Sam Barans, Justine L Saavedra, David T Lardier, Mauricio Tohen, Rhoshel Lenroot, Juan Bustillo, Dawn Halperin, Bess Friedman, Rachel Loewy, Cristina Murray-Krezan, Stephanie McIver, Annette S Crisanti
{"title":"Characteristics Associated with Engagement in the Early Detection Cascade of Care for Psychosis at a College Counseling Center.","authors":"Sam Barans, Justine L Saavedra, David T Lardier, Mauricio Tohen, Rhoshel Lenroot, Juan Bustillo, Dawn Halperin, Bess Friedman, Rachel Loewy, Cristina Murray-Krezan, Stephanie McIver, Annette S Crisanti","doi":"10.1007/s10597-024-01430-z","DOIUrl":"10.1007/s10597-024-01430-z","url":null,"abstract":"<p><p>Using the Cascade of Care framework, we explored the demographic and clinical characteristics of students at six stages in an early psychosis detection program at a college counseling center, with a focus on the transition between stages with the highest disengagement. We detailed and compared the demographic and clinical characteristics of those who (1) completed the Prodromal Questionnaire-Brief (PQ-B, N = 1588); (2) met the PQ-B cutoff score (n = 486); (3) were referred for secondary phone screening (n = 404); (4) completed secondary phone screening (n = 198); (5) completed a Coordinated Specialty Care (CSC) eligibility assessment (n = 51); and (6) were enrolled in CSC (n = 21). Education level and gender identity were associated with engagement at multiple stages of the early detection cascade. Graduate education level, transgender or gender diverse gender identity, alcohol use, and depressive symptoms predicted student follow-through with referral to secondary phone screenings.</p>","PeriodicalId":10654,"journal":{"name":"Community Mental Health Journal","volume":" ","pages":"913-922"},"PeriodicalIF":1.8,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12126344/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142930651","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}
Regina Skar-Fröding, Hanne Kristin Clausen, Eva Biringer, Torleif Ruud, Jurate Šaltyte Benth, Mina Veland, Kristin S Heiervang
{"title":"Service and Treatment Factors as Predictors of Satisfaction with Mental Health Services Among Service Users with Psychosis.","authors":"Regina Skar-Fröding, Hanne Kristin Clausen, Eva Biringer, Torleif Ruud, Jurate Šaltyte Benth, Mina Veland, Kristin S Heiervang","doi":"10.1007/s10597-024-01418-9","DOIUrl":"10.1007/s10597-024-01418-9","url":null,"abstract":"<p><p>Satisfaction with services among service users is an important aspect of quality in mental health care. This prospective study investigated associations between service and treatment factors at baseline and satisfaction with services at 18-month follow-up among service users with psychosis in specialist mental health services. Data were collected from 119 service users with psychosis and their clinicians from 26 clinical sites across Norway at baseline and after 18 months. Satisfaction with services was measured using the Client Satisfaction Questionnaire-8 (CSQ-8). Linear mixed models with random intercepts for units were estimated to test the association between service- and treatment-related predictors and the CSQ-8. Participating in the Individual Placement and Support program or other interventions to promote work or study, receiving well-coordinated services, and receiving helpful assistance from a general practitioner at baseline were positively associated with satisfaction with services at 18-month follow-up. The present results suggest that receiving integrated and well-coordinated services and targeting the goal of facilitating employment and study opportunities is important for satisfaction with services among service users with psychosis.</p>","PeriodicalId":10654,"journal":{"name":"Community Mental Health Journal","volume":" ","pages":"818-826"},"PeriodicalIF":1.8,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12126345/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142799525","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}
Jack Tsai, Katherine Dillard Gonzalez, Ryan Orsinger, Kim Jefferies
{"title":"Haven for Hope: A Transformational Campus Model to Address Homelessness.","authors":"Jack Tsai, Katherine Dillard Gonzalez, Ryan Orsinger, Kim Jefferies","doi":"10.1007/s10597-024-01419-8","DOIUrl":"10.1007/s10597-024-01419-8","url":null,"abstract":"<p><p>Haven for Hope is a 501(c)(3) nonprofit organization that has been rarely described in the research literature but has become nationally known for its comprehensive homeless response system in San Antonio, Texas. Haven for Hope operates a 22-acre campus that includes a Transformational Campus and a Courtyard that serves over 9,000 clients annually, including chronically homeless individuals, veterans, children, and families. Haven for Hope offers a \"one-stop\" design that allows dozens of community partner organizations to provide housing, meals, healthcare, job training, education, childcare, and pet services on-site. To maintain community collaborations, Haven for Hope undertakes numerous operational activities on a regular basis and employs individuals with lived experience at all organizational levels. Lessons can be extracted from history and current operations of Haven for Hope. Further research at Haven for Hope is needed to understand what and how its various models and programs benefit individuals and families experiencing homelessness.</p>","PeriodicalId":10654,"journal":{"name":"Community Mental Health Journal","volume":" ","pages":"827-833"},"PeriodicalIF":1.8,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142784431","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}
