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Dr. Franco also receives permission to take Maria out for walks. Over the course of the treatment, Dr. Franco relies on Narrative Exposure Therapy (NET) to help Maria process the trauma she experienced, on psychodynamic therapy to help her connect what happened to her with her current fears, and on CBT techniques to help Maria recognize unhelpful ways of thinking. In her paper, Dr. Franco gives a painful account of the case of Maria, a seventeen-year-old adolescent who experienced emotional neglect and abandonment as well as sexual, physical and emotional abuse from early on. Maria's individual treatment is presented as part of the Trauma Systems Therapy for Refugees (TST-R) proposed by Ellis et al. ([8]). [Extracted from the article]

Evidence-Based Practice in Child and Adolescent Mental Health (EPCAMH) is inviting submissions for a special issue on bilingual youth mental health services. The issue aims to address the growing need for clinical psychologists to provide care in languages other than English and the disparities in access to services and quality of care for linguistically diverse youth. The special issue seeks papers on a range of topics, including guidelines for bilingual service delivery, competencies for bilingual providers, ethical challenges, and the experiences of bilingual providers. The journal welcomes papers that utilize diverse research methodologies and provide clinical utility to practicing clinicians. Submissions are due by February 15, 2024. For more information, contact Dr. Hannah Jones. [Extracted from the article]

Evidence-Based Practice in Child and Adolescent Mental Health (EPCAMH) is inviting submissions for a special issue on innovative adaptations of the Summer Treatment Program (STP). The STP is an evidence-based treatment originally developed for elementary school children with ADHD, but it has been modified to address a wider range of mental health concerns in children and adolescents. The special issue aims to highlight adaptations of the STP that enhance research, training, and treatment in youth mental health, including efforts to broaden its dissemination and implementation. The journal welcomes papers utilizing diverse methodologies and encourages authors to consider how program models could be adapted and implemented in different settings. [Extracted from the article]

We welcome papers utilizing diverse forms of methodology including, but not limited to, community-based participatory research, well-conducted randomized controlled trials, qualitative and mixed method investigations, program evaluation, and systematic reviews and meta-analyses. I Evidence-Based Practice in Child and Adolescent Mental Health i (EPCAMH) is now accepting papers for a special issue focused on considerations in bilingual child and adolescent clinical care delivery, research, assessment, and training, guest edited by Dr. Hannah Jones and Dr. Maciel Campos. [Extracted from the article]

Dalal convincingly argues that these 'positivist methodologies are unable, even in principle, to capture the intricacies of human exchange' which are fundamental to process-led therapies. Using psychology, psychiatry, and psychotherapy, Dalal shows how "regulatory and legislative capture" have been a consequence of our profession attempting to fit into a model of scientific practice unsuited to a subjective, relational, and process-led undertaking. The study questions whether there is an element of mental health care inequality in community-based psychotherapy provision and concludes that patients who are "better equipped to seek help" are favoured, thereby 'discriminating against patients with severe mental health conditions'. [Extracted from the article]

One of the most significant changes to college mental health is the growing use of telehealth vendors to provide, extend, or augment mental health services provided by college and university counseling centers. In a time of sharply increased demand for services, new investments in the mental health marketplace, and the perception that mental health is a "crisis," the relationships between counseling centers and mental health vendors are increasingly important. This paper provides an overview of these new relationships, briefly reviews relevant history and context, and explores the relationship dynamics shaping this space. In addition, this paper reviews common fears and worries faced by counseling centers when considering vendors, addresses some of the confusion surround vendor/service types, and offers a set of suggestions for the inevitable future relationship in the development of guiding principle and standards. [ABSTRACT FROM AUTHOR]

In this paper we explore and discuss the use of mindfulness in group work. We present a definition of mindfulness along with the differences in conceptualizations of mindfulness-based group work based in Buddhist and other nonwestern perspectives compared to Western stances. A brief history of mindfulness in Western psychology is provided along with an outline of the current research on mindfulness; both correlational research and controlled studies involving specific therapeutic modalities. Future research, limitations, and the use of mindfulness with those who have experienced trauma are then presented. An exploration of existing groups that incorporate mindfulness, is followed by suggestions on where mindfulness could be integrated. Finally, the paper concludes by exploring the implications for social work and the use of mindfulness in group therapy. [ABSTRACT FROM AUTHOR]

This paper investigated the effect of dance and exercise on the health promotion of adults with mental health disorders. As mental health is a social issue, the characteristics of physical movement through dance and exercise were reviewed to find ways to effectively approach mental health services and treatment. Based on existing papers, a systematic review was conducted using Web of Science, Google Scholar, and Scopus to comprehensively investigate and organise the correlation between physical movement and mental health, the characteristics of dance therapy, and psychotherapy of exercise. Studies have shown that dance and exercise therapy helps reduce side effects, relieve depression and anxiety from actual antipsychotics, and helps to recognise one's problems and increase the willingness to treat them. New therapy development according to the online era and limitations according to difficulty need to be addressed. [ABSTRACT FROM AUTHOR]

