Community Mental Health Journal最新文献

{"title":"Reflections on Implementing Multidisciplinary Mental Healthcare with Sheltered Transitional Age Youth.","authors":"Caroline Gonynor, Jordan Schueler, Daniel Flint","doi":"10.1007/s10597-026-01740-4","DOIUrl":"https://doi.org/10.1007/s10597-026-01740-4","url":null,"abstract":"<p><p>This paper describes the authors' experiences providing mental healthcare at a youth shelter. The authors provided therapy services one day a week at a multidisciplinary clinic for youth living at a shelter in the southern United States. Lessons learned include discussions on informed consent, rapport, retention, and creation of a mother's group. Providing clear information on patient rights, confidentiality and addressing current challenges with humility and compassion improves the therapeutic relationship and can lead to better retention. We hope to direct other clinicians working in this setting for limited hours per week, or on multidisciplinary health teams, guidance for engagement with youth in a shelter setting.</p>","PeriodicalId":10654,"journal":{"name":"Community Mental Health Journal","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2026-10-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149223446","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":"Correction: Implementing Proactive Smoking Cessation Induction Interventions in a Certified Community Behavioral Health Clinic: A Pilot Type 2 Hybrid Effectiveness-Implementation Study.","authors":"Sandra Japuntich, Melissa Adkins-Hempel, Nathalia Gutierrez Sacasa, Carina Lundtvedt, Sara Becker, Sarah Helseth, Rebekah Pratt, Jennifer Tidey, Shira Dunsiger, A Eden Evins, Steven Fu","doi":"10.1007/s10597-026-01738-y","DOIUrl":"https://doi.org/10.1007/s10597-026-01738-y","url":null,"abstract":"","PeriodicalId":10654,"journal":{"name":"Community Mental Health Journal","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2026-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149191951","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":"A Systematized Review of Traumatic Stress and Substance Use Interventions in Young Adults: Implications for Intervention Development with Young Adults Experiencing Homelessness.","authors":"Jesse Gamoran, Abigail Bushnell, Emmanuel Fragkos, Rachel Darbro, Amy Gueye, Nyssa L Snow-Hill","doi":"10.1007/s10597-026-01734-2","DOIUrl":"https://doi.org/10.1007/s10597-026-01734-2","url":null,"abstract":"<p><p>Young adults experiencing homelessness (YEH; aged 18-25) face high rates of co-occurring trauma and substance use problems. Trauma, homelessness, and substance use exacerbate one another, leading to a cycle that prolongs homelessness and negatively impacts health outcomes. Despite clear links between trauma, homelessness, and substance use, no intervention to date has effectively interrupted the cycle for YEH. This study used a systematized review to characterize existing interventions addressing traumatic stress and substance use to identify potentially adaptable components, implementation strategies, and structural features across the broader young adult intervention literature that could inform the development of a novel, integrated intervention for YEH. A systematized review of peer-reviewed studies from PsycINFO and PubMed was conducted. Searches captured domains of young adulthood, interventions, substance use, and traumatic stress, with and without homelessness terms. A total of 2,100 titles were screened; after duplicate removal and multi-stage screening, 39 studies met inclusion criteria. Data were extracted using a structured coding framework across three domains: effectiveness, real-world implementation, and intervention characteristics. Over half of studies used randomized controlled designs, and about three-quarters reported significant improvements across multiple outcomes (e.g., substance use, traumatic stress, mental health). However, very few interventions concurrently targeted traumatic stress and substance use, and none were designed specifically for YEH. Implementation findings highlighted strong retention but limited reporting on fidelity and cost. Interventions were most commonly delivered in academic, clinical, or service settings, with wide variation in duration, modality, and theoretical orientation. In 16 studies, at least half of participants experienced homelessness/housing instability. Although no single intervention was directly adaptable for YEH, the review identified key components to inform intervention development, including brief, flexible delivery; harm-reduction approaches; and feasibility within community-based service settings. These findings represent a critical pre-implementation step and may inform the development of a novel integrated traumatic stress and substance use intervention tailored to the needs and constraints of YEH. Future research should prioritize intervention testing directly within YEH populations to determine which components retain effectiveness and feasibility in the context of homelessness.