication. This mixed methods study examined use of a web-based shared decision-making program (MyCHOIS-CommonGround) by individuals receiving specialty mental health services, and identified qualitative factors influencing adoption during the first 18 months of implementation in two Medicaid mental health clinics. T-tests and χ2 analyses were conducted to assess differences in patient use between sites. Approximately 80% of patients in both clinics created a MyCHOIS-CommonGround user profile, but marked differences emerged between clinics in patients completing shared decision-making reports (79% vs. 28%, χ2(1) = 109.92, p
- Published
- 2018
38. Tele-Mental Health Utilization Among People with Mental Illness to Access Care During the COVID-19 Pandemic
- Author
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Graziela Reis, Anthony J. Pavlo, Chyrell Bellamy, Larry Davidson, Katherine Ponte, and Mark Costa
- Subjects
Adult ,Male ,Mental Health Services ,Coping (psychology) ,Health (social science) ,media_common.quotation_subject ,Health Services Accessibility ,Health(social science) ,03 medical and health sciences ,Social support ,0302 clinical medicine ,Nursing ,Tele-mental health ,Surveys and Questionnaires ,Pandemic ,medicine ,Humans ,030212 general & internal medicine ,Social isolation ,Pandemics ,Qualitative Research ,media_common ,Original Paper ,Resilience ,SARS-CoV-2 ,Mental Disorders ,Public Health, Environmental and Occupational Health ,COVID-19 ,Social Support ,Resilience, Psychological ,Mental illness ,medicine.disease ,Mental health ,Telemedicine ,030227 psychiatry ,Self Care ,Psychiatry and Mental health ,Mental Health ,Female ,Psychological resilience ,medicine.symptom ,Psychology ,Qualitative research - Abstract
Shortly after the COVID-19 pandemic arrived at the United States, mental health services moved towards using tele-mental health to provide care. A survey about resilience and tele-mental health was developed and conducted with ForLikeMinds' members and followers. Correlational analysis was used to examine relationships between quantitative variables. A phenomenological approach was used to analyze open questions responses. Sixteen percent of participants were coping well with the pandemic; 50% were coping okay; and 34% said that they were coping poorly. Three main themes emerged from the qualitative analysis: accessibility to care; self-care strategies; and community support and relationship. The responses from participants seems to reflect the combination of two main factors-the challenges they were facing in accessing care through tele-mental health plus the mental health consequences from COVID-19. This survey reflects the importance of building innovative strategies to create a working alliance with people who need care through tele-mental health.
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- 2021
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39. A Framework for the Community Psychiatrist’s Role in the COVID-19 Response
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Jeffrey C. Fetter
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Adult ,Male ,Health (social science) ,Social distancing ,Physical Distancing ,Health(social science) ,03 medical and health sciences ,0302 clinical medicine ,Nursing ,Physicians ,Agency (sociology) ,Pandemic ,Humans ,030212 general & internal medicine ,Set (psychology) ,Physician's Role ,Pandemics ,Service (business) ,Psychiatry ,Original Paper ,SARS-CoV-2 ,Social distance ,Public Health, Environmental and Occupational Health ,COVID-19 ,Community psychiatry ,Middle Aged ,Mental health ,030227 psychiatry ,Psychiatry and Mental health ,Scale (social sciences) ,Absenteeism ,Female ,SPMI ,Psychology - Abstract
The COVID-19 pandemic has disrupted community mental health center (CMHC) operations by limiting in-person access to patients and contributing to staff absenteeism. States adjust social distancing levels over time in response to changes in economic needs, healthcare system utilization, and COVID-19 virus transmission levels. Community mental health centers also need to balance service needs with infection risk, which requires adjusting social distancing levels in response to changes in the local conditions. This article will: (1) briefly describe epidemiological indicators most useful for judging the local infection trends, (2) describe a strategy for organizing specific agency clinical functions on a social distancing level scale, (3) propose a set of agency phases to inform administrative responses to changes in the risk to operations, and (4) discuss the role of psychiatrists as physicians in a mental health agency during a pandemic.
