Community Mental Health Journal最新文献_第3页

Psychosocial Recovery Coaching and the National Disability Insurance Scheme: Outcomes and their Alignment with the CHIME-D Recovery Framework. 社会心理康复指导和国家残疾保险计划：结果及其与CHIME-D康复框架的一致性。

IF 1.7 4区医学

Community Mental Health Journal Pub Date : 2025-10-01 Epub Date: 2025-06-24 DOI: 10.1007/s10597-025-01477-6

Aurora Elmes, Robert Campain, Chris Brown, Erin Wilson

{"title":"Psychosocial Recovery Coaching and the National Disability Insurance Scheme: Outcomes and their Alignment with the CHIME-D Recovery Framework.","authors":"Aurora Elmes, Robert Campain, Chris Brown, Erin Wilson","doi":"10.1007/s10597-025-01477-6","DOIUrl":"10.1007/s10597-025-01477-6","url":null,"abstract":"Australia's National Disability Insurance Scheme (NDIS) provides individualised funding to eligible people with disability to purchase required services and supports. However, people with psychosocial disability have experienced challenges in accessing these supports. In response, the NDIS introduced psychosocial recovery coaching as a 'recovery oriented' support for people with psychosocial disability. This study, based on research undertaken with an Australian organisation providing psychosocial recovery coaching, aims to identify outcomes of this support and how these relate to the CHIME-D recovery framework and broader evidence on peer-delivered mental health support. The study shows that overall, participant experiences and outcomes of psychosocial recovery coaching align strongly with the CHIME-D recovery framework, and with the NDIS stipulated goals and responsibilities of psychosocial recovery coaching service delivery. This paper contributes new knowledge on the outcomes of psychosocial recovery coaching and suggests that future iterations of NDIS psychosocial supports should align with personal recovery outcomes-including those identified by people with psychosocial disability.","PeriodicalId":10654,"journal":{"name":"Community Mental Health Journal","volume":" ","pages":"1390-1405"},"PeriodicalIF":1.7,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12408737/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144474170","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

Self-Reported Perception of Voluntary Psychiatric Hospitalization and Underlying Needs: A Cross-Sectional Study of Patients on a Psychiatric Unit in a Safety Net Hospital. 自愿精神科住院的自我报告知觉和潜在需求：对安全网医院精神科病人的横断面研究。

IF 1.7 4区医学

Community Mental Health Journal Pub Date : 2025-10-01 Epub Date: 2025-05-24 DOI: 10.1007/s10597-025-01469-6

Aderonke Oyetunji, Ishrath Zamani, Carrie Kriz, Ethan Johnston, Olurinde Oni, Sara Agha, Saja Necibi, Shazia Saleem, Jared Bruce

{"title":"Self-Reported Perception of Voluntary Psychiatric Hospitalization and Underlying Needs: A Cross-Sectional Study of Patients on a Psychiatric Unit in a Safety Net Hospital.","authors":"Aderonke Oyetunji, Ishrath Zamani, Carrie Kriz, Ethan Johnston, Olurinde Oni, Sara Agha, Saja Necibi, Shazia Saleem, Jared Bruce","doi":"10.1007/s10597-025-01469-6","DOIUrl":"10.1007/s10597-025-01469-6","url":null,"abstract":"Unmet social needs are a significant reason for increased psychiatric readmission rates. However, there is a paucity of literature to suggest patients contribute to this increased rate by reporting more severe symptoms. Our study assessed voluntarily hospitalized psychiatric patients' perceptions of underlying needs within a safety net hospital. In a cross-sectional anonymous survey, 58 of 100 voluntarily hospitalized English-speaking psychiatric patients reported they would not need hospitalization if they had stable housing. Forty-one reported similarly if they had disability income. Thirty-one percent of participants indicated that they had reported more severe symptoms in the past to gain psychiatric admission, and 26% indicated they reported more severe psychiatric symptoms at the time of the survey. Of those reporting more severe symptoms, 73% reported they needed help with housing, and 57% needed help with disability benefits. This preliminary work represents a starting point to better understand patient needs and provide appropriate levels of care.","PeriodicalId":10654,"journal":{"name":"Community Mental Health Journal","volume":" ","pages":"1299-1305"},"PeriodicalIF":1.7,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144136024","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

Childhood Homelessness as an Adverse Childhood Experience (ACE): Adult Mental Health Outcomes. 童年无家可归是一种不良的童年经历（ACE）：成人心理健康结果。

