Psychiatric Rehabilitation Journal最新文献

{"title":"Developmental considerations for multidisciplinary community mental health models: Examining service experiences of young adults with serious mental health conditions.","authors":"Vanessa V Klodnick, Rebecca P Johnson, Brianne LaPelusa, Abby Mayhue, Margaret Ann Paauw, Deborah A Cohen, Beth Sapiro, Marc A Fagan, Lisa A Razzano","doi":"10.1037/prj0000657","DOIUrl":"10.1037/prj0000657","url":null,"abstract":"<p><strong>Objective: </strong>Young adults (YAs) have high rates of serious mental health conditions and historically low rates of mental health treatment engagement. YAs have historically been understudied within psychiatric rehabilitation, but more recently, multidisciplinary team- and community-based approaches informed by assertive community treatment have become popular. Much can be learned from YAs enrolled in YA-specific teams to understand how YA-specific teams support YA recovery.</p><p><strong>Methods: </strong>A research team with several YAs with lived/living mental health experience conducted and analyzed interviews with YAs (<i>n</i> = 22) enrolled in YA-specific team-based services. The research team used reflexive thematic analysis.</p><p><strong>Results: </strong>Self-discovery was central in YA team-based service experiences. The YA team fostered discovery by (a) supporting YA self-reflection within mutually respectful YA client-team member relationships made possible through the YA team; (b) blending and balancing YA development, lived experience, and clinical expertise; and (c) providing flexible, tailored services and activities in the community and clinic.</p><p><strong>Conclusions and implications for practice: </strong>Supporting YAs in building their sense of self is central in engaging YAs. YA mental health providers and policymakers in the field of psychiatric rehabilitation can use discovery practice concepts to describe how and why adult mental health care can successfully be different for YAs. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":47875,"journal":{"name":"Psychiatric Rehabilitation Journal","volume":" ","pages":"56-65"},"PeriodicalIF":1.2,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145439825","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":"The past and future of integrated biopsychosocial whole-health perspectives in psychiatric rehabilitation.","authors":"Rebecca Wolfe, Brianna Speakar, Mai Pham, Tierney Lorenz, William Spaulding","doi":"10.1037/prj0000682","DOIUrl":"10.1037/prj0000682","url":null,"abstract":"<p><strong>Objective: </strong>This article describes the historical, contemporary, and probable future roles of biosystemic whole-health perspectives in the evolution of psychiatric rehabilitation.</p><p><strong>Methods: </strong>We identify and discuss three examples of failures to fully consider the interaction of biological, psychological, and social levels of functioning, which have led to significant barriers to recovery: failure to account for physical morbidity in psychiatric disorders, lack of integration with modern understanding of inflammatory processes in psychiatric symptoms, and disregard for social and interpersonal factors.</p><p><strong>Results: </strong>Significant limitations in rehabilitation outcomes arise from failure to fully consider the molar (i.e., integrated) implications of molecular impairments and vulnerabilities, and vice versa. We articulate the consequences of molecular models of personal and social functioning as barriers to future research and clinical care and propose looking beyond the traditional scope of psychopathology and boundaries of mental health services to reach a whole-health understanding of psychiatric disorder and disability, rehabilitation, and recovery.</p><p><strong>Conclusions and implications for practice: </strong>The integrative biopsychosocial model is a particularly promising direction in the evolution of psychiatric rehabilitation, with strong clinical and theoretic implications that may guide much-needed change in policy and practice. Key to progress in our understanding of psychiatric disorder, disability, rehabilitation, and recovery is a perspective on science and clinical practice that values integration of multiple domains of knowledge as much as analytic dissection of molecular (i.e., unitary) processes. Reforms must be expected at all levels of health care service systems, in practitioner training, administration, and social policy. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":47875,"journal":{"name":"Psychiatric Rehabilitation Journal","volume":" ","pages":"66-78"},"PeriodicalIF":1.2,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12829903/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146020200","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Individual and organizational factors influencing recovery-promoting competency among mental health practitioners.","authors":"Subin Na, Phyllis Solomon","doi":"10.1037/prj0000683","DOIUrl":"https://doi.org/10.1037/prj0000683","url":null,"abstract":"<p><strong>Objective: </strong>This study investigates individual and organizational factors influencing recovery-promoting competencies among mental health practitioners working with adults with serious mental illness, focusing on recovery knowledge, attitudes, organizational culture, and structure.