Community Mental Health Journal最新文献

{"title":"Patient Voices: Lived Experiences of Decision-Making Process in Long-Term Antipsychotic Medication Treatment.","authors":"Refael Yonatan-Leus, Nili Karako-Eyal","doi":"10.1007/s10597-024-01416-x","DOIUrl":"10.1007/s10597-024-01416-x","url":null,"abstract":"<p><p>This research explores patients' perspectives on the decision-making process for long-term antipsychotic treatment. Twenty individuals on non-compulsory antipsychotic medications were interviewed, and their responses were analyzed using grounded theory. The analysis revealed three interconnected themes that suggest a cyclical process potentially eroding patient autonomy: According to participants' accounts, they often received limited information about dependence, withdrawal symptoms, or expected treatment duration before starting medication. Subsequently, many reported developing desires to stop or reduce their antipsychotic treatment. Participants then described experiencing dismissal of their reported side effects or treatment ineffectiveness, lack of alternatives, and opposition to reduction attempts from their psychiatrists. These experiences formed a cycle where initial information gaps contributed to later challenges when attempting treatment modifications. The findings emphasize the value of comprehensive information delivery, serious consideration of patients' reported experiences, and treatment processes that enhance patients' sense of autonomy in their psychiatric care.</p>","PeriodicalId":10654,"journal":{"name":"Community Mental Health Journal","volume":" ","pages":"603-611"},"PeriodicalIF":1.8,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142817260","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 Reentry Concerns of Incarcerated Individuals with Severe Mental Illness.","authors":"D Michael Applegarth, Laura S Abrams, David J Farabee","doi":"10.1007/s10597-024-01389-x","DOIUrl":"10.1007/s10597-024-01389-x","url":null,"abstract":"<p><p>Little is known about the factors and circumstances that relate to how incarcerated individuals with serious mental illness (SMI) view their own needs upon reentry and their ability to meet them. In this study, 101 imprisoned adults with SMI rated their level of concern over meeting their basic needs and obtaining services following incarceration. Greater reentry concern was predicted by anticipated barriers to psychological care and increased psychological distress. When participants were asked what factors concerned them most, 51% identified housing, 41% financial concerns, and 39% obtaining services. The extent level of concern related to recidivism (rearrest during the 6-month follow-up post-release) was also examined; no significant relationship was observed. Findings align with prior research, suggesting that there should be less emphasis on convincing individuals of the value of mental health care and a greater focus on how to help them meet other demands that may prevent them from seeking such services.</p>","PeriodicalId":10654,"journal":{"name":"Community Mental Health Journal","volume":" ","pages":"704-715"},"PeriodicalIF":1.8,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142616301","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":"Psychosocial Outcomes of Supported Living for People with Severe Mental Illness: A One Year Evaluation of Floating Outreach in Germany.","authors":"Lorenz B Dehn, Julia Schreiter, Ingmar Steinhart, Martin Driessen","doi":"10.1007/s10597-024-01400-5","DOIUrl":"10.1007/s10597-024-01400-5","url":null,"abstract":"<p><p>Supported living plays an important role in the community-based care for people with mental illness. However, support services like floating outreach have hardly been the subject of longer-term research to date, especially with regard to Germany. Thus, the main aim of this prospective observational study was to evaluate the psychosocial outcomes of floating outreach support for non-homeless people with severe mental illness across a one-year period. In a group of n = 119 people (M = 41 years old, 36% with affective disorders) the quantitative analyses revealed significant improvements in quality of life (MANSA), overall social functioning (SFS), as well as general support and care needs (CAN-EU). Nevertheless, there were still some unmet (and even increasing) care needs among the respondents after one year, especially in the domains of \"physical health\" and \"company of others\". These findings therefore indicate areas of support that should be given more attention in the future.</p>","PeriodicalId":10654,"journal":{"name":"Community Mental Health Journal","volume":" ","pages":"754-763"},"PeriodicalIF":1.8,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11968478/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142766873","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":"Integrated Primary Care Mental Health Service: A Qualitative Exploration of an Integrated Approach to Supporting People with Significant Mental Health Problems in Primary Care.","authors":"Pamela McSherry, Anna Maria Manti, Amy Crellin, Colette Lane, Georgina Foulds","doi":"10.1007/s10597-024-01393-1","DOIUrl":"10.1007/s10597-024-01393-1","url":null,"abstract":"<p><p>Individuals with significant mental health problems (SMHP) have historically faced challenges accessing mental health care due to gaps between primary and secondary care services. The National Health Service (NHS) Long Term Plan aims to bridge this gap through the introduction of integrated primary care services that provide holistic, person-centred, multidisciplinary support for people with SMHP. This evaluation aimed to explore the experience of service users, carers and staff working within this new model of care. A qualitative approach was employed, and semi-structured interviews were conducted with N = 123 participants (n = 106 staff, n = 15 service users, n = 2 carers). Thematic analysis identified three themes: 'opening doors and improving experiences', 'tailored and timely care' and 'connected communities'. Findings showed that the Integrated Primary Care Mental Health Service enabled earlier and easier access to mental health support for people with SMHP and supported community engagement and cross-collaboration between the NHS and partner agencies. The findings underscore the value of the Integrated Service in providing accessible, comprehensive, and person-centred mental health support at a primary care level, highlighting the benefits of cross-partnership working.