IF 1.7 4区医学

Community Mental Health Journal Pub Date : 2025-10-01 Epub Date: 2025-04-30 DOI: 10.1007/s10597-025-01466-9

Jeff M Downes, Julie M Smith-Boydston

{"title":"Childhood Homelessness as an Adverse Childhood Experience (ACE): Adult Mental Health Outcomes.","authors":"Jeff M Downes, Julie M Smith-Boydston","doi":"10.1007/s10597-025-01466-9","DOIUrl":"10.1007/s10597-025-01466-9","url":null,"abstract":"Adverse childhood experiences (ACEs) are experiences of abuse, neglect, and other household problems occurring before age 18 and contribute to the development of both physical and mental health concerns. People experiencing homelessness report disproportionately higher rates of ACEs and negative mental health concerns; however, little research has been conducted regarding the relationship between ACEs and mental health outcomes specifically for homeless populations. A dearth of research also exists regarding how childhood experiences of homelessness interact with ACEs and mental health outcomes. The present study examined the mental health outcomes for people experiencing homelessness, as well as how childhood experiences of homelessness may fit into the ACEs model using archival data. People experiencing homelessness (n = 100) completed the ACEs questionnaire, a demographics questionnaire, and a health appraisal questionnaire. Results found ACEs significantly predicted negative mental health outcomes for people experiencing homelessness. Childhood experiences of homelessness were predictive of negative mental health outcomes; however, this relationship became negligible when acting as a covariate with ACEs. This result suggests that the ACEs framework adequately explains the effects of traumatic events for children experiencing homelessness and the subsequent negative mental health outcomes.","PeriodicalId":10654,"journal":{"name":"Community Mental Health Journal","volume":" ","pages":"1280-1293"},"PeriodicalIF":1.7,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143977260","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

Facebook as a Strategy To Deliver a Peer Navigation Intervention for Recently Incarcerated Women with Opioid Use Disorder: A Mixed Methods Descriptive Profile. Facebook作为一种策略，为最近被监禁的阿片类药物使用障碍妇女提供同伴导航干预：混合方法描述性概况。

IF 1.7 4区医学

Community Mental Health Journal Pub Date : 2025-09-20 DOI: 10.1007/s10597-025-01501-9

Martha Tillson, Jaxin Annett, Marguerite A Webster, Amanda Fallin-Bennett, Mandi Webster, Amber Clemons, Cynthia Robinson, Kevin Crabtree, Casey Baker-Romans, Michele Staton

{"title":"Facebook as a Strategy To Deliver a Peer Navigation Intervention for Recently Incarcerated Women with Opioid Use Disorder: A Mixed Methods Descriptive Profile.","authors":"Martha Tillson, Jaxin Annett, Marguerite A Webster, Amanda Fallin-Bennett, Mandi Webster, Amber Clemons, Cynthia Robinson, Kevin Crabtree, Casey Baker-Romans, Michele Staton","doi":"10.1007/s10597-025-01501-9","DOIUrl":"https://doi.org/10.1007/s10597-025-01501-9","url":null,"abstract":"Recovery support and treatment linkages are critical during transitions from incarceration to community but can be challenging to deliver to hard-to-reach populations. This paper will examine Facebook contacts between peer navigators (PNs) and women with opioid use disorder (OUD) following jail release to explore women's use of PN services, including purpose and content of Facebook messages. As part of a larger clinical trial under the Justice Community Opioid Innovation Network (JCOIN), PNs provided OUD treatment navigation and recovery support for 12 weeks following women's release from jail, using remote options such as Facebook. Facebook Messenger transcripts between PNs and participants were qualitatively coded by general and specific conversation topic, and described using quantitative measures (e.g., number of messages). Of the 231 women contacted by PNs through Messenger, 53.7% (n = 124) interacted with their PN. About a third of participants who interacted through Messenger (31.6%) were provided with resource referrals (M = 2.9 resources sent). Most conversations were coded generally as needs/struggles (70.7%) or successes (24.2%). Conversations most frequently discussed family, friends, or partners (15.8%), financial and work matters (14.7%), or housing (13.0%). Analyses indicated that PNs used similar supportive strategies over Facebook as they would in other modalities, including sharing lived experience and providing motivation or encouragement. Peer recovery supports are valuable for women, particularly at critical transitions, like jail release. Social media platforms like Facebook can be a viable strategy to engage participants and provide remote support, especially in areas that may lack in-person resources (e.g., rural regions).","PeriodicalId":10654,"journal":{"name":"Community Mental Health Journal","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-09-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145091409","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