This paper emerged from a talk delivered to the community and members of the Tower Hamlets African and Caribbean Mental Health Organisation (THACMHO) for Black History Month in October 2022. A growing body of evidence exposes the persistence of racism and inequality within health service provision and the psychological professions. This has led to a commitment across all professional bodies to address as a significant matter. This paper explores the links between racism and intergenerational trauma and the consequences on Black men's mental health. The author probes the gaps in services and inequalities using a psychoanalytic lens. Men from Africa and the Caribbean face disproportionate rates of mental health diagnoses and poor care provision. However, little or no consideration is given to intergenerational trauma and cultural factors. At the heart of the paper sits the question: What happens to Black men in the mental health system and why? The author considers whether cultural insensitivity might be a barrier to accessing mental health care and explores the differential treatment options, outcomes, and possible reasons and solutions for the future. [ABSTRACT FROM AUTHOR]

This paper presents two case studies in mental health co-design through a community of practice lens and involving collaborators that extend the traditional binary of 'users' and 'stakeholders'. The co-design was undertaken outside the service sector and oriented towards creating and producing innovative praxis and creative products in service to community-based mental health and rural suicide prevention. By inviting lived experience and creative design practitioners into a mental health co-design community of practice, the paper contends that relational engagements form the container for co-design and allow forms of ethically sensitive and creative community-based mental health design that embody therapeutic activism grounded in place. [ABSTRACT FROM AUTHOR]

Within the therapeutic setting there have been few ethical considerations deliberated when examining the language barrier between therapists and Non-Native English-Speaking Immigrant (NNESI) clients. The literature reports NNESIs encounter several challenges such as the migration process, experiencing acculturative stress, discrimination, and racism, which in turn impacts their mental health outcomes. These accrued barriers lead NNESI to seek out mental health services. This paper explores the ethical considerations Native-English Speaking and Bilingual Psychologists must consider when providing counseling services to Non-Native English Speakers. These considerations include Third-Party Services, Informed Consent, Cultural Competency, Boundaries of Competency, and Multiple Relationships. For the purpose of this paper, the terms “bilingual” and “multilingual” will be used interchangeably to refer to a person who speaks another language in conjunction with English. [ABSTRACT FROM AUTHOR]

This position paper reviews four intersecting trends impacting the burnout and turnover of clinical staff in counseling centers in the 2020s: ever expanding service demand, mismatched clinical models, the emergence of third party vendors, and uncompetitive salaries. The authors provide a framework and make recommendations for institutions to take deliberate steps to align the mental health needs of a campus, the resources offered, and the services provided. [ABSTRACT FROM AUTHOR]

BackgroundMethodResultsDiscussionPeople experiencing psychosis in acute crisis should be offered Cognitive Behavioural Therapy for psychosis (CBTp) however there are no protocols developed to inform delivery specifically for people in acute crisis receiving inpatient mental health care. This paper narratively describes a CBTp-informed crisis-focused therapy protocol to inform the delivery of therapy in inpatient settings.This study draws on relevant systematic reviews, qualitative interview studies with stakeholders, Delphi studies, and coproduction to develop the protocol. It draws upon crisis theories and CBTp theories to underpin it.This paper outlines a modularised approach to working with people with psychosis and in crisis. It outlines the key values underpinning the protocol, and the key modules of: engagement, assessment and identifying priorities; formulation of the crisis, stabilisation, safety, and problem solving, crisis plans and crisis cards, change strategy work focusing on crisis appraisals, and discharge and relapse planning.A crisis-focused cognitive behavioural therapy protocol is presented which can be used to inform therapy for people experiencing psychosis and in crisis. More research is required to explore the efficacy of such therapies. [ABSTRACT FROM AUTHOR]

Mental illness is a significant public health concern prevalent in America. Over one in five U.S. adults are affected, yet less than half receive treatment. Among African Americans, only one in three seek treatment with statically lower rates among Black males. Therefore, an accurate diagnosis is crucial for appropriate treatment, while misdiagnosis leads to stigma, discrimination, and untreated illness. This paper examines the implications of misdiagnosing trauma responses in Black men, highlighting systemic biases that impede suitable care and perpetuate negative narratives. The authors propose a conceptual framework incorporating historical trauma, discrimination, and traumatic stress reactions, emphasizing the need for cultural competence and humility. This framework involves public narratives that influence perceptions and judgments, reviewing research evidence, advocating for competent trauma assessments, community empowerment, and future research directions. This paper underscores the importance of understanding and addressing the unique challenges Black men face in mental health diagnosis and treatment. [ABSTRACT FROM AUTHOR]

AbstractThis paper examines the aspirations, imaginaries and utopias of designers of an AI-based mental health app in India. By looking at automated therapy as both technological fix and sociotechnical object, I ask, What can we learn from engaging with psy technologists’ imaginaries and practices of health care futures? What are the assumptions they encode in the app? How does automated therapy reconfigure the geographies and temporalities of care? While automated therapy as instantiated by Wysa provides, I argue, a modest mental health intervention, the scalar aspirations of designers are anything but small. The paper proceeds in three steps. First, it turns to designers’ imaginaries of what it means to care for current mental health needs in digitally saturated lifeworlds and how they inscribe them into the app. It identifies nonjudgmental listening, anonymity, acceptance, reframing, and agency as key ideas encoded in Wysa’s sociotechnical algorithms, along with a congruence between entrepreneurial and encoded ethics of care. Second, it situates automated therapy within anthropological scholarship on ‘little’ technical devices in global health to argue that automated therapy devices such as Wysa articulate dreams for minimalist interventions with macro effects. Finally, it explores the new geographies and temporalities of care that automated therapy spurs, tracing the ways the app bridges various spatial and temporal gaps and obstacles of human therapy and upends common global health pathways. This paper contributes to recent scholarship on aspirations, dreams and utopias and on digitization and datafication in global health. [ABSTRACT FROM AUTHOR]

