José A Garrido-Cervera, María I Ruiz-Granados, Antonio I Cuesta-Vargas, Antonio J Sánchez-Guarnido
{"title":"Patient-Reported Outcome Measures (PROMs) for Recovery in Mental Health: A Scoping Review.","authors":"José A Garrido-Cervera, María I Ruiz-Granados, Antonio I Cuesta-Vargas, Antonio J Sánchez-Guarnido","doi":"10.1007/s10597-024-01426-9","DOIUrl":"10.1007/s10597-024-01426-9","url":null,"abstract":"<p><p>Recovery is a holistic approach to mental health care which focusses on the ability of people with mental disorders to achieve their goals and live full, meaningful lives despite their limitations. Recovery assessment tools are instruments that make it possible to measure the progress of people with mental disorders on their path to recovery. To explore, map and describe patient-reported outcome measures (PROMs) found in the literature related to the recovery process in people with mental disorders (MDs). A scoping review was carried out of papers proposing personal recovery assessment tools. The search was performed in seven data bases: SCOPUS, CINAHL, Medline, Web of Science, Teseo, Opengrey and Dart-Europe. It included studies published between 1970 and 2023 with adult participants suffering from some form of MD. It excluded studies involving patients with intellectual disability and/or addictions. 82% of the instruments described in the 50 studies found used self-administered questionnaires. The most frequently referenced dimensions were hope, empowerment and wellbeing, with an average of 35 items per questionnaire. The most frequently assessed psychometric property was internal consistency, which was evaluated in 84% of the studies. Recovery is a complex concept which is not integrally measured in any of the existing scales. However, the tools identified in the review can help mental health professionals assess the recovery of MD patients and develop personalised treatment plans.</p>","PeriodicalId":10654,"journal":{"name":"Community Mental Health Journal","volume":" ","pages":"890-898"},"PeriodicalIF":1.8,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142881675","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Nicholas Covino, Marc Abelard, Bori Mahr, Yasmine Ibrahim, Gemima St Louis
{"title":"The Behavioral Health Service Corps: An Innovative Model for Workforce Development.","authors":"Nicholas Covino, Marc Abelard, Bori Mahr, Yasmine Ibrahim, Gemima St Louis","doi":"10.1007/s10597-024-01434-9","DOIUrl":"10.1007/s10597-024-01434-9","url":null,"abstract":"<p><p>The increased prevalence of behavioral health problems in the US is intensified by the critical shortage of providers in the field. The historical failure of behavioral health specialties to attract BIPOC students and workers limits leadership, access to quality care, and the generalizability of research findings. Most workforce development programs serve only those with earned graduate degrees. This report describes a service-learning program that is successfully attracting new graduates with bachelor's degrees and culturally diverse professionals into the behavioral health workforce.</p>","PeriodicalId":10654,"journal":{"name":"Community Mental Health Journal","volume":" ","pages":"956-961"},"PeriodicalIF":1.8,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142876448","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Rebecca P Johnson, Brianne LaPelusa, Abby Mayhue, Ava Schneider, Autumn Crowe, Terria Diggins, Adrienne Brown, Eshawn Spencer, Deborah A Cohen, Vanessa V Klodnick
{"title":"An Evaluation of Career Opportunity Readiness Experience (CORE): An Enhancement to Supported Employment for Transition Age Youth with Serious Mental Health Diagnoses.","authors":"Rebecca P Johnson, Brianne LaPelusa, Abby Mayhue, Ava Schneider, Autumn Crowe, Terria Diggins, Adrienne Brown, Eshawn Spencer, Deborah A Cohen, Vanessa V Klodnick","doi":"10.1007/s10597-024-01431-y","DOIUrl":"10.1007/s10597-024-01431-y","url":null,"abstract":"<p><p>Transition-age youth (TAY) diagnosed with serious mental health diagnoses have low employment rates. Supported Employment (SE) is a widely adopted evidence-based approach. However, SE engagement and outcomes are mixed with TAY, who have unique developmental needs. This study evaluates the \"Career Opportunity Readiness Experience\" (CORE), a TAY transitional employment SE add-on. CORE runs in 15-week cycles with 6-8 TAY, supported by Vocational Peer Mentors. CORE includes: (1) workshops, (2) paid internship, and (3) SE transition. CORE participation, key outcomes and feedback were tracked over nine cycles, and for six-months post-CORE participation. Most (97%; 55 of 57) experienced positive outcomes: 74% enrolled in SE, 42% secured employment and 23% enrolled in an education program. Most (82%) reported positive CORE experiences. CORE workshops, internships and vocational peer mentoring are promising TAY SE practices. More research is needed to understand CORE implementation barriers and facilitators and key change mechanisms.