Cynthia Taylor Handrup,Pamela Galehouse,Sally Raphel,Edilma L Yearwood
{"title":"Advancing behavioral health and social justice: A century of global interdisciplinary progress in psychiatric mental health nursing.","authors":"Cynthia Taylor Handrup,Pamela Galehouse,Sally Raphel,Edilma L Yearwood","doi":"10.1037/ort0000775","DOIUrl":"https://doi.org/10.1037/ort0000775","url":null,"abstract":"This article explores the century-long history of psychiatric nursing through the dual lens of behavioral health and social justice, emphasizing the pivotal role of psychiatric nurses in mental health. Focused on the contributions of nurse members and leaders from the American Orthopsychiatric Association (later known as the Global Alliance for Behavioral Health and Social Justice), the article will provide a comprehensive timeline that showcases the evolution of the field. It will discuss diverse aspects of psychiatric nursing, including role development, work with children and families, minority populations, integrated care, mental illness prevention, mental health promotion, community mental health, and global mental health nursing. Moreover, the article will identify and examine barriers that have historically hindered, and continue to impact, the practice of psychiatric nursing and the delivery of quality mental health care universally. The influence of culture and stigma on mental health and the profession will be discussed, shedding light on how these factors have shaped psychiatric nursing. The article will delve into the future direction of the field, emphasizing the growing importance of global mental health, integrated care, workforce development, and the continued need for interdisciplinary collaboration. Through this exploration, the article aims to offer insights into the significant progress and enduring challenges faced by psychiatric nursing, ultimately underscoring its indispensable role in advancing mental health and social justice. (PsycInfo Database Record (c) 2024 APA, all rights reserved).","PeriodicalId":55531,"journal":{"name":"American Journal of Orthopsychiatry","volume":"21 1","pages":"403-411"},"PeriodicalIF":3.3,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142209709","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}
Evelyn P Tomaszewski,Laura R Lento,Surasya Guduru,Ruta Rangel,Svetlana Yampolskaya,Kriti Vashisht,Samantha X L Tan
{"title":"Eighty years of national mental health policy: Exploring the inclusion of a human rights approach.","authors":"Evelyn P Tomaszewski,Laura R Lento,Surasya Guduru,Ruta Rangel,Svetlana Yampolskaya,Kriti Vashisht,Samantha X L Tan","doi":"10.1037/ort0000773","DOIUrl":"https://doi.org/10.1037/ort0000773","url":null,"abstract":"Mental health, historically framed as the mere absence of mental health disorders, has led to unequal treatment, resulting in more persons living with mental health challenges. This limited framing of mental health, often woven into policy and practices across a broad range of governance structures, programs, and services, has led to individual and collective discrimination and structural and systemic inequities, culminating in the infringement of fundamental human rights. Using a broader framework for viewing mental health (e.g., mental health as a continuum), the authors of this article propose that a right to mental health should form the basis of mental health policy. The article also considers the impact of stigma and discrimination and the implications of social determinants of health in forwarding a rights-based approach to mental health policy. The authors conduct a trends analysis of 80 years of United States' mental health policy and reflect on how social determinants and efforts to reduce stigma and discrimination have led to measurable progress toward achieving mental health equity. The Call-to-Action highlights opportunities to further support mental health and wellness through the use of interdisciplinary policy and practice recommendations that include the framing of mental health as a human right. (PsycInfo Database Record (c) 2024 APA, all rights reserved).","PeriodicalId":55531,"journal":{"name":"American Journal of Orthopsychiatry","volume":"19 1","pages":"392-402"},"PeriodicalIF":3.3,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142209710","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":"Self-understanding, envisioning the future, and prevention: An appreciation and a reflection on the occasion of the 100th anniversary.","authors":"William R Beardslee","doi":"10.1037/ort0000733","DOIUrl":"10.1037/ort0000733","url":null,"abstract":"<p><p>On the 100th birthday of the <i>Global Alliance for Behavioral Health and Social Justice</i>, it is appropriate to reflect on the evolution of thought on depression prevention research, as seen through a historical perspective, to note how the field has grown and how it can address the issues of today. This article is a personal reflection on one practitioner's evolution of thought on resilience and preventive intervention, starting with interviewing civil rights workers, to conceptualizing self-understanding as an essential component of resilience, to the development of a family-based preventive intervention for parental depression, which was disseminated, adapted, and incorporated into a growing body of prevention research. Consensus statements on mental health prevention from the National Academies are reviewed, and the importance of a social justice perspective is highlighted throughout. The article concludes with principles for developing effective preventive interventions to promote mental health today, and in the future. (PsycInfo Database Record (c) 2024 APA, all rights reserved).