Alice Palmer, Simon Adamson, Ria Schroder, Lisa Wood
{"title":"Psychometric Performance of the Cannabis Use Disorders Identification Test- Revised (CUDIT-R) in an Youth Clinical Sample.","authors":"Alice Palmer, Simon Adamson, Ria Schroder, Lisa Wood","doi":"10.1007/s10597-025-01494-5","DOIUrl":"https://doi.org/10.1007/s10597-025-01494-5","url":null,"abstract":"<p><p>The Cannabis Use Disorders Identification Test-Revised (CUDIT-R) is an eight-item screening tool designed to identify problematic cannabis use. The present study intended to assess the psychometric properties of the measure in a youth sample. N = 76 participants completed the CUDIT-R and a measure of cannabis consumption. All participants underwent an assessment for a current cannabis use disorder using the Structured Clinical Interview for DSM-IV. The CUDIT-R exhibited good internal consistency (Cronbach's α = 0.76) and concurrent validity with a cannabis consumption measure. Discriminant validity was demonstrated with an area under the ROC curve of 0.96. The CUDIT-R proved to be a reliable and valid screening tool amongst youth with heavy cannabis use, which suggests the scale has clinical utility.</p>","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":"144689131","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":"Challenging Stigma Through Experiential Learning in Clinical and Non-Clinical Mental Health Trainees.","authors":"Olivia Giovannetti, Erica Francis, Noah Pauley, Simone Arbour","doi":"10.1007/s10597-025-01493-6","DOIUrl":"https://doi.org/10.1007/s10597-025-01493-6","url":null,"abstract":"<p><p>Mental health stigma is a pervasive issue which can adversely affect patient care and outcomes. Stigma may manifest through discrimination and negative stereotypes, and can be damaging when inadvertently perpetuated by practitioners and trainees. This study aims explore the effect of experiential learning in decreasing stigma measured by changes in the perceived attitudes and behaviours of trainees at a specialized mental health hospital. Participants (N = 139) are trainees who were scheduled to undergo clinical or non-clinical placement at a mental health hospital. Participants completed a demographic survey prior to placement and a qualitative student evaluation after placement. Validated scales measuring changes in attitude (MICA-4) and behaviour (RIBS), were used as both pre- and post-placement evaluations. Trainee placement variations were accounted for using correlation analysis of the MICA-4 and RIBS data. Most participants identified as females with a college or university education, in their second to fourth years of study. Analysis of both MICA-4 (P = 0.0001) and RIBS (P = 0.009) revealed significant differences between pre-placement and post-placement scores on stigma-related attitudes and behaviours, respectively. These results were supported by qualitative responses which revealed alignment with recovery-oriented philosophy and reflections of stigma. Overall, this study demonstrates possible benefits of experiential learning in mental health care settings to address stigma in clinical and non-clinical trainees.</p>","PeriodicalId":10654,"journal":{"name":"Community Mental Health Journal","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-07-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144689129","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}
Donagh Seaver O'Leary, David Marshall, Justin Smyth, Keith Gaynor, Mary Clarke
{"title":"A Systematic Review of Tai Chi-based Interventions for Positive and Negative Symptoms, Cognitive Functioning, and Quality of Life in Psychosis.","authors":"Donagh Seaver O'Leary, David Marshall, Justin Smyth, Keith Gaynor, Mary Clarke","doi":"10.1007/s10597-025-01483-8","DOIUrl":"https://doi.org/10.1007/s10597-025-01483-8","url":null,"abstract":"<p><p>This study aimed to provide a systematic review of Tai Chi interventions in psychosis and their impact on positive and negative symptoms, cognitive deficits and quality of life. There is growing evidence that the mind-body practice of Tai Chi has value in treating and preventing mental health-related problems, such as stress and anxiety. However, it is unclear whether they are effective or beneficial in serious mental illnesses such as psychosis. A systematic review was conducted in accordance with PRISMA guidelines. The review protocol was registered (PROSPERO). The review examined studies which included adults with diagnosed psychotic disorders who participated in treatment studies examining Tai Chi or Qigong interventions using quantitative measures of positive and negative symptoms, cognitive deficits and quality of life. The search was conducted in August 2024. Data were extracted by two independent researchers and analysed using a narrative synthesis