Quality of Life of People with Mental Health Challenges and Problematic Substance Use while Engaged with an Exercise Physiology Service. 从事运动生理学服务时，有精神健康挑战和问题物质使用的人的生活质量。

IF 1.7 4区医学

Community Mental Health Journal Pub Date : 2025-09-18 DOI: 10.1007/s10597-025-01518-0

Jane Kugelman, Doohan Meg, Brett Dyer, Jake O'Brien, Mridula Kayal, Justin Chapman

{"title":"Quality of Life of People with Mental Health Challenges and Problematic Substance Use while Engaged with an Exercise Physiology Service.","authors":"Jane Kugelman, Doohan Meg, Brett Dyer, Jake O'Brien, Mridula Kayal, Justin Chapman","doi":"10.1007/s10597-025-01518-0","DOIUrl":"https://doi.org/10.1007/s10597-025-01518-0","url":null,"abstract":"People with mental health challenges and problematic substance use may experience low quality of life (QoL) because of illness-related factors and psychosocial stressors. Evidence indicates that regular exercise can improve QoL for people with a range of mental health and substance use issues, and Accredited Exercise Physiologists (AEPs) provide evidence-based exercise interventions for people with a range of health conditions. This study examined QoL changes in people with mental health challenges and problematic substance use while engaged in an AEP service. The service was implemented over three years and involved weekly group exercise sessions and health education. Linear mixed-effects models were used to evaluate trajectories of QoL total score and each dimension (independent living, pain, senses, relationships, mental health, coping). A total of 295 participants were inducted, with 161 completing at least two assessments. QoL improved by 5.8% per year (95%CI: 1.8-9.8%), predominantly in mental health and coping dimensions. This study demonstrates the feasibility and adoption of AEP services to inform service planning for improving QoL in people with mental health challenges and problematic substance use.","PeriodicalId":10654,"journal":{"name":"Community Mental Health Journal","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145079844","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

Burnout and Job Satisfaction among U.S. Peer Recovery Support Specialists: Personal Resilience and Satisfaction with Supervisor and Organizational Support as Mediating Mechanisms. 美国同伴康复支持专家的职业倦怠与工作满意度：个人弹性、主管满意度和组织支持作为中介机制。

IF 1.7 4区医学

Community Mental Health Journal Pub Date : 2025-09-16 DOI: 10.1007/s10597-025-01515-3

Danya K Krueger, Lisa de Saxe Zerden, Todd M Jensen, Brianna M Lombardi

{"title":"Burnout and Job Satisfaction among U.S. Peer Recovery Support Specialists: Personal Resilience and Satisfaction with Supervisor and Organizational Support as Mediating Mechanisms.","authors":"Danya K Krueger, Lisa de Saxe Zerden, Todd M Jensen, Brianna M Lombardi","doi":"10.1007/s10597-025-01515-3","DOIUrl":"https://doi.org/10.1007/s10597-025-01515-3","url":null,"abstract":"Peer Recovery Support Specialists (PRSS) play a crucial role in the behavioral health (BH) workforce, assisting individuals in their recovery from substance use and mental health challenges. Despite their essential contributions to the BH field, research on resilience among peers remains limited. To address the literature gap, this study examined how PRSS' personal resilience and workplace satisfaction with supervisor and organizational support mediate the relationship between burnout and job satisfaction. Secondary analysis was conducted using cross-sectional survey data of U.S.-based PRSS (N = 454). Validated measures of burnout, personal resilience, job satisfaction, and workplace support were utilized. Path analysis was used to test the hypothesized mediating roles of personal resilience and satisfaction with supervisor and organizational support. The hypothesized model accounted for 42% of the variance in job satisfaction and yielded excellent model fit: χ2 (14) = 14.52, p = .41, RMSEA = 0.01 (90% CI = 0.00-0.05), CFI = 1.00, and TLI = 1.00. All three variables were statistically significant mediators. Burnout was directly and negatively associated with job satisfaction. Personal resilience and satisfaction with supervisor and organizational support were positively associated with job satisfaction and negatively with burnout. This study identified key mediating pathways through which burnout impacts job satisfaction among PRSS, underscoring the dual importance of personal resilience and workplace supports and demonstrating the multilevel conditions that can shape PRSS' professional well-being. Results highlighted the need for organizations, policymakers, and researchers to collaboratively develop and assess PRSS-centric interventions that foster supportive and well-resourced work environments.","PeriodicalId":10654,"journal":{"name":"Community Mental Health Journal","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145069281","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

