Rose E Miola, Matthew R Morgan, McKenzie N Green, Rayelle N Ross
{"title":"Post-Traumatic Stress Across Color Lines: A History of Anti-Black Exclusion & PTSD.","authors":"Rose E Miola, Matthew R Morgan, McKenzie N Green, Rayelle N Ross","doi":"10.1007/s10597-025-01450-3","DOIUrl":"10.1007/s10597-025-01450-3","url":null,"abstract":"<p><p>Black Americans with Posttraumatic Stress Disorder have less access to mental healthcare compared to White Americans. Many factors contribute to this inequity, including broader disparities within the healthcare system driven by systemic racism, and an underutilization of mental health services by Black Americans due to provider bias and stigma around mental health care. These disparities are rooted in a racist historical context of exclusion and abuse of the Black community by the White psychiatric establishment, and a perpetration of further trauma on Black clients, a context that is largely missing from traditional mental health education and literature on Black mental health today. This article aims to provide a necessary historical context of how the U.S. mental health care system has excluded Black Americans from trauma treatment. We use a contemporary trauma lens to demonstrate the ways in which Black trauma has existed throughout U.S. history, but how White psychiatry has cast trauma symptoms as evidence of racial inferiority, has excluded Black individuals from treatment, and has abused Black patients, thereby increasing Black trauma. The purpose of this review is to inform and educate mental health providers about our collective history, to counter a narrative of amnesia which identifies Black underutilization of services but forgets the exclusion from and abuse of Black people within the mental health system. We conclude with recommendations that providers can utilize to engage in antiracist practice and create an affirmative space for Black Americans to utilize trauma treatment and mental health care freely.</p>","PeriodicalId":10654,"journal":{"name":"Community Mental Health Journal","volume":" ","pages":"1102-1114"},"PeriodicalIF":1.8,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143028097","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}
Clayton English, Peggy S Odegard, Andy Stergachis, Jennifer Hookstra Danielson, Cyndy R Snyder, Jennifer L Bacci
{"title":"Provision of Mental and Behavioral Health Supports and Services by Pharmacists in Washington State.","authors":"Clayton English, Peggy S Odegard, Andy Stergachis, Jennifer Hookstra Danielson, Cyndy R Snyder, Jennifer L Bacci","doi":"10.1007/s10597-024-01441-w","DOIUrl":"10.1007/s10597-024-01441-w","url":null,"abstract":"<p><p>Pharmacists are highly accessible healthcare professionals with presence in communities, hospitals, and clinics. They are well positioned to expand their roles in supporting individuals with mental health challenges. A cross-sectional study was conducted to identify trends in how pharmacists assess, monitor, identify, and care for patients with mental health challenges. The survey was distributed to licensed pharmacists in Washington State (n = 8,082) in 2023. Questions addressed the provision of mental health supports and services provided by pharmacists, respondents' self-assessed preparedness in delivering services, and professional and personal demographics. Data were analyzed using descriptive statistics and logistic regression. A total of 856 responses were received (10.6%) and 810 were included in the final dataset. Most respondents held a PharmD degree (74%). Common practice environments included community (37%), hospital (27%), and clinic (21%) settings. Less than 1% were board-certified psychiatric pharmacists. The most common mental health services provided involved medication-related services, including talking to patients regarding psychiatric medication (51%), consulting with physicians (47%), and assessing side effects (45%). Over 60% of pharmacists reported being prepared to deliver these services. Less than 30% of pharmacists indicated they were prepared to conduct mental health screenings or make referrals, and provision of these services was low. A statistically significant association was found between preparedness and providing supports and services (p < 0.001). Overall, pharmacists indicated they were more prepared and frequently delivered services related to medication use for mental health indications, while preparedness and offerings for non-medication activities was low, highlighting opportunities for further professional development.</p>","PeriodicalId":10654,"journal":{"name":"Community Mental Health Journal","volume":" ","pages":"1017-1026"},"PeriodicalIF":1.8,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142920850","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}
Shelly Ben-David, Michelle Biddell, Jessica P Lougheed, Chantal Vien, Radha Ortiz, David Kealy, Shelagh Turner, Mike Gawliuk, Steve Mathias, Skye Barbic
