Search

Regardless of where they live, incoming freshmen face the same problems nationwide, such as anxiety about entering a new school, social pressure, and increased academic pressure and responsibility. Freshman academies have been introduced in many larger schools to offset these issues. A typical freshman academy isolates freshmen from the rest of the student population using a school-within-a-school model. The goals of a typical academy are to provide structure, to provide a sense of belonging, and to ease the transition into high school while integrating content and increasing communication between teachers and parents. Some large schools have received federal grant money to implement such academies, but these grants do not target rural schools. At Muhlenberg South High School in rural Greenville, Kentucky, a freshman academy has been developed that does not rely on grants or outside resources. The academy uses a modified block schedule. Core subjects are taught using a middle school model and electives are taught in a block schedule model. Increased communication between parents, students, and teachers eases anxiety about starting high school. The academy has shown success in a number ways, but it is constantly evaluated and modified to meet the ever-changing needs of the students.

This study is a pilot randomized controlled trial that examined the efficacy of a body-oriented group therapy designed to address chronic fear states in the body due to complex trauma. The Trauma and the Body Group (TBG) is a 20-session group psychotherapy that draws upon the principles and techniques of sensorimotor psychotherapy. Thirty-two women with a history of childhood trauma were randomized to immediate treatment or a waitlist control condition. Assessments were conducted one month prior to treatment, immediately after treatment, and six months post-treatment. Significant improvements were found in body awareness, anxiety, and soothing receptivity when comparing treatment to no treatment. The TBG appears to be a valuable tool for helping clients acquire mindfulness and self soothing skills that they can use to reduce posttraumatic symptoms. This study provides preliminary evidence that the TBG provides complex trauma survivors an opportunity to challenge their avoidance of two prominent trauma-related triggers – their bodies and interpersonal relationships – and in so doing may help survivors develop greater body awareness, increase their capacity for self and relational soothing, and reduce their anxiety symptoms. [ABSTRACT FROM AUTHOR]

Patient portals are a form of technology that supports patients in accessing their health information, and other functions like scheduling appointments. The presence and utilization of patient portals in mental health contexts is relatively new. Despite research existing in the mental health literature that indicates that there may be benefits when patients have access to their mental health notes, there is limited information as to how best to implement portals, and support adoption among patients and their family members. Given this gap in literature, this study aimed to identify patient and family readiness, needs, and perceptions of a mental health patient portal. Surveys were administered to patients (n = 103) and family members (n = 7) either in-person or over the phone by a Peer Support Worker. The sample of participants consisted of patients and family members affiliated with Canada's largest mental health hospital located in Toronto, Ontario. Study results indicated that patients had the highest interest in the following portal functions: scheduling appointments, checking appointment times, and accessing their health record. Both patients and family members expressed their concerns about cybersecurity and potential privacy breaches. The results of this study, as well as the approach, can inform future patient portal planning and implementation activities at other healthcare organizations. [ABSTRACT FROM AUTHOR]

Objectives: This study was undertaken to assess the impact of consumer narratives on the recovery orientation and job satisfaction of service providers on inpatient wards that focus on the treatment of schizophrenia. It was developed to address the paucity of literature and service development tools that address advancing the recovery model of care in inpatient contexts. Methods: A mixed-methods design was used. Six inpatient units in a large urban psychiatric facility were paired on the basis of characteristic length of stay, and one unit from each pair was assigned to the intervention. The intervention was a series of talks (N=58) to inpatient staff by 12 former patients; the talks were provided approximately biweekly between May 2011 and May 2012. Self-report measures completed by staff before and after the intervention assessed knowledge and attitudes regarding the recovery model, the delivery of recovery-oriented care at a unit level, and job satisfaction. In addition, focus groups for unit staff and individual interviews with the speakers were conducted after the speaker series had ended. Results: The hypothesis that the speaker series would have an impact on the attitudes and knowledge of staff with respect to the recovery model was supported. This finding was evident from both quantitative and qualitative data. No impact was observed for recovery orientation of care at the unit level or for job satisfaction. Conclusions: Although this engagement strategy demonstrated an impact, more substantial change in inpatient practices likely requires a broader set of strategies that address skill levels and accountability. [ABSTRACT FROM AUTHOR]

Within the mental health care system, there is an opportunity to improve patient safety and the overall quality of care by integrating clinical practice guidelines with the care planning process through the use of information technology. Electronic assessment tools such as the Resident Assessment Inventory – Mental Health (RAI-MH) are widely used to identify the health care needs and outcomes of clients. In this knowledge translation initiative, an electronic care planning tool was enhanced to include evidence-based clinical interventions from schizophrenia guidelines. This paper describes the development of a mental health decision support prototype, a field test by clinicians, and user experiences with the application. [ABSTRACT FROM AUTHOR]

Mental healthcare settings have lagged behind other care areas in their adoption of patient portals. One of the commonly cited reasons for this lower adoption rate is the perceptions and comfort level of mental health professionals in sharing their clinical notes with this population. The purpose of this study was to identify predictors of mental health professionals' perceptions of a) whether mental health patients should have access to a patient portal; b) whether their documentation might change as a result of mental health patients having access to a patient portal, and c) whether access to a patient portal by mental health patients makes them feel uncomfortable. A cross-sectional survey was administered to 250 health professionals employed in a mental health teaching hospital in Toronto, Canada. Multiple linear regression and content analysis were performed.

Within the mental health care system, there is an opportunity to improve patient safety and the overall quality of care by integrating clinical practice guidelines with the care planning process through the use of information technology. Electronic assessment tools such as the Resident Assessment Inventory - Mental Health (RAI-MH) are widely used to identify the health care needs and outcomes of clients. In this knowledge translation initiative, an electronic care planning tool was enhanced to include evidence-based clinical interventions from schizophrenia guidelines. This paper describes the development of a mental health decision support prototype, a field test by clinicians, and user experiences with the application.