International Journal of Mental Health Systems最新文献

{"title":"Experiencing and navigating occupational stigma as a peer support worker in mental health services: a qualitative exploration.","authors":"Trishna Chauhan","doi":"10.1186/s13033-026-00712-1","DOIUrl":"https://doi.org/10.1186/s13033-026-00712-1","url":null,"abstract":"<p><strong>Background: </strong>Peer support workers (PSWs) provide support to others through their personal lived experiences of mental health. However, their work is often undervalued by their colleagues, and they frequently face challenges in the workplace, resulting in occupational stigma. Currently, there are limited insights into how PSWs experience and manage the stigma they face. Therefore, this study examines how PSWs in the UK National Health Service experience and navigate occupational stigma in their roles.</p><p><strong>Methods: </strong>Seventy semi-structured interviews were conducted with PSWs and their colleagues. Interviews explored their experiences in the role, workplace interactions, and subsequently perceptions and experiences of stigma, and how they dealt with stigmatising experiences. The data were analysed using thematic analysis to identify how stigma manifested and how they navigated it.</p><p><strong>Results: </strong>PSWs reported experiencing stigma both covertly and explicitly. Covert stigma included subtle devaluation of their knowledge and exclusion from decision-making, while explicit stigma involved direct questioning of competence and disrespectful behaviour from colleagues. In response, PSWs navigated stigma through three main strategies. First, they demonstrated commitment to their role via reliability, dedication, and consistent performance, reinforcing the value of their work. Second, PSWs leveraged experiential knowledge as expertise, emphasising practical skills and lived experience in patient care. Third, they used their roles to create reciprocal benefits, where they supported service-users, which in turn helped their own mental health and recovery.</p><p><strong>Conclusion: </strong>Occupational stigma towards PSWs is pervasive, manifesting in both subtle and overt ways that can undermine their role. PSWs actively counter stigma through commitment, expertise, and reciprocal relationships, highlighting their resilience and adaptability. Addressing stigma in healthcare settings is critical for improving team dynamics and ensuring high-quality care. Going forward to support the role, policymakers and organisations that employ PSWs should focus on improving organisational culture, recognition of the role, and collaborative practices to reduce stigma, strengthen workforce sustainability and recognise the value of lived experience in the workforce.</p>","PeriodicalId":47752,"journal":{"name":"International Journal of Mental Health Systems","volume":" ","pages":""},"PeriodicalIF":3.8,"publicationDate":"2026-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147857504","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Association between ward structural changes and coercive interventions in psychiatric emergency wards in Japan: a retrospective study.","authors":"Takaaki Hirooka, Satoru Oishi, Shoko Miura, Ken Inada","doi":"10.1186/s13033-026-00710-3","DOIUrl":"https://doi.org/10.1186/s13033-026-00710-3","url":null,"abstract":"<p><strong>Background: </strong>Seclusion and physical restraint (PR) are sometimes required in psychiatric emergency wards for safety, but reducing their use is a key clinical and ethical objective. Although ward features such as private rooms are believed to affect coercive practices, empirical evidence remains limited.</p><p><strong>Methods: </strong>In April 2020, Hospital A's psychiatric emergency ward relocated to Hospital B, with a slightly reduced bed capacity (46 to 42 beds), increased private rooms, expanded closed-circuit television (CCTV) monitoring, and a centralised staff station. We retrospectively analysed 816 admissions (Hospital A: n = 372; Hospital B: n = 444) before and after relocation. Primary outcomes were seclusion and PR use; secondary outcomes included event count, duration, and days from open observation to termination. Analyses used logistic regression and generalized linear mixed models (GLMMs).</p><p><strong>Results: </strong>Hospital B had fewer patients subjected to seclusion (n = 155) and PR (n = 94). Multivariable analyses showed lower odds of seclusion (odds ratio [OR] = 0.70, 95% confidence interval [CI]: 0.50-0.99) and PR (OR = 0.65, 95% CI: 0.46-0.92). GLMMs showed shorter seclusion duration (β = - 0.281, p < 0.05) and faster transition from observation to termination (β = - 0.386, p < 0.01). PR duration did not differ significantly.