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Social Supports for Youth and Families.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Social supports for youth and families receiving mental health services are important for family success and sustainability of systems of care. The goal of our study was to determine what help and support families and youth receive and from whom they receive it. We surveyed youth and families enrolled in community wraparound care coordination to determine the support they receive. The social supports questionnaire measures include: the kinds of help and support that the parent/caregiver and youth received from people in the past 6 months, and the kinds of people who helped the parent/caregiver and youth in the past 6 m...
Source: Community Mental Health Journal - November 10, 2009 Category: Psychiatry Authors: Kernan JB, Morilus-Black M Tags: Community Ment Health J Source Type: journals

The Impact of the Chi-Chi Earthquake on the Incidence of Hospitalizations for Schizophrenia and on Concomitant Hospital Choice.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This study aimed to evaluate the impact of a catastrophic earthquake on the incidence of hospitalizations for schizophrenia, and on the choice of hospitals for patients thus hospitalized, using a quasi-experimental design. Results demonstrated post-catastrophe increases in the incidence of hospitalizations for schizophrenia by 11.0 and 21.6% in the first and second year after the disaster, respectively. Among index hospitalizations for schizophrenia, the earthquake was associated with decreases in the use of teaching and public hospitals. For patients with schizophrenia, aggravation of symptoms and the likelihood of being ...
Source: Community Mental Health Journal - November 8, 2009 Category: Psychiatry Authors: Tseng KC, Hemenway D, Kawachi I, Subramanian SV, Chen WJ Tags: Community Ment Health J Source Type: journals

Practicing Shared Decision Making in the Outpatient Psychiatric Care of Adults with Severe Mental Illnesses: Redesigning Care for the Future.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Psychiatrist outpatient office visits have the potential to support the recovery of adults with severe mental illnesses by engaging them in a collaborative process of evaluating, selecting, and trying individually-tailored therapeutic options. Evidence-informed shared decision making is difficult for psychiatrists to offer within the framework of care as it is delivered today: it requires time, easy access to relevant scientific information, and extensive communication between patients and psychiatrists. In this paper, we describe the current structural obstacles to collaborative psychiatric care and envision a redesig...
Source: Community Mental Health Journal - November 8, 2009 Category: Psychiatry Authors: Torrey WC, Drake RE Tags: Community Ment Health J Source Type: journals

A Comparison of Addiction and Transience among Street Youth: Los Angeles, California, Austin, Texas, and St. Louis, Missouri.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The purpose of this study was to compare measures of addiction and transience among street youth in three disparate urban areas: Los Angeles, California; Austin, Texas; and St. Louis, Missouri. Street youth from Los Angeles (n = 50), Austin (n = 50) and St. Louis (n = 46) were recruited using comparable engagement strategies. Youth were interviewed concerning use of alcohol and other substances and their level of transience. Youth from each city were compared using chi-squares and multinomial logistic regression. Results reveal that youth in each city differed in ethnicity, age, educational status, length of time homel...
Source: Community Mental Health Journal - November 8, 2009 Category: Psychiatry Authors: Ferguson KM, Jun J, Bender K, Thompson S, Pollio D Tags: Community Ment Health J Source Type: journals

Assisting Adults with Severe Mental Illness in Transitioning from Parental Homes to Independent Living.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This study explores mental health professionals' practices with adult clients and their parents at the departure of the clients' transition from the parental home to independent living. Using grounded theory methodology, the author interviewed 24 case managers in Assertive Community Treatment programs in Wisconsin and applied dimensional analysis to identify and categorize concepts in verbatim transcripts. Different client-parent relationships were sampled to compare practices on client independent living. Results show that case managers considered client independent living a desirable social norm and a practical approach ...
Source: Community Mental Health Journal - November 8, 2009 Category: Psychiatry Authors: Chen FP Tags: Community Ment Health J Source Type: journals

What Are the Predictors of Work Impairment in Iranian Patients with Depressive Disorders?Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The purpose of this study is to estimate the predictors of working ability in depressed patients. Two hundred and twenty-six patients with depression consecutively admitted on outpatient basis from March 2003 to May 2006 were classified into working and non working groups. Severity of depression was measured by the Beck Depression Inventory and their occupational adjustment 2 months prior to the last episode was determined by Occupational Adjustment Scale, a subscale of Social Adjustment Scale. The groups were almost similar in terms of age, sex, education, and marital status. There were significant differences between...
Source: Community Mental Health Journal - November 8, 2009 Category: Psychiatry Authors: Ghassemi GR, Ahmadzadeh GH, Usefy AR, Fanian H, Emarifard V, Mallik S Tags: Community Ment Health J Source Type: journals

