Community Mental Health Journal最新文献

{"title":"Accessing Early Intervention for Psychosis Services in New Zealand - The Light at the End of the Tunnel.","authors":"Rebecca E Grattan, Gloria Fraser, Megwyn A R Wolmarans, Amanda Clifford","doi":"10.1007/s10597-026-01711-9","DOIUrl":"https://doi.org/10.1007/s10597-026-01711-9","url":null,"abstract":"<p><p>Early intervention for psychosis (EIP) has significantly improved outcomes for young people experiencing early psychosis. However, access to services is often variable, and can be impacted by wider systemic factors such as poverty and systemic racism, alongside the design of the wider mental health system. This study took a critical realist perspective examining participant journeys to accessing early psychosis care in New Zealand. Nineteen service users and four family members from three early psychosis services across New Zealand were interviewed. Findings were analysed using reflexive thematic analysis. Four themes were identified. \"Something is wrong, but we don't know what\" describes initial difficulties identifying emerging psychosis symptoms, not only for the participants and their families, but also for health care professionals. \"An unfriendly mental health system\" highlights difficulties finding mental health support. \"Early psychosis services, the light at the end of the tunnel\" encapsulates participants' overwhelmingly positive experiences in EIP services, right from initial contact. Finally, family and whānau (wider family and community) supports were identified as key for participants. Participants were impacted by the sociocultural setting of New Zealand early psychosis services, with lack of knowledge of psychosis alongside traumatic inpatient experiences being key barriers to accessing care. While EIP services were experienced positively, there was a lack of support for families evident and accessing services was often difficult.</p>","PeriodicalId":10654,"journal":{"name":"Community Mental Health Journal","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2026-08-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148817667","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":"Exploring the Role of Lived Experience Advocacy in Enhancing Civic Participation among Young People with Mental Ill-Health.","authors":"Christopher Wainwright, Neil Harris, Rob O'Leary, Tom Riley, Ernesta Sofija","doi":"10.1007/s10597-026-01710-w","DOIUrl":"https://doi.org/10.1007/s10597-026-01710-w","url":null,"abstract":"<p><p>Civic disengagement among young adults is a significant societal challenge, exacerbated in those experiencing mental ill-health where stigma and social isolation can create a debilitating cycle of withdrawal. This exploratory study investigated how advocacy training for young people with mental ill-health cultivates self-determination through efficacy and increases civic participation. We conducted semi-structured interviews with 18 lived experience advocates (LEAs) participating in advocacy opportunities facilitated by batyr, an Australian youth mental health charity. Thematic analysis revealed three key themes: (i) Beyond the Comfort Zone: Cultivating Internal Efficacy through Safe Storytelling; (ii) From Storyteller to Changemaker: Cultivating External Efficacy through Advocacy Opportunities; (iii) Beyond Structured Roles: Cultivating Civic Agency through Independent Advocacy. The act of LEAs sharing their stories was described as deeply empowering, helping advocates reframe their own mental health journeys, and foster a sense of meaning and connection. Furthermore, such opportunities equipped LEAs with practical advocacy skills, encouraging them to pursue both formal and informal civic opportunities and become resources of support within their communities. However, the findings also suggest that sustainable engagement requires appropriate organisational supports including supervision, boundary management and wellbeing resources due to the inherent risks associated with lived experience disclosure. These findings have implications for policy, highlighting the need to integrate structured lived experience programs into mental health services. The study also highlights the need for further research into the support systems to manage the wellbeing of advocates, and their capacity to enact systemic change.</p>","PeriodicalId":10654,"journal":{"name":"Community Mental Health Journal","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2026-08-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148789211","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":"\"Sometimes I take the Stories with me and I cannot let them go\": Vicarious Trauma and Mental Health of Spanish-language Medical Interpreters.","authors":"Jaclyn Kirsch, Alicia Rueda-Acedo, Preston Osborn, Ana Marcial","doi":"10.1007/s10597-026-01698-3","DOIUrl":"https://doi.org/10.1007/s10597-026-01698-3","url":null,"abstract":"<p><p>Spanish-language medical interpreters are essential to equitable healthcare delivery, yet their mental health needs remain underrecognized. This qualitative study explored how hospital-based interpreting shapes mental health and contributes to vicarious trauma among 12 Spanish-language interpreters in a southwestern metropolitan area. Semi-structured interviews conducted in January and February 2024 were analyzed using reflexive thematic analysis. Findings revealed that interpreters experience significant psychological burden, including anxiety, depression, panic attacks, and symptoms consistent with vicarious trauma-driven by high-acuity clinical encounters, emotional labor demands, first-person interpretation practices, and, critically, institutional neglect. The Job Demands-Resources model framed these experiences: demands were substantial while resources remained inadequate. However, interpreters demonstrated remarkable resilience sustained by peer support, personal coping practices, and a profound sense of purpose in serving their communities. Participants identified concrete institutional solutions, including protected peer debriefing time, monthly support meetings, and supervisory responsiveness. These findings extend existing interpreter literature by highlighting how organizational conditions-understaffing, inadequate compensation, and professional marginalization-amplify psychological burden in hospital settings. The study underscores that medical interpreter well-being is not peripheral to care quality but foundational to it, and that meaningful institutional investment in mental health supports is essential to sustain this vital workforce.