Community Mental Health Journal最新文献

{"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":"<p><p>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.</p>","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}

{"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":"<p><p>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.</p>","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}

{"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":"<p><p>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.</p>","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}

{"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":"<p><p>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.</p>","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}

{"title":"Impact of Discrimination on Help-Seeking Behavior Among Individuals With Serious Mental Illness in South Korea: Role of Social Participation Services.","authors":"Subin Na, Sang Kyoung Kahng, Phyllis Solomon","doi":"10.1007/s10597-025-01458-9","DOIUrl":"10.1007/s10597-025-01458-9","url":null,"abstract":"<p><p>This study investigated the relationship between perceived discrimination, help-seeking behaviors, and the adequacy of social participation services among individuals with serious mental illness in South Korea. Data were drawn from a 2020 survey conducted by the National Human Rights Commission of Korea, involving 607 participants who used community-based mental health rehabilitation facilities. Structural equation modeling was employed to examine the extent to which perceived discrimination in healthcare, employment, and personal-social relationships affects help-seeking behaviors, including the mediating effect of perceived adequacy of social participation services. Results revealed that experiences of discrimination in healthcare and employment significantly influenced help-seeking, whereas discrimination in personal-social relationships did not. Although the adequacy of social participation services positively impacted help-seeking, it did not mediate the relationship between discrimination and help-seeking behaviors. The findings suggest addressing discrimination in healthcare and employment and expanding diverse, accessible social participation services are crucial for encouraging help-seeking among individuals with serious mental illness across regions in Korea.</p>","PeriodicalId":10654,"journal":{"name":"Community Mental Health Journal","volume":" ","pages":"1181-1194"},"PeriodicalIF":1.8,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12228593/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143491122","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Prevalence of Mental Health and Substance Use Disorders Among Adolescents Experiencing Homelessness: A Systematic Review.","authors":"David Borkenhagen, G Messier, T Masrani, E Gunn, A Bahji, R Barry, D Seitz, S Patten, G Dimitropoulos","doi":"10.1007/s10597-025-01492-7","DOIUrl":"https://doi.org/10.1007/s10597-025-01492-7","url":null,"abstract":"<p><p>Adolescents with existing mental health and substance use disorders are at higher risk for homelessness, and being homeless can further exacerbate these issues. However, no systematic review has specifically assessed the prevalence of mental health and substance use disorders among homeless adolescents using validated diagnostic measures. The objective of this study was to determine the prevalence of mental health and substance use disorders among adolescents experiencing homelessness, based on studies employing validated diagnostic measures. A systematic search was conducted across electronic databases, including AMED, Cochrane, Embase, CINAHL, PsycINFO, MEDLINE, and PubMed, from inception through February 3, 2024. Studies were included if they assessed the prevalence of mental health and substance use disorders using validated diagnostic measures in adolescents aged 12-17 years who were experiencing homelessness. Data extraction was performed using Covidence and reviewed for accuracy by two independent reviewers. Weighted average prevalence rates for mental health and substance use disorders among homeless adolescents were calculated, along with 95% confidence intervals (CIs). Out of 7,729 citations, 116 studies were reviewed in full, and two studies met all criteria (N = 226). The most common mental health disorder identified, based on diagnostic classifications used in earlier versions of the DSM and ICD, was drug abuse disorder (43%, 95% CI [34, 53]), followed by disruptive behavior disorder (39%, 95% CI [25, 53]) and alcohol abuse disorder (38%, 95% CI [28, 48]). This systematic review highlights the limited evidence available on the prevalence of mental health and substance use disorders among homeless adolescents from studies using validated diagnostic measures. Further research is essential to enhance understanding and to develop data-driven intervention strategies to better address the needs and challenges faced by this vulnerable population.</p>","PeriodicalId":10654,"journal":{"name":"Community Mental Health Journal","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144759356","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":"A Collaborative Approach to a Multi-Organizational Community Behavioral Health Needs Assessment.","authors":"Marion S Greene, Ashley M Overley, George Hurd","doi":"10.1007/s10597-025-01502-8","DOIUrl":"https://doi.org/10.1007/s10597-025-01502-8","url":null,"abstract":"","PeriodicalId":10654,"journal":{"name":"Community Mental Health Journal","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144759353","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":"Attitudes and Knowledge about Electroconvulsive therapy among Individuals with Schizophrenia and their Relatives: the Role of Direct Experience.","authors":"Yusuf Ezel Yıldırım, Pınar Çetinay Aydın, Jack