This paper explores how neoliberal ideologies inform both social and political agendas that influence how social workers can provide support to trans and gender diverse people attempting to access gender-affirming healthcare, using an analysis of social workers' experiences working in mental health in Nova Scotia, Canada. Qualitative semi-structured interviews provide a perspective of the experiences of social workers in Nova Scotia and how their ability to provide mental health services to trans and gender diverse people is impacted by neoliberalism. Most social workers attributed the structural context of working within a bio-medical system as contributing to social workers being disempowered, undermined, and not able to practice according to the values of their profession thus limiting their ability to provide affirming mental health supports to trans and gender diverse people in ways that align with their social work professional ethics and values. Through examining how neoliberal ideologies create notions of ideal social citizens by controlling the body, the paper explores how lived experience of neoliberal practices in mental health social work reinforce transnormativity. This paper highlights the necessity for social workers to resist dominant neoliberal and medicalized discourses which serve as mechanisms of power and control. The paper concludes with recommendations for social work practice with trans and gender diverse populations. [ABSTRACT FROM AUTHOR]

People with mental illness have a higher prevalence of co-occurring physical health conditions and poor health behaviors, leading a mortality gap of up to 16 years, compared with the general population. Nurses working in mental health settings play an important role in addressing factors influencing sub-optimal physical health. Therefore, this scoping review aimed to identify nurse-led physical health interventions and align interventions to eight recognized physical healthcare priority areas (i.e. Equally Well in Victoria Framework). A systematic search strategy was used to identify relevant literature. Data extraction included alignment to the Equally Well priority areas, research design, and indication of co-design (meaningful and collaborative involvement of consumers and significant others) and recovery-oriented practice (focusing on needs and goals of a consumer's recovery journey). All included papers (n = 74) were aligned to at least one of eight Equally Well priority areas. Papers were predominately quantitative (n = 64, 86%), with the remainder mixed methods (n = 9, 9%) or qualitative (n = 4, 5%). Most papers were aligned to improving metabolic health and support to quit smoking. One study focused on nurse-led intervention designed to reduce falls. Recovery-oriented practice was evident in six papers. No paper described evidence of co-design. A research gap was identified for nurse-led intervention to reduce falls and improve dental/oral care. Relative to mental healthcare policy, there is a need for future nurse-led physical health research to be co-designed and include recovery-oriented practice. Evaluation and description of future nurse-led physical interventions should seek to report perspectives of key stakeholders as these remain relatively unknown. [ABSTRACT FROM AUTHOR]

Limited evidence exists for the effectiveness of psychological interventions that target the mental health needs of people who use forensic mental health services. Capturing service users' perspectives and experiences may provide information helpful to understanding why this is the case. It may also provide information that could help to improve the effectiveness of such interventions with this population. This paper aimed to address this and reviewed qualitative studies to identify the factors that are considered important to the effectiveness of interventions from the perspectives of service users. A review of the literature was conducted and eleven papers were identified as meeting the inclusion criteria. A meta-ethnography approach was used to synthesize the data. Six super-ordinate themes emerged which were synthesized into a hierarchy of treatment based on two main categories: "Treatment Foundations" and "Treatment Benefits." The findings suggested that addressing the Treatment Foundation factors such as enabling informed decision-making; developing trusting therapeutic relationships; and providing accessible materials whilst considering service user preferences can in turn result in service users benefitting from treatment in a number of ways. The findings have significant implications for future research, mental health service providers, clinicians and therapists, and for those who design therapeutic interventions. [ABSTRACT FROM AUTHOR]

Mental health services are increasingly employing peer workers (PWs), individuals who have lived experiences with mental health problems, to support patients and be part of mental health care teams. While the employment of PWs continues to increase, little is known about how the function unfolds in practice. This paper explores the broader context in which the PWs navigate and the concrete outcomes and everyday issues that exist at the individual level. Methodologically, the paper draws on 22 interviews with PWs employed in the mental health services in Denmark. Theoretically, it combines Lipsky's (1980) theory on street-level bureaucrats with sociological discussions concerning the lay-expert divide. The analysis shows that PWs experience both role ambiguity and goal uncertainty and that they use substantial discretion in determining the nature, amount and quality of their peer practices. This – combined with the PWs' diverse lived experiences – calls for a heterogeneous understanding of peer work and therefore the analysis presents three categories of peer workers: PWs as (1) a representative of patients' lifeworld, (2) an interdisciplinary professional and (3) an 'expert by experience'. These categories display PWs different enactments of their lived experiences and reveal ambiguities tied to the lay-expert divide. [ABSTRACT FROM AUTHOR]