</p><p><strong>Methods: </strong>Using a cross-sectional design, an anonymous online survey was administered to 198 mental health practitioners across diverse U.S.</p><p><strong>Settings: </strong>The survey measured practitioners' recovery-promoting competency, demographic characteristics, organizational culture, recovery-oriented structure, recovery knowledge, and recovery attitudes. Data were analyzed using hierarchical multiple regression guided by social ecological model.</p><p><strong>Results: </strong>Recovery knowledge (β = 0.304, <i>p</i> < .001), recovery attitudes (β = 0.379, <i>p</i> < .001), supportive organizational culture (β = 0.123, <i>p</i> = .042), and recovery-oriented administrative structure (β = 0.200, <i>p</i> = .002) significantly predicted recovery-promoting competency. Male practitioners reported lower competencies than female (β = -0.131, <i>p</i> = .019), while those with doctoral degrees reported higher competencies than those with bachelor's degrees (β = 0.146, <i>p</i> = .034). The final model explained 69.9% of variance.</p><p><strong>Conclusions and implications for practice: </strong>Study shows fostering recovery-promoting competency requires both individual development and organizational support. Enhancing recovery knowledge and attitudes through targeted education may be particularly effective. However, training must be supported by recovery-oriented organizational context that reinforces these values through culture, structures, and operations. A supportive environment can empower practitioners to implement recovery principles. Findings highlight the need for coordinated multilevel strategies to strengthen recovery-oriented practice across diverse service settings. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":47875,"journal":{"name":"Psychiatric Rehabilitation Journal","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2026-02-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146107947","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":"Letter to the Editor regarding Schrader et al.'s (2025) \"Work and recovery from substance use disorder in Veterans Affairs\".","authors":"Robert E Drake, Gary R Bond, Deborah R Becker","doi":"10.1037/prj0000680","DOIUrl":"10.1037/prj0000680","url":null,"abstract":"<p><p>Comments on an article by S. W. Schrader et al. (see record 2026-54463-001). Schrader et al. recently reported on VA programs for veterans in early stages of recovery from substance use disorder (SUD), finding that 78% of 78 veterans elected to receive therapeutic work activity, which has a primary goal of clinical recovery rather than employment, and only 22% selected programs focusing on competitive employment. Three possible interpretations may explain Schrader et al.'s anomalous finding and deserve further research. They are discussed in the current commentary. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":47875,"journal":{"name":"Psychiatric Rehabilitation Journal","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2025-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145764383","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":"Standardizing measurement of employment outcomes in vocational research.","authors":"Gary R Bond, Brian J Stevenson, Jack Tsai, Lisa Ottomanelli, Richard E Nelson, Jean Yoon, James P LePage","doi":"10.1037/prj0000678","DOIUrl":"10.1037/prj0000678","url":null,"abstract":"<p><strong>Objective: </strong>Vocational research requires standardized measures of employment outcomes. Yet studies vary widely in how they define measures used to assess employment outcomes. This article makes recommendations for a core outcome package of objective measures of competitive employment suitable for vocational research.</p><p><strong>Methods: </strong>We identified seven criteria for assessing the utility of an employment measure: <i>widely used, reliable, simple to collect, easily understood, demonstrates criterion validity, sensitive to change, and relevant to multiple groups with vested interests.</i> We then conducted a selective review of employment measures found in published studies, using these criteria to evaluate a range of objective employment measures within a conceptual framework consisting of six domains: <i>job acquisition, amount of time employed, employment earnings, time commitment to employment, consistency of employment, and job stability.</i> Results: Based on our review, we recommend three primary outcomes (competitive employment rate, total time worked, and total employment earnings) and eight descriptive outcomes for inclusion in a core outcome package. To ensure standardization, we provide explicit definitions for each measure.</p><p><strong>Conclusions and implications for practice: </strong>Adoption of a core outcome package will (a) provide guidance to researchers planning new studies, (b) provide a common set of measures permitting direct comparisons between studies, and (c) facilitate meta-analytic reviews by using common metrics. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":47875,"journal":{"name":"Psychiatric Rehabilitation Journal","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2025-12-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145709867","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":"Appraisal of social interaction and social motivation in homeless-experienced veterans: An ecological momentary assessment study.","authors":"Samuel J Abplanalp, Thanh P Le, Eric A Reavis, Michael F Green","doi":"10.1037/prj0000661","DOIUrl":"10.1037/prj0000661","url":null,"abstract":"<p><strong>Objective: </strong>Initiatives developed by the Department of Veteran Affairs have reduced Veteran homelessness, but homeless-experienced veterans (HEVs) still face social integration challenges, such as reduced social interactions. Smartphone-based ecological momentary assessment provides a valuable way to remotely gather data on these challenges in HEVs' daily lives. Social interactions are part of a behavioral sequence, involving a social interaction, its appraisal (pleasant/successful vs. unpleasant/unsuccessful), and subsequent motivation for future social interaction. Motivation can be in the form of social approach (e.g., drive to initiative contact with others) or social avoidance (e.g., avoiding interaction due to fear of failure).</p><p><strong>Methods: </strong>Ecological momentary assessment was used to sample positive and negative social appraisals, social motivation (approach and avoidance), and social interactions (frequency and time spent with others) multiple times daily over a week in 28 HEVs with serious mental illness or substance use disorder. Data were analyzed for concurrent (same day) and prospective (subsequent day) relationships.</p><p><strong>Results: </strong>Positive social appraisals were linked to social approach motivation, while negative social appraisals were linked to social avoidance motivation on the same day. Social approach motivation was associated with more social interactions, more time with others, and less time at home on the same day. Additionally, social approach motivation predicted the number of social interactions the next day.</p><p><strong>Conclusions and implications for practice: </strong>These findings suggest a pathway from social appraisals to motivation for social interactions, implicating potential targets for psychosocial interventions for social integration in HEVs. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":47875,"journal":{"name":"Psychiatric Rehabilitation Journal","volume":" ","pages":"254-261"},"PeriodicalIF":1.2,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144776608","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":"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":"283-295"},"PeriodicalIF":1.2,"publicationDate":"2025-12-01","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}

{"title":"Three perspectives on a clubhouse startup: Members, staff, and community partners.","authors":"Mary Stone, Liam McGlynn, Kiana Pathirana, Noah Brown, Amy Baric, Anna Sifneos, Rachel Mondora, Anna Dolidze","doi":"10.1037/prj0000643","DOIUrl":"10.1037/prj0000643","url":null,"abstract":"<p><strong>Objective: </strong>Clubhouses are nonclinical community-based recovery programs for adults with serious mental illness. This case study investigated the perceived impact and value of a Clubhouse startup from the perspectives of its inaugural members and staff, and potential referral sources.</p><p><strong>Methods: </strong>Participatory mixed-methods research practices were used to engage Clubhouse members and staff as partners in all stages of the research process. A convergent parallel design integrated quantitative and qualitative data from three groups of participants: Clubhouse members, Clubhouse staff, and community referral sources. Redacted records for the first 43 members were used to gather demographic information and identify the functional needs of the startup's initial members. Three participatory exercises were conducted to gather and analyze qualitative data with Clubhouse members (<i>n</i> = 12) and staff (<i>n</i> = 2). Potential community referral sources completed anonymous online surveys (<i>n</i> = 41) or participated in an interview (<i>n</i> = 3).</p><p><strong>Results: </strong>Quantitative and qualitative findings from members and staff support previous literature regarding the functional (housing and employment) and psychosocial needs (community, structure, growth, identity, and reactions to stigma) of Clubhouse members and are the first to report them in the context of a Clubhouse startup. Quantitative and qualitative findings from community referral sources suggest that the startup's initial outreach efforts with their local network of providers that serve adults with serious mental illness have yielded a positive and generally accurate impression of the startup's value.</p><p><strong>Conclusions and implications for practice: </strong>Implications of findings for Clubhouse practice and research are discussed. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":47875,"journal":{"name":"Psychiatric Rehabilitation Journal","volume":" ","pages":"262-273"},"PeriodicalIF":1.2,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144016046","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":"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":"274-282"},"PeriodicalIF":1.2,"publicationDate":"2025-12-01","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":"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":"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":"215-227"},"PeriodicalIF":1.2,"publicationDate":"2025-12-01","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}