- Published
- 2021
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40. Short-Term Changes in Behaviors Resulting from COVID-19-Related Social Isolation and Their Influences on Mental Health in Ghana
- Author
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Fidelis Quansah, Henry Kofi Mensah, Samuel Worlanyo Mensah, Edwin Mends-Brew, Frank Frimpong Opuni, and Nestor Asiamah
- Subjects
Adult ,Male ,Health (social science) ,Adolescent ,Coronavirus disease 2019 (COVID-19) ,Sexual Behavior ,Health Behavior ,Ghana ,Health(social science) ,Young Adult ,03 medical and health sciences ,0302 clinical medicine ,Environmental health ,medicine ,Humans ,030212 general & internal medicine ,Social isolation ,Public education ,Original Paper ,Behavior ,SARS-CoV-2 ,Social distance ,Public Health, Environmental and Occupational Health ,COVID-19 ,Regression analysis ,Sedentary behavior ,Middle Aged ,Mental health ,030227 psychiatry ,Term (time) ,Psychiatry and Mental health ,Mental Health ,Female ,medicine.symptom ,Psychology - Abstract
This study assessed the behavioral outcomes of Coronavirus 2019 (COVID-19) social distancing protocols and their influences on mental health. An online survey hosted by Survey Monkey was utilized to collect data from residents of three Ghanaian cities of Accra, Kumasi and Tamale. A total of 621 surveys were analyzed, with a sensitivity analysis utilized to select covariates for the regression model. The average age of participants was about 36 years. Findings indicate that reduced physical activity time and a change in sexual activity and smoking frequency are some short-term changes in behavior resulting from social isolation during the lockdown. An increase in sedentary behavior had a negative influence on mental health. For the most part, changes in behaviors in the short-term were associated with lower mental health scores. The study implied that COVID-19 social distancing measures should be implemented alongside public education for discouraging unhealthy changes in behaviors.
- Published
- 2020
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41. UPSIDES Mental Health Peer Support in Face of the COVID-19 Pandemic: Actions and Insights.
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Goldfarb, Yael, Grayzman, Alina, Meir, Lion Gai, Grundman, Shimri Hadas, Rabinian, Meirav, Lachman, Max, Epstein, Paula Garber, Ben-Dor, Inbar Adler, Naaman, Adi, Puschner, Bernd, and Moran, Galia S.
- Subjects
AFFINITY groups ,SOCIAL support ,SOCIAL networks ,TELECOMMUNICATION ,SUPPORT groups ,INTERPERSONAL relations ,COVID-19 pandemic ,MENTAL health services ,SOCIAL integration ,MENTAL illness - Abstract
The outburst of the COVID-19 pandemic challenged vulnerable populations such as individuals with significant mental illness. In this fresh focus, we describe the innovative development of the UPSIDES mental health peer support intervention, in face of the COVID-19 pandemic in Israel. While the research program is still ongoing, in this paper we focus on the processes and lessons learned from dealing with the rapidly changing circumstances of the pandemic. We portray additional activities conducted above and beyond the UPSIDES protocol in order to maintain continuation and prevent dropout. We learned that an essential combination of keeping a close adherence with the core peer principles and UPSIDES' systematic program and the use of flexible telecommunication means, helped to maintain social connection and service users' participation throughout these times. The sudden pandemic challenges appeared to level out power imbalances and accelerated the formation of reciprocal and supportive relational interactions within the intervention. These processes highlight experiential knowledge as a unique asset, and peer support services as useful in supporting individuals with significant mental illness throughout COVID-19. [ABSTRACT FROM AUTHOR]
- Published
- 2024
- Full Text
- View/download PDF
42. Promoting Health Equity Through Voter Support Activities for the Inpatient Psychiatric Population.
- Author
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Graziane, Julie, Dalke, Katharine B., Mikoluk, Cezary, Laux, Thomas, Pradhan, Sandeep, Zhu, Junjia, Zug, David, Noel, Jason, Bowen, Joy L., and Kunkel, Elisabeth J.S.