approach. Three-hundred and eighty one papers were screened with six studies included in the final review. Publications spanned from 2012-2022. All studies were based in Asia. Tai Chi interventions were acceptable, and well-tolerated. Outcomes indicated small-medium effective sizes in improving negative symptoms, and cognitive deficits. However largely, these improvements were not maintained over time. The current review suggests that Tai Chi is an acceptable, well-tolerated intervention in individuals with long-term psychotic illnesses in Asian populations There is tentative evidence that it may have a positive impact for negative symptoms and cognitive deficits. Well-controlled studies should be encouraged in Western settings.</p>","PeriodicalId":10654,"journal":{"name":"Community Mental Health Journal","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-07-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144674042","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}
Stéphane Morandi, Charles Bonsack, Karim Boubaker, Benedetta Silva
{"title":"Ten Years of Community Treatment Orders in Western Switzerland: an Update.","authors":"Stéphane Morandi, Charles Bonsack, Karim Boubaker, Benedetta Silva","doi":"10.1007/s10597-025-01486-5","DOIUrl":"https://doi.org/10.1007/s10597-025-01486-5","url":null,"abstract":"<p><p>Community treatment orders (CTOs) are legal procedures that authorise compulsory community mental health care for people with severe mental disorders. Since their introduction in Switzerland in 2013, the Swiss Canton of Vaud (846'300 inhabitants) has been engaged in the monitoring of CTOs. This study describes the use of this measure in the Canton of Vaud over the 10 years since its introduction and examines the profile of people undergoing CTOs during this period, the form that these measures took and the factors associated with their duration and outcome. Between 2013 and 2022, 530 CTOs have been ordered. As their incidence remained low and fluctuated between 5 and 10 CTOs per 100'000 inhabitants, their prevalence rose from 5 to 25 per 100'000 inhabitants. The profile of people placed under CTOs was comparable to that observed in other studies. The measures concerned mainly Swiss male in their forties, single or divorced/separated, living independently and under legal guardianship. The main diagnosis was schizophrenia, schizotypal or delusional disorders. On the 31st of December 2022, 329 CTOs (62.1%) had been discharged. Their average duration was slightly more than two years. Among the 329 CTOs discharged at the 31st of December 2022, five groups were identified according to the reasons for discharge: CTO success (38.7%), breached conditions with (24.0%) and without involuntary hospitalisation (11.5%), death of the patient (13.0%) and other reasons for discharge (12.8%). Prototypical situations for each group were identified.</p>","PeriodicalId":10654,"journal":{"name":"Community Mental Health Journal","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-07-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144658619","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":"Productivity Billing in Mental Health Agencies: Ethical Considerations.","authors":"Travis Ray, Kristin Harris, Cassandra A Bailey","doi":"10.1007/s10597-025-01487-4","DOIUrl":"https://doi.org/10.1007/s10597-025-01487-4","url":null,"abstract":"<p><p>An unavoidable piece of the American healthcare system that is often overlooked concerns billing and payment in community mental health agencies. Practitioners are faced with ethical dilemmas surrounding productivity billing that require their ability to strike a delicate balance between efficiency and providing quality care. In line with the American Psychological Association's Ethical Principals of Psychologists and Code of Conduct (2017), this paper examines ethical issues for mental health agencies and managers employing productivity-driven billing practices and reviews the impact these models have on practitioners and their clients. More specifically, it will speak to ethical concerns that impact not only the practitioners who are working at these agencies, but also the clients who are directly affected by the implementation and structure of this model. We conclude with a discussion regarding how agencies can play a more significant role in reducing unethical practices by improving operational standards to maximize quality care.</p>","PeriodicalId":10654,"journal":{"name":"Community Mental Health Journal","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-07-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144616588","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}
Julia Browne, Zachary Kunicki, L Fredrik Jarskog, Paschal Sheeran, Ana M Abrantes, Tonya Elliott, Oscar Gonzalez, David L Penn, Claudio Battaglini