Housing Preferences and Choices Among Adults with Mental Illness and Substance Use Disorders: A Qualitative Study.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Housing is a crucial issue for adults with severe mental illness and co-occurring substance use disorders, as this population is particularly susceptible to housing instability and homelessness. We interviewed 40 adults with dual disorders, living in either supervised or independent housing arrangements, to examine housing preferences, decision making processes surrounding housing choices, and perceived barriers to housing. We found that many clients indicated their housing preferences had changed over time, and some clients related housing preferences to recovery. Although the majority of clients preferred independent...
Source: Community Mental Health Journal - November 7, 2009 Category: Psychiatry Authors: Tsai J, Bond GR, Salyers MP, Godfrey JL, Davis KE Tags: Community Ment Health J Source Type: journals

Acculturation, Discrimination and Depressive Symptoms Among Korean Immigrants in New York City.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Immigrant mental health issues, especially depression in relation to discrimination and acculturation, are reported to be serious problems in the United States. The current study examines the prevalence of depressive symptoms among Korean immigrants in New York City (NYC) and its relation to self-reported discrimination and acculturation. A sample of 304 Korean immigrants residing in NYC completed a survey utilizing the Center for Epidemiologic Studies Depression Scale-Korean version, Discrimination Scale, and Acculturation Stress Scale. Results indicated that 13.2% of the sample population demonstrated some symptoms o...
Source: Community Mental Health Journal - November 4, 2009 Category: Psychiatry Authors: Bernstein KS, Park SY, Shin J, Cho S, Park Y Tags: Community Ment Health J Source Type: journals

Exploring Barriers to the Implementation of Evidence-Based Practice in Psychiatry to Inform Health Policy: A Focus Group Based Study.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This study aims to explore the obstacles to Evidence-Based Practice (EBP) experienced by Belgian Dutch-speaking psychiatrists. We used an inductive, qualitative research strategy. Thirty-nine psychiatrists participated in five focus groups organised between September 2004 and September 2006. Data-analysis was guided by a 'grounded theory approach'. Three major themes emerged from the data: (1) Characteristics of evidence, including the lack of (use of) evidence and the applicability of evidence; (2) Characteristics of other partners in mental health care, including government, patients and drug companies and (3) Discipline...
Source: Community Mental Health Journal - November 4, 2009 Category: Psychiatry Authors: Hannes K, Pieters G, Goedhuys J, Aertgeerts B Tags: Community Ment Health J Source Type: journals

Clinical Problems in Community Mental Health Care for Patients with Severe Borderline Personality Disorder.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The objective of this research was to assess the problems that professionals perceive in the community mental health care for patients with severe borderline personality disorder that do not fit into specialized therapy. A group of national experts (n = 8) participated in a four-phase Delphi-procedure to identify and prioritize the problems. A total of 36 problems reflecting five categories was found: patient-related, professional-related, interaction-related, social system-related, and mental health care-related. Problems with attachment and dependency and social issues were important patient problems while a lack of skil...
Source: Community Mental Health Journal - October 21, 2009 Category: Psychiatry Authors: Koekkoek B, van Meijel B, Schene A, Hutschemaekers G Tags: Community Ment Health J Source Type: journals

Treatment Outcome in Patients Receiving Assertive Community Treatment.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
In an observational study of severely mentally ill patients treated in assertive community treatment (ACT) teams, we investigated how treatment outcome was associated with demographic factors, clinical factors, and motivation for treatment. To determine psychosocial outcome, patients were routinely assessed using the Health of the Nation Outcome Scales (HoNOS). Trends over time were analyzed using a mixed model with repeated measures. The HoNOS total score was modeled as a function of treatment duration and patient-dependent covariates. Data comprised 637 assessments of 139 patients; mean duration of follow-up was 27.4...
Source: Community Mental Health Journal - October 21, 2009 Category: Psychiatry Authors: Kortrijk HE, Mulder CL, Roosenschoon BJ, Wiersma D Tags: Community Ment Health J Source Type: journals

Parents' Conceptualization of Adolescents' Mental Health Problems: Who Adopts a Psychiatric Perspective and Does It Make a Difference?Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
How parents give meaning to the problems of adolescents diagnosed with mental disorders and receiving treatment is likely related to important outcomes including parental well-being and commitment to treatment, as well as their own behaviors and reactions to their child. The aim of this cross-sectional, mixed-method study of 70 parents of adolescents receiving wraparound mental health services is to examine: (1) how parents conceptualize their child's MH problems; (2) factors related to parents' conceptualization of youths' problems using medical model terms; and (3) associations between parents' problem conceptualizat...
Source: Community Mental Health Journal - October 21, 2009 Category: Psychiatry Authors: Moses T Tags: Community Ment Health J Source Type: journals