</p>","PeriodicalId":10654,"journal":{"name":"Community Mental Health Journal","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2026-10-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149179817","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":"\"'Not just a job\": Organizational Culture and the Sustainability of the Peer and Lived Experience Workforce.","authors":"Megan Evans, Nancy Leisa, Anne Auguste, Anna Roca, Chun Hei Wong, Sin Yan Yuen, Chyrell Bellamy, Mark Costa, Maria O'Connell","doi":"10.1007/s10597-026-01724-4","DOIUrl":"https://doi.org/10.1007/s10597-026-01724-4","url":null,"abstract":"<p><p>Peer recovery support specialists represent one of the most rapidly expanding sectors of the behavioral health care workforce, yet organizational conditions that support or undermine this workforce remain underexplored. To better understand the experience of providing peer support and identify organizational factors that facilitate or hinder effective and sustainable peer work, we conducted semi-structured qualitative interviews with a convenience sample of 17 peer workers in Connecticut. Interviews were recorded, transcribed, and thematically analyzed. We identified five themes, reflecting both the profoundly meaningful roles of peer support workers and structural workplace conditions that impact workforce sustainability. Supportive supervision and a recovery-oriented workplace culture facilitated job satisfaction, while agency policies, a lack of role clarity, boundary expectations, and inequitable compensation created strain. Financial instability and a lack of organizational recognition were perceived as threats to long-term retention of the lived experience workforce. Peer work was consistently described as \"not just a job,\" and peers' abilities to effectively do their jobs were facilitated or constrained by organizational factors. Community mental health agencies can strengthen and better retain the peer workforce by fostering effective peer-informed supervision, revisiting longstanding worker policies through a lived experience lens, promoting interdisciplinary understanding of lived experience roles, and addressing inequities in compensation. Reforming organizational culture is essential to effectively retain the peer recovery workforce within community behavioral healthcare systems and deliver important recovery support services at scale.</p>","PeriodicalId":10654,"journal":{"name":"Community Mental Health Journal","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2026-10-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149179766","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":"Moving On is Hard to Do: Barriers and Facilitators to Graduation from Intensive Community Mental Health Recovery Programming.","authors":"Alyssa M Nielsen, Emily X Xu, Galina A Portnoy, Anne Klee","doi":"10.1007/s10597-026-01737-z","DOIUrl":"https://doi.org/10.1007/s10597-026-01737-z","url":null,"abstract":"<p><p>Intensive Community Mental Health Recovery (ICMHR) Services provide interdisciplinary mental health care in the community for veterans with serious mental illness. While initially recommended as time-unlimited, studies have shown that transition from such services to a lower level of care, termed \"graduation,\" can occur safely and with sustained improvement. This study aimed to understand the perceived barriers and facilitators to the transition process from ICMHR services to lower levels of care. Semi-structured qualitative interviews were conducted with 15 ICMHR team members across the VA Connecticut Healthcare System. Data was analyzed using a rapid content and matrix analysis approach to generate consensus codes and themes. This study identified individual, programmatic, and systemic factors that influence veteran transition from ICMHR services to a lower level of care. Perceived barriers included: programmatic requirements, lack of comprehensive outpatient services, perception of ICMHR programs as time-unlimited, and clinician concerns around balancing caseload acuity. Perceived facilitators included: standardized tools for graduation readiness evaluation, positive team member attitudes towards graduation, early discussion of graduation, and team member advocacy for veteran graduation. Two factors were identified as both barriers and facilitators to graduation: strong team member-veteran relationship and balancing availability and quality of care. Despite acknowledgement of barriers, ICMHR team members expressed belief in and hope for veteran graduation with sustained improvement in function and quality of life. This study informs future research and quality improvement efforts aimed at facilitating individualized and recovery-oriented mental health care for individuals transitioning from intensive community-based to lower levels of care.