Tsai","doi":"10.1007/s10597-025-01496-3","DOIUrl":"https://doi.org/10.1007/s10597-025-01496-3","url":null,"abstract":"<p><p>Electroconvulsive Therapy (ECT) remains a stigmatized treatment despite its well-established efficacy and safety in various psychiatric conditions. Among individuals with schizophrenia-who already face high levels of illness-related stigma-ECT-related stigma may represent an additional barrier to treatment acceptance. This case-control study aimed to examine how direct experience with ECT, either personally or through a family member, influences knowledge, perceptions, and treatment acceptance among individuals with schizophrenia and their relatives. A total of 200 participants, including 100 individuals with schizophrenia (50 with prior ECT experience and 50 without) and 100 of their relatives, completed standardized assessments measuring cognitive function, symptom severity, internalized stigma, attitudes toward psychiatric medications, and ECT-related knowledge and perceptions. The results showed that patients and relatives with prior ECT experience demonstrated higher levels of knowledge and more positive perceptions of ECT compared to those without such experience. Patients with previous ECT were also more likely to accept future ECT, and this acceptance was associated with more favorable attitudes toward psychiatric medications. While internalized stigma levels did not significantly differ between groups, higher stigma in patients was correlated with more negative beliefs about mental illness among their relatives. These findings suggest that individuals with firsthand ECT experience and their families may serve as effective advocates for reducing stigma and promoting informed decision-making in schizophrenia care.</p>","PeriodicalId":10654,"journal":{"name":"Community Mental Health Journal","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-07-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144728467","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Occupation of Youth Peer Support Workers Within an Integrated Youth Services Initiative.","authors":"Madelyn Whyte, Kaylie Schols-Flett, Bridgette Ferrara, Cassia Warren, Matt Wenger, Gina Dimitropoulos, Skye Barbic","doi":"10.1007/s10597-025-01498-1","DOIUrl":"https://doi.org/10.1007/s10597-025-01498-1","url":null,"abstract":"<p><p>Youth peer support workers (YPSWs) use lived/living experience to provide support. However, there is a knowledge gap about service impact on YPSWs themselves. To understand (1) impact being a YPSW has on well-being, (2) experience of being a YPSW, and (3) barriers and facilitators of being a YPSW. Eighteen YPSWs at an integrated youth services (IYS) initiative in British Columbia, Canada, completed semi-structured interviews in fall 2023. Interviews were analysed thematically using an inductive approach. Themes were identified relating to the YPSW role extending beyond employment, providing a sense of purpose and contributing to personal and professional growth as a low-barrier employment opportunity. YPSWs also identified barriers and facilitators within their role. Findings highlight the value of YPSWs as an occupation and the distinction of this role. To strengthen the profession and increase supports for YPSWs, the development of clear policies and standards is essential.</p>","PeriodicalId":10654,"journal":{"name":"Community Mental Health Journal","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-07-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144728468","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":"Mental Health Support Workers Perspectives on Barriers to and Facilitators of the Effective Delivery of their Roles: A Systematic Review and Meta-aggregation.","authors":"Martha Njuguna, Irene Ngune, Yvonne Middlewick","doi":"10.1007/s10597-025-01490-9","DOIUrl":"https://doi.org/10.1007/s10597-025-01490-9","url":null,"abstract":"<p><p>Mental health support workers (MHSWs) are an important workforce within the mental health care system. Research shows that support services delivered by MHSWs are effective at improving the outcomes of individuals with mental illness. However, there is also literature suggesting that this group of workers are facing many challenges in their roles. This qualitative systematic review sought to explore, analyze and synthesize available primary research literature on the experiences of MHSWs with the aim of identifying the barriers to and facilitators of effective delivery of their roles. An electronic search of Medline, CINAHL, PsycINFO, and Web of Science was conducted for studies from database inception to March 28, 2025. Additional search was conducted via Google Scholar and in the reference lists of the included articles. The Joanna Briggs Institute (JBI) Critical Appraisal Checklist for Qualitative Research was used to assess the methodological quality of included articles. Fourteen primary research articles met the eligibility criteria and were included in the review. Data synthesis from these articles generated 116 findings and 20 categories, which were aggregated into four synthesized findings: a supportive work environment, service user care barriers, professional and role-related barriers, and operational and support barriers. The review highlights the importance of a supportive work environment in the delivery of support work roles. However, several barriers were also identified and recommendations that can be used to inform practice and policies of mental health support work provided. If addressed, the identified barriers can be translated into facilitators that would enhance the provision of quality care to people with mental illness and enhance the overall job satisfaction of MHSWs.</p>","PeriodicalId":10654,"journal":{"name":"Community Mental Health Journal","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144697826","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}