{"title":"Applying cognition-focused interventions to trial competency restoration: A quasi-experimental study of an integrative treatment program.","authors":"Loren C King, Cynthia Aguilar","doi":"10.1037/prj0000658","DOIUrl":"https://doi.org/10.1037/prj0000658","url":null,"abstract":"<p><strong>Objective: </strong>Cognitive deficits are common among defendants adjudicated incompetent to stand trial, although cognition-focused interventions for this population have not been researched extensively. This quasi-experimental study examined the effectiveness of a program that integrates cognitive training and competency restoration treatment for individuals with cognitive deficits.</p><p><strong>Methods: </strong>Participants in a state hospital were enrolled in the program and assigned to naturally occurring full (<i>n</i> = 53) or limited (<i>n</i> = 29) access conditions. The program was delivered in a group format with semiweekly sessions over the course of 12 weeks. All participants had continuous access to standard competency restoration treatment.</p><p><strong>Results: </strong>Participants in the full access condition demonstrated greater progress in most areas of competency, were more likely to be restored to competence, and had a shorter length of stay than participants in the limited access condition. Increases in all areas of competency progress were associated with restoration of competence. Improved ability to consult with counsel, free recall of information about the adjudicative process, and overall competency progress were associated with shorter length of stay. A reduction in positive, but not negative, symptoms of psychosis was observed across conditions. Although psychosis was negatively associated with restorability and positively associated with length of stay, no significant associations were found between changes in psychosis and these outcomes.</p><p><strong>Conclusions and implications for practice: </strong>Findings of the present study provide supportive evidence for integrating cognitive interventions and competency restoration treatment. This approach has promise for improving outcomes for forensically committed individuals with cognitive deficits. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":47875,"journal":{"name":"Psychiatric Rehabilitation Journal","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-07-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144676167","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Denise D Walker, Ryan Petros, Melanie Bennett, Mackenzie Tennison, Maria Monroe-DeVita
{"title":"Development of a motivational enhancement therapy cannabis-reduction intervention for young adults experiencing psychosis: A feasibility pilot study.","authors":"Denise D Walker, Ryan Petros, Melanie Bennett, Mackenzie Tennison, Maria Monroe-DeVita","doi":"10.1037/prj0000654","DOIUrl":"https://doi.org/10.1037/prj0000654","url":null,"abstract":"<p><strong>Objective: </strong>Cannabis use is common among young adults experiencing psychosis (YA-P) and is associated with negative consequences. Effective cannabis interventions for YA-P have not been identified. The Teen Marijuana Check-Up is a two-session intervention to reduce heavy cannabis use in YA-P who are not seeking cannabis treatment. We used data from interviews and focus groups to optimize the Teen Marijuana Check-Up for YA-P and conducted a demonstration project of this optimized intervention-the Cannabis Check-Up for Psychosis (CCU-P)-to evaluate its acceptability and feasibility.</p><p><strong>Methods: </strong>Findings from qualitative interviews and focus groups were used to design optimizations that were reviewed by a Stakeholder Advisory Board for feedback. The final CCU-P was evaluated in a one-arm pilot study with 12 YA-P who were regular cannabis consumers and engaged in Coordinated Specialty Care. Feasibility (tracking participation) and acceptability (satisfaction ratings, qualitative input) were evaluated.</p><p><strong>Results: </strong>Optimizations included (a) questions to elicit discussion of cannabis' impact on mental health, psychosis, and treatment; (b) data-based comparisons with infographics to inform about risks for rehospitalization and challenges to recovery associated with cannabis use; and (c) an infographic to detail harm reduction strategies. Overall, 92% completed both CCU-P sessions. Intervention satisfaction was high. All participants reported that they would recommend CCU-P to others in Coordinated Specialty Care.</p><p><strong>Conclusions and implications for practice: </strong>CCU-P is a promising intervention, resonant with principles of psychiatric rehabilitation, that uses a nonjudgmental approach, provides science-based information about cannabis-psychosis interactions, and supports participants to make informed choices about use. A larger efficacy trial is warranted. