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. Tue, 07 Feb 2012 09:35:44 +0100 http://www.medworm.com/index.php?rid=5659189&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%3D22302211%26dopt%3DAbstract Authors: Chen WJ, Chen CC, Ho CK, Lee MB, Lin GG, Chou FH Abstract Although a previous suicide attempt constitutes a major risk factor for an eventual completed suicide, few interventions specifically designed to prevent suicide reattempts have been evaluated. The aim of this study was to determine the effectiveness of case management for the prevention of suicide reattempts. A total of 4,765 subjects with a recent suicide attempt referred from medical and non-medical organizations were consecutively recruited from July 2006 to June 2008. The suicide prevention program of Kaohsiung Suicide Prevention Center (KSPC) provided case management and followed up suicide-attempt cases for 6 months. Survival analysis showed that the risk of suicide reattempt was significantly lower in the c... Community Mental Health Journal journals http://www.medworm.com/rss/comments.php?id=5659189 Fri, 03 Feb 2012 05:00:00 +0100 5659189 http://www.medworm.com/index.php?rid=5659188&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%3D22302212%26dopt%3DAbstract Authors: Savage RM, Dillon JM, Hammel JC, Lewis TC, Johnson NC, Barlow LM, Brooms MM, Moore PM, Parker HE, Rodney KZ Abstract The Alabama Coalition for a Healthier Black was a demonstration of concept project. This paper is a descriptive and qualitative overview of this 2.5 year project. Limited key project results are reported here. Located in the rural Black Belt region of Alabama this coalition had several key aims: to develop a collaboration between primary care and mental health care through co-location of services; use of video-conferencing capability to provide mental health services more efficiently; enhanced training in rural healthcare; and development of stigma reduction campaigns along with other coalition partner specific initiatives. Co-location and telepsychiatry im... Community Mental Health Journal journals http://www.medworm.com/rss/comments.php?id=5659188 Fri, 03 Feb 2012 05:00:00 +0100 5659188 http://www.medworm.com/index.php?rid=5659187&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%3D22302213%26dopt%3DAbstract Authors: Krupa T, Oyewumi K, Archie S, Stuart Lawson J, Nandlal J, Conrad G Abstract Ensuring the financial security of individuals recovering from first episode psychosis is imperative, but disability income programs can be powerful disincentives to employment, compromising the social and occupational aspects of recovery. Survival analysis and Cox regression analysis were used to examine the rate at which individuals served by early intervention for psychosis (EIP) services apply for government disability income benefits and factors that predict rate of application. Health records for 558 individuals served by EIP programs were reviewed. Within the first year of receiving services 30% will make application for disability income; 60% will do so by 5 years. Rate of application is p... Community Mental Health Journal journals http://www.medworm.com/rss/comments.php?id=5659187 Fri, 03 Feb 2012 05:00:00 +0100 5659187 http://www.medworm.com/index.php?rid=5659190&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%3D22297618%26dopt%3DAbstract Authors: Latkin C, Yang C, Ehrhardt B, Hulbert A Abstract In the US, there are no national statistics on encountering a dead body, which can be viewed as a measure of community health and a stressful life event. Participants for an HIV prevention intervention targeting drug users were recruited in areas of inner-city Baltimore, Maryland. Nine hundred and fifty-one respondents, most with a history of drug use, were asked "have you ever found a dead body?" and 17.0% reported they had. Leading causes of death were: violence (37%), natural causes (22.2%), drug overdose (21.6%), accidental death (3.1%), and suicide (2.5%). In multivariate logistic models, respondents with longer history of drug use and more roles in a drug economy were more likely to be exposed to a dead body. The study... Community Mental Health Journal journals http://www.medworm.com/rss/comments.php?id=5659190 Thu, 02 Feb 2012 05:00:00 +0100 5659190 http://www.medworm.com/index.php?rid=5659194&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%3D22294507%26dopt%3DAbstract This study compared 59 female and 1,181 male participants in a multi-site study of three VA-funded transitional housing programs over a 1-year period following completion of an episode of treatment. At baseline, female participants were younger, reported more psychiatric symptoms, had shorter histories of homelessness, were less likely to have substance use disorders, and were less likely to be working than males. After controlling for these baseline differences, there were no overall gender differences in outcomes measures of housing, employment, substance use, physical and mental health, or quality of life. These results suggest homeless female veterans have different characteristics than male veterans, but benefit equally from transitional housing. PMID: 22294507 [PubMed - as suppli... Community Mental Health Journal journals http://www.medworm.com/rss/comments.php?id=5659194 Wed, 01 Feb 2012 05:00:00 +0100 5659194 http://www.medworm.com/index.php?rid=5659193&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%3D22294508%26dopt%3DAbstract Authors: Mundt AP, Aichberger MC, Kliewe T, Ignatyev Y, Yayla S, Heimann H, Schouler-Ocak M, Busch M, Rapp M, Heinz A, Ströhle A Abstract The aim of the study was to assess the response to random sampling for a mental health survey in a deprived multi-ethnic area of Berlin, Germany, with a large Turkish-speaking population. A random list from the registration office with 1,000 persons stratified by age and gender was retrieved from the population registry and these persons were contacted using a three-stage design including written information, telephone calls and personal contact at home. A female bilingual interviewer contacted persons with Turkish names. Of the persons on the list, 202 were not living in the area, one was deceased, 502 did not respond. Of the 295 responders, 15... Community Mental Health Journal journals http://www.medworm.com/rss/comments.php?id=5659193 Wed, 01 Feb 2012 05:00:00 +0100 5659193 http://www.medworm.com/index.php?rid=5659192&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%3D22294509%26dopt%3DAbstract Authors: Naik A, O'Brien AP, Gaskin CJ, Munro I, Bloomer MJ Abstract This paper presents data on a patient evaluation of a group cognitive behavioural therapy programme in an applied setting and its efficacy for reducing generalised anxiety and or depression, and distress. Patients (n = 14) participated in one of two 8-week group cognitive behavioural therapy programmes for generalised anxiety or depression, within a mental health service. Patients' perceptions of the programme were collected via an evaluation questionnaire, and data on clinical outcomes were sourced from patients' case notes. Most patients who were invited to participate in the programme (n = 14 of 17), and their evaluations were generally favourable. Almost all participants (93%) indicated that the programme ... Community Mental Health Journal journals http://www.medworm.com/rss/comments.php?id=5659192 Wed, 01 Feb 2012 05:00:00 +0100 5659192 http://www.medworm.com/index.php?rid=5659191&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%3D22294510%26dopt%3DAbstract Authors: Golubchik P, Sever J, Finzi-Dottan R, Kosov I, Weizman A Abstract Indications and criteria for psychiatric hospitalization (PH) continue to be questioned and assessed. We investigated the major clinical criteria affecting child psychiatrists' decision to recommend hospitalization. Records of 80 children (aged 7-13 years) treated at the Geha Mental Health Center's (GMHC's) outpatient clinic were reviewed. The patients' files were divided into three groups: admitted to PH (n = 20), candidates for PH who, ultimately, were not hospitalized (n = 20) and 40 patients for whom PH was not a consideration. Three groups of criteria were chosen to evaluate the decision for PH (type and severity of the psychiatric disorders, family's level of distress and parental capacity to cont... Community Mental Health Journal journals http://www.medworm.com/rss/comments.php?id=5659191 Wed, 01 Feb 2012 05:00:00 +0100 5659191 http://www.medworm.com/index.php?rid=5659197&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%3D22290303%26dopt%3DAbstract Authors: Rothbard AB, Chhatre S, Zubritsky C, Fortuna K, Dettwyler S, Henry RJ, Smith M Abstract To evaluate the effectiveness of an intensive system of case management for high end users of inpatient care in reducing psychiatric inpatient utilization. A pre-post study design with a contemporaneous comparison group was employed to determine the effects of a State designed intervention to reduce inpatient care for adults with a mental health disorder who had high utilization of inpatient psychiatric care between 2004 and 2007. Logit and negative binomial regression models were used to determine the likelihood, frequency and total days of inpatient utilization in the post period as a function of the intervention. Data from administrative reporting forms and Medicaid claims were used ... Community Mental Health Journal journals http://www.medworm.com/rss/comments.php?id=5659197 Tue, 31 Jan 2012 05:00:00 +0100 5659197 http://www.medworm.com/index.php?rid=5659196&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%3D22290304%26dopt%3DAbstract Authors: Donald M, Dower J, Bush R Abstract Training for health services staff often focuses on improving individual practitioner's knowledge and skills, with less emphasis given to the broader organizational context, in particular those elements that support successful implementation of changes post-training. This paper compares the effectiveness of a standard training model for suicide prevention to an enhanced training model. The training involved the public mental health workforce throughout the State of Queensland, Australia and was developed in collaboration with the State health department and as such took place within a policy and practice context. The standard training involved participation in a one-day training workshop, which provided information on evidence-based suici... Community Mental Health Journal journals http://www.medworm.com/rss/comments.php?id=5659196 Tue, 31 Jan 2012 05:00:00 +0100 5659196 http://www.medworm.com/index.php?rid=5659195&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%3D22290305%26dopt%3DAbstract Authors: Kogstad RE, Mönness E, Sörensen T Abstract Several studies have illustrated the importance of social support and social networks for persons with mental health problems. Social networks may mean a reduced need for professional services, but also help to facilitate access to professional help. The interplay between social networks and professional services is complicated and invites further investigation. Compare aspects of clients' experiences with social networks to experiences with professional services and learn about the relationship between network resources and help from the public health service system. Quantitative analyses of a sample of 850 informants. Supportive networks exist for a majority of the informants and can also be a substitute for public/professiona... Community Mental Health Journal journals http://www.medworm.com/rss/comments.php?id=5659195 Tue, 31 Jan 2012 05:00:00 +0100 5659195 http://www.medworm.com/index.php?rid=5641445&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%3D22271342%26dopt%3DAbstract This study investigated differences in usage of inpatient and outpatient mental health services over a 2-year period following the index hospitalization between 50 decertified and 48 certified subjects with bipolar manic or mixed episode from an inpatient mental health treatment center. The decertified group had higher number of rehospitalization over the 2-year period compared to certified group (mean = 2.26, SE = 0.41 vs. mean = 1.19, SE = 0.24; Wald χ (2) = 5.50, p = 0.02). Median time to first rehospitalization was 40 weeks in the certified and 17 weeks in the decertified group, but the difference in time to rehospitalization failed to achieve statistical significance (p = 0.18). History of prior hospitalization was associated with higher numbers of rehospita... Community Mental Health Journal journals http://www.medworm.com/rss/comments.php?id=5641445 Tue, 24 Jan 2012 05:00:00 +0100 5641445 http://www.medworm.com/index.php?rid=5535698&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%3D22187086%26dopt%3DAbstract Authors: Kasckow J, Appelt C, Haas GL, Huegel S, Fox L, Gurklis J, Zickmund S, Daley D Abstract A recovery-oriented manual was developed for patients with schizophrenia and suicidality. It included psychoeducational information, vignettes, "workbook" sections and was reviewed by experts in suicidology, recovery, patient education, manual development and psychosocial interventions. The revised version was tested in 22 consumers with schizophrenia and a history of suicidality. Consumer-based focus groups yielded five key themes which were used to further refine the manual. A satisfaction survey indicated that 85% stated the manual was 'somewhat easy', 'easy' or 'very easy to read.' All stated it was 'very useful', 'useful' or 'somewhat useful. Thus, the manual appears to be acceptabl... Community Mental Health Journal journals http://www.medworm.com/rss/comments.php?id=5535698 Wed, 21 Dec 2011 05:00:00 +0100 5535698 http://www.medworm.com/index.php?rid=5514005&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%3D22167660%26dopt%3DAbstract This study reports findings from a randomized controlled trial comparing propensity for patient self-advocacy among those who received a peer-led mental illness self-management intervention called Wellness Recovery Action Planning (WRAP) and those who received usual care. Outcomes were self-reported engagement in self-advocacy with service providers, and the relationship between patient self-advocacy and other key recovery outcomes. In a multivariable analysis, at immediate post-intervention and 6-month follow-up, WRAP participants were significantly more likely than controls to report engaging in self-advocacy with their service providers. Higher self-advocacy also was associated with greater hopefulness, better environmental quality of life, and fewer psychiatric symptoms among the inter... Community Mental Health Journal journals http://www.medworm.com/rss/comments.php?id=5514005 Wed, 14 Dec 2011 05:00:00 +0100 5514005 http://www.medworm.com/index.php?rid=5514013&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%3D22160301%26dopt%3DAbstract Authors: Radigan M, Wang R Abstract To examine relationships between youth and caregiver strengths and behavioral health outcomes for youth in community service settings. Strengths and behavioral health needs of youth (N = 793) receiving Home and Community Based Services Waiver from 2002-2008 were characterized using the child and adolescent needs and strengths mental health assessment. Comparisons of assessment scores at admission and program completion were conducted using Chi-square, repeated measures ANOVA and Cohen's d effect size. Associations between strengths at admission and having behavioral health needs met were examined using multivariable logistic regression. Youth had high levels of needs on mental health, risk and functioning dimensions at admission. All needs impr... Community Mental Health Journal journals http://www.medworm.com/rss/comments.php?id=5514013 Sun, 11 Dec 2011 05:00:00 +0100 5514013 http://www.medworm.com/index.php?rid=5493937&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%3D22143289%26dopt%3DAbstract Authors: Manor-Binyamini I Abstract The study examines the caregiver burden and sense of coherence among parents of 300 children with conduct disorder, as compared to parents of 100 children without the disorder in Israel. Parents completed the Caregiver Burden Index and the Sense of Coherence Scale. The research findings showed significant differences between the two groups, with the parents of children with conduct disorder reporting a higher caregiver burden and lower sense of coherence than the parents of children with no disorder. The study highlights the need to provide professional support for parents of children with conduct disorder and to develop appropriate intervention programs for enhancing the parents' coping abilities. PMID: 22143289 [PubMed - as supplied by publ... Community Mental Health Journal journals http://www.medworm.com/rss/comments.php?id=5493937 Tue, 06 Dec 2011 05:00:00 +0100 5493937 http://www.medworm.com/index.php?rid=5493938&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%3D22138851%26dopt%3DAbstract This study examined the needs of 206 individuals with SMI and compared their perceptions with those of their professional caregivers. Needs were reported in the areas of accommodations, psychotic symptoms, daytime activity, intimate relationships, and psychological distress. Caregivers reported more met needs, while individuals themselves reported more unmet needs. Results suggest that in order to promote recovery, services for persons with SMI should be developed in accordance with patients' most prominent needs, specifically in the social and personal areas of intimate and sexual relationships. PMID: 22138851 [PubMed - as supplied by publisher] (Source: Community Mental Health Journal) Community Mental Health Journal journals http://www.medworm.com/rss/comments.php?id=5493938 Sun, 04 Dec 2011 05:00:00 +0100 5493938 http://www.medworm.com/index.php?rid=5493939&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%3D22105719%26dopt%3DAbstract Authors: Chang HJ, Lai YL, Chang CM, Kao CC, Shyu ML, Lee MB Abstract The primary objective of this study was to explore gender and age differences in the use of medical services during the year preceding suicide. Data were obtained from the mortality dataset of Department of Health and National Health Insurance Database. Included in the sample were 862 persons aged 12-24 years who committed suicide in Taiwan between 2001 and 2004. We compared the records of medical service utilization of adolescents (ages 12-18 years) with young adults (ages 19-24 years). Persons in both age groups contacted general practitioners more often than other types of medical providers in the year preceding suicide, with the exception of the month before suicide. Females made greater use of medical ser... Community Mental Health Journal journals http://www.medworm.com/rss/comments.php?id=5493939 Tue, 22 Nov 2011 05:00:00 +0100 5493939 