"Is the Service Ready?": Integrating Peer Support Workers Within Community Mental Health: An Ethnographic Study from Trieste and its Region. “服务准备好了吗？”将同伴支持工作者纳入社区心理健康：来自的里雅斯特及其地区的民族志研究。

IF 1.7 4区医学

Community Mental Health Journal Pub Date : 2025-09-16 DOI: 10.1007/s10597-025-01513-5

Giulia Pollice, Chiara Francesca Bodini, Marco Menchetti, Delia Da Mosto, Luca Negrogno, Lorenzo Betti, Morena Furlan, Ivo Quaranta

{"title":"\"Is the Service Ready?\": Integrating Peer Support Workers Within Community Mental Health: An Ethnographic Study from Trieste and its Region.","authors":"Giulia Pollice, Chiara Francesca Bodini, Marco Menchetti, Delia Da Mosto, Luca Negrogno, Lorenzo Betti, Morena Furlan, Ivo Quaranta","doi":"10.1007/s10597-025-01513-5","DOIUrl":"https://doi.org/10.1007/s10597-025-01513-5","url":null,"abstract":"Peer support, endorsed by WHO and national guidelines, is increasingly recognised as a key component of mental health care innovation. However, while peer support has gained increasing attention, the effective integration of Peer Support Workers (PSWs) within mental health services-and the systemic challenges it involves-remains a relatively under-investigated area. This study investigates the integration of PSWs in Trieste and its region, a pivotal site of Italy's psychiatric reform, where the deinstitutionalisation movement fostered the transition to a community-based care model. The present study adopted an ethnographic methodology, encompassing a six-month field study involving participant observation and 22 semi-structured interviews with 12 PSWs and 10 mental health professionals. PSWs contribute to enhancing empathy, user engagement, and social inclusion, while also fostering a recovery and community-oriented approach to care. However, challenges have emerged, including role ambiguity, institutional under-recognition, and professional resistance. These tensions often reflect broader issues around power dynamics and the epistemic legitimacy of lived experience. The study also identifies strategies to support PSW integration, including safeguarding practices, interprofessional training, and institutional recognition. In addition to their clinical and relational contributions, PSWs offer an opportunity for mental health services to critically reflect on their practices, assumptions, and power structures. Their meaningful inclusion can catalyse a shift towards more participatory, rights-based, and recovery-oriented care.","PeriodicalId":10654,"journal":{"name":"Community Mental Health Journal","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145069258","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

Predictors of Engagement in Community-based Residential Mental Health Rehabilitation: Modelling of a cross-sectional Statewide Benchmarking Dataset from Queensland, Australia. 参与以社区为基础的住宅心理健康康复的预测因素：来自澳大利亚昆士兰州的横断面全州基准数据集的建模。

IF 1.7 4区医学

Community Mental Health Journal Pub Date : 2025-09-10 DOI: 10.1007/s10597-025-01512-6

Olivia Falvey, Donna Jones, Terry Stedman, Stephen Parker

{"title":"Predictors of Engagement in Community-based Residential Mental Health Rehabilitation: Modelling of a cross-sectional Statewide Benchmarking Dataset from Queensland, Australia.","authors":"Olivia Falvey, Donna Jones, Terry Stedman, Stephen Parker","doi":"10.1007/s10597-025-01512-6","DOIUrl":"https://doi.org/10.1007/s10597-025-01512-6","url":null,"abstract":"Engaging residents with the support available at community-based residential mental health rehabilitation facilities is an ongoing challenge for health services. This study explored factors associated with residential rehabilitation engagement across Queensland, Australia through regression modelling of cross-sectional data from a statewide benchmarking activity completed in 2023 (n = 208). The Residential Rehabilitation Engagement Scale (RRES) assessed each resident's rehabilitation engagement. A broad range of potential predictors were considered, including resident and unit-level variables. Only 45.2% of residents had an average RRES score consistent with being engaged with rehabilitation support usually or always. Higher levels of rehabilitation engagement were significantly associated with lower levels of psychosocial disability (B = - 0.413, p < .001), length of treatment (B = - 0.165, p = .008), care under the integrated staffing model (B = 0.156, p = .012), higher staff recovery knowledge and attitudes (B = 0.138, p = .037), and physical illness or disability (B = 0.129, p = .045). In conclusion, engagement in residential rehabilitation was associated with both resident and staff factors. The observation that engagement was higher where unit staff endorsed recovery knowledge and attitudes, and under the integrated staffing model is important. This suggests potential modifiable service characteristics that may support improved rehabilitation engagement in the future.","PeriodicalId":10654,"journal":{"name":"Community Mental Health Journal","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145029170","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