This theoretical paper examines historical traumas and the impact they have on the mental health fields when working within similarities and across difference. This paper also examines racist ideologies in North America and how they are woven into the institutions and interpersonal relationships one can encounter. Traumas that are examined for the purposes of this paper are collective traumas such as Drapetomania, Tuskegee experiment/study, police brutality and the lynch laws. The use of some props in the dance/movement therapy field is examined through the lens of trauma-informed social justice care to prevent harm. There will be a theoretical model for clinicians to use to track their bias, assumptions, power, privilege, and prejudice. Please note that traumas will be discussed in this paper, take care of yourself, these topics can be difficult to read about and revisit. [ABSTRACT FROM AUTHOR]

Despite advances in HIV-treatment, adolescents and young adults (AYA) with HIV (AYAHIV) face myriad challenges. They are less likely than children and older adults to be virally suppressed and are at higher risk for mental health conditions compared to their peers who do not have HIV. AYA are also developing in the context of numerous biomedical, neurocognitive, and psychosocial developmental changes. Normative challenges during this time can be exacerbated by HIV and can result in significant physical and mental health problems. Yet, many AYAHIV have shown resilience with positive assets and resources and few health or mental health problems. Historically research has had a risk-focused approach to understanding AYAHIV needs. This paper discusses the rationale for a shift from a risk-focused only approach to one that examines AYAHIV needs from both a risk and resilience perspective. This paper presents: (1) epidemiological data on AYAHIV; (2) conceptual models for understanding both risk (e.g., poverty, stress, trauma, limited resources) and resilience/protective factors (e.g., family and peer support, future orientation, problem-solving skills); (3) global data examining risk and protective factors for physical and mental health challenges; and (4) promising interventions that incorporate elements of resilience to improve overall outcomes among AYAHIV. [ABSTRACT FROM AUTHOR]

This paper presents a scoping review of the peer-reviewed literature regarding reported risks, adverse effects and mitigation factors related to providing mental health services using telehealth. The paper aims to describe risks and risk management strategies. Publications were included if they reported upon risks, adverse events or mitigation factors experienced, hypothesised or discussed for: any population (any country, any age), service (any mental health services), intervention (telehealth), English language, 2010 to 10 July 2021, any publication type (commentary, research, policy), excluding protocol papers, and self-help tools. The following databases were searched: PsycINFO (from 2010 to 10 July 2021), MEDLINE (2010 to 10 July 2021) and the Cochrane Database from 2010 to 10 July 2021. The search strategy resulted in 1,497 papers and after exclusions a final 55 articles were selected. Results of this scoping review are presented in terms of types of risk, risk by client population, risk by modality (eg group therapy using telehealth) and risk management. Recommendations for future research include gathering and publishing more detailed information regarding near-miss and actual adverse events when delivering mental health assessment and care using telehealth. In clinical practice, training is required for potential adverse events, and to prevent them and reporting mechanisms in place to collate and learn from these. [ABSTRACT FROM AUTHOR]

Complex and enduring mental health problems require greater treatment resources, usually in the form of multidisciplinary support, including providing psychological therapies. This paper reports on an NHS, tertiary-level specialist psychotherapy service offering Psychodynamic therapies with longer-term, exploratory transdiagnostic approaches to support complexity and sustained personality functioning. This paper adopts a naturalistic study design evaluating the effectiveness of Psychodynamic therapy using pre- and post-outcomes across a 10-year period. A total of n = 474 participants self-report pre- and post-outcome measures were used as the marker of effectiveness along with therapist assessments during intake and engagement. The findings showed that Psychodynamic therapy was effective in reducing psychological distress based on service-user self-report and therapist assessments. While intake scores varied by socio-demographic factors, the rate of change across most groups was similar. There were several limitations relating to data quality and completeness which reflect the naturalistic design. Despite the limits of a naturalistic design, this study provides evidence of support for the place of Psychodynamic therapies within NHS mental health care, catering to those with complex and enduring mental health problems. [ABSTRACT FROM AUTHOR]

First-episode psychosis (FEP) refers to the first time someone experiences an episode of psychosis, which can be frightening and confusing, leading people to make their first contact with early intervention services. Early intervention is widely accepted as beneficial for long-term recovery and symptom management. A universal feature of intervention is a relationship with mental health practitioners. Therapeutic relationships experienced as positive are also associated with better outcomes across mental health settings. However, little is known about what is helpful within therapeutic relationships for people with FEP The current review aimed to develop a rich understanding of beneficial features of therapeutic relationships for people with FEP to enhance service delivery. Databases searched were: APA PsycInfo, MEDLINE Complete, CINAHL. A systematic search yielded 178 papers, of which 16 met the inclusion criteria. Publications reviewed were from Singapore, Western Finnish Lapland, England, Canada, the United States of America, Denmark, and Australia. The papers were published across 12 journals; 81% were qualitative, 12% were quantitative, and one was a mixed methods study. It is recommended that creating a safe space to talk, taking a non-judgemental approach, and developing trust between practitioner and client should be prioritised for people with FEP. [ABSTRACT FROM AUTHOR]

