Community Mental Health Journal最新文献_第6页

Barriers to and Facilitators of Mental Health Treatment Among Suicidal Individuals. 自杀者心理健康治疗的障碍和促进因素。

IF 1.8 4区医学

Community Mental Health Journal Pub Date : 2025-08-01 Epub Date: 2025-01-22 DOI: 10.1007/s10597-024-01446-5

Joshua S Steinberg, Kelly L Green

{"title":"Barriers to and Facilitators of Mental Health Treatment Among Suicidal Individuals.","authors":"Joshua S Steinberg, Kelly L Green","doi":"10.1007/s10597-024-01446-5","DOIUrl":"10.1007/s10597-024-01446-5","url":null,"abstract":"Many suicidal individuals do not access outpatient treatment, and those who do often do not receive empirically supported treatments for reducing suicide risk. Few studies have investigated the barriers to and facilitators of outpatient mental health (MH) treatment among suicidal individuals. We used a survey to understand the experiences of those with a history of suicidal ideation. Participants (N = 111) with a history of suicidal ideation during adulthood answered questions about their history of suicidal thoughts and behaviors (STBs), MH treatment, and their perceptions of barriers to and facilitators of treatment. We found that participants who reported a lifetime suicide attempt endorsed greater barriers to (t(106) = 2.76, p = .003) and weaker facilitators of (t(109) = -1.8, p = .037) receiving outpatient treatment for STBs; additionally, attitudinal barriers were associated with having made a suicide attempt (OR = 3.47, 95% CI [1.18, 10.20], p = .024). These results emphasize the importance of efforts to bolster facilitators and mitigate barriers to treatment for STBs. Future work should continue to elucidate treatment barriers and facilitators to improve treatment engagement for suicidal individuals.","PeriodicalId":10654,"journal":{"name":"Community Mental Health Journal","volume":" ","pages":"1062-1071"},"PeriodicalIF":1.8,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143001553","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

It's Like Adding a Drop of Ink to Milk and Shaking It: Newly Certified Peer Specialist Reflections on Lived Recovery Expertise and Professional Identity. 这就像在牛奶里加入一滴墨水，然后摇晃它：新认证的同行专家对生活康复专业知识和职业身份的反思。

IF 1.8 4区医学

Community Mental Health Journal Pub Date : 2025-08-01 Epub Date: 2025-02-12 DOI: 10.1007/s10597-025-01455-y

Elizabeth Siantz, Shanaya Fox, Emily Rougelot, Morgan Pelot, Laysha Ostrow

{"title":"It's Like Adding a Drop of Ink to Milk and Shaking It: Newly Certified Peer Specialist Reflections on Lived Recovery Expertise and Professional Identity.","authors":"Elizabeth Siantz, Shanaya Fox, Emily Rougelot, Morgan Pelot, Laysha Ostrow","doi":"10.1007/s10597-025-01455-y","DOIUrl":"10.1007/s10597-025-01455-y","url":null,"abstract":"Introduction: Self-disclosure of lived recovery experiences is a cornerstone of peer support work. However, few studies have explored how early career certified peer specialists (CPSs) integrate or plan to integrate their own lived recovery experiences into their CPS work, or the challenges they expect to experience when doing so. In this qualitative study, we explore how early career CPSs use their lived recovery experience and challenges that accompany self-disclosure.Methods: Qualitative data were collected as part of multistate, 3-year observational prospective cohort study of CPS graduate employment trajectories. We conducted in-depth, semi-structured interviews with a subsample of early-career CPSs about their transition to the workforce; this study reports on interview material focused on how participants use and expect to use their recovery experiences. Data were analyzed using thematic and content analysis informed by constant comparative methods.Results: N = 25 individuals participated in an interview. While participants generally felt positive about sharing their personal recovery stories in their CPS role, some reported potential challenges they expect to experience, such as misalignment of recovery experiences or being re-traumatized when sharing their recovery stories with clients and coworkers.Conclusion: That study participants held mixed feelings about sharing lived experience suggests that the peer support workforce needs early career professional support, such as peer-to-peer supervision models that focus on CPS wellbeing, in addition to job performance.","PeriodicalId":10654,"journal":{"name":"Community Mental Health Journal","volume":" ","pages":"1148-1154"},"PeriodicalIF":1.8,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143398461","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