http://www.medworm.com/index.php?rid=5493940&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%3D22101913%26dopt%3DAbstract Authors: Glover CM, Frounfelker RL Abstract The competencies of individual employment specialists influence rates of competitive employment among consumers and programs. Identifying competencies can lead to the development of more effective specialists and improve employment outcomes for consumers enrolled in employment services in community mental health care settings. The purpose of this study was to examine how more successful employment specialists performed supported employment duties in comparison to less successful employment specialists. Ethnographic researchers observed more and less successful employment specialists performing job duties related to the five phases of supported employment. Using grounded theory, they identified factors that differentiated the two groups. M... Community Mental Health Journal journals http://www.medworm.com/rss/comments.php?id=5493940 Sat, 19 Nov 2011 05:00:00 +0100 5493940 http://www.medworm.com/index.php?rid=5422001&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%3D22089145%26dopt%3DAbstract Authors: Harvey C, Killaspy H, Martino S, Johnson S Abstract The impact of variable implementation of the Assertive Community Treatment (ACT) model on patient outcomes is increasingly recognised. We conducted the first study of four established Australian ACT teams, examining team composition, processes and model fidelity, using previously validated questionnaires. Demographic and clinical details of patients and their own experiences of ACT were gathered from staff. Associations between burnout and work experiences were examined. All teams were ACT-like (mean DACTS score = 3.7, SD = 0.3) with few significant patient differences between teams, except diagnosis (schizophrenia 61-93%, co-morbid substance abuse 16-33%) and proportion living alone (23-72%). Clinicians were fairly s... Community Mental Health Journal journals http://www.medworm.com/rss/comments.php?id=5422001 Thu, 17 Nov 2011 05:00:00 +0100 5422001 http://www.medworm.com/index.php?rid=5422000&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%3D22089146%26dopt%3DAbstract This study prospectively investigated developmental psychopathology pathway from the age of 7 to ages 14-16. The subjects (N = 1,857) were evaluated using the Korean version of the Child Behavior Checklist and reassessed using the Korean Youth Self Report. In path analyses, total problems, externalizing problems, and internalizing problems in childhood associated significantly with problems in adolescence. In particular, childhood externalizing problems associated with adolescent externalizing problems, for both genders. However, our results differ from those of previous studies in that internalizing problems showed a restrictive stability by gender and in that early externalizing problems correlated negatively with later internalizing problems for girls. In the syndrome scales analyses,... Community Mental Health Journal journals http://www.medworm.com/rss/comments.php?id=5422000 Thu, 17 Nov 2011 05:00:00 +0100 5422000 http://www.medworm.com/index.php?rid=5422002&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%3D22086184%26dopt%3DAbstract We examined income source and match between recommended and received care among users of community mental health services. We conducted a secondary analysis of needs-based planning data on adults in Ontario community mental health programs from 2000 to 2002. The outcome was whether clients were severely underserved (yes/no) based on the match between level of care recommended and received. A logistic regression model investigated if income source predicted this outcome. 13% of clients were severely underserved. Over 40% were on public assistance and they had a higher risk of being severely undeserved than the others. Men were at greater risk. One aim of mental health reform is to increase access to care for vulnerable individuals. The finding that among users of community mental health ser... Community Mental Health Journal journals http://www.medworm.com/rss/comments.php?id=5422002 Wed, 16 Nov 2011 05:00:00 +0100 5422002 http://www.medworm.com/index.php?rid=5422004&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%3D22075769%26dopt%3DAbstract Authors: Rice E, Kurzban S, Ray D Abstract Although social integration tends to have positive effects on the mental health of housed adolescents, the role of homeless adolescents' social networks is more ambiguous. Social network data were collected from 136 homeless adolescents in Hollywood, California to examine how network ties are associated with symptoms of anxiety and depression. Face-to-face relationships with street-based peers were a risk factor for both anxiety and depression, while contacting home-based friends through social networking technology was found to be protective for depression. Community-based and public agencies serving homeless adolescents should consider facilitating the maintenance of these protective relationships by providing internet access. PMID: ... Community Mental Health Journal journals http://www.medworm.com/rss/comments.php?id=5422004 Fri, 11 Nov 2011 05:00:00 +0100 5422004 http://www.medworm.com/index.php?rid=5422003&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%3D22075770%26dopt%3DAbstract Authors: Yang LH, Wonpat-Borja AJ Abstract Identifying factors that facilitate treatment for psychotic disorders among Chinese-immigrants is crucial due to delayed treatment use. Identifying causal beliefs held by relatives that might predict identification of 'mental illness' as opposed to other 'indigenous labels' may promote more effective mental health service use. We examine what effects beliefs of 'physical causes' and other non-biomedical causal beliefs ('general social causes', and 'indigenous Chinese beliefs' or culture-specific epistemologies of illness) might have on mental illness identification. Forty-nine relatives of Chinese-immigrant consumers with psychosis were sampled. Higher endorsement of 'physical causes' was associated with mental illness labeling. However am... Community Mental Health Journal journals http://www.medworm.com/rss/comments.php?id=5422003 Fri, 11 Nov 2011 05:00:00 +0100 5422003 http://www.medworm.com/index.php?rid=5380287&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%3D22052428%26dopt%3DAbstract We examined stigma experiences and its impact among patients (n = 41) hospitalized for mental illness. We studied their characteristics contributing to the expectation, intensity, and frequency of stigma they could experience. Opinions were compared on the Experiences with the Stigma of Mental Illness scale measuring stigma experiences and impact. There were differences on perceived stigma in: being 19 years or younger at first symptom or treatment, having had one previous psychiatric hospitalizations and having attended one or more outpatient sessions. Those having attended outpatient sessions, being previously hospitalized or younger suffered more impact. PMID: 22052428 [PubMed - as supplied by publisher] (Source: Community Mental Health Journal) Community Mental Health Journal journals http://www.medworm.com/rss/comments.php?id=5380287 Fri, 04 Nov 2011 04:00:00 +0100 5380287 http://www.medworm.com/index.php?rid=5380286&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%3D22052429%26dopt%3DAbstract Authors: Green AE, Miller EA, Aarons GA Abstract Public sector mental health care providers are at high risk for burnout and emotional exhaustion which negatively affect job performance and client satisfaction with services. Few studies have examined ways to reduce these associations, but transformational leadership may have a positive effect. We examine the relationships between transformational leadership, emotional exhaustion, and turnover intention in a sample of 388 community mental health providers. Emotional exhaustion was positively related to turnover intention, and transformational leadership was negatively related to both emotional exhaustion and turnover intention. Transformational leadership moderated the relationship between emotional exhaustion and turnover intention... Community Mental Health Journal journals http://www.medworm.com/rss/comments.php?id=5380286 Fri, 04 Nov 2011 04:00:00 +0100 5380286 http://www.medworm.com/index.php?rid=5380285&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%3D22052430%26dopt%3DAbstract Authors: Conelea CA, Woods DW, Zinner SH, Budman CL, Murphy TK, Scahill LD, Compton SN, Walkup JT Abstract Chronic tic disorders (CTD) are characterized by motor and/or vocal tics. Existing data on the impact of tics in adulthood is limited by small, treatment-seeking samples or by data aggregated across adults and children. The current study explored the functional impact of tics in adults using a nationwide sample of 672 participants with a self-reported CTD. The impact of tics on physical, social, occupational/academic, and psychological functioning was assessed. Results suggested mild to moderate functional impairment and positive correlations between impairment and tic severity. Notable portions of the sample reported social or public avoidance and experiences of discriminatio... Community Mental Health Journal journals http://www.medworm.com/rss/comments.php?id=5380285 Fri, 04 Nov 2011 04:00:00 +0100 5380285 http://www.medworm.com/index.php?rid=5380290&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%3D22038420%26dopt%3DAbstract Authors: Legerski JP, Vernberg EM, Noland BJ Abstract Hurricane Katrina caused many individuals to evacuate to towns and cities throughout the United States. Psychological First Aid (PFA) is a treatment program designed to help clinicians and other disaster relief workers address the needs of adults, youth, and families immediately following disasters. We conducted focus groups with disaster relief and evacuee service providers in the Kansas City Metro Area as an exploratory study to identify their perceptions of the needs of evacuees. Participants identified a number of mental health needs, as well as displacement-related challenges, including loss of social support, material loss, unemployment, and other stressful life events that were secondary to the hurricane. Many of these ne... Community Mental Health Journal journals http://www.medworm.com/rss/comments.php?id=5380290 Sun, 30 Oct 2011 04:00:00 +0100 5380290 http://www.medworm.com/index.php?rid=5380289&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%3D22038421%26dopt%3DAbstract Authors: McDermott M, Noordsy DL, Traum M PMID: 22038421 [PubMed - as supplied by publisher] (Source: Community Mental Health Journal) Community Mental Health Journal journals http://www.medworm.com/rss/comments.php?id=5380289 Sun, 30 Oct 2011 04:00:00 +0100 5380289 http://www.medworm.com/index.php?rid=5380288&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%3D22042594%26dopt%3DAbstract Authors: Hannigan B, Allen D Abstract The concept of 'trajectory' refers to the unfolding of individual service users' health and illness experiences, the organization of health and social care work surrounding them and the impact this work has on people involved. Using qualitative data from a study completed in two sites in Wales we first reveal the complex character of trajectories encountered in the community mental health field. We show how these can be shaped by features peculiar to mental ill-health per se, and by features with organizational origins. We then use our data to lay bare true divisions of labor. Mental health professionals featured prominently in our study. We also reveal relatively invisible contributions made by professionals on the periphery, support workers, ... Community Mental Health Journal journals http://www.medworm.com/rss/comments.php?id=5380288 Sun, 30 Oct 2011 04:00:00 +0100 5380288 http://www.medworm.com/index.php?rid=5380292&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%3D22038375%26dopt%3DAbstract This study of individuals with DSM-IV schizophrenia who died by suicide in a non-western culture only partially supports findings from clinical studies in western cultures. PMID: 22038375 [PubMed - as supplied by publisher] (Source: Community Mental Health Journal) Community Mental Health Journal journals http://www.medworm.com/rss/comments.php?id=5380292 Wed, 26 Oct 2011 04:00:00 +0100 5380292 http://www.medworm.com/index.php?rid=5380291&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%3D22038376%26dopt%3DAbstract This study assessed the usability and desired enhancements for the MacArthur Foundation's Depression and Primary Care (MDPC) Web site to determine if resources for integrated depression care that are disseminated through the Web site are incorporated into routine clinical care. Since its launch in 2003, more than 20,000 users registered as members of the MDPC website to read and download depression care resources. Subjects were randomly selected from MDPC Web site users who had previously downloaded the depression toolkit. Web-based survey, which was administered anonymously, included the following domains: (1) socio-demographic data, (2) confidence in managing depression (3) Web site content and design features, (4) desired enhancements to Web site and content, (5) use of resources downlo... Community Mental Health Journal journals http://www.medworm.com/rss/comments.php?id=5380291 Wed, 26 Oct 2011 04:00:00 +0100 5380291 http://www.medworm.com/index.php?rid=5380294&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%3D22038373%26dopt%3DAbstract Authors: Corrigan PW, Sokol KA, Rüsch N Abstract Mutual help programs (MHPs) are informal services developed and operated by people with serious mental illnesses for peers with these illnesses. We expect MHPs to have positive effects on quality of life and inverse associations with self-stigma. We hypothesize group identification and social support to be key ingredients that lead to MHPs benefits and hence to also be significant correlates. Eighty-five people with serious mental illness reported current and past MHP experience and completed self-report measures of quality of life, self-stigma, group identification, and social support. Self-stigma was shown to be a significant and large correlate of quality of life. Satisfaction with current and past MHP participation was also asso... Community Mental Health Journal journals http://www.medworm.com/rss/comments.php?id=5380294 Sat, 22 Oct 2011 04:00:00 +0100 5380294 http://www.medworm.com/index.php?rid=5380293&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%3D22038374%26dopt%3DAbstract We examined the relationship between lay diagnoses and the perspectives. Participants labeled the vignette as 'stress' held low expectations for the effectiveness of mental health professionals and psychiatric treatment. To enhance mental health literacy, it is important to help people distinguish a mental illness from mere stress. Lay diagnoses do not necessary have to be detailed, as long as people recognize a situation as an illness. PMID: 22038374 [PubMed - as supplied by publisher] (Source: Community Mental Health Journal) Community Mental Health Journal journals http://www.medworm.com/rss/comments.php?id=5380293 Sat, 22 Oct 2011 04:00:00 +0100 5380293 http://www.medworm.com/index.php?rid=5380298&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%3D22015957%26dopt%3DAbstract Authors: Evans A, Okeke B, Ali S, Achara-Abrahams I, Ohara T, Stevenson T, Warner N, Bolton C, Lim S, Faith J, King J, Davidson L, Poplawski P, Rothbard A, Salzer M Abstract This paper describes the conversion of partial hospitals into recovery-oriented programs as part of system transformation. Steps included: participatory planning with stakeholders; strength based assessment of resources and needs; technical assistance; and changing funding strategies. Over a period of 8 years, use of partial hospitals decreased as persons with serious mental illnesses were transitioned to community integrated recovery centers. Preliminary outcomes suggest that these programs are more effective in engaging people in the community activities of their choice, confirming previous findings that sho... Community Mental Health Journal journals http://www.medworm.com/rss/comments.php?id=5380298 Fri, 21 Oct 2011 04:00:00 +0100 5380298 http://www.medworm.com/index.php?rid=5380297&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%3D22015958%26dopt%3DAbstract Authors: Kim YK, Oh HJ Abstract Hospitals today are pressured to move away from the conventional health services management techniques and provide higher-quality health care to survive in intense competition. In our study, we aimed to develop health care evaluation criteria for the mental health care sector based on the existing Malcolm Baldrige National Quality Award model, and verify the causality of the evaluation model to lay groundwork for future research on the outcomes of national quality awards for mental health care. We focused on comparison groups comprising five state-operated mental hospitals in Korea using 92 survey questions derived from the MBNQA criteria for health care through structural equation modeling techniques. We verified that Leadership drives Foundation an... Community Mental Health Journal journals http://www.medworm.com/rss/comments.php?id=5380297 Fri, 21 Oct 2011 04:00:00 +0100 5380297 http://www.medworm.com/index.php?rid=5380296&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%3D22015959%26dopt%3DAbstract This study is the first to examine THBR for Assertive Community Treatment (ACT) patients with schizophrenia. A sample of 6 ACT patients with schizophrenia or schizoaffective disorder who reside in the community and 6 mental health care staff participated in 10 weeks of weekly horseback riding sessions with an experienced THBR instructor. Participating patients, staff and the THBR instructor were qualitatively interviewed at the start, during and at the end of the THBR program and these semi-structured interviews were analyzed for recurrent themes. We found that THBR benefitted this group of patients. In spite of our study's limitations, such as its exploratory nature and the small sample size, it demonstrates that THBR has promise and should be further developed and studied for individual... Community Mental Health Journal journals http://www.medworm.com/rss/comments.php?id=5380296 Fri, 21 Oct 2011 04:00:00 +0100 5380296 http://www.medworm.com/index.php?rid=5380295&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%3D22015960%26dopt%3DAbstract This study describes a culturally relevant intervention using a collaborative depression care model to integrate mental health and primary care services for depressed low income Chinese-Americans at a community health center. A total of 6,065 patients were screened for depression. Of the 341 