</p>","PeriodicalId":10654,"journal":{"name":"Community Mental Health Journal","volume":" ","pages":"716-723"},"PeriodicalIF":1.8,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11968454/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142863281","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":"A Systematic Review of Trauma Informed Care in Substance Use Settings.","authors":"Daryl Mahon","doi":"10.1007/s10597-024-01395-z","DOIUrl":"10.1007/s10597-024-01395-z","url":null,"abstract":"<p><p>Trauma-informed care as an organisational intervention has gained increasing attention in recent years. Substance use settings may be overrepresented with service users who have experienced trauma and adversity. This systematic review will examine the effectiveness of trauma -informed care as an organisational intervention from an implementation perspective. The preferred reporting items for systematic review and meta-analyses (PRISMA) guidelines were followed. Three databases were searched; Academic Search Complete, Embase, and Scopus, supplemented with a Google Scholar search. Articles were included if they were peer reviewed in the English language from inception to February 2024 and reported on trauma- informed care in substance use settings with an implementation context. Quality appraisal was conducted with the Mixed Method Appraisal Tool. This systematic review of trauma-informed care with implementation domains in substance use settings included (N = 15) studies of varying quality; studies were classified as low quality in (n = 5), moderate in (n = 1) and high in (n = 6). Studies reported positive findings on reductions in substance use, and reductions on mental health and trauma symptoms, and treatment retention across community and residential settings. While satisfaction with services provided was also highlighted as an outcome for service users and employees. The results further highlight the importance of the role of leadership across implementation domains, and the possibility of using the 10 trauma informed implementation domains in different treatment contexts as a framework to support implementation. Findings in this review are mapped onto these 10-trauma- informed care implementation domains and reported as a narrative synthesis. Trauma- informed care is a promising organisational wide intervention with the potential to improve outcomes for service users and employees. Implementation can be supported by using the 10 trauma- informed care implementation domains described in this review. However, most of the studies were qualitative and quantitative descriptive meaning drawing causal inferences is difficult. As such, further research should be undertaken.</p>","PeriodicalId":10654,"journal":{"name":"Community Mental Health Journal","volume":" ","pages":"734-753"},"PeriodicalIF":1.8,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142784429","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":"Bridging the gap of Inequity in Implementation Science: Adaptations of Group EBPs for those with Serious Mental Illness in the Public Sector.","authors":"Erika R Carr","doi":"10.1007/s10597-024-01371-7","DOIUrl":"10.1007/s10597-024-01371-7","url":null,"abstract":"<p><p>There are many group EBPs that are now listed as effective treatments for those with serious mental illness (SMI). Despite this, there are few of these group EBPs that are being delivered consistently in the public sector, causing disparity. This article reviews the challenges that relate to implementation science and those with SMI receiving group EBPs to help them live a life of meaning as they define. The article discusses the need for adaptations of EBPs as individuals with complex concerns need different approaches to implementation science. Next, the article conveys what core constructs of group EBPs have to be maintained as they are and what elements of EBPs need adapting to empower those with SMI in engagement. This article provides knowledge of practical application of implementation science approaches while providing dialectical behavior group therapy and cognitive behavior group therapy for psychosis adaptations for those with SMI in a public sector inpatient setting.</p>","PeriodicalId":10654,"journal":{"name":"Community Mental Health Journal","volume":" ","pages":"639-648"},"PeriodicalIF":1.8,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142459895","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":"Intensive Outreach for Mental Health: Young People's Experiences of an Intensive Outreach Model on Recovery and Engagement.","authors":"India Bellairs-Walsh, Maria Nichterlein, Ben Assan, Robyn Stargatt","doi":"10.1007/s10597-024-01387-z","DOIUrl":"10.1007/s10597-024-01387-z","url":null,"abstract":"<p><p>Engagement with traditional mental health services can be particularly challenging for young people experiencing severe and complex mental health problems. Assertive community treatment-based services providing mobile outreach, such as Intensive Mobile Youth Outreach Services (IMYOS), operate across Australia to support these young people's mental health needs in the transition to adulthood. Past research on IMYOS has focused on quantitative outcome measures, and young people's experiences of this type of model are poorly