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":47875,"journal":{"name":"Psychiatric Rehabilitation Journal","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-07-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144676168","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Implementing collaborative documentation in outpatient behavioral health.","authors":"Elizabeth B Matthews, Michael Peral","doi":"10.1037/prj0000656","DOIUrl":"https://doi.org/10.1037/prj0000656","url":null,"abstract":"<p><strong>Objective: </strong>Person-centered care improves service engagement and retention among individuals with behavioral health challenges, but barriers to feasibility often prevent person-centered strategies from being effectively integrated into routine treatment. Collaborative documentation (CD), where providers complete visit notes jointly with clients during session, is designed to be a flexible and time-efficient person-centered practice that may address persistent challenges to adopting person-centered care. To date there is no work exploring the implementation of CD in behavioral health. This study utilized normalization process theory, a leading implementation framework, to understand the process of adopting CD in one outpatient behavioral health clinic.</p><p><strong>Method: </strong>Focus groups with 22 providers evaluated barriers and facilitators to implementing CD following an organizational CD training. Rapid qualitative methods were used to analyze audio-recorded data.</p><p><strong>Results: </strong>Whether providers viewed CD as a documentation strategy or as a person-centered practice shaped how it was implemented in routine care. Providers also highlighted the cognitive burden of real-time documentation as a barrier to CD implementation. The presence of organizational champions facilitated provider buy-in and increased adoption, though sustainability strategies were needed to support this in the long term.</p><p><strong>Conclusions and implications for practice: </strong>Findings highlight the need to better articulate the core elements of CD and achieve a unified vision of practice principles and goals, including its connection to person-centered care. In addition, basic documentation training for providers is needed to increase the feasibility of CD. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":47875,"journal":{"name":"Psychiatric Rehabilitation Journal","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144609903","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Needs of families of individuals with serious mental illness in psychosocial rehabilitation: A focus group-based qualitative study.","authors":"Javier Piris, Anna Vilaregut","doi":"10.1037/prj0000655","DOIUrl":"https://doi.org/10.1037/prj0000655","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to explore the needs of families of individuals with serious mental illness (SMI) within the context of a public psychosocial rehabilitation service. The second aim was to identify and propose strategies to enhance family engagement and improve the effectiveness of family intervention programs.</p><p><strong>Method: </strong>Qualitative study involving three focus groups: (a) service users (i.e., individuals with SMI), (b) family members, and (c) professionals (nursing/social work). A fourth group consisting of experts in the field of psychosocial rehabilitation (psychologists/psychiatrists) interpreted the results. A thematic analysis approach was used to evaluate the data.</p><p><strong>Results: </strong>Family members expressed needs in the following areas: space for emotional expression, adjustment of expectations, communication, support, sexuality, management of family secrets, and acceptance of the mental health condition. Family members also reported a need for more information, assistance in dealing with stigma, and more support to foster autonomy. In many cases, the groups found it difficult to identify the needs of the other groups. Overall, the results reveal the important burden facing the family.</p><p><strong>Conclusions and implications for practice: </strong>The findings of this exploratory study suggest that more tailored interventions are needed to better address the emotional and practical needs of families of individuals with SMI. We propose several changes to improve intervention programs, including therapeutic approaches specifically designed to address the needs identified in this study and new strategies to improve treatment engagement. If implemented, these proposed changes could improve treatment outcomes in this clinical population. In future studies, we recommend using larger, more diverse samples to test the current results. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":47875,"journal":{"name":"Psychiatric Rehabilitation Journal","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144609904","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Gülfer Katırcıbaşı, Güleser Güney Yılmaz, Esra Akı, Hülya Kayıhan