who screened positive, 57 participated and were randomly assigned to receive either enhanced physician care with care management (32) or enhanced physician care only (25). All enrolled participants were assessed at baseline and 4 monthly follow-up visits for depression, physical and mental health functioning, and perceived stigma toward receiving depression care, to determine the impact, if any, of their mental health treatment. Both groups reported significant reduction of depressive symptoms and impr... Community Mental Health Journal journals http://www.medworm.com/rss/comments.php?id=5380295 Fri, 21 Oct 2011 04:00:00 +0100 5380295 http://www.medworm.com/index.php?rid=5380299&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%3D22011863%26dopt%3DAbstract This article describes seven key strategies used by the Mental Health Center of Denver in its quest to become a recovery-focused center. The description includes circumstances that were converted into opportunities for multi-level changes within the organization. The changes described include: (a) Vision and persistent leadership, (b) Consumer inclusion and involvement, (c) Seize opportunities to add recovery oriented ideas into clinical practice, (d) Providing the right level of service at the right time, (e) On site staff recovery training, (f) Hiring the right people, and (g) Outcome driven learning and quality improvement. We share our quest to show other centers that although system transformation takes work, it is something that centers across the nation can accomplish, and it makes ... Community Mental Health Journal journals http://www.medworm.com/rss/comments.php?id=5380299 Thu, 20 Oct 2011 04:00:00 +0100 5380299 http://www.medworm.com/index.php?rid=5380300&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%3D22009266%26dopt%3DAbstract Authors: Mancini MA, Wyrick-Waugh W Abstract Harm reduction in community mental health settings can be effective in engaging persons with co-occurring disorders in services. In this qualitative study, personal interviews and grounded theory methods were used to explore the experiences of 21 mental health practitioners and 15 consumers with co-occurring disorders at a community mental health housing program that uses harm reduction. Results indicate that while harm reduction enhanced therapeutic alliances, ethical and emotional tensions between practitioners and consumers regarding their views on self-determination and tolerance of drug-related behaviors were also evident. These tensions are explored and implications for practice and education are provided. PMID: 22009266 [PubMe... Community Mental Health Journal journals http://www.medworm.com/rss/comments.php?id=5380300 Wed, 19 Oct 2011 04:00:00 +0100 5380300 http://www.medworm.com/index.php?rid=5380301&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%3D22006069%26dopt%3DAbstract Authors: Ngai FW, Ngu SF Abstract The aim of the study was to evaluate the psychometric properties of the Chinese version of Medical Outcomes Study Family and Marital Functioning Measures (C-MOS-FMFM) in Hong Kong Chinese childbearing families. A cross-sectional survey was conducted using a convenience sample of 128 childbearing couples recruited from antenatal clinics. The C-MOS-FMFM demonstrated good internal consistency (Cronbach's alpha = 0.79) and test-retest reliability (intraclass correlation coefficient = 0.74). Significant correlations with Medical Outcomes Study-Social Support Survey (r = 0.38, P < 0.01) and Trait Anxiety Inventory (r = -0.48, P < 0.01) supported construct validity. Factor analysis identified one factor corresponding to family functionin... Community Mental Health Journal journals http://www.medworm.com/rss/comments.php?id=5380301 Tue, 18 Oct 2011 04:00:00 +0100 5380301 http://www.medworm.com/index.php?rid=5380306&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%3D22002828%26dopt%3DAbstract Authors: Kunst MJ Abstract The current study explored whether self-reported mental health problems among victims of violent crime (n = 151) affect their ratings of satisfaction with amount of financial compensation awarded by the Dutch state and vice versa. This topic is important to address, because satisfaction is often used as an indicator of quality of victim services. Relying on medical literature about satisfaction with compensation in patient populations, it was expected that satisfaction levels would be negatively associated with mental health problems. Mental health problems were assessed with the General Health Questionnaire. A threshold of 11/12 on this scale was used to differentiate between victims with and without probable mental health problems. In line with expect... Community Mental Health Journal journals http://www.medworm.com/rss/comments.php?id=5380306 Sat, 15 Oct 2011 04:00:00 +0100 5380306 http://www.medworm.com/index.php?rid=5380305&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%3D22002829%26dopt%3DAbstract Authors: Sono T, Oshima I, Ito J, Nishio M, Suzuki Y, Horiuchi K, Niekawa N, Ogawa M, Setoya Y, Tsukada K Abstract Assertive Community Treatment (ACT) is an outreach-based case management model that assists people with severe mental illness through an intensive and integrated approach. In this program, a multidisciplinary team provides medical and psychosocial services. The purpose of this study was to examine the effectiveness of the following two ACT intervention strategies: "replacement" (supporting the clients) versus "backup" (supporting family members who provide care to clients). Admission days, psychiatric symptoms, quality of life, self-efficacy, and service satisfaction ware evaluated as outcome variables. To identify effective methods of supporting family members, client... Community Mental Health Journal journals http://www.medworm.com/rss/comments.php?id=5380305 Sat, 15 Oct 2011 04:00:00 +0100 5380305 http://www.medworm.com/index.php?rid=5380304&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%3D22002830%26dopt%3DAbstract Authors: Zhang J, Wang C Abstract To estimate the effect of social factors in the neighborhood environment on suicide risks, we studied 392 suicides and 416 controls, all aged 15-34 years, consecutively and randomly selected from 16 rural counties in three provinces of China. The social factors in the village neighborhood were measured by the WHO scale of Community Stress and Problems. The individual scores as well as the sum scores of the Community Stress Problems were compared between the suicides and the controls, and multilevel logit regressions were performed for the social structural stresses and community behavioral problems and other confounding variables to test the roles of community stress and problems in Chinese rural young suicide risks. It is found that neighborhood ... Community Mental Health Journal journals http://www.medworm.com/rss/comments.php?id=5380304 Sat, 15 Oct 2011 04:00:00 +0100 5380304 http://www.medworm.com/index.php?rid=5380303&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%3D22002831%26dopt%3DAbstract Authors: Tsai J, Rosenheck RA, Kasprow WJ, McGuire JF Abstract Data on 1,271 clients in three residential care services funded by the Department of Veterans Affairs was used to examine: (1) how religious-oriented programs differ in their social environment from secular programs, (2) how religious-oriented programs affect the religiosity of clients, and (3) how client religiosity is associated with outcomes. Programs were categorized as: secular, secular now but religious in the past, and currently religiously oriented. Results showed (1) participants in programs that were currently religious reported the greatest program clarity, but secular services reported the most supportive environments; (2) participants in programs that were currently religious did not report increases in rel... Community Mental Health Journal journals http://www.medworm.com/rss/comments.php?id=5380303 Sat, 15 Oct 2011 04:00:00 +0100 5380303 http://www.medworm.com/index.php?rid=5380302&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%3D22002832%26dopt%3DAbstract Authors: Oren DA, Santopietro J PMID: 22002832 [PubMed - as supplied by publisher] (Source: Community Mental Health Journal) Community Mental Health Journal journals http://www.medworm.com/rss/comments.php?id=5380302 Sat, 15 Oct 2011 04:00:00 +0100 5380302 http://www.medworm.com/index.php?rid=5380307&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%3D21997644%26dopt%3DAbstract This study explores the experience of women with severe mental illness in transition from psychiatric hospital care to the community. Three focus groups were conducted among women with severe mental illness from transitional residences at two state psychiatric hospitals. Focus group transcripts and notes were coded according to women's perceived challenges and facilitators of transition. Participants described several challenges including fear of insufficient treatment support, safety concerns, social isolation, stigma, and lack of resources to meet daily needs. The supports that women described as important were an orientation to the neighborhood and residence, access to treatment support with flexibility, and connection to social supports. PMID: 21997644 [PubMed - as supplied by publ... Community Mental Health Journal journals http://www.medworm.com/rss/comments.php?id=5380307 Fri, 14 Oct 2011 04:00:00 +0100 5380307 http://www.medworm.com/index.php?rid=5380308&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%3D21994023%26dopt%3DAbstract This study sought to replicate Parslow and Jorm's (Aust N Z J Psychiatry 34(6): 997-1008, 2000) research on need, enabling and predisposing factors as predictors of mental health service use, with the addition of childhood trauma as a predisposing factor. It utilised a non-treatment seeking epidemiological sample of Australian adults (N = 822) to examine 25 variables covering psychiatric disorder, socio-demographics, physical health problems, and childhood trauma as predictors of mental health visits to general practitioners (GP's), mental health specialists and non-mental health specialists. A consistent multivariate predictor of mental health visits to all types of professionals was psychological distress. Presence of an affective disorder, age, and number of health problems were addit... Community Mental Health Journal journals http://www.medworm.com/rss/comments.php?id=5380308 Thu, 13 Oct 2011 04:00:00 +0100 5380308 http://www.medworm.com/index.php?rid=5281622&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%3D21964720%26dopt%3DAbstract Authors: Ferguson KM Abstract Despite the growing integration of supported employment within the mental health system in the United States as well as the widespread use of social enterprises abroad, the fields of mental health and social enterprises remain largely separate in the USA. The mental health field currently lacks a response that strengthens homeless youths' existing human and social capital, provides them with marketable job skills and employment, and impacts their mental health. To address this gap, this paper establishes a case for using social enterprises with homeless youths, drawing on both global precedents and findings from a mixed-methods study of a social enterprise intervention with homeless youths. Recommendations are offered for how to integrate social enterp... Community Mental Health Journal journals http://www.medworm.com/rss/comments.php?id=5281622 Sun, 02 Oct 2011 04:00:00 +0100 5281622 http://www.medworm.com/index.php?rid=5157525&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%3D21858489%26dopt%3DAbstract Authors: Robst J, Armstrong M, Dollard N Abstract Florida Medicaid claims data were used to assess antipsychotic medication use among children after therapeutic out-of-home mental health treatment. Fifty percent of youth received antipsychotics after the treatment episode, but differences exist across age, gender, and racial groups. Utilization was higher among males and youth ages 6-12, while blacks were less likely to be prescribed antipsychotics than whites. Youth receiving antipsychotics were less likely to return to out-of-home treatment within 6 months. However, among youth receiving antipsychotic medications, a higher medication possession ratio was not associated with the likelihood of returning to treatment. Such patterns require further investigation to determine whether... Community Mental Health Journal journals http://www.medworm.com/rss/comments.php?id=5157525 Fri, 19 Aug 2011 23:00:00 +0100 5157525 http://www.medworm.com/index.php?rid=5104273&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%3D21811938%26dopt%3DAbstract Authors: Shah H, Kumar D The School Mental Health (SMH) services play critical roles fostering positive mental health and helping children with psychological problems. Despite its proven value, SMH services remain less developed in India. In this context, sensitizing teachers about child mental health issues could be considered as an important step in SMH promotion. Towards this goal, a large scale sensitization program for school teachers on SMH issues was carried out in an Indian city. This paper reports the process and the outcome of this sensitization program. PMID: 21811938 [PubMed - as supplied by publisher] (Source: Community Mental Health Journal) Community Mental Health Journal journals http://www.medworm.com/rss/comments.php?id=5104273 Tue, 02 Aug 2011 23:00:00 +0100 5104273 http://www.medworm.com/index.php?rid=5009576&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%3D21720854%26dopt%3DAbstract This study investigated episodes of sadness, help seeking for episodes of sadness, and perceived treatment helpfulness among Latino/as. Specifically, we examined whether gender, ethnicity, and other socio-cultural variables predicted episodes of sadness, help seeking, and treatment helpfulness. Data were taken from the National Latino Asian American Study which included service use questions for episodes of sadness. We stratified the data by service provider and used multiple logistic regressions as analytic strategy. Latinas had higher rates of episodes of sadness than Latinos, and everyday discrimination was positively associated with sadness. Acculturation was associated with more help seeking. Puerto Ricans had the highest rates of help seeking, and Mexican-Americans the lowest. Discri... Community Mental Health Journal journals http://www.medworm.com/rss/comments.php?id=5009576 Thu, 30 Jun 2011 23:00:00 +0100 5009576 http://www.medworm.com/index.php?rid=5009577&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%3D21717128%26dopt%3DAbstract This study investigated the utility of a stress and coping framework for identifying factors associated with adjustment to informal caregiving to adults with mental illness. Relations between stress and coping predictors and negative (distress) and positive (positive affect, life satisfaction, benefit finding, health) carer adjustment outcomes were examined. A total of 114 caregivers completed questionnaires. Predictors included relevant background variables (carer and care recipient characteristics and caregiving context), coping resources (optimism, social support, carer-care recipient relationship quality), appraisal (threat, control, challenge) and coping strategies (problem-focused, avoidance, acceptance, meaning-focused). Results indicated that after controlling for relevant backgrou... Community Mental Health Journal journals http://www.medworm.com/rss/comments.php?id=5009577 Wed, 29 Jun 2011 23:00:00 +0100 5009577 http://www.medworm.com/index.php?rid=5009578&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%3D21710209%26dopt%3DAbstract Authors: Seiber EE, Sweeney HA, Partridge J, Dembe AE, Jones H Over the past 20 years, states have increasingly moved away from centrally financed, state-operated facilities to financing models built around community-based service delivery mechanisms. This paper identifies four important broad factors to consider when developing a funding formula to allocate state funding for community mental health services to local boards in an equitable manner, based on local community need: (1) funding factors used by other states; (2) state specific legislative requirements; (3) data availability; and (4) local variation of factors in the funding formula. These considerations are illustrated with the recent experience of Ohio using available evidence and data sources to develop a new community-ba... Community Mental Health Journal journals http://www.medworm.com/rss/comments.php?id=5009578 Mon, 27 Jun 2011 23:00:00 +0100 5009578 http://www.medworm.com/index.php?rid=4913577&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%3D21655941%26dopt%3DAbstract Authors: Prins SJ Although there is broad consensus that people with serious mental illnesses (SMI) are overrepresented in correctional settings, there is less agreement about the policy trends that may have created this situation. Some researchers and policymakers posit a direct link between deinstitutionalization and increased rates of SMI in jails and prisons, a phenomenon described as transinstitutionalization. Others offer evidence that challenges this hypothesis and suggest that it may be a reductionist explanation. This paper reviews claims from both sides of the debate, and concludes that merely increasing access to state psychiatric hospital beds would likely not reduce the number of people with SMI in jails and prisons. A more nuanced approach is recommended for explaining wh... Community Mental Health Journal journals http://www.medworm.com/rss/comments.php?id=4913577 Tue, 07 Jun 2011 23:00:00 +0100 4913577 http://www.medworm.com/index.php?rid=4913576&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%3D21655942%26dopt%3DAbstract This study examined stressors and barriers to using mental health services among first-generation immigrants in San Jose, California. Focus groups for 30 immigrants from Cambodia, Eastern Europe, Iran, Iraq, Africa, and Vietnam were audio-recorded, translated and transcribed. Two researchers coded the data and identified themes pertaining to mental health stressors and barriers. Six primary stressors were identified: economic, discrimination, acculturation due to language differences, enculturation, parenting differences, and finding suitable employment. Primary barriers included: stigma, lack of a perceived norm in country of origin for using mental health services, competing cultural practices, lack of information, language barriers, and cost. A conceptual model is presented that may be ... Community Mental Health Journal journals http://www.medworm.com/rss/comments.php?id=4913576 Tue, 07 Jun 2011 23:00:00 +0100 4913576 http://www.medworm.com/index.php?rid=4913578&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%3D21647650%26dopt%3DAbstract