Community Mental Health Journal最新文献

{"title":"Collaboration for Recovery: Expert Mental Health Worker Experiences with the Recovery Assessment Scale - Domain and Stages (RAS-DS).","authors":"Hiu Yan Lam, Anne Honey, Justin Scanlan, Nicola Hancock","doi":"10.1007/s10597-025-01476-7","DOIUrl":"10.1007/s10597-025-01476-7","url":null,"abstract":"<p><p>The Recovery Assessment Scale - Domains and Stages (RAS-DS) was designed as a tool to promote collaboration between mental health workers and consumers. However, many workers use it solely for its other purpose-as an outcome measure - and lack knowledge and confidence to use it collaboratively. The purpose of this study was to gain an in-depth understanding of the strategies adopted by mental health workers who successfully utilize RAS-DS to facilitate collaborative recovery planning. Using a qualitative descriptive design, semi-structured interviews were conducted with expert collaborative RAS-DS users and analysed using qualitative content analysis. Participants described implementing a range of strategies to facilitate collaborative practice when using RAS-DS. These included strategies to both encourage consumers to complete RAS-DS in a meaningful way and to facilitate discussions about the results for consumer-driven goals and interventions. Findings provide guidance for mental health workers seeking to use RAS-DS collaboratively to support recovery.</p>","PeriodicalId":10654,"journal":{"name":"Community Mental Health Journal","volume":" ","pages":"1378-1389"},"PeriodicalIF":1.7,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12408720/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144215111","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":"Through the Lens of Psychiatrists: Understanding Smoking Cessation Behaviour Among People with Serious Mental Illness.","authors":"Parul Parul, Bindu Joseph, Sunil Datta, Avinash Desousa, Muhammad Aziz Rahman","doi":"10.1007/s10597-025-01460-1","DOIUrl":"10.1007/s10597-025-01460-1","url":null,"abstract":"<p><p>Smoking among people with Serious Mental Illness (SMI) is a pleading public health concern as the rates are much higher compared to the general population. Although different interventions are available to provide cessation support, there is limited evidence of assessing psychiatrists' perspectives on smoking cessation among people with SMI. The study aims to explore the perspectives of psychiatrists regarding smoking cessation among people with SMI. The study used a qualitative approach. In-depth interviews were conducted with ten psychiatrists, exploring their opinions about smoking and its cessation among people with SMI. Purposive sampling was employed. Data saturation was achieved when no new information was gathered. The verbatim transcripts were analysed using thematic analyses. A total of 14 subthemes emerged under seven themes, highlighting the perspective of psychiatrists in terms of the utilisation of smoking as a coping mechanism among people with SMI. Findings, such as priority of care, time constraints and patient initiative, emphasised the factors impacting cessation. Psychiatrists expressed that support from peers and family members significantly influences smoking cessation among people with SMI. Furthermore, merely engaging in asking, assessing and advicing components from the World Health Organisation 5As scale implied insufficient usage of the 5As tool while discussing cessation. Psychiatrists recognise the impact of cessation on mental health outcomes, like the utilisation of smoking as a coping mechanism. Their experiences and challenges with cessation highlighted time commitment and priority of care while contemplating cessation. The deepened insight provided by our study findings has been instrumental in shaping the content of tailored interventions related to smoking cessation among people with SMI.</p>","PeriodicalId":10654,"journal":{"name":"Community Mental Health Journal","volume":" ","pages":"1225-1237"},"PeriodicalIF":1.7,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12408773/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143522787","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":"Identifying Solutions for the Workforce Challenges Facing Community Mental Health Support Workers: A Qualitative Study.","authors":"Megan Rattray, Emma Milanese, Tania Shelby-James","doi":"10.1007/s10597-025-01473-w","DOIUrl":"10.1007/s10597-025-01473-w","url":null,"abstract":"<p><p>Addressing workforce issues such as recruitment, retention, and skill development is essential for ensuring that community psychosocial and mental health programs can meet growing demand and provide high-quality care. This paper examines current efforts to tackle these challenges and explores additional measures required. This qualitative study, framed within a naturalistic paradigm, employed semi-structured interviews with mental health support staff across Australia. Interviews, lasting approximately 37 min (range, 23-55 min), were audio recorded and transcribed verbatim. Data were analysed using a combination of inductive and deductive thematic analysis, whereby participants' verbatim codes were initially mapped across the three workforce issues: recruitment, retention, and skill development. Solutions for each issue were then analysed inductively, with subthemes emerging from common concepts. Themes and subthemes were discussed among the authors until consensus was reached. Sixteen staff members were interviewed, most of whom were female (n = 9, 56%) and held management roles (n = 10, 62%), while the rest were in client-facing positions (n = 6, 38%). To improve staff recruitment, subthemes included revising recruitment processes and standards, dispelling misconceptions and promoting the field and leveraging existing networks and resources. Staff retention subthemes included offering competitive salary packages and incentives, fostering a positive work culture with engaged leadership and encouraging supportive and effective practices. Lastly, upskilling staff subthemes included engaging in regular or mandatory training and supervision, encouraging resource sharing and networking and supporting and granting opportunities to upskill. The findings offer insights and recommendations for policymakers, administrators, and practitioners to strengthen the community mental health workforce.</p>","PeriodicalId":10654,"journal":{"name":"Community Mental Health Journal","volume":" ","pages":"1324-1333"},"PeriodicalIF":1.7,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12408665/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144119108","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":"Occupational Therapy Interventions and Outcomes in United States' Early Intervention in Psychosis Programs: A Mixed Methods Survey Study.","authors":"Halley Read, Keely A McCormick","doi":"10.1007/s10597-025-01471-y","DOIUrl":"10.1007/s10597-025-01471-y","url":null,"abstract":"<p><p>Young adults experiencing psychosis are at high risk for disengagement from their daily lives. Occupational therapy (OT) services play an important role in fostering participation, yet their intervention efficacy in Early Intervention in Psychosis (EIP) remains poorly understood. To determine the commonly utilized OT interventions and measurement tools that require further research to determine their efficacy and effectiveness. Cross-sectional, mixed-methods survey study. Quantitative descriptive statistics were completed on Microsoft Excel and qualitative thematic analysis was completed by two researchers using Dedoose. Online survey. Occupational therapy practitioners (OTPs) working on EIP programs in the United States were recruited through purposive and snowball sampling. The survey consisted of 24 closed and open-ended questions assessing use of interventions, outcomes tracked, and measurement tools. Study had 21 respondents. The most frequent interventions were self-regulation and activities of daily living (ADL). Self-regulation interventions were overwhelmingly sensory-based. Most commonly reported outcome measure was observation of participation in occupations. This study confirms the use of sensory and ADL-based interventions by OTPs in EIP programs. Findings suggest a strong sense of the role of OT within EIP as intervention use is relatively consistent across programs and focuses on client-centered, occupation-based interventions. Outcome tracking and quality improvement were gaps as most OTPs are not using standardized methods or not performing this. Additional study is required to determine the efficacy of commonly used interventions and to improve outcome measurement methods in EIP programs. Occupational therapy is an undervalued profession on teams that provide services to young adults dealing with the onset of a psychotic illness. This study is the first of many needed to demonstrate the impact OT services can have on the outcomes of the young adults who receive care for their psychotic illness. This study identifies what OT interventions are common, and what outcomes OT professionals track to determine their services' impact on these mental health care teams. These results will help to build the needed research on how helpful these common interventions are for young adults facing psychotic illnesses.</p>","PeriodicalId":10654,"journal":{"name":"Community Mental Health Journal","volume":" ","pages":"1306-1314"},"PeriodicalIF":1.7,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143982085","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":"Art as an Agent of Wellbeing and Social -Participation for Mental Health: A Qualitative Study.","authors":"Nerea Díez-Ríos, Domingo Palacios-Ceña, Jorge Pérez-Corrales, Lidiane Lima Florencio, Mª Pilar Rodríguez-Pérez, Salvador Simó-Algado","doi":"10.1007/s10597-025-01516-2","DOIUrl":"https://doi.org/10.1007/s10597-025-01516-2","url":null,"abstract":"<p><p>Art provides a space for expression and personal growth, promoting well-being and reducing stigma, particularly for individuals with mental illness. Museums have shifted to create inclusive experiences for marginalized groups. This study aimed to explore the experiences of people with mental illness who participated in an Art and Museum Intervention program, examining the meanings they attributed to social participation and meaningful occupations through art. A qualitative descriptive study was conducted with 18 participants from a Psychosocial and Occupational Rehabilitation Center in A Coruña, Spain, using purposeful sampling. Data were gathered through focus groups, in-depth interviews, and participant observation, followed by thematic analysis. Participants actively engaged in the study, sharing their experiences of art as a means of social integration. The collaboration between the museum and the rehabilitation center ensured a community-based approach. Two main themes emerged: (1) Art as an agent of socialization, including teamwork, building support networks, community integration, and overcoming stigma; and (2) Well-being and empowerment through meaningful occupation, with subthemes of positive emotions, empowerment, and art as a meaningful activity. The study highlights how museum-led art interventions enhance well-being and social participation, positioning art as a valuable tool in mental health recovery and community inclusion.