MedWorm.com provides a medical RSS filtering service. Over 6000 RSS medical sources are combined and output via different filters. This feed contains the latest items from the 'Community Mental Health Journal' source. Sat, 20 Mar 2010 16:38:23 +0100 http://www.medworm.com/index.php?rid=3355180&cid=s_37674_172_f&fid=37674&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20217230%26dopt%3DAbstract Authors: Cusack KJ, Morrissey JP, Cuddeback GS, Prins A, Williams DM Jail diversion and forensic community treatment programs have proliferated over the past decade, far outpacing evidence regarding their efficacy. The current study reports findings from a randomized clinical trial conducted in California for frequent jail users with serious mental illness that compares a forensic assertive community treatment (FACT) intervention with treatment as usual (TAU). Outcomes are reported at 12 and 24 months post-randomization for criminal justice outcomes, behavioral health services and costs. At 12 months, FACT vs. TAU participants had fewer jail bookings, greater outpatient contacts, and fewer hospital days than did TAU participants. Results of zero-inflated negative binomial regression fo... Community Mental Health Journal journals http://www.medworm.com/rss/comments.php?id=3355180 Wed, 10 Mar 2010 00:00:00 +0100 3355180 http://www.medworm.com/index.php?rid=3338237&cid=s_37674_172_f&fid=37674&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20204511%26dopt%3DAbstract Authors: Griswold KS, Homish GG, Pastore PA, Leonard KE Persons with serious mental illnesses suffer excess medical morbidity compared to the general population. This RCT aimed to determine whether navigators are effective in helping patients connect to primary care after psychiatric crisis. Adults presenting for emergency care were randomly assigned to a navigator versus usual care. Navigators facilitated access to primary care. Outcomes were connection rates to medical care and the impact of health insurance, hospitalization and mental health care on primary care attendance. After 1 year, the intervention group was statistically more likely to access care, versus controls (62.4 vs. 37.6%, P < .001). Navigators were effective in helping patients connect to primary care after a psyc... Community Mental Health Journal journals http://www.medworm.com/rss/comments.php?id=3338237 Fri, 05 Mar 2010 00:00:00 +0100 3338237 http://www.medworm.com/index.php?rid=3331661&cid=s_37674_172_f&fid=37674&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20198509%26dopt%3DAbstract Authors: Guada J, Land H, Han J It remains unclear if the factor structures of commonly used caregiver burden scales normed on white samples are similar with samples from different ethnic communities. Our study tests the factor structure of the Burden Assessment Scale (BAS) using Exploratory Factor Analysis (EFA) with data from low-income, African American families caring for a family member with schizophrenia. The EFA solution included a 2 factor structure of subjective burden and objective burden with strong loadings demonstrating a clear differentiation between the factors. Our results suggest that low income, African American families appear to experience caregiving burden as one major or broad component in their lives similar to other areas that demand ongoing coping and adaptatio... Community Mental Health Journal journals http://www.medworm.com/rss/comments.php?id=3331661 Wed, 03 Mar 2010 00:00:00 +0100 3331661 http://www.medworm.com/index.php?rid=3263355&cid=s_37674_172_f&fid=37674&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20146097%26dopt%3DAbstract This study examined sociodemographic and clinical characteristics of treatment completers (N = 114) and non-completers (N = 136) at a child and adolescent community mental health clinic. Results indicated that children who completed treatment significantly differ from those who prematurely drop out of treatment. Non-completers presented with considerably more impairment in functioning and psychiatric symptoms, and their caregiver reported experiencing significantly more parenting stress and depressive symptoms. Results suggest that mental health treatment is not readily provided to the most difficult to reach and most at-risk youth and their families. PMID: 20146097 [PubMed - as supplied by publisher] (Source: Community Mental Health Journal) Community Mental Health Journal journals http://www.medworm.com/rss/comments.php?id=3263355 Wed, 10 Feb 2010 00:00:00 +0100 3263355 http://www.medworm.com/index.php?rid=3255481&cid=s_37674_172_f&fid=37674&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20140753%26dopt%3DAbstract Authors: Lazaratou H, Dikeos DG, Anagnostopoulos DC, Soldatos CR To clarify the prevalence of depressive symptomatology in high school students in Athens and to evaluate risk factors for depressive symptomatology the CES-D scale was administered to 713 students (age 15-18). Demographic, school performance and extracurricular activities data were collected. A high prevalence (26.2%) of depressive symptomatology (CES-D cut-off score >28) was found. Regression analysis showed depressive symptomatology to be associated to gender (girls had higher scores than boys), school record (students with a better record had lower scores) and the interaction of gender and grade (males were found to have higher depressive symptomatology scores as they grew older). PMID: 20140753 [PubMed - as sup... Community Mental Health Journal journals http://www.medworm.com/rss/comments.php?id=3255481 Sun, 07 Feb 2010 00:00:00 +0100 3255481 http://www.medworm.com/index.php?rid=3255480&cid=s_37674_172_f&fid=37674&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20140754%26dopt%3DAbstract Authors: Broussard B, McGriff JA, Demir Neubert BN, D'Orio B, Compton MT The Crisis Intervention Team (CIT) program trains police officers in crisis intervention skills and local psychiatric resources. Because the safety and appropriateness of any new intervention is a crucial consideration, it is necessary to ensure that CIT training does not result in excessive or inappropriate referrals to psychiatric emergency services (PES). Yet, aside from one prior report by Strauss et al. (2005) in Louisville, Kentucky, little is known about the comparability of patients referred to PES by CIT-trained officers in relation to other modes of referral. The research questions driving this retrospective chart review of patients referred to PES were: (1) What types of patients do CIT-trained officers... Community Mental Health Journal journals http://www.medworm.com/rss/comments.php?id=3255480 Sun, 07 Feb 2010 00:00:00 +0100 3255480 http://www.medworm.com/index.php?rid=3255479&cid=s_37674_172_f&fid=37674&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20140755%26dopt%3DAbstract Authors: Ghassemi GR, Ahmadzadeh GH, Yousefy AR, Fanian H, Omranifard V, Mallik S PMID: 20140755 [PubMed - as supplied by publisher] (Source: Community Mental Health Journal) Community Mental Health Journal journals http://www.medworm.com/rss/comments.php?id=3255479 Sun, 07 Feb 2010 00:00:00 +0100 3255479 http://www.medworm.com/index.php?rid=3255482&cid=s_37674_172_f&fid=37674&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20140644%26dopt%3DAbstract Authors: Harris M, Gladman B, Hennessy N, Lloyd C, Mowry B, Waghorn G We investigated the reliability of the Education-related Self Efficacy Scale (ESS-40), a measure of self-efficacy at a core task level designed for people with psychiatric disabilities. Sixty community residents with schizophrenia or schizoaffective disorder participated. The ESS-40 was administered twice via telephone interview. Short cycle test-retest reliability was very good for the total score and most items. The measure demonstrated signs of a coherent internal structure, adequate face validity, good client acceptability, and promising utility. The reliability evidence supports its use in community mental health services and in psychiatric rehabilitation settings. Sensitivity and predictive validity require fur... Community Mental Health Journal journals http://www.medworm.com/rss/comments.php?id=3255482 Sat, 06 Feb 2010 00:00:00 +0100 3255482 http://www.medworm.com/index.php?rid=3245585&cid=s_37674_172_f&fid=37674&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20135350%26dopt%3DAbstract Authors: Turchik JA, Karpenko V, Ogles BM, Demireva P, Probst DR Consumer satisfaction with treatment is important information for providers of mental health services. The goal of the current study was to examine the relationship between youth and parent satisfaction ratings and the following youth variables: gender, age, primary diagnosis, and changes in functioning and symptomatology after 6 months of services. Results demonstrated that in a large sample of youth receiving community mental health services satisfaction with services differed as a function of the adolescents' clinician-derived primary diagnosis, age, and reported changes in symptoms and functioning. Although significant, these variables accounted for only a small portion of the variance in satisfaction. Additionally, t... Community Mental Health Journal journals http://www.medworm.com/rss/comments.php?id=3245585 Fri, 05 Feb 2010 00:00:00 +0100 3245585 http://www.medworm.com/index.php?rid=3245587&cid=s_37674_172_f&fid=37674&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20130990%26dopt%3DAbstract Authors: Alaghehbandan R, Lari AR, Joghataei MT, Islami A A prospective study of all suicidal behaviors by burns requiring hospitalization was conducted in the province of Khorasan, Iran, from March 21, 2005 to March 20, 2006, to examine marital status, urbanity and literacy among these patients. Data were obtained through interviews during the course of hospitalization. A total of 130 patients with suicidal behavior by burns were identified (incidence rate of 2.9 per 100,000). Females had a higher rate of suicidal behavior by burns than males (4.2 vs. 1.6 per 100,000, P < 0.001). The rate of suicidal behavior by burns was higher among single persons than married persons (4.3 vs. 3.5 per 100,000). The rate of suicidal behavior by burns among the rural population was slightly higher ... Community Mental Health Journal journals http://www.medworm.com/rss/comments.php?id=3245587 Thu, 04 Feb 2010 00:00:00 +0100 3245587 http://www.medworm.com/index.php?rid=3245586&cid=s_37674_172_f&fid=37674&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20130991%26dopt%3DAbstract Authors: Feldman JM PMID: 20130991 [PubMed - as supplied by publisher] (Source: Community Mental Health Journal) Community Mental Health Journal journals http://www.medworm.com/rss/comments.php?id=3245586 Thu, 04 Feb 2010 00:00:00 +0100 3245586 http://www.medworm.com/index.php?rid=3213282&cid=s_37674_172_f&fid=37674&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20099030%26dopt%3DAbstract Authors: Constantine RJ, Andel R, Tandon R We studied trends in antipsychotic polypharmacy over a 4 year period in order to see if a change occurred when a statewide quality improvement program aimed at reducing the practice was implemented. Antipsychotic polypharmacy prevalence rates were calculated for eight 6-month periods for enrollees with schizophrenia and schizoaffective disorder and for those with all other diagnoses. Prevalence increased from 1/2003 to 12/2004 and then declined for 4 successive 6 month periods beginning in the 1/2005-6/05 period when the program began. Piecewise linear regression results for both diagnostic groups confirmed that the change in the likelihood of antipsychotic polypharmacy during the four 6 month periods before program implementation were signifi... Community Mental Health Journal journals http://www.medworm.com/rss/comments.php?id=3213282 Sat, 23 Jan 2010 00:00:00 +0100 3213282 http://www.medworm.com/index.php?rid=3197212&cid=s_37674_172_f&fid=37674&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20091425%26dopt%3DAbstract Authors: Pollack DA The author worked as a health policy fellow in the office of Senator Edward M. Kennedy in 1999. These reflections on that experience provide a description of the ambience of working on health policy issues in the US Congress, how the author utilized his community psychiatric knowledge and skills to assist in the process of developing and promoting various health and mental health related issues, and what it was like working in the Kennedy office. In the wake of his death, the Senator's long and influential career and especially his role in advancing health and mental health access and care improvement cannot be overstated. PMID: 20091425 [PubMed - as supplied by publisher] (Source: Community Mental Health Journal) Community Mental Health Journal journals http://www.medworm.com/rss/comments.php?id=3197212 Fri, 22 Jan 2010 00:00:00 +0100 3197212 http://www.medworm.com/index.php?rid=3197213&cid=s_37674_172_f&fid=37674&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20091228%26dopt%3DAbstract This article provides a detailed examination of the relationship between disaster-related experiences and mental health outcomes among a sample of drug using African American Hurricane Katrina evacuees. Face-to-face structured interviews were administered to Hurricane Katrina evacuees (n = 350) residing in voucher assisted apartment complexes in Houston, Texas (2006-2007). We use Ordinary Least Squares and logistic regression models to examine both the relevance of disaster-related experiences and the interactive relationships between disaster-related experiences and post-disaster mental health outcomes including psychological distress, severe depression, somatic symptoms, and posttraumatic stress disorder. Results indicate that disaster-related experiences including negative life changes,... Community Mental Health Journal journals http://www.medworm.com/rss/comments.php?id=3197213 Thu, 21 Jan 2010 00:00:00 +0100 3197213 http://www.medworm.com/index.php?rid=3179339&cid=s_37674_172_f&fid=37674&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20072816%26dopt%3DAbstract In this study, effects of 90- versus 30-min IOOV are contrasted with 30 min of education. Two hundred research participants were randomly assigned to one of these three conditions and completed a measure of stigmatizing perceptions and recollections. People in the education group remembered more negatives than the two IOOV groups. To control for overall response rate, a difference ratio was determined (difference in positive and negative recollection divided by overall recollections). Results showed the two IOOV conditions had significantly better ratios than education. These findings suggest the 30 min version of IOOV is as effective as the 90 min standard. PMID: 20072816 [PubMed - as supplied by publisher] (Source: Community Mental Health Journal) Community Mental Health Journal journals http://www.medworm.com/rss/comments.php?id=3179339 Thu, 14 Jan 2010 00:00:00 +0100 3179339 http://www.medworm.com/index.php?rid=3179338&cid=s_37674_172_f&fid=37674&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20077006%26dopt%3DAbstract This study examined the integration of two evidence-based practices for adults with severe mental illness: Assertive community treatment (ACT) and illness management and recovery (IMR) with peer specialists as IMR practitioners. Two of four ACT teams were randomly assigned to implement IMR. Over 2 years, the ACT-IMR teams achieved moderate fidelity to the IMR model, but low penetration rates: 47 (25.7%) consumers participated in any IMR sessions and 7 (3.8%) completed the program during the study period. Overall, there were no differences in consumer outcomes at the ACT team level; however, consumers exposed to IMR showed reduced hospital use over time. PMID: 20077006 [PubMed - as supplied by publisher] (Source: Community Mental Health Journal) Community Mental Health Journal journals http://www.medworm.com/rss/comments.php?id=3179338 Thu, 14 Jan 2010 00:00:00 +0100 3179338 http://www.medworm.com/index.php?rid=3164685&cid=s_37674_172_f&fid=37674&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20063061%26dopt%3DAbstract In this study, group differences were assessed using qualitative data from 27 HF and 48 TF clients. Dichotomous variables for substance use and substance abuse treatment utilization were created and examined using bivariate and logistic regression analyses. The HF group had significantly lower rates of substance use and substance abuse treatment utilization; they were also significantly less likely to leave their program. Housing First's positive impact is contrasted with the difficulties Treatment First programs have in retaining clients and helping them avoid substance use and possible relapse. PMID: 20063061 [PubMed - as supplied by publisher] (Source: Community Mental Health Journal) Community Mental Health Journal journals http://www.medworm.com/rss/comments.php?id=3164685 Sat, 09 Jan 2010 00:00:00 +0100 3164685 http://www.medworm.com/index.php?rid=3164684&cid=s_37674_172_f&fid=37674&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20063062%26dopt%3DAbstract Authors: Usefy AR, Ghassemi GR, Sarrafzadegan N, Mallik S, Baghaei AM, Rabiei K To evaluate discriminant validity, reliability, internal consistency, and dimensional structure of the World Health Organization Quality of Life-BREF (WHOQOL-BREF) in a heterogeneous Iranian population. A clustered randomized sample of 2,956 healthy with 2,936 unhealthy rural and urban inhabitants aged 30 and above from two dissimilar Iranian provinces during 2006 completed the Persian version of the WHOQOL-BREF. We performed descriptive and analytical analysis including t-student, correlation matrix, Cronbach's Alpha, and factor analysis with principal components method and Varimax rotation with SPSS.15. The mean age of the participants was 42.2 +/- 12.1 years and the mean years of education was 9.3 +/- 3.... Community Mental Health Journal journals http://www.medworm.com/rss/comments.php?id=3164684 Sat, 09 Jan 2010 00:00:00 +0100 3164684 http://www.medworm.com/index.php?rid=3135979&cid=s_37674_172_f&fid=37674&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20043208%26dopt%3DAbstract Authors: Patton R, Slesnick N, Bantchevska D, Guo X, Kim Y Follow-up rates reported among longitudinal studies that focus on runaway adolescents and their families are relatively low. Identifying factors associated with follow-up completion might be useful for improving follow-up rates and therefore study validity. The present study explored how individual- and family-level constructs, as well as research project activities, influence the follow-up completion rate among runaway adolescents (N = 140) and their primary caregiver. Results showed that follow-up completion rates decreased as the number of research assistants (RA) assigned to each case increased and as participants' address changes increased. Additionally, among adolescents, more