{"title":"Youth Emotional Pathways to Mental Health Services: I Came to Foundry to \"Remember What it Feels Like to Cry\".","authors":"Shelly Ben-David, Michelle Biddell, Jessica P Lougheed, Chantal Vien, Radha Ortiz, David Kealy, Shelagh Turner, Mike Gawliuk, Steve Mathias, Skye Barbic","doi":"10.1007/s10597-025-01456-x","DOIUrl":"10.1007/s10597-025-01456-x","url":null,"abstract":"<p><p>Mental health difficulties typically develop during adolescence, yet service utilization rates among youth are low. We sought to understand perspectives among Canadian youth accessing mental health services at an integrated youth services centre called Foundry. Forty-one semi-structured qualitative interviews were conducted with youth aged 15-24 years. A grounded theory framework was developed. Youth described emotional experiences of distress as catalysts to seeking mental health services. They also discussed challenges in understanding their own emotions as barriers to accessing mental health services. Gender identity and norms influenced participants' experiences of accessing services. Anxious emotions were predominantly associated with youths' experiences with seeking mental health services. Conversely, once at Foundry, over half the youth experienced positive emotions about help-seeking, with more than half of these youth continuing to access services post interview. Providing Integrated Youth Services like Foundry can increase service engagement and support adaptive emotional development for youth of all genders.</p>","PeriodicalId":10654,"journal":{"name":"Community Mental Health Journal","volume":" ","pages":"1155-1167"},"PeriodicalIF":1.8,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143448085","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":"How are Ambulatory Treatment and Personalised Care Being Implemented in Psychiatry? An Analysis of Eight Years of Activity Records of a Belgian Mobile Crisis Team Developed in the Context of the 'Psy 107' Reform.","authors":"Sophie Pesesse","doi":"10.1007/s10597-025-01457-w","DOIUrl":"10.1007/s10597-025-01457-w","url":null,"abstract":"<p><p>Since 2009, the 'Reform 107' has been carrying out a substantial transformation of mental healthcare in Belgium, underpinned by two high ideals: ambulatory treatment and personalised care. Whilst there is broad support for the reform, its implementation is not without its problems and little data exists as to its effects. With that in mind, this article endeavours to assess the care provided by a Brussels-based mobile crisis team. Established by funding generated for the reform, this team has taken these ideals fully on board and, as a crisis response measure providing intensive and short-term care, is playing a central role in the organisation and management of mental healthcare across its territory. Therefore, with an approach at the intersection of the sociology of health and the sociology of public action, this article asks the following question: how are these ambitions- ambulatory treatment and personalised care- enacted in concrete terms in this mobile crisis team's care provision practices? The analysis, based on eight years of activity records of this team, has brought to light that, on the one hand, the care interventions provided and patient referrals, when they occur, are for the most part ambulatory, but that hospitalisations still play a prominent role. On the other hand, this mobile team's care provision is personalised, in particular regarding its duration. It emerges that this duration is correlated with certain individual characteristics, but the analyses nevertheless highlight the presence of other circumstantial determinants, calling for more research to be carried out as to their impact.</p>","PeriodicalId":10654,"journal":{"name":"Community Mental Health Journal","volume":" ","pages":"1168-1180"},"PeriodicalIF":1.8,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143556115","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":"Factors Associated with Housing Stability Among Individuals with Co-Occurring Serious Mental Illness and Substance Use Disorders Receiving Assertive Community Treatment Services.","authors":"Yeqing Yuan, Jennifer Manuel","doi":"10.1007/s10597-024-01443-8","DOIUrl":"10.1007/s10597-024-01443-8","url":null,"abstract":"<p><p>Assertive Community Treatment (ACT) is a community-based, multidisciplinary mental health treatment model with improved housing stability as a treatment goal. We know little about factors contributing to housing stability among ACT participants with co-occurring serious mental illness and substance use disorders, who account for 30% of the ACT participant population. Informed by the behavioral model of health service use, the present study aimed to examine the relationship between housing stability and theoretically relevant factors. We retrospectively abstracted the data from two ACT teams' treatment service planning and tracking system. Stable housing was defined by living in a private residence or permanent supportive housing throughout the assessment periods; unstable housing was defined by having at least one unstable housing situation (e.g., jail or prison) throughout the assessment periods. The sample included 57 individuals with 272 assessment charts. Multivariate logistic regression results show that service engagement was associated with housing stability and that receiving housing supportive services was inversely associated with housing stability. The findings support prior literature in that service engagement remained a \"critical ingredient\" of the ACT model and highlights the importance of the supportive aspect of housing services in improving housing stability among individuals with co-occurring disorders.