</p><p><strong>Conclusions: </strong>Ward structural changes may reduce coercive interventions.</p>","PeriodicalId":47752,"journal":{"name":"International Journal of Mental Health Systems","volume":" ","pages":""},"PeriodicalIF":3.8,"publicationDate":"2026-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147844632","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Diagnostic accuracy of IHDS and MoCA in screening for HIV-associated neurocognitive disorders among adults living with HIV in Ethiopia.","authors":"Mulualem Kelebie, Gebresilassie Tadesse, Setegn Fentahun, Girum Nakie, Birtukan Fasil, Gidey Rtbey, Dawed Ali, Girmaw Medfu Takelle, Yeneneh Workie, Zemene Yiglet, Mulu Getnet, Getasew Kibralew","doi":"10.1186/s13033-026-00711-2","DOIUrl":"https://doi.org/10.1186/s13033-026-00711-2","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Background: &lt;/strong&gt;HIV-associated neurocognitive disorders (HAND) remain prevalent among adults living with HIV, even in the era of sustained antiretroviral therapy (ART). Accurate screening for HAND remains a challenge in resource-limited settings like Ethiopia, as comprehensive neuropsychological assessments thought effective are often limited by their high demands for time, specialized personnel, and logistical resources. The International HIV Dementia Scale (IHDS) and the Montreal Cognitive Assessment (MoCA) are brief cognitive screening tools commonly used in clinical settings; however, their diagnostic accuracy for detecting HAND in the Ethiopian population has not been well established. This study aims to evaluate and compare the sensitivity and specificity of the IHDS and MoCA in identifying HIV-associated neurocognitive disorder among adults living with HIV in Ethiopia.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Methods: &lt;/strong&gt;A multicenter, cross-sectional study was conducted among 290 adults living with HIV attending three primary hospitals in Ethiopia. Participants aged ≥ 18 years were recruited using systematic random sampling. Clinical data, including baseline CD4⁺ T-cell counts and recent viral load measurements, were extracted from medical records. Cognitive function was assessed using the IHDS and MoCA, with the Frascati criteria used as the diagnostic reference standard, and factors independently associated with IHDS scores were identified through multivariable linear regression.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;The study included 290 adults living with HIV, with a mean age of 40.6 ± 8.04 years. Based on the Frascati criteria, 43.4% of participants exhibited HIV-associated neurocognitive disorders (HAND), with asymptomatic neurocognitive impairment being the most common subtype (25.4%), followed by mild neurocognitive disorder (13.3%) and HIV-associated dementia (4.7%). Using the International HIV Dementia Scale (IHDS), 47.9% of participants were identified as cognitively impaired, indicating possible HAND, whereas the Montreal Cognitive Assessment (MoCA) identified 36.2% as impaired. The IHDS demonstrated superior diagnostic performance, with an optimal cutoff score of ≤ 10 (sensitivity 85.3% and specificity 77%), compared to the MoCA at a cutoff score of 21 (sensitivity 62.1% and specificity 81%). Multivariable linear regression analysis revealed that higher educational attainment (β = 0.30, p = 0.005) and male sex (β = 0.41, p = 0.045) were independently associated with better neurocognitive performance, while being unmarried (β = -0.29, p = 0.01) and a longer duration of antiretroviral therapy (β = -0.26, p = 0.04) were significantly associated with poorer cognitive outcomes.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Conclusion: &lt;/strong&gt;HIV-associated neurocognitive disorders remain highly prevalent among adults living with HIV in Ethiopia. The IHDS demonstrated better sensitivity than the MoCA for detecting HAND, making it a more suitable screening tool in resourc","PeriodicalId":47752,"journal":{"name":"International Journal of Mental Health Systems","volume":" ","pages":""},"PeriodicalIF":3.8,"publicationDate":"2026-05-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147844571","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Towards a new model of population mental health research and policy translation in the UK: establishing a National consortium.","authors":"Tassia Kate Oswald, Joseph Barker, Daniel Barrett, Ruth Blackburn, Erica Breuer, Natasha Chilman, Natasha Cutler, Helen Daly, Niamh Doherty, Abd Doumany, Johnny Downs, Alexandru Dregan, Rina Dutta, Jacqueline Dyer, Laura Fischer, Stephani L Hatch, Sumaty Hernandez, Matthew Hotopf, Annie Jeffery, Ann John, James B Kirkbride, Lee Knifton, Caglar Koksal, Gerard Leavey, Ngozi Oparah, Isaac Ouro-Gnao, Lisa Marzano, Paul Patterson, Rebecca Rhead, Peter Schofield, Kalwant Sidhu, Sarah Steeg, Sharon Stevelink, Matt Sutton, Roger T Webb, Jenny Woodman, Jayati Das-Munshi","doi":"10.1186/s13033-026-00703-2","DOIUrl":"https://doi.org/10.1186/s13033-026-00703-2","url":null,"abstract":"<p><strong>Background: </strong>Mental health conditions account for 18% of years lived with disability worldwide. 