frequent alcohol use was associated with lowe... Community Mental Health Journal journals http://www.medworm.com/rss/comments.php?id=3135979 Thu, 31 Dec 2009 00:00:00 +0100 3135979 http://www.medworm.com/index.php?rid=3130235&cid=s_37674_172_f&fid=37674&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20039129%26dopt%3DAbstract Authors: Matevosyan NR (A) To assess the prevalence of suboptimal oral health in adults with SMI in studies published in 1971-2009; (B) To describe approaches that promote oral health among adults with SMI. A total of 57 randomized, quasi-randomized, cross-section, and cohort studies from samples of 38-4,769 mental health consumers are identified through database, journal, and Internet searches (Cochrane, FASTSTATS, PUBMED, WHO.int). Selected studies are inclusive for the sample, reported statistical power, and external validity. Oral health adverse outcomes (xerostomia, sialorrhoea, dental caries, extracted teeth, malocclusion, periodontal disease, edentulous, oral cancer) are considered as measurable outcomes. This review suggests a substantial prevalence of suboptimal oral health (6... Community Mental Health Journal journals http://www.medworm.com/rss/comments.php?id=3130235 Tue, 29 Dec 2009 00:00:00 +0100 3130235 http://www.medworm.com/index.php?rid=3124939&cid=s_37674_172_f&fid=37674&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20037780%26dopt%3DAbstract Authors: Denys K, Rasmussen C, Henneveld D The purpose of this study was to evaluate the effectiveness of the Step by Step program in which mentors work with parents affected by Fetal Alcohol Spectrum Disorder (FASD) on a one-to-one basis. Mentors help clients identify and work towards meeting their needs and achieving their goals. Data from 24 closed client files was collected and analyzed and as predicted, the program was effective in helping clients reduce their needs and achieve their goals. The client's reason for leaving the program as well as whether or not they had a formal FASD diagnosis had an impact on their success in the program. Data collected on additional mental health issues, experience of abuse and addictions helped to characterize the sample of clients and correlatio... Community Mental Health Journal journals http://www.medworm.com/rss/comments.php?id=3124939 Sun, 27 Dec 2009 00:00:00 +0100 3124939 http://www.medworm.com/index.php?rid=3123341&cid=s_37674_172_f&fid=37674&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20035384%26dopt%3DAbstract This study compared levels of loneliness, quality of life (QOL) and social support among people with serious mental illness (SMI) living in two different types of housing: group homes and supportive community housing. Forty persons with SMI living in supportive community housing and 57 living in a group home completed measures of QOL, symptoms, perceived social support and loneliness. Analysis of variance tests were conducted to examine whether there were differences in degree of loneliness, QOL and social support between the groups living in the two residential types. No significant differences between the two housing models were found. Correlational analysis, however, indicated a strong relationship between loneliness and QOL. Subsequent regression analysis revealed that residence in gro... Community Mental Health Journal journals http://www.medworm.com/rss/comments.php?id=3123341 Fri, 25 Dec 2009 00:00:00 +0100 3123341 http://www.medworm.com/index.php?rid=3120700&cid=s_37674_172_f&fid=37674&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20033772%26dopt%3DAbstract This study examines discriminatory experiences and perceived social inequity in relation to mental health status among rural-to-urban migrants in China. Cross-sectional data were collected from 1,006 rural-to-urban migrants in 2004-2005 in Beijing, China. Participants reported their perceptions and experiences of being discriminated in daily life in urban destination and perceived social inequity. Mental health was measured using the symptom checklist-90 (SCL-90). Multivariate analyses using general linear model were performed to test the effect of discriminatory experience and perceived social inequity on mental health. Experience of discrimination was positively associated with male gender, being married at least once, poorer health status, shorter duration of migration, and middle range... Community Mental Health Journal journals http://www.medworm.com/rss/comments.php?id=3120700 Thu, 24 Dec 2009 00:00:00 +0100 3120700 http://www.medworm.com/index.php?rid=3120699&cid=s_37674_172_f&fid=37674&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20033773%26dopt%3DAbstract Authors: Kidd SA, George L, O'Connell M, Sylvestre J, Kirkpatrick H, Browne G, Thabane L There has been increasing commentary about the degree to which Assertive Community Treatment (ACT) teams provide recovery-oriented services, often centered around the question of the use of coercion. The present study was designed to contribute to this discussion through an examination of recovery-oriented service provision and ACT fidelity among 67 teams in the province of Ontario, Canada. The findings indicated a moderate to high degree of recovery orientation in service provision, with no significant relationship between ACT fidelity and consumer and family/key support ratings of recovery orientation. A significant relationship was found, however, between the 'nature of services' domain of the D... Community Mental Health Journal journals http://www.medworm.com/rss/comments.php?id=3120699 Thu, 24 Dec 2009 00:00:00 +0100 3120699 http://www.medworm.com/index.php?rid=3120701&cid=s_37674_172_f&fid=37674&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20033488%26dopt%3DAbstract This article traces the origins of these terms, seeking to understand how they apply, individually and in conjunction with one another to mental health consumers. Each shares a common perspective that is health-centered rather than disease-centered and that emphasizes the role of consumers as opposed to professional providers as the central determinants of health and well-being. Developing approaches combining elements of each construct may hold promise for improving the overall health and well-being of persons with serious mental disorders. PMID: 20033488 [PubMed - as supplied by publisher] (Source: Community Mental Health Journal) Community Mental Health Journal journals http://www.medworm.com/rss/comments.php?id=3120701 Wed, 23 Dec 2009 00:00:00 +0100 3120701 http://www.medworm.com/index.php?rid=3057500&cid=s_37674_172_f&fid=37674&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19957030%26dopt%3DAbstract We report qualitative and quantitative findings regarding intimate partner violence perpetrated both against and by a sample of 53 Puerto Rican women diagnosed with major depression, bipolar disorder, or schizophrenia. Interviewers shadowed participants for a period of 2 years. Two-thirds of the women with serious mental illness had histories of victimization. However, 23% of the women also reported histories of violence towards their significant others. This was attributed to various reasons, such as anger, revenge, control, and self-defense. Participants described their personal conceptualization of the violence they received and perpetrated. This has implications for programs designed to prevent family violence, for health care professionals in general, and for psychiatrists, who may be... Community Mental Health Journal journals http://www.medworm.com/rss/comments.php?id=3057500 Thu, 03 Dec 2009 00:00:00 +0100 3057500 http://www.medworm.com/index.php?rid=3057499&cid=s_37674_172_f&fid=37674&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19957105%26dopt%3DAbstract Authors: Pinninti NR, Fisher J, Thompson K, Steer R Individuals with Serious mental illness require psychosocial treatments as adjunct to pharmacotherapy to promote recovery. An ACT team was trained in CBT interventions and charts were reviewed to identify sessions where CBT was utilized. Subjects who received at least 3 sessions of CBT went from 10% before training to 44% after training and 54% in the follow up period. All team members including bachelor's level staff provided CBT interventions. Results show that ACT Team members including those at bachelor's level can be trained in CBT and they utilize these interventions after training is completed. PMID: 19957105 [PubMed - as supplied by publisher] (Source: Community Mental Health Journal) Community Mental Health Journal journals http://www.medworm.com/rss/comments.php?id=3057499 Wed, 02 Dec 2009 00:00:00 +0100 3057499 http://www.medworm.com/index.php?rid=3057498&cid=s_37674_172_f&fid=37674&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19957106%26dopt%3DAbstract Authors: Osterberg LD, Jensen-Doss A, Cusack KJ, de Arellano MA Clinician generated diagnoses are subject to heuristic biases, and structured diagnostic interviews are useful but costly diagnostic aids. Because dimensional rating scales may hold potential to improve diagnostic practices in community mental health settings, we examined how community clinicians incorporate the results of the Trauma Symptom Checklist for Children (TSCC; Briere 1996) into their diagnostic practices. Results suggest clinicians may attend to the TSCC anxiety and depression scores, but most scales agreed poorly with diagnoses assigned. While dimensional rating scales do hold potential as diagnostic aids, additional work on how to increase their utility to clinicians is needed. PMID: 19957106 [PubMed - as ... Community Mental Health Journal journals http://www.medworm.com/rss/comments.php?id=3057498 Wed, 02 Dec 2009 00:00:00 +0100 3057498 http://www.medworm.com/index.php?rid=3042718&cid=s_37674_172_f&fid=37674&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19946797%26dopt%3DAbstract This study examined the relationship between social workers' experiences when interfacing with managed care organizations and burnout. A total of 591 social workers completed questionnaires that included several measures: Self-perceived competence in the context of managed care, professional involvement with clients with severe mental illness, and burnout. Results showed that self-perceived competence in the context of managed care had statistically significant correlations with burnout dimensions. The author discusses the role of social work schools in preparing students for the realistic aspects of mental health work, and recommends a partnership between managed care organizations and professionals for best care giving. PMID: 19946797 [PubMed - as supplied by publisher] (Source: Comm... Community Mental Health Journal journals http://www.medworm.com/rss/comments.php?id=3042718 Sat, 28 Nov 2009 00:00:00 +0100 3042718 http://www.medworm.com/index.php?rid=2985677&cid=s_37674_172_f&fid=37674&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19902355%26dopt%3DAbstract Authors: Kernan JB, Morilus-Black M Social supports for youth and families receiving mental health services are important for family success and sustainability of systems of care. The goal of our study was to determine what help and support families and youth receive and from whom they receive it. We surveyed youth and families enrolled in community wraparound care coordination to determine the support they receive. The social supports questionnaire measures include: the kinds of help and support that the parent/caregiver and youth received from people in the past 6 months, and the kinds of people who helped the parent/caregiver and youth in the past 6 months. Results show that social support networks are weak for both family and youth. Variations in scores suggest that wraparound fami... Community Mental Health Journal journals http://www.medworm.com/rss/comments.php?id=2985677 Tue, 10 Nov 2009 00:00:00 +0100 2985677 http://www.medworm.com/index.php?rid=2978270&cid=s_37674_172_f&fid=37674&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19898984%26dopt%3DAbstract This study aimed to evaluate the impact of a catastrophic earthquake on the incidence of hospitalizations for schizophrenia, and on the choice of hospitals for patients thus hospitalized, using a quasi-experimental design. Results demonstrated post-catastrophe increases in the incidence of hospitalizations for schizophrenia by 11.0 and 21.6% in the first and second year after the disaster, respectively. Among index hospitalizations for schizophrenia, the earthquake was associated with decreases in the use of teaching and public hospitals. For patients with schizophrenia, aggravation of symptoms and the likelihood of being crowded out of the use of health care services by those with other physical or mental illnesses after a catastrophe warrant our attention. PMID: 19898984 [PubMed - as... Community Mental Health Journal journals http://www.medworm.com/rss/comments.php?id=2978270 Sun, 08 Nov 2009 00:00:00 +0100 2978270 http://www.medworm.com/index.php?rid=2978269&cid=s_37674_172_f&fid=37674&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19898985%26dopt%3DAbstract Authors: Torrey WC, Drake RE Psychiatrist outpatient office visits have the potential to support the recovery of adults with severe mental illnesses by engaging them in a collaborative process of evaluating, selecting, and trying individually-tailored therapeutic options. Evidence-informed shared decision making is difficult for psychiatrists to offer within the framework of care as it is delivered today: it requires time, easy access to relevant scientific information, and extensive communication between patients and psychiatrists. In this paper, we describe the current structural obstacles to collaborative psychiatric care and envision a redesigned office visit process that facilitates active informed patient involvement. PMID: 19898985 [PubMed - as supplied by publisher] (Source... Community Mental Health Journal journals http://www.medworm.com/rss/comments.php?id=2978269 Sun, 08 Nov 2009 00:00:00 +0100 2978269 http://www.medworm.com/index.php?rid=2978268&cid=s_37674_172_f&fid=37674&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19898986%26dopt%3DAbstract Authors: Ferguson KM, Jun J, Bender K, Thompson S, Pollio D The purpose of this study was to compare measures of addiction and transience among street youth in three disparate urban areas: Los Angeles, California; Austin, Texas; and St. Louis, Missouri. Street youth from Los Angeles (n = 50), Austin (n = 50) and St. Louis (n = 46) were recruited using comparable engagement strategies. Youth were interviewed concerning use of alcohol and other substances and their level of transience. Youth from each city were compared using chi-squares and multinomial logistic regression. Results reveal that youth in each city differed in ethnicity, age, educational status, length of time homeless, and substance abuse and dependence. Comparisons across youth in three cities suggest that length of homel... Community Mental Health Journal journals http://www.medworm.com/rss/comments.php?id=2978268 Sun, 08 Nov 2009 00:00:00 +0100 2978268 http://www.medworm.com/index.php?rid=2978267&cid=s_37674_172_f&fid=37674&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19898987%26dopt%3DAbstract This study explores mental health professionals' practices with adult clients and their parents at the departure of the clients' transition from the parental home to independent living. Using grounded theory methodology, the author interviewed 24 case managers in Assertive Community Treatment programs in Wisconsin and applied dimensional analysis to identify and categorize concepts in verbatim transcripts. Different client-parent relationships were sampled to compare practices on client independent living. Results show that case managers considered client independent living a desirable social norm and a practical approach to addressing long-term care concerns. Based on the status of parental approval of independent living, case managers applied various strategies to foster helpful parental... Community Mental Health Journal journals http://www.medworm.com/rss/comments.php?id=2978267 Sun, 08 Nov 2009 00:00:00 +0100 2978267 http://www.medworm.com/index.php?rid=2978266&cid=s_37674_172_f&fid=37674&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19898988%26dopt%3DAbstract Authors: Ghassemi GR, Ahmadzadeh GH, Usefy AR, Fanian H, Emarifard V, Mallik S The purpose of this study is to estimate the predictors of working ability in depressed patients. Two hundred and twenty-six patients with depression consecutively admitted on outpatient basis from March 2003 to May 2006 were classified into working and non working groups. Severity of depression was measured by the Beck Depression Inventory and their occupational adjustment 2 months prior to the last episode was determined by Occupational Adjustment Scale, a subscale of Social Adjustment Scale. The groups were almost similar in terms of age, sex, education, and marital status. There were significant differences between them in terms of family history of depression, episodes of depression, history of suicide ... Community Mental Health Journal journals http://www.medworm.com/rss/comments.php?id=2978266 Sun, 08 Nov 2009 00:00:00 +0100 2978266 http://www.medworm.com/index.php?rid=2978271&cid=s_37674_172_f&fid=37674&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19898935%26dopt%3DAbstract Authors: Tsai J, Bond GR, Salyers MP, Godfrey JL, Davis KE Housing is a crucial issue for adults with severe mental illness and co-occurring substance use disorders, as this population is particularly susceptible to housing instability and homelessness. We interviewed 40 adults with dual disorders, living in either supervised or independent housing arrangements, to examine housing preferences, decision making processes surrounding housing choices, and perceived barriers to housing. We found that many clients indicated their housing preferences had changed over time, and some clients related housing preferences to recovery. Although the majority of clients preferred independent housing, many also described benefits of supervised housing. Clients' current living situations appeared to be... Community Mental Health Journal journals http://www.medworm.com/rss/comments.php?id=2978271 Sat, 07 Nov 2009 00:00:00 +0100 2978271 http://www.medworm.com/index.php?rid=2969748&cid=s_37674_172_f&fid=37674&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19888652%26dopt%3DAbstract Authors: Bernstein KS, Park SY, Shin J, Cho S, Park Y Immigrant mental health issues, especially depression in relation to discrimination and acculturation, are reported to be serious problems in the United States. The current study examines the prevalence of depressive symptoms among Korean immigrants in New York City (NYC) and its relation to self-reported discrimination and acculturation. A sample of 304 Korean immigrants residing in NYC completed a survey utilizing the Center for