Community Mental Health Journal最新文献

{"title":"Peer Support Supervision Competencies: Results of Participatory Action Research.","authors":"Jonathan P Edwards, Amy B Spagnolo, Rita Cronise, Gita Enders, Joanne Forbes, Carlos Pratt","doi":"10.1007/s10597-026-01612-x","DOIUrl":"10.1007/s10597-026-01612-x","url":null,"abstract":"","PeriodicalId":10654,"journal":{"name":"Community Mental Health Journal","volume":" ","pages":"1273-1282"},"PeriodicalIF":2.1,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13585769/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147697783","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":"How do Mental Health Service Users and Staff Think the Cost-of-living Crisis Has Impacted Mental Health in England? A Qualitative Analysis.","authors":"Donna Clutterbuck, Monica Sood, Nisreen A Alwan, Dianna Smith, Thomas Richardson","doi":"10.1007/s10597-026-01625-6","DOIUrl":"10.1007/s10597-026-01625-6","url":null,"abstract":"","PeriodicalId":10654,"journal":{"name":"Community Mental Health Journal","volume":" ","pages":"1373-1386"},"PeriodicalIF":2.1,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13586036/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147764534","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":"Assessing Factors that Influence Psychiatric Referral Time and Postpartum Follow-Up in Obstetric Patients.","authors":"Lauren Womer, Derek Harmanli, Landon Leininger, Hannah McBride, Shayan Jalali, Sarah Tabi","doi":"10.1007/s10597-026-01608-7","DOIUrl":"10.1007/s10597-026-01608-7","url":null,"abstract":"<p><p>There is a clear shortage of psychiatric care in the population of peripartum obstetric patients in the United States(Kelly et al., 2001; Claridad, 2025). There is variability in both screening for mental illness and availability of psychiatric care which leads to a substantial gap in healthcare for such patients, particularly non-white patients. Additionally, during the postpartum period, the attendance rates to medical appointments are affected by race, ethnicity and socioeconomic status, further perpetuating the aforementioned healthcare disparity(Wilcox et al., 2016). The key purpose of this study was to understand if and how rates of seeing a reproductive psychiatrist are affected by psychiatric referral time (prenatally versus postnatally) and, if and how seeing a reproductive psychiatrist affect postpartum healthcare follow in obstetric patients. Patients referred to the reproductive psychiatrist between January to December of 2023 were chart reviewed in EPIC and data was recorded in RedCap (N=71). Data recorded included: age, ethnicity, education, employment, marital status, substance use, and medical factors such as psychotropic medication use and psychiatric diagnoses. Separate Chi Squared tests were employed to evaluate two variables including: referral time (before delivery versus after delivery versus unknown) and if patients were lost to follow up after delivery (yes versus no), respectively. There were 71 obstetric patients evaluated with a mean age of 28 and an age range of 17-39. Most were Black (N=31) or Hispanic/ Latino (N=24). The results indicate that patients referred prenatally had 3.26 times higher odds of meeting with the reproductive psychiatrist (N = 44, 62%) compared to those referred postnatally (p = 0.0002). Patients with a history of substance use, marijuana use, presence of long-term romantic partners, use of prescribed psychotropic medications, history of any bipolar disorder, and had their diagnosis made by the reproductive psychiatrist were associated with higher rates of being referred to psychiatry prenatally, while patients diagnosed with postpartum depression were associated with higher rates of being referred postnatally. The odds of patients who met with the reproductive psychiatrist (N=43, 61.4%) being lost to postpartum healthcare follow up were 3.63 times lower compared to the odds of patients who did not meet with the psychiatrist (p=0.012). Furthermore, patients who used alcohol, had a diagnosis of postpartum depression, had their mental health conditions diagnosed by the reproductive psychiatrist, were taking a prescribed psychotropic medication, particularly antidepressants including sertraline and escitalopram, were associated with lower rates of being lost to postpartum healthcare follow up. Patients who were unemployed were associated with higher rates being lost to healthcare follow up. This study explores how timing of psychiatric referral in obstetric patients affects postpartum healthca","PeriodicalId":10654,"journal":{"name":"Community Mental Health