This study investigated the comprehensiveness of disaster mental health state plans and their adherence to published best practices in three states that experienced post-9/11 federally-declared disasters. There were 59 disaster mental health best practices used in this study to assess each state disaster mental plan's compliance with best practices; the states demonstrated a range of adherence to the best practices. This research may serve as a guide for those developing disaster mental health plans and encourage further considerations in disaster mental health response. PMID: 21647650 [PubMed - as supplied by publisher] (Source: Community Mental Health Journal) Community Mental Health Journal journals http://www.medworm.com/rss/comments.php?id=4913578 Mon, 06 Jun 2011 23:00:00 +0100 4913578 http://www.medworm.com/index.php?rid=4913579&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%3D21617994%26dopt%3DAbstract Authors: Priebe S, Matanov A, Demi N, Blagovcanin Simic J, Jovanovic S, Gajic M, Radonic E, Bajraktarov S, Boderscova L, Konatar M, Nica R, Muijen M Eight community mental health care centres (initiated by the South-Eastern Europe Stability Pact) in Albania, Bosnia-Herzegovina, Croatia, Macedonia, Moldova, Montenegro and Romania were evaluated. Characteristics of patients, patient reported outcomes and patient views of care were assessed in 305 psychiatric patients. Patient characteristics varied across centres, with most patients having long term psychotic disorders. Treatment satisfaction and therapeutic relationships were rated favourably. Subjective quality of life mean scores were rather low, with higher satisfaction with health and dissatisfaction with the financial and employmen... Community Mental Health Journal journals http://www.medworm.com/rss/comments.php?id=4913579 Thu, 26 May 2011 23:00:00 +0100 4913579 http://www.medworm.com/index.php?rid=4866187&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%3D21573747%26dopt%3DAbstract Authors: Tanenbaum SJ Consumer-operated service organizations (COSOs) are independent organizations whose administrative and financial control resides with consumers. Based on a 2008 mail survey and followup interviews conducted in 2009, this study depicts the internal characteristics and external relationships, as well as some relationships between the two, of COSOs in one state. Profiles include on the one hand, governance structures, services provided, sources and levels of funding, etc. and on the other, relationships between COSOs and other actors in the mental health system and the local community. COSOs emerge as more self-governing and community-based than required by certification requirements and as developing internally and externally in tandem. COSOs are not only adjunct or... Community Mental Health Journal journals http://www.medworm.com/rss/comments.php?id=4866187 Sat, 14 May 2011 23:00:00 +0100 4866187 http://www.medworm.com/index.php?rid=4866186&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%3D21573771%26dopt%3DAbstract Authors: Shank N, Willborn E, Pytlikzillig L, Noel H Interviews with 32 community behavioral health providers elicited perceived benefits and barriers of using electronic health records. Themes identified were (a) quality of care, (b) privacy and security, and (c) delivery of services. Benefits to quality of care were mentioned by 100% of the providers, and barriers by 59% of providers. Barriers involving privacy and security concerns were mentioned by 100% of providers, and benefits by 22%. Barriers to delivery of services were mentioned by 97% of providers, and benefits by 66%. Most providers (81%) expressed overall positive support for electronic behavioral health records. PMID: 21573771 [PubMed - as supplied by publisher] (Source: Community Mental Health Journal) Community Mental Health Journal journals http://www.medworm.com/rss/comments.php?id=4866186 Sat, 14 May 2011 23:00:00 +0100 4866186 http://www.medworm.com/index.php?rid=4866185&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%3D21573772%26dopt%3DAbstract This study surveyed a 2009 convenience sampling of 199 women, 93 of whom were first (or senior) wives in polygamous marriages and 106 were wives in monogamous marriages. We deployed the McMaster Family Assessment Device (FAD), ENRICH marital satisfaction questionnaire, SCL-90 mental health symptoms checklist, Rosenberg self-esteem (SE) scale, and Diener, Emmons, Larsen, and Griffin life satisfaction scale, a basic sociodemographic scale, including attitudes towards polygamy. Women from polygamous families experienced more problems in family functioning, marital relations, and reported low self-esteem, less satisfaction with life, and more somatization, interpersonal sensitivity, depression, anxiety, hostility, paranoid ideation, psychoticism and their general severity index was higher (GSI... Community Mental Health Journal journals http://www.medworm.com/rss/comments.php?id=4866185 Sat, 14 May 2011 23:00:00 +0100 4866185 http://www.medworm.com/index.php?rid=4814878&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%3D21559920%26dopt%3DAbstract This study retrospectively reviews de-identified records from school-based mental health screening in a predominantly African American community. We compare participation rates, screening results, referrals to services and access to care of white and African American adolescents. Among those offered screening, 20.1% of white students (n = 297), and 28.8% of African American students (n = 499) were screened (χ(2) = 32.47, df = 1, P < .001). African American students (45.1%) were significantly more likely than white students (33.0%), (AOR = 1.59; P = .003) to be identified as being at risk. In both racial groups, most youth accessed the school-based services (89.02%, 95% CI 82.25-95.79) and community services (86.57%, 95% CI 78.41-94.73) to which they were referred. The gro... Community Mental Health Journal journals http://www.medworm.com/rss/comments.php?id=4814878 Tue, 10 May 2011 23:00:00 +0100 4814878 http://www.medworm.com/index.php?rid=4814877&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%3D21559921%26dopt%3DAbstract Authors: McCauley M, Liebling-Kalifani H, Hughes JH This exploratory study aimed to develop greater insight into the occupational and personal nature of the practice of mental healthcare on operational deployments. Twenty-eight British military mental health professionals were identified as having recently returned from deployment, with 35% agreeing to participate in semi-structured qualitative interviews. Results suggest that whilst this population have a range of stressors, their main concern is to work towards the success of the overall mission objectives, mainly through achieving their clinical goals. Such work is impacted by challenges such as ethical difficulties, professional obstacles, bonding with colleagues and personal issues. They do however rely upon a range of intra and i... Community Mental Health Journal journals http://www.medworm.com/rss/comments.php?id=4814877 Tue, 10 May 2011 23:00:00 +0100 4814877 http://www.medworm.com/index.php?rid=4814876&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%3D21559922%26dopt%3DAbstract The objective of this study is to examine the relative contribution of three main factors (characteristics of services and service providers, characteristics of patients and caregivers, and impact of psychiatric illness) to caregiver satisfaction with services. Results of this study are based on the responses of 154 family caregivers of individuals with mental illnesses in Quebec, and indicate that these aspects play a predictive role in caregiver satisfaction with services. A multiple regression model explained 42% of the variance in satisfaction. Collaboration with professionals is the key determinant in the model, as it contributes more than any other variable to satisfaction. Results demonstrate the importance of obtaining a better understanding of caregivers' satisfaction with service... Community Mental Health Journal journals http://www.medworm.com/rss/comments.php?id=4814876 Tue, 10 May 2011 23:00:00 +0100 4814876 http://www.medworm.com/index.php?rid=4814883&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%3D21556782%26dopt%3DAbstract Authors: Hounsome B, Edwards RT, Hounsome N, Edwards-Jones G The relatively high rate of suicide among UK farmers suggests that they may suffer greater mental health problems than the general population. This paper provides a comparison of the psychological morbidity of farmers and their partners/spouses with non-farmers. The General Health Questionnaire (GHQ-12) was administered using face-to-face interviews with 784 attendees of agricultural shows in the UK. Results show that GHQ-12 scores for farmers and their partners/spouses were significantly higher (P < 0.001) than those for the non-farming population, indicating higher psychological morbidity among farmer families. Approximately 35% of farmers had scores 12 and higher (recommended cut-off for psychiatric disorders), compar... Community Mental Health Journal journals http://www.medworm.com/rss/comments.php?id=4814883 Mon, 09 May 2011 23:00:00 +0100 4814883 http://www.medworm.com/index.php?rid=4814882&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%3D21556783%26dopt%3DAbstract Authors: Chase M, Malden A, Lansbury L, Hansen J, Ambrose A, Thomas C, Wilson C, Costall A Research on engagement within community-based psychiatric services in the UK has mainly focussed on factors related to those 'at risk' of non-attendance or non-compliance, with the tacit assumption that those in regular attendance are largely content and hence not a priority. The present study systematically explored the experiences and views of 25 people with severe and enduring mental illness who had regularly attended out-patient settings for more than 5 years. Regular attendance at consultations was not synonymous with satisfaction-in fact it masked varying levels of unmet needs and 'de-humanisation'. In order to establish and maintain non-coercive community services that prioritise 'recover... Community Mental Health Journal journals http://www.medworm.com/rss/comments.php?id=4814882 Mon, 09 May 2011 23:00:00 +0100 4814882 http://www.medworm.com/index.php?rid=4814881&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%3D21556784%26dopt%3DAbstract This study examined two tobacco cessation interventions, a telephonic quitline intervention (counseling and nicotine replacement therapy) and a community-based group counseling intervention with adults currently receiving community mental health services. At 6-month follow-up, both groups demonstrated significantly reduced tobacco use, but participants who received both quitline services and the group counseling intervention were significantly more likely to have a 50% tobacco use reduction. Across groups, the overall intent-to-treat cessation rate was 7%. Tobacco dependence, depression symptoms, and psychotic symptoms decreased significantly for all treatment groups, while health and mental health functioning increased. Findings suggest that common community tobacco cessation services are... Community Mental Health Journal journals http://www.medworm.com/rss/comments.php?id=4814881 Mon, 09 May 2011 23:00:00 +0100 4814881 http://www.medworm.com/index.php?rid=4814880&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%3D21556785%26dopt%3DAbstract This study compared the life situation of visitors of day centers (DC) for people with mental illness (N = 93) with a comparison group (N = 82) in respect of sociodemographic and clinical characteristics, care consumption, well-being and everyday activities. The response rate was 49%, and those who declined are believed to be those with the most severe psychiatric disabilities. Most individuals were single (81%/78%) and few had children (12%/18%). The DC group had less education than the comparison group but had a friend more often. Although having their need for daily activities met, the DC group had greater unmet needs in respect of daily living in general. They less frequently reported having a psychosis and had fewer negative and more depressive symptoms. They got more housing supp... Community Mental Health Journal journals http://www.medworm.com/rss/comments.php?id=4814880 Mon, 09 May 2011 23:00:00 +0100 4814880 http://www.medworm.com/index.php?rid=4814879&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%3D21556786%26dopt%3DAbstract Authors: Staring AB, Blaauw E, Mulder CL We investigated whether Assertive Community Treatment (ACT) combined with Integrated Dual Diagnosis Treatment (IDDT) is associated with a decrease in nuisance acts and crime convictions in dual-diagnosis repeated offenders. Forty-three patients were monitored from 21 months before until 12 months after the start of ACT-IDDT, using police data and the Health of the Nation Outcome Scales (HoNOS). Results show that while nuisance acts and convictions increased in the 21 months before the start of ACT-IDDT, nuisance acts decreased and convictions stabilized during the next 12 months. The decrease in nuisance acts was associated with a decrease in substance abuse. PMID: 21556786 [PubMed - as supplied by publisher] (Source: Community Mental He... Community Mental Health Journal journals http://www.medworm.com/rss/comments.php?id=4814879 Mon, 09 May 2011 23:00:00 +0100 4814879 http://www.medworm.com/index.php?rid=4814885&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%3D21547569%26dopt%3DAbstract Authors: Fushimi M, Saito S, Shimizu T, Kudo Y, Seki M, Murata K The aim of this study was to examine the prevalence of and related factors for psychological distress among employees. The employees in Akita prefecture, Japan, were invited to complete the Kessler 6 (K6). A value of 13 or higher on the K6 scale indicated high psychological distress. Furthermore, we identified the relationships among the prevalence of high psychological distress, socio-demographic status, and employment-related variables. The data of 1,709 employees indicated that 10.8% of the employees had high psychological distress; the proportion of psychological distress found in the present study was high compared to that found in previous studies. The identified socio-demographic and occupation-related factors incl... Community Mental Health Journal journals http://www.medworm.com/rss/comments.php?id=4814885 Thu, 05 May 2011 23:00:00 +0100 4814885 http://www.medworm.com/index.php?rid=4814884&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%3D21547570%26dopt%3DAbstract Authors: Madianos MG, Zartaloudi A, Alevizopoulos G, Katostaras T The purpose of the present study was to investigate the association of opinions towards seeking psychiatric help with the duration of untreated mental disorders in a sectorized Athens area, served by a Community Mental Health Centre. The sample consisted of 134 individuals who had sought help from health or mental health non sectorized services prior to their visit to the Centre (group A) and 156 individuals whose visit to the Center was their first ever contact with a mental health service (group B). Opinions were assessed by the "Attitudes Toward Seeking Professional Psychological Help scale. Both groups were selected from a total of 1,008 individuals who had visited the Centre in four consecutive years. The duration o... Community Mental Health Journal journals http://www.medworm.com/rss/comments.php?id=4814884 Thu, 05 May 2011 23:00:00 +0100 4814884 http://www.medworm.com/index.php?rid=4814886&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%3D21537969%26dopt%3DAbstract Authors: Helfrich CA, Chan DV, Simpson EK, Sabol P This longitudinal study examined differences in intervention outcomes based on readiness-to-change cluster profiles among 73 adults with a mental illness at risk for homelessness participating in a manualized life skills intervention. Intervention topics included money management, food management, safe community participation, and room- and self-care. Life skill knowledge and readiness-to-change, measured using the University of Rhode Island Change Assessment, was examined at baseline, post-intervention, and 3-6 months later. Two scoring patterns emerged for readiness-to-change at each time point: Pre-Engaged and Engaged. Participants who were Engaged at the time of assessment scored significantly better than Pre-Engaged on post-inter... Community Mental Health Journal journals http://www.medworm.com/rss/comments.php?id=4814886 Mon, 02 May 2011 23:00:00 +0100 4814886 http://www.medworm.com/index.php?rid=4814888&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%3D21479681%26dopt%3DAbstract In this study, we use the Colorado Symptom Index, a measure of psychiatric symptomatology, to identify vulnerable subgroups within the severely mentally ill population at elevated risk for HIV infection. Baseline data on 228 HIV positive and 281 HIV negative participants from two clinical trials were used. With years to HIV diagnosis as our primary endpoint, Kaplan-Meier estimates were calculated to find a CSI cut-off score, and a Cox proportional hazards model was used to obtain relative risks of infection for the two CSI categories created by the cut point. We found that a CSI score ≥ 30 was associated with a 47% increased risk for HIV infection (P < 0.01). While this study establishes the foundation for using CSI scores to identify a vulnerable subgroup within the SMI community... Community Mental Health Journal journals http://www.medworm.com/rss/comments.php?id=4814888 Fri, 08 Apr 2011 23:00:00 +0100 4814888 http://www.medworm.com/index.php?rid=4814887&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%3D21526509%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 clients' 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=4814887 Thu, 31 Mar 2011 23:00:00 +0100 4814887 http://www.medworm.com/index.php?rid=4653447&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%3D21442409%26dopt%3DAbstract Authors: Westad C, McConnell D PMID: 21442409 [PubMed - as supplied by publisher] (Source: Community Mental Health Journal) Community Mental Health Journal journals http://www.medworm.com/rss/comments.php?id=4653447 Sun, 27 Mar 2011 00:00:00 +0100 4653447 http://www.medworm.com/index.php?rid=4653449&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%3D21424543%26dopt%3DAbstract We examined community mental health center staff perceptions of ongoing research within their agency. We interviewed upper management and conducted focus groups with medical staff, non-medical clinicians, and administrative staff. Participants were asked about (1) their attitudes towards research in general, agency research and towards the principal academic institution doing research with clients, (2) their perceptions of the value of research and (3) ideas for improving