Epidemiologic Studies Depression Scale-Korean version, Discrimination Scale, and Acculturation Stress Scale. Results indicated that 13.2% of the sample population demonstrated some symptoms of depression and that variable such as living alone, marital status, education, years in US and income impact high d... Community Mental Health Journal journals http://www.medworm.com/rss/comments.php?id=2969748 Wed, 04 Nov 2009 00:00:00 +0100 2969748 http://www.medworm.com/index.php?rid=2969722&cid=s_37674_172_f&fid=37674&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19888653%26dopt%3DAbstract This study aims to explore the obstacles to Evidence-Based Practice (EBP) experienced by Belgian Dutch-speaking psychiatrists. We used an inductive, qualitative research strategy. Thirty-nine psychiatrists participated in five focus groups organised between September 2004 and September 2006. Data-analysis was guided by a 'grounded theory approach'. Three major themes emerged from the data: (1) Characteristics of evidence, including the lack of (use of) evidence and the applicability of evidence; (2) Characteristics of other partners in mental health care, including government, patients and drug companies and (3) Discipline-related barriers, including the complexity of diagnoses, the importance of the therapeutic relationship and personal experience, and the different schools of thoughts. A... Community Mental Health Journal journals http://www.medworm.com/rss/comments.php?id=2969722 Wed, 04 Nov 2009 00:00:00 +0100 2969722 http://www.medworm.com/index.php?rid=2920694&cid=s_37674_172_f&fid=37674&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19847645%26dopt%3DAbstract The objective of this research was to assess the problems that professionals perceive in the community mental health care for patients with severe borderline personality disorder that do not fit into specialized therapy. A group of national experts (n = 8) participated in a four-phase Delphi-procedure to identify and prioritize the problems. A total of 36 problems reflecting five categories was found: patient-related, professional-related, interaction-related, social system-related, and mental health care-related. Problems with attachment and dependency and social issues were important patient problems while a lack of skills was an important professional problem. Support from the patient's social system and the mental health system were identified as limited, which resulted in both the pat... Community Mental Health Journal journals http://www.medworm.com/rss/comments.php?id=2920694 Wed, 21 Oct 2009 23:00:00 +0100 2920694 http://www.medworm.com/index.php?rid=2920693&cid=s_37674_172_f&fid=37674&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19847646%26dopt%3DAbstract Authors: Kortrijk HE, Mulder CL, Roosenschoon BJ, Wiersma D In an observational study of severely mentally ill patients treated in assertive community treatment (ACT) teams, we investigated how treatment outcome was associated with demographic factors, clinical factors, and motivation for treatment. To determine psychosocial outcome, patients were routinely assessed using the Health of the Nation Outcome Scales (HoNOS). Trends over time were analyzed using a mixed model with repeated measures. The HoNOS total score was modeled as a function of treatment duration and patient-dependent covariates. Data comprised 637 assessments of 139 patients; mean duration of follow-up was 27.4 months (SD = 5.4). Substance abuse, higher age, problems with motivation, and lower educational level were as... Community Mental Health Journal journals http://www.medworm.com/rss/comments.php?id=2920693 Wed, 21 Oct 2009 23:00:00 +0100 2920693 http://www.medworm.com/index.php?rid=2920692&cid=s_37674_172_f&fid=37674&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19847647%26dopt%3DAbstract Authors: Moses T How parents give meaning to the problems of adolescents diagnosed with mental disorders and receiving treatment is likely related to important outcomes including parental well-being and commitment to treatment, as well as their own behaviors and reactions to their child. The aim of this cross-sectional, mixed-method study of 70 parents of adolescents receiving wraparound mental health services is to examine: (1) how parents conceptualize their child's MH problems; (2) factors related to parents' conceptualization of youths' problems using medical model terms; and (3) associations between parents' problem conceptualization and their emotional or coping responses to their child having psychiatric problem(s). Content analysis indicated that 54.3% of parents definitively c... Community Mental Health Journal journals http://www.medworm.com/rss/comments.php?id=2920692 Wed, 21 Oct 2009 23:00:00 +0100 2920692 http://www.medworm.com/index.php?rid=2920691&cid=s_37674_172_f&fid=37674&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19847648%26dopt%3DAbstract This report asserts the importance of establishing effective collaborations between research-oriented universities and CMHCs in an effort to bridge the gap between empirically-based treatments and "real world" clinical practice. Furthermore, this report explains the establishment of a mutually informative and beneficial university-CMHC collaboration between the Disruptive Behavior Clinic at the University of Illinois-Chicago and the Community Mental Health Council (CMHC) on an evidence-based outpatient family therapy protocol for urban youth with behavior problems. Values and guidelines to facilitate evidence-based practice for fellow academic institutions are asserted. University-CMHC collaboration is an effective way to bring empirically-based practice to the "real world," front-line pra... Community Mental Health Journal journals http://www.medworm.com/rss/comments.php?id=2920691 Wed, 21 Oct 2009 23:00:00 +0100 2920691 http://www.medworm.com/index.php?rid=2912962&cid=s_37674_172_f&fid=37674&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19842035%26dopt%3DAbstract Authors: Grant TM, Jack DC, Fitzpatrick AL, Ernst CC Depression among women commonly co-occurs with substance abuse. We explore the association between women's depressive symptoms and self-silencing accounting for the effects of known childhood and adult risk indicators. Participants are 233 ethnically diverse, low-income women who abused alcohol/drugs prenatally. Depressive symptomatology was assessed using the Addiction Severity Index. Multivariate logistic regression models examined the association between self-silencing and the dependent depression variable. The full model indicated a 3% increased risk for depressive distress for each point increase in self-silencing score (OR = 1.03; P = .001). Differences in depressive symptomatology by ethnic groups were accounted for by their d... Community Mental Health Journal journals http://www.medworm.com/rss/comments.php?id=2912962 Thu, 15 Oct 2009 23:00:00 +0100 2912962 http://www.medworm.com/index.php?rid=2889682&cid=s_37674_172_f&fid=37674&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19821137%26dopt%3DAbstract Authors: Aalsma MC, Liu GC, Wiehe SE Parental practices on problem behavior based on gender and age effects with urban youth were studied. Participants were 8-17 years old (N = 3,658; 66% African-American) and logistic regression models were conducted. For pre-teen females, decreased friend monitoring was related to high problem behavior; for teen females, lower maternal support and decreased home monitoring were significant. None of the models were significant for pre-teen males and lack of home monitoring was significant for teen males. Strategies for preventing problem behavior within urban communities will be more effective if they are tailored to gender and developmental factors. PMID: 19821137 [PubMed - as supplied by publisher] (Source: Community Mental Health Journal) Community Mental Health Journal journals http://www.medworm.com/rss/comments.php?id=2889682 Sat, 10 Oct 2009 23:00:00 +0100 2889682 http://www.medworm.com/index.php?rid=2889683&cid=s_37674_172_f&fid=37674&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19821029%26dopt%3DAbstract Authors: Hochhausen L, Le HN, Perry DF Latina immigrants may be at increased risk for mental illnesses, but have less access to and seek mental health services less often than Black and White counterparts. Guided by the Andersen Behavioral Model of service utilization, the current study employed a medical chart review to elucidate factors associated with use of mental health services at a community health center. Of the clients referred for mental health services, only 36% followed through on the referral. Older age, use of case management services, and depressive symptomatology were predictors of attending mental health services. These findings have implications for community health and mental health providers. PMID: 19821029 [PubMed - as supplied by publisher] (Source: Community ... Community Mental Health Journal journals http://www.medworm.com/rss/comments.php?id=2889683 Fri, 09 Oct 2009 23:00:00 +0100 2889683 http://www.medworm.com/index.php?rid=2879931&cid=s_37674_172_f&fid=37674&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19816772%26dopt%3DAbstract In this study, a large multi-ethnic sample of non-clinical adolescents (N = 376) completed questionnaires for measuring a wide range of person-related protective and vulnerability factors as well as psychopathology symptoms, in order to explore (a) the relations among various protective and vulnerability factors, and (b) the unique contributions of these protective and vulnerability factors to different types of psychological problems. Results indicated that the overlap among protective and vulnerability factors was quite modest. Further, it was found that factors clustered in theoretically meaningful components reflecting protection, vulnerability, and more specific aspects of coping and social support. Finally, data indicated that each type of psychopathology symptoms was associated with... Community Mental Health Journal journals http://www.medworm.com/rss/comments.php?id=2879931 Thu, 08 Oct 2009 23:00:00 +0100 2879931 http://www.medworm.com/index.php?rid=2872701&cid=s_37674_172_f&fid=37674&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19809876%26dopt%3DAbstract This study suggests a clinical pharmacist can be beneficial to an ACT team and provide diverse services to both clients and other team members. PMID: 19809876 [PubMed - as supplied by publisher] (Source: Community Mental Health Journal) Community Mental Health Journal journals http://www.medworm.com/rss/comments.php?id=2872701 Tue, 06 Oct 2009 23:00:00 +0100 2872701 http://www.medworm.com/index.php?rid=2832644&cid=s_37674_172_f&fid=37674&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19777347%26dopt%3DAbstract This study examined whether trauma and PTSD are under-detected in this population, and whether the cognitive theory of PTSD is applicable to these individuals. Traumatic experiences, PTSD symptoms and negative posttraumatic cognitions were directly measured with questionnaires, and compared to information obtained via chart-review. Results showed clear evidence of under-report of trauma and under-diagnosis of PTSD in patients' charts. Furthermore, negative posttraumatic cognitions were positively related to PTSD symptom severity, supporting the cognitive model of PTSD. These findings underscore the importance of assessing trauma history as well as PTSD in the routine evaluation of patients with schizophrenia or schizoaffective disorder in outpatient clinical settings. Furthermore, the find... Community Mental Health Journal journals http://www.medworm.com/rss/comments.php?id=2832644 Wed, 23 Sep 2009 23:00:00 +0100 2832644 http://www.medworm.com/index.php?rid=2832643&cid=s_37674_172_f&fid=37674&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19777348%26dopt%3DAbstract Authors: Bohlmeijer E, Kramer J, Smit F, Onrust S, van Marwijk H A quasi-experimental (non-randomized) study was conducted to study the effects of a new intervention The story of your life that combines integrative reminiscence with narrative therapy. The program consists of seven sessions of two hours and one follow-up session after 8 weeks. It is directed at community-dwelling people of 55 years and older with mild to moderate depressive symptoms. After the intervention the participants showed significantly less depressive symptoms and higher mastery, also in comparison with a waiting-list control group. Demographic factors and initial levels of depressive symptomatology and mastery were not found to moderate the effects. The effects were maintained at 3 months after completion of th... Community Mental Health Journal journals http://www.medworm.com/rss/comments.php?id=2832643 Wed, 23 Sep 2009 23:00:00 +0100 2832643 http://www.medworm.com/index.php?rid=2824986&cid=s_37674_172_f&fid=37674&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19771517%26dopt%3DAbstract Authors: Borras L, Mohr S, Gillieron C, Brandt PY, Rieben I, Leclerc C, Huguelet P Spirituality and religion have been found to be important in the lives of many people suffering from severe mental disorders, but it has been claimed that clinicians "neglect" their patients' religious issues. In Geneva, Switzerland and Trois-Rivières, Quebec, 221 outpatients and their 57 clinicians were selected for an assessment of religion and spirituality. A majority of the patients reported that religion was an important aspect of their lives. Many clinicians were unaware of their patients' religious involvement, even if they reported feeling comfortable with the issue. Both areas displayed strikingly similar results, which supports their generalization. PMID: 19771517 [PubMed - as supplied... Community Mental Health Journal journals http://www.medworm.com/rss/comments.php?id=2824986 Mon, 21 Sep 2009 23:00:00 +0100 2824986 http://www.medworm.com/index.php?rid=2824985&cid=s_37674_172_f&fid=37674&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19771518%26dopt%3DAbstract Authors: Chandler DW Fidelity scores and outcomes were measured in six outpatient programs in California which implemented Integrated Dual Disorders Treatment (IDDT). Outcomes were measured for 1 year in four sites and 2 years in two sites; fidelity was assessed at 6 months intervals. Three of the six sites achieved high fidelity (at least a 4 on a 5 point fidelity scale) and three moderate fidelity (at least a 3). Retention in treatment, mental health functioning, stage of substance abuse treatment, abstinence, and psychiatric hospitalization were measured. Outcomes for individual programs were generally positive but not consistent within programs or across programs. Using pooled data in a longitudinal regression model with random effects at person level and adjustment of standard err... Community Mental Health Journal journals http://www.medworm.com/rss/comments.php?id=2824985 Mon, 21 Sep 2009 23:00:00 +0100 2824985 http://www.medworm.com/index.php?rid=2824987&cid=s_37674_172_f&fid=37674&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19768652%26dopt%3DAbstract This study compared sex differences in related treatment outcomes and processes in a community sample of outpatient problem gambling treatment-seekers. Participants attended approximately seven sessions of cognitive-behavioral treatment. Women were more likely to have a history of psychiatric comorbidity, prefer non-strategic/non-skill forms of gambling, and have a more rapid progression towards a gambling problem than did men. At the 6-month post-treatment follow-up, men were found to have improved to a significantly greater degree on measures of gambling severity and rates of abstinence in comparison to women. Moreover, men rated treatment components to be more helpful, whereas women found specific gambling-related treatment interventions (e.g., identification of high-risk situations, ga... Community Mental Health Journal journals http://www.medworm.com/rss/comments.php?id=2824987 Sat, 19 Sep 2009 23:00:00 +0100 2824987 http://www.medworm.com/index.php?rid=2824989&cid=s_37674_172_f&fid=37674&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19768541%26dopt%3DAbstract This study examines the demographic, socioeconomic and illness characteristics of consumers referred for Supported Employment services. Consumers were drawn from Integrated Dual Diagnosis Treatment programs in four community mental health agencies. Study participants included 113 consumers referred for Supported Employment services and 78 randomly selected non-referred consumers as the comparison group. Results suggest that consumers who have past work experience are more likely to be referred to Supported Employment, while consumers who perceive themselves as disabled or who are diagnosed as substance dependent are less likely to be referred to Supported Employment. Implications for agency practice and future research are discussed. PMID: 19768541 [PubMed - as supplied by publisher] (... Community Mental Health Journal journals http://www.medworm.com/rss/comments.php?id=2824989 Fri, 18 Sep 2009 23:00:00 +0100 2824989 http://www.medworm.com/index.php?rid=2824988&cid=s_37674_172_f&fid=37674&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19768542%26dopt%3DAbstract In this study, treatment providers from both substance use and mental health settings were interviewed to examine their common practices regarding the assessment and treatment of co-occurring depression and substance use disorders in adolescence. About 93% of treatment providers reported treating adolescents with these co-occurring conditions. However, few providers reported using formal assessment practices (23-30%) or treatment protocols for co-occurrence (10%). Providers in mental health settings (particularly psychologists) were more likely than those in substance use settings to formally assess for depression [Chi (2)(1, N = 30) = 3.62, P = .065] but less likely to do so for substance use [Chi (2)(1, N = 30) = 9.46, P = .004]. Findings are considered with regard to implications for as... Community Mental Health Journal journals http://www.medworm.com/rss/comments.php?id=2824988 Fri, 18 Sep 2009 23:00:00 +0100 2824988 http://www.medworm.com/index.php?rid=2805300&cid=s_37674_172_f&fid=37674&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19757040%26dopt%3DAbstract Authors: Turner EA, Liew J PMID: 19757040 [PubMed - as supplied by publisher] (Source: Community Mental Health Journal) Community Mental Health Journal journals http://www.medworm.com/rss/comments.php?id=2805300 Tue, 15 Sep 2009 23:00:00 +0100 2805300 http://www.medworm.com/index.php?rid=2805299&cid=s_37674_172_f&fid=37674&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19757041%26dopt%3DAbstract Authors: Mijanovich T, Weitzman BC Although an increasing amount of community mental health research has investigated the deleterious effects of disasters and the targeting and efficacy