- Subjects
PSYCHOTHERAPY patients ,HOSPITAL patients ,PERSONAL space ,VOTING ,ELECTIONS ,SELF-efficacy ,PSYCHOSOCIAL factors ,HEALTH equity ,POLITICAL participation ,PSYCHIATRIC hospitals ,MENTAL illness - Abstract
Individuals with mental illness often face barriers to voting. One of the primary barriers is not being registered to vote. This paper describes voter support activities (VSAs) provided to hospitalized adults on the acute inpatient psychiatric units at Pennsylvania Psychiatric Institute. During the six weeks preceding the 2020 general election, adult inpatients were offered six VSAs and an optional survey examining previous voting behaviors and barriers encountered to voting. VSAs included checking voter registration status and polling location, completing a paper or electronic voter registration application, and requesting a mail-in ballot. Of 189 patients approached, 119 individuals participated in the survey and 60 individuals utilized at least one VSA. This project demonstrates that VSAs are a welcome and feasible resource for psychiatrically hospitalized adults. Psychiatric providers can serve an important role in promoting access to voting-related activities for their patients. [ABSTRACT FROM AUTHOR]
- Published
- 2023
- Full Text
- View/download PDF
43. Implementing COVID-19 Mitigation in the Community Mental Health Setting: March 2020 and Lessons Learned
- Author
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Meaghan Mormann, Raza Haque, Todd Lewicki, Isabella Theresa Felzer-Kim, Zakia Alavi, and Ali R. Haque
- Subjects
Michigan ,Health (social science) ,Community Mental Health Centers ,Mental and physical comorbidities and covid-19 ,Service delivery framework ,Contingency management ,Telehealth guidelines ,Task (project management) ,Health(social science) ,03 medical and health sciences ,0302 clinical medicine ,Health care ,Humans ,030212 general & internal medicine ,Pandemics ,COVID ,Psychiatry ,Service (business) ,Original Paper ,Medical education ,SARS-CoV-2 ,business.industry ,Community mental health and covid-19 ,Social distance ,Public Health, Environmental and Occupational Health ,COVID-19 ,Community mental health ,Behavioral health ,Mental health ,Triage ,Community Mental Health Services ,Telemedicine ,030227 psychiatry ,Coronavirus ,Psychiatry and Mental health ,Mental Health ,Business - Abstract
In March 2020, at the beginning of the COVID-19 pandemic, state-funded community mental health service programs (CMHSP) in Michigan, organized into 10 regions known as a “Prepaid Inpatient Health Plan” (PIHP), grappled with the task of developing a modified plan of operations, while complying with mitigation and social distancing guidelines. With the premise that psychiatric care is essential healthcare, a panel of physician and non-physician leaders representing Region 5, met and developed recommendations, and feedback iteratively, using an adaptive modified Delphi methodology. This facilitated the development of a service and patient prioritization document to triage and to deliver behavioral health services in 21 counties which comprised Region 5 PIHP. Our procedures were organized around the principles of mitigation and contingency management, like physical health service delivery paradigms. The purpose of this manuscript is to share region 5 PIHP’s response; a process which has allowed continuity of care during these unprecedented times. Electronic supplementary material The online version of this article (10.1007/s10597-020-00677-6) contains supplementary material, which is available to authorized users.
- Published
- 2020
- Full Text
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44. Depression, Anxiety and Stress Among Indians in Times of Covid-19 Lockdown
- Author
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Masrat Khursheed, Mohammad Ghazi Shahnawaz, Ritika Uniyal, Kaveri Gupta, Korsi Dorene Kharshiing, Neda Haseeb Khan, Usama Rehman, and Drishti Kashyap
- Subjects
Adult ,Male ,medicine.medical_specialty ,Health (social science) ,Coronavirus disease 2019 (COVID-19) ,Mental health professionals ,Health Personnel ,education ,India ,Anxiety ,Stress ,Psychological Distress ,Health(social science) ,03 medical and health sciences ,Young Adult ,0302 clinical medicine ,Surveys and Questionnaires ,Stress (linguistics) ,medicine ,Prevalence ,Humans ,030212 general & internal medicine ,Psychiatry ,Students ,Depression (differential diagnoses) ,Psychiatric Status Rating Scales ,Original Paper ,Health professionals ,Depression ,SARS-CoV-2 ,Public Health, Environmental and Occupational Health ,Psychological distress ,COVID-19 ,Mental health ,Anxiety Disorders ,030227 psychiatry ,Coronavirus ,Distress ,Psychiatry and Mental health ,Mental Health ,Social Isolation ,Quarantine ,Female ,medicine.symptom ,Psychology ,Stress, Psychological - Abstract
Covid-19 has caused significant distress around the globe. Apart from the evident physical symptoms in infected cases, it has caused serious damage to public mental health. India, like other countries, implemented a nationwide lockdown to contain and curb the transmission of the virus. The current research is an attempt to explore psychological distress among people residing in India during the lockdown. Four hundred and three participants were asked to complete a questionnaire with questions around symptoms of depression, anxiety, stress, and family affluence. The results indicated that people who do not have enough supplies to sustain the lockdown were most affected, and family affluence was found to be negatively correlated with stress, anxiety, and depression. Among different professions, students and healthcare professionals were found to experience stress, anxiety, and depression more than others. Despite the current situation, stress, anxiety, and depression were found to be in normal ranges for mental health professionals highlighting their capabilities to remain normal in times of distress. Policymakers and other authorities may take the assistance of mental health professionals to help overcome psychological issues related to Covid-19.