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

IF 1.8 4区医学

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

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

引用次数: 0

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

IF 1.8 4区医学

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

Malini Roy, Abdul Raffie Naik

引用次数: 0

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

IF 1.8 4区医学

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

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

{"title":"Measuring What Outcomes Matters Most to People When Accessing Suicide Postvention Support: A Qualitative Study.","authors":"Bess Jackson, Sarah Wayland, Shelley-Anne Ball, Myfanwy Maple","doi":"10.1007/s10597-025-01452-1","DOIUrl":"10.1007/s10597-025-01452-1","url":null,"abstract":"Funding for suicide postvention services, which provide support after a suicide death, has increased in Australia and globally. This rise accompanies a need to demonstrate outcomes of support. However, articulating and quantifying these outcomes presents ethical and logistical challenges. Funders' priorities may differ from those of service users. To discern the value and explore effective measurement of postvention outcomes, focus groups were conducted with postvention staff and lived experience representatives from an Australian postvention service. Transcripts were analysed using Braun and Clarke's Reflexive Thematic Analysis. Results highlighted the complex context of measuring outcomes in suicide postvention and emphasized the need for flexible approaches to service provision and outcome measurement. The study suggests that the most significant benefits, as perceived by participants, are the 'flow-on' effects of postvention. It supports the notion that outcome measures require careful consideration, with trade-offs evaluated to understand what is truly valuable in suicide postvention services.","PeriodicalId":10654,"journal":{"name":"Community Mental Health Journal","volume":" ","pages":"1115-1125"},"PeriodicalIF":1.8,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12228587/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143001555","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

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

IF 1.8 4区医学

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

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

{"title":"A Comparison of Behavioral Health Crisis Response Models in Meeting Behavioral Health Goals and Improving Criminal Legal Diversion.","authors":"Matthew Bakko, Leonard Swanson, Catherine Zettner, Kaitlyn Kok, Hosanna Fukuzawa, Sheryl Kubiak","doi":"10.1007/s10597-024-01447-4","DOIUrl":"10.1007/s10597-024-01447-4","url":null,"abstract":"Various behavioral health crisis models have been developed to advance the shared goals of improving behavioral health outcomes and increasing diversion from criminal legal systems. The effectiveness of these models is promising, yet research is needed to understand their comparative advantages. This study compares the effectiveness of three community mental health response models-co-response, mobile response, and office-based response-and law enforcement-only response in addressing key behavioral health and diversion goals. These goals include improvements to follow-ups, service linkages to community resources, crisis de-escalation, and dispositions (i.e., decreasing hospitalizations and arrests). Five partner sites in Michigan provided administrative data on crisis cases and outcomes. The sample included crisis cases from one office-based model (n = 91), two mobile response models (n = 306), and two co-response models (n = 322), along with data from the partnering law enforcement agencies at each site (n = 669). Results show that model type is associated with all key outcomes. Mobile response effectively met all examined crisis response goals, including by resolving crises informally or without hospitalization, providing links to community services, and conducting follow-ups. Co-response showed some success in meeting goals, while the law enforcement-only model showed more limited results. Additionally, law enforcement presence during a mobile crisis response produced worse disposition outcomes, while contacting a CMH during law enforcement response produced better disposition outcomes. Overall, this study contributes to SAMHSA's (2020) crisis response vision to effectively meet the behavioral health needs of those in need of service by providing \"someone to respond.\"","PeriodicalId":10654,"journal":{"name":"Community Mental Health Journal","volume":" ","pages":"1072-1082"},"PeriodicalIF":1.8,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142920924","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

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

IF 1.8 4区医学

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

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

{"title":"Community-based Collaborative Care for Serious Mental Illness: A Rapid Qualitative Evidence Synthesis of Health Care Providers' Experiences and Perspectives.","authors":"Saira Abdulla, Sherianne Kramer, Lesley Robertson, Samantha Mhlanga, Campion Zharima, Jane Goudge","doi":"10.1007/s10597-025-01459-8","DOIUrl":"10.1007/s10597-025-01459-8","url":null,"abstract":"Community-based collaborative care (CBCC) is an effective approach for addressing the needs of people with mental health conditions. However, even with the established components of CBCC in place, CBCCs effectiveness for serious mental illnesses (SMIs) remains unknown. This review aims to synthesize qualitative evidence of health care providers' experiences of CBCC in order to identify key factors that facilitate or hinder collaboration in the specific context of SMIs. We searched databases to identify 3368 studies. The eligibility criteria included qualitative studies focusing on health care providers' experiences in delivering a CBCC intervention for people with SMIs. Studies were included if they had at least 2 of 3 CBCC components: a multidisciplinary team, case management, and structured communication. Thematic analysis was used to synthesise the findings, and the Standards for Reporting Qualitative Research framework was used to assess the quality of included studies. The protocol is registered on Prospero. Of the 19 studies included in our review, 5 had achieved collaboration, which was driven by several key ingredients: the availability of on-site case managers and psychiatrists, or the psychiatrists' willingness to travel to the site; the psychiatrists' efforts in actively engaging and supporting the CBCC team; the primary care clinicians' willingness to collaborate with the team and reduce traditional hierarchical engagement; the team's understanding of CBCC; and case managers with strong interpersonal and professional skills. The inclusion of CBCC components do not guarantee collaboration. The findings emphasise the importance of on-site mental health specialists, clearly defined roles, and proactive providers in achieving collaboration.","PeriodicalId":10654,"journal":{"name":"Community Mental Health Journal","volume":" ","pages":"1195-1207"},"PeriodicalIF":1.8,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12228660/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143718172","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