of treatment in their aftermath, little research has sought to identify preexisting characteristics of the social environment that are predictive of post-disaster distress. A national US telephone survey fielded before and after September 11, 2001, was used to investigate the psychological distress among American adolescents related to the attacks, and to identify environmental and other characteristics that predisposed youth to experience higher or lower levels of post-disaster distress. The study found that widespread characteristics of children's school environments-school disorder and physical threa... Community Mental Health Journal journals http://www.medworm.com/rss/comments.php?id=2805299 Tue, 15 Sep 2009 23:00:00 +0100 2805299 http://www.medworm.com/index.php?rid=2768878&cid=s_37674_172_f&fid=37674&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19731019%26dopt%3DAbstract Authors: Shim RS, Compton MT Emergency department personnel play an important role in recognizing individuals with suicidality and intervening to prevent completed suicide. An educational program was designed to be offered to emergency department personnel, and was piloted with a convenience sample of 54 clinicians. Pre-test and post-test measures showed an increase in knowledge scores (from 7.9 +/- 1.9 to 13.6 +/- 2.1, P < .001) and self-efficacy scores (from 24.0 +/- 9.1 to 32.3 +/- 9.2, P < .001) regarding management of suicidal patients or those at elevated risk for suicide in the emergency department immediately after participating in the training session. In addition, participants favorably rated the training session, and would recommend it to others. With further developme... Community Mental Health Journal journals http://www.medworm.com/rss/comments.php?id=2768878 Thu, 03 Sep 2009 23:00:00 +0100 2768878 http://www.medworm.com/index.php?rid=2768879&cid=s_37674_172_f&fid=37674&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19728089%26dopt%3DAbstract Authors: O'Brien AM, Farrell SJ, Faulkner S The purpose of this paper is to examine the association of community treatment orders (CTO) with community engagement and housing arrangements for one population of psychiatric patients in Ontario, Canada. Socio demographic characteristics and health service utilization information were collected for each patient placed on a CTO during a 3 year period. Information was collected for each of the 84 patients when a CTO was first issued and then updated to reflect both the patient's ongoing involvement with the legislation and related clinical outcomes. A significant increase in the number of community services and a shift to supportive housing arrangements was found for patients following issuance of a CTO. PMID: 19728089 [PubMed - as suppli... Community Mental Health Journal journals http://www.medworm.com/rss/comments.php?id=2768879 Mon, 31 Aug 2009 23:00:00 +0100 2768879 http://www.medworm.com/index.php?rid=2730711&cid=s_37674_172_f&fid=37674&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19701792%26dopt%3DAbstract Authors: Kwon JH, Chung CS, Lee J The purpose of the present study was to examine whether Baumeister's escape from self theory may account for the pathological use of Internet games among Korean adolescents. A sample of 1,136 junior high school students completed measures assessing Internet game addiction (IGA), real-ideal self discrepancy, escape from self, current mood, peer relationships, perceived parent-child relationship, and parental supervision. IGA was significantly correlated with all of these variables. Multiple regression analysis showed that escape from self best explained the adolescents' IGA. A path model yielded significant paths from self-discrepancy to negative mood, from negative mood to escape from self, and from escape from self to IGA. These results support the va... Community Mental Health Journal journals http://www.medworm.com/rss/comments.php?id=2730711 Sat, 22 Aug 2009 23:00:00 +0100 2730711 http://www.medworm.com/index.php?rid=2725458&cid=s_37674_172_f&fid=37674&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19697128%26dopt%3DAbstract Authors: Umb-Carlsson O, Jansson L The primary objective of this study was to compare type of housing and support in housing in two groups (people with psychiatric disabilities and people with intellectual disabilities) typically dependent on support in everyday life. A second objective was to examine whether type of housing and support in housing were related to gender within the two groups. Information was obtained by available questionnaire reports provided by staff members. The results indicate unequal accessibility of support in housing in relation to the two groups. Moreover, the findings suggest that type of disability is a more determining factor than gender regarding support in housing. PMID: 19697128 [PubMed - as supplied by publisher] (Source: Community Mental Health Jou... Community Mental Health Journal journals http://www.medworm.com/rss/comments.php?id=2725458 Thu, 20 Aug 2009 23:00:00 +0100 2725458 http://www.medworm.com/index.php?rid=2721030&cid=s_37674_172_f&fid=37674&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19690955%26dopt%3DAbstract Authors: Berdahl TA, Torres Stone RA Latinos are less likely to use mental health services compared to non-Latino whites, but little research has examined the relative contribution of acculturation and attitudes towards healthcare. In the current study, we analyze data from a nationally representative sample of Mexicans, Cubans, Puerto Ricans and non-Latino whites from the 2002-2003 Medical Expenditure Panel Survey (n = 30,234). Findings show different utilization patterns in use of specialty, non-specialty, and any type of mental healthcare across the three Latino subgroups. The predictive efficacy of acculturation variables on ethnic group differences varies by subgroup. Self-reliant attitudes towards healthcare are associated with lower use, but these attitudes do not explain the et... Community Mental Health Journal journals http://www.medworm.com/rss/comments.php?id=2721030 Tue, 18 Aug 2009 23:00:00 +0100 2721030 http://www.medworm.com/index.php?rid=2713532&cid=s_37674_172_f&fid=37674&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19688593%26dopt%3DAbstract This study describes health practitioners' views on their role and confidence assessing and managing cardiovascular risk. The key findings were of a widespread acknowledgement of the need to undertake systematic risk assessment and offer structured approaches to risk factor management. Barriers of client engagement, lack of good systems and poor information sharing between primary and secondary care providers were identified. Solutions discussed included a collaborative care model or the integration of physical health services, perhaps a general practitioner-led clinic, within the secondary care setting. Whilst there is a need to identify an optimal care model there is an even greater need to take some rather than no action. PMID: 19688593 [PubMed - as supplied by publisher] (Source: C... Community Mental Health Journal journals http://www.medworm.com/rss/comments.php?id=2713532 Mon, 17 Aug 2009 23:00:00 +0100 2713532 http://www.medworm.com/index.php?rid=2713531&cid=s_37674_172_f&fid=37674&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19688594%26dopt%3DAbstract This study examined the relationship between herbal medication and dietary supplement (HMDS) use and mental health characteristics. Data are drawn from a national household survey of the United States' civilian, non-institutionalized population (N = 9,585). Psychiatric medication and HMDS use, psychiatric diagnoses and treatment needs, utilization and satisfaction were assessed. Compared to non-users, HMDS users were more likely to perceive themselves as having mental health needs, to have received mental health and primary care treatment, and to be dissatisfied with their overall healthcare. Psychiatric medication use was not related to HMDS use, and in multivariate analyses, HMDS use was associated with perceived mental health needs. Differences in use of specific HMDS between those with... Community Mental Health Journal journals http://www.medworm.com/rss/comments.php?id=2713531 Mon, 17 Aug 2009 23:00:00 +0100 2713531 http://www.medworm.com/index.php?rid=2713533&cid=s_37674_172_f&fid=37674&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19685185%26dopt%3DAbstract This study reports on a qualitative study of barriers to EBP implementation in one state that sought to implement supported employment and integrated dual diagnosis treatment. The study found that the most significant obstacles emanated from the behavior of supervisors, front-line staff and other professionals in the agency. A lack of synergy profoundly impeded implementation. PMID: 19685185 [PubMed - as supplied by publisher] (Source: Community Mental Health Journal) Community Mental Health Journal journals http://www.medworm.com/rss/comments.php?id=2713533 Fri, 14 Aug 2009 23:00:00 +0100 2713533 http://www.medworm.com/index.php?rid=2692310&cid=s_37674_172_f&fid=37674&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19669674%26dopt%3DAbstract Authors: Redlich D, Hadas-Lidor N, Weiss P, Amirav I Hope is central in recovery of the mentally ill, and family attitudes play an important role. Hope may be mediated by cognitive and communication processes. The "Keshet" program is aimed at enhancing communication of family members with the use of cognitive pathways. The present pilot study examines whether the program effectively increases hope in family members in regard to themselves versus their hope for their ill relative. Methods: Forty nine family members who participated in the "Keshet" program for 6 months comprised the experimental group. The control group comprised 22 family members who underwent no structural intervention. Hope was measured at baseline and after 6 months using the Hope Scale developed by Snyder. No differ... Community Mental Health Journal journals http://www.medworm.com/rss/comments.php?id=2692310 Sat, 08 Aug 2009 23:00:00 +0100 2692310 http://www.medworm.com/index.php?rid=2692309&cid=s_37674_172_f&fid=37674&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19669675%26dopt%3DAbstract Authors: Brown SA Due to the prevalence and serious consequences associated with mental illness stigma, a number of educational interventions have been developed to decrease stigma. One potential intervention is administering brief simulations of auditory hallucinations, but no empirical evaluations have been published. This research examined the efficacy of a brief simulation on stigma across two listening conditions. After completing a stigma measure, participants (N = 127) listened to a simulation and were randomly assigned to one of two listening conditions: (1) sitting in a research lab, or (2) ambulating around a college campus completing two tasks. All participants then completed the stigma measure a second time. Regardless of listening condition, the simulations led to changes ... Community Mental Health Journal journals http://www.medworm.com/rss/comments.php?id=2692309 Sat, 08 Aug 2009 23:00:00 +0100 2692309 http://www.medworm.com/index.php?rid=2682689&cid=s_37674_172_f&fid=37674&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19662528%26dopt%3DAbstract This article presents recent collaborative efforts between the Dartmouth Psychiatric Research Center and Howard University to understand (and ultimately reduce) disparities in mental health care among African Americans. Researchers from Dartmouth and Howard recently formalized a longstanding collaboration through the support of a grant aimed at understanding recovery and rehabilitation for African Americans with severe mental illness. Grant-sponsored efforts have included two seminars between multi-disciplinary mental health researchers and clinicians to inform the implementation of a collaborative research and training program. This article outlines the prominent themes arising from these seminars on the issue of health disparities agreed upon by our multi-disciplinary research team. Thes... Community Mental Health Journal journals http://www.medworm.com/rss/comments.php?id=2682689 Thu, 06 Aug 2009 23:00:00 +0100 2682689 http://www.medworm.com/index.php?rid=2682688&cid=s_37674_172_f&fid=37674&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19662529%26dopt%3DAbstract Authors: Kotwicki RJ, Compton MT The Emory University Fellowship in Community Psychiatry/Public Health is a unique training opportunity whose mission is to train future leaders in the arena of community psychiatry. To complement the recent description of the Public Psychiatry Fellowship of New York State Psychiatric Institute at Columbia University Medical Center, this report describes the key features of Emory's fellowship-its academic curriculum, practicum experiences, site visits and other opportunities for collaboration, and ongoing mentoring and career development. Congruencies between these four key features and the seven core elements of Columbia's fellowship are highlighted, as are several important differences. Such descriptions of innovative training programs in community and... Community Mental Health Journal journals http://www.medworm.com/rss/comments.php?id=2682688 Thu, 06 Aug 2009 23:00:00 +0100 2682688 http://www.medworm.com/index.php?rid=2670431&cid=s_37674_172_f&fid=37674&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19649708%26dopt%3DAbstract Authors: Davidson L, Drake RE, Schmutte T, Dinzeo T, Andres-Hyman R With the increasing prominence of the notions of "recovery" and "recovery-oriented practice," practitioners, program managers, and system leaders are increasingly asking about the relationship between "evidence-based practices" and recovery. After reviewing the concepts of recovery from mental illness, being in recovery with a mental illness, recovery-oriented care, and evidence-based medicine, the authors argue for a complementary relationship between recovery and evidence-based practices. This relationship is neither simple nor straightforward, but results in a whole that is greater than the sum of its parts through which each element benefits from the influence of the other. PMID: 19649708 [PubMed - as supplied ... Community Mental Health Journal journals http://www.medworm.com/rss/comments.php?id=2670431 Sat, 01 Aug 2009 23:00:00 +0100 2670431 http://www.medworm.com/index.php?rid=2661087&cid=s_37674_172_f&fid=37674&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19641992%26dopt%3DAbstract We describe the prototype to product development process of a low cost, socio-culturally relevant, easily implemented Internet-based depression prevention intervention for adolescents in primary care. The intervention named "Project CATCH-IT" (Competent Adulthood Transition with Cognitive-behavioral, Humanistic and Interpersonal Training) includes an initial motivational interview in primary care to engage the adolescent, fourteen Web-based modules based on behavioral activation, cognitive behavioral and interpersonal psychotherapy which target known risk factors, and a follow-up motivational interview in primary care. This was successfully fielded in a pilot study with 25 adolescents. We know of no other similar interventions developed for the prevention of depression in youth that is pot... Community Mental Health Journal journals http://www.medworm.com/rss/comments.php?id=2661087 Wed, 29 Jul 2009 23:00:00 +0100 2661087 http://www.medworm.com/index.php?rid=2654513&cid=s_37674_172_f&fid=37674&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19636705%26dopt%3DAbstract Authors: Jameson JP, Chambless DL, Blank MB Rural community mental health centers (CMHCs) face numerous problems that might be alleviated by the dissemination of empirically supported treatments (ESTs). The current study lays the groundwork for EST dissemination by examining current treatment practices in rural clinics as well as the attitudes of decision makers toward ESTs and perceived barriers to their adoption. Twenty-five rural and 38 non-rural clinical directors responded to a mailed survey. Rural respondents were as likely as non-rural respondents to report EST use in their clinic for most anxiety disorders, and more likely to report use of an EST for major depressive disorder and obsessive-compulsive disorder. However, ESTs represent a relatively small proportion of the treatme... Community Mental Health Journal journals http://www.medworm.com/rss/comments.php?id=2654513 Mon, 27 Jul 2009 23:00:00 +0100 2654513 http://www.medworm.com/index.php?rid=2654512&cid=s_37674_172_f&fid=37674&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19636706%26dopt%3DAbstract In conclusion, the results support the use of these instruments in population-based surveys within multicultural Western societies. PMID: 19636706 [PubMed - as supplied by publisher] (Source: Community Mental Health Journal) Community Mental Health Journal journals http://www.medworm.com/rss/comments.php?id=2654512 Mon, 27 Jul 2009 23:00:00 +0100 2654512 http://www.medworm.com/index.php?rid=2654511&cid=s_37674_172_f&fid=37674&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19636707%26dopt%3DAbstract Authors: Bradley KL, McGrath PJ, Brannen CL, Bagnell AL The purpose of this study was to determine adolescent preferences for depression treatment. Adolescents (n = 156) completed a survey that included: their preferences for type of depression treatment and the method of delivering it; their perception of the importance of side effects of depression treatments and a rating of their willingness to seek treatment if they were depressed. A screen for depressive symptoms (CES-D10) was also completed. Adolescents showed higher preference for psychotherapy than antidepressants. Greater severity of depression symptoms, perceived social support for the particular treatment modality, and general willingness to seek treatment predicted greater preference for psychotherapy than for antidepressan... Community Mental Health Journal journals http://www.medworm.com/rss/comments.php?id=2654511 Mon, 27 Jul 2009 23:00:00 +0100 2654511 http://www.medworm.com/index.php?rid=2646429&cid=s_37674_172_f&fid=37674&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19633957%26dopt%3DAbstract Authors: Kuller AM, Ott BD, Goisman RM, Wainwright LD, Rabin RJ Research has shown that cognitive-behavioral therapy (CBT) is effective in the treatment of schizophrenia (Wykes et al. in Schizophr Bull 34(3):523-537, 2008). The majority of this research has been conducted in the United Kingdom (Beck and Rector in Am J Psychother 54:291-300, 2000) where the National Health Service recommends that CBT be delivered to all people with schizophrenia (NICE in Schizophrenia: core interventions in the treatment and management of schizophrenia in primary and secondary care (update). http://www.nice.org.uk/Guidance/CG82/NiceGuidance/pdf/English , 2009). In contrast, the corresponding American Psychiatric Association guidelines describe CBT as an adjunctive technique that "may benefit" patients (... Community Mental Health Journal journals http://www.medworm.com/rss/comments.php?id=2646429 Fri, 24 Jul 2009 23:00:00 +0100 2646429 http://www.medworm.com/index.php?rid=2630574&cid=s_37674_172_f&fid=37674&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19621258%26dopt%3DAbstract This study compared, 18-24 months after an industrial disaster, in two groups of children (those with clinically relevant PTSD symptoms versus those with low PTSD symptoms), the child's perception of family cohesion and adaptability, the child's experience of the explosion, and parental characteristics. Enmeshed family cohesion or rigid family adaptability were more frequently found in children with low PTSD symptoms. PTSD symptoms in the mother, living in a family of 3 or more children, and being female were significantly associated with PTSD symptoms in the children. The assessment of traumatized children should include assessment of family's adaptability and cohesion. PMID: 19621258 [PubMed - as supplied by publisher] (Source: Community Mental Health Journal) Community Mental Health Journal journals http://www.medworm.com/rss/comments.php?id=2630574 Mon, 20 Jul 2009 23:00:00 +0100 2630574 http://www.medworm.com/index.php?rid=2615622&cid=s_37674_172_f&fid=37674&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19609673%26dopt%3DAbstract Authors: Seffrin B, Panzano PC, Roth D This mixed-method study examined the facilitators and barriers discussed by 166 informants interviewed from 78 innovative mental health projects. Facilitator and barrier coding reflected two dimensions: the topic of the comment (e.g., funding); and the time phase of the issue's influence (e.g., pre-decision). Proportions of facilitators to the sum of facilitator and barrier comments made by project informants were calculated. Overall, facilitator proportions were higher for projects that proceeded with implementation than those that did not adopt the practice. In addition, facilitator proportions were generally highest at pre-decision and lowest at full implementation for implementing projects. PMID: 19609673 [PubMed - as supplied by publisher... Community Mental Health Journal journals http://www.medworm.com/rss/comments.php?id=2615622 Wed, 15 Jul 2009 23:00:00 +0100 2615622 http://www.medworm.com/index.php?rid=2603231&cid=s_37674_172_f&fid=37674&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19597746%26dopt%3DAbstract Authors: Christy A, Handelsman JB, Hanson A, Ochshorn E Florida's Mental Health Act was amended in 2005 and 2006 to include licensed mental health counselors and licensed marriage and family therapists, respectively, to the list of professionals authorized to initiate emergency commitments. The present study evaluates the volume of involuntary emergency commitments by type of initiator for a 5 year period. The results indicate that allowing licensed mental health counselors and licensed marriage and family therapist to initiate emergency commitments has not been related to increased numbers of emergency commitments or a higher proportion of emergency commitments being initiated by mental health professionals. Potential policy and fiscal implications, as well as future directions for re... Community Mental Health Journal journals http://www.medworm.com/rss/comments.php?id=2603231 Sat, 11 Jul 2009 23:00:00 +0100 2603231 http://www.medworm.com/index.php?rid=2603232&cid=s_37674_172_f&fid=37674&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19593640%26dopt%3DAbstract Authors: Turner EA, Liew J Forty-one parents and their children (20 girls and 21 boys, mean age = 4.33 years, SD = 1.30) participated in a study to examine how parents' personal use of mental health services related to their attitudes toward child mental health services as well as to their children's adjustment. Results indicated that parents' attitudes and personal use of services have implications for children's adjustment and mental health utilization. Parents who personally used mental health services reported more positive help-seeking attitudes, higher level of help-seeking intentions, and lower stigmatization of child mental health services. In addition, parents who used child services in the past reported higher levels of internalizing (not externalizing) behaviors in their chi... Community Mental Health Journal journals http://www.medworm.com/rss/comments.php?id=2603232 Fri, 10 Jul 2009 23:00:00 +0100 2603232 http://www.medworm.com/index.php?rid=2581006&cid=s_37674_172_f&fid=37674&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19582573%26dopt%3DAbstract Authors: Caqueo-Urízar A, Gutiérrez-Maldonado J The aim of this study is to compare levels of satisfaction with Mental Health Services in a sample of 41 relatives of patients with schizophrenia, users of the Mental Health Public Service in the city of Arica, Chile. Of this sample, 18 participated in a group family intervention and 23 did not. Overall, the total sample of relatives expressed satisfaction with the Mental Health Service. However, in the compound satisfaction measure (patient's evolution and satisfaction with the mental health service), there were significant differences between caregivers who participated in the psycho-educative multifamily intervention and those who did not. The control group was more satisfied with the care provided by mental health services. ... Community Mental Health Journal journals http://www.medworm.com/rss/comments.php?id=2581006 Mon, 06 Jul 2009 23:00:00 +0100 2581006 http://www.medworm.com/index.php?rid=2581005&cid=s_37674_172_f&fid=37674&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19582574%26dopt%3DAbstract Authors: Fisher DG, Pilon D, Hershberger SL, Reynolds GL, Lamaster SC, Davis M The concept of recovery can be operationalized from either the point of view of the consumer, or from the perspective of the agency providing services. The Milestones of Recovery Scale (MORS) was created to capture aspects of recovery from the agency perspective. Evidence establishing the psychometric properties of the MORS was obtained in three efforts: Inter-rater reliability using staff at The Village, a multi-service organization serving the homeless mentally ill in Long Beach, California; inter-rater reliability was also obtained from Vinfen Corporation, a large provider of housing services to mentally ill persons in Boston, Massachusetts. A test-retest reliability study was conducted using staff rating... Community Mental Health Journal journals http://www.medworm.com/rss/comments.php?id=2581005 Mon, 06 Jul 2009 23:00:00 +0100 2581005 http://www.medworm.com/index.php?rid=2563062&cid=s_37674_172_f&fid=37674&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19568933%26dopt%3DAbstract Authors: Stanhope V, Matejkowski J The widespread adoption of assertive community treatment has resulted in a shift from an individual model to a team model of case management. The shift has had implications for individual relationships between case managers and consumers, but still little is known about how these relationships develop in teams. This exploratory mixed methods study looked at how case managers and consumers negotiate individual relationships within a team model. Quantitative methods identified high and low service intensity relationships between consumers and case managers and qualitative methods explored and compared these relationships. Consumers in high service intensity relationships described a preference for certain case managers and the burden of working with mul... Community Mental Health Journal journals http://www.medworm.com/rss/comments.php?id=2563062 Tue, 30 Jun 2009 23:00:00 +0100 2563062 http://www.medworm.com/index.php?rid=2563061&cid=s_37674_172_f&fid=37674&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19568934%26dopt%3DAbstract Authors: Kelly PJ, Deane FP The current study explores the types of homework assignments used in a recovery orientated case management approach. It also examines the relationship between the types of homework used and the clients' area of need as rated on the CANSAS. There were 129 client and mental health case manager dyads that participated in the study. Written copies of all homework assignments administered during the 12-month research period were collected (N = 1,054). The homework assignments were categorised according to the 'type' and the 'need domain addressed by the task'. The majority of these tasks were behavioural in nature. On a group level homework tended to broadly address areas of need for clients in the study. Only 2 of the 1,054 homework assignments administered dire... Community Mental Health Journal journals http://www.medworm.com/rss/comments.php?id=2563061 Tue, 30 Jun 2009 23:00:00 +0100 2563061 http://www.medworm.com/index.php?rid=2557084&cid=s_37674_172_f&fid=37674&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19562486%26dopt%3DAbstract Authors: Cheung A, Dewa C, Cairney J, Veldhuizen S, Schaffer A Using data from a national survey, this study examined different factors and their association with mental health service use in youth aged 15-24 with depression and/or suicidality. Our sample consisted of 1,252 youth with depression and/or suicidality. In youth aged 15-18 years old, two factors influenced service use: (1) co-occurrence of depression and suicidality (OR 3.23, 95% CI 1.43, 7.32) and (2) chronic health condition (OR 2.44, 95% CI 1.22, 4.84). Several factors were associated with service use in youth aged 19-24 including gender (female) (OR 1.77, 95% CI 1.14, 2.76), and low income (OR 1.89, 95% CI 1.11, 3.23). The findings suggest differences in the factors associated with mental health service use between yout... Community Mental Health Journal journals http://www.medworm.com/rss/comments.php?id=2557084 Sat, 27 Jun 2009 23:00:00 +0100 2557084 http://www.medworm.com/index.php?rid=2527564&cid=s_37674_172_f&fid=37674&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19554447%26dopt%3DAbstract Authors: Peebles SA, Mabe PA, Fenley G, Buckley PF, Bruce TO, Narasimhan M, Frinks L, Williams E The ascendance of the recovery movement in mental health care has led to the development and implementation of educational curricula for mental health providers to assist in mental health care system transformation efforts. The Medical College of Georgia (MCG) partnered with the Georgia State Department of Human Resources (DHR) to develop, implement, and evaluate such an educational curriculum for providers within an academic medical institution. This effort, entitled Project GREAT, led to the creation of a curriculum based on the SAMHSA-defined (2006) critical components of recovery. As an initial evaluation of educational curriculum effectiveness, the authors examined effects of the train... Community Mental Health Journal journals http://www.medworm.com/rss/comments.php?id=2527564 Wed, 24 Jun 2009 23:00:00 +0100 2527564 http://www.medworm.com/index.php?rid=2527581&cid=s_37674_172_f&fid=37674&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19551502%26dopt%3DAbstract This study's objective was to investigate how peer support relates to psychiatric hospitalization and crisis stabilization utilization outcomes. The likelihood of experiencing a psychiatric hospitalization or a crisis stabilization was modeled for consumers using peer support services and a control group of consumers using community mental health services but not peer support with 2003 and 2004 Georgia Medicaid claims data; 2003 and 2004 Mental Health, Developmental Disability, and Addictive Diseases (MHDDAD) Community Information System data; and 2003 and 2004 MHDDAD Hospital Information System data. Peer support was associated with an increased likelihood (odds = 1.345) of crisis stabilization, a decreased but statistically insignificant likelihood (odds = 0.871) of psychiatric hospitali... Community Mental Health Journal journals http://www.medworm.com/rss/comments.php?id=2527581 Tue, 23 Jun 2009 23:00:00 +0100 2527581 http://www.medworm.com/index.php?rid=2527579&cid=s_37674_172_f&fid=37674&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19551503%26dopt%3DAbstract Authors: Joyce AS, Adair CE, Wild TC, McDougall GM, Gordon A, Costigan N, Pasmeny G The psychometric characteristics of an instrument to assess perceived continuity of care among mental health patients were examined. 441 adults with severe and persistent mental illness were recruited from 70 inpatient, outpatient, emergency and community treatment programs (n = 259 females; M age = 42.5, SD = 10.3 years) in Alberta, Canada. Respondents completed a 43-item self-report questionnaire to rate perceived continuity. Item quality was assessed by examining missing data and frequency distributions. In a randomly selected subsample (n = 171), exploratory factor analysis identified 3 dimensions: (1) perceived attentiveness to individual needs or changes in illness or life circumstances (Individua... Community Mental Health Journal journals http://www.medworm.com/rss/comments.php?id=2527579 Tue, 23 Jun 2009 23:00:00 +0100 2527579 http://www.medworm.com/index.php?rid=2527576&cid=s_37674_172_f&fid=37674&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19551504%26dopt%3DAbstract Authors: Newman FL, McGrew J, Deliberty RN The current paper reports on the feasibility of using the HAPI-A, an instrument designed to assess a person's level of functioning in the community: (1) to help determine eligibility to receive behavioral health services, (2) to assign reimbursement case rates; and (3) to provide data for a service provider report card. A 3-year field study of the use of the instrument across an entire state mental health system explored the effectiveness of methods to enhance data accuracy, including annual training and a professional clinical record audit, and the ability of the test to detect differences in improvement rates within risk-adjusted groupings. The combination of training and auditing produced statistically significant, cumulative reductions in ... Community Mental Health Journal journals http://www.medworm.com/rss/comments.php?id=2527576 Tue, 23 Jun 2009 23:00:00 +0100 2527576 http://www.medworm.com/index.php?rid=2527573&cid=s_37674_172_f&fid=37674&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19551505%26dopt%3DAbstract Authors: Miller L, Brown TT, Pilon D, Scheffler RM, Davis M We performed a pilot study examining the patterns of recovery from severe mental illness in a model integrated service delivery system using measures from the Milestones of Recovery Scale (MORS), a valid and reliable measure of recovery outcomes which ranges from 1 to 8 (8 levels). For purposes of presentation, we constructed an aggregate MORS (6 levels) where the levels are described as follows: (1) extreme risk; (2) unengaged, poorly self-coordinating; (3) engaged, poorly self-coordinating; (4) coping and rehabilitating; (5) early recovery, and (6) self reliant. We analyzed MORS data on individuals followed over time from The Village in Long Beach, California (658 observations). Using Markov Chains, we estimated origin-desti... Community Mental Health Journal journals http://www.medworm.com/rss/comments.php?id=2527573 Tue, 23 Jun 2009 23:00:00 +0100 2527573 http://www.medworm.com/index.php?rid=2527570&cid=s_37674_172_f&fid=37674&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19551506%26dopt%3DAbstract We present implications for planning, implementing, and evaluating systems of care in rural areas. PMID: 19551506 [PubMed - as supplied by publisher] (Source: Community Mental Health Journal) Community Mental Health Journal journals http://www.medworm.com/rss/comments.php?id=2527570 Tue, 23 Jun 2009 23:00:00 +0100 2527570 http://www.medworm.com/index.php?rid=2527567&cid=s_37674_172_f&fid=37674&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19551507%26dopt%3DAbstract This study examines jails in one state, exploring how individuals with SMI are identified and treated, and comparing these with research-based recommendations. Results indicate that jails are not using evidence-based screenings, staff require training in SMI, access to services and medications for jailed individuals with SMI is often slow, and coordination between community providers and jails is limited. PMID: 19551507 [PubMed - as supplied by publisher] (Source: Community Mental Health Journal) Community Mental Health Journal journals http://www.medworm.com/rss/comments.php?id=2527567 Tue, 23 Jun 2009 23:00:00 +0100 2527567 http://www.medworm.com/index.php?rid=2527583&cid=s_37674_172_f&fid=37674&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19544094%26dopt%3DAbstract Authors: Swain K, Whitley R, McHugo GJ, Drake RE The research presented here reports on sustainability of the practices within the National Implementing Evidence Based Practices Project for people with serious mental illness. Forty-nine sites completed the initial 2-year implementation phase and were the focus of our study. Our aims were to discern the number of sites that sustained practices 2 years after implementation, the reasons for sustaining or not sustaining, differences in characteristics between the two groups, and the extent and nature of practice adaptations. We used a mixed-methods approach, based on a telephone survey that gathered qualitative and quantitative data from site representatives and others familiar with the sites and practices during the follow-up period. We f... Community Mental Health Journal journals http://www.medworm.com/rss/comments.php?id=2527583 Sat, 20 Jun 2009 23:00:00 +0100 2527583 http://www.medworm.com/index.php?rid=2527585&cid=s_37674_172_f&fid=37674&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19543974%26dopt%3DAbstract We examined the associations between perceived mental illness stigma and HIV risk and protective behaviors among adults with severe mental illness (SMI) in Rio de Janeiro, Brazil. We measured mental illness stigma across three domains ("Personal Experiences," "Perceived Attractiveness," and "Relationship Discrimination"), and examined the relationship between experiences of stigma in each domain and HIV risk and protective behaviors over the past 3 months in 98 outpatients with SMI. Those who reported greater "Relationship Discrimination" stigma were significantly more likely to be sexually active and to have unprotected sex; they were significantly less likely to report deliberately having fewer partners as a way to protect themselves from HIV. The role of stigma in unprotected sexual beh... Community Mental Health Journal journals http://www.medworm.com/rss/comments.php?id=2527585 Fri, 19 Jun 2009 23:00:00 +0100 2527585 http://www.medworm.com/index.php?rid=2527587&cid=s_37674_172_f&fid=37674&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19536650%26dopt%3DAbstract The objective of this study was