the collaboration. We identified 5 overarching themes: inter-agency communication, shared goals and equality in research, researchers adding knowledge to the agency, improving attitudes toward research, and agency involvement in research. Under these domains, specific suggestions are made for how to improve the collaborat... Community Mental Health Journal journals http://www.medworm.com/rss/comments.php?id=4653449 Sun, 20 Mar 2011 00:00:00 +0100 4653449 http://www.medworm.com/index.php?rid=4653450&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%3D21416122%26dopt%3DAbstract Authors: Bola JR, Park EH, Kim SY The 2007 WHO-AIMS report on the mental health system of South Korea documented progress towards a national mental health plan, protection of human rights, and growth of community based services. Yet concern was expressed that the high proportion of involuntary to total psychiatric hospitalizations (92%) may indicate an excessively coercive system. Involuntary hospitalization in Korea rose from 117 to 132 (per 100,000) between 2000 and 2006. In 2000, the median rate in the European Union (EU) was 74 per 100,000 (Range: 6-218). While Korea's involuntary hospitalization rate is within the EU range, its proportion of involuntary hospitalizations is three times that of the highest EU country (30%, Sweden). Underdevelopment of voluntary psychiatric services ... Community Mental Health Journal journals http://www.medworm.com/rss/comments.php?id=4653450 Fri, 18 Mar 2011 00:00:00 +0100 4653450 http://www.medworm.com/index.php?rid=4653451&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%3D21409418%26dopt%3DAbstract Authors: van der Ham L, Wright P, Van TV, Doan VD, Broerse JE This explorative study assesses perceptions of mental health and help-seeking behavior among adults in Vietnam. Methods included questionnaires (200) and focus group discussions (eight). Respondents were often unable to name specific mental illnesses. Frequently mentioned symptoms of mental illness were talking nonsense, talking/laughing alone and wandering. Pressure/stress and studying/thinking too much were often identified causes. Most respondents showed a preference for medical treatment options, often in combination with family care. The results show that perceptions of mental health and help-seeking behaviour are influenced by a lack of knowledge and a mix of traditional and modern views. PMID: 21409418 [PubMed - a... Community Mental Health Journal journals http://www.medworm.com/rss/comments.php?id=4653451 Wed, 16 Mar 2011 00:00:00 +0100 4653451 http://www.medworm.com/index.php?rid=4588450&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%3D21394471%26dopt%3DAbstract Authors: Potokar DN, Stein CH, Darrah OA, Taylor BC, Sponheim SR The present qualitative study examined the personal accounts, elicited via semi-structured interview, of nine United States military veterans with serious mental illness to describe their knowledge, attitudes, and beliefs about psychiatric genetics, genetic testing and counseling for mental illness. The aim of the research was to elucidate issues from the perspective of adults with mental illness that may inform the education and training of mental health providers on basic genetic counseling. Findings suggest that participants had some basic knowledge about genetics, were interested in psychiatric genetic testing, and had an awareness of both positive and negative aspects of genetic test results. Participants tended to h... Community Mental Health Journal journals http://www.medworm.com/rss/comments.php?id=4588450 Fri, 11 Mar 2011 00:00:00 +0100 4588450 http://www.medworm.com/index.php?rid=4588449&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%3D21394472%26dopt%3DAbstract Authors: Yang T, Xu X, Li M, Rockett IR, Zhu W, Ellison-Barnes A To explore mental health status and related characteristics in a sample of Chinese male rural-urban migrants. Subjects were 1,595 male rural-urban migrant workers selected though a multi-stage sample survey conducted in two cities (Hangzhou and Guangzhou). Data were collected by means of a self-administered questionnaire. Both life and work stressors were examined. Stress and mental health status were measured by the Chinese Perceived Stress Scale (CPSS) and the Chinese Health Questionnaire (CHQ), respectively. Unconditional logistic regression analysis was performed to identify factors associated with probable mental disorders. There are approximately 120 million rural-urban migrants in China. The prevalence of probable ... Community Mental Health Journal journals http://www.medworm.com/rss/comments.php?id=4588449 Fri, 11 Mar 2011 00:00:00 +0100 4588449 http://www.medworm.com/index.php?rid=4588448&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%3D21394473%26dopt%3DAbstract This study investigates patterns of adherence promoting interventions employed in conjunction with RCT of interventions for child and adolescent mental health problems. An 85 question survey on adherence promoters was sent to 85 researchers who published randomized controlled trials on three psychosocial interventions (Cognitive Behavioral Therapies (CBT), Interpersonal Therapy (IPT), and Psychoeducational (PE)) in the area of child and adolescent mental health, between January 2000 and March 31, 2008. Forty-six (54%) researchers completed the survey. Most researchers reported using multiple adherence promoting interventions throughout the duration of their studies. The intensity of adherence promoting efforts was increased for interventions targeting disruptive behavior disorders and for ... Community Mental Health Journal journals http://www.medworm.com/rss/comments.php?id=4588448 Fri, 11 Mar 2011 00:00:00 +0100 4588448 http://www.medworm.com/index.php?rid=4588451&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%3D21384114%26dopt%3DAbstract The objective of this paper is to assess factors associated with the success of HIV therapy in people with schizophrenia, schizoaffective, and bipolar disease. The methods used are retrospective, post-study chart review, and clinician questionnaire at two HIV county clinics. Forty-nine (4.8%) study patients were identified, 51% of whom achieved an undetectable HIV viral load. These patients tended to have less drug use (42% vs. 68%), more ongoing psychiatric visits (70% vs. 58%) and were more apt to take psychiatric medicines (70% vs. 40%) than patients with detectable HIV viral loads. Both groups had many missed appointments. We were surprised to find that many patients were successful with HIV treatment despite substance abuse, uncontrolled psychiatric symptoms, and lack of psychiatric c... Community Mental Health Journal journals http://www.medworm.com/rss/comments.php?id=4588451 Tue, 08 Mar 2011 00:00:00 +0100 4588451 http://www.medworm.com/index.php?rid=4588452&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%3D21380766%26dopt%3DAbstract This study hypothesized that satisfaction with mental health services would be different across race in both the general population and among IPV victims. This study used the Collaborative Psychiatric Epidemiology Surveys. Logistic regression analyses were conducted. The study results revealed racial differences in satisfaction only in the IPV group. Race had effects on perceived helpfulness among IPV victims. Asian victims of IPV were more likely to perceive mental health services as helpful than any other race groups. Financial security had a positive effect both on subjective satisfaction and perceived helpfulness among IPV victims. PMID: 21380766 [PubMed - as supplied by publisher] (Source: Community Mental Health Journal) Community Mental Health Journal journals http://www.medworm.com/rss/comments.php?id=4588452 Sun, 06 Mar 2011 00:00:00 +0100 4588452 http://www.medworm.com/index.php?rid=4588453&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%3D21360072%26dopt%3DAbstract Authors: Shor R, Avihod G PMID: 21360072 [PubMed - as supplied by publisher] (Source: Community Mental Health Journal) Community Mental Health Journal journals http://www.medworm.com/rss/comments.php?id=4588453 Tue, 01 Mar 2011 00:00:00 +0100 4588453 http://www.medworm.com/index.php?rid=4531725&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%3D21340518%26dopt%3DAbstract Authors: Economou M, Palli A, Peppou L, Madianos M Converging evidence support the establishment of integrative approaches combining pharmacotherapy and psychosocial interventions for the treatment of patients with schizophrenia. Nonetheless, most studies have been limited with regard to treatment duration and their external validty has been questioned. The present study aimed at evaluating the effectiveness of the routine use of a continued integrative treatment approach in promoting clinical and social recovery from schizophrenia over 4 years. At a community mental health centre in Athens, 60 consecutive cases with a DSM-IV diagnosis of schizophrenic spectrum disorders were included into the study. Indepedent raters assessed the patients' level of functioning, cognitive impairment, ... Community Mental Health Journal journals http://www.medworm.com/rss/comments.php?id=4531725 Tue, 22 Feb 2011 00:00:00 +0100 4531725 http://www.medworm.com/index.php?rid=4531726&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%3D21327904%26dopt%3DAbstract Authors: Rotter M, Amory Carr W Decreasing criminal recidivism in justice-involved individuals with mental illness, is among the most consistently desired outcomes by programs, policy makers and funding agencies. Evidencebased practices with track records of effectiveness in treating mental illness and co-occurring substance abuse, while important clinically, do not necessarily address criminal recidivism. Addressing recidivism, therefore, may require a more targeted criminal justice focus. In this paper, we describe recent challenges to decriminalization approaches and review factors associated with recurrent criminal behavior. In particular, we focus on structured clinical interventions which were created or adapted to target the thoughts and behaviors associated with criminal justic... Community Mental Health Journal journals http://www.medworm.com/rss/comments.php?id=4531726 Thu, 17 Feb 2011 00:00:00 +0100 4531726 http://www.medworm.com/index.php?rid=4411913&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%3D21274622%26dopt%3DAbstract Authors: Shor R, Aivhod G An innovative culturally-oriented supported-education program has been established in Israel to address the needs of religious Jewish persons with severe mental illness. This program is utilizing a highly regarded institution in the Orthodox communities, a Beit Midrash, a study hall for religious studies, as a context for rehabilitation. Based on open-ended interviews conducted with the staff members of this program, its conceptual framework and guiding principles have been identified and analyzed. In this program common principles of psychiatric rehabilitation have been adapted and incorporated into a context which has not been known so far as a context for psychiatric rehabilitation. In addition, innovative supported-education methods of work which are compa... Community Mental Health Journal journals http://www.medworm.com/rss/comments.php?id=4411913 Fri, 28 Jan 2011 00:00:00 +0100 4411913 http://www.medworm.com/index.php?rid=4411912&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%3D21274623%26dopt%3DAbstract Authors: Tsai J, Mares AS, Rosenheck RA There is limited consensus on the critical domains of housing satisfaction among chronically homeless adults and little information on changes in housing satisfaction over time or whether housing satisfaction at initial entry into housing is correlated with subsequent subjective well-being or other outcomes. The current study tracked housing satisfaction over a 2-year period in a multi-site supported housing initiative and examined the predictive value of clients' housing satisfaction when they were first housed on various subjective and functional outcomes. A total of 756 participants from 11 sites were enrolled in the study. Six domains of housing satisfaction were identified: good environment, control and consumer choice, physical quality, geo... Community Mental Health Journal journals http://www.medworm.com/rss/comments.php?id=4411912 Fri, 28 Jan 2011 00:00:00 +0100 4411912 http://www.medworm.com/index.php?rid=4411914&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%3D21267653%26dopt%3DAbstract Authors: Uebelacker LA, Marootian BA, Pirraglia PA, Primack J, Tigue PM, Haggarty R, Velazquez L, Bowdoin JJ, Kalibatseva Z, Miller IW We conducted focus groups with Latinos enrolled in a Medicaid health plan in order to ask about the barriers to and facilitators of depression treatment in general as well as barriers to participation in depression telephone care management. Telephone care management has been designed for and tested in primary care settings as a way of assisting physicians with caring for their depressed patients. It consists of regular brief contacts between the care manager and the patient; the care manager educates, tracks, and monitors patients with depression, coordinates care between the patient and primary care physician, and may provide short-term psychotherapy.... Community Mental Health Journal journals http://www.medworm.com/rss/comments.php?id=4411914 Wed, 26 Jan 2011 00:00:00 +0100 4411914 http://www.medworm.com/index.php?rid=4411915&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%3D21253830%26dopt%3DAbstract We describe the unique opportunity provided by the need for bi-weekly or monthly injections to establish a recovery-oriented group around injection visits. Our approach discusses methods and resources to help overcome some of the common barriers by establishing advocates within the agency, establishing necessary infrastructure, providing education for consumers, providers, and staff, sharing information about successful outcomes with clinic staff and working through billing issues. We also recommend public advocacy on the part of the clinic and consumers to work with state funding sources to change regulations that may limit appropriate clinical care. PMID: 21253830 [PubMed - as supplied by publisher] (Source: Community Mental Health Journal) Community Mental Health Journal journals http://www.medworm.com/rss/comments.php?id=4411915 Fri, 21 Jan 2011 00:00:00 +0100 4411915 http://www.medworm.com/index.php?rid=4411916&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%3D21249519%26dopt%3DAbstract This study examined correlates of mental health referral behavior among 103 Asian American Christian clergy in California who completed an anonymous mail survey. Using multiple regression analyses, we found that clergy's prior mental health education, knowledge of mental illness, education level, time spent providing individual counseling and referral to general practitioners were positively associated with making mental health referrals. Outreach efforts (including mental health education, and mental health referral information) to facilitate clergy's support of congregants with mental health needs are discussed. PMID: 21249519 [PubMed - as supplied by publisher] (Source: Community Mental Health Journal) Community Mental Health Journal journals http://www.medworm.com/rss/comments.php?id=4411916 Thu, 20 Jan 2011 00:00:00 +0100 4411916 http://www.medworm.com/index.php?rid=4411919&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%3D21246273%26dopt%3DAbstract Authors: O'Hare T, Sherrer M Data from interviews with 276 community mental health clients diagnosed with a severe mental illness were used to examine the association between clients' subjective distress from sudden loss of a close friend or loved one and PTSD symptoms. Over three-quarters of these clients reported sudden losses in their lives, and regression analysis showed that distress related to sudden losses accounted for significant and unique variance in PTSD symptoms when all other sources of traumatic distress were controlled. Practitioners should routinely assess interpersonal losses among clients with SMI and offer brief interventions specifically aimed at helping clients cope with such losses. PMID: 21246273 [PubMed - as supplied by publisher] (Source: Community Mental ... Community Mental Health Journal journals http://www.medworm.com/rss/comments.php?id=4411919 Wed, 19 Jan 2011 00:00:00 +0100 4411919 http://www.medworm.com/index.php?rid=4411918&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%3D21246274%26dopt%3DAbstract Authors: de Heer-Wunderink C, Visser E, Caro-Nienhuis A, Sytema S, Wiersma D Research into community housing programs for people with severe mental illness is underexposed. The Dutch UTOPIA study describes characteristics of their service users, which may predict their allocation to either supported housing or supported independent living programs. Additionally, a comparison is made with English studies. 