{"title":"The effects of leisure-based occupational therapy interventions on well-being and life satisfaction in individuals with schizophrenia: Pre-post intervention mixed-methods study.","authors":"Gülfer Katırcıbaşı, Güleser Güney Yılmaz, Esra Akı, Hülya Kayıhan","doi":"10.1037/prj0000651","DOIUrl":"https://doi.org/10.1037/prj0000651","url":null,"abstract":"<p><strong>Objective: </strong>While leisure activities have been shown to enhance mental well-being and social participation, there is limited research on the specific effects of structured leisure-based occupational therapy interventions on individuals with schizophrenia. This study aims to evaluate the impact of leisure-based interventions on well-being and life satisfaction in individuals with schizophrenia.</p><p><strong>Methods: </strong>This pre-post intervention mixed-methods study involved 18 individuals diagnosed with schizophrenia. The intervention consisted of 20 group sessions over 10 weeks. Participants were assessed using the Subjective Well-Being Scale, the Satisfaction With Life Scale, and the Canadian Occupational Performance Measure (COPM). Qualitative data were collected through semistructured interviews. Quantitative data were analyzed with within-subjects statistical tests, while qualitative data were examined through content analysis.</p><p><strong>Results: </strong>The intervention was associated with substantial improvements in occupational performance and life satisfaction, as indicated by significant increases in COPM performance and satisfaction scores (COPM-P, COPM-S), the Satisfaction With Life Scale, and the Subjective Well-being Scale (all <i>p</i> < .001). Semistructured interviews revealed that participants valued leisure activities for improving their mood, social connections, and personal well-being. Barriers to engagement, such as lack of time and resources, were also highlighted.</p><p><strong>Conclusions and implications for practice: </strong>Leisure-based occupational therapy interventions may enhance well-being, life satisfaction, and occupational performance in individuals with schizophrenia. The findings suggest that structured leisure activities can serve as a valuable therapeutic tool, promoting social interaction, personal fulfillment, and mental health recovery. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":47875,"journal":{"name":"Psychiatric Rehabilitation Journal","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144609905","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Brian J Stevenson, Ummul Kiram-Kathawalla, Taina Teravainen, Sarah Wilkins, Lisa Mueller, Amanda Falcón, Cheyenne Reed, Gabriela Marpozan, Charles Drebing, Shana Bakken
{"title":"Does transitional work improve vocational and mental health outcomes? A systematic narrative review of the evidence.","authors":"Brian J Stevenson, Ummul Kiram-Kathawalla, Taina Teravainen, Sarah Wilkins, Lisa Mueller, Amanda Falcón, Cheyenne Reed, Gabriela Marpozan, Charles Drebing, Shana Bakken","doi":"10.1037/prj0000650","DOIUrl":"https://doi.org/10.1037/prj0000650","url":null,"abstract":"<p><strong>Objective: </strong>To examine and synthesize the available empirical evidence on the impact of transitional work (TW) on vocational (i.e., rates of competitive employment, time to competitive employment, tenure in competitive employment, income earned) and mental health outcomes.</p><p><strong>Methods: </strong><i>APA PsycArticles, APA PsycInfo, Psychiatry Online, PubMed,</i> and <i>Social Sciences Citation Index</i> were searched using the key terms: \"transitional work,\" \"compensated work therapy,\" \"transitional employment,\" \"noncompetitive employment,\" and \"diversified placement approach.\" A gray literature search was conducted through Google Scholar.</p><p><strong>Results: </strong>28 studies met inclusion criteria for this review. There is some evidence indicating that TW improves vocational outcomes compared with general vocational support or no services at all, but that TW is less effective at improving vocational outcomes compared with job placement services (e.g., individual placement and support). With regard to mental health, there is some evidence that TW improves substance use outcomes when paired with other substance use-related services (e.g., transitional housing, drug screen protocols).</p><p><strong>Conclusions and implications for practice: </strong>TW appears to be an effective approach for improving vocational outcomes compared with no treatment, incentive therapy, workshops, or other general vocational supports, and less effective than job placement services that are designed for individuals with immediate competitive employment goals (e.g., individual placement and support). Recommendations for practice and research are discussed. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":47875,"journal":{"name":"Psychiatric Rehabilitation Journal","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-06-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144250315","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Ana Carolina Florence, Jennie Keleher, Monirah Al-Abdulmunem, Daniel Ressler, Gary R Bond