to assess the implementation of SE services in three Canadian provinces by assessing the fidelity and describing components of SE services using the Quality of Supported Employment Implementation Scale. About 23 SE programs participated in this study. Cluster analyses revealed six profiles of SE programs that varied from high to low level of fidelity with a stronger focus on a particular component, and reflected the reality of service delivery settings. Future investigations are warranted to evaluate relationships between the levels of implementation of SE components and work outcomes while considering individual characteristics of people registered in SE programs. PMID: 19536650 [PubMed - as supplied by publisher] (Source: Community Mental Health Journa... Community Mental Health Journal journals http://www.medworm.com/rss/comments.php?id=2527587 Wed, 17 Jun 2009 23:00:00 +0100 2527587 http://www.medworm.com/index.php?rid=2527596&cid=s_37674_172_f&fid=37674&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19533347%26dopt%3DAbstract Authors: Payne JS Depression is a major, preventable problem in the United States, yet relatively few individuals seek care in traditional mental health settings. Instead, many choose to confide in friends, family, or clergy. Thus, it is important to discover how clergy perceive the definition of and etiology of depression. The author conducted a survey with 204 Protestant pastors in California. Multinomial logistic regression revealed a statistically significant difference in how depression is perceived based on race. Caucasian American pastors more readily agreed with the statement that depression was a biological mood disorder, while African American pastors more readily agreed that depression was a moment of weakness when dealing with trials and tribulations. Also, mainline Protest... Community Mental Health Journal journals http://www.medworm.com/rss/comments.php?id=2527596 Tue, 16 Jun 2009 23:00:00 +0100 2527596 http://www.medworm.com/index.php?rid=2527593&cid=s_37674_172_f&fid=37674&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19533348%26dopt%3DAbstract This study examined cross-sectional patterns of association between childhood psychiatric disorders and non-fatal injuries. The study population consisted of 763,251 youth between the ages of five and 18 years. Having any psychiatric diagnosis increased the odds of injury by a factor of two (OR = 2.12, CI 2.08-2.16). Strong associations were found between poisoning and unipolar depression (OR = 5.45, 95% CI 5.02-5.93), bipolar mood disorders (OR = 7.00, 95% CI 6.15-7.95) and major depression (OR = 9.63; 95% CI 8.51-10.89). Medicaid data provide an important resource to examine the intersection of psychiatric diagnosis and injury on a population basis. PMID: 19533348 [PubMed - as supplied by publisher] (Source: Community Mental Health Journal) Community Mental Health Journal journals http://www.medworm.com/rss/comments.php?id=2527593 Tue, 16 Jun 2009 23:00:00 +0100 2527593 http://www.medworm.com/index.php?rid=2527591&cid=s_37674_172_f&fid=37674&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19533349%26dopt%3DAbstract Authors: Hong Y, Li X, Fang X, Zhao G, Lin X, Zhang J, Zhao J, Zhang L The psychosocial wellbeing of the children affected by Acquired Immune Deficiency Syndrome (AIDS) receives growing international attention. However, limited data in this area are available in China, which hosts an estimate of 100,000 AIDS-orphaned children. The study aims to examine the relationship between perceived social support (PSS) and psychosocial wellbeing among children affected by AIDS. A cross-sectional survey was administered to 1,625 children (aged 6-18 years) in Henan Province, an area with a large number of HIV cases due to unhygienic commercial blood/plasma collection. Our sample included 296 double orphans (i.e., children who lost both parents to AIDS), 459 single orphans (children who lost one pare... Community Mental Health Journal journals http://www.medworm.com/rss/comments.php?id=2527591 Tue, 16 Jun 2009 23:00:00 +0100 2527591 http://www.medworm.com/index.php?rid=2527589&cid=s_37674_172_f&fid=37674&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19533350%26dopt%3DAbstract Authors: Vogel-Scibilia SE, McNulty KC, Baxter B, Miller S, Dine M, Frese FJ Of current interest to the field are clinical frameworks that foster recovery. The authors offer a psycho-developmental model that parallels Erik Erikson's theory of human development, and theorize that the process of psychiatric recovery involves a psychic reworking of these fundamental steps. Understanding recovery in this context allows the client and the practitioner of psychiatric rehabilitation to design and implement a coherent treatment strategy. PMID: 19533350 [PubMed - as supplied by publisher] (Source: Community Mental Health Journal) Community Mental Health Journal journals http://www.medworm.com/rss/comments.php?id=2527589 Tue, 16 Jun 2009 23:00:00 +0100 2527589 http://www.medworm.com/index.php?rid=2527598&cid=s_37674_172_f&fid=37674&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19517251%26dopt%3DAbstract Authors: Drake RE PMID: 19517251 [PubMed - in process] (Source: Community Mental Health Journal) Community Mental Health Journal journals http://www.medworm.com/rss/comments.php?id=2527598 Sun, 31 May 2009 23:00:00 +0100 2527598 http://www.medworm.com/index.php?rid=2527600&cid=s_37674_172_f&fid=37674&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19472052%26dopt%3DAbstract The objective of this study was to document changes in weight, body mass index, and waist circumference that occurred when low-dose quetiapine was used at bedtime for insomnia. The study was a retrospective chart review conducted at a community mental health center. Patients were non-elderly (19-65 years old) psychiatric patients who received quetiapine at </=200 mg at bedtime for the explicit indication of insomnia. Forty-three patients were included in the study. Weight and BMI increased by an average of 4.9 lb. (P = 0.037) and 0.8 points (P = 0.048), respectively. Males experienced statistically significant increases in weight and BMI, and Caucasians experienced a statistically significant increase in BMI. There were no significant differences between baseline and endpoint metabolic ... Community Mental Health Journal journals http://www.medworm.com/rss/comments.php?id=2527600 Tue, 26 May 2009 23:00:00 +0100 2527600 http://www.medworm.com/index.php?rid=2527602&cid=s_37674_172_f&fid=37674&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19452275%26dopt%3DAbstract This study examined whether the organization and the effectiveness of care provided to schizophrenic patients can be improved by care pathways. Outcomes from 19 patients receiving treatment using evidence-based care pathways were compared with 17 patients receiving a traditional approach to care over a 3 months period. Results showed significant improvements in the quality of the care for the patients included in the care pathway group. The authors concluded the positive outcomes for patients treated with care pathways were related to the assistance provided to clinicians in identifying and implementing evidence-based standards. PMID: 19452275 [PubMed - as supplied by publisher] (Source: Community Mental Health Journal) Community Mental Health Journal journals http://www.medworm.com/rss/comments.php?id=2527602 Mon, 18 May 2009 23:00:00 +0100 2527602 http://www.medworm.com/index.php?rid=2527605&cid=s_37674_172_f&fid=37674&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19415489%26dopt%3DAbstract The objective of this study was to evaluate the effectiveness of case-management services and the feasibility of considering the Consumers' Family Members (CFM) as service providers in Iran as a developing country. Three trained case-managers were allocated into each group (Mental Health Worker-MHW and CFM), providing 12 months of home-visit services for 129 individuals with schizophrenia. Burden, knowledge, quality of life and the general health condition of the caregivers, as well as positive/negative symptoms and social skills of the consumers were evaluated. Most clinical variables were improved without significant differences between groups. The hospitalization rate was reduced by 67%. PMID: 19415489 [PubMed - as supplied by publisher] (Source: Community Mental Health Journal) Community Mental Health Journal journals http://www.medworm.com/rss/comments.php?id=2527605 Mon, 04 May 2009 23:00:00 +0100 2527605 http://www.medworm.com/index.php?rid=2527604&cid=s_37674_172_f&fid=37674&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19415490%26dopt%3DAbstract Authors: McAlpine K, Henley R, Mueller M, Vetter S In October 2006, a survey was undertaken of youth "on the streets" in the Arusha and Kilimanjaro regions of Tanzania (n = 1,923). The question of interest was if street children who live on streets full-time differ concerning reports of abuse and support, compared to reports of children who are only part-time on the streets, and to children who don't self-identify as "street children" at all. Results show full-time street children reporting significantly more abuse than part-time counterparts, or children who were not street children (mean difference = -1.44, P < .001). Concerning support scores, non-street children and part-time street children reported significantly more support from their family than full-time street children (me... Community Mental Health Journal journals http://www.medworm.com/rss/comments.php?id=2527604 Mon, 04 May 2009 23:00:00 +0100 2527604 http://www.medworm.com/index.php?rid=2527606&cid=s_37674_172_f&fid=37674&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19408116%26dopt%3DAbstract This study examined the ways in which beliefs about the causes of schizophrenia change after crisis intervention team (CIT) training of police officers. Comparisons of pre- and post-training scores from 159 officers revealed a decrease in endorsement of items pertaining to personal/family/social stressors and items inconsistent with contemporary conceptions of risk, as well as an increase in endorsement of items consistent with modern biological conceptions of the causation of schizophrenia. Changes in causal beliefs were associated with personal and family history of psychiatric treatment among officers. Findings indicate a need for further research in this area, and suggest that some characteristics of officers may be associated with an increased capacity for knowledge/attitudinal change... Community Mental Health Journal journals http://www.medworm.com/rss/comments.php?id=2527606 Wed, 29 Apr 2009 23:00:00 +0100 2527606 http://www.medworm.com/index.php?rid=2527607&cid=s_37674_172_f&fid=37674&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19396545%26dopt%3DAbstract This study indicates that the Dutch version of the TSQ is a useful instrument for identifying future cases of PTSD. PMID: 19396545 [PubMed - as supplied by publisher] (Source: Community Mental Health Journal) Community Mental Health Journal journals http://www.medworm.com/rss/comments.php?id=2527607 Fri, 24 Apr 2009 23:00:00 +0100 2527607 http://www.medworm.com/index.php?rid=2301732&cid=s_37674_172_f&fid=37674&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19330448%26dopt%3DAbstract Authors: Kobau R, Diiorio C, Chapman D, Delvecchio P, The purpose of this study was to test a brief instrument to monitor the U.S. public's attitudes about mental illness. A SAMHSA and CDC-led panel reached consensus through an iterative process to identify generic, multidimensional measures to test using a representative sample of 5,251 adults. Exploratory factor analysis revealed two subscales (Negative Stereotypes [alpha = 0.66]; Recovery and Outcomes [alpha = 0.69]). Confirmatory factor analysis supported the convergent validity of the two subscales. Subscale scores differed by sex, race/ethnicity, and experience with mental illness. Inclusion of these brief subscales on existing population-based surveys can help states and others track attitudes about mental illness. PMID: 19... Community Mental Health Journal journals http://www.medworm.com/rss/comments.php?id=2301732 Sat, 28 Mar 2009 04:00:00 +0100 2301732 http://www.medworm.com/index.php?rid=2301736&cid=s_37674_172_f&fid=37674&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19308728%26dopt%3DAbstract In this study, 106 patients with psychosis were randomly allocated to minimally guided peer support in addition to care as usual (CAU), or CAU only. No relevant differences between mean total costs of both groups were found, nor were there significant differences in WHOQoL-Bref outcomes. Intervention adherence had a substantial impact on the results. It was concluded that minimally guided peer support groups for psychosis do not seem to affect overall healthcare expenses. Positive results of additional outcomes, including a significant increase in social contacts and esteem support, favour the wider implementation of such groups. PMID: 19308728 [PubMed - as supplied by publisher] (Source: Community Mental Health Journal) Community Mental Health Journal journals http://www.medworm.com/rss/comments.php?id=2301736 Tue, 24 Mar 2009 04:00:00 +0100 2301736 http://www.medworm.com/index.php?rid=2301734&cid=s_37674_172_f&fid=37674&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19308729%26dopt%3DAbstract We examined how an intervention targeted to provide trauma-informed integrated services in the treatment of co-occurring disorders has changed the content of services reported by clients. We found that the intervention led to an increased provision of integrated services as well as services addressing each content area: trauma, mental health and substance abuse. There was no increase in service quantity from the intervention. Incorporation of trauma-specific element in the treatment of mental health and substance abuse may have been successfully implemented at the service level thereby better serve women with complex behavioral health histories. PMID: 19308729 [PubMed - as supplied by publisher] (Source: Community Mental Health Journal) Community Mental Health Journal journals http://www.medworm.com/rss/comments.php?id=2301734 Tue, 24 Mar 2009 04:00:00 +0100 2301734 http://www.medworm.com/index.php?rid=2301738&cid=s_37674_172_f&fid=37674&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19306060%26dopt%3DAbstract We describe the development of the State Mental Health Authority Yardstick (SHAY), a behaviorally anchored instrument designed to assess state-level facilitating conditions associated with successful implementation of EBPs in community mental health centers. The SHAY assesses the SMHA role in seven domains: Planning, Financing, Training, Leadership, Policies and Regulations, Quality Improvement, and Stakeholders. Preliminary evidence from the National Evidence-Based Practices Project partially supports the construct and criterion-oriented validity of this instrument for rating state-level activities supporting or blocking the implementation of evidence-based practices. PMID: 19306060 [PubMed - as supplied by publisher] (Source: Community Mental Health Journal) Community Mental Health Journal journals http://www.medworm.com/rss/comments.php?id=2301738 Sat, 21 Mar 2009 04:00:00 +0100 2301738 http://www.medworm.com/index.php?rid=2285483&cid=s_37674_172_f&fid=37674&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19296218%26dopt%3DAbstract Authors: Riley SE, Stromberg AJ, Clark JJ Relationships among the Youth Services Survey for Families (YSSF) Indicators, selected demographic and clinical variables, and caregiver-rated hopefulness and children's problem severity were examined in a random sample of 1,500 caregivers of Medicaid-enrolled youth in a satisfaction study with Kentucky's 14 community mental health centers. Multiple linear regressions revealed that caregiver services and caregiver hopefulness were excellent predictors of two and three YSSF Indicators, respectively. Providers need to respond to caregiver concerns when developing support services and understand the mechanisms associated with these services' effectiveness. Tracking changes in caregiver and youth hopefulness during treatment may improve services an... Community Mental Health Journal journals http://www.medworm.com/rss/comments.php?id=2285483 Thu, 19 Mar 2009 04:00:00 +0100 2285483 http://www.medworm.com/index.php?rid=2275311&cid=s_37674_172_f&fid=37674&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19291398%26dopt%3DAbstract Authors: Bond GR PMID: 19291398 [PubMed - as supplied by publisher] (Source: Community Mental Health Journal) Community Mental Health Journal journals http://www.medworm.com/rss/comments.php?id=2275311 Tue, 17 Mar 2009 04:00:00 +0100 2275311 http://www.medworm.com/index.php?rid=2275310&cid=s_37674_172_f&fid=37674&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19291399%26dopt%3DAbstract This study utilizes focus groups to qualitatively explore issues surrounding the mental health status of this population in an attempt to shed light on potential influencing and determinant factors. Twenty-two self-identified black, or multi-racial including black, MSM residing in Atlanta, Georgia participated in two focus groups-11 subjects each, respectively. Categories that emerged from data analysis include: knowledge/experiences, attitudes/beliefs, societal action/behavior, identity development, relationship functionality, and mental health status. Overarching themes for each category were delineated. PMID: 19291399 [PubMed - as supplied by publisher] (Source: Community Mental Health Journal) Community Mental Health Journal journals http://www.medworm.com/rss/comments.php?id=2275310 Tue, 17 Mar 2009 04:00:00 +0100 2275310 http://www.medworm.com/index.php?rid=2242877&cid=s_37674_172_f&fid=37674&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19263219%26dopt%3DAbstract In this study, we completed semi-structured interviews with 13 gay men and lesbians in order to better understand the personally perceived consequences that guide the coming out process. This information would, in turn, help us to better comprehend the process of coming out for people with mental illnesses. Interview participants identified specific benefits and costs. Benefits that promote disclosure include acceptance, community, and comfort and happiness. Costs that diminish coming out decisions include shame and conformity as well as harm and discrimination. We then postulated how these consequences might manifest themselves in the disclosure process of people with serious mental illnesses. Finally, implications for stigma management and change were considered. PMID: 19263219 [PubM... Community Mental Health Journal journals http://www.medworm.com/rss/comments.php?id=2242877 Thu, 05 Mar 2009 05:00:00 +0100 2242877 http://www.medworm.com/index.php?rid=2242876&cid=s_37674_172_f&fid=37674&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19263220%26dopt%3DAbstract