119 Care coordinators of Dutch residential care institutes and 534 service users participated in a cross-sectional survey which includes socio-demographic data, clinical data, measures of functioning, needs for care and quality of life. Differences between Dutch residents and independent living service users were small, making predictions of care allocation difficult. This similarity s... Community Mental Health Journal journals http://www.medworm.com/rss/comments.php?id=4411918 Wed, 19 Jan 2011 00:00:00 +0100 4411918 http://www.medworm.com/index.php?rid=4411917&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%3D21246275%26dopt%3DAbstract Authors: Brown AP, Lubman DI, Paxton SJ There is evidence of high rates of unprotected sex among young people with first episode psychosis compared to their peers. Little research has explored factors associated with condom use in this population. The current study examined the association between previously identified psychosocial risk factors and condom use in young people with early psychosis and their peers. Sixty-seven sexually active young people with first episode psychosis and 48 sexually active control participants matched on a number of sociodemographic factors completed a self-report survey. Increased probability of inconsistent condom use was associated with clinical status, younger age, unemployment, and the absence of peer support for condom use. Psychological distress, s... Community Mental Health Journal journals http://www.medworm.com/rss/comments.php?id=4411917 Wed, 19 Jan 2011 00:00:00 +0100 4411917 http://www.medworm.com/index.php?rid=4411921&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%3D21243431%26dopt%3DAbstract Authors: Fukui S, Starnino VR, Nelson-Becker HB The influence of psychiatric symptoms, religious attendance, social network size, and sense of control on spiritual well-being were investigated in a cross-sectional study using the Spirituality Index of Well-being. Forty-seven participants with psychiatric disabilities from six consumer-run organizations participated. A factor analysis result revealed two domains of spiritual well-being for people with psychiatric disabilities: self-perceptions regarding making sense of life (developing life purpose) and self-efficacy in obtaining life goals. Based on our regression analyses, religious attendance, expanding social network size, and having a sense of control over important areas of life may enhance spiritual well-being in spite of severit... Community Mental Health Journal journals http://www.medworm.com/rss/comments.php?id=4411921 Tue, 18 Jan 2011 00:00:00 +0100 4411921 http://www.medworm.com/index.php?rid=4411920&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%3D21243432%26dopt%3DAbstract Authors: Westad C, McConnell D Many mothers with mental health issues are caught up in the child protection system and face the prospect of having their children removed from their care. The aim of this study was to determine prevalence and outcomes for mothers with mental health issues and their children in child maltreatment cases opened for investigation in Canada. The method was secondary analysis of the Canadian Incidence Study of Reported Child Abuse and Neglect (CIS-2003) core data. This CIS-2003 contains process and outcome data on a nationally representative sample of 11,652 child maltreatment investigations. Maternal mental health issues were noted in 2,272 (19.7%) cases opened for investigation. The most common child protection concerns were neglect, emotional maltreatment a... Community Mental Health Journal journals http://www.medworm.com/rss/comments.php?id=4411920 Tue, 18 Jan 2011 00:00:00 +0100 4411920 http://www.medworm.com/index.php?rid=4411926&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%3D21240551%26dopt%3DAbstract Authors: Clayfield JC, Fletcher KE, Grudzinskas AJ Police officers often lack sufficient mental health training and knowledge of mental illness to manage the risks associated with emotionally disturbed person (EDP) encounters. Still, it is not clear how much mental health training police officers actually need and, to date, there are no measures for police departments to use to determine officer attitudes toward dealing with EDPs. This led to the development of the Mental Health Attitude Survey for Police (MHASP), a modification and compilation of previously developed and newly developed items, which can be used to measure the effectiveness of mental health crisis training curricula in improving police attitudes toward persons with mental illnesses. A sample of 412 police officers from... Community Mental Health Journal journals http://www.medworm.com/rss/comments.php?id=4411926 Sat, 15 Jan 2011 00:00:00 +0100 4411926 http://www.medworm.com/index.php?rid=4411925&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%3D21240552%26dopt%3DAbstract This study used statewide, archival emergency commitment data from July 2000 through June 2008. During the 1 year from July 07 through June 08 there were 3,061 people with 4,163 emergency commitments from ALFs. Some individuals had more than one emergency commitment during the year, with 20% having between 2 and 9 emergency commitments from ALFs. Some of these individuals also had substantial numbers of emergency commitments in the 7 years from July 2000 through June 2007. Discussed are possible factors related to emergency commitment from ALFs and the need for additional research on these topics. This includes availability of mental health services for these populations, the role of client characteristics, and how licensing of ALFs relates to emergency commitment of ALF residents. P... Community Mental Health Journal journals http://www.medworm.com/rss/comments.php?id=4411925 Sat, 15 Jan 2011 00:00:00 +0100 4411925 http://www.medworm.com/index.php?rid=4411924&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%3D21240553%26dopt%3DAbstract Authors: Staudt M, Lodato G, Hickman CR 'Engagement' and 'treatment engagement' are terms that frequently appear in the mental health literature, and are operationalized differently across studies. A clearer understanding and conceptualization of engagement would enhance research and practice. Six focus groups were conducted with community mental health therapists (n = 41) to learn how they define engagement, the barriers to engagement they experience, and the strategies they use to enhance engagement. In some aspects, their definition of engagement was similar to the helping alliance. However, therapists viewed engagement as much more than the relationship; it is a complex process that is affected by many factors, including agency policies and practices. Suggestions are made to adva... Community Mental Health Journal journals http://www.medworm.com/rss/comments.php?id=4411924 Sat, 15 Jan 2011 00:00:00 +0100 4411924 http://www.medworm.com/index.php?rid=4411923&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%3D21240554%26dopt%3DAbstract Authors: Ussher M, Doshi R, Sampuran A, West R Modifiable risk factors for cardiovascular disease were assessed among individuals with schizophrenia receiving continuous (i.e. 24-h) medical care. Participants tended to have higher levels of risk factors than for the general population. They had similar levels of risk factors as for previous UK studies of patients not receiving continuous care, except they tended to have higher smoking rates and lower physical activity levels, although statistical comparisons were not possible. Among patients with schizophrenia receiving continuous medical care interventions for health behavior change may need to be further prioritized and there is a need to capitalize on the ready availability of social support in these settings. PMID: 21240554 [Pu... Community Mental Health Journal journals http://www.medworm.com/rss/comments.php?id=4411923 Sat, 15 Jan 2011 00:00:00 +0100 4411923 http://www.medworm.com/index.php?rid=4411922&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%3D21240555%26dopt%3DAbstract Authors: Ben-Zur H, Gilbar O Resilience and distress in Israeli society were assessed at three points in time: before and after the Israeli disengagement from Gaza, and after the second Lebanese war. A random sample of 366 Israelis was assessed for nation-related anxiety and hostility, personal resources and post-traumatic symptoms. The lowest levels of anxiety were observed at the second time point, after the disengagement. Respondents with high-resilience profiles showed lower levels of post-traumatic symptoms and higher levels of personal resources. The findings underscore Israelis' resilience and the importance of personal resources in ongoing nationally stressful situations. PMID: 21240555 [PubMed - as supplied by publisher] (Source: Community Mental Health Journal) Community Mental Health Journal journals http://www.medworm.com/rss/comments.php?id=4411922 Sat, 15 Jan 2011 00:00:00 +0100 4411922 http://www.medworm.com/index.php?rid=4411930&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%3D21234682%26dopt%3DAbstract This study examined the relationship between insight and mental health consumers and providers agreement regarding consumers rated quality of life (QoL). Seventy mental health consumers and their 23 care providers filled-out parallel questionnaires designed to measure consumer QoL. Consumers' insight was also assessed. For most QoL domains, agreement between consumers and providers was higher for persons with high insight. For the Psychological well being dimension a negative correlation was uncovered for persons with low insight indicating disagreement between consumer and provider. These findings are discussed within the context of the literature on insight and agreement between consumer and provider as related to the therapeutic alliance. PMID: 21234682 [PubMed - as supplied by publ... Community Mental Health Journal journals http://www.medworm.com/rss/comments.php?id=4411930 Fri, 14 Jan 2011 00:00:00 +0100 4411930 http://www.medworm.com/index.php?rid=4411929&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%3D21234683%26dopt%3DAbstract This study examines gender differences in the association between environment and internalizing problems in a sample of predominately African American schoolchildren. Internalizing problems was assessed using the Youth Self Report. Violence and alcohol and other drug (AOD) exposure subscales were created using observational assessments of neighborhood blocks. Logistic regression models were used to assess the relationship between neighborhood environment and internalizing problems. For each AOD item present on the block the odds of internalizing problems among girls increased by 17% (OR = 1.17, CI: 1.01, 1.35, P = 0.039). The relationship was not significant among boys. Violence exposure did not predict internalizing problems in boys or girls. These preliminary findings suggest that pr... Community Mental Health Journal journals http://www.medworm.com/rss/comments.php?id=4411929 Fri, 14 Jan 2011 00:00:00 +0100 4411929 http://www.medworm.com/index.php?rid=4411928&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%3D21234684%26dopt%3DAbstract This study occurred during 2007-2009 in 67 of 120 counties in Kentucky. A rural region (11 counties) received the intervention, consisting of focus groups, Extension Agent training, and television-based social marketing campaign. Partial-intervention counties (29 counties) received only the television-based social marketing campaign. The control counties (27 counties) received no intervention activities. Results indicated that the intervention counties agreed more with being able to assist elder adults with a potential mental illness. Also, the intervention counties understood the risk of consuming alcohol and medications better, but had a poorer recognition of drinking problems in elder adults. These findings need to be considered within study limitations, such as measurement error, degre... Community Mental Health Journal journals http://www.medworm.com/rss/comments.php?id=4411928 Fri, 14 Jan 2011 00:00:00 +0100 4411928 http://www.medworm.com/index.php?rid=4411927&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%3D21234685%26dopt%3DAbstract Authors: Appelgren KE, Spratt E The focus of this study was to determine challenges and needs faced by families of migrant farm workers served by Rural Mission Migrant Head Start in the South Carolina Lowcountry. Data on common problems was collected via surveys, and results were analyzed. The Crecemos Juntos (We Grow Together) program was developed with the support of a Helping Hands Grant from the American Psychiatric Foundation, which funds service initiatives by medical students. A multimedia library of materials was compiled, addressing frequently encountered issues in mental health and child development. A presentation on effective positive disciplinary techniques was provided to parents. PMID: 21234685 [PubMed - as supplied by publisher] (Source: Community Mental Health Jour... Community Mental Health Journal journals http://www.medworm.com/rss/comments.php?id=4411927 Fri, 14 Jan 2011 00:00:00 +0100 4411927 http://www.medworm.com/index.php?rid=4348492&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%3D21170737%26dopt%3DAbstract Authors: Guada J, Hoe M, Floyd R, Barbour J, Brekke JS There is a critical need to test how family contextual factors impact outpatient consumer functioning in schizophrenia. This is the first study of two companion studies reported here that tests family factors' influence on consumer functioning. Ninety-three low income inner-city African American consumer-family dyads were tested to see the possible impact of family factors, based on the EE and family caregiver burden literatures, on consumer psychosocial functioning (work, social, and independent living). The results supported a model wherein greater amounts of family contact had a significant relationship with better consumer psychosocial functioning. Additionally, family dysfunction had a direct negative relationship to consumer ... Community Mental Health Journal journals http://www.medworm.com/rss/comments.php?id=4348492 Sun, 19 Dec 2010 00:00:00 +0100 4348492 http://www.medworm.com/index.php?rid=4348493&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%3D21161379%26dopt%3DAbstract This study analyzes descriptive data among a clinical sample of American Indian/Alaska Native (AI/AN) youths receiving mental health services in a large California metropolitan area. Among 118 urban AI/AN youths, mood disorders (41.5%) and adjustment disorder (35.4%) were the most common mental health diagnoses. Alcohol (69.2%) and marijuana (50.0%) were the most commonly used substances. Witnessing domestic violence (84.2%) and living with someone who had a substance abuse problem (64.7%) were reported. The majority of patients demonstrated various behavior and emotional problems. Enhancing culturally relevant mental health and substance abuse treatment and prevention programs for urban AI/AN youth is suggested. PMID: 21161379 [PubMed - as supplied by publisher] (Source: Community Men... Community Mental Health Journal journals http://www.medworm.com/rss/comments.php?id=4348493 Thu, 16 Dec 2010 00:00:00 +0100 4348493 http://www.medworm.com/index.php?rid=4348494&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%3D21153881%26dopt%3DAbstract Authors: Ittzés A, Tomcsányi T, Szabó T, Midling A, Török P Participants of the Hungarian training program in mental health promotion described in this paper are human services professionals (mainly education and health professionals, religious and social workers). The aims of the three-year graduate program include the development of students' professional expertise with a body of knowledge of mental health promotion on the individual, community and social levels and with a mental-health-promoting attitude. Testing the effectiveness of the program must measure a change in this attitude rather than an increase in academic knowledge. The instrument here presented is based on a case description, relevant to the students' occupation. Content analysis methods and a special scoring sys... Community Mental Health Journal journals http://www.medworm.com/rss/comments.php?id=4348494 Tue, 14 Dec 2010 00:00:00 +0100 4348494 http://www.medworm.com/index.php?rid=4252356&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%3D21132563%26dopt%3DAbstract This study tests the impact of the consumer's perception of being criticized by the family (consumer perceived criticism) on the consumer's clinical functioning. It likewise, concurrently tests the impact that other family factors have on perceived criticism. The sample was ninety-three consumer-family dyads. Results showed that none of the family factors directly contributed to level of perceived criticism, but more consumer perceived criticism was significantly related to higher levels of psychiatric symptoms. The findings suggest that an important component of treatment for symptom stabilization for African American consumers involves perceptions of the family being critical toward the consumer. The finding confirms for a sample of poor outpatient African American consumers what was fou... Community Mental Health Journal journals http://www.medworm.com/rss/comments.php?id=4252356 Sun, 05 Dec 2010 00:00:00 +0100 4252356 http://www.medworm.com/index.php?rid=4252358&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%3D21132460%26dopt%3DAbstract Authors: Ho WW, Chen WJ, Ho CK, Lee MB, Chen CC, Chou FH The purpose of this study is to evaluate the effectiveness of the Kaohsiung Suicide Prevention Center (KSPC) of Kaohsiung City, Taiwan, during the period from June 2005 to June 2008. We used a modified CIPP evaluation model to evaluate the suicide prevention program in Kaohsiung. Four evaluation models were applied to evaluate the KSPC: a context evaluation of the background and origin of the center, an input evaluation of the resources of the center, a process evaluation of the activities of the suicide prevention project, and a product evaluation of the ascertainment of project objectives. The context evaluation revealed that the task of the KSPC is to lower mortality. The input evaluation assessed the efficiency of manpower an... Community Mental Health Journal journals http://www.medworm.com/rss/comments.php?id=4252358 Sat, 04 Dec 2010 00:00:00 +0100 4252358 http://www.medworm.com/index.php?rid=4252357&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%3D21132461%26dopt%3DAbstract This study explored the acceptability among rural caregivers of introducing a program to prevent or alleviate depression. Focus groups with caregivers and community members were conducted in four rural counties of Georgia. Caregivers reported high levels of stress and depression and recommended the following interventions: support groups, respite care, a centralized source of information, training for caregivers and other community members, financial support, and a telephone hotline. There were more commonalities than differences across the locations, but some programmatic preferences and acceptability varied. PMID: 21132461 [PubMed - as supplied by publisher] (Source: Community Mental Health Journal) Community Mental Health Journal journals http://www.medworm.com/rss/comments.php?id=4252357 Sat, 04 Dec 2010 00:00:00 +0100 4252357 http://www.medworm.com/index.php?rid=4252360&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%3D21127974%26dopt%3DAbstract We report data collected from 210 adult participants regarding childhood and adult adversity and current symptoms of depression. Mediation of the relationship between childhood adversity and adult depression by adult adversity was statistically assessed to evaluate the relative direct and indirect effects of childhood adversity on current depression levels in adults. Both the direct effect of childhood adversity on adult depression and the indirect effect, mediated by adulthood events, were significant. Therefore, partial mediation of the relationship between childhood adversity and adult symptoms of depression by adult adverse events was found in the sample. Implications for treatment are presented. PMID: 21127974 [PubMed - as supplied by publisher] (Source: Community Mental Health Jo... Community Mental Health Journal journals http://www.medworm.com/rss/comments.php?id=4252360 Fri, 03 Dec 2010 00:00:00 +0100 4252360 http://www.medworm.com/index.php?rid=4252359&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%3D21127975%26dopt%3DAbstract Authors: Carlson L, Rapp CA, Eichler MS The purpose of this study was to identify the critical behaviors of supervisors for the successful implementation of evidence-based practice in adult mental health. Experts who work with