University-Community Mental Health Center Collaboration: Encouraging the Dissemination of Empirically-Based Treatment and Practice.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This report asserts the importance of establishing effective collaborations between research-oriented universities and CMHCs in an effort to bridge the gap between empirically-based treatments and "real world" clinical practice. Furthermore, this report explains the establishment of a mutually informative and beneficial university-CMHC collaboration between the Disruptive Behavior Clinic at the University of Illinois-Chicago and the Community Mental Health Council (CMHC) on an evidence-based outpatient family therapy protocol for urban youth with behavior problems. Values and guidelines to facilitate evidence-based practic...
Source: Community Mental Health Journal - October 21, 2009 Category: Psychiatry Authors: Abdul-Adil J, Drozd O, Irie I, Riley R, Silas A, David Farmer A, Tolan PH Tags: Community Ment Health J Source Type: journals

Carrying the Burdens of Poverty, Parenting, and Addiction: Depression Symptoms and Self-Silencing Among Ethnically Diverse Women.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Depression among women commonly co-occurs with substance abuse. We explore the association between women's depressive symptoms and self-silencing accounting for the effects of known childhood and adult risk indicators. Participants are 233 ethnically diverse, low-income women who abused alcohol/drugs prenatally. Depressive symptomatology was assessed using the Addiction Severity Index. Multivariate logistic regression models examined the association between self-silencing and the dependent depression variable. The full model indicated a 3% increased risk for depressive distress for each point increase in self-silencing...
Source: Community Mental Health Journal - October 15, 2009 Category: Psychiatry Authors: Grant TM, Jack DC, Fitzpatrick AL, Ernst CC Tags: Community Ment Health J Source Type: journals

The Role of Percieved Parent Monitoring and Support on Urban Child and Adolescent Problem Behavior.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Parental practices on problem behavior based on gender and age effects with urban youth were studied. Participants were 8-17 years old (N = 3,658; 66% African-American) and logistic regression models were conducted. For pre-teen females, decreased friend monitoring was related to high problem behavior; for teen females, lower maternal support and decreased home monitoring were significant. None of the models were significant for pre-teen males and lack of home monitoring was significant for teen males. Strategies for preventing problem behavior within urban communities will be more effective if they are tailored to gen...
Source: Community Mental Health Journal - October 10, 2009 Category: Psychiatry Authors: Aalsma MC, Liu GC, Wiehe SE Tags: Community Ment Health J Source Type: journals

Community-Based Mental Health Service Utilization Among Low-Income Latina Immigrants.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Latina immigrants may be at increased risk for mental illnesses, but have less access to and seek mental health services less often than Black and White counterparts. Guided by the Andersen Behavioral Model of service utilization, the current study employed a medical chart review to elucidate factors associated with use of mental health services at a community health center. Of the clients referred for mental health services, only 36% followed through on the referral. Older age, use of case management services, and depressive symptomatology were predictors of attending mental health services. These findings have implic...
Source: Community Mental Health Journal - October 9, 2009 Category: Psychiatry Authors: Hochhausen L, Le HN, Perry DF Tags: Community Ment Health J Source Type: journals

Person-Related Protective and Vulnerability Factors of Psychopathology Symptoms in Non-Clinical Adolescents.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
In this study, a large multi-ethnic sample of non-clinical adolescents (N = 376) completed questionnaires for measuring a wide range of person-related protective and vulnerability factors as well as psychopathology symptoms, in order to explore (a) the relations among various protective and vulnerability factors, and (b) the unique contributions of these protective and vulnerability factors to different types of psychological problems. Results indicated that the overlap among protective and vulnerability factors was quite modest. Further, it was found that factors clustered in theoretically meaningful components reflecting...
Source: Community Mental Health Journal - October 8, 2009 Category: Psychiatry Authors: Muris P, Mayer B, Reinders E, Wesenhagen C Tags: Community Ment Health J Source Type: journals

Clinical Pharmacist Interventions on an Assertive Community Treatment Team.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This study suggests a clinical pharmacist can be beneficial to an ACT team and provide diverse services to both clients and other team members. PMID: 19809876 [PubMed - as supplied by publisher] (Source: Community Mental Health Journal)
Source: Community Mental Health Journal - October 6, 2009 Category: Psychiatry Authors: Gable KN, Stunson MJ Tags: Community Ment Health J Source Type: journals

Trauma and Posttraumatic Stress Disorder (PTSD) in Patients with Schizophrenia or Schizoaffective Disorder.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This study examined whether trauma and PTSD are under-detected in this population, and whether the cognitive theory of PTSD is applicable to these individuals. Traumatic experiences, PTSD symptoms and negative posttraumatic cognitions were directly measured with questionnaires, and compared to information obtained via chart-review. Results showed clear evidence of under-report of trauma and under-diagnosis of PTSD in patients' charts. Furthermore, negative posttraumatic cognitions were positively related to PTSD symptom severity, supporting the cognitive model of PTSD. These findings underscore the importance of assessing ...
Source: Community Mental Health Journal - September 23, 2009 Category: Psychiatry Authors: Lommen MJ, Restifo K Tags: Community Ment Health J Source Type: journals