The Technology Use Survey: An Actionable Digital Literacy Assessment that Matches Clients to Training Resources. 技术使用调查：一个可操作的数字素养评估，将客户与培训资源相匹配。

IF 1.7 4区医学

Community Mental Health Journal Pub Date : 2025-09-09 DOI: 10.1007/s10597-025-01510-8

Bridget Dwyer, Jane Mikkelson, Valeria's Diaz-Pacheco, Keris Jän Myrick, John Torous

{"title":"The Technology Use Survey: An Actionable Digital Literacy Assessment that Matches Clients to Training Resources.","authors":"Bridget Dwyer, Jane Mikkelson, Valeria's Diaz-Pacheco, Keris Jän Myrick, John Torous","doi":"10.1007/s10597-025-01510-8","DOIUrl":"https://doi.org/10.1007/s10597-025-01510-8","url":null,"abstract":"Digital literacy, the ability of an individual to use and interact with technology, is increasingly recognized as a social determinant of health, especially for accessing healthcare today. Despite the proliferation of digital health tools, a digital divide remains concerning the ability of everyone to benefit from these digital resources, disproportionately impacting individuals with serious mental illnesses. Many existing digital literacy assessments, such as e-HEALS, SPIDER, and DHLS, identify gaps in digital literacy but do not offer actionable steps to address them. To bridge this divide, we developed the Technology Use Survey and Matching Guide, an actionable tool designed to assess digital literacy and align individuals' needs with tailored training resources through the Digital Outreach for Obtaining Resources and Skills program. Piloted with diverse populations, including individuals in inpatient psychiatric units, community health centers, and mental health clubhouses, this new scale and matching tool were able to identify knowledge gaps, address learning barriers, and enhance digital health engagement. Case studies demonstrate how targeted interventions improved functional outcomes and access to healthcare. By merging assessment with actionable education, our framework promotes digital equity and allows all individuals to engage meaningfully with technology. Future research will refine these tools and evaluate long-term outcomes.","PeriodicalId":10654,"journal":{"name":"Community Mental Health Journal","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-09-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145022943","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

Understanding Violent Behavior in Early Psychosis Through the Fluid Vulnerability Theory: an Exploratory Qualitative Study. 通过流体脆弱性理论理解早期精神病的暴力行为：一项探索性质的研究。

IF 1.7 4区医学

Community Mental Health Journal Pub Date : 2025-09-09 DOI: 10.1007/s10597-025-01504-6

Stephanie A Rolin, Megan G Flores, Deirdre Caffrey, Jennifer Mootz, Lisa B Dixon, Paul S Appelbaum, Barbara Stanley, Leah G Pope

{"title":"Understanding Violent Behavior in Early Psychosis Through the Fluid Vulnerability Theory: an Exploratory Qualitative Study.","authors":"Stephanie A Rolin, Megan G Flores, Deirdre Caffrey, Jennifer Mootz, Lisa B Dixon, Paul S Appelbaum, Barbara Stanley, Leah G Pope","doi":"10.1007/s10597-025-01504-6","DOIUrl":"https://doi.org/10.1007/s10597-025-01504-6","url":null,"abstract":"Compared to the general population, young adults with early psychosis are at increased risk of violent behavior. Existing research has found contextual similarities between violent behavior and suicidal behavior. Therefore, this study examines the drivers and consequences of violent ideation and behavior among young adults with early psychosis by applying frameworks developed for suicide prevention. This research was conducted at OnTrackNY, a network of early intervention services (EIS) that provides coordinated specialty care services to young adults with non-affective psychosis that began within the past two years. Qualitative interviews were conducted with 6 EIS participants and 12 EIS staff members. The interview guide applied the \"suicide narrative\" format from the Stanley-Brown Safety Planning Intervention by asking EIS staff and EIS participants detailed questions about a specific episode of violent ideation or behavior. Participant responses were then categorized using Fluid Vulnerability Theory (FVT). This study found that it was feasible to discuss information about a specific violence-related crisis for young adults with early psychosis and their treatment teams by eliciting violence narratives. In doing so, EIS participants and staff identified several risk factors from the FVT domains that previously sparked either violent ideation or behavior. In addition to identifying potential target mechanisms for future interventions, these narratives may lead to more compassionate and therapeutic understandings of violence for young adults with early psychosis. Future research is recommended to explore how best to incorporate violence narratives in the treatment of early psychosis.","PeriodicalId":10654,"journal":{"name":"Community Mental Health Journal","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-09-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145022928","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