</p>","PeriodicalId":10654,"journal":{"name":"Community Mental Health Journal","volume":" ","pages":"923-934"},"PeriodicalIF":1.8,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142853372","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Exploring the Issues Facing the Australian Community Mental Health Workforce: A National Mixed-Methods Study.","authors":"Megan Rattray, Emma Milanese, Tania Shelby-James","doi":"10.1007/s10597-024-01421-0","DOIUrl":"10.1007/s10597-024-01421-0","url":null,"abstract":"<p><p>The Commonwealth Psychosocial Support Program, funded by the Australian Government, offers psychosocial support to individuals with severe mental illness. Currently, little research has addressed the challenges confronting its workforce. This study aimed to assess whether recruitment, retention, and staff skills pose significant issues for the Commonwealth Psychosocial Support Program and to identify contributing factors. This study used a mixed-methods explanatory sequential design. 159 mental health support staff across Australia participated in an online survey. From this sample, 16 participated in a semi-structured interview. Survey data was analysed using descriptive statistics and chi-squared tests, while qualitative data was examined through deductive content analysis. 84%, 77% and 56% of staff agreed that recruitment, retention and the skill of staff are significant issues affecting the delivery of the Commonwealth Psychosocial Support Program, respectively. While no significant differences were found in staff characteristics for recruitment and retention concerns, geographical location showed notable disparities in perceptions of staff skill (χ²(4, N = 153) = 11.318, p = 0.023). Specifically, a higher proportion of rural or remote (68%) and regional (63%) staff identified staff skill as an issue compared to metropolitan counterparts (39%). Key factors contributing to poor recruitment included short-term contracts (77%), while burnout (74%) and job insecurity (72%) were indicated for poor retention. Inadequate skill was attributed to infrequent professional development (53%), insufficient on-the-job training (53%), limited mentoring and supervision (50%), and unclear role expectations (50%). Addressing these multifaceted issues is imperative for enhancing the effectiveness of community-based mental health services and ensuring sustained support for individuals with severe mental illness across diverse geographical locations.</p>","PeriodicalId":10654,"journal":{"name":"Community Mental Health Journal","volume":" ","pages":"847-859"},"PeriodicalIF":1.8,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142805813","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Julia C Hews-Girard, Emma Cullen, Manya Singh, Rosemary Perry, Kayla Brill, Nadine Taylor, Michelle Munson, Skye Barbic, Jo Henderson, Shauna Cronin, Micaela Harley, Valerie Salt, Naomi J Parker, Liana Urichuk, Srividya Iyer, Gina Dimitropoulos
{"title":"Identifying 'Where' and 'How' Peer Support for Youth is Integrated into Community-Based Mental Health Services: A Survey Study.","authors":"Julia C Hews-Girard, Emma Cullen, Manya Singh, Rosemary Perry, Kayla Brill, Nadine Taylor, Michelle Munson, Skye Barbic, Jo Henderson, Shauna Cronin, Micaela Harley, Valerie Salt, Naomi J Parker, Liana Urichuk, Srividya Iyer, Gina Dimitropoulos","doi":"10.1007/s10597-024-01440-x","DOIUrl":"10.1007/s10597-024-01440-x","url":null,"abstract":"<p><p>To mitigate barriers to care among youth (12-25 years), community-based organizations have increasingly integrated peer support as a complement to clinical mental health care; however, information regarding the integration process is lacking. To explore organizational perspectives regarding the contexts and mechanisms underlying integration of peer support for youth accessing mental health services from community-based, youth-serving organizations. Representatives from community-based youth-serving organizations completed a survey describing the contexts in which they are located and their experiences integrating peer support. Text responses were analyzed using directed content analysis. 