Community Mental Health Journal最新文献_第2页

Incorporating Stakeholder Voices into Data Dashboards: A Qualitative Study of the State of Texas Mental Health Dashboard. 将利益相关者的声音纳入数据仪表板：德克萨斯州心理健康仪表板的定性研究。

IF 1.8 4区医学

Community Mental Health Journal Pub Date : 2025-08-01 Epub Date: 2025-01-17 DOI: 10.1007/s10597-025-01449-w

Deborah A Harris, Gloria Martinez-Ramos, Rachel Romero, Toni Watt

引用次数: 0

A Socio-Demographic Analysis of Compassion Fatigue among Mental Health Practitioners. 心理健康从业者同情疲劳的社会人口学分析。

IF 1.8 4区医学

Community Mental Health Journal Pub Date : 2025-08-01 Epub Date: 2025-02-06 DOI: 10.1007/s10597-025-01453-0

Malini Roy, Abdul Raffie Naik

引用次数: 0

A Comparison of Behavioral Health Crisis Response Models in Meeting Behavioral Health Goals and Improving Criminal Legal Diversion. 行为健康危机应对模式在实现行为健康目标与促进刑事司法分流中的比较

IF 1.8 4区医学

Community Mental Health Journal Pub Date : 2025-08-01 Epub Date: 2025-01-03 DOI: 10.1007/s10597-024-01447-4

Matthew Bakko, Leonard Swanson, Catherine Zettner, Kaitlyn Kok, Hosanna Fukuzawa, Sheryl Kubiak

{"title":"A Comparison of Behavioral Health Crisis Response Models in Meeting Behavioral Health Goals and Improving Criminal Legal Diversion.","authors":"Matthew Bakko, Leonard Swanson, Catherine Zettner, Kaitlyn Kok, Hosanna Fukuzawa, Sheryl Kubiak","doi":"10.1007/s10597-024-01447-4","DOIUrl":"10.1007/s10597-024-01447-4","url":null,"abstract":"Various behavioral health crisis models have been developed to advance the shared goals of improving behavioral health outcomes and increasing diversion from criminal legal systems. The effectiveness of these models is promising, yet research is needed to understand their comparative advantages. This study compares the effectiveness of three community mental health response models-co-response, mobile response, and office-based response-and law enforcement-only response in addressing key behavioral health and diversion goals. These goals include improvements to follow-ups, service linkages to community resources, crisis de-escalation, and dispositions (i.e., decreasing hospitalizations and arrests). Five partner sites in Michigan provided administrative data on crisis cases and outcomes. The sample included crisis cases from one office-based model (n = 91), two mobile response models (n = 306), and two co-response models (n = 322), along with data from the partnering law enforcement agencies at each site (n = 669). Results show that model type is associated with all key outcomes. Mobile response effectively met all examined crisis response goals, including by resolving crises informally or without hospitalization, providing links to community services, and conducting follow-ups. Co-response showed some success in meeting goals, while the law enforcement-only model showed more limited results. Additionally, law enforcement presence during a mobile crisis response produced worse disposition outcomes, while contacting a CMH during law enforcement response produced better disposition outcomes. Overall, this study contributes to SAMHSA's (2020) crisis response vision to effectively meet the behavioral health needs of those in need of service by providing \"someone to respond.\"","PeriodicalId":10654,"journal":{"name":"Community Mental Health Journal","volume":" ","pages":"1072-1082"},"PeriodicalIF":1.8,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142920924","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}

引用次数: 0

Measuring What Outcomes Matters Most to People When Accessing Suicide Postvention Support: A Qualitative Study. 衡量获得自杀后支持时对人们最重要的结果：一项定性研究。

IF 1.8 4区医学

Community Mental Health Journal Pub Date : 2025-08-01 Epub Date: 2025-01-21 DOI: 10.1007/s10597-025-01452-1

Bess Jackson, Sarah Wayland, Shelley-Anne Ball, Myfanwy Maple

{"title":"Measuring What Outcomes Matters Most to People When Accessing Suicide Postvention Support: A Qualitative Study.","authors":"Bess Jackson, Sarah Wayland, Shelley-Anne Ball, Myfanwy Maple","doi":"10.1007/s10597-025-01452-1","DOIUrl":"10.1007/s10597-025-01452-1","url":null,"abstract":"Funding for suicide postvention services, which provide support after a suicide death, has increased in Australia and globally. This rise accompanies a need to demonstrate outcomes of support. However, articulating and quantifying these outcomes presents ethical and logistical challenges. Funders' priorities may differ from those of service users. To discern the value and explore effective measurement of postvention outcomes, focus groups were conducted with postvention staff and lived experience representatives from an Australian postvention service. Transcripts were analysed using Braun and Clarke's Reflexive Thematic Analysis. Results highlighted the complex context of measuring outcomes in suicide postvention and emphasized the need for flexible approaches to service provision and outcome measurement. The study suggests that the most significant benefits, as perceived by participants, are the 'flow-on' effects of postvention. It supports the notion that outcome measures require careful consideration, with trade-offs evaluated to understand what is truly valuable in suicide postvention services.","PeriodicalId":10654,"journal":{"name":"Community Mental Health Journal","volume":" ","pages":"1115-1125"},"PeriodicalIF":1.8,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12228587/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143001555","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}