{"title":"Impact of the COVID-19 pandemic on individual placement and support services for young adults.","authors":"Ana Carolina Florence, Jennie Keleher, Monirah Al-Abdulmunem, Daniel Ressler, Gary R Bond","doi":"10.1037/prj0000652","DOIUrl":"https://doi.org/10.1037/prj0000652","url":null,"abstract":"<p><strong>Objective: </strong>Individual placement and support (IPS) is an evidence-based model designed to help individuals with mental health conditions secure and maintain competitive employment. Young adults are a particularly vulnerable group in need of these services. The COVID-19 pandemic led many public institutions to curtail face-to-contacts, which affected IPS service delivery. This study was part of a broader mixed-methods evaluation examining employment and education outcomes of young adults in nine IPS programs across the United States. A secondary analysis of the qualitative component explored the experiences of IPS teams and state leaders delivering IPS to young adults with mental health conditions during the COVID-19 pandemic.</p><p><strong>Method: </strong>Participants from the nine IPS programs across five states were interviewed twice during the project. For this secondary data analysis, we focused on COVID-19-related codes. Two coauthors independently reviewed and aggregated the open codes, and the coauthors collaborated to reach consensus. The analysis followed a qualitative descriptive approach.</p><p><strong>Results: </strong>Two major themes were created from 29 interviews with 30 participants: adaptations and challenges. Adaptations centered on transitioning to virtual communication and remote IPS delivery. Challenges included reduced referral rates and difficulties in building rapport and maintaining engagement.</p><p><strong>Conclusions: </strong>The COVID-19 pandemic significantly disrupted IPS services for young adults with mental health conditions. Despite these challenges, the need for adaptation spurred innovation, fostering positive changes, some of which may become permanent in the future, showcasing the resilience and creativity of IPS programs. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":47875,"journal":{"name":"Psychiatric Rehabilitation Journal","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-06-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144235594","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Maryann Roebuck, Todd Bridger, Ariane Magny, Emmy Tiderington, Tim Aubry
{"title":"Predictors of length of time in service: Characteristics of people in intensive case management for longer than 5 years.","authors":"Maryann Roebuck, Todd Bridger, Ariane Magny, Emmy Tiderington, Tim Aubry","doi":"10.1037/prj0000619","DOIUrl":"10.1037/prj0000619","url":null,"abstract":"<p><strong>Objective: </strong>The purpose of this study was to examine the characteristics of people who stay in intensive case management (ICM) for longer than 5 years.</p><p><strong>Method: </strong>We conducted a secondary analysis of client data collected by a community mental health organization from 2012 to 2022. Using the Gelberg-Andersen Model for Access to Health Services, we conducted a logistic regression with 22 predictor variables, predicting clients in ICM for 5 years or less (<i>N</i> = 531) and those in ICM for longer than 5 years (<i>N</i> = 289).</p><p><strong>Results: </strong>People who were older and those with psychotic disorder, co-occurring substance use disorder, dual diagnosis (with developmental disability), chronic medical condition, and also in another program in the same agency were more likely to be in ICM for longer than 5 years. People who were returning ICM clients and those who completed the ICM program (rather than withdrawing or disengaging) were more likely to be in ICM for 5 years or less. Higher dose of ICM (in contacts) predicted a shorter time in ICM.</p><p><strong>Conclusions and implications for practice: </strong>People with serious mental illness, dual diagnosis, concurrent substance use, and chronic medical conditions and those who are older may need additional supports within ICM and when transitioning out of ICM. People in ICM for a longer time have lower numbers of contacts, indicating that a less intense service may meet their needs. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":47875,"journal":{"name":"Psychiatric Rehabilitation Journal","volume":" ","pages":"140-147"},"PeriodicalIF":1.8,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141635000","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Elizabeth C Thomas, Eugene Brusilovskiy, Amber O'Shea, Mark S Salzer