21 organizations serving youth aged 11-29 years responded. Three generic categories were identified: 1) Context is key and safe environments, 2) Supportive organizations and valuing lived experience, 3) Benefits for peer support providers and receivers and purposeful integration into the organization. Peer support integration requires valuing of the lived experience of peers and creation of a safe organizational environment.</p>","PeriodicalId":10654,"journal":{"name":"Community Mental Health Journal","volume":" ","pages":"994-1004"},"PeriodicalIF":1.8,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142945919","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Enhancing Equity on Crisis Lines: Understanding the Background, Practices and Learning Needs of Responders in Canada.","authors":"Victoria Donkin, Chantalle Clarkin, Amanda Gambin, Marcos Sanches, Karen VanderSluis, Allison Crawford","doi":"10.1007/s10597-024-01424-x","DOIUrl":"10.1007/s10597-024-01424-x","url":null,"abstract":"<p><p>Understanding the current state of equity, diversity, and inclusion (EDI) within the crisis line sector is essential to enhancing accessibility and acceptability of crisis line services for all. Through an intersectional lens, we examined 9-8-8 crisis line workers' personal and work demographics, training, resources, perceived competencies in supporting diverse populations. We conducted an electronic survey of crisis line responders and leadership in Canada. Data was analyzed using descriptive statistics, Fisher's test, and Mann-Whitney U/Kruskal-Wallis H tests. Open ended responses were analyzed using content analysis. 323 surveys were completed. Analysis revealed statistically significant associations between respondent demographics, training satisfaction, access to resources, and perceived competency in supporting diverse communities. Conclusion: The findings indicate the need for new approaches to recruitment and training in the crisis line sector to enhance the inclusivity of crisis services for all individuals seeking mental health support.</p>","PeriodicalId":10654,"journal":{"name":"Community Mental Health Journal","volume":" ","pages":"860-873"},"PeriodicalIF":1.8,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12126342/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142945916","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Evans F Kyei, Lingling Zhang, Rockson Ansong, Grace K Kyei
{"title":"Empowering Communities and Enhancing Public Safety: Stakeholders' Perspectives on Opioid Overdose Prevention Strategies in Boston.","authors":"Evans F Kyei, Lingling Zhang, Rockson Ansong, Grace K Kyei","doi":"10.1007/s10597-024-01420-1","DOIUrl":"10.1007/s10597-024-01420-1","url":null,"abstract":"<p><p>The opioid crisis in Boston necessitated multifaceted prevention strategies. This qualitative descriptive study engaged stakeholders' perspectives to explore the role of community empowerment and educational strategies in opioid overdose prevention. Fifteen officials from law enforcement, healthcare, policy, and community organizations participated in semi-structured interviews conducted from January to March 2024. Thematic analysis using Braun and Clarke's approach, facilitated by MAXQDA software, revealed three themes: Perceived Role of Community Empowerment in Opioid Overdose Prevention, highlighting the importance of local leadership, personal recovery, and grassroots initiatives; Effectiveness of Educational Strategies in Opioid Overdose Prevention, focusing on awareness, harm reduction, and bridging gaps post-incarceration; and Challenges and Innovations in Empowering Communities and Enhancing Public Safety, emphasizing the integration of law enforcement with technological solutions and community collaboration. The study underscores the importance of integrating public health approaches with enhanced law enforcement strategies and community-driven solutions to balance immediate intervention with long-term community resilience.</p>","PeriodicalId":10654,"journal":{"name":"Community Mental Health Journal","volume":" ","pages":"834-846"},"PeriodicalIF":1.8,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142794460","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Understanding Autism as a Condition in Mental Health Clinical Practice: Clinical Perspectives from a Youth Early Psychosis Service.","authors":"Caillin Porter, Richard Whitehead, Liza Hopkins","doi":"10.1007/s10597-024-01433-w","DOIUrl":"10.1007/s10597-024-01433-w","url":null,"abstract":"<p><p>Autism is a rapidly growing phenomenon, with rates of diagnosed autism in the community rising every decade. Autism and traits of autism are also regularly part of presentation at youth mental health services, including early psychosis services. In early psychosis services young people's symptoms tend to be formulated through a psychosis lens, rather than a neurodevelopmental lens which can lead to unnecessary medicalised treatment, and treatment plans that do not consider the possible impact of neurodiversity. The following paper explores autism and traits of autism in relation to youth early psychosis, examining the complexity in accurate formulation, and the possible impacts for young people. Future directions for how services can address this issue and more effectively tailor treatment to young people are also discussed.