</p>","PeriodicalId":10654,"journal":{"name":"Community Mental Health Journal","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2026-10-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149179749","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":"Agile Co-design in Public Mental Health: An Integrated Model for Continuous Service Improvement.","authors":"Jonathan Tyler, James Wilson, Stephanie L Bennetts, Rachel M Tindall","doi":"10.1007/s10597-026-01733-3","DOIUrl":"https://doi.org/10.1007/s10597-026-01733-3","url":null,"abstract":"<p><p>Co-design has become central to mental health reform in Australia, yet it is often applied episodically rather than as a continuous practice. In public mental health, service change must occur alongside ongoing service delivery, creating challenges for leaders seeking to apply co-design principles. Agile project management provides a structured approach for iterative, reflective, and adaptive collaboration. This paper proposes an Agile co-design model and illustrates its application through reflective analysis of implementation within a public mental health service in Victoria, Australia. This approach responds directly to the Royal Commission into Victoria's Mental Health System mandate for authentic co-design and lived experience leadership in reform, moving beyond one-off project phases to embed co-design as an ongoing governance capability. Evidence suggests that Agile approaches improve delivery pace and cross-functional collaboration in healthcare, while co-design strengthens service relevance, acceptability, and trust. As such, Agile co-design may provide a mechanism for incorporating consumer and clinician voices within continuous system reform, complementing existing co-design frameworks.</p>","PeriodicalId":10654,"journal":{"name":"Community Mental Health Journal","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2026-10-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149164859","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":"Risks of Burnout Among Mobile Crisis Team Workers in a Southern U.S. State: A Pilot Study of Work Climate and Mindfulness.","authors":"Junfei Lu, Karen A Johnson, Paige Parish, Shanna McIntosh, David L Albright","doi":"10.1007/s10597-026-01736-0","DOIUrl":"https://doi.org/10.1007/s10597-026-01736-0","url":null,"abstract":"<p><p>The present pilot study examined burnout symptoms among frontline mental health workers in Mobile Crisis Teams (MCTs) and explored their associations with perceived work climate (an indicator of organizational resources) and individual mindfulness (an indicator of personal resources) after controlling for sex, race, and work experience, based on the Job Demands-Resources model. Survey data were collected from 50 participants offering mobile crisis services across 11 community mental health centers in a southern U.S. state, representing the full set of centers that had received funding to provide mobile crisis services statewide. Findings showed that 31.3% and 14.6% of participants disclosed moderate to high degrees of exhaustion and depersonalization - two key burnout symptoms. Also, the results of regression analyses indicated that individual mindfulness and work climate specifically helped predict participants' exhaustion and depersonalization, respectively, after controlling for sex, race, and work experience. Implications were discussed for burnout prevention among workers in MCTs.</p>","PeriodicalId":10654,"journal":{"name":"Community Mental Health Journal","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2026-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149126836","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":"A Scoping Review of the Peer-Reviewed Research on Alternative First Response for Mental and Behavioral Health Crisis and Homelessness.","authors":"Emily Leickly, Christian Porter, Liat Kriegel","doi":"10.1007/s10597-026-01730-6","DOIUrl":"https://doi.org/10.1007/s10597-026-01730-6","url":null,"abstract":"<p><strong>Objective: </strong>Alternative first response programs (i.e., non-law enforcement teams dispatched to calls involving mental or behavioral health crisis) have expanded rapidly, but implementation has outpaced development of an empirical evidence base. This scoping review assessed the current state of peer-reviewed research on these programs, including how they are defined and studied, and where gaps remain.</p><p><strong>Methods: </strong>Guided by PRISMA-ScR, a scoping review of peer-reviewed studies was conducted. Eligible studies described non-law enforcement teams dispatched to calls for service involving mental or behavioral health crises. PubMed was searched using a comprehensive set of keywords, supplemented by author-curated sources and reference list searches. After screening 2,510 records, 16 studies met inclusion criteria. Data extracted included study characteristics, program terminology and definitions, and findings. Content analysis identified recurring themes related to program features and research gaps.