{"title":"Virtual Group-based Walking Intervention for Adults with Schizophrenia-Spectrum Disorders: Psychosocial Outcome Results from a Pilot Randomized Controlled Trial.","authors":"Julia Browne, Zachary Kunicki, L Fredrik Jarskog, Paschal Sheeran, Ana M Abrantes, Tonya Elliott, Oscar Gonzalez, David L Penn, Claudio Battaglini","doi":"10.1007/s10597-025-01488-3","DOIUrl":"https://doi.org/10.1007/s10597-025-01488-3","url":null,"abstract":"<p><p>Physical activity improves mental health in individuals with schizophrenia. Yet, limited access, low motivation, and social isolation make participation in face-to-face programs challenging. This 16-week pilot randomized controlled trial examined differences in symptoms and loneliness between adults with schizophrenia that were randomized to a virtual group-based walking program (\"Virtual PACE-Life\", n = 17) or Fitbit Alone (n = 20). The Positive and Negative Syndrome Scale and UCLA Loneliness scale were administered at baseline, 8 weeks, 16 weeks, and one-month follow-up. Standardized effects (SE) and confidence intervals from mixed effects models were used to evaluate group differences. Results demonstrated small-to-moderate effects (SE: 0.1-0.3) on total, negative, disorganization, excitement, and emotional distress symptoms favoring Virtual PACE-Life; however, negligible effects were observed for positive symptoms or loneliness. Despite the small sample size, these findings may suggest symptom but not loneliness benefits of a virtual group-based physical activity program for people with schizophrenia.</p>","PeriodicalId":10654,"journal":{"name":"Community Mental Health Journal","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-07-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144607731","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}
Jamie Fried, Hunter L McQuistion, Jon Marrelli, Melvin C Hampton, Lingwei Wu, Alessandra LeGeros, Olga Lanina, W Gordon Frankle
{"title":"The EnTRy Program: Expanding Coordinated Specialty Care Beyond Early Psychosis.","authors":"Jamie Fried, Hunter L McQuistion, Jon Marrelli, Melvin C Hampton, Lingwei Wu, Alessandra LeGeros, Olga Lanina, W Gordon Frankle","doi":"10.1007/s10597-025-01491-8","DOIUrl":"https://doi.org/10.1007/s10597-025-01491-8","url":null,"abstract":"<p><p>This study aims to evaluate the quality and potential clinical benefits of a novel program, called the Enhanced Treatment and Recovery (EnTRy) Program, which provides Coordinated Specialty Care (CSC) without limits on diagnosis, age, or treatment time to individuals with serious mental illnesses (SMI). To assess recovery of participants, we compared the baseline Substance Abuse and Mental Health Services Administration (SAMSHA) National Outcome Measures (NOMs) in patients enrolled in EnTRy to that at 6 months and 12 months. To explore whether EnTRy provided benefits over standard treatment, we compared the time engaged in treatment for the EnTRy cohort with that of a historic sample from the same clinical site. Participants were significantly less likely to have a psychiatric hospitalization in the past 30 days during follow-up assessment at 6 months (19% at baseline, 1% at 6 months, (χ<sup>2</sup> (1, N = 1006) = 91, p<0.0001) and 12 months (16% at baseline, 1% at 12 months, χ<sup>2</sup> (1, N = 486) = 37.633, p<0.0001). Participants were similarly less likely to have psychiatric emergency service encounters in the past 30 days at 6 months (18% at baseline, 1% at 6 months, χ<sup>2</sup> (1, N = 1004) = 86.808, p < 0.0001) and at 12 months (16% at baseline, 2% at 12 months, χ<sup>2</sup>(1, N = 486) = 32.387, p= 0.0001). Patients enrolled in the EnTRy program remained engaged with care for significantly longer than a historical sample (p< 0.0001 by Mantel-Cox logrank) with a logrank hazard ratio of 2.0 (CI 1.65- 2.43). Age and diagnosis-unlimited CSC may be particularly effective for individuals with SMI who recently received hospital level care and may help maintain gains in individuals who have aged out of programs dedicated to first episode psychiatric illness.</p>","PeriodicalId":10654,"journal":{"name":"Community Mental Health Journal","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-07-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144574976","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}
José A Garrido-Cervera, María I Ruiz-Granados, Antonio I Cuesta-Vargas, Antonio J Sánchez-Guarnido