1-in-6 adults are affected in England, with most mental health conditions beginning in childhood and adolescence. Mental distress and ill health are unequally distributed in the UK, with strong associations with wider determinants of health, and higher prevalence among systemically disadvantaged groups. Currently, there is a lack of evidence to inform effective and timely policymaking for primary prevention in the UK.</p><p><strong>Methods: </strong>In recognition of these challenges, a national Population Mental Health (PMH) Consortium was established, as part of Population Health Improvement UK (PHIUK). PHIUK is a national research network which works to transform health and reduce inequalities through change at the population level. Our aim is to establish an interdisciplinary PMH Consortium, focussing on upstream determinants and the prevention of risks and onset of mental health conditions through interdisciplinary stakeholder engagement, to create new opportunities for population-based improvement of mental health in the UK.The PMH Consortium brings together leading interdisciplinary representation in population mental health, spanning from sciences to the arts, across the UK. Membership includes six academic institutions, third sector organisations, lived experience expertise, and strong links with national bodies to ensure integrated cross-national and regional policy impact. The PMH Consortium comprises four cross-cutting platforms (Partners in policy, implementation, and lived experience; Data, linkages, and causal inference; Narrowing inequalities; Training and capacity building) and three challenge areas (Children and young people's mental health; Prevention of suicide and self-harm; Multiple long-term conditions) which are highly integrated and interdependent. The work will be underpinned by a Theory of Change across an initial four-year life cycle.</p><p><strong>Conclusion: </strong>This paper describes the aim, objectives, and approach of the PMH Consortium, as well as anticipated challenges and strengths. The goal of the PMH Consortium is to develop a model for population mental health research and policy translation that is both scalable and sustainable. It is critical to ensure continued impact and viability beyond the initial four years, contributing to the prevention of mental health conditions in the UK, with personal, economic, social, and health benefits.</p>","PeriodicalId":47752,"journal":{"name":"International Journal of Mental Health Systems","volume":" ","pages":""},"PeriodicalIF":3.8,"publicationDate":"2026-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147822293","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Harmful alcohol use and associated factors among patients with neuropsychiatric disorders in Ethiopia: a systematic review and meta-analysis.","authors":"Worku Chekol Tassew, Agerie Mengistie Zeleke, Yeshiwas Ayale Ferede, Samson Sisay Woldie, Getaw Wubie Assefa, Jember Ayelgne Beyene, Adane Nigusie Weldeab, Girum Meseret Ayenew","doi":"10.1186/s13033-026-00709-w","DOIUrl":"https://doi.org/10.1186/s13033-026-00709-w","url":null,"abstract":"<p><strong>Introduction: </strong>Although a wide range of studies have shown that alcohol use disorder is of significant public health importance, no systematic reviews or meta-analyses have been conducted to assess the pooled prevalence of harmful alcohol use and associated factors among patients with neuropsychiatric disorders. Therefore, this systematic review and meta-analysis aimed to summarize the existing evidence on the prevalence of harmful alcohol use and associated factors among patients with neuropsychiatric disorders in Ethiopia.</p><p><strong>Methods: </strong>This systematic review and meta-analysis was conducted according to the International Preferred Reporting Items for Systematic Review and Meta-analysis Protocols (PRISMA) guidelines. A systematic search of published articles was performed using PubMed, Science Direct, African Journals Online, and Google Scholar. The extracted data were exported to STATA version 11 (STATA Corp LLC) for analysis. Heterogeneity between the results of the primary studies was assessed using Cochran's Q chi-square test and quantified with Higgs I² statistics. Publication bias was assessed by visual inspection of funnel plots and Egger's regression tests.