Authors: Carton AD, Young MS, Kelly KM We recruited a sample of individuals who were formerly homeless that received assertive community treatment (ACT) services to assess differences in their sources and perceived quality of social support related to changes in their residence status. Standardized questionnaires were administered to 22 participants via face-to-face interviews, including various measures of social support and relationship quality. Results indicated that participants mentioned ACT staff members significantly more often than any other relationship category (e.g., friends or family) as sources of social support. Participants also indicated that the quality of their relationships with ACT staff members was significantly better than relationships maintained before and durin... Community Mental Health Journal journals http://www.medworm.com/rss/comments.php?id=2242876 Thu, 05 Mar 2009 05:00:00 +0100 2242876 http://www.medworm.com/index.php?rid=2242875&cid=s_37674_172_f&fid=37674&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19263221%26dopt%3DAbstract This study examined homeless persons with developmental disabilities and their ability to understand the informed consent process for research using a capacity-to-consent screener. Bivariate associations with the inability to pass the screener on the first attempt were noted with three factors: an eighth grade or less in education, chronic homelessness, and mental retardation diagnosis. With multiple regression, the only outcome associated with inability to pass the screener on the first attempt was an eighth grade or less education. This study indicates the need for consideration of developmental disabilities when homeless and mental health providers are working with the homeless community. PMID: 19263221 [PubMed - as supplied by publisher] (Source: Community Mental Health Journal) Community Mental Health Journal journals http://www.medworm.com/rss/comments.php?id=2242875 Thu, 05 Mar 2009 05:00:00 +0100 2242875 http://www.medworm.com/index.php?rid=2235532&cid=s_37674_172_f&fid=37674&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19259811%26dopt%3DAbstract Authors: Milner KK, Barry KL, Blow FC, Welsh D The presentation for care in psychiatric emergency setting provides an opportunity to assist individuals with mental health disorders and problems related to alcohol use. The purpose of this pilot study was to determine whether clinician-administered brief alcohol interventions are effective in reducing alcohol consumption in patients who screen positive for at-risk drinking in the psychiatric emergency setting. A total of 390 PES patients were screened; 87 (schizophrenia/bipolar disorder, n = 34; depression/anxiety, n = 53) met criteria for the study and received a brief alcohol intervention. Both groups dropped their drinking by ~7 drinks/week over the 6-months of the study (P < .05). The results of this study suggest that individuals... Community Mental Health Journal journals http://www.medworm.com/rss/comments.php?id=2235532 Wed, 04 Mar 2009 05:00:00 +0100 2235532 http://www.medworm.com/index.php?rid=2205849&cid=s_37674_172_f&fid=37674&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19229610%26dopt%3DAbstract Authors: Kimhi S, Eshel Y, Zysberg L, Hantman S The study focuses on the long-term impact of war on adolescents (N = 821) and adults (N = 870) living in a war afflicted Israeli community a year after the war. Results indicate the following: (a) stress symptoms and posttraumatic growth (PTG) correlate negatively with each other. (b) Age was positively associated with stress symptoms and negatively with PTG. (c) Economic condition predicted stress symptoms as well as PTG of adults better than exposure to traumatic events, whereas for school students the best predictor of stress symptoms was exposure to traumatic events while the best predictor of PTG was age of participants. PMID: 19229610 [PubMed - as supplied by publisher] (Source: Community Mental Health Journal) Community Mental Health Journal journals http://www.medworm.com/rss/comments.php?id=2205849 Fri, 20 Feb 2009 05:00:00 +0100 2205849 http://www.medworm.com/index.php?rid=2157863&cid=s_37674_172_f&fid=37674&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19189216%26dopt%3DAbstract Authors: Okoli CT, Johnson JL, Malchy L To examine the correlates of secondhand tobacco smoke (SHS) exposure in a sample of individuals with severe and persistent mental illness (SPMI) accessing community mental health services. Cross-sectional data were collected from a voluntary sample of 788 individuals with SPMI. Nonsmokers were more likely to be exposed on the street or at a bus stop, in a park or public place; whereas smokers were more likely to report SHS exposure where they lived and at their friend's homes. In a multivariate model, only number of acquaintances who smoked and the number of sources of SHS exposure remained significantly associated with perceived frequency of SHS exposure when accounting for other correlates. There is a need for the enactment and enforcement of p... Community Mental Health Journal journals http://www.medworm.com/rss/comments.php?id=2157863 Tue, 03 Feb 2009 05:00:00 +0100 2157863 http://www.medworm.com/index.php?rid=2090742&cid=s_37674_172_f&fid=37674&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19130222%26dopt%3DAbstract This study compares the outcomes of 48 individuals who successfully transitioned from ACT to less intensive Community Mental Health Center (CMHC) services to 19 persons who required return to ACT or did not remain in CMHC treatment. There were no statistically significant differences in demographics, diagnoses, and other treatment factors between the two groups. PMID: 19130222 [PubMed - as supplied by publisher] (Source: Community Mental Health Journal) Community Mental Health Journal journals http://www.medworm.com/rss/comments.php?id=2090742 Wed, 07 Jan 2009 05:00:00 +0100 2090742 http://www.medworm.com/index.php?rid=2076825&cid=s_37674_172_f&fid=37674&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19116785%26dopt%3DAbstract Authors: Scarnera P, Bosco A, Soleti E, Lancioni GE This pilot study longitudinally evaluated the effectiveness of an intervention aimed at preventing burnout syndrome through the improvement of interpersonal relationship management among Italian mental health workers employed in both public and private services. Indeed, previous findings and a large part of the target group stated that the interpersonal relationship was one of the most important sources of stress at work. The results showed positive effects (i.e. a reduction of the level of Depersonalization), both at the end of training activities and at the follow-up. Since we did not include any control group, the results of this study had to be considered with caution and should be confirmed by future research. PMID: 19116785 ... Community Mental Health Journal journals http://www.medworm.com/rss/comments.php?id=2076825 Wed, 31 Dec 2008 05:00:00 +0100 2076825 http://www.medworm.com/index.php?rid=2063072&cid=s_37674_172_f&fid=37674&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19101797%26dopt%3DAbstract Authors: Ta VM, Juon HS, Gielen AC, Steinwachs D, McFarlane E, Duggan A This longitudinal study examined racial differences in depressive symptoms at three time points among Asian, Native Hawaiian/Other Pacific Islander (NHOPI) and white mothers at-risk for child maltreatment (n = 616). The proportion of mothers with depressive symptoms ranged from 28 to 35% at all time points. Adjusted analyses revealed that Asian and NHOPI mothers were significantly more likely than white mothers to have depressive symptoms but this disparity was present only among families at mild/moderate risk for child maltreatment. Future research should identify ways to reduce this disparity and involve the Asian and NHOPI communities in prevention and treatment program design and implementation. PMID: 19101... Community Mental Health Journal journals http://www.medworm.com/rss/comments.php?id=2063072 Sat, 20 Dec 2008 05:00:00 +0100 2063072 http://www.medworm.com/index.php?rid=2042576&cid=s_37674_172_f&fid=37674&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19082712%26dopt%3DAbstract Authors: Armstrong NP, Steffen JJ The Recovery Promotion Fidelity Scale (RPFS) was developed to evaluate the extent to which public mental health agencies in Hawai'i incorporate recovery principles into their services and operations. The project progressed through two phases using concept mapping and expert review methods to generate scale items and identify dimensions of recovery that were used as scale domains. The resultant measure consists of 12 items organized around five recovery domains. This paper describes the development of the RPFS, illustrating how public mental health stakeholders, particularly persons in recovery, can be involved in efforts toward making a system of care more recovery oriented. PMID: 19082712 [PubMed - as supplied by publisher] (Source: Community Ment... Community Mental Health Journal journals http://www.medworm.com/rss/comments.php?id=2042576 Thu, 11 Dec 2008 05:00:00 +0100 2042576 http://www.medworm.com/index.php?rid=2029435&cid=s_37674_172_f&fid=37674&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19067161%26dopt%3DAbstract This study is the first to use identical data collection processes and instruments in Egypt, Kuwait, Palestine, and Israeli Arab communities regarding help-seeking behaviors and attitudes towards perceived cultural beliefs about mental health problems. Data is based on a survey sample of 716, undergraduate students in the 4 countries, 61% female and 39% male. Results indicate that respondents within the various countries, based on nationality, gender and level of education, vary in terms of recognition of personal need, beliefs about mental health problems (i.e. stigmatization), and the use of traditional healing methods versus modern approaches to psychiatric therapy. The conclusion discusses differences between our respondents' expectations and prevailing mental health service provision ... Community Mental Health Journal journals http://www.medworm.com/rss/comments.php?id=2029435 Sat, 06 Dec 2008 05:00:00 +0100 2029435 http://www.medworm.com/index.php?rid=2029434&cid=s_37674_172_f&fid=37674&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19067162%26dopt%3DAbstract Authors: Depp CA, Stricker JL, Zagorsky D, Goodale LC, Eyler LT, Patterson TL, Lebowitz BD, Jeste DV In a web-based survey asking adults diagnosed with bipolar disorder about illness management, we obtain frequency of self-reported usage and perceived helpfulness of 27 self-management strategies. We correlated the strategy use and perceived helpfulness with demographic and clinical characteristics, along with the Illness Intrusiveness Scale total score. Completed surveys were obtained from 1,024 individuals. Perceived helpfulness of 18 of 27 strategies was correlated negatively with illness intrusiveness at the P < 0.001 level. Given limitations of web-based surveys, our study underscores the substantial negative impact of bipolar disorder, along with the potential of the Internet t... Community Mental Health Journal journals http://www.medworm.com/rss/comments.php?id=2029434 Sat, 06 Dec 2008 05:00:00 +0100 2029434 http://www.medworm.com/index.php?rid=2019159&cid=s_37674_172_f&fid=37674&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19051014%26dopt%3DAbstract Authors: Malakouti SK, Nojomi M, Bolhari J, Hakimshooshtari M, Poshtmashhadi M, De Leo D Aim of this study was to evaluate the prevalence of suicide ideation and behavior in a community sample of an Iranian city, Karaj. Study sample consisted of 2,300 subjects, chosen randomly from the community. The WHO/SUPRE-MISS survey questionnaire, used in this study. Lifetime prevalence for suicide thoughts, plans and attempts were 12.7, 6.2 and 3.3%, respectively and for the previous year they were 5.7, 2.9 and 1%, respectively. Although it is not possible to generalize the results to the country, but in some area of Iran, the prevalence of suicide ideation, plan and attempt appeared to be similar to that of many developed countries. PMID: 19051014 [PubMed - as supplied by publisher] (Source... Community Mental Health Journal journals http://www.medworm.com/rss/comments.php?id=2019159 Wed, 03 Dec 2008 05:00:00 +0100 2019159 http://www.medworm.com/index.php?rid=1956482&cid=s_37674_172_f&fid=37674&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19002581%26dopt%3DAbstract Authors: Isett KR, Ellis AR, Topping S, Morrissey JP We assess the satisfaction of mental health providers using four dimensions from the medical practice literature-degree of autonomy, relationship with patients, compensation, and administrative burden-and extend current work on professional satisfaction to include frontline service providers rather than only psychiatrists or other physicians. In contrast to results reported for primary care settings, we find that the impact of managed care on satisfaction is minimal for the mental health providers in our study of a Medicaid capitation demonstration in the southeastern US. Instead, variables relevant to everyday working conditions have an important effect on job satisfaction. PMID: 19002581 [PubMed - as supplied by publisher] (Sou... Community Mental Health Journal journals http://www.medworm.com/rss/comments.php?id=1956482 Tue, 11 Nov 2008 05:00:00 +0100 1956482 http://www.medworm.com/index.php?rid=1956481&cid=s_37674_172_f&fid=37674&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19002582%26dopt%3DAbstract This study's purpose was to determine if differences exist between races regarding eligibility, recruitment, and retention in a community-based clinical trial. The sample included 293 participants. Data sources included clinical records and interviews. Logistic regression was used for analysis. AAs were as likely to participate and to complete followup interviews as Whites. In contrast to studies about non-mentally ill AAs, AAs with SMI appeared to be as willing to consent to and to remain in clinical research studies as Whites. PMID: 19002582 [PubMed - as supplied by publisher] (Source: Community Mental Health Journal) Community Mental Health Journal journals http://www.medworm.com/rss/comments.php?id=1956481 Tue, 11 Nov 2008 05:00:00 +0100 1956481 http://www.medworm.com/index.php?rid=1948426&cid=s_37674_172_f&fid=37674&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18998209%26dopt%3DAbstract This study reports on the effects maternal prenatal binge drinking, cigarette smoking, drug use, and pregnancy and birth complications on meeting criteria for psychiatric disorders at ages 10-12 and 13-15 years among 546 Indigenous adolescents from a single culture in the northern Midwest and Canada. Adolescent DSM-IV psychiatric disorders were assessed with the Diagnostic Interview Schedule for Children-Revised (DISC-R). Results indicate that maternal behaviors when pregnant have significant effects on adolescent psychiatric disorders even when controlling for age and gender of adolescent, family per capita income, living in a single mother household, and adolescent reports of mother's positive parenting. PMID: 18998209 [PubMed - as supplied by publisher] (Source: Community Mental Hea... Community Mental Health Journal journals http://www.medworm.com/rss/comments.php?id=1948426 Sat, 08 Nov 2008 05:00:00 +0100 1948426 http://www.medworm.com/index.php?rid=1940821&cid=s_37674_172_f&fid=37674&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18985449%26dopt%3DAbstract Authors: Easterly L Several states have implemented evidence-based treatment policies and programs to improve the quality of care within mental health treatment settings. Workforce development has been identified as critical to sustaining the implementation of evidence-based practices within the behavioral health workforce. This paper describes the key components of a statewide educational model within social work implemented in New York State to promote improved client outcomes for individuals diagnosed with serious mental illnesses. PMID: 18985449 [PubMed - as supplied by publisher] (Source: Community Mental Health Journal) Community Mental Health Journal journals http://www.medworm.com/rss/comments.php?id=1940821 Wed, 05 Nov 2008 05:00:00 +0100 1940821 http://www.medworm.com/index.php?rid=1887337&cid=s_37674_172_f&fid=37674&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18925435%26dopt%3DAbstract This study explores variations in the way the original components of ACT are implemented for the target group of clients with a first-episode psychosis, and establishes whether these variations lead the treatment model to a higher, more valuable, outcome level. The study also describes how to achieve this optimally effective application of target group-specific treatment services. PMID: 18925435 [PubMed - as supplied by publisher] (Source: Community Mental Health Journal) Community Mental Health Journal journals http://www.medworm.com/rss/comments.php?id=1887337 Thu, 16 Oct 2008 04:00:00 +0100 1887337 http://www.medworm.com/index.php?rid=1887336&cid=s_37674_172_f&fid=37674&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18925436%26dopt%3DAbstract This study investigated whether satisfaction and helpfulness of treatment by mental health service provider is related to race/ethnicity and psychosocial factors. Data from the National Co morbidity Survey-Replication study, which administered mental health service use questions for the past 12-months (1332), was analyzed. Data were stratified by service provider and analyzed with multiple logistic regressions. Racial/ethnic minorities were generally more likely to be satisfied with services provided by specialty mental health providers compared to white respondents. Racial/ethnic minorities generally perceived the services provided by specialty mental health providers as more helpful than did other racial/ethnic groups. Those who reported high cultural identity were more likely to find th... Community Mental Health Journal journals http://www.medworm.com/rss/comments.php?id=1887336 Thu, 16 Oct 2008 04:00:00 +0100 1887336 http://www.medworm.com/index.php?rid=1873797&cid=s_37674_172_f&fid=37674&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18850269%26dopt%3DAbstract Conclusions drawn from item level ratings appear valid; the validity of conclusions based on total scores remains unsupported. PMID: 18850269 [PubMed - as supplied by publisher] (Source: Community Mental Health Journal) Community Mental Health Journal journals http://www.medworm.com/rss/comments.php?id=1873797 Sat, 11 Oct 2008 04:00:00 +0100 1873797 http://www.medworm.com/index.php?rid=1863723&cid=s_37674_172_f&fid=37674&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18841473%26dopt%3DAbstract Authors: Alvidrez