For clinicians working in mental health services, 'aggression management' training is generally prioritised, and often mandated. Traditional 'aggression management' training has the potential to reinforce the perception that violence and aggression are inevitable, and thus defensive and coercive practices are needed. This paper outlines the principles and processes that underpinned the development of two training programs designed as recovery-oriented and trauma-informed alternatives to traditional 'aggression management' training. The focus of the paper is on exploring how 'aggression management' training can be aligned with best practice principles. The programs were developed in a metropolitan and rural mental health service and aimed to reduce the need for defensive and coercive practices by promoting therapeutic engagement. A key feature of both programs is an orientation towards safety rather than risk. By embedding the principles of recovery and trauma-informed care in their development and orienting training towards enhancing safety, clinicians are provided with a new way of conceptualising and responding to 'aggression'. Experiential methods in the delivery of the training, and the co-design and co-delivery with peer (consumer) educators were important in supporting attitudinal change. To promote safety, the language and content of training programs must reflect contemporary principles and approaches such as trauma-informed care and recovery. This paper illustrates that to be effective, these principles and approaches must not just be described, but modelled in the development, design, and delivery of the training. [ABSTRACT FROM AUTHOR]

To address the urgent need of mental health services on college campuses, particularly for historically marginalized students in HWIs (Historically White Institutions), the current paper presents a model of embedded counseling within campus cultural centers. Embedded counseling refers to having a mental health provider co-located and delivering services in a department or center on campus instead of within the traditional college counseling offices. Despite potential benefits, little research exists on embedded counseling and even less on embedded counseling within cultural centers. Embedded counseling is an important service delivery approach to understand given the high need for mental health treatment experienced by historically marginalized communities and the barriers to service they face. The authors propose a model that describes characteristics of culturally matched embedded counseling and the systemic support needed to have a successful program for underserved communities. This paper offers recommendations for structuring and implementing the culturally responsive framework for services. [ABSTRACT FROM AUTHOR]

This paper discusses the impact of White supremacy, ableism, and U.S. policing on both the history and current state of psychology and sheds light on ways that psychologists can acknowledge and divest from carceral White supremacist practices in mental healthcare. Because of how oppression and intersectionality function within a White supremacist society, not all Black lives have been equally valued by non-Black Americans. Similarly, White supremacy and ableism have had lasting impacts on the public perception of disabled people. Connecting the historical origins of the U.S. policing system to the current practices of the U.S. police system, this paper argues that the police have always been about controlling "disorder." Similarly, psychology and the larger mental health field have a troubled history of controlling Black, Brown, and disabled bodies. Recommendations for ways therapists can unlearn therapy practices stemming from White supremacy cultural practices (e.g., carceral therapeutic practices and biased mental health care) are provided along with action items for mental health practitioners to maintain a commitment to undoing the harm from these historic and systemic issues. [ABSTRACT FROM AUTHOR]

The idea that (former) patients are experts who could contribute to mental health care practices is gaining traction. Experts-by-Experience are increasingly employed by institutions to contribute to various levels of care, organization and policy-making. However, the success of this movement is hindered by conceptual and epistemological ambiguities. Our goal in this paper is to turn to the rich philosophical literature to start addressing such ambiguities. We first summarize the advantages of and challenges for Experience-based Expertise movement in mental health care. Next, we explicate the theoretical assumptions of this movement by outlining its salient tenets, with a focus on the Dutch mental care system. We point out three challenges of the movement that could be addressed using the insights by recent work in philosophy of mind and philosophy of science, i.e., (i) conceptual problems, (ii) worries about the subjectivity of the contributions of Experts-by-Experience, and (iii) addressing of the conflicts between the Experts-by-Experience and other experts. We conclude by proposing an enactive affordance-based framework as a candidate for clarifying the goals of the Experience-based Expertise movement in a way that avoids the current conceptual and epistemological problems and opens up venues for its growth. [ABSTRACT FROM AUTHOR]

SARS-CoV-2, commonly known as COVID-19, continues to have a profound affect ON adolescents and their families. Mental health professionals have seen an alarming increase in anxiety, depression, and suicidality during the COVID-19 pandemic. Adolescents face the challenge of differentiating from their families, and often place increased focus and importance on their peer group. Given the increased isolation, this paper illustrates how Satir's therapy model can be used by therapists who treat adolescents and their families related to COVID-19 specific stressors. Specifically, this paper will examine how Satir's focus on how self-worth, communication, and holistic approaches, are uniquely beneficial to treatment. [ABSTRACT FROM AUTHOR]

Traditionally, veteran research and support have centred on the requirements of a predominantly male population. However, as female participation in the Armed Forces increases and their roles diversify, consideration of women's unique mental health needs is imperative. Women veterans are at greater risk of post-service mental health challenges than their male counterparts, and female mental health outcomes have deteriorated in recent years. To determine the provenance of these outcomes, a scoping review considering both barriers and facilitators to female veteran participation in mental health services was conducted. A review was carried out following the 2020 Joanna Briggs Institute Scoping Review framework. Twenty-four papers were identified, with all but one originating from the US. This research indicated that whilst women experience barriers common to male veterans (e.g. help-seeking stigma), they also experience unique gender-specific barriers to accessing mental healthcare services (e.g. lack of gender-sensitive treatment options, feeling uncomfortable) and such barriers result in under-utilization of services. Literature indicates that consideration and mitigation of these barriers might improve access and health outcomes for women veterans. Further research is required outside the US to understand the barriers to mental healthcare experienced by women veterans internationally. [ABSTRACT FROM AUTHOR]