The Effects of Integrative Reminiscence on Depressive Symptomatology and Mastery of Older Adults.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
A quasi-experimental (non-randomized) study was conducted to study the effects of a new intervention The story of your life that combines integrative reminiscence with narrative therapy. The program consists of seven sessions of two hours and one follow-up session after 8 weeks. It is directed at community-dwelling people of 55 years and older with mild to moderate depressive symptoms. After the intervention the participants showed significantly less depressive symptoms and higher mastery, also in comparison with a waiting-list control group. Demographic factors and initial levels of depressive symptomatology and maste...
Source: Community Mental Health Journal - September 23, 2009 Category: Psychiatry Authors: Bohlmeijer E, Kramer J, Smit F, Onrust S, van Marwijk H Tags: Community Ment Health J Source Type: journals

Religion and Spirituality: How Clinicians in Quebec and Geneva Cope with the Issue When Faced with Patients Suffering from Chronic Psychosis.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Spirituality and religion have been found to be important in the lives of many people suffering from severe mental disorders, but it has been claimed that clinicians "neglect" their patients' religious issues. In Geneva, Switzerland and Trois-Rivières, Quebec, 221 outpatients and their 57 clinicians were selected for an assessment of religion and spirituality. A majority of the patients reported that religion was an important aspect of their lives. Many clinicians were unaware of their patients' religious involvement, even if they reported feeling comfortable with the issue. Both areas displayed strikingly similar...
Source: Community Mental Health Journal - September 21, 2009 Category: Psychiatry Authors: Borras L, Mohr S, Gillieron C, Brandt PY, Rieben I, Leclerc C, Huguelet P Tags: Community Ment Health J Source Type: journals

Fidelity and Outcomes in Six Integrated Dual Disorders Treatment Programs.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Fidelity scores and outcomes were measured in six outpatient programs in California which implemented Integrated Dual Disorders Treatment (IDDT). Outcomes were measured for 1 year in four sites and 2 years in two sites; fidelity was assessed at 6 months intervals. Three of the six sites achieved high fidelity (at least a 4 on a 5 point fidelity scale) and three moderate fidelity (at least a 3). Retention in treatment, mental health functioning, stage of substance abuse treatment, abstinence, and psychiatric hospitalization were measured. Outcomes for individual programs were generally positive but not consistent within...
Source: Community Mental Health Journal - September 21, 2009 Category: Psychiatry Authors: Chandler DW Tags: Community Ment Health J Source Type: journals

Community Treatment for Problem Gambling: Sex Differences in Outcome and Process.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This study compared sex differences in related treatment outcomes and processes in a community sample of outpatient problem gambling treatment-seekers. Participants attended approximately seven sessions of cognitive-behavioral treatment. Women were more likely to have a history of psychiatric comorbidity, prefer non-strategic/non-skill forms of gambling, and have a more rapid progression towards a gambling problem than did men. At the 6-month post-treatment follow-up, men were found to have improved to a significantly greater degree on measures of gambling severity and rates of abstinence in comparison to women. Moreover, ...
Source: Community Mental Health Journal - September 19, 2009 Category: Psychiatry Authors: Toneatto T, Wang JJ Tags: Community Ment Health J Source Type: journals

Predictors of Referral to Supported Employment Among Consumers with Co-Occurring Mental and Substance Use Disorders.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This study examines the demographic, socioeconomic and illness characteristics of consumers referred for Supported Employment services. Consumers were drawn from Integrated Dual Diagnosis Treatment programs in four community mental health agencies. Study participants included 113 consumers referred for Supported Employment services and 78 randomly selected non-referred consumers as the comparison group. Results suggest that consumers who have past work experience are more likely to be referred to Supported Employment, while consumers who perceive themselves as disabled or who are diagnosed as substance dependent are less l...
Source: Community Mental Health Journal - September 18, 2009 Category: Psychiatry Authors: Biegel DE, Beimers D, Stevenson LD, Ronis RJ, Boyle P Tags: Community Ment Health J Source Type: journals

Assessing and Treating Co-occurring Disorders in Adolescents: Examining Typical Practice of Community-Based Mental Health and Substance Use Treatment Providers.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
In this study, treatment providers from both substance use and mental health settings were interviewed to examine their common practices regarding the assessment and treatment of co-occurring depression and substance use disorders in adolescence. About 93% of treatment providers reported treating adolescents with these co-occurring conditions. However, few providers reported using formal assessment practices (23-30%) or treatment protocols for co-occurrence (10%). Providers in mental health settings (particularly psychologists) were more likely than those in substance use settings to formally assess for depression [Chi (2)...
Source: Community Mental Health Journal - September 18, 2009 Category: Psychiatry Authors: Lichtenstein DP, Spirito A, Zimmermann RP Tags: Community Ment Health J Source Type: journals