</p><p><strong>Results: </strong>The pooled prevalence of harmful alcohol use and associated factors among patients with neuropsychiatric disorders in Ethiopia was 34.12% (95% CI: 17.67- 50.56, P < 0.001). Smoking [POR = 5.18, 95% CI: (3.83-7.00)], male sex (POR = 2.33, 95% CI: 0.54- 10.55), perceived stress (POR = 4.30, 95% CI: 2.60- 7.12), being single (POR = 3.17, 95% CI: 1.59- 6.33), a family history of alcoholism (POR = 1.90, 95% CI: 0.72, 5.05) and a duration of illness greater than 5 years (POR = 2.44, 95% CI 0.94, 6.34) were factors associated with harmful alcohol use and associated factors among patients with neuropsychiatric disorders.</p><p><strong>Conclusion: </strong>According to the current review, harmful alcohol use is highly prevalent among patients with neuropsychiatric disorders. Being male, smoking, experiencing perceived stress, being single, having a family history of alcoholism and having a longer duration of illness were the factors associated with harmful alcohol use.</p><p><strong>Prospero registration: </strong>CRD42024573994.</p>","PeriodicalId":47752,"journal":{"name":"International Journal of Mental Health Systems","volume":" ","pages":""},"PeriodicalIF":3.8,"publicationDate":"2026-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147785617","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Determinants of mental health help-seeking in Europe: a systematic review based on the behavioural model of health services use.","authors":"Sílvia Conde, Miguel Xavier, Virgínia Conceição","doi":"10.1186/s13033-026-00707-y","DOIUrl":"https://doi.org/10.1186/s13033-026-00707-y","url":null,"abstract":"","PeriodicalId":47752,"journal":{"name":"International Journal of Mental Health Systems","volume":" ","pages":""},"PeriodicalIF":3.8,"publicationDate":"2026-04-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147785583","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Using theory of change to better address social and economic needs in mental health services.","authors":"Helen Baldwin, Anna Greenburgh, Anna Iskander-Reynolds, Dionne Laporte, Hannah Weir, Zara Asif, Mark Bertram, Achille Crawford, Gabrielle Duberry, Shoshana Lauter, Brynmor Lloyd-Evans, Cassandra Lovelock, Anikó Ajozi, Anna-Maria Amato, Pete Hardy, Simon M Mckenzie, Guy Swindle, Claire Henderson, Jayati Das-Munshi, Craig Morgan","doi":"10.1186/s13033-025-00693-7","DOIUrl":"https://doi.org/10.1186/s13033-025-00693-7","url":null,"abstract":"<p><strong>Introduction: </strong>Social and economic needs are greater in populations living with mental ill-health compared with the general population. However, these needs are often not routinely or adequately assessed in practice, and there is a lack of corresponding support available for a range of social and economic needs. A practical roadmap is required to work towards social and economic inclusion as a central component of mental health services.</p><p><strong>Methods: </strong>We used the participatory Theory of Change method to conduct two qualitative workshops with health care professionals, third-sector providers, academics and lived experience experts (Workshop 1, n = 16; Workshop 2, n = 14) in the area served by the South London and Maudsley NHS Trust. We co-developed a Theory of Change model which aimed to outline the key steps needed to put social inclusion at the centre of mental health care services in relation to the largest mental health Trust in the United Kingdom, yet with generalisable elements for mental health services in the United Kingdom more broadly.</p><p><strong>Results: </strong>A shared goal for services was developed and agreed by participants of securing \"a consistent mental health system that enables individuals to feel loved, valued, and capable of thriving beyond their basic needs\". To progress from the current context to this shared goal, six objective pathways were co-produced to act as a roadmap: (1) Provision of person-centred culturally appropriate care; (2) Advocacy for funding for effective social inclusion services in line with need; (3) Advocacy for funding and support of social and peer programmes; (4) Co-located and localised community-based support hubs; (5) A shared feedback system with social inclusion Key Performance Indicators (KPIs) with an ability to include positive outcomes and drive accountability; and (6) A collaborative community service network.</p><p><strong>Conclusions: </strong>This Theory of Change model offers a tangible framework to put social inclusion at the centre of mental health services. This model can be adapted and translated to other services and settings that are aiming to make social inclusion a core feature of their provision, beyond those in which it was developed.