supervisors to support implementation in three evidence-based practices were surveyed. The three evidence-based practices included Assertive Community Treatment, Integrated Dual Diagnosis Treatment, and Supported Employment. There was substantial agreement among experts as to the importance of supervisory behaviors in the areas of facilitating team meetings, building and enhancing staff skills, monitoring and using outcomes, and continuous quality improvement activities. PMID: 21127975 [PubMed - as supplied by publisher] (Source: Community Mental Health Journ... Community Mental Health Journal journals http://www.medworm.com/rss/comments.php?id=4252359 Fri, 03 Dec 2010 00:00:00 +0100 4252359 http://www.medworm.com/index.php?rid=4221914&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%3D21113799%26dopt%3DAbstract This study uses data from the Clinical Antipsychotic Trials of Intervention Effectiveness on sociodemograhic characteristics, baseline clinical status, and service use among patients diagnosed with schizophrenia to prospectively identify predictors of CJS involvement during the following year. A series of bivariate chi-square and F tests were conducted to examine whether significant relationships existed between CJS involvement during the first 12 months of the trial and baseline measures of sociodemographic characteristics, psychiatric status, substance abuse, and other patient characteristics. Multivariate logistic regression analysis was then used to identify the independent strength of the relationship between 12-month CJS involvement and potential risk factors that were found to be s... Community Mental Health Journal journals http://www.medworm.com/rss/comments.php?id=4221914 Sun, 28 Nov 2010 00:00:00 +0100 4221914 http://www.medworm.com/index.php?rid=4221915&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%3D21113661%26dopt%3DAbstract This study is among the first to examine interventions designed to enhance exercise motivation in SSDs. PMID: 21113661 [PubMed - as supplied by publisher] (Source: Community Mental Health Journal) Community Mental Health Journal journals http://www.medworm.com/rss/comments.php?id=4221915 Sat, 27 Nov 2010 00:00:00 +0100 4221915 http://www.medworm.com/index.php?rid=4202990&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%3D21107692%26dopt%3DAbstract Authors: Contractor LF, Celedonia KL, Cruz M, Douaihy A, Kogan JN, Marin R, Stein BD This qualitative study explores how to improve services for children of parents with Substance Use Disorders (SUD) with unmet mental health needs. Focus groups were conducted with parents and caregivers to identify perceived barriers to services, including: (1) attitudes and beliefs about mental health care, (2) inadequacies in mental health services, (3) children's ambivalence about treatment, and (4) parental disagreement and lack of involvement. Peer support, afterschool activities, and family counseling were identified as potential improvements. This information can serve as a foundation and guide to develop services for the underserved population of children and adolescents of substance abusing pa... Community Mental Health Journal journals http://www.medworm.com/rss/comments.php?id=4202990 Wed, 24 Nov 2010 00:00:00 +0100 4202990 http://www.medworm.com/index.php?rid=4169490&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%3D21061170%26dopt%3DAbstract Authors: Neri G, Guzzetta F, Pazzi L, Bignami R, Picardi A, de Girolamo G To describe 5-year changes in the provision of Residential Facilities (RFs) in a large Italian Region and in the characteristics of their staffing and patients. 2000 census data of all RFs with >4 residential beds in the Emilia-Romagna Region were compared with 2005 census data. The number of residential beds increased from 3.1 per 10,000 inhabitants in 2000 to 4.1 per 10,000 inhabitants in 2005. The RFs operated by private non-profit associations increased at a greater rate than the number of NHS-operated facilities, and the percentage of non-qualified staff has also risen at a greater rate than that observed for qualified staff. The number of individuals with comorbid substance abuse increased from 2.1% in ... Community Mental Health Journal journals http://www.medworm.com/rss/comments.php?id=4169490 Tue, 09 Nov 2010 00:00:00 +0100 4169490 http://www.medworm.com/index.php?rid=4140065&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%3D21052832%26dopt%3DAbstract Authors: Tural U, Onder E, Aker T It has been suggested that the treatment strategy needs to be reviewed and changed if depression occurs in patients with posttraumatic stress disorder (PTSD). We analyzed data extracted from the Marmara Epidemiological Survey (MES) which had examined 683 survivors at 3 years after a devastating earthquake. Fifty three cases (40.5%) out of the 131 cases with PTSD had also been diagnosed with MDD. Comorbid PTSD and MDD group has significantly lower rates of recovery from PTSD in comparison to PTSD without MDD (26.4% vs. 47.4% respectively). Rates of past psychiatric disorder and past traumatic experience were significantly more frequent among the comorbid group. Moreover, comorbidity of PTSD and MDD was clearly associated with greater psychological dist... Community Mental Health Journal journals http://www.medworm.com/rss/comments.php?id=4140065 Fri, 05 Nov 2010 00:00:00 +0100 4140065 http://www.medworm.com/index.php?rid=4125380&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%3D20981486%26dopt%3DAbstract Authors: Lee CD, Del Carmen Montiel E A pilot study examined the relationship between job satisfaction and perceived mentoring among 56 mental health supervisors and practitioners in a county mental health agency. Participants completed the Alleman Mentoring Activities Questionnaires and the Job Descriptive Index and Job in General Scale. Practitioners who perceived they were involved in mentoring relationships with supervisors were more satisfied with their jobs than those who perceived that they were not involved in mentoring relationships. The mentoring functions of sponsoring, assigning challenging tasks, and demonstrating trust predicted job satisfaction. Recommendations include incorporating mentoring functions in supervisory training to increase mental health professionals' job ... Community Mental Health Journal journals http://www.medworm.com/rss/comments.php?id=4125380 Thu, 28 Oct 2010 00:00:00 +0100 4125380 http://www.medworm.com/index.php?rid=4108395&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%3D20972830%26dopt%3DAbstract This article reports on Clubhouse members' experiences of peer support and the outcomes they identify from engaging in this phenomenon. Grounded theory guided the study design involving 17 semi-structured interviews conducted with 10 Clubhouse members. Constant comparison and open coding were undertaken to identify underlying concepts within transcripts. A conceptual model of peer support was derived from Clubhouse members' experience. Four levels of peer support emerged: Social inclusion and belonging; shared achievement through doing; interdependency; and at the deepest level, intimacy. Peer support within Clubhouse is a multi-layered construct in terms of depth and nature of relationships. Clubhouse appears to contribute a unique tier within the layered construct of peer support. This t... Community Mental Health Journal journals http://www.medworm.com/rss/comments.php?id=4108395 Sat, 23 Oct 2010 23:00:00 +0100 4108395 http://www.medworm.com/index.php?rid=4089584&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%3D20963493%26dopt%3DAbstract This study addressed reactions of Israelis to terrorism and the confrontation with Iraq when these threats coincided in 2003. A sample of 471 participants (age range 19-88) rated affective, cognitive, and behavioral reactions to each threat. Stronger reactions related to higher neuroticism, lower education, and being a woman; reactions to the confrontation with Iraq also related to lower extraversion and being a Holocaust survivor. Participants reacting predominantly to terrorism revealed higher conscientiousness and better subjective health. The study suggests that global reactivity to a critical dual-stressor situation is linked with risk factors of vulnerability whereas differential reactivity may indicate adaptability. PMID: 20963493 [PubMed - as supplied by publisher] (Source: Com... Community Mental Health Journal journals http://www.medworm.com/rss/comments.php?id=4089584 Wed, 20 Oct 2010 23:00:00 +0100 4089584 http://www.medworm.com/index.php?rid=4065804&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%3D20931282%26dopt%3DAbstract This study assessed the long-term outcomes for the original cohort of 18 residents of the Footbridge Community Care Unit (CCU), a residential psychiatric rehabilitation unit at St Vincent's Mental Health Melbourne. A review of case records and interviews were conducted for each member of the cohort 8 years after admission to the CCU. Members of the cohort were living in a variety of settings after discharge from the CCU. Despite significant gains during the period of residential rehabilitation in the CCU after hospital discharge, by the time of follow-up individuals were in general leading restricted lives characterised by a lack of stable residential and social supports. Most reported positively on the support provided in the CCU although later experiences of moving repeatedly from one s... Community Mental Health Journal journals http://www.medworm.com/rss/comments.php?id=4065804 Thu, 07 Oct 2010 23:00:00 +0100 4065804 http://www.medworm.com/index.php?rid=4045773&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%3D20924788%26dopt%3DAbstract In this study we describe patients who present to a rural crisis unit in Southern California, examine rates of psychiatric hospitalizations across ethnic/racial groups, and investigate factors that are associated with increased psychiatric hospitalizations in this sample. This is a retrospective study of 451 racially and ethnically diverse patients attending a crisis unit in Imperial County, California. Chart review and data abstraction methods were used to characterize the sample and identify factors associated with psychiatric crises and subsequent hospitalizations. The sample was predominantly Latino/Hispanic (58.5%). Based on chart review, common psychosocial stressors which prompted a crisis center visit were: (a) financial problems; (b) homelessness; (c) partner or family conflict; (... Community Mental Health Journal journals http://www.medworm.com/rss/comments.php?id=4045773 Tue, 05 Oct 2010 23:00:00 +0100 4045773 http://www.medworm.com/index.php?rid=4045776&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%3D20886292%26dopt%3DAbstract Conclusions are provided and the broader implications of lower fidelity to program standards are discussed. PMID: 20886292 [PubMed - as supplied by publisher] (Source: Community Mental Health Journal) Community Mental Health Journal journals http://www.medworm.com/rss/comments.php?id=4045776 Thu, 30 Sep 2010 23:00:00 +0100 4045776 http://www.medworm.com/index.php?rid=4045775&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%3D20886293%26dopt%3DAbstract Authors: Stromwall LK, Holley LC, Bashor KE Informed by a structural theory of workplace discrimination, mental health system employees' perceptions of mental health workplace stigma and discrimination against service recipients and peer employees were investigated. Fifty-one peer employees and 52 licensed behavioral health clinicians participated in an online survey. Independent variables were employee status (peer or clinician), gender, ethnicity, years of mental health employment, age, and workplace social inclusion of peer employees. Analysis of covariance on workplace discrimination against service recipients revealed that peer employees perceived more discrimination than clinicians and whites perceived more discrimination than employees of color (corrected model F = 9.743 [16, ... Community Mental Health Journal journals http://www.medworm.com/rss/comments.php?id=4045775 Thu, 30 Sep 2010 23:00:00 +0100 4045775 http://www.medworm.com/index.php?rid=4045774&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%3D20886294%26dopt%3DAbstract Authors: Penterman B, Nijman H During outreaching crisis visits, crisis team members run the risk of being confronted with aggressive behavior from their patients. To prevent dangerous situations, a method to assess risks in advance, on the basis of information received before the visit to the patient in crisis, could prove useful. During a two-year period, crisis team members completed a checklist before visiting patients in psychiatric crises. After each crisis visit, if there had been any aggression, this was recorded by means of the SOAS-R. In 51 of 499 crisis visits (10%) aggression was documented. The results indicate that the predictive validity of the presented checklist for occurrences of aggression may be fair-to-good. Use of the checklist in everyday crisis team practice see... Community Mental Health Journal journals http://www.medworm.com/rss/comments.php?id=4045774 Thu, 30 Sep 2010 23:00:00 +0100 4045774 http://www.medworm.com/index.php?rid=4045777&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%3D20878547%26dopt%3DAbstract This study assessed the proportion of large, child-serving community mental health centers that used medication guidelines. Two hundred clinic directors from across the country completed an hour-long semi-structured interview, and 152 of these directors answered whether or not medication guidelines were used at their clinics. Half of these clinics' directors reported that their prescribers followed any form of medication guidelines. Governmental agencies and professional medical societies were among the most common sources of information regarding which specific guidelines to follow. Utilization of standardized child outcome measures, but not the employment of a child psychiatrist, was related to following medication guidelines. Despite the mental health field's recent emphasis on dissemin... Community Mental Health Journal journals http://www.medworm.com/rss/comments.php?id=4045777 Tue, 28 Sep 2010 23:00:00 +0100 4045777 http://www.medworm.com/index.php?rid=4045778&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%3D20878235%26dopt%3DAbstract Authors: Carlson JA, Sarkin AJ, Levack AE, Sklar M, Tally SR, Gilmer TP, Groessl EJ Social health is important to measure when assessing outcomes in community mental health. Our objective was to validate social health scales using items from two broader commonly used measures that assess mental health outcomes. Participants were 609 adults receiving psychological treatment services. Items were identified from the California Quality of Life (CA-QOL) and Mental Health Statistics Improvement Program (MHSIP) outcome measures by their conceptual correspondence with social health and compared to the Social Functioning Questionnaire (SFQ) using correlational analyses. Pearson correlations for the identified CA-QOL and MSHIP items with the SFQ ranged from .42 to .62, and the identified scale s... Community Mental Health Journal journals http://www.medworm.com/rss/comments.php?id=4045778 Mon, 27 Sep 2010 23:00:00 +0100 4045778 http://www.medworm.com/index.php?rid=4012595&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%3D20859765%26dopt%3DAbstract This study provided evidence that an eight-week intervention could improve treatment engagement. Research is currently underway to examine impact of TLC intervention beyond the 8 week study period. PMID: 20859765 [PubMed - as supplied by publisher] (Source: Community Mental Health Journal) Community Mental Health Journal journals http://www.medworm.com/rss/comments.php?id=4012595 Tue, 21 Sep 2010 23:00:00 +0100 4012595 http://www.medworm.com/index.php?rid=3973852&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%3D20838889%26dopt%3DAbstract Authors: Mazor U, Doron I In the year 2000, a law was passed in Israel, known as the Law for Community Rehabilitation of the Mentally Disabled. The Community Rehabilitation Law was intended to provide a "package of services" that will allow people who suffer from mental illness and were hospitalized, to return to their community. This research, by using qualitative research methods, tried to understand and explore the meaning of rehabilitation and return to the community under the new legislative setting from the viewpoint and experiences of the participants themselves. Fifteen schizophrenic patients were interviewed in this research. All the participants were institutionalized in the past and released for rehabilitation in the community under Israel's new act. The data were collected ... Community Mental Health Journal journals http://www.medworm.com/rss/comments.php?id=3973852 Mon, 13 Sep 2010 23:00:00 +0100 3973852 http://www.medworm.com/index.php?rid=3901580&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%3D20734231%26dopt%3DAbstract Authors: Gensichen J, Serras A, Paulitsch MA, Rosemann T, König J, Gerlach FM, Petersen JJ The Chronic Care Model provides evidence-based recommendations to improve the care for patients with chronic conditions. The Patient Assessment of Chronic Illness Care questionnaire (PACIC) is an instrument to evaluate the patient's perspective on receipt of care delivered in the five domains patient activation, delivery system, goal setting, problem solving, and follow-up. The aim of this study was to assess the psychometric characteristics of the PACIC in 442 primary care patients with major depression. The psychometric properties were good. We found possible ceiling effects in the two subscales 'patient activation' (12.9%) and 'problem solving/contextual' (8.9%), as well as floor effects in... Community Mental Health Journal journals http://www.medworm.com/rss/comments.php?id=3901580 Mon, 23 Aug 2010 23:00:00 +0100 3901580 http://www.medworm.com/index.php?rid=3873292&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%3D20711676%26dopt%3DAbstract Authors: Ueno R, Kamibeppu K Mothers with mental illness have positive self-recognition of maternal role (PM), and it is important for parenting. The purpose of this study was to determine the psychosocial factors related to the PM. We recruited a total of 74 women diagnosed as having schizophrenia or mood disorders according to the DSM-IV-TR and who had minor children. Participant completed devaluation-discrimination measure, The social support questionnaire, self-efficacy for community life scale (SECL), parenting stress-short form scale (PS-SF), and Acceptance of maternal role scale. To identify factors predicting the PM, we utilized hierarchical regression analysis. The variables in all blocks explained 53% of the variance in the PM. In the final model, 'hard' living