Monirah Al-Abdulmunem, Ellen E Kozelka, Stephanie C Acquilano, Robert E Drake, Elizabeth Carpenter-Song, Glyn Elwyn
{"title":"Supporting the Individualized Use of Digital Tools in Community Mental Health: The Technology Specialist Pilot Study.","authors":"Monirah Al-Abdulmunem, Ellen E Kozelka, Stephanie C Acquilano, Robert E Drake, Elizabeth Carpenter-Song, Glyn Elwyn","doi":"10.1007/s10597-024-01439-4","DOIUrl":"10.1007/s10597-024-01439-4","url":null,"abstract":"<p><p>This pilot study evaluated the feasibility of the technology specialist intervention, which assists clients in achieving mental health recovery and well-being goals via existing digital tools in a real-world community mental health setting. Thirteen adult clients with serious mental illness and their providers completed baseline, 3-, and 6-month assessments, including goal setting, self-efficacy, activation, and acceptability measures, along with weekly ecological momentary assessments. Clients selected goals and corresponding tools, used the tools steadily, and showed improvement in activation and self-efficacy. Most participating clients (82%, n = 9) and providers (80%, n = 8) found the intervention acceptable. These preliminary findings show that the technology specialist intervention is promising and warrants further testing.</p>","PeriodicalId":10654,"journal":{"name":"Community Mental Health Journal","volume":" ","pages":"989-993"},"PeriodicalIF":1.8,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142945865","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 C Thomas, Alicia Lucksted, Laura A Siminoff, Irene Hurford, Maria O'Connell, David L Penn, Irene Casey, Margaret Smith, John Suarez, Mark S Salzer
{"title":"Case Study Analysis of a Decision Coaching Intervention for Young Adults with Early Psychosis.","authors":"Elizabeth C Thomas, Alicia Lucksted, Laura A Siminoff, Irene Hurford, Maria O'Connell, David L Penn, Irene Casey, Margaret Smith, John Suarez, Mark S Salzer","doi":"10.1007/s10597-024-01425-w","DOIUrl":"10.1007/s10597-024-01425-w","url":null,"abstract":"<p><p>Young adults with early psychosis often disengage from essential early intervention services (i.e., Coordinated Specialty Care or CSC in the United States). While decision support interventions improve service engagement, their use in this population is underexplored. This study evaluated the feasibility, acceptability, fidelity, and potential impact of a decision coaching intervention for young adults with early psychosis in CSC services. Using a mixed-method, longitudinal, collective case study design, we assessed the intervention's impact on decision-making needs through the Decisional Conflict Scale and qualitative interviews. We also evaluated feasibility, fidelity, and acceptability through observations and feedback from interventionists and participants. Eight young adults from three CSC programs participated, showing variable engagement, with generally favorable fidelity and acceptability ratings. The Decisional Conflict Scale revealed mixed findings, while four themes from qualitative interviews emerged: Perspective and Information Seeking, Motivation and Prioritization, Empowerment and Confidence, and Critical Thinking and Evaluation. The findings suggest that training CSC providers-including peer specialists and clinicians-to deliver decision coaching with fidelity is feasible, well-received by young adults, and potentially impactful on decision-making. Replication in a larger controlled trial, addressing observed study limitations, is warranted. This trial was registered with ClinicalTrials.gov (Identifier: NCT04532034) on August 28, 2020, as Temple University Protocol Record 261047, Facilitating Engagement in Evidence-Based Treatment for Early Psychosis (https://clinicaltrials.gov/ct2/show/NCT04532034?term=NCT04532034&draw=2&rank=1).</p>","PeriodicalId":10654,"journal":{"name":"Community Mental Health Journal","volume":" ","pages":"874-889"},"PeriodicalIF":1.8,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142920925","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}
Alison M Elliott, Bethany Jana, Thi Vu, Macie Rush, Aaliyah Belk, Dane Emmerling, Vichi Jagannathan, Seth Saeugling, Abigail Hatcher