</p><p><strong>Results: </strong>All studies were published since 2019, with most since 2022. Terminology varied substantially, with \"alternative first response\" and \"mobile crisis teams\" most commonly used. Programs were typically defined in contrast to police response and staffed by multidisciplinary teams. Most focused on mental health crisis, often overlapping with homelessness and substance use, and emphasized de-escalation, service linkage, and diversion from criminal legal and emergency systems. Research gaps included limited attention to client experiences, particularly among marginalized populations, and a lack of longitudinal, experimental, and cost-effectiveness research.</p><p><strong>Conclusions: </strong>There is little empirical research on alternative first response programs. More rigorous, longitudinal, and client-focused research is needed to assess program impacts and inform implementation, policy, and funding decisions.</p>","PeriodicalId":10654,"journal":{"name":"Community Mental Health Journal","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2026-10-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149105271","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":"Measuring and Characterizing Psychiatric Multimorbidity Among Individuals with Mental Illness.","authors":"Paige M Shaffer, David Smelson, Laura Attanasio, Sarah L Goff, Elizabeth Bertone-Johnson, Kimberley Geissler","doi":"10.1007/s10597-026-01675-w","DOIUrl":"https://doi.org/10.1007/s10597-026-01675-w","url":null,"abstract":"<p><p>Psychiatric multimorbidity, defined as the co-occurrence of two or more psychiatric diagnoses, is increasingly recognized as a marker of clinical complexity. While prior research has examined psychiatric comorbidity in selected populations or via structured diagnostic interviews, less is known about the rates of psychiatric multimorbidity as documented in administrative claims. To address this gap, this study characterizes psychiatric multimorbidity within a statewide insured population. We conducted a cross-sectional analysis of the Massachusetts All-Payer Claims Database (2016-2018) including adults aged 21-64 years with at least one psychiatric diagnosis and insured by Medicaid or commercial insurance. Psychiatric disorders were identified using ICD-10-CM codes grouped into diagnostic categories, with complete code listings provided in supplementary material. Psychiatric multimorbidity was defined as ≥ 2 distinct psychiatric diagnoses documented within a calendar year. Substance use disorder diagnoses were unavailable due to APCD redaction policies and were excluded. Logistic regression models were used to examine associations of psychiatric multimorbidity with patient characteristics. The sample included 2,409,794 person-year observations representing 653,413 unique people with mental health disorders. 68.8% of the population had only one mental health disorder, 17.4% had two mental health disorders, and 13.8% had three or more mental health disorders. In multivariable analyses, females had higher odds of psychiatric multimorbidity compared to males (adjusted Odds Ratio (aOR) = 1.23, 95% CI = 1.22,1.24), and those with any medical comorbidity had higher odds of psychiatric multimorbidity compared to people without a medical comorbidity (aOR = 1.37, 95% CI = 1.36,1.38). Medicaid enrollment was associated with higher odds of psychiatric multimorbidity compared to those with commercial insurance (aOR = 1.25, 95% CI = 1.24,1.25). Those with serious mental illness had nearly nine times the odds of having psychiatric multimorbidity (aOR = 8.92, 95% CI = 8.84,8.99) compared to people without serious mental illness. This study extends prior population-based and specialty-care research by examining psychiatric multimorbidity in a statewide insured population spanning both public and private payers. In this sample, one in three individuals with a mental illness diagnosis had psychiatric multimorbidity. Findings underscore the complexity of psychiatric presentations in clinical care, highlight greater multimorbidity among Medicaid enrollees, and point to the need for integrated and patient-centered treatment approaches. Because substance use disorders were excluded, findings likely represent conservative estimates of psychiatric multimorbidity.</p>","PeriodicalId":10654,"journal":{"name":"Community Mental Health Journal","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2026-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149105252","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 Data Use in Community Coalitions: Insights from a CFIR 2.0-Informed Study of the Ohio HEALing Communities Initiative.","authors":"Kathryn Lancaster, Cheyenne Wagi, John Myers, Maria Pacheco Garrillo, Sylvia Ann Ellison, Ramona Olvera, Bridget Freisthler","doi":"10.1007/s10597-026-01617-6","DOIUrl":"10.1007/s10597-026-01617-6","url":null,"abstract":"","PeriodicalId":10654,"journal":{"name":"Community Mental Health Journal","volume":" ","pages":"1337-1349"},"PeriodicalIF":2.1,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13585880/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147764654","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}