Community Mental Health Journal最新文献

{"title":"Evaluating the Utility of a Statewide Pharmacist-Led Psychotropic Medicines Information Service: A Mixed-Methods Study.","authors":"Viandro Borja, Liza Hopkins, Tosin Olaluwoye, Michael Olasoji","doi":"10.1007/s10597-026-01619-4","DOIUrl":"10.1007/s10597-026-01619-4","url":null,"abstract":"<p><p>Psychotropic medicines are essential in managing mental illness but are associated with complex challenges, including off-label use, polypharmacy, drug interactions, adverse effects, and diverse safety profiles. Effective decision-making requires access to reliable, evidence-based, and context-specific medicines information. Medicines Information (MI) services, particularly those led by pharmacists, provide tailored, evidence-informed advice that supports safe prescribing and optimises patient outcomes.This study aimed to evaluate the Psychotropic Drug Advisory Service (PDAS) at Alfred Health, a statewide pharmacist-led clinical advisory service. The evaluation sought to (a) determine the impact of advice on patient care, clinical outcomes, and medication safety; (b) assess the usefulness of advice and its uptake by enquirers; and (c) explore user experiences and satisfaction to inform future service development.A mixed-methods service evaluation was conducted. Quantitative data were collected through a retrospective audit of all enquiries recorded over a 12-month period (January-December 2024). Qualitative data were obtained through semi-structured interviews conducted between March and August 2025 with a total of 17 clinicians, consumers, and carers who had accessed PDAS during the evaluation period. Interviews explored perceptions of service utility, impact on clinical decision-making, and areas for improvement, and were thematically analysed.PDAS responded to 266 enquiries over the 12-month evaluation period, with enquiries originating from a broad range of clinicians, consumers, and carers across primary, secondary, and community care. Enquiries frequently involved complex psychotropic decision-making; most commonly relating to administration and dosage, choice of medication, adverse effects, drug-drug interactions, and antipsychotic or antidepressant use. Most enquiries were addressed promptly, with the majority receiving an initial response within one hour. Qualitative analysis identified four key themes: enhancing confidence in clinical decision-making, improving access to specialist psychotropic advice, facilitating collaborative problem solving, and delivering credible, evidence-based guidance; highlighting PDAS's role as a trusted, accessible, and specialist support service within complex mental health settings. These findings support the utility of a statewide, pharmacist-led psychotropic medicines information service as an important component of contemporary mental health systems, particularly in settings characterised by clinical complexity and/or limited access to specialist expertise.</p>","PeriodicalId":10654,"journal":{"name":"Community Mental Health Journal","volume":" ","pages":"1350-1361"},"PeriodicalIF":2.1,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13585851/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147728538","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":"Clinical Characteristics of Emergency Visits Related to Recreational Psychedelic Use.","authors":"Kush V Bhatt, Joseph Friedman, Lindsay Benster, Rekha Narasimhan, Kevin Yang, Jyoti Mishra, Cory R Weissman, Dhakshin Ramanathan","doi":"10.1007/s10597-026-01620-x","DOIUrl":"10.1007/s10597-026-01620-x","url":null,"abstract":"","PeriodicalId":10654,"journal":{"name":"Community Mental Health Journal","volume":" ","pages":"1252-1260"},"PeriodicalIF":2.1,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13585822/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147589895","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":"Treatment of Youth with Trauma and Gender Incongruence: A Call for Clinical Integration.","authors":"Harvey Feldman, Mary K Jankowski, Kady F Sternberg, Charlotte E Bausha, Erin R Barnett","doi":"10.1007/s10597-026-01611-y","DOIUrl":"10.1007/s10597-026-01611-y","url":null,"abstract":"","PeriodicalId":10654,"journal":{"name":"Community Mental Health Journal","volume":" ","pages":"1283-1291"},"PeriodicalIF":2.1,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147493269","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":"Assessing the Needs of Community Mental Health Service Users with Chronic Physical Health Conditions: A Cross-Sectional Study.","authors":"Stefaniia Martsynkevych, Kamalpreet Rakhra, Jerome Iruthayarajah, Vicky Stergiopoulos, Rachelle Ashcroft, Frank Sirotich","doi":"10.1007/s10597-026-01624-7","DOIUrl":"10.1007/s10597-026-01624-7","url":null,"abstract":"","PeriodicalId":10654,"journal":{"name":"Community Mental Health Journal","volume":" ","pages":"1398-1415"},"PeriodicalIF":2.1,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147763975","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":"The