{"title":"Building Community Resilience Through Trauma-Informed Solutions: Lessons Learned from a Social Accelerator in Rural North Carolina.","authors":"Alison M Elliott, Bethany Jana, Thi Vu, Macie Rush, Aaliyah Belk, Dane Emmerling, Vichi Jagannathan, Seth Saeugling, Abigail Hatcher","doi":"10.1007/s10597-024-01435-8","DOIUrl":"10.1007/s10597-024-01435-8","url":null,"abstract":"<p><p>Adverse childhood experiences and intergenerational trauma are associated with a variety of negative health outcomes and are particularly prevalent among people of color and those living in rural communities. The social accelerator model offers a novel means of assisting organizations in scaling up their initiatives and increasing their impact. This study investigates the lessons learned from adapting the social accelerator model to address community-level trauma and build resilience in a rural setting. We conducted qualitative interviews with program staff and the initial cohort of participants of the Resilient Leaders Initiative: a trauma-informed social accelerator designed for public institutions in Edgecombe County, North Carolina. Participating community organizations included a local high school, church, and courthouse. In-depth interviews (n = 23) explored strengths, challenges, and perceived outcomes of the program and were thematically analyzed. The program's deep community ties generated strong relationships among the cohort and created a safe space for participants to address trauma. Those interviewed identified the virtual program's flexible structure as a key strength, but also reported experiencing confusion around roles, outcomes, and program language. A shared passion for building community resilience among participants and staff served as a key motivator throughout the program. Findings indicate that a flexible environment, strong interpersonal relationships, and deep community roots are essential to facilitating the creation of trauma-informed solutions among community organizations via the social accelerator model.</p>","PeriodicalId":10654,"journal":{"name":"Community Mental Health Journal","volume":" ","pages":"962-972"},"PeriodicalIF":1.8,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12126357/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143406225","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}
Samantha J Reznik, Alicia Lucksted, Neely Myers, Nev Jones, Mark Savill, Shannon Pagdon, Sabrina Ereshefsky, Preethy George, Howard Goldman, Stephania L Hayes, Vanessa V Klodnick, Kathleen E Nye, Anne Williams-Wengerd
{"title":"Increasing the Value of Health Intervention Trials: Qualitative Research in the Early Psychosis Intervention Network (EPINET).","authors":"Samantha J Reznik, Alicia Lucksted, Neely Myers, Nev Jones, Mark Savill, Shannon Pagdon, Sabrina Ereshefsky, Preethy George, Howard Goldman, Stephania L Hayes, Vanessa V Klodnick, Kathleen E Nye, Anne Williams-Wengerd","doi":"10.1007/s10597-024-01427-8","DOIUrl":"10.1007/s10597-024-01427-8","url":null,"abstract":"<p><p>Despite the substantial capacity of qualitative and mixed methods research to advance healthcare and interventions knowledge, most large-scale health intervention trials exclusively use quantitative methods. The authors argue that qualitative research can optimize investments in these studies. As researchers within the Early Psychosis Intervention Network (EPINET), the authors highlight examples of how qualitative research has enhanced this national initiative, organizing them with a Learning Health System (LHS) framework to demonstrate the ways qualitative research can increase value at each phase of a health trial. They emphasize the critical need for integrating qualitative research from the beginning of health trials, ensuring its influence in decision-making, creating infrastructure to support it, and promoting meaningful representation within research teams. By illustrating the advantages of qualitative research in EPINET, they advocate for sustained commitment to qualitative research in health trials to maximize value in client and provider experience, cost, and population health.</p>","PeriodicalId":10654,"journal":{"name":"Community Mental Health Journal","volume":" ","pages":"809-817"},"PeriodicalIF":1.8,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12126312/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143440223","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":"Dialogical and Relational Taster Training (DARTT): Service User, Carer & Public Perception.","authors":"Russell Razzaque, Emma Mckenzie","doi":"10.1007/s10597-024-01429-6","DOIUrl":"10.1007/s10597-024-01429-6","url":null,"abstract":"<p><p>In response to the paucity of training in therapeutic relationships and relational care for mental health clinicians, a new three-day training programme has been developed called Compassionate and Relational Enquiry (CARE). A condensed version of this training was recently delivered to mental health service users, carers and the public during a one-day online taster session- named Dialogical And Relational Taster Training (DARTT) - to understand their perception of this training programme. 