</p>","PeriodicalId":10654,"journal":{"name":"Community Mental Health Journal","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2026-08-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148789198","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":"Leveraging Informal Caregiving Skills to Reach Rural Contexts: Results from Continued Pilot Testing of the Friends and Family for Mental Health Program.","authors":"Samuel Murphy, Daniel Strunk, Jennifer Cheavens","doi":"10.1007/s10597-026-01708-4","DOIUrl":"https://doi.org/10.1007/s10597-026-01708-4","url":null,"abstract":"<p><p>Psychological treatment is a pressing unmet need, especially in rural areas. One potential means of addressing this need is to enhance informal care, a form of care frequently relied on by rural adults with psychological symptoms. In this study, 150 participants were randomized to either a group based psychological intervention or a waitlist control condition. Primary analyses evaluated potential condition differences in informal care skills, coping skills, and mental health symptoms. Intervention participants experienced greater informal caregiving skill gains following the program, though these gains were not maintained at the two-month follow-up assessment. Additionally, those in the intervention condition perceived depression to be more responsible for their functional impairment following participation in the program, but not at the two-month follow-up. Participants did not report changes following the intervention or at the two-month follow-up to coping skills, anxiety symptoms, or depression symptoms. Attrition prior to the intervention was high for those in the intervention condition. Findings demonstrate that the friends and family for mental health program improves informal caregiving skills, but limitations related to attrition suggest caution is warranted when interpreting these findings. Additionally, intervention benefits were only short-term. Future efforts evaluating interventions directed at informal caregivers in rural communities are encouraged to consider ways to maintain benefits and reduce attrition.</p>","PeriodicalId":10654,"journal":{"name":"Community Mental Health Journal","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2026-08-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148789226","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":"Dual Burden of Community Violence and Policing in A Large Urban City.","authors":"Sage J Kim, Yvonne Isom, Miguel Negrete, Linda Weatherspoon, Alana Gunn","doi":"10.1007/s10597-026-01706-6","DOIUrl":"10.1007/s10597-026-01706-6","url":null,"abstract":"<p><p>Marginalized urban communities are affected by both high levels of violence and pervasive police presence. This qualitative study examined the dual burden of violence and over-policing, which contributes to hypervigilance and stress among community members. To explore the experiences of individuals residing in a large urban city, we employed photovoice and interviews with 22 participants. Five topic-driven sessions were held with four cohorts. Participants took photos reflecting weekly topics during the week and met for group discussion. During group sessions, participants discussed the meanings of their photos. Sessions lasted approximately 60 min. The group discussion sessions were recorded and transcribed. An inductive coding process was used to identify themes. Four key themes were identified: (1) community violence and over-policing, (2) legitimacy and distrust in law enforcement, (3) adverse effects of dual threats of violence and over-policing on health, and (4) desire for community-led solutions and lack of resources. Participants described their experiences of navigating high crime and violence while attempting to avoid unwanted law enforcement encounters. The ambient police presence in the community did not provide safety for community members who felt exposed to pervasive threats of violence; rather, it contributed to distrust of law enforcement. Duality of legal vs. extralegal aspects of police presence, probable cause vs. excessive police surveillance, and legitimacy vs. distrust of the police created a community environment where people experienced lingering anxiety and stress. Community-led solutions may help improve community safety, stability, and trust.</p>","PeriodicalId":10654,"journal":{"name":"Community Mental Health Journal","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2026-08-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148759244","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":"Pain, Frailty, and Substance Use as Predictors of Spirituality and Religiosity in Older Adults with Serious Mental Illness.","authors":"Vedant Tapiavala, Shamika Morales, Rebecca Heller, Jonathan Werlin, Karen Fortuna","doi":"10.1007/s10597-026-01707-5","DOIUrl":"https://doi.org/10.1007/s10597-026-01707-5","url":null,"abstract":"","PeriodicalId":10654,"journal":{"name":"Community Mental Health Journal","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2026-08-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148758648","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":"Guidance on Community-Based Mental Health Support for Black Youth in Canada.","authors":"Bukola Salami, Ruth Martínez-Vega, Modupe Tunde-Byass, Dominic A Alaazi, Alicia Boatswain-Kyte, Azeez Salami, Aloysius Nwabugo Maduforo, Kimberley Price, Dzifa Dordunoo, Barbara-Ann Hamilton-Hinch, Geoffrey Maina, Notisha Massaquoi, Folajinmi Oluwasina, Chanda Mwansa, Victoria Fajenyo, Noah Boakye-Yiadom, Sophie Yohani, G Eric Jarvis, Nneka Orakwue-Ononye, Omosade Ogundare, Andre M N Renzaho","doi":"10.1007/s10597-026-01703-9","DOIUrl":"10.1007/s10597-026-01703-9","url":null,"abstract":"<p><p>Evidence indicates disparities in mental health outcomes among Black youth compared to other racial and ethnic groups. These disparities may be related to gaps in the quality of mental health services and inadequate culturally safe practices, which hinder the ability to appropriately support the mental health needs of Black youth. This study aimed to develop a guidance document with recommendations for the delivery of mental health services for Black youth in Canada, focusing on community, primary care, and educational settings, informed by a knowledge synthesis and the perspectives of Black youth in Canada. A participatory research approach was used, consisting of five phases: (1) establishment of an advisory committee, (2) a scoping review, (3) development of a draft guidance document, (4) four focus groups involving 18 Black youth participants, and (5) integration of youth perspectives into the final guidance document. The final document included recommendations across four stages of mental health service delivery: Preparation (16 recommendations), Assessment and Diagnosis (22 recommendations), Intervention (23 recommendations), and Evaluation (5 recommendations). Of the 66 recommendations, 11 emerged exclusively from the focus groups and 18 were informed by both the literature review and focus groups. These recommendations provide consistent guidance for more equitable mental healthcare and represent a step toward broader social equity and inclusion in Canada.