Impact of Certified Peer Specialists as Teachers to Families.","authors":"Nicole Cerundolo, Emily Carol, Adrienne Gerken, Kirsten Bolton, Rahel Bosson, Ruth Firmin, Jamie Fischer, Zachary Millman, Nathaniel Van Kirk, Stephen Fedele","doi":"10.1007/s10597-026-01622-9","DOIUrl":"10.1007/s10597-026-01622-9","url":null,"abstract":"","PeriodicalId":10654,"journal":{"name":"Community Mental Health Journal","volume":" ","pages":"1292-1299"},"PeriodicalIF":2.1,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13576794/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147697924","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 Care Within New Zealand's Specialist Mental Health and Addiction Services: Qualitative Research to Inform a New Model.","authors":"Hannah King, Sarah Derrett, Emma H Wyeth, Ruth Cunningham, Debbie Peterson","doi":"10.1007/s10597-026-01623-8","DOIUrl":"10.1007/s10597-026-01623-8","url":null,"abstract":"","PeriodicalId":10654,"journal":{"name":"Community Mental Health Journal","volume":" ","pages":"1261-1272"},"PeriodicalIF":2.1,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13585832/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147644562","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":"Clozapine Knowledge, Confidence, and Prescribing Practices Among Advanced Practice Psychiatric Nurses.","authors":"Rezvaneh Manzour, Madeline Lepore, Joshua Palmer, Kirstyn Kameg, Brayden Kameg","doi":"10.1007/s10597-026-01610-z","DOIUrl":"10.1007/s10597-026-01610-z","url":null,"abstract":"","PeriodicalId":10654,"journal":{"name":"Community Mental Health Journal","volume":" ","pages":"1231-1239"},"PeriodicalIF":2.1,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147580229","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":"Reduction of Burnout in VA Mental Health Providers: Beyond Self Care.","authors":"Amanda E Wood, J Caroline Force, Melissa K Caris, Beth K Jaworski, Annabel Prins","doi":"10.1007/s10597-026-01616-7","DOIUrl":"10.1007/s10597-026-01616-7","url":null,"abstract":"","PeriodicalId":10654,"journal":{"name":"Community Mental Health Journal","volume":" ","pages":"1426-1436"},"PeriodicalIF":2.1,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147527290","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":"Public Awareness and Perceptions of the 988 Suicide & Crisis Lifeline Among California Adults.","authors":"Amanda Aubel, Julia Lund, Garen Wintemute, Nicole Kravitz-Wirtz","doi":"10.1007/s10597-026-01615-8","DOIUrl":"10.1007/s10597-026-01615-8","url":null,"abstract":"<p><p>Suicide is a major public health issue that disproportionately affects certain populations. The 988 Suicide & Crisis Lifeline (988) was established in July 2022 as an accessible, easy-to-remember resource for individuals in crisis. Maximizing its impact relies on public knowledge and willingness to use the service. Using data from a cross-sectional survey of California adults (n = 3531), fielded online in November 2024, this study assessed awareness and likelihood of using 988, and barriers and facilitators to use, overall and among groups known to be at increased risk for suicide. One in 4 California adults (26.5%; 95% CI: 24.4-28.9) had heard of 988. After reading a brief description of the service, 71.0% (95% CI: 69.1-73.8) said they would be somewhat or very likely to contact 988 if they or someone they knew were experiencing a crisis. Awareness was higher among younger adults, but likelihood of use was lower than older adults. Black adults were more often aware of and likely to use 988 than other racial/ethnic groups. Similar percentages of gun owners and non-owners were likely to use 988. Respondents identified the following factors as most important to their decision to contact 988: immediate access to a crisis counselor, no-cost services, dispatch of mental health professionals in cases of imminent risk, and assurance that the person in crisis would not be taken to jail. Findings provide insight into 988's implementation and reach in California, which can inform strategies for enhancing effectiveness and equitable access and service use in times of crisis.</p>","PeriodicalId":10654,"journal":{"name":"Community Mental Health Journal","volume":" ","pages":"1240-1251"},"PeriodicalIF":2.1,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13586021/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147764671","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":"\"Acting as the Face of a Broken System\": Challenges Experienced by Mobile Crisis Workers.","authors":"Priya Gupta, Leah Jacobs, Kathryn Luk, Toya Jones","doi":"10.1007/s10597-026-01609-6","DOIUrl":"10.1007/s10597-026-01609-6","url":null,"abstract":"","PeriodicalId":10654,"journal":{"name":"Community Mental Health Journal","volume":" ","pages":"1300-1310"},"PeriodicalIF":2.1,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13586033/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147621836","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}