21 people took part in this taster training day and subsequently completed a survey about their impression of different elements of the training. This paper outlines the key elements of the taster training that were delivered and survey results. Overall, the response to the survey shows a positive impression of the training and the core components of it. These survey results appear to affirm the importance of relational aspects of care, especially as understood by those using services and their carers.</p>","PeriodicalId":10654,"journal":{"name":"Community Mental Health Journal","volume":" ","pages":"907-912"},"PeriodicalIF":1.8,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142913819","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}
Kevin-Marc Valery, Simon Felix, Meryl Caiada, Thomas Fournier, Sarah Guionnet, Adrien Seguela, Emma Tison, Louis Violeau, Antoinette Prouteau
{"title":"The Power of Beliefs in Recovery-Oriented Practice: A Brief Report from the STIGMAPRO Survey.","authors":"Kevin-Marc Valery, Simon Felix, Meryl Caiada, Thomas Fournier, Sarah Guionnet, Adrien Seguela, Emma Tison, Louis Violeau, Antoinette Prouteau","doi":"10.1007/s10597-024-01437-6","DOIUrl":"10.1007/s10597-024-01437-6","url":null,"abstract":"<p><p>Despite the international incentives and the worldwide development of recovery-oriented policies, it has proven challenging to establish recovery-oriented mental health services that take into account users' subjectivity and perspectives (Slade et al., World Psychiatry 13(1):12-20, 2014. https://doi.org/10.1002/wps.20084 ). The objective of this study was to identify individual beliefs that are correlated with six recovery-oriented practices in schizophrenia among mental health professionals. Seven individual beliefs were examined for their association with each of the aforementioned practices: belief in recovery possibilities, biological beliefs, desire for social distance, perceived similarities, professional utility beliefs, continuum beliefs, and categorical beliefs. The results indicated that belief in the possibility of recovery from schizophrenia and professional efficacy beliefs were the most strongly associated with the six recovery-oriented practices examined. Conversely, there was a negative association between stigma score (desire for social distance) and the six recovery-oriented practices. The remaining four beliefs-biological, perceived similarity, categorical, and continuum-were found to be more weakly associated with recovery-oriented practices. In light of these findings, it is evident that mental health professionals' individual beliefs warrant further consideration in research endeavors aimed at fostering and facilitating the implementation of recovery-oriented practices.</p>","PeriodicalId":10654,"journal":{"name":"Community Mental Health Journal","volume":" ","pages":"973-977"},"PeriodicalIF":1.8,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142945933","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}
Jeanie Tse, Kevin Rice, Christopher D Landry, Mackenzie Jenuwine, Kinga Jedrzejczak, Lori D'Angelo, Daniel Skaggs, John Delman, Craig Bayer, Gytis Simaitis, Kali Rickertsen, Elizabeth Ballard, Francesca Pernice
{"title":"Clubhouse Partnerships with Clinical Services: Current Status and Barriers to Integration.","authors":"Jeanie Tse, Kevin Rice, Christopher D Landry, Mackenzie Jenuwine, Kinga Jedrzejczak, Lori D'Angelo, Daniel Skaggs, John Delman, Craig Bayer, Gytis Simaitis, Kali Rickertsen, Elizabeth Ballard, Francesca Pernice","doi":"10.1007/s10597-024-01438-5","DOIUrl":"10.1007/s10597-024-01438-5","url":null,"abstract":"<p><p>The Clubhouse model of psychosocial rehabilitation has supported the recovery of people with serious mental illness for over 75 years, but many of the roughly 350 Clubhouses are not well-integrated into the larger health care system, limiting their reach. This article examines Clubhouses' and psychiatric providers' interactions and experiences to understand the nature of and barriers to partnerships. The directors of Clubhouses affiliated with Clubhouse International were surveyed, examining their attitudes and practices around collaboration with psychiatric providers. To provide context, psychiatric providers were also surveyed regarding their understanding of and experiences with Clubhouses. Findings reveal broad support among both Clubhouse directors and psychiatrists for enhancing partnerships, despite current barriers, limited interactions, and the need for greater mutual understanding. Key considerations that emerged include the importance of maintaining the Clubhouse model's distinct non-clinical, community-based, and member-directed identity in any integration efforts.</p>","PeriodicalId":10654,"journal":{"name":"Community Mental Health Journal","volume":" ","pages":"978-988"},"PeriodicalIF":1.8,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142945913","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}