- Published
- 2020
- Full Text
- View/download PDF
45. Reclaiming Self-care: Self-care as a Social Justice Tool for Black Wellness.
- Author
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Wyatt, Janan P. and Ampadu, Gifty G.
- Subjects
RACISM ,BLACK people ,MATHEMATICAL models ,SOCIAL justice ,HEALTH ,THEORY ,HEALTH self-care ,MENTAL health services - Abstract
Black communities face multiple stressors including racism, discrimination, and navigating systems of oppression, all of which affect their mental health and wellbeing. In recent years, the practice of self-care has gained popularity as a strategy to cope with stress and to improve overall health. However, the current discourse often focuses on individual self-care behaviors and excludes systemic and community level factors that encourage, sustain, or inhibit self-care practices. This paper contextualizes a conceptual model of self-care with intersectionality theory and the psychology of liberation framework, in relation to the lived experiences of Black communities. The paper aims to underscore the necessity of self and community care as a tool for social justice, preservation, and resistance against oppressive systems that threaten the mental health and wellness of this community. [ABSTRACT FROM AUTHOR]
- Published
- 2022
- Full Text
- View/download PDF
46. Service Users’ Perceptions of an Outreach Wellbeing Service: A Social Enterprise for Promoting Mental Health
- Author
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Sandra Elaine Hartley
- Subjects
Adult ,Male ,Mental Health Services ,050103 clinical psychology ,Collaborative partnerships ,Health (social science) ,Social enterprise ,Health Promotion ,Anxiety ,Health(social science) ,03 medical and health sciences ,Social support ,0302 clinical medicine ,Patient satisfaction ,Nursing ,Self-management ,Humans ,0501 psychology and cognitive sciences ,030212 general & internal medicine ,Aged ,Retrospective Studies ,Service (business) ,Original Paper ,Wellbeing ,Depression ,05 social sciences ,Public Health, Environmental and Occupational Health ,Social Support ,Middle Aged ,Mental health ,Outreach ,Psychotherapy ,Psychiatry and Mental health ,Health promotion ,Mental Health ,Patient Satisfaction ,Female ,Thematic analysis ,Psychology - Abstract
Inadequate provision and limited access to mental healthcare has been highlighted with the need to offer more contemporary ways to provide clinically effective interventions. This study aimed to present an insight into service users’ perceptions of an outreach Wellbeing Service (WBS), providing psychological therapy in social settings. Descriptive and thematic analysis was undertaken of 50 returned surveys. Comparison of initial and final mental health measures demonstrated a significant improvement in all outcomes with 96% of participants reporting being helped by attending. Participants were assisted to rebuild social connections in a safe and supportive environment and were facilitated to become more self-determining as their resourcefulness to self-manage was cultivated. Situated within different settings within the community, the WBS offers a workable example of a novel approach to supporting and promoting citizens to become more resilient and lead a more fulfilling and independent life in the community.
- Published
- 2017
47. Theoretical and Practical Considerations for Combating Mental Illness Stigma in Health Care
- Author
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Thomas Ungar, Andrew C. H. Szeto, and Stephanie Knaak
- Subjects
Mental Health Services ,medicine.medical_specialty ,Health (social science) ,Social stigma ,Attitude of Health Personnel ,media_common.quotation_subject ,Health Personnel ,Social Stigma ,Psychological intervention ,Stigma (botany) ,Healthcare providers ,Health(social science) ,03 medical and health sciences ,0302 clinical medicine ,Nursing ,Intervention (counseling) ,Health care ,Medicine ,Humans ,030212 general & internal medicine ,Psychiatry ,Set (psychology) ,Intersectoral Collaboration ,media_common ,Original Paper ,Stereotyping ,business.industry ,Mental Disorders ,Public Health, Environmental and Occupational Health ,Mental illness ,medicine.disease ,030227 psychiatry ,Psychiatry and Mental health ,Stigma ,Mental illness stigma ,Anti-stigma interventions ,Anti-stigma model ,Mental health and illness ,Empathy ,Prejudice ,business - Abstract
Reducing the stigma and discrimination associated with mental illness is becoming an increasingly important focus for research, policy, programming and intervention work. While it has been well established that the healthcare system is one of the key environments in which persons with mental illnesses experience stigma and discrimination there is little published literature on how to build and deliver successful anti-stigma programs in healthcare settings, towards healthcare providers in general, or towards specific types of practitioners. Our paper intends to address this gap by providing a set of theoretical considerations for guiding the design and implementation of anti-stigma interventions in healthcare.
- Published
- 2015
48. Generating Actionable Evidence for School-Based Mental Health Service Delivery: Public-Academic Partnership Based Evaluations.