</p>","PeriodicalId":10654,"journal":{"name":"Community Mental Health Journal","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145198355","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":"Predictors of Service Engagement and Disengagement in Community-Based Coordinated Specialty Care for Early Psychosis in Texas.","authors":"Molly A Lopez, Samantha J Reznik, Calliope Custer, Paul J Rathouz","doi":"10.1007/s10597-025-01468-7","DOIUrl":"10.1007/s10597-025-01468-7","url":null,"abstract":"<p><p>Coordinated specialty care (CSC) is an evidence-based, early intervention approach for individuals with a recent onset of psychosis. This study identifies program and individual characteristics that predict (1) initial engagement in care; (2) the use of peer and family partner services; and (3) time to disengagement. Administrative data representing CSC encounters at 22 community mental health programs were analyzed. Logistic regressions were used to model initial CSC engagement, as well as the use of peer or family partner services, given initial engagement. Cox proportional hazards regression was used to quantify program disengagement, with possible time-varying effects of peer service use. Identified predictors of initial engagement included: race/ethnicity, age, diagnosis, program urbanicity, and program maturity. Identified predictors of disengagement in the first year included: diagnosis, program urbanicity, and program maturity. Peer and family partner services did not significantly predict disengagement. These results suggest equity issues for some individuals, while also highlighting the importance of program characteristics on pathways to care. Future research should include program factors as key predictors for engagement, explore both person-centered and program-centered strategies to maximize engagement, and optimize and examine the role of individual and family peer services in engagement. Such a shift would align with the call to understand pathways to care from a community-level rather than individual lens.</p>","PeriodicalId":10654,"journal":{"name":"Community Mental Health Journal","volume":" ","pages":"1209-1224"},"PeriodicalIF":1.7,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12408719/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143978348","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":"Occupational Therapy in the Treatment of Early Psychosis: a Scoping Review.","authors":"Ilyse Kramer, Sarah Zagorac, Nuriya Hefron, Lauren Walker, Caitlyn Taylor, Elizabeth C Thomas, Halley Read","doi":"10.1007/s10597-025-01475-8","DOIUrl":"10.1007/s10597-025-01475-8","url":null,"abstract":"<p><p>Extensive literature documents the benefits of intervening early for psychosis and for using interventions to support individuals experiencing a first episode of psychosis. Occupational therapy (OT) is used in the treatment of early psychosis, yet the specific role of OT within these multidisciplinary teams remains underexplored. By mapping existing evidence, this scoping review aims to present the evidence related to the inclusion of OT in early intervention for psychosis. A comprehensive literature search was conducted in November 2020. Three authors independently screened titles, abstracts, and full texts to extract data, adhering to predetermined eligibility criteria. The American Occupational Therapy Association (AOTA) level of evidence scale was applied to assess study quality. Six studies met inclusion criteria. Publication dates ranged from 1980 to 2011. Studies were predominantly conducted in outpatient settings (n = 6) across urban locations (n = 4). Results included one non-randomized quasi-experimental study, one analytical observational study with a retrospective cohort design, and four descriptive observational studies, including two case reports and two expert opinions on Early Intervention for Psychosis (EIP) programs, with evidence levels varying across the included studies. Despite OT's documented efficacy in mental health care, reviews specifically exploring OT's role in early psychosis are lacking. This scoping review identified six relevant studies, highlighting significant variability in interventions, outcomes, and study designs. Rigorous research is needed to establish evidence of OT's effectiveness and potential contribution to the treatment of early psychosis to address current gaps in care provision.</p>","PeriodicalId":10654,"journal":{"name":"Community Mental Health Journal","volume":" ","pages":"1368-1377"},"PeriodicalIF":1.7,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144282749","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":"\"Choosing your Own Path\": Patterns of Use of Psychiatric Medication among Individuals with Serious Mental Illness.","authors":"Maia Asher, David Roe, Rivka Tuval-Mashiach, Ilanit Hasson-Ohayon","doi":"10.1007/s10597-025-01465-w","DOIUrl":"10.1007/s10597-025-01465-w","url":null,"abstract":"<p><p>Most individuals with serious mental illness (SMI) are advised to take psychiatric medication, but about half of them do not take it as prescribed. The binary concepts of \"adherence\" and \"non-adherence\" do not seem to capture the actual patterns of medication use. The current study mapped the different patterns of medication use among people with SMI and explored the characteristics of each pattern. Sixteen participants diagnosed with an SMI that used psychiatric medications for at least one year, were interviewed, and data were analyzed using ideal-type analysis. Analysis revealed four patterns of medication use: (1) adherence without doubt; (2) adherence after attempts to stop/reduce; (3) flexible use over time; and (4) tapering off medication. Individuals may shift between these different patterns in their recovery journey, creating the need for tailored therapeutic interventions that adapt to individuals' evolving needs, beliefs, and preferences.