</p>","PeriodicalId":47752,"journal":{"name":"International Journal of Mental Health Systems","volume":"20 1","pages":""},"PeriodicalIF":3.8,"publicationDate":"2026-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13107605/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147785562","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Availability of psychological therapies and workforce participation of individuals with long-term mental health problems: a retrospective observational study.","authors":"Joe Dodd, Igor Francetic, Peter Bower, Jon Gibson","doi":"10.1186/s13033-026-00706-z","DOIUrl":"https://doi.org/10.1186/s13033-026-00706-z","url":null,"abstract":"<p><strong>Background: </strong>In response to the global prevalence and societal impact of mental health problems, innovative healthcare policies have improved access to psychological therapy interventions. Yet, the indirect effects of these access policies on labour force participation gaps related to mental health problems remain unclear. This study assessed the relationship between one of the first major policies to improve access to psychological therapies, the NHS Talking Therapies service, and the economic activity of individuals with long-term mental health problems.</p><p><strong>Methods: </strong>In this retrospective observational study, we derived a national sample of the English working-age population from Annual Population Survey data for the period 2015-2020 (N = 535068). Data included information on economic activity and health status, but not the use of healthcare services. The outcome of the study was labour force participation. The volume of appointments per referral received by NHS Talking Therapies services across healthcare commissioning regions in England was used to measure the regional supply of psychological therapy interventions. We used linear regression models, adjusting for a comprehensive set of individual and area-level controls, to estimate the association between the regional supply of psychological therapy interventions and labour force participation for those with and without a long-term mental health problem at the population level.</p><p><strong>Results: </strong>We find a labour force participation gap of 36% between individuals reporting long-term mental health problems and otherwise similar individuals with no reported mental health problems. Holding all else equal, we find an increase in the regional supply of NHS Talking Therapies of one appointment per referral is associated with a 0·92 percentage point (CI: 0·0018 - 0·0165) reduction in the probability of labour force participation gap. Results of sub-sample analyses suggest this association was driven by individuals who were not claiming benefits, aged between 45 and 65, and reported male gender.</p><p><strong>Conclusions: </strong>Policymakers should consider the indirect effects of policies that improve access to psychological therapy interventions as a potential moderator of the labour force participation gap related to long-term mental health problems.</p>","PeriodicalId":47752,"journal":{"name":"International Journal of Mental Health Systems","volume":" ","pages":""},"PeriodicalIF":3.8,"publicationDate":"2026-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147692811","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A study on the psychometric properties of the Arabic-translated connor-davidson resilience scale (CD-RISC-25) and Arabic-translated stimulant relapse risk scale (SRRS) in Emirati patients with substance use disorder.","authors":"Ibraheem Mhaidat, Nabeel Al-Yateem, Samya Al-Mamari, Fatima Al-Suwaidi","doi":"10.1186/s13033-026-00705-0","DOIUrl":"https://doi.org/10.1186/s13033-026-00705-0","url":null,"abstract":"","PeriodicalId":47752,"journal":{"name":"International Journal of Mental Health Systems","volume":" ","pages":""},"PeriodicalIF":3.8,"publicationDate":"2026-04-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147677806","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The impacts of neighbourhood violence on mental health consultations among residents of low-income neighbourhoods in Rio de Janeiro: a retrospective cohort analysis.","authors":"Sophia Medeiros, Vinicius Peçanha, Julia Guerra, Gustavo Cordeiro, Aldina Mesic, Rudi Rocha, Christopher Millett, Thomas Hone","doi":"10.1186/s13033-026-00702-3","DOIUrl":"https://doi.org/10.1186/s13033-026-00702-3","url":null,"abstract":"","PeriodicalId":47752,"journal":{"name":"International Journal of Mental Health Systems","volume":" ","pages":""},"PeriodicalIF":3.8,"publicationDate":"2026-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147655192","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}