- Author
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Kang-Yi, Christina D., Kuriyan, Aparajita, Kinkler, Grace, Pisciella, Aelesia E., Williams, Tamra, and Wolk, Courtney Benjamin
- Subjects
SCHOOL mental health services ,PUBLIC relations ,EVALUATION of human services programs ,ACADEMIC medical centers ,MATHEMATICAL models ,BEHAVIORAL sciences ,MEDICAL care ,EVIDENCE-based medicine ,MEDICAL care costs ,HUMAN services programs ,HEALTH insurance reimbursement ,THEORY ,RESEARCH funding ,POLICY sciences ,MEDICAID ,HEALTH promotion - Abstract
Public-academic partnership-based program evaluations can generate actionable evidence for policymaking, program design and implementation in improving school-based mental health service delivery. The University of Pennsylvania Center for Mental Health and public behavioral health care agencies in Philadelphia in the United States have evaluated Philadelphia's school mental health programs reimbursable through Medicaid billing since 2008. The variety of evaluations include (1) examining acute mental health service use of children receiving school-based mental health care and Medicaid expenditure, (2) examining children's externalizing and internalizing behaviors to measure school mental health providers' performance, and (3) examining effects of different types of school mental health programs on children's behavioral health functioning, school outcomes, and other out-of-school service use. This paper reports key findings of these evaluations, discusses how programs have been refined based on evaluation results, and shares lessons learned for successful public-academic partnership-based evaluations to promote use of actionable evidence. [ABSTRACT FROM AUTHOR]
- Published
- 2023
- Full Text
- View/download PDF
49. Integrating Substance Misuse Specialists in a Youth Early Psychosis Service: Increasing Mental Health Clinicians' Knowledge and Confidence.
- Author
-
Hopkins, Liza, Whitehead, Richard, and Pedwell, Glenda
- Subjects
SUBSTANCE abuse prevention ,PILOT projects ,PROFESSIONS ,CONFIDENCE ,SOCIAL support ,HEALTH services accessibility ,PSYCHOSES ,ATTITUDES of medical personnel ,QUANTITATIVE research ,ADDICTIONS nursing ,HUMAN services programs ,QUALITY assurance ,COMMUNICATION ,THEMATIC analysis ,MENTAL health services ,EARLY medical intervention - Abstract
Substance misuse and mental health disorders are commonly occurring co-morbidities in young people. This paper reports on a pilot project to embed three specialist Alcohol and Other Drug (AoD) workers to be embedded in a youth early psychosis service to upskill mental health clinicians in managing substance misuse. Evaluation of the project used a mixed methods approach. Quantitative results showed that clinical staff members' knowledge of substance misuse, knowledge of AoD treatments and services, and overall confidence in working with young people with a substance misuse issue improved following implementation of the project. Qualitative results indicated four themes which emerged: defining the role of the AoD workers; support and upskilling of the mental health staff; openness and effective communication between the embedded workers and mental health teams; and barriers to collaboration. The results provide support for the embedding of specialist alcohol and drug workers in youth mental health services. [ABSTRACT FROM AUTHOR]
- Published
- 2023
- Full Text
- View/download PDF
50. Integrated Treatment Group Curriculum for People with Serious Mental Health Conditions Who Use Substances.
- Author
-
Lipton, Noah, Covell, Nancy H., Margolies, Paul J., Foster, Forrest, and Dixon, Lisa B.
- Subjects
EVALUATION of medical care ,PILOT projects ,MEDICAL care costs ,SEVERITY of illness index ,ORGANIZATIONAL goals ,INTERPROFESSIONAL relations ,HEALTH ,RESEARCH funding ,INTERDISCIPLINARY education ,MENTAL illness ,DRUG abusers - Abstract
Without proper treatment, people with co-occurring mental health and substance use problems are at great risk for poor outcomes and high treatment costs in multiple domains. Intermediary organizations can provide support to programs implementing integrated treatment and other evidence-based practices; this includes developing practical tools for programs built to encourage fidelity to a particular practice. In this paper, we describe a group curriculum workbook designed to help practitioners provide integrated treatment with fidelity and a pilot learning collaborative to evaluate whether this workbook is a helpful tool for programs to support people with serious mental health conditions and substance use in identifying and achieving personal goals. Results of the pilot found that nearly all participants demonstrated progress with respect to their identified goals, and group facilitators reported that the workbook was easy to use, that participants enjoyed the material, and that they intended to continue offering the group as part of their regular programming. [ABSTRACT FROM AUTHOR]
- Published
- 2023
- Full Text
- View/download PDF
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