</p>","PeriodicalId":10654,"journal":{"name":"Community Mental Health Journal","volume":" ","pages":"1269-1279"},"PeriodicalIF":1.7,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12408656/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143978337","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":"Experiences of Care from Mental Health Services among Partners of Women Accessing Support for Postpartum Psychosis: a Qualitative Study.","authors":"Emily Roxburgh, Billie Lever Taylor, Joanne Hodgekins","doi":"10.1007/s10597-025-01479-4","DOIUrl":"10.1007/s10597-025-01479-4","url":null,"abstract":"<p><p>Postpartum psychosis (PP) affects one to two per 1,000 women and requires urgent intervention. Whilst PP primarily impacts women, it can place significant strain on partners, who often play a pivotal role throughout postnatal care and recovery. Little is known about how mental health services engage with and support partners during a PP episode. Therefore, this study aims to explore partners' experiences of mental health services to better understand their experiences and needs and inform service provision. Semi-structured interviews were conducted with 12 partners of women who received support for psychosis following childbirth. Findings were analysed thematically. Three main themes were identified: 'understanding and responding to PP', 'partners' involvement in PP care' and 'the responsibilities undertaken and partner wellbeing'. Partners struggled to recognise PP and reported variability in healthcare professionals' knowledge of the condition. They urged for greater information and awareness of PP for partners, professionals and society. Most took on advocacy roles yet reported inconsistent involvement from services. Their ongoing responsibilities and PP related experiences significantly impacted their emotional wellbeing, with many finding services unresponsive to their needs. Some felt lucky to receive tailored support from charities and general practitioners. Many highlighted the need for improvements in integrated care frameworks for partners. These findings call for more inclusive and consistent care frameworks that actively involve, inform, and support partners with recognising and responding to symptoms of PP, involvement in care and supporting their wellbeing throughout. Further efforts are required to raise awareness of PP, improve staff training, and explore partners' needs from varying backgrounds, time points, and circumstances.</p>","PeriodicalId":10654,"journal":{"name":"Community Mental Health Journal","volume":" ","pages":"1406-1417"},"PeriodicalIF":1.7,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12408760/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144233430","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":"Promoting a Clinic-Based Approach to Behavioral Health Integration and Serious Mental Illness in Free and Charitable Clinics Through Project ECHO.","authors":"Kathryn West, Binta Ceesay, Ornella Razetto, Saqi Maleque Cho, Christina Newport, April Hunter, Kanika Mittal, Karen Lee, Sebastian Otero, Daniel Johnson, Doriane Miller, Daniel Yohanna","doi":"10.1007/s10597-025-01461-0","DOIUrl":"10.1007/s10597-025-01461-0","url":null,"abstract":"<p><p>The integration of behavioral health and serious mental illness assessment and treatment into primary care remains a challenge. While the increase in telehealth usage due to the COVID-19 pandemic helped reduce a key barrier to access, other challenges remain including a shortage of trained providers and an increased demand for services. A collaboration between ECHO-Chicago and Americares established a unique virtual medical education program that provided training and telementoring using the Project ECHO model with the integration of clinic-wide quality improvement (QI) projects. In this paper, we outline the process of adapting the existing Project ECHO^® (Extension for Community Health Outcomes) series on behavioral health integration and serious mental illness to fit the needs of Free and Charitable Clinics (FCCs). This project highlights the process and organizational-wide outcomes of creating a partnership between an ECHO hub and a national cross-section of FCCs to create a telehealth program to improve mental healthcare delivery within the FCC space that can be replicated and scaled more broadly. Through this process, we highlight evaluation methods to examine the impact of ECHO series beyond the individual to the clinic-wide level.</p>","PeriodicalId":10654,"journal":{"name":"Community Mental Health Journal","volume":" ","pages":"1238-1244"},"PeriodicalIF":1.7,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12354151/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143751364","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}