Erratum to: Children's Adjustment and Child Mental Health Service Use: The Role of Parents' Attitudes and Personal Service Use in an Upper Middle Class Sample.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
PMID: 19757040 [PubMed - as supplied by publisher] (Source: Community Mental Health Journal)
Source: Community Mental Health Journal - September 15, 2009 Category: Psychiatry Authors: Turner EA, Liew J Tags: Community Ment Health J Source Type: journals

Disaster in Context: The Effects of 9/11 on Youth Distant from the Attacks.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Although an increasing amount of community mental health research has investigated the deleterious effects of disasters and the targeting and efficacy of treatment in their aftermath, little research has sought to identify preexisting characteristics of the social environment that are predictive of post-disaster distress. A national US telephone survey fielded before and after September 11, 2001, was used to investigate the psychological distress among American adolescents related to the attacks, and to identify environmental and other characteristics that predisposed youth to experience higher or lower levels of post-...
Source: Community Mental Health Journal - September 15, 2009 Category: Psychiatry Authors: Mijanovich T, Weitzman BC Tags: Community Ment Health J Source Type: journals

Pilot Testing and Preliminary Evaluation of a Suicide Prevention Education Program for Emergency Department Personnel.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Emergency department personnel play an important role in recognizing individuals with suicidality and intervening to prevent completed suicide. An educational program was designed to be offered to emergency department personnel, and was piloted with a convenience sample of 54 clinicians. Pre-test and post-test measures showed an increase in knowledge scores (from 7.9 +/- 1.9 to 13.6 +/- 2.1, P < .001) and self-efficacy scores (from 24.0 +/- 9.1 to 32.3 +/- 9.2, P < .001) regarding management of suicidal patients or those at elevated risk for suicide in the emergency department immediately after participating in t...
Source: Community Mental Health Journal - September 3, 2009 Category: Psychiatry Authors: Shim RS, Compton MT Tags: Community Ment Health J Source Type: journals

Community Treatment Orders: Beyond Hospital Utilization Rates Examining the Association of Community Treatment Orders with Community Engagement and Supportive Housing.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The purpose of this paper is to examine the association of community treatment orders (CTO) with community engagement and housing arrangements for one population of psychiatric patients in Ontario, Canada. Socio demographic characteristics and health service utilization information were collected for each patient placed on a CTO during a 3 year period. Information was collected for each of the 84 patients when a CTO was first issued and then updated to reflect both the patient's ongoing involvement with the legislation and related clinical outcomes. A significant increase in the number of community services and a shift...
Source: Community Mental Health Journal - August 31, 2009 Category: Psychiatry Authors: O'Brien AM, Farrell SJ, Faulkner S Tags: Community Ment Health J Source Type: journals

The Effects of Escape from Self and Interpersonal Relationship on the Pathological Use of Internet Games.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The purpose of the present study was to examine whether Baumeister's escape from self theory may account for the pathological use of Internet games among Korean adolescents. A sample of 1,136 junior high school students completed measures assessing Internet game addiction (IGA), real-ideal self discrepancy, escape from self, current mood, peer relationships, perceived parent-child relationship, and parental supervision. IGA was significantly correlated with all of these variables. Multiple regression analysis showed that escape from self best explained the adolescents' IGA. A path model yielded significant paths from s...
Source: Community Mental Health Journal - August 22, 2009 Category: Psychiatry Authors: Kwon JH, Chung CS, Lee J Tags: Community Ment Health J Source Type: journals

Support in Housing: A Comparison Between People with Psychiatric Disabilities and People with Intellectual Disabilities.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The primary objective of this study was to compare type of housing and support in housing in two groups (people with psychiatric disabilities and people with intellectual disabilities) typically dependent on support in everyday life. A second objective was to examine whether type of housing and support in housing were related to gender within the two groups. Information was obtained by available questionnaire reports provided by staff members. The results indicate unequal accessibility of support in housing in relation to the two groups. Moreover, the findings suggest that type of disability is a more determining facto...
Source: Community Mental Health Journal - August 20, 2009 Category: Psychiatry Authors: Umb-Carlsson O, Jansson L Tags: Community Ment Health J Source Type: journals

Examining Latino Differences in Mental Healthcare Use: The Roles of Acculturation and Attitudes Towards Healthcare.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Latinos are less likely to use mental health services compared to non-Latino whites, but little research has examined the relative contribution of acculturation and attitudes towards healthcare. In the current study, we analyze data from a nationally representative sample of Mexicans, Cubans, Puerto Ricans and non-Latino whites from the 2002-2003 Medical Expenditure Panel Survey (n = 30,234). Findings show different utilization patterns in use of specialty, non-specialty, and any type of mental healthcare across the three Latino subgroups. The predictive efficacy of acculturation variables on ethnic group differences v...
Source: Community Mental Health Journal - August 18, 2009 Category: Psychiatry Authors: Berdahl TA, Torres Stone RA Tags: Community Ment Health J Source Type: journals