引用次数: 0

Community-based Collaborative Care for Serious Mental Illness: A Rapid Qualitative Evidence Synthesis of Health Care Providers' Experiences and Perspectives. 以社区为基础的严重精神疾病合作护理：卫生保健提供者经验和观点的快速定性证据综合。

IF 1.8 4区医学

Community Mental Health Journal Pub Date : 2025-08-01 Epub Date: 2025-03-27 DOI: 10.1007/s10597-025-01459-8

Saira Abdulla, Sherianne Kramer, Lesley Robertson, Samantha Mhlanga, Campion Zharima, Jane Goudge

{"title":"Community-based Collaborative Care for Serious Mental Illness: A Rapid Qualitative Evidence Synthesis of Health Care Providers' Experiences and Perspectives.","authors":"Saira Abdulla, Sherianne Kramer, Lesley Robertson, Samantha Mhlanga, Campion Zharima, Jane Goudge","doi":"10.1007/s10597-025-01459-8","DOIUrl":"10.1007/s10597-025-01459-8","url":null,"abstract":"Community-based collaborative care (CBCC) is an effective approach for addressing the needs of people with mental health conditions. However, even with the established components of CBCC in place, CBCCs effectiveness for serious mental illnesses (SMIs) remains unknown. This review aims to synthesize qualitative evidence of health care providers' experiences of CBCC in order to identify key factors that facilitate or hinder collaboration in the specific context of SMIs. We searched databases to identify 3368 studies. The eligibility criteria included qualitative studies focusing on health care providers' experiences in delivering a CBCC intervention for people with SMIs. Studies were included if they had at least 2 of 3 CBCC components: a multidisciplinary team, case management, and structured communication. Thematic analysis was used to synthesise the findings, and the Standards for Reporting Qualitative Research framework was used to assess the quality of included studies. The protocol is registered on Prospero. Of the 19 studies included in our review, 5 had achieved collaboration, which was driven by several key ingredients: the availability of on-site case managers and psychiatrists, or the psychiatrists' willingness to travel to the site; the psychiatrists' efforts in actively engaging and supporting the CBCC team; the primary care clinicians' willingness to collaborate with the team and reduce traditional hierarchical engagement; the team's understanding of CBCC; and case managers with strong interpersonal and professional skills. The inclusion of CBCC components do not guarantee collaboration. The findings emphasise the importance of on-site mental health specialists, clearly defined roles, and proactive providers in achieving collaboration.","PeriodicalId":10654,"journal":{"name":"Community Mental Health Journal","volume":" ","pages":"1195-1207"},"PeriodicalIF":1.8,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12228660/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143718172","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}

引用次数: 0

Therapeutic Focus on Strengths is Associated with Improved Functioning and Higher Clinical Progress in Children's Public Mental Health Care. 儿童公共心理卫生保健的治疗重点与功能改善和更高的临床进展有关。

IF 1.8 4区医学

Community Mental Health Journal Pub Date : 2025-08-01 Epub Date: 2025-01-30 DOI: 10.1007/s10597-024-01445-6

Emilee H Turner, Charles W Mueller

{"title":"Therapeutic Focus on Strengths is Associated with Improved Functioning and Higher Clinical Progress in Children's Public Mental Health Care.","authors":"Emilee H Turner, Charles W Mueller","doi":"10.1007/s10597-024-01445-6","DOIUrl":"10.1007/s10597-024-01445-6","url":null,"abstract":"Prior findings suggest a greater therapeutic focus on strengths is associated with a higher likelihood of successful treatment discharge in youth public mental health treatment. To build upon previous research, the present study examined whether and to what extent therapeutic focus on strengths was associated with changes in day-to-day functioning and treatment progress over the course of therapy. This study used multilevel modeling techniques to analyze 12 consecutive years of standardized routine clinical service data from a public mental health care system which served youth and families who were typically from underserved and low-income backgrounds. The sample comprised 2362 youth with an average age of 13.51 (2.9 SD) years receiving at least 3 months of standards-based intensive in-home (SB-IIH) treatment services. Most youth in the sample identified as multi-ethnic (62.5%) and male (61%). Therapeutic focus on strengths was measured as a proportion of overall treatment targets endorsed by therapists. A greater focus on strengths during the first 5 months of SB-IIH services was a significant predictor of improved functioning at the end of treatment and higher average monthly scores on a measure of treatment progress even after accounting for other predictors, including level of impairment at treatment start. Practice-based findings suggest a greater focus on strengths in youth treatment services might be beneficial in improving functioning and treatment progress. Study findings highlight the need for further research in other clinical youth samples. Clinical practice, dissemination, implementation, and future research implications are discussed.","PeriodicalId":10654,"journal":{"name":"Community Mental Health Journal","volume":" ","pages":"1047-1061"},"PeriodicalIF":1.8,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143064000","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}