conditions (be... Community Mental Health Journal journals http://www.medworm.com/rss/comments.php?id=3873292 Fri, 13 Aug 2010 23:00:00 +0100 3873292 http://www.medworm.com/index.php?rid=3865670&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%3D20703941%26dopt%3DAbstract This study examines diagnosis disclosure in different contexts. A convenience sample of 258 adults with schizophrenia recruited via the internet and e-mail lists completed an online survey. Subjects were more open about their diagnosis with doctors, parents and friends than with employers or police. Those who report very good current mental health or who had fewer types of relationships were more open overall. Although reactions to disclosure varied, many report worse treatment by police and better treatment by parents after disclosure. Many also experienced worse treatment for medical problems after disclosing their schizophrenia diagnosis. These results support targeted anti-stigma interventions. It also suggests that stigma must be understood through individual experience in specific co... Community Mental Health Journal journals http://www.medworm.com/rss/comments.php?id=3865670 Wed, 11 Aug 2010 23:00:00 +0100 3865670 http://www.medworm.com/index.php?rid=3855678&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%3D20694802%26dopt%3DAbstract Authors: Rasmussen C, Kully-Martens K, Denys K, Badry D, Henneveld D, Wyper K, Grant T The goal of this study was to determine whether the First Steps program (modeled after the Parent-Child Assistance Program) resulted in improved outcomes among women at-risk for giving birth to a child with FASD. We conducted a retrospective analysis of data on 70 participants in the First Steps program. Clients were high risk and faced many life challenges, including: being on welfare, substance abuse, physical and sexual abuse as children, mental health issues, criminal activity, and unplanned pregnancies. We found a significant increase in birth control use and decrease in welfare rates from pre- to post-program. At program exit, many participants were abstinent from alcohol and/or drugs and the m... Community Mental Health Journal journals http://www.medworm.com/rss/comments.php?id=3855678 Sat, 07 Aug 2010 23:00:00 +0100 3855678 http://www.medworm.com/index.php?rid=3855679&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%3D20686921%26dopt%3DAbstract Authors: Townley G, Kloos B The psychological sense of community is an important aspect of community life; yet, it remains largely unexamined among individuals with serious mental illness (SMI). Sense of community represents the strength of bonding among community members; and this social phenomenon likely impacts the process by which individuals with SMI integrate into community life. The current study examined sense of community (SOC) for individuals with SMI by assessing the relationships between neighborhood experiences, unique factors related to SMI (e.g., mental illness diagnosis), and sense of community in the neighborhood. Participants were 402 residents of supported housing programs who used mental health services in South Carolina. Hierarchical linear regression was utilized ... Community Mental Health Journal journals http://www.medworm.com/rss/comments.php?id=3855679 Wed, 04 Aug 2010 23:00:00 +0100 3855679 http://www.medworm.com/index.php?rid=3826034&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%3D20683771%26dopt%3DAbstract The objective of this study was to examine food insecurity among psychiatric patients and as a concern for mental health practitioners. Food security and psychological distress were measured among 113 patients hospitalized in a psychiatric emergency unit. Of 113 respondents 67 (59.3%) enjoyed food security and 46 (40.7%) lacked food security. Food insecure respondents showed a higher level of psychological distress than food secure respondents. A large proportion of in-patients may be suffering food insecurity which is negatively associated with their psychological well being. Mental health practitioners need to be aware of the potential association of food insecurity and mental distress among psychiatric patients. PMID: 20683771 [PubMed - as supplied by publisher] (Source: Community M... Community Mental Health Journal journals http://www.medworm.com/rss/comments.php?id=3826034 Tue, 03 Aug 2010 23:00:00 +0100 3826034 http://www.medworm.com/index.php?rid=3826033&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%3D20683772%26dopt%3DAbstract Authors: O'Connell MJ, Stein CH The present study examined the relationship between case managers' expectations about the abilities of persons diagnosed with schizophrenia and the outcomes (as indicated via chart review) of a randomly selected sample of clients diagnosed with schizophrenia on their caseload. Results indicate that clients of case managers with higher expectations averaged significantly more months of progress in employment than clients of case managers with lower expectations. Case manager expectations were also better predictors of the number of days employed than other case manager and consumer characteristics, however the type of expectation was a critical determinant of the direction of the effect. Case manager expectations were not related to outcomes in living sit... Community Mental Health Journal journals http://www.medworm.com/rss/comments.php?id=3826033 Tue, 03 Aug 2010 23:00:00 +0100 3826033 http://www.medworm.com/index.php?rid=3826035&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%3D20680452%26dopt%3DAbstract This study examined the impact of criminal justice involvement on competitive employment outcomes for clients with severe mental illness enrolled in supported employment. Based on chart reviews of 154 clients enrolled in supported employment, the CJI and no CJI groups differed on several clinical and demographic variables, but did not differ on competitive employment outcomes. This study suggests that clients with criminal justice involvement do benefit from supported employment. Further research should track employment outcomes for a longer interval with a larger study group in order to provide a more complete picture of the extent to which CJI impacts employment. PMID: 20680452 [PubMed - as supplied by publisher] (Source: Community Mental Health Journal) Community Mental Health Journal journals http://www.medworm.com/rss/comments.php?id=3826035 Mon, 02 Aug 2010 23:00:00 +0100 3826035 http://www.medworm.com/index.php?rid=3826036&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%3D20676766%26dopt%3DAbstract This study investigated demographic, clinical and neurocognitive factors predicting drop-out from an intensive, community outpatient psychosocial rehabilitation program for people with schizophrenia or schizoaffective disorder. One-hundred and twenty-seven outpatients with DSM-IV schizophrenia or schizoaffective disorder participated. Demographic variables of age, sex, education and race/ethnicity were recorded and formal symptom measures and a neurocognitive assessment consisting of measures of crystallized verbal ability, sustained visual vigilance, verbal learning, verbal fluency and problem-solving were administered at study entry. Thirty-seven percent of the sample dropped-out of the program. In a final multivariate model, younger age, and lower verbal fluency scores in clients with a... Community Mental Health Journal journals http://www.medworm.com/rss/comments.php?id=3826036 Thu, 29 Jul 2010 23:00:00 +0100 3826036 http://www.medworm.com/index.php?rid=3795610&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%3D20658320%26dopt%3DAbstract Authors: Young AS, Niv N, Chinman M, Dixon L, Eisen SV, Fischer EP, Smith J, Valenstein M, Marder SR, Owen RR In schizophrenia, treatments that improve outcomes have not been reliably disseminated. A major barrier to improving care has been a lack of routinely collected outcomes data that identify patients who are failing to improve or not receiving effective treatments. To support high quality care, the VA Mental Health QUERI used literature review, expert interviews, and a national panel process to increase consensus regarding outcomes monitoring instruments and strategies that support quality improvement. There was very good consensus in the domains of psychotic symptoms, side-effects, drugs and alcohol, depression, caregivers, vocational functioning, and community tenure. There are... Community Mental Health Journal journals http://www.medworm.com/rss/comments.php?id=3795610 Sat, 24 Jul 2010 23:00:00 +0100 3795610 http://www.medworm.com/index.php?rid=3750847&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%3D20623337%26dopt%3DAbstract Authors: Tschopp MK, Berven NL, Chan F The issue of coercion in community-based mental health programs is frequently linked to the development of the Assertive Community Treatment (ACT) model. Sixty-five adults diagnosed with severe and persistent mental illness, participating in an ACT model program, completed measures that assessed elements of coercion and the perceived frequency of use of ACT staff therapeutic limit setting activities, as well as the relationships between coercion, empowerment, quality of life, and the working alliance. On average, participants did not perceive high degrees of coercion or negative pressures and did not feel excluded from the process of making decisions. On the continuum of restrictiveness of therapeutic limit setting activities, participants perceiv... Community Mental Health Journal journals http://www.medworm.com/rss/comments.php?id=3750847 Sat, 10 Jul 2010 23:00:00 +0100 3750847 http://www.medworm.com/index.php?rid=3750849&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%3D20623189%26dopt%3DAbstract Authors: Stipp KF, Kapp SA Knowledge is managers' principal asset and knowledge building is managers' primary work. This qualitative study explores knowledge building by directors of children's community-based mental health services in Kansas. Of the state's 27 directors, 25 completed a survey about knowledge building, in their preference of online or telephone format. Fourteen participants took part either in preliminary interviews for study development, or in follow-up interviews for further detail and member checking. Study findings indicate that with requisite resources, directors inform their decision making with streams of information, which they manage and generate to build organizational knowledge and value for local practice effectiveness. PMID: 20623189 [PubMed - as suppl... Community Mental Health Journal journals http://www.medworm.com/rss/comments.php?id=3750849 Fri, 09 Jul 2010 23:00:00 +0100 3750849 http://www.medworm.com/index.php?rid=3750848&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%3D20623190%26dopt%3DAbstract This study aims to estimate the suicidal behaviors in rural China. We studied 784 respondents as informants of suicide and 1,247 respondents as informants of community living controls, with the NCS-R measures on suicidal behaviors. The lifetime prevalence of ideation, plans, and attempts among the informants of suicide was 18.1, 4.1, and 1.7%, and the 12-month prevalence was 12.1, 2.2, and 0.4%, respectively. The prevalence scores were higher for the family members than for friends of suicide. The risk factors for suicidal behaviors include being parents or spouse of the suicide, female gender, low education level, and being never married. As suicidal behaviors are more observed among those who have a suicide death in the family or among close friends, suicide screening and intervention ef... Community Mental Health Journal journals http://www.medworm.com/rss/comments.php?id=3750848 Fri, 09 Jul 2010 23:00:00 +0100 3750848 http://www.medworm.com/index.php?rid=3734792&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%3D20607605%26dopt%3DAbstract This study interviewed 182 pairs of patients and caregivers to explore the needs and demands for community programs for patients with chronic mental illness and to detect the factors associated with them. The most needed and demanded programs were structured day services (69.2 vs. 78.6%), club house (71.4 vs. 74.2%), and caregiver support (72.5 vs. 74.7%). The needs and demands perceived by both patients and caregivers ranged from 3.3 to 31.9%, while those perceived by either patients or caregivers ranged from 25.8 to 72.5%. Needs and demands for individual programs were higher in caregivers (67, 65.9%) than in patients (41.2, 42.9%) and the proportion of demand (42.3-78.6%) for the eight programs was greater than the need (25.8-72.5%) for programs. The results showed that married and youn... Community Mental Health Journal journals http://www.medworm.com/rss/comments.php?id=3734792 Tue, 06 Jul 2010 23:00:00 +0100 3734792 http://www.medworm.com/index.php?rid=3734791&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%3D20607606%26dopt%3DAbstract Authors: Chou KL, Wong WK, Chow NW The goal of the current study is to examine the role of poor migration planning as a moderator for the effects of two post-migration factors, namely acculturation stress and quality of life, on symptoms of depression. Using a random sample of 347 Hong Kong new migrants from a 1-year longitudinal study, we used multiple regression analyses to examine both the direct and interaction effects of poorly planned migration, acculturation stress, and quality of life on depressive symptoms. Although poorly planned migration did not predict depressive symptoms at 1-year follow-up, it did exacerbate the detrimental effect of the two post-migration factors, namely high stress or low quality of life (both also measured at baseline) on depressive symptoms at this s... Community Mental Health Journal journals http://www.medworm.com/rss/comments.php?id=3734791 Tue, 06 Jul 2010 23:00:00 +0100 3734791 http://www.medworm.com/index.php?rid=3734793&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%3D20602170%26dopt%3DAbstract This study used focus groups and interviews with 55 bisexual participants across the province of Ontario, Canada, to investigate their experiences with mental health care. Results suggest that bisexual people have both positive and negative experiences with mental health service providers. Specific provider practices which contribute to the perception of positive and negative experiences with mental heath services are described, and the implications for clinical practice discussed. PMID: 20602170 [PubMed - as supplied by publisher] (Source: Community Mental Health Journal) Community Mental Health Journal journals http://www.medworm.com/rss/comments.php?id=3734793 Fri, 02 Jul 2010 23:00:00 +0100 3734793 http://www.medworm.com/index.php?rid=3722277&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%3D20582570%26dopt%3DAbstract This article describes the development and psychometric assessment of the Evaluation of Client Services (ECS) measure of treatment satisfaction for people with chronic mental illnesses in community treatment settings. The ECS, a 20-item instrument, was validated in a sample of 184 individuals receiving outpatient mental health treatment in New York City. The four dimensions of the ECS, (1) treatment management and treatment outcome, (2) treatment relationship, (3) communication and information exchange, and (4) reachability of treatment facilities are internally consistent and stable over time. Analyses also show that the ECS is a valid indicator of satisfaction with mental health services which meaningfully correlates with quality of life and another measure of treatment satisfaction. The... Community Mental Health Journal journals http://www.medworm.com/rss/comments.php?id=3722277 Fri, 25 Jun 2010 23:00:00 +0100 3722277 http://www.medworm.com/index.php?rid=3702173&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%3D20577809%26dopt%3DAbstract Authors: Mukolo A, Heflinger CA In order to better understand factors that account for the emergence and persistence of negative attitudes towards mental health problems, attributions about and stigma towards children's mental and physical illnesses were examined using National Stigma Study-Children data. Parent blame attributions were most strongly associated with attention deficit disorder, environmental causes with depression, and biology with asthma. Parent blame was more frequent for mental than physical health conditions. Child blame was associated with higher preferred social distance from the child, but no clear links were observed between social distance and attributions about genetic/biology, environment, or parent blame. Rurality was not significantly associated with attribu... Community Mental Health Journal journals http://www.medworm.com/rss/comments.php?id=3702173 Thu, 24 Jun 2010 23:00:00 +0100 3702173 http://www.medworm.com/index.php?rid=3702174&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%3D20574827%26dopt%3DAbstract This study explores the relationship between self-stigma and quality of life for consumers receiving services from different case managers. Cross-sectional data were collected from 160 consumers of an urban case management agency. Self-stigma was negatively associated with quality of life. Case managers did not account for a significant amount of variance in quality of life scores. However, the interaction between case manager and self-stigma was significant. Some case managers were able to mitigate the negative effects of self-stigma on quality of life. Future effectiveness research in community mental health case management needs to account for the effects of self-stigma, case managers, and the interaction between the two in the research design. PMID: 20574827 [PubMed - as supplied b... Community Mental Health Journal journals http://www.medworm.com/rss/comments.php?id=3702174 Wed, 23 Jun 2010 23:00:00 +0100 3702174 http://www.medworm.com/index.php?rid=3692106&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%3D20571877%26dopt%3DAbstract Authors: Crickard EL, O'Brien MS, Rapp CA, Holmes CL Medical shared decision making has demonstrated success in increasing collaboration between clients and practitioners for various health decisions. As the importance of a shared decision making approach becomes increasingly valued in the adult mental health arena, transfer of these ideals to youth and families of youth in the mental health system is a logical next step. A review of the literature and preliminary, formative feedback from families and staff at a Midwestern urban community mental health center guided the development of a framework for youth shared decision making. The framework includes three functional areas (1) setting the stage for youth shared decision making, (2) facilitating youth shared decision making, and (3) s... Community Mental Health Journal journals http://www.medworm.com/rss/comments.php?id=3692106 Tue, 22 Jun 2010 23:00:00 +0100 3692106