</p>","PeriodicalId":55531,"journal":{"name":"American Journal of Orthopsychiatry","volume":" ","pages":"432-442"},"PeriodicalIF":2.3,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140177923","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":"Echoes from the past: How America's major moments shaped mental health policies through a young adult lens.","authors":"Silicia Lomax, Kirby Magid","doi":"10.1037/ort0000751","DOIUrl":"10.1037/ort0000751","url":null,"abstract":"<p><p>This commentary examines key mental health policies across four transformative historical periods in America: the aftermath of World War II (1939-1946), the Civil Rights Movement (1954-1968), the Great Recession (2007-2009), and the COVID-19 pandemic (2020-2023). The post-WWII era established today's foundational mental health system, emphasizing military personnel, as reflected in the National Mental Health Act of 1946. During the Civil Rights Movement, the focus shifted toward community equality, leading to the Community Mental Health Act of 1963. The economic challenges of the Great Recession, especially affecting young adults, prompted a deep dive into the Affordable Care Act. The social isolation and economic suffering from the COVID-19 pandemic led to the Coronavirus Aid, Relief, and Economic Security (CARES) Act. The article highlights the need for a more inclusive policy development approach, one that recognizes and integrates the unique perspectives of young adults in shaping mental health policies and discourse. It concludes with recommendations to guide future policy evolution for enhanced mental health and societal well-being. (PsycInfo Database Record (c) 2024 APA, all rights reserved).</p>","PeriodicalId":55531,"journal":{"name":"American Journal of Orthopsychiatry","volume":" ","pages":"412-421"},"PeriodicalIF":2.3,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140861675","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}
Amy E Heberle, Noah Hoch, Anna C Wagner, Amanda G Caccia Cruz, Longjing Zhou, Aiman K Khan
{"title":"Examining feasibility, acceptability, and participant experiences of an anti-racist parenting intervention for White U.S. parents.","authors":"Amy E Heberle, Noah Hoch, Anna C Wagner, Amanda G Caccia Cruz, Longjing Zhou, Aiman K Khan","doi":"10.1037/ort0000703","DOIUrl":"10.1037/ort0000703","url":null,"abstract":"<p><p>Many White parents engage in minimal discussion of race and racism with their children, instead engaging in color-evasive practices that communicate that race is unimportant and that White people are racially neutral. Even White parents who express a commitment to anti-racist parenting frequently struggle to act on this commitment and feel underprepared to do so. The current mixed methods pilot study focused on the feasibility, acceptability, and participant experiences of an intervention (\"CounterACT\") that aimed to address this gap in White U.S.-based parents' skills and knowledge. Participants in the study were 27 White U.S.-based parents of 4- to 6-year-old White children who completed pre- and postintervention surveys as well as postintervention interviews. Findings suggest that the CounterACT model was feasible and acceptable. Parent self-report further suggests that CounterACT had beneficial effects on parenting, parents' beliefs regarding White privilege, and children's critical reflection. Parents reported positive experiences of CounterACT, particularly group components of the intervention. Key elements of participants' experience included learning to understand their own and their children's experience of Whiteness; learning to better tolerate and regulate emotional discomfort; connecting with others for motivation, accountability, and learning; and approaching racial socialization with greater intentionality. However, parents also experienced limits in their progress toward anti-racist parenting. Many indicated a desire for more concrete guidance and greater support enacting what they were learning in their own parenting. A particular concern was how to discuss White racial identities effectively. Our discussion highlights the implications of these findings for future work in this area. (PsycInfo Database Record (c) 2024 APA, all rights reserved).</p>","PeriodicalId":55531,"journal":{"name":"American Journal of Orthopsychiatry","volume":" ","pages":"33-47"},"PeriodicalIF":3.3,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41158623","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}