</p>","PeriodicalId":10654,"journal":{"name":"Community Mental Health Journal","volume":" ","pages":"1007-1016"},"PeriodicalIF":1.8,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12228652/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142909357","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}
Krista P Woodward, Rebecca L Fix, Alexander Testa, Dylan B Jackson
{"title":"Self-Directed Violence Among Black Young Adults with Negative Police Experiences.","authors":"Krista P Woodward, Rebecca L Fix, Alexander Testa, Dylan B Jackson","doi":"10.1007/s10597-024-01442-9","DOIUrl":"10.1007/s10597-024-01442-9","url":null,"abstract":"<p><p>The current study assessed associations between negative experiences with police and self-directed violence (SDV) among a United States (US) sample of Black young adults ages 18-29 reporting lifetime police stops. Data come from the \"INtervening on Self-Harm and Policing to Increase Racial Equity\" (INSPIRE) survey (N = 672) and were collected between December 2023 and March 2024. This high-risk sample exhibited elevated rates of self-harm ideation or NSSI (27.23%) and attempted suicide (48.22%). Findings also revealed that, net of covariates, both police discrimination and arrest increased the relative risk of self-harm or NSSI by 257% and 242%, respectively. These police experiences also significantly increased the risk of attempted suicide. When examining specific forms of police discrimination, discrimination by race, immigration status, and sexual orientation emerged as significant predictors of one or more SDV outcomes. Results signal a need for SDV screenings among Black young adults with a history of negative experiences with police discrimination and arrest in the US.</p>","PeriodicalId":10654,"journal":{"name":"Community Mental Health Journal","volume":" ","pages":"1027-1036"},"PeriodicalIF":1.8,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143001557","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}
Kahlil C DuPerry, Shaina Siber-Sanderowitz, Elisabeth Hill, Melissa Cintron-Arroyo, Allison Glasgow, Julia Vileisis
{"title":"Acute Needs, ACUTE Response: Development and Delivery of a Mental Health Urgent Care in the Bronx.","authors":"Kahlil C DuPerry, Shaina Siber-Sanderowitz, Elisabeth Hill, Melissa Cintron-Arroyo, Allison Glasgow, Julia Vileisis","doi":"10.1007/s10597-024-01448-3","DOIUrl":"10.1007/s10597-024-01448-3","url":null,"abstract":"<p><p>As mental health needs rise, creative and timely solutions are essential. Leveraging the expansion and flexibility of virtual services to create telehealth and hybrid offerings is crucial for addressing systemic barriers in mental health, enhancing accessibility, and providing flexible, comprehensive care options for diverse patient populations. This article discusses the development of a mental health urgent care program within a large medical system in a densely populated, under-resourced community. The program was designed to address common community mental health barriers across multiple care entry points, including ambulatory settings, emergency care, and consultation services. Using a multipronged approach, this program aims to improve patient access, care continuity, and outcomes. The authors encourage others to consider adopting a similar programmatic infrastructure to reduce mental health care barriers in their communities.</p>","PeriodicalId":10654,"journal":{"name":"Community Mental Health Journal","volume":" ","pages":"1083-1090"},"PeriodicalIF":1.8,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12228658/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142945911","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}