Cardiovascular Risk Assessment and Management in Mental Health Clients: Whose Role is it Anyway?Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This study describes health practitioners' views on their role and confidence assessing and managing cardiovascular risk. The key findings were of a widespread acknowledgement of the need to undertake systematic risk assessment and offer structured approaches to risk factor management. Barriers of client engagement, lack of good systems and poor information sharing between primary and secondary care providers were identified. Solutions discussed included a collaborative care model or the integration of physical health services, perhaps a general practitioner-led clinic, within the secondary care setting. Whilst there is a ...
Source: Community Mental Health Journal - August 17, 2009 Category: Psychiatry Authors: Wheeler AJ, Harrison J, Mohini P, Nardan J, Tsai A, Tsai E Tags: Community Ment Health J Source Type: journals

The Use of Herbal Medications and Dietary Supplements by People with Mental Illness.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This study examined the relationship between herbal medication and dietary supplement (HMDS) use and mental health characteristics. Data are drawn from a national household survey of the United States' civilian, non-institutionalized population (N = 9,585). Psychiatric medication and HMDS use, psychiatric diagnoses and treatment needs, utilization and satisfaction were assessed. Compared to non-users, HMDS users were more likely to perceive themselves as having mental health needs, to have received mental health and primary care treatment, and to be dissatisfied with their overall healthcare. Psychiatric medication use was...
Source: Community Mental Health Journal - August 17, 2009 Category: Psychiatry Authors: Niv N, Shatkin JP, Hamilton AB, Unützer J, Klap R, Young AS Tags: Community Ment Health J Source Type: journals

Barriers to Evidence-Based Practice Implementation: Results of a Qualitative Study.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This study reports on a qualitative study of barriers to EBP implementation in one state that sought to implement supported employment and integrated dual diagnosis treatment. The study found that the most significant obstacles emanated from the behavior of supervisors, front-line staff and other professionals in the agency. A lack of synergy profoundly impeded implementation. PMID: 19685185 [PubMed - as supplied by publisher] (Source: Community Mental Health Journal)
Source: Community Mental Health Journal - August 14, 2009 Category: Psychiatry Authors: Rapp CA, Etzel-Wise D, Marty D, Coffman M, Carlson L, Asher D, Callaghan J, Holter M Tags: Community Ment Health J Source Type: journals

Mediated Learning Experience Intervention Increases Hope of Family Members Coping with a Relative with Severe Mental Illness.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Hope is central in recovery of the mentally ill, and family attitudes play an important role. Hope may be mediated by cognitive and communication processes. The "Keshet" program is aimed at enhancing communication of family members with the use of cognitive pathways. The present pilot study examines whether the program effectively increases hope in family members in regard to themselves versus their hope for their ill relative. Methods: Forty nine family members who participated in the "Keshet" program for 6 months comprised the experimental group. The control group comprised 22 family members who underwent no structur...
Source: Community Mental Health Journal - August 8, 2009 Category: Psychiatry Authors: Redlich D, Hadas-Lidor N, Weiss P, Amirav I Tags: Community Ment Health J Source Type: journals

Implementing a Brief Hallucination Simulation as a Mental Illness Stigma Reduction Strategy.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Due to the prevalence and serious consequences associated with mental illness stigma, a number of educational interventions have been developed to decrease stigma. One potential intervention is administering brief simulations of auditory hallucinations, but no empirical evaluations have been published. This research examined the efficacy of a brief simulation on stigma across two listening conditions. After completing a stigma measure, participants (N = 127) listened to a simulation and were randomly assigned to one of two listening conditions: (1) sitting in a research lab, or (2) ambulating around a college campus co...
Source: Community Mental Health Journal - August 8, 2009 Category: Psychiatry Authors: Brown SA Tags: Community Ment Health J Source Type: journals

Reducing Disparities in Mental Health Care: Suggestions from the Dartmouth-Howard Collaboration.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This article presents recent collaborative efforts between the Dartmouth Psychiatric Research Center and Howard University to understand (and ultimately reduce) disparities in mental health care among African Americans. Researchers from Dartmouth and Howard recently formalized a longstanding collaboration through the support of a grant aimed at understanding recovery and rehabilitation for African Americans with severe mental illness. Grant-sponsored efforts have included two seminars between multi-disciplinary mental health researchers and clinicians to inform the implementation of a collaborative research and training pr...
Source: Community Mental Health Journal - August 6, 2009 Category: Psychiatry Authors: Carpenter-Song E, Whitley R, Lawson W, Quimby E, Drake RE Tags: Community Ment Health J Source Type: journals