</p>","PeriodicalId":10654,"journal":{"name":"Community Mental Health Journal","volume":" ","pages":"947-955"},"PeriodicalIF":1.8,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12126327/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142945934","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Sarah Meshberg-Cohen, Ashley M Schnakenberg Martin, Noah R Wolkowicz, Georgina M Gross, Jason C DeViva
{"title":"The Importance of Treatment Modality in Veterans with Opioid Use Disorder: Implications for Virtual Care.","authors":"Sarah Meshberg-Cohen, Ashley M Schnakenberg Martin, Noah R Wolkowicz, Georgina M Gross, Jason C DeViva","doi":"10.1007/s10597-024-01428-7","DOIUrl":"10.1007/s10597-024-01428-7","url":null,"abstract":"<p><p>This study examined treatment utilization across in-person and virtual treatment modalities in veterans who were on medications for opioid use disorder (MOUD; N = 139). Treatment records for veterans in addiction treatment on MOUD were examined for 3-months prior to telehealth conversions (\"Pre-Telehealth,\" 12/02/2019-03/14/2020), 3-months during the initial telehealth transition (\"Telehealth,\" 03/15/2020-06/30/2020) and 3-months during post-telehealth transition (\"Re-Entry,\" 07/01/2020-10/01/2020). Analyses examined the relationship between treatment modality and demographic features, psychiatric comorbidities, treatment engagement, and illness severity as measured by psychiatric emergency room (PER) utilization. Results demonstrated that modality was not associated with PER utilization. Past-year PER visits, alcohol use disorder (AUD), and psychotic disorders were associated with PER utilization during Telehealth, while AUD was associated with Re-Entry PER utilization. Given the likelihood of virtual treatment in the future, frequent in-person visits may not be necessary for MOUD; however, individuals with comorbid AUD and psychotic disorders may need additional support to prevent emergency care.</p>","PeriodicalId":10654,"journal":{"name":"Community Mental Health Journal","volume":" ","pages":"899-906"},"PeriodicalIF":1.8,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142863195","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Attitudes of Health and Mental Health Professionals, and Police Staff towards Mentally Ill Offenders in Greece.","authors":"Sophia Martinaki, Efthymia-Maria Sakellariou, Veatriki Ntelidaki, Evangelia Karachaliou, Kimonas Athanasiadis, Asimina Gkontolia, Theodora Tsiapla, Chara Tzavara, Fotios Chantzinikolaou","doi":"10.1007/s10597-024-01432-x","DOIUrl":"10.1007/s10597-024-01432-x","url":null,"abstract":"<p><p>Mentally ill offenders face stigma, being perceived as both dangerous and unpredictable. This leads to social discrimination, which causes devaluation, distancing, and unequal treatment towards them. Critical and dismissive attitudes of healthcare professionals and police toward these patients undermine their care, treatment, and prospects for rehabilitation. This study investigated the attitudes and stereotypes of health professionals and police officers who frequently interact with mentally ill offenders. Participants completed three scales: Attitudes Toward Mentally Ill Offenders (ATMIO), Community Attitudes Toward the Mentally Ill (CAMI), and Familiarity Level Scale. The sample included 523 professionals, 283 health professionals, 139 mental health professionals, and 101 police officers, with an average age of 41.4 years and 40.3% having over 20 years of experience. Results showed that all groups displayed negative attitudes toward mentally ill offenders, with little variation between them. This highlights the need for professionals to recognize their biases when caring for this population.</p>","PeriodicalId":10654,"journal":{"name":"Community Mental Health Journal","volume":" ","pages":"935-945"},"PeriodicalIF":1.8,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142876444","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}