The RAISE trials highlighted the effectiveness of coordinated specialty care for psychosis. However, these publications are largely absent from the social work literature. We have reviewed nine major journals for papers related to psychotic disorders and their treatment since the RAISE trials. We found that five of the nine journals had no relevant articles, two had a single article, and the remaining journals had three and four articles, respectively. The RAISE trials were not mentioned in any of the papers. These results highlight the poor visibility of psychosis in social work. Poor visibility limits social work's ability to provide care despite its prevalence in adjacent fields. [ABSTRACT FROM AUTHOR]

Inspired by feminist literature on the notion of 'dwelling', this paper asks: how does the personal dimension of dwelling relate to the political discourses of housing activism. The aim of this paper is to (re-)consider the political dimensions of housing activism and research through focussing on the intimate and private experiences of 'being at home', thereby extending and pluralising housing activism as 'dwelling activism'. Methodologically, this paper 'throws together' two data sets. The first is an arts-based study on the intimate experiences of feeling at home that was conducted with 18 mental health service users in the UK. The second study interviewed 14 urban community land trust activists in England about community engagement and housing activism. A plural, disintegrative analysis offers a symbiotic reading of the close entanglement between the inward-facing personal practices of dwelling like building shelter and security, and the outward-facing more public practices of dwelling, like building relations and togetherness. [ABSTRACT FROM AUTHOR]

This paper tells the story of the work of a parent-infant psychoanalytic psychotherapist with an infant girl and her mother, from the age of four to 19 months old. It became clear, very quickly, that she was a replacement child. She was born four years after the death of her profoundly disabled brother and before her mother had begun the process of mourning her dead son. The mother was struggling to see the infant as a person in her own right and felt that she wanted her daughter to be a reincarnation of her dead brother. Although the infant was always dressed as a girl, there was also something boyish about her presentation. The work centred around us playing together and helping her mother to see her as a person in her own right, as well as observing and trying to make sense of the infant's play. The therapist used her metaphoric function to hypothesise what the infant might be trying to understand in her play, especially with two identical plastic oranges that were the same and yet different. What emerged was that the mother was herself an identical twin, who never felt fully separated from her twin sister, and always felt that she was two people. An interpretation to the infant that perhaps she also thought that she needed to be two people, herself but also her dead brother, was met with a confirmatory response from the infant; it felt pivotal in elucidating for both mother and infant their respective challenges in the wake of the death of their son/sibling. The paper illustrates the importance of early intervention, of both observing and playing with infants and young children; and the importance of the therapist's use of metaphor, which could be viewed as an inductive statement, summarising a guess about inner reality expressed in a skewed or displaced way. [ABSTRACT FROM AUTHOR]

People on the move are increasingly immobilised between and within state borders, having left 'there' but not allowed to be fully 'here'. This paper presents a nuanced examination of this state of enforced in--betweenness, exploring how refugees and other migrants negotiate collective existence through, despite, and alongside liminality. Drawing on ethnographic data collected at a Swiss Red Cross psychotraumatology centre, the study identifies factors that impede and facilitate the formation of collective identities, with temporal and spatial liminality emerging as the most central collective experience for refugees and other migrants. The findings illustrate how therapists reinforce these bonds by fostering an idealised sense of therapeutic communitas that promotes unity in adversity. However, the paper refrains from reducing the collective significance of liminality to a mere act of defiance. Instead, it critically reflects on how refugees and other migrants forge collective connections within politically and legally imposed disconnection. It accounts for the paradox of refugees and other migrants making collective lives in liminality while confronting the always-imminent possibility of this very liminality dismantling their lives. [ABSTRACT FROM AUTHOR]

This paper considers matters of time in online mental health peer support. Significant evidence of the value of peer support exists, with new digital platforms emerging as part of the digitisation of mental health support. This paper draws from a project exploring the impact of digital platforms on peer support through interviews with users of a major UK-based online peer support platform. Drawing on Gilles Deleuze's concept of the 'living present', the paper highlights how notions of past, present and future operate as co-existing dimensions of the present. The analysis highlights how the immediacy of digital platforms elicits expectations of peer support being 'on tap', which creates challenges when support is not received synchronously. Unlike in-person support, digital platforms facilitate the archiving of support, which can (re)enter the present at any moment through asynchronous communication. Anticipations of the future feature as dimensions of the present in terms of feelings regarding when support may no longer be needed. The paper offers potential implications for social scientific understanding of digital peer support, which include valuable insight for mental health services designing and delivering digital peer support. [ABSTRACT FROM AUTHOR]

There are significant disparities in mental health care between First Nations and non-Indigenous people in settler-colonial nations. This paper, authored by a crosscultural and interdisciplinary team, argues that settler-colonial legislation, the tools and technologies of architecture, and the clinical practice of psychiatry are all implicated. Taking inspiration from Tanganekald, Meintangk-Bunganditj legal scholar Irene Watson, who yearns for freedom to roam across Country and connect with the land of her ancestors, we propose tactics for 'roaming' from the conventions of architecture and psychiatry to decolonize our practices. These include yarning, walking Country, and representing these itinerant practices through wandering lines. The outcomes are processes for developing new therapeutic places and practices for mental health care. [ABSTRACT FROM AUTHOR]