Key Features of a Unique Community Psychiatry Fellowship: The Emory University Fellowship in Community Psychiatry/Public Health.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The Emory University Fellowship in Community Psychiatry/Public Health is a unique training opportunity whose mission is to train future leaders in the arena of community psychiatry. To complement the recent description of the Public Psychiatry Fellowship of New York State Psychiatric Institute at Columbia University Medical Center, this report describes the key features of Emory's fellowship-its academic curriculum, practicum experiences, site visits and other opportunities for collaboration, and ongoing mentoring and career development. Congruencies between these four key features and the seven core elements of Columb...
Source: Community Mental Health Journal - August 6, 2009 Category: Psychiatry Authors: Kotwicki RJ, Compton MT Tags: Community Ment Health J Source Type: journals

Oil and Water or Oil and Vinegar? Evidence-Based Medicine Meets Recovery.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
With the increasing prominence of the notions of "recovery" and "recovery-oriented practice," practitioners, program managers, and system leaders are increasingly asking about the relationship between "evidence-based practices" and recovery. After reviewing the concepts of recovery from mental illness, being in recovery with a mental illness, recovery-oriented care, and evidence-based medicine, the authors argue for a complementary relationship between recovery and evidence-based practices. This relationship is neither simple nor straightforward, but results in a whole that is greater than the sum of its parts through ...
Source: Community Mental Health Journal - August 1, 2009 Category: Psychiatry Authors: Davidson L, Drake RE, Schmutte T, Dinzeo T, Andres-Hyman R Tags: Community Ment Health J Source Type: journals

From Prototype to Product: Development of a Primary Care/Internet Based Depression Prevention Intervention for Adolescents (CATCH-IT).Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We describe the prototype to product development process of a low cost, socio-culturally relevant, easily implemented Internet-based depression prevention intervention for adolescents in primary care. The intervention named "Project CATCH-IT" (Competent Adulthood Transition with Cognitive-behavioral, Humanistic and Interpersonal Training) includes an initial motivational interview in primary care to engage the adolescent, fourteen Web-based modules based on behavioral activation, cognitive behavioral and interpersonal psychotherapy which target known risk factors, and a follow-up motivational interview in primary care. Thi...
Source: Community Mental Health Journal - July 29, 2009 Category: Psychiatry Authors: Landback J, Prochaska M, Ellis J, Dmochowska K, Kuwabara SA, Gladstone T, Larson J, Stuart S, Gollan J, Bell C, Bradford N, Reinecke M, Fogel J, Van Voorhees BW Tags: Community Ment Health J Source Type: journals

Empirically Supported Treatments in Rural Community Mental Health Centers: A Preliminary Report on Current Utilization and Attitudes Toward Adoption.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Rural community mental health centers (CMHCs) face numerous problems that might be alleviated by the dissemination of empirically supported treatments (ESTs). The current study lays the groundwork for EST dissemination by examining current treatment practices in rural clinics as well as the attitudes of decision makers toward ESTs and perceived barriers to their adoption. Twenty-five rural and 38 non-rural clinical directors responded to a mailed survey. Rural respondents were as likely as non-rural respondents to report EST use in their clinic for most anxiety disorders, and more likely to report use of an EST for maj...
Source: Community Mental Health Journal - July 27, 2009 Category: Psychiatry Authors: Jameson JP, Chambless DL, Blank MB Tags: Community Ment Health J Source Type: journals

Cross-Cultural Equivalence of HSCL-25 and WHO (ten) Wellbeing Index: Findings From a Population-Based Survey of Immigrants and Non-Immigrants in Sweden.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
In conclusion, the results support the use of these instruments in population-based surveys within multicultural Western societies. PMID: 19636706 [PubMed - as supplied by publisher] (Source: Community Mental Health Journal)
Source: Community Mental Health Journal - July 27, 2009 Category: Psychiatry Authors: Tinghög P, Carstensen J Tags: Community Ment Health J Source Type: journals

Adolescents' Attitudes and Opinions about Depression Treatment.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The purpose of this study was to determine adolescent preferences for depression treatment. Adolescents (n = 156) completed a survey that included: their preferences for type of depression treatment and the method of delivering it; their perception of the importance of side effects of depression treatments and a rating of their willingness to seek treatment if they were depressed. A screen for depressive symptoms (CES-D10) was also completed. Adolescents showed higher preference for psychotherapy than antidepressants. Greater severity of depression symptoms, perceived social support for the particular treatment modalit...
Source: Community Mental Health Journal - July 27, 2009 Category: Psychiatry Authors: Bradley KL, McGrath PJ, Brannen CL, Bagnell AL Tags: Community Ment Health J Source Type: journals