Journal","volume":" ","pages":"1416-1425"},"PeriodicalIF":2.1,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13585855/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147764943","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":"Bridging the Research to Practice Gap: Feasibility of Implementing Social Rhythm Therapy for Bipolar Disorder in Specialist Mental Health Services.","authors":"Maree L Inder, Marie T Crowe, Richard J Porter","doi":"10.1007/s10597-026-01613-w","DOIUrl":"10.1007/s10597-026-01613-w","url":null,"abstract":"","PeriodicalId":10654,"journal":{"name":"Community Mental Health Journal","volume":" ","pages":"1311-1319"},"PeriodicalIF":2.1,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13585898/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147485071","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":"Factors Influencing Racial Discrimination and Prevalence of Major Depressive Disorder Among Black Canadian Youths.","authors":"Folajinmi Oluwasina, Andre M N Renzaho, Delores Mullings, Joanna Henderson, Kwame McKenzie, Hayley Hamilton, Tolulope Sajobi, Ambikaipakan Senthilselvan, Cecile Rousseau, Bukola Salami","doi":"10.1007/s10597-026-01614-9","DOIUrl":"10.1007/s10597-026-01614-9","url":null,"abstract":"<p><p>Major depressive disorder (MDD) is a complex and multifaceted mental health condition with far-reaching implications for youth well-being and society. This paper examined the prevalence of depressive symptoms consistent with probable MDD and their association with self-reported experiences of racial discrimination within the Black youth population in Canada. This study used a descriptive cross-sectional design. Questionnaires were administered via an anonymous online survey. Depressive symptoms were assessed using the Patient Health Questionnaire-9 (PHQ-9), a self-report screening tool, with scores ≥ 10 indicating symptoms consistent with probable MDD rather than a clinical diagnosis. Experiences of discrimination were measured using self-reported items adapted from previously validated discrimination instruments. Data were analyzed using descriptive statistics, chi-square tests, and multivariable logistic regression(p ≤ 0.05). A total of 933 Black youth participated in this survey. Black youth who reported unfair treatment due to their skin colour or race were 18 times more likely to express MDD than those who had not (OR: 18.38; 95% CI: 2.796-7.17 ). Similar associations were observed for self-reported discrimination based on language accent (OR = 4.40; 95% CI: 1.01-19.24) and culture (OR = 12.29; 95% CI: 1.47-12.53). Black youth who have been treated unfairly due to their culture were 12 times more likely to experience MDD than those who had not (OR: 12.29; 95% CI: 1.473-12.530). This study demonstrates a significant association between perceived unfair treatment and depressive symptoms (consistent with probable MDD) among Black Canadian youth. The findings suggest that racial, linguistic, and cultural discrimination are associated with poorer mental health outcomes in this group. Culturally sensitive interventions and policies that promote inclusivity and equity can help Black youth with MDD.</p>","PeriodicalId":10654,"journal":{"name":"Community Mental Health Journal","volume":" ","pages":"1362-1372"},"PeriodicalIF":2.1,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13585968/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147811912","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":"Patient and System Factors Associated with Second-generation Antipsychotic Metabolic Lab Monitoring, a Retrospective Cohort Study.","authors":"Sorabh Singhal, Susan K Mikulich-Gilbertson, Maria E Garcia, Sarah M Nagle-Yang, Allison G Dempsey","doi":"10.1007/s10597-026-01618-5","DOIUrl":"10.1007/s10597-026-01618-5","url":null,"abstract":"","PeriodicalId":10654,"journal":{"name":"Community Mental Health Journal","volume":" ","pages":"1387-1397"},"PeriodicalIF":2.1,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147638142","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":"Effects of the Japanese Version of Metacognitive Training on Self-Efficacy and Sense of Coherence in Community-Dwelling Patients with Schizophrenia: A Pilot Study.","authors":"Kanae Kuroda, Takaharu Hori, Atsuko Hayashi","doi":"10.1007/s10597-026-01621-w","DOIUrl":"10.1007/s10597-026-01621-w","url":null,"abstract":"<p><p>Improving self-efficacy, sense of coherence (SOC), and functional stability is essential for recovery and sustained community functioning among individuals with schizophrenia. However, the impact of the Japanese version of Metacognitive Training (MCT-J) on these factors has not been fully examined. This pilot study used a non-randomized Pre-Post design with sequential allocation (not a randomized controlled trial) and included 20 