{"title":"Self-determination and self-efficacy as predictors of campus engagement among college students with serious mental illnesses.","authors":"Elizabeth C Thomas, Eugene Brusilovskiy, Amber O'Shea, Mark S Salzer","doi":"10.1037/prj0000600","DOIUrl":"10.1037/prj0000600","url":null,"abstract":"<p><strong>Objective: </strong>Campus engagement, including participation in student organizations and groups, is important for both academic and health outcomes. Yet, college students with serious mental illnesses demonstrate lower levels of campus engagement compared to peers without mental illnesses. To inform psychiatric rehabilitation approaches that might enhance this outcome, the purpose of this study was to test an integrated model of self-determination and self-efficacy theories to predict campus engagement within this student population.</p><p><strong>Methods: </strong>Sixty-seven college students with serious mental illnesses completed measures assessing self-determination constructs (autonomy, competence, and relatedness), college self-efficacy, and campus engagement. Correlational and path analytic models examined relationships among these variables.</p><p><strong>Results: </strong>Bivariate and multivariate analyses supported the interrelationships among the variables. Specifically, the theory-driven path model demonstrated that autonomy (but not competence or relatedness) was a significant predictor of college self-efficacy, which in turn was associated with campus engagement.</p><p><strong>Conclusions and implications for practice: </strong>Findings particularly highlight the importance of autonomy and self-efficacy for promoting campus engagement among college students with serious mental illnesses. As such, they may be relevant targets for psychiatric rehabilitation interventions, such as supported education, that are designed to enhance student success. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":47875,"journal":{"name":"Psychiatric Rehabilitation Journal","volume":" ","pages":"99-105"},"PeriodicalIF":1.8,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139736425","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Participation in individual placement support: Ethnoracial differences in the supported employment demonstration.","authors":"Justin D Metcalfe, Gary R Bond, Robert E Drake","doi":"10.1037/prj0000631","DOIUrl":"10.1037/prj0000631","url":null,"abstract":"<p><strong>Objective: </strong>The Supported Employment Demonstration (SED), a large, multisite randomized controlled trial, provided evidence-based supported employment to help individuals recently denied Social Security disability benefits for reason of mental illness to gain competitive employment and avoid disability. Monthly, client-level measurement of participation in individual placement and support permitted the first detailed exploration of potential ethnoracial disparities in the IPS participation process, from enrollment to end of follow-along job supports, in a vulnerable population with ready access to the intervention.</p><p><strong>Method: </strong>Monthly participation data in a subsample of enrollees randomized to receive supported employment enabled decomposition of IPS service participation into take-up, effectiveness, and follow-along support phases, yielding times to participation duration milestones, job start, and end of follow-along supports for 614 non-Hispanic White, non-Hispanic Black, and Hispanic SED enrollees. Cox proportional hazards models provided differences in the monthly hazard of each event by race and ethnicity.</p><p><strong>Results: </strong>Black non-Hispanics (hazard ratio [HR] = 1.50) and Hispanics (HR = 1.52) were both more likely than White non-Hispanics to complete consecutive 3-month periods of supported employment participation. However, ethnoracial group was not significantly associated with either increased effectiveness, measured as the monthly likelihood of finding a job during IPS participation, or likelihood of ending follow-along job supports.</p><p><strong>Conclusions and implications for practice: </strong>Potential clients' race and ethnicity are associated with a differential willingness to engage IPS services. For this reason, ethnoracial differences in IPS penetration may persist even when structural barriers to IPS access are removed. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":47875,"journal":{"name":"Psychiatric Rehabilitation Journal","volume":" ","pages":"115-122"},"PeriodicalIF":1.8,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142819766","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}