</p>","PeriodicalId":10654,"journal":{"name":"Community Mental Health Journal","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2026-08-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148720068","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":"Shaping Professional Role in Peer Support: A Qualitative Study of a Training Process.","authors":"Michele Rocelli, Ludovica Aquili, Diego Romaioli, Maria Colantoni, Elena Faccio","doi":"10.1007/s10597-026-01705-7","DOIUrl":"https://doi.org/10.1007/s10597-026-01705-7","url":null,"abstract":"<p><p>This study presents a qualitative exploration of the first national Ex-In (Experience Involvement) training programme for peer support workers (PSWs) implemented in Italy. Funded by the Ministry of Health and delivered in 2023-2024, the programme represents the first EX-IN training evaluated at a national level within a context where the PSW role is not yet formally institutionalised. Data collection included semi-structured individual interviews with 18 participants, participant observations during two residential training weekends, and a six-month follow-up telephone survey focused on employment status. Data were analysed using reflexive thematic analysis within an interpretive qualitative framework, privileging participants' meaning-making processes over predefined outcome measures. Three interpretive themes were developed: (1) from lived experience to situated knowledge, describing the epistemic repositioning through which personal biography was reworked as a professional resource; (2) proximity and boundary, highlighting how participants constructed professionalism by regulating experiential closeness, self-disclosure, and emotional involvement; and (3) between mediation and advocacy, showing how the PSW role was understood as a third position within services, requiring critical independence, ethical responsibility, and collective recognition. The training programme supported a collective reworking of personal narratives, enabling lived experience to be transformed from private biography into situated professional knowledge. Participants reported increased self-awareness, recognition of recovery trajectories, and a strengthened professional identity, fostered by the residential and participatory group-based format. At the same time, challenges emerged related to emotional sustainability, managing openness without over-identification, and maintaining autonomy in the mediating role. Overall, the findings highlight the need for training adapted to local contexts, targeted preparation of mental health professionals to support interprofessional collaboration, ongoing supervision to sustain professional boundaries, and greater job stability to enable the sustainable integration of PSWs within Italian mental health services.</p>","PeriodicalId":10654,"journal":{"name":"Community Mental Health Journal","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2026-08-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148700914","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":"Effectiveness of the Family Recovery Programme for Serious Mental Illness: An Exploratory Study.","authors":"Javier Piris, Anna Vilaregut","doi":"10.1007/s10597-026-01699-2","DOIUrl":"https://doi.org/10.1007/s10597-026-01699-2","url":null,"abstract":"<p><p>Serious mental illness (SMI) significantly impacts both patients and their families, particularly in persistent cases. Family programmes have shown benefits, but adherence is often poor, and even motivated family members may disengage when intervention formats do not adequately fit their needs, circumstances, or expectations. The Family Recovery Programme for Serious Mental Illness (FAM-RESMI), a programme based on systemic and relational theory developed within a Community Rehabilitation Service (CRS), is a brief intervention format that, addressing previously identified needs, is designed to promote recovery and improved quality of life (QoL) for people with SMI and their families. This exploratory single-arm pre-post evaluation describes a sample of service users and family members who participated in a FAM-RESMI intervention. We observed significant pre-post changes in QoL in both groups, as well as increased resilience and reduced caregiver burden in the family members group. Adherence was encouraging, although variable, and satisfaction with the programme was high. Although exploratory, our findings provide preliminary practice-based evidence that the FAM-RESMI, based on a brief, structured format, is feasible in public mental health settings with historically low adherence. Larger samples, comparison groups, and follow-up assessments are warranted to consolidate these results.</p>","PeriodicalId":10654,"journal":{"name":"Community Mental Health Journal","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2026-08-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148683320","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":"Correction to: The Young Ones, Pre-post Results of a Transdiagnostic ACT-Training for Young Adults with Severe Mental Illness.","authors":"K L Helmus, J D Vink, F Schirmbeck, M B de Koning, I Germeys, L de Haan","doi":"10.1007/s10597-026-01696-5","DOIUrl":"https://doi.org/10.1007/s10597-026-01696-5","url":null,"abstract":"","PeriodicalId":10654,"journal":{"name":"Community Mental Health Journal","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2026-08-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148683243","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}