{"title":"Attitudes of Peer Support Workers towards the Medical Model: A Qualitative Study from the Viewpoints of Peer Support Workers and Mental Health Staff.","authors":"Guillermo Ruiz-Pérez, Sebastian von Peter","doi":"10.1007/s10597-025-01454-z","DOIUrl":"10.1007/s10597-025-01454-z","url":null,"abstract":"<p><p>Attitudes of Peer Support Workers are generally expected to be grounded in recovery philosophy. They may encounter resistance from Mental Health Workers, which tend to be more closely aligned with the medical model. We aim to investigate how PSWs relate in clinical contexts to some main aspects of medical model-based attitudes. This research is part of the larger ImpPeer-Psy5 project, involving 57 interviews with PSWs, MHWs, and service users. The findings presented here were derived from a qualitative sub-study with 5 more interviews and one focus group with MHWs. Some PSWs view psychiatric diagnoses as helpful for their own recovery and interactions with clients, while others find them reductive and stigmatizing. Similarly, PSWs hold varying opinions on psychiatric drugs, with some seeing them as beneficial and necessary, while others have critical views. MHWs' expectations on PSWs may not always align with their attitudes.</p>","PeriodicalId":10654,"journal":{"name":"Community Mental Health Journal","volume":" ","pages":"1138-1147"},"PeriodicalIF":1.8,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12228647/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143406194","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}
{"title":"Barriers to and Facilitators of Mental Health Treatment Among Suicidal Individuals.","authors":"Joshua S Steinberg, Kelly L Green","doi":"10.1007/s10597-024-01446-5","DOIUrl":"10.1007/s10597-024-01446-5","url":null,"abstract":"<p><p>Many suicidal individuals do not access outpatient treatment, and those who do often do not receive empirically supported treatments for reducing suicide risk. Few studies have investigated the barriers to and facilitators of outpatient mental health (MH) treatment among suicidal individuals. We used a survey to understand the experiences of those with a history of suicidal ideation. Participants (N = 111) with a history of suicidal ideation during adulthood answered questions about their history of suicidal thoughts and behaviors (STBs), MH treatment, and their perceptions of barriers to and facilitators of treatment. We found that participants who reported a lifetime suicide attempt endorsed greater barriers to (t(106) = 2.76, p = .003) and weaker facilitators of (t(109) = -1.8, p = .037) receiving outpatient treatment for STBs; additionally, attitudinal barriers were associated with having made a suicide attempt (OR = 3.47, 95% CI [1.18, 10.20], p = .024). These results emphasize the importance of efforts to bolster facilitators and mitigate barriers to treatment for STBs. Future work should continue to elucidate treatment barriers and facilitators to improve treatment engagement for suicidal individuals.</p>","PeriodicalId":10654,"journal":{"name":"Community Mental Health Journal","volume":" ","pages":"1062-1071"},"PeriodicalIF":1.8,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143001553","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}
Elizabeth Siantz, Shanaya Fox, Emily Rougelot, Morgan Pelot, Laysha Ostrow
{"title":"It's Like Adding a Drop of Ink to Milk and Shaking It: Newly Certified Peer Specialist Reflections on Lived Recovery Expertise and Professional Identity.","authors":"Elizabeth Siantz, Shanaya Fox, Emily Rougelot, Morgan Pelot, Laysha Ostrow","doi":"10.1007/s10597-025-01455-y","DOIUrl":"10.1007/s10597-025-01455-y","url":null,"abstract":"<p><strong>Introduction: </strong>Self-disclosure of lived recovery experiences is a cornerstone of peer support work. However, few studies have explored how early career certified peer specialists (CPSs) integrate or plan to integrate their own lived recovery experiences into their CPS work, or the challenges they expect to experience when doing so. In this qualitative study, we explore how early career CPSs use their lived recovery experience and challenges that accompany self-disclosure.</p><p><strong>Methods: </strong>Qualitative data were collected as part of multistate, 3-year observational prospective cohort study of CPS graduate employment trajectories. We conducted in-depth, semi-structured interviews with a subsample of early-career CPSs about their transition to the workforce; this study reports on interview material focused on how participants use and expect to use their recovery experiences. Data were analyzed using thematic and content analysis informed by constant comparative methods.</p><p><strong>Results: </strong>N = 25 individuals participated in an interview. While participants generally felt positive about sharing their personal recovery stories in their CPS role, some reported potential challenges they expect to experience, such as misalignment of recovery experiences or being re-traumatized when sharing their recovery stories with clients and coworkers.</p><p><strong>Conclusion: </strong>That study participants held mixed feelings about sharing lived experience suggests that the peer support workforce needs early career professional support, such as peer-to-peer supervision models that focus on CPS wellbeing, in addition to job performance.</p>","PeriodicalId":10654,"journal":{"name":"Community Mental Health Journal","volume":" ","pages":"1148-1154"},"PeriodicalIF":1.8,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143398461","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}