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

IF 1.8 4区医学

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

Emilee H Turner, Charles W Mueller

{"title":"Therapeutic Focus on Strengths is Associated with Improved Functioning and Higher Clinical Progress in Children's Public Mental Health Care.","authors":"Emilee H Turner, Charles W Mueller","doi":"10.1007/s10597-024-01445-6","DOIUrl":"10.1007/s10597-024-01445-6","url":null,"abstract":"Prior findings suggest a greater therapeutic focus on strengths is associated with a higher likelihood of successful treatment discharge in youth public mental health treatment. To build upon previous research, the present study examined whether and to what extent therapeutic focus on strengths was associated with changes in day-to-day functioning and treatment progress over the course of therapy. This study used multilevel modeling techniques to analyze 12 consecutive years of standardized routine clinical service data from a public mental health care system which served youth and families who were typically from underserved and low-income backgrounds. The sample comprised 2362 youth with an average age of 13.51 (2.9 SD) years receiving at least 3 months of standards-based intensive in-home (SB-IIH) treatment services. Most youth in the sample identified as multi-ethnic (62.5%) and male (61%). Therapeutic focus on strengths was measured as a proportion of overall treatment targets endorsed by therapists. A greater focus on strengths during the first 5 months of SB-IIH services was a significant predictor of improved functioning at the end of treatment and higher average monthly scores on a measure of treatment progress even after accounting for other predictors, including level of impairment at treatment start. Practice-based findings suggest a greater focus on strengths in youth treatment services might be beneficial in improving functioning and treatment progress. Study findings highlight the need for further research in other clinical youth samples. Clinical practice, dissemination, implementation, and future research implications are discussed.","PeriodicalId":10654,"journal":{"name":"Community Mental Health Journal","volume":" ","pages":"1047-1061"},"PeriodicalIF":1.8,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143064000","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

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

IF 1.8 4区医学

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

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

{"title":"Prevalence of Current Clinical Leverage and Association with Perceived Coercion in Outpatient and Community Psychiatric Settings: A First in Canada Study.","authors":"Arash Nakhost, Frank Sirotich, Alexander I F Simpson, Samuel Law","doi":"10.1007/s10597-024-01444-7","DOIUrl":"10.1007/s10597-024-01444-7","url":null,"abstract":"Clinical leverages and pressures are often utilized in psychiatric treatment settings. Clinicians know they are controversial but think of them as useful and relatively harmless. Perception of coercion is known to be deleterious to therapeutic relationship and clinical outcomes. We assessed individuals (N = 137) receiving care in outpatient and community psychiatric settings in a Canadian urban center regarding their current experiences of clinical leverage (in finance, housing, access to/custody of children, and family), and perception of coercion. Analyses show clinical leverage are common (34.8% overall), with access to child and family (15.7%), and financial (14.6%) leverages being most common. Generalised linear models indicated that psychiatric symptomology (p < 0.001) and current financial leverage (p = 0.035) were positively associated with perceptions of coercion. The results highlight that clinical leverages are widespread, associated with perception of coercion, and are likely harmful with negative impact on patient care and outcomes. Efforts to mitigate these impacts are needed.","PeriodicalId":10654,"journal":{"name":"Community Mental Health Journal","volume":" ","pages":"1037-1046"},"PeriodicalIF":1.8,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143001556","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Impact of the Therapy Capability Framework on the Provision of Physical Health Care in a Large Publicly Funded Mental Health Service. 治疗能力框架对大型公共资助精神卫生服务机构提供身体卫生保健的影响。

IF 1.7 4区医学

Community Mental Health Journal Pub Date : 2025-08-01 DOI: 10.1007/s10597-025-01497-2

Geoffrey Lau, Justin Chapman, Sally Bennett, Pamela Meredith, Jeanette Sewell, Donni Johnston, Cassandra Butler, Andrea Parker, Marianne Wyder

{"title":"Impact of the Therapy Capability Framework on the Provision of Physical Health Care in a Large Publicly Funded Mental Health Service.","authors":"Geoffrey Lau, Justin Chapman, Sally Bennett, Pamela Meredith, Jeanette Sewell, Donni Johnston, Cassandra Butler, Andrea Parker, Marianne Wyder","doi":"10.1007/s10597-025-01497-2","DOIUrl":"https://doi.org/10.1007/s10597-025-01497-2","url":null,"abstract":"People with mental illness have poor physical health outcomes. While clinical staff recognise the value of physical health in mental healthcare, they report low confidence and a lack of resources and training. As a result, physical health needs are often unaddressed in routine care. A physical healthcare therapies capability framework (PHC TCF) was developed to support staff in developing capability in addressing the physical health needs of consumers of a large public mental health service. The aims of the current study were to evaluate: (i) staff capability in physical healthcare and the association with provision of service; (ii) changes in capability and service provision. Self-rated PHC TCF level and Provision of Service (POS) statistics for physical health assessment and intervention over 12-months were analysed. The nursing profession was associated with higher PHC TCF level than Allied Health (p <.01). While there was no significant change in PHC TCF levels, POS significantly increased over 12 months (z = -2.69, p =.007). This study demonstrated that a PHC TCF may be a useful tool to reinforce and implement physical health interventions in public mental health services.","PeriodicalId":10654,"journal":{"name":"Community Mental Health Journal","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144759354","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