{"title":"Patient-Reported Outcome Measures (PROMs) for Recovery in Mental Health: A Scoping Review.","authors":"José A Garrido-Cervera, María I Ruiz-Granados, Antonio I Cuesta-Vargas, Antonio J Sánchez-Guarnido","doi":"10.1007/s10597-024-01426-9","DOIUrl":"10.1007/s10597-024-01426-9","url":null,"abstract":"<p><p>Recovery is a holistic approach to mental health care which focusses on the ability of people with mental disorders to achieve their goals and live full, meaningful lives despite their limitations. Recovery assessment tools are instruments that make it possible to measure the progress of people with mental disorders on their path to recovery. To explore, map and describe patient-reported outcome measures (PROMs) found in the literature related to the recovery process in people with mental disorders (MDs). A scoping review was carried out of papers proposing personal recovery assessment tools. The search was performed in seven data bases: SCOPUS, CINAHL, Medline, Web of Science, Teseo, Opengrey and Dart-Europe. It included studies published between 1970 and 2023 with adult participants suffering from some form of MD. It excluded studies involving patients with intellectual disability and/or addictions. 82% of the instruments described in the 50 studies found used self-administered questionnaires. The most frequently referenced dimensions were hope, empowerment and wellbeing, with an average of 35 items per questionnaire. The most frequently assessed psychometric property was internal consistency, which was evaluated in 84% of the studies. Recovery is a complex concept which is not integrally measured in any of the existing scales. However, the tools identified in the review can help mental health professionals assess the recovery of MD patients and develop personalised treatment plans.</p>","PeriodicalId":10654,"journal":{"name":"Community Mental Health Journal","volume":" ","pages":"890-898"},"PeriodicalIF":1.8,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142881675","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}
Nicholas Covino, Marc Abelard, Bori Mahr, Yasmine Ibrahim, Gemima St Louis
{"title":"The Behavioral Health Service Corps: An Innovative Model for Workforce Development.","authors":"Nicholas Covino, Marc Abelard, Bori Mahr, Yasmine Ibrahim, Gemima St Louis","doi":"10.1007/s10597-024-01434-9","DOIUrl":"10.1007/s10597-024-01434-9","url":null,"abstract":"<p><p>The increased prevalence of behavioral health problems in the US is intensified by the critical shortage of providers in the field. The historical failure of behavioral health specialties to attract BIPOC students and workers limits leadership, access to quality care, and the generalizability of research findings. Most workforce development programs serve only those with earned graduate degrees. This report describes a service-learning program that is successfully attracting new graduates with bachelor's degrees and culturally diverse professionals into the behavioral health workforce.</p>","PeriodicalId":10654,"journal":{"name":"Community Mental Health Journal","volume":" ","pages":"956-961"},"PeriodicalIF":1.8,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142876448","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}
Rebecca P Johnson, Brianne LaPelusa, Abby Mayhue, Ava Schneider, Autumn Crowe, Terria Diggins, Adrienne Brown, Eshawn Spencer, Deborah A Cohen, Vanessa V Klodnick
{"title":"An Evaluation of Career Opportunity Readiness Experience (CORE): An Enhancement to Supported Employment for Transition Age Youth with Serious Mental Health Diagnoses.","authors":"Rebecca P Johnson, Brianne LaPelusa, Abby Mayhue, Ava Schneider, Autumn Crowe, Terria Diggins, Adrienne Brown, Eshawn Spencer, Deborah A Cohen, Vanessa V Klodnick","doi":"10.1007/s10597-024-01431-y","DOIUrl":"10.1007/s10597-024-01431-y","url":null,"abstract":"<p><p>Transition-age youth (TAY) diagnosed with serious mental health diagnoses have low employment rates. Supported Employment (SE) is a widely adopted evidence-based approach. However, SE engagement and outcomes are mixed with TAY, who have unique developmental needs. This study evaluates the \"Career Opportunity Readiness Experience\" (CORE), a TAY transitional employment SE add-on. CORE runs in 15-week cycles with 6-8 TAY, supported by Vocational Peer Mentors. CORE includes: (1) workshops, (2) paid internship, and (3) SE transition. CORE participation, key outcomes and feedback were tracked over nine cycles, and for six-months post-CORE participation. Most (97%; 55 of 57) experienced positive outcomes: 74% enrolled in SE, 42% secured employment and 23% enrolled in an education program. Most (82%) reported positive CORE experiences. CORE workshops, internships and vocational peer mentoring are promising TAY SE practices. More research is needed to understand CORE implementation barriers and facilitators and key change mechanisms.</p>","PeriodicalId":10654,"journal":{"name":"Community Mental Health Journal","volume":" ","pages":"923-934"},"PeriodicalIF":1.8,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142853372","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}