community-dwelling individuals diagnosed with schizophrenia, with 10 participants each assigned to the MCT-J intervention and delayed intervention control groups. To evaluate intervention effects, assessments were conducted using the Self-Efficacy for Community Life Scale (SECL), the Japanese version of Antonovsky's 13-item Sense of Coherence scale (SOC-13), the Beck Cognitive Insight Scale (BCIS), and the Trail Making Test-Japanese version (TMT-J) Parts A and B. Within-group and between-group comparisons assessed the changes in scores and task completion times. In addition, outcomes were examined exploratorily pre-intervention, post-intervention, and at the one-year follow-up among available participants who had received MCT-J. In between-group comparisons, compared with the delayed-intervention control group, the intervention group showed more favorable changes in SECL scores and TMT-J Part A completion time than the control group. At the one-year follow-up, reductions in TMT-J Part A completion times relative to baseline were observed exploratorily among participants who had received MCT-J. These findings support the feasibility of implementing MCT-J in community settings and suggest preliminary benefits for self-efficacy and attentional performance, whereas changes in SOC were limited and exploratory. Although MCT-J may support recovery-related psychological resources in community-dwelling individuals, these preliminary findings should be interpreted with caution, and confirmation in a larger randomized controlled trial is warranted.</p>","PeriodicalId":10654,"journal":{"name":"Community Mental Health Journal","volume":" ","pages":"1320-1333"},"PeriodicalIF":2.1,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13585891/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147764484","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":"Relieving the Burden on Caregivers: A Single-Group, 4-Week Pilot Study Evaluating the Impact of a Brief Online Psychoeducation Program (AES) on Burden Reduction and Schizophrenia-Related Knowledge for Informal Caregivers of Individuals with Schizophrenia in German-Speaking Countries.","authors":"Yannik Fabian Dicker, Steffen Moritz, Arne Sibilis, Kim Marle Rojahn, Anna Theil","doi":"10.1007/s10597-026-01731-5","DOIUrl":"https://doi.org/10.1007/s10597-026-01731-5","url":null,"abstract":"<p><strong>Purpose: </strong>Informal caregivers of people with schizophrenia often face substantial psychological burden and limited support. Although psychoeducational family interventions are effective and are recommended by international guidelines, their clinical use is limited by systemic and personal barriers. Digital formats offer a flexible and accessible alternative, but the impact of short, self-guided psychoeducation remains underexplored. The study aims to evaluate the feasibility and potential effects of a brief, self-guided online psychoeducation program called Angehörigenentlastung Schizophrenie (AES) for caregivers of people with schizophrenia.</p><p><strong>Methods: </strong>A single-group, exploratory pilot trial was conducted with informal caregivers (N = 51) from German-speaking countries. Participants completed baseline and post-intervention assessments during a 4-week period of access to AES. Primary outcomes were changes in caregiver burden and schizophrenia-related knowledge. Correlations between outcomes, caregiving duration, and intervention usage were explored.</p><p><strong>Results: </strong>Intent-to-treat analysis revealed a significant reduction in caregiver burden with a small effect size (p = 0.014, d = 0.36) and a significant increase in schizophrenia-related knowledge with a medium effect size (p < .001, d = 0.56). Significant correlations emerged between the number of modules used and knowledge gain (rₛ = 0.382, p = 0.020) as well as total time spent with the AES.</p><p><strong>Conclusion: </strong>Preliminary findings suggest that AES may be a resource-light and accessible tool to reduce caregiver burden and enhance schizophrenia-related knowledge among informal caregivers. The potential clinical relevance of the observed knowledge gain requires further investigation within a randomized controlled trial.</p><p><strong>Registry: </strong>DRKS.de, TRN: DRKS00037486, Registration date: 28 July 2025. Retrospectively registered.</p>","PeriodicalId":10654,"journal":{"name":"Community Mental Health Journal","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2026-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149073621","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":"Perspectives of People with Serious Mental Illness on Artificial Intelligence-Based Companions: \"If no one told you I love you today, you have someone that cares for you.