J, Snowden LR, Rao SM, Boccellari A Forty-two Black clients referred for outpatient treatment were randomly assigned to receive existing brochures about services or a psychoeducational booklet about stigma based on experiences of Black mental health consumers. At 3-month follow-up, clients reported that both types of information were helpful; there were no significant differences between the types of information on treatment attendance. However, individuals who reported higher perceived treatment need or greater uncertainty about treatment showed greater stigma reduction from the psychoeducation. Findings indicate the need to move beyond "customer satisfaction" to evaluate educational interventions, as well as for greater understanding of differential impact of stigma... Community Mental Health Journal journals http://www.medworm.com/rss/comments.php?id=1863723 Wed, 08 Oct 2008 04:00:00 +0100 1863723 http://www.medworm.com/index.php?rid=1863722&cid=s_37674_172_f&fid=37674&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18841474%26dopt%3DAbstract This study examined whether Perceived Criticism (PC) was related to community functioning in a sample of African-American consumers with schizophrenia. The study tested assumptions from the Expressed Emotion literature that were based primarily on samples of white consumers. The study found that PC affected psychiatric symptomatology but not psychosocial functioning. Greater family contact was strongly related to better psychosocial functioning. Findings suggested that the nature and impact of contact between consumer and family for this sample of African-Americans appears different from what has been found in white, middle-class samples. PMID: 18841474 [PubMed - as supplied by publisher] (Source: Community Mental Health Journal) Community Mental Health Journal journals http://www.medworm.com/rss/comments.php?id=1863722 Wed, 08 Oct 2008 04:00:00 +0100 1863722 http://www.medworm.com/index.php?rid=1816650&cid=s_37674_172_f&fid=37674&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18807182%26dopt%3DAbstract This study examines the clinic variable of wait-time as a predictor of intake attendance in a rural community mental health center (CMHC) serving child and adolescent consumers. Data from 1,317 contacts seeking services for a child or adolescent (ages 2-17) were examined. In logistic regression analysis, wait-time between initial consumer contact and intake appointment was identified as a significant predictor of appointment attendance, even after accounting for consumer variables. The impact of wait-time on the likelihood of intake appointment attendance was not moderated by the urgency of consumer need. Findings elucidate the odds of intake attendance versus non-attendance associated with each day of wait-time and clarify the impact of this clinic variable on pre-intake attrition above a... Community Mental Health Journal journals http://www.medworm.com/rss/comments.php?id=1816650 Sat, 20 Sep 2008 04:00:00 +0100 1816650 http://www.medworm.com/index.php?rid=1816651&cid=s_37674_172_f&fid=37674&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18807181%26dopt%3DAbstract Authors: Kryda AD, Compton MT This qualitative study explored how individuals who are homeless perceive outreach practices and available services. Interviews were conducted with 24 people who had been homeless for >/=1 year and who consistently resided on the streets of west midtown, Manhattan, New York. Reasons why these individuals refuse services include a pervasive mistrust of outreach workers and the agencies that employ them, as well as a prominent lack of confidence in available services. The findings suggest a need for an approach to outreach that incorporates giving individualized attention from outreach workers, using an empathetic listening approach, minimizing stereotyping, providing greater choices, and employing formerly homeless people as outreach workers. PMID: 1... Community Mental Health Journal journals http://www.medworm.com/rss/comments.php?id=1816651 Fri, 19 Sep 2008 04:00:00 +0100 1816651 http://www.medworm.com/index.php?rid=1789457&cid=s_37674_172_f&fid=37674&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18787951%26dopt%3DAbstract Authors: Cohen CI, Pathak R, Ramirez PM, Vahia I There have been few studies examining the outcome of schizophrenia in later life. Using five conceptual models, we test two hypotheses with respect to range of outcomes among older schizophrenia outpatients and how they compare to their age peers in the community. We operationalized five outcome measures from the following conceptual models: Remission, adapting criteria of Andreasen et al. (The American Journal of Psychiatry, 162:441-449, 2005); Recovery, adapting the criteria by Liberman et al. (International Review of Psychiatry, 14:256-272, 2002); Community Integration using the model of Wong and Solomon (Mental Health Services Research, 4:13-28, 2002); Subjective and Objective Successful Aging using the model of Rowe and Kahn (Scienc... Community Mental Health Journal journals http://www.medworm.com/rss/comments.php?id=1789457 Fri, 12 Sep 2008 04:00:00 +0100 1789457 http://www.medworm.com/index.php?rid=1744427&cid=s_37674_172_f&fid=37674&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18751898%26dopt%3DAbstract This study examined the degree of perceived need and use of child mental health services in Korea, as well as the factors associated therewith. The sample consisted of 3,477 children aged 8-13 years. Overall, 10.4% of the parents demonstrated a perceived need for mental health services regarding their children's emotional or behavioral problems, while 1.9% used mental health services. Although the perceived need for mental health services is high, only a small proportion of children receive them. Whether a child receives mental health care is influenced by the child's psychopathology, especially when social and/or thought problems exist. PMID: 18751898 [PubMed - as supplied by publisher] (Source: Community Mental Health Journal) Community Mental Health Journal journals http://www.medworm.com/rss/comments.php?id=1744427 Wed, 27 Aug 2008 04:00:00 +0100 1744427 http://www.medworm.com/index.php?rid=1653678&cid=s_37674_172_f&fid=37674&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18651218%26dopt%3DAbstract Authors: Perkins DV, Raines JA, Tschopp MK, Warner TC Stigma impedes the social integration of persons recovering from psychiatric disability, especially those with criminal histories. Little is known about factors that lessen this stigma. Four hundred and four adults listened to one of four vignettes describing a 25-year-old male with schizophrenia and responded to a standard set of items measuring social distance. The individual who was gainfully employed (vs. unemployed), or who had a prior misdemeanor (vs. felony) criminal offense, elicited significantly less stigma. Employment may destigmatize a person coping with both psychiatric disability and a criminal record. Mental health services should encourage paid employment and other paths to community integration. PMID: 18651218 [... Community Mental Health Journal journals http://www.medworm.com/rss/comments.php?id=1653678 Thu, 24 Jul 2008 04:00:00 +0100 1653678 http://www.medworm.com/index.php?rid=1650293&cid=s_37674_172_f&fid=37674&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18648933%26dopt%3DAbstract Authors: Zayas LH, Torres LR, Cabassa LJ With increased US Hispanic diversity come diagnostic challenges associated with culture, language, and expression of mental disorders. In a community-based clinic, we compared diagnostic agreement between Hispanic and non-Hispanic clinicians, and a structured diagnostic instrument, in live and videotaped interviews with Hispanic adults. Percentage agreement and kappas show low diagnostic reliability between clinicians, and between clinicians and instrument. Significant differences appeared in rates of various diagnoses. Non-Hispanic clinicians rated patients' functional capacity and symptom-severity as significantly worse than Hispanic clinicians. Findings match past research with Hispanic patients and raise questions about diagnostic reliabilit... Community Mental Health Journal journals http://www.medworm.com/rss/comments.php?id=1650293 Tue, 22 Jul 2008 04:00:00 +0100 1650293 http://www.medworm.com/index.php?rid=1636005&cid=s_37674_172_f&fid=37674&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18633704%26dopt%3DAbstract Authors: Mishra SI, Lucksted A, Gioia D, Barnet B, Baquet CR The purpose of this study is to better understand the mental health/illness information and service delivery preferences among African American residents of Baltimore. We conducted four focus groups (n = 42) among African American adults currently unconnected with the mental health system. Participants expressed fear of stigma and perceptions of racism as major barriers to seeking information and/or services and discussed some normalizing strategies to address these barriers. African Americans harbor cultural and traditional beliefs regarding mental illness which could also act as barriers. Findings have implications for imparting acceptable and culturally sensitive mental health education and service delivery programs in com... Community Mental Health Journal journals http://www.medworm.com/rss/comments.php?id=1636005 Thu, 17 Jul 2008 04:00:00 +0100 1636005 http://www.medworm.com/index.php?rid=1636004&cid=s_37674_172_f&fid=37674&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18633705%26dopt%3DAbstract We report a prospective follow-up of 81 patients recently discharged from the hospital. Their hospital attendance pattern, medication compliance, mental state and social functioning were measured. Defaulters were followed up in the community. At 3 months, 49.4% had defaulted, while 51.5% were medication noncompliant. Clinical outcome was best for the Non-Defaulter-Medication Compliant (ND-MC) group, worst for the Defaulter-Medication Non-Compliant (D-MNC) group. Reasons for default include feeling well, financial difficulty, medication side effects and stigma. Medication non-compliant patients were more likely to reside more than 20 km away from hospital. There is an urgent need to provide community psychiatric services to improve patients' access to services and medication compliance. ... Community Mental Health Journal journals http://www.medworm.com/rss/comments.php?id=1636004 Thu, 17 Jul 2008 04:00:00 +0100 1636004 http://www.medworm.com/index.php?rid=1610187&cid=s_37674_172_f&fid=37674&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18597173%26dopt%3DAbstract Authors: Bastiaens L Forty-six patients (36 male, mean age 11.9 +/- 2.6) with a variety of diagnoses and with significant aggressive behavior were treated in an open, non-randomized fashion with Aripiprazole or Ziprasidone. Patients were diagnosed with the Mini International Neuropsychiatric Interview and the Child/Adolescent Symptom Inventory. The primary outcome measure was the Overt Aggression Scale (OAS). After 2 months, 34 patients were still in treatment. The average improvement of the OAS in these 34 patients was 63%. Clinical Global Impression-Improvement Scale was 2.1 +/- 1.2. Neither at baseline, nor at 2 months, were there any statistically significant differences between the Aripiprazole and Ziprasidone groups. Sedation was the most common side effect. PMID: 18597173 [P... Community Mental Health Journal journals http://www.medworm.com/rss/comments.php?id=1610187 Thu, 03 Jul 2008 04:00:00 +0100 1610187 http://www.medworm.com/index.php?rid=1610188&cid=s_37674_172_f&fid=37674&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18566889%26dopt%3DAbstract Authors: Seffrin B, Panzano PC, Roth D This mixed-method study examined the facilitators and barriers discussed by 166 informants interviewed from 78 innovative mental health projects. Facilitator and barrier coding reflected two dimensions: the topic of the comment (e.g., funding); and the time phase of the issue's influence (e.g., pre-decision). Proportions of facilitators to the sum of facilitator and barrier comments made by project informants were calculated. Overall, facilitator proportions were higher for projects that proceeded with implementation than those that did not adopt the practice. In addition, facilitator proportions were generally highest at pre-decision and lowest at full implementation for implementing projects. PMID: 18566889 [PubMed - as supplied by publisher... Community Mental Health Journal journals http://www.medworm.com/rss/comments.php?id=1610188 Fri, 20 Jun 2008 04:00:00 +0100 1610188 http://www.medworm.com/index.php?rid=1610189&cid=s_37674_172_f&fid=37674&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18563563%26dopt%3DAbstract This study examined the extent to which an ACT team employed within a Housing First program conforms to the fidelity standards of the ACT model. The aim was to specifically identify the extent to which accommodations have been made to suit the context and priorities of Housing First. Results indicate that some deviations from the ACT model could be attributed to the consumer choice approach inherent to Housing First. Other deviations may result from serving individuals that are more disconnected from social supports than other individuals with mental illness, with longer street histories, and greater involvement with substance use. PMID: 18563563 [PubMed - as supplied by publisher] (Source: Community Mental Health Journal) Community Mental Health Journal journals http://www.medworm.com/rss/comments.php?id=1610189 Wed, 18 Jun 2008 04:00:00 +0100 1610189 http://www.medworm.com/index.php?rid=1610190&cid=s_37674_172_f&fid=37674&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18521555%26dopt%3DAbstract Authors: Whitley R, Drake RE PMID: 18521555 [PubMed - as supplied by publisher] (Source: Community Mental Health Journal) Community Mental Health Journal journals http://www.medworm.com/rss/comments.php?id=1610190 Tue, 03 Jun 2008 04:00:00 +0100 1610190 http://www.medworm.com/index.php?rid=1610232&cid=s_37674_172_f&fid=37674&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D17924189%26dopt%3DAbstract Authors: Isett KR, Burnam MA, Coleman-Beattie B, Hyde PS, Morrissey JP, Magnabosco JL, Rapp C, Ganju V, Goldman HH The evidence-based practice demonstration for services to adults with serious mental illness has ended its pilot stage. This paper presents the approaches states employed to combine traditional policy levers with more strategic/institutional efforts (e.g., leadership) to facilitate implementation of these practices. Two rounds of site visits were completed and extensive interview data collected. The data were analyzed to find trends that were consistent across states and across practices. Two themes emerged for understanding implementation of evidence-based practices: the support and influence of the state mental health authority matters and so does the structure of the me... Community Mental Health Journal journals http://www.medworm.com/rss/comments.php?id=1610232 Sun, 01 Jun 2008 04:00:00 +0100 1610232 http://www.medworm.com/index.php?rid=1610230&cid=s_37674_172_f&fid=37674&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D17973191%26dopt%3DAbstract This study reports on the strategies used to implement the evidence-based practices of supported employment and integrated dual diagnosis treatment. Using qualitative research methods, the study uncovered eight strategies that contributed to successful implementation in six sites. PMID: 17973191 [PubMed - in process] (Source: Community Mental Health Journal) Community Mental Health Journal journals http://www.medworm.com/rss/comments.php?id=1610230 Sun, 01 Jun 2008 04:00:00 +0100 1610230 http://www.medworm.com/index.php?rid=1610228&cid=s_37674_172_f&fid=37674&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18049894%26dopt%3DAbstract Authors: Baker L, Oswalt K Postpartum depression is a serious mental health issue affecting as many as 10-15% of families during the postpartum period. The current study discusses implementation of a screening protocol for postpartum depression in a rural community health setting with a sample of 498 primarily minority women utilizing the Postpartum Depression Screening Scale. Results indicate that 22.5% of the sample population demonstrate some symptoms of postpartum depression, with Hispanic women demonstrating less symptoms than other minority groups. Results also indicate that variables such as race, feeding method and history of depression impact scale scores. PMID: 18049894 [PubMed - in process] (Source: Community Mental Health Journal) Community Mental Health Journal journals http://www.medworm.com/rss/comments.php?id=1610228 Sun, 01 Jun 2008 04:00:00 +0100 1610228 http://www.medworm.com/index.php?rid=1610226&cid=s_37674_172_f&fid=37674&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18049896%26dopt%3DAbstract Authors: Currie SR, Karltyn J, Lussier D, de Denus E, Brown D, El-Guebaly N Six and 12-month outcomes are reported on 79 mentally ill persons attending either a 4- or 8-session community-based smoking cessation group. Quit rates at post, 3-, 6-, and 12-month follow-ups were 16, 19, 16, and 19%, respectively, with no significant effect of program length. These success rates are comparable to outcomes reported following group-based treatment with mentally healthy smokers. The majority of quitters used nicotine replacement therapy. Psychotropic medication dosages did not vary over time in quitters or non-quitters. No reductions in smoking were observed among non-quitters. Quitting smoking had no untoward effects on symptoms of mental illness or general functioning. PMID: 18049896 [Pub... Community Mental Health Journal journals http://www.medworm.com/rss/comments.php?id=1610226 Sun, 01 Jun 2008 04:00:00 +0100 1610226 http://www.medworm.com/index.php?rid=1610225&cid=s_37674_172_f&fid=37674&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18071898%26dopt%3DAbstract Authors: Mangrum LF, Spence RT The study compares counselor and client characteristics of state-funded co-occurring disorder (COPSD) programs in mental health (MH) versus substance abuse (SA) settings. SA counselors more often had graduate degrees and MH counselors rated their knowledge and skills lower on two of nine COPSD best practice principles. MH clients were more frequently diagnosed with schizophrenia, depression, and bipolar disorder, whereas SA clients displayed evidence of greater substance use severity and had higher rates of treatment completion and abstinence at discharge. Results reveal significant implications for workforce development and potential system changes to enhance COPSD services that are unique to each setting. PMID: 18071898 [PubMed - in process] (Source... Community Mental Health Journal journals http://www.medworm.com/rss/comments.php?id=1610225 Sun, 01 Jun 2008 04:00:00 +0100 1610225