understood. This study explored youth service users' experiences of an IMYOS program, focusing on the model and intervention aspects perceived as barriers and facilitators to their overall recovery and service engagement. Semi-structured, in-depth interviewing was undertaken with nine young people aged 16-19 years (M = 17.61 years) who were current or recent service users of an IMYOS program in Melbourne, Australia. Data were analysed using thematic analysis. Having a therapeutic space, clinicians' specialised expertise, use of an outreach and community-oriented approach, and care continuity and availability across settings were program aspects identified by young people as facilitating their recovery and service engagement. Program aspects perceived as barriers to recovery and engagement were clinical unsuitability and ineffectiveness of the program and interventions, and conflicts between personal autonomy and assertive care. Young people's perceptions of clinical suitability and therapeutic relevance influenced their evaluations of the overall effectiveness of the IMYOS service, which subsequently impacted their engagement. The findings provide opportunities for IMYOS clinicians to enhance young people's recovery and engagement outcomes and have implications for the improvement of this innovative service for at-risk young people.</p>","PeriodicalId":10654,"journal":{"name":"Community Mental Health Journal","volume":"61 4","pages":"693-703"},"PeriodicalIF":1.8,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11968474/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143771596","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":"Implementing Quality Improvement Initiatives Within Community Psychiatry: Challenges and Strategies.","authors":"Lucy Ogbu-Nwobodo, Anya Fang, Harminder Gill, Sam Ricardo Saenz, Paul Wallace, Christina Mangurian, Johanna B Folk","doi":"10.1007/s10597-024-01375-3","DOIUrl":"10.1007/s10597-024-01375-3","url":null,"abstract":"<p><p>Implementation of quality improvement (QI) initiatives within community mental health settings is crucial to addressing equity-related issues affecting mental health services delivery, including for co-occurring substance use disorders. Given the growing recognition of QI interventions as an effective framework to facilitate structural change within systems of care, it is important to equip mental health providers with the knowledge and ability to execute QI initiatives that are feasible, sustainable, and integrate a health equity lens. To demystify the QI process, we describe the design and methodologies of four fellows' capstone projects conducted during the 2022-2023 academic year at the University of California, San Francisco (UCSF) Public Psychiatry Fellowship at Zuckerberg San Francisco General Hospital and Trauma Center (ZSFG). By highlighting fellows' experiences with leading QI initiatives within community mental health settings, we discuss strategies for overcoming implementation barriers including stakeholder engagement and transparency factors, resource and time constraints, unexpected changes in direction, and lack of infrastructure for QI. Lastly, we reflect on best practices and sustainability considerations for leading QI initiatives in partnership with academic centers, departments of public health, and community mental health clinics.</p>","PeriodicalId":10654,"journal":{"name":"Community Mental Health Journal","volume":" ","pages":"674-681"},"PeriodicalIF":1.8,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11968491/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142708866","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":"A Scoping Review of Family-Based Interventions for Immigrant/Refugee Children: Exploring Intergenerational Trauma.","authors":"Jeeyeon Hong, Hector Chaidez Ruacho, Xiaoyi Zeng, Cynthia Franklin","doi":"10.1007/s10597-025-01463-y","DOIUrl":"https://doi.org/10.1007/s10597-025-01463-y","url":null,"abstract":"<p><p>Immigrant and refugee families often experience significant trauma, which can be transmitted across generations. Nonetheless, little is known about interventions that mitigate intergenerational trauma within these populations. We conducted a scoping review to synthesize research evidence on family-based trauma interventions for immigrant and refugee children and their families, focusing on intergenerational trauma. Our search included peer-reviewed studies published globally from 1990 to 2024 that tested intervention effectiveness using pre- and post-intervention outcomes and involved both children and family members. Five studies met our inclusion criteria, comprising two parenting interventions, two multifamily group interventions, and one schoolbased intervention. All five interventions improved the children's mental health, while mixed findings were shown with parent mental health. Only one study explicitly named intergenerational trauma as their intervention goal, revealing a significant gap in this area. Recommendations for future studies are provided to guide practice and research in this critical area.</p>","PeriodicalId":10654,"journal":{"name":"Community Mental Health Journal","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143771572","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: Patterns of Mental Health Service Utilisation: A population-Based Linkage of Over 17 Years of Health Administrative Records.","authors":"Crystal Man Ying Lee, Kevin Chai, Peter M McEvoy, Kyran Graham-Schmidt, Daniel Rock, Kim S Betts, Justin Manuel, Mathew Coleman, Shiv Meka, Rosa Alati, Suzanne Robinson","doi":"10.1007/s10597-025-01464-x","DOIUrl":"https://doi.org/10.1007/s10597-025-01464-x","url":null,"abstract":"","PeriodicalId":10654,"journal":{"name":"Community Mental Health Journal","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143771497","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}