Alcohol use disorders (AUD) are associated with several mental health, family, and social consequences. This paper analyzes the few studies on BIs in primary care in Chile and Latin America through a culturally critical view. Future research should address the need of culturally appropriate BI for AUD, so that decisions on policies and programs are made based on evidence-based, culturally appropriated practices. The Chilean context presents a unique opportunity to implement BI, since primary care counts on resources and protocols already installed. Clinical social workers should play a key role in this challenge. [ABSTRACT FROM AUTHOR]

Trauma-informed care (TIC) is not a new concept. Despite TIC being at the forefront of international acute public mental health services policy, and researched since 2006, implementation has been hampered. This paper reports findings from a scoping study examining clinical and lived experience workers experience of TIC in Acute Adult Public Mental Health Services. In this scoping study five databases and grey literature were scanned in 2021 and updated in 2023, to address the question: What is known about TIC concerning the clinical and mental health lived experience workforce in the acute adult public mental health service? Forty-six papers met the inclusion criteria. Analysis revealed commitment in conceptualisation of TIC in mental health policy, requirements for incorporating TIC in acute adult mental health care, and barriers to implementation, including dissonance towards role expectations. The literature calls for investment in implementing TIC, which includes an increased workforce consisting of mental health lived experience workers, clinical staff with TIC knowledge and skills, and specialist TIC experts. Further research is needed to understand more fully the opportunities and barriers to implementing TIC in acute public mental health settings. [ABSTRACT FROM AUTHOR]

Objective: In Northern Ireland, it is widely agreed that mental health service provision for children and young people is inadequate and that there is a need for much greater prioritisation and strategic planning in this area. Successive Governments have made commitments to improve services, and although progress has been made, considerable reform is still required. Using a child rights framework, this paper provides an overview of children and young people's direct experiences of accessing mental health services or support. Methods: An online survey was used to gather respondents experience of six statutory and non-statutory health services. Respondents were asked to rate services against nine rights-based service quality statements. A likert agreement rating scale was used to gather quantitative data and qualitative information was captured using open-ended questions. Excel and NVivo were used to analyse the data. Results: Overall, 607 children and young people aged 11–21 years old shared their experiences of mental health services. The survey results show that young people are reaching out to a wide range of services to access support. However, there was considerable variation in young people's satisfaction levels with different services. Conclusions: This paper brings a child rights focus to the research that exists on the child and adolescent mental health system by assessing it against a range of rights-based statements. This study found that although many services are improving, more is required to ensure that Northern Ireland has a rights compliant system. [ABSTRACT FROM AUTHOR]

The use of physical restraint is a contentious practice in the acute mental health setting. There are a plethora of guidelines surrounding the safe use of restraint. However, there is a scarcity of literature dedicated specifically from the perspective of the patient. The existing literature suggests that there are serious physical and psychological implications associated with the use of physical restraint for both mental health patients and nurses alike. The debate surrounding this practice has been intensified by the compelling evidence suggesting that the application of restraint is not compatible with the values of recovery in mental health care. To influence clinical practice that governs the use of restraint, it is essential to explore patient experiences of its use. Therefore, this review aims to explore patient experiences of physical restraint in the acute setting. PubMed, CINAHL and PsycINFO were systematically searched using keywords; "physical restraint" and "patient experience" and "acute setting". The search yielded n = 482 papers in total. Following the application of rigorous inclusion and exclusion criteria and data extraction, a total of n = 9 papers were considered suitable for the systematic review. Quality was assessed using the MMAT instrument. Following analysis, three themes were identified: 'the bio-psychosocial impact of restraint on patients', 'the impact of restraint on the therapeutic relationship' and 'patient needs concerning the use of restraint'. Future research opportunities have been identified that will add to the body of evidence in developing appropriate health interventions and supports for this population. [ABSTRACT FROM AUTHOR]

The painful consequences of intersectional racial trauma on the mental health of Black women have been examined in the existing literature. However, limited research explicates how to assess, conceptualize, and treat intersectional racial trauma in clinical practice. Practicing psychologists seeking to integrate science and practice for mental health and social justice breakthroughs desire innovative clinical models to facilitate this work. This paper presents a case study of a week-long, intensive teletherapy retreat to treat the intersectional racial trauma of a queer, middle-aged, Black cisgender woman. We detail theories and research regarding racial trauma and intersectionality and present the integrated How to Love a Human model. Then, we describe the client's presenting concerns and how to assess and conceptualize intersectional racial trauma to inform a multifaceted, collectivistic treatment approach. Last, we chronologically overview each day of the retreat and address how our healing approach can serve as a research framework and clinical example to treat intersectional racial trauma among Black women. Racial trauma is a painful reality for many Black women, with other intersecting forms of oppression exacerbating the impact. This paper describes how four Black women provided therapy through an innovative, collectivist model for a queer Black woman experiencing intersectional racial trauma. [ABSTRACT FROM AUTHOR]

The importance of engaging families in mental health care is recognised and endorsed by governments worldwide, however service users' perspectives of family involvement are not well understood. This study sought to summarise the literature regarding how service users view the involvement of family in their engagement with services and care. A search was conducted within the following databases for manuscripts published in the last 10 years: PsycINFO, CINAHLPlus, PubMed and Scopus. Of the 4251 eligible papers 17 met the inclusion criteria for review and were subjected to quality appraisal using the RATS (relevance, appropriateness, transparency, soundness) qualitative research review guidelines. Thematic analysis identified four primary themes: family involvement can be positive and negative; barriers to family involvement; family involvement is variable; and communication and collaboration among stakeholders. Identifying the barriers to family involvement and heterogeneity among service users' views were key findings of this review. Despite the widely reported benefits of including families in mental health care it does not always occur. A clearer and more nuanced understanding of service users' needs and preferences for family involvement is required. [ABSTRACT FROM AUTHOR]