Michael P Huynh, Aggie J Yellow Horse, Nancy M Mai, Jay Mantuhac, Anne Saw
{"title":"Discrimination and psychological distress among Asian Americans during COVID-19: Gender differences in the moderating role of social support.","authors":"Michael P Huynh, Aggie J Yellow Horse, Nancy M Mai, Jay Mantuhac, Anne Saw","doi":"10.1037/ort0000702","DOIUrl":"10.1037/ort0000702","url":null,"abstract":"<p><p>Our study aimed to assess the role of social support on the impact of discrimination on psychological distress for Asian American women and men. Using the Asian American sample from the Asian American and Native Hawaiian/Pacific Islander COVID-19 Needs Assessment Study (<i>n</i> = 3,508), we used logistic regression to examine the moderating role of different types of social support on the relationship between discrimination and psychological distress by gender. Among Asian Americans, facing discrimination was associated with higher odds of psychological distress, and receiving emotional support was associated with lower odds of psychological distress. When examining interactions between discrimination, social support, and gender, we found that facing discrimination led to the highest odds of psychological distress for Asian American women who provided emotional support. Our findings highlight different mechanisms by which social support buffers and exacerbates the psychological burden of discrimination for Asian Americans. These findings have overall and gender-informed implications for community policies to promote mental health resilience by actively alleviating the effects of racism among Asian Americans. (PsycInfo Database Record (c) 2024 APA, all rights reserved).</p>","PeriodicalId":55531,"journal":{"name":"American Journal of Orthopsychiatry","volume":" ","pages":"23-32"},"PeriodicalIF":2.3,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41161665","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}
Seth J Schwartz, Cory L Cobb, Alan Meca, Tara Bautista, Sumeyra Sahbaz, Aigerim Alpysbekova, Lawrence G Watkins, Lea Nehme, Byron L Zamboanga, Pablo Montero-Zamora, Maria Duque, Duyen H Vo, Yara Acaf, José Szapocznik
{"title":"Cultural stress, personal identity development, and mental health among U.S. Hispanic college students.","authors":"Seth J Schwartz, Cory L Cobb, Alan Meca, Tara Bautista, Sumeyra Sahbaz, Aigerim Alpysbekova, Lawrence G Watkins, Lea Nehme, Byron L Zamboanga, Pablo Montero-Zamora, Maria Duque, Duyen H Vo, Yara Acaf, José Szapocznik","doi":"10.1037/ort0000735","DOIUrl":"10.1037/ort0000735","url":null,"abstract":"<p><p>The present study examines the extent to which culturally stressful experiences may predict impaired well-being, increased internalizing symptoms (depression and anxiety), and increased externalizing problems (social aggression, physical aggression, and rule breaking) among a sample of Hispanic college students in Miami across a 12-day period. The predictive effects of cultural stressors on these outcomes were examined both (a) directly and (b) indirectly through daily fluctuations in students' personal identity synthesis and confusion. Results indicated direct predictive effects of cultural stress on four forms of well-being (self-esteem, life satisfaction, psychological well-being, and eudaimonic well-being), on symptoms of depression and anxiety, and on physical aggression and rule breaking. The predictive effects of cultural stress on all four forms of well-being and on symptoms of depression and anxiety were partially mediated through daily fluctuations (instability) in students' sense of personal identity synthesis. Findings were consistent across genders and between U.S.- and foreign-born students. Results are discussed in terms of implications for intervention and for policy. (PsycInfo Database Record (c) 2024 APA, all rights reserved).</p>","PeriodicalId":55531,"journal":{"name":"American Journal of Orthopsychiatry","volume":" ","pages":"518-531"},"PeriodicalIF":2.3,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140307991","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 effect of the loss of one's own parent on the change in personal growth during the transition to parenthood: An individual growth curve model.","authors":"Ofir Ben-Yaakov, Orit Taubman-Ben-Ari","doi":"10.1037/ort0000706","DOIUrl":"10.1037/ort0000706","url":null,"abstract":"<p><p>The study aimed to identify contributors to the trajectory of personal growth (PG) during the transition to parenthood against the background of a critical life event that occurred previously, namely, losing a parent. The study examined the contributions of the loss of one's own parent, the bond with one's parents in childhood, current parental distress (PD), and demographic variables to changes in the PG of adults when they themselves become parents. New Israeli parents completed self-report questionnaires in three phases: (a) up to 1 year following the birth of their first child (<i>n</i> = 2,182), (b