引用次数: 0

Prevalence of Current Clinical Leverage and Association with Perceived Coercion in Outpatient and Community Psychiatric Settings: A First in Canada Study. 在门诊和社区精神科环境中，当前临床杠杆的流行程度及其与感知胁迫的关联：一项加拿大的首次研究。

IF 1.8 4区医学

Community Mental Health Journal Pub Date : 2025-08-01 Epub Date: 2025-01-16 DOI: 10.1007/s10597-024-01444-7

Arash Nakhost, Frank Sirotich, Alexander I F Simpson, Samuel Law

{"title":"Prevalence of Current Clinical Leverage and Association with Perceived Coercion in Outpatient and Community Psychiatric Settings: A First in Canada Study.","authors":"Arash Nakhost, Frank Sirotich, Alexander I F Simpson, Samuel Law","doi":"10.1007/s10597-024-01444-7","DOIUrl":"10.1007/s10597-024-01444-7","url":null,"abstract":"Clinical leverages and pressures are often utilized in psychiatric treatment settings. Clinicians know they are controversial but think of them as useful and relatively harmless. Perception of coercion is known to be deleterious to therapeutic relationship and clinical outcomes. We assessed individuals (N = 137) receiving care in outpatient and community psychiatric settings in a Canadian urban center regarding their current experiences of clinical leverage (in finance, housing, access to/custody of children, and family), and perception of coercion. Analyses show clinical leverage are common (34.8% overall), with access to child and family (15.7%), and financial (14.6%) leverages being most common. Generalised linear models indicated that psychiatric symptomology (p < 0.001) and current financial leverage (p = 0.035) were positively associated with perceptions of coercion. The results highlight that clinical leverages are widespread, associated with perception of coercion, and are likely harmful with negative impact on patient care and outcomes. Efforts to mitigate these impacts are needed.","PeriodicalId":10654,"journal":{"name":"Community Mental Health Journal","volume":" ","pages":"1037-1046"},"PeriodicalIF":1.8,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143001556","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}

引用次数: 0

Impact of Discrimination on Help-Seeking Behavior Among Individuals With Serious Mental Illness in South Korea: Role of Social Participation Services. 歧视对韩国严重精神疾病患者求助行为的影响：社会参与服务的作用

IF 1.8 4区医学

Community Mental Health Journal Pub Date : 2025-08-01 Epub Date: 2025-02-25 DOI: 10.1007/s10597-025-01458-9

Subin Na, Sang Kyoung Kahng, Phyllis Solomon

{"title":"Impact of Discrimination on Help-Seeking Behavior Among Individuals With Serious Mental Illness in South Korea: Role of Social Participation Services.","authors":"Subin Na, Sang Kyoung Kahng, Phyllis Solomon","doi":"10.1007/s10597-025-01458-9","DOIUrl":"10.1007/s10597-025-01458-9","url":null,"abstract":"This study investigated the relationship between perceived discrimination, help-seeking behaviors, and the adequacy of social participation services among individuals with serious mental illness in South Korea. Data were drawn from a 2020 survey conducted by the National Human Rights Commission of Korea, involving 607 participants who used community-based mental health rehabilitation facilities. Structural equation modeling was employed to examine the extent to which perceived discrimination in healthcare, employment, and personal-social relationships affects help-seeking behaviors, including the mediating effect of perceived adequacy of social participation services. Results revealed that experiences of discrimination in healthcare and employment significantly influenced help-seeking, whereas discrimination in personal-social relationships did not. Although the adequacy of social participation services positively impacted help-seeking, it did not mediate the relationship between discrimination and help-seeking behaviors. The findings suggest addressing discrimination in healthcare and employment and expanding diverse, accessible social participation services are crucial for encouraging help-seeking among individuals with serious mental illness across regions in Korea.","PeriodicalId":10654,"journal":{"name":"Community Mental Health Journal","volume":" ","pages":"1181-1194"},"PeriodicalIF":1.8,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12228593/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143491122","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}