\"","authors":"Vedant Tapiavala, Sai S Chilakapati, Dylan Moore, Shamika Morales, Adithi Kumaran, Rebecca Heller, Jonathan Werlin, Karen L Fortuna","doi":"10.1007/s10597-026-01732-4","DOIUrl":"https://doi.org/10.1007/s10597-026-01732-4","url":null,"abstract":"<p><p>Artificial intelligence (AI) is reshaping healthcare by enhancing clinical decision making, communication, and patient monitoring systems. Still, it is essential that these technologies lessen, rather than deepen, feelings of loneliness. This study centers the perspectives of individuals with serious mental illnesses, such as schizophrenia spectrum disorder, bipolar disorder, and major depressive disorder, to explore how they interpret and engage with conversational and companion-based AI in healthcare settings. By examining their perspectives, expectations, and concerns, the study highlights design factors that shape the perceived trustworthiness of AI tools. A secondary analysis of three focus groups was conducted across three supportive housing facilities in New York City, where qualitative data was subsequently collected, transcribed, and analyzed using RADar analysis. This study determined that participants expressed strong concerns about data privacy and misuse, but also recognized AI's potential to support reminders, mental health, and daily functioning. Trust in AI increased when tools were personalized, human-centered, and co-developed with people who understand lived experiences of serious mental illnesses. However, concerns remained about loss of critical thinking and overreliance. By emphasizing the lived experiences of adults with serious mental illness, this study identifies the factors that influence how they trust, use, and engage with AI in mental health care. These insights can guide the development of AI tools for individuals with serious mental illnesses.</p>","PeriodicalId":10654,"journal":{"name":"Community Mental Health Journal","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2026-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149058346","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 Transdiagnostic Intervention for Sleep and Circadian Dysfunction (TSC) in Community Mental Health: Evaluating Self-Reported Psychiatric Disorders as a Predictor of Symptoms and Treatment Outcome.","authors":"Tanya B Horwitz, Laurel D Sarfan, Anne E Milner, Joshua Varghese, Catherine A Callaway, Allison G Harvey","doi":"10.1007/s10597-026-01719-1","DOIUrl":"10.1007/s10597-026-01719-1","url":null,"abstract":"<p><p>This study investigated the extent to which number of psychiatric disorders and specific comorbidities in patients receiving the Transdiagnostic Intervention for Sleep and Circadian Dysfunction (TSC) predicted symptom/impairment severity and treatment outcome. This secondary analysis drew from a subset of 489 patients in Community Mental Health Centers (CMHCs) with serious mental illness (SMI) and sleep/circadian problems who had participated in a randomized controlled trial of TSC. Of these patients, 253 received Immediate TSC and 236 received usual care followed by delayed treatment (UC-DT). Some patients received Standard TSC (N = 149) while others received Adapted TSC (N = 340). Patients' baseline/pre-treatment and post-treatment scores for psychiatric symptoms, sleep disturbance, sleep-related impairment, overall sleep health, and functional impairment were analyzed. Patient-reported data on history of psychiatric diagnoses were also used. At baseline, patients with more disorders had significantly worse psychiatric symptom scores (b = 2.27, SE = 0.39, p<.001), marginally greater sleep disturbance (b = 0.57, SE = 0.32, p=.073) (but only at the nominal level), significantly greater sleep-related impairment (b = 1.25, SE = 0.34, p<.001), significantly worse overall sleep health (b=-0.20, SE = 0.06, p=.001), and significantly greater functional impairment (b = 0.32, SE = 0.11, p=.005). Number of psychiatric disorders was not associated with treatment outcome or differences in benefits between Standard and Adapted TSC. When analyzed independently, the most common psychiatric disorder groups all demonstrated significantly more improvement in the Immediate TSC group than in the UC-DT group on sleep disturbance and sleep-related impairment. These results build on strong evidence that transdiagnostic sleep treatment is an important approach to treating populations with comorbid SMI and sleep/circadian problems.</p>","PeriodicalId":10654,"journal":{"name":"Community Mental Health Journal","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2026-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149058751","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}