The majority of the world's total prison population resides in low- and middle-income countries (LMIC), but most research into the prevalence of mental illness and suicide risk comes from high-income countries (HIC). The provision of mental health care varies widely across prisons in LMIC, with reported disparity between high levels of need and funding, resources and services. This rapid review aims to explore the existing evidence-base relating to suicide and mental health prevalence in prisons in LMIC. A total of 2,799 published and grey literature were identified through systematic searches, with 35 papers included in the final review. The prevalence of suicide ideation was lower among prisoners in LMIC than HIC, with common mental illness, severe mental illness, and substance misuse more prevalent among LMIC prisoners. Rates of suicide ideation and common mental illness were higher among females than males. These findings highlight the need for dedicated research using LMIC samples and consideration of resources within LMIC prisons. The results of this analysis can be used to inform next steps to tackle the high level of unmet mental health needs amongst prisoner populations in LMIC. [ABSTRACT FROM AUTHOR]

There is a growing body of global research demonstrating the significance of mental health to individuals' overall happiness and productivity. The research evidence has encouraged governmental agencies in the United Arab Emirates (UAE) to divert more attention toward the provision and development of mental health services. As the sector grows, one of the first issues of concern is the adherence to a unified set of ethics of practice. The purpose of this paper is to present and discuss the existing ethical codes of conduct relevant to the mental health profession in the unique context of the UAE. Specifically, this discussion will focus on the interaction of cultural factors with the ethical standards of confidentiality, informed consent, and multiple relationships. This paper provides an initial reference for researchers and practitioners to explore regional issues of ethical standards in mental health services. [ABSTRACT FROM AUTHOR]

Given the higher rates of co-occurring mental health issues experienced by autistic people, there is a pressing need to implement an effective framework that integrates autism services with appropriate mental health services. This paper discusses the impact of mental illness on the person with autism and their families, and the current challenges they face when accessing mental health support. A framework for service providers is proposed to support the mental health needs and preferences of autistic people. The paper concludes by highlighting the importance of health professionals utilising mental health interventions appropriate for autistic people, including autism-specific suicide prevention and awareness programs. [ABSTRACT FROM AUTHOR]

The Lesbian, Gay, Bisexual, Transgender, and Queer (LGBTQ+) community accounts for one of the major minority communities globally. Their major concerns entail traumatic experiences and the subsequent loss, which are essentially misconceived or overlooked. They experience persistent barriers for voicing their needs and the struggle amplifies especially in the realm of accessing mental healthcare. This population further strives to be seen and heard which is not very well received by the society. While many countries have progressed in designing favorable policies, there exists a wide gap in identifying the challenges faced by them in accessing the existing mental health services. The present paper focuses on the discrimination faced by the gender minority population caused due to the unfavorable attitudes, and stigma persisting at the interpersonal and community level. The paper further proposes commending suggestions for tailoring the policies created in accordance with the needs and requirements of this population. [ABSTRACT FROM AUTHOR]

This paper synthesises critique from Māori patients with Bipolar Disorder (BD) and their whānau to identify barriers and propose changes to improve the structure and function of the New Zealand mental health system. A qualitative Kaupapa Māori Research methodology was used. Twenty-four semi-structured interviews were completed with Māori patients with BD and members of their whānau. Structural, descriptive and pattern coding was completed using an adapted cultural competence framework to organise and analyse the data. Three key themes identified the impact of structural features of the New Zealand mental health system on health equity for Māori with BD. Themes involved the accessibility, delivery and scope of the current health system, and described how structural features influenced the quality, utility and availability of BD services for Māori patients and whānau. Structural barriers in the existing design, and potential changes to improve the accessibility, delivery and scope of BD services for Māori, were proposed including a redesign of operational, environmental, staffing, and navigation points (information, transition, fatigue) to better meet the needs of Māori with BD. A commitment to equity when implementing structural change is needed, including ongoing evaluation and refinement. This paper provides specific recommendations that should be considered in health service redesign to ensure the New Zealand mental health system meets the needs of Māori patients with BD and their whānau. [ABSTRACT FROM AUTHOR]

As the press for services at university counseling centers increases, so does the need to provide optimal therapeutic services. Ethnic glossing in previous research has combined rather disaggregated the mental health treatment experiences of American Latinx (AL) students and International Latinx (IL) students. The purpose of this paper was to examine potential differences in (1) the number of attended sessions, (2) symptom severity, and (3) treatment improvement rates. We used a nationwide dataset including 13,156 AL students and 911 IL students. Results indicated that (1) there was no significant difference in attendance rates, (2) AL students had significantly worse initial symptom severity (d = 0.24), and (3) there were no significant differences in improvement rates. We discuss the importance of understanding the different clinical presentations of AL and IL students, as well as the importance of addressing ethnic glossing in future research and clinical work. [ABSTRACT FROM AUTHOR]