引用次数: 0

Mental Health Support Workers Perspectives on Barriers to and Facilitators of the Effective Delivery of their Roles: A Systematic Review and Meta-aggregation. 心理健康支持工作者对有效履行其职责的障碍和促进因素的看法：一项系统回顾和荟萃。

IF 1.8 4区医学

Community Mental Health Journal Pub Date : 2025-07-24 DOI: 10.1007/s10597-025-01490-9

Martha Njuguna, Irene Ngune, Yvonne Middlewick

{"title":"Mental Health Support Workers Perspectives on Barriers to and Facilitators of the Effective Delivery of their Roles: A Systematic Review and Meta-aggregation.","authors":"Martha Njuguna, Irene Ngune, Yvonne Middlewick","doi":"10.1007/s10597-025-01490-9","DOIUrl":"https://doi.org/10.1007/s10597-025-01490-9","url":null,"abstract":"Mental health support workers (MHSWs) are an important workforce within the mental health care system. Research shows that support services delivered by MHSWs are effective at improving the outcomes of individuals with mental illness. However, there is also literature suggesting that this group of workers are facing many challenges in their roles. This qualitative systematic review sought to explore, analyze and synthesize available primary research literature on the experiences of MHSWs with the aim of identifying the barriers to and facilitators of effective delivery of their roles. An electronic search of Medline, CINAHL, PsycINFO, and Web of Science was conducted for studies from database inception to March 28, 2025. Additional search was conducted via Google Scholar and in the reference lists of the included articles. The Joanna Briggs Institute (JBI) Critical Appraisal Checklist for Qualitative Research was used to assess the methodological quality of included articles. Fourteen primary research articles met the eligibility criteria and were included in the review. Data synthesis from these articles generated 116 findings and 20 categories, which were aggregated into four synthesized findings: a supportive work environment, service user care barriers, professional and role-related barriers, and operational and support barriers. The review highlights the importance of a supportive work environment in the delivery of support work roles. However, several barriers were also identified and recommendations that can be used to inform practice and policies of mental health support work provided. If addressed, the identified barriers can be translated into facilitators that would enhance the provision of quality care to people with mental illness and enhance the overall job satisfaction of MHSWs.","PeriodicalId":10654,"journal":{"name":"Community Mental Health Journal","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144697826","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}

引用次数: 0

Community-based Suicide Interventions in Rural United States: A Scoping Review. 美国农村社区自杀干预：范围综述。

IF 1.8 4区医学

Community Mental Health Journal Pub Date : 2025-07-23 DOI: 10.1007/s10597-025-01480-x

Christopher Weatherly, Maryam Abdelghani, Genesis Rebeca Cook, Maryam Irfan, Judy Meirose, Eleni Gaveras, Nicholas Johnson, Kimberly B Roth

{"title":"Community-based Suicide Interventions in Rural United States: A Scoping Review.","authors":"Christopher Weatherly, Maryam Abdelghani, Genesis Rebeca Cook, Maryam Irfan, Judy Meirose, Eleni Gaveras, Nicholas Johnson, Kimberly B Roth","doi":"10.1007/s10597-025-01480-x","DOIUrl":"https://doi.org/10.1007/s10597-025-01480-x","url":null,"abstract":"Rural communities in the United States (US) are disproportionately burdened with higher suicide rates than non-rural ones, facing structural and cultural barriers that make it less likely for suicidal individuals to obtain help. Community-based interventions have been called for to address the need for integrative approaches relevant to the rural landscape. To facilitate increased adaptation/implementation of rural suicide prevention programming, we conducted a scoping review of the literature to evaluate the state-of-the-science. Following PRISMA-ScR guidelines, we searched for and identified relevant peer-reviewed literature across four databases, using dual screening/extraction throughout. We extracted information on key article characteristics, program descriptions, and methodological approaches to identify trends, gaps, and emergent themes. 29 articles were included in this review. Studies predominantly focused on suicide prevention for youth, particularly amongst Indigenous communities, with papers also concentrating on medical settings and US veterans. While a wide range of intervention and evaluation approaches were employed, few studies measured clinical outcomes, utilized theoretical frameworks or official rural definitions, or used comprehensive prevention strategies. This review offers investigators a guide to the existing evidence base and growing patterns in the field of suicide prevention in rural US areas. Results highlight the dearth of literature on prevention programming in this much needed yet overlooked area of study. Future intervention research should consider using context-specific rural classifications, relevant clinical outcomes, and comprehensive theory-backed strategies embedded in their approach.","PeriodicalId":10654,"journal":{"name":"Community Mental Health Journal","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-07-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144689130","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}

引用次数: 0