Cognitive Behavioral Therapy and Schizophrenia: A Survey of Clinical Practices and Views on Efficacy in the United States and United Kingdom.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Research has shown that cognitive-behavioral therapy (CBT) is effective in the treatment of schizophrenia (Wykes et al. in Schizophr Bull 34(3):523-537, 2008). The majority of this research has been conducted in the United Kingdom (Beck and Rector in Am J Psychother 54:291-300, 2000) where the National Health Service recommends that CBT be delivered to all people with schizophrenia (NICE in Schizophrenia: core interventions in the treatment and management of schizophrenia in primary and secondary care (update). http://www.nice.org.uk/Guidance/CG82/NiceGuidance/pdf/English , 2009). In contrast, the corresponding America...
Source: Community Mental Health Journal - July 24, 2009 Category: Psychiatry Authors: Kuller AM, Ott BD, Goisman RM, Wainwright LD, Rabin RJ Tags: Community Ment Health J Source Type: journals

Children's Enduring PTSD Symptoms are Related to Their Family's Adaptability and Cohesion.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This study compared, 18-24 months after an industrial disaster, in two groups of children (those with clinically relevant PTSD symptoms versus those with low PTSD symptoms), the child's perception of family cohesion and adaptability, the child's experience of the explosion, and parental characteristics. Enmeshed family cohesion or rigid family adaptability were more frequently found in children with low PTSD symptoms. PTSD symptoms in the mother, living in a family of 3 or more children, and being female were significantly associated with PTSD symptoms in the children. The assessment of traumatized children should include ...
Source: Community Mental Health Journal - July 20, 2009 Category: Psychiatry Authors: Birmes P, Raynaud JP, Daubisse L, Brunet A, Arbus C, Klein R, Cailhol L, Allenou C, Hazane F, Grandjean H, Schmitt L Tags: Community Ment Health J Source Type: journals

What Gets Noticed: How Barrier and Facilitator Perceptions Relate to the Adoption and Implementation of Innovative Mental Health Practices.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This mixed-method study examined the facilitators and barriers discussed by 166 informants interviewed from 78 innovative mental health projects. Facilitator and barrier coding reflected two dimensions: the topic of the comment (e.g., funding); and the time phase of the issue's influence (e.g., pre-decision). Proportions of facilitators to the sum of facilitator and barrier comments made by project informants were calculated. Overall, facilitator proportions were higher for projects that proceeded with implementation than those that did not adopt the practice. In addition, facilitator proportions were generally highest...
Source: Community Mental Health Journal - July 15, 2009 Category: Psychiatry Authors: Seffrin B, Panzano PC, Roth D Tags: Community Ment Health J Source Type: journals

Who Initiates Emergency Commitments?Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Florida's Mental Health Act was amended in 2005 and 2006 to include licensed mental health counselors and licensed marriage and family therapists, respectively, to the list of professionals authorized to initiate emergency commitments. The present study evaluates the volume of involuntary emergency commitments by type of initiator for a 5 year period. The results indicate that allowing licensed mental health counselors and licensed marriage and family therapist to initiate emergency commitments has not been related to increased numbers of emergency commitments or a higher proportion of emergency commitments being initi...
Source: Community Mental Health Journal - July 11, 2009 Category: Psychiatry Authors: Christy A, Handelsman JB, Hanson A, Ochshorn E Tags: Community Ment Health J Source Type: journals

Children's Adjustment and Child Mental Health Service Use: The Role of Parents' Attitudes and Personal Service Use in an Upper Middle Class Sample.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Forty-one parents and their children (20 girls and 21 boys, mean age = 4.33 years, SD = 1.30) participated in a study to examine how parents' personal use of mental health services related to their attitudes toward child mental health services as well as to their children's adjustment. Results indicated that parents' attitudes and personal use of services have implications for children's adjustment and mental health utilization. Parents who personally used mental health services reported more positive help-seeking attitudes, higher level of help-seeking intentions, and lower stigmatization of child mental health servic...
Source: Community Mental Health Journal - July 10, 2009 Category: Psychiatry Authors: Turner EA, Liew J Tags: Community Ment Health J Source Type: journals

Satisfaction with Mental Health Services in a Latin American Community of Carers of Patients with Schizophrenia.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The aim of this study is to compare levels of satisfaction with Mental Health Services in a sample of 41 relatives of patients with schizophrenia, users of the Mental Health Public Service in the city of Arica, Chile. Of this sample, 18 participated in a group family intervention and 23 did not. Overall, the total sample of relatives expressed satisfaction with the Mental Health Service. However, in the compound satisfaction measure (patient's evolution and satisfaction with the mental health service), there were significant differences between caregivers who participated in the psycho-educative multifamily interventio...
Source: Community Mental Health Journal - July 6, 2009 Category: Psychiatry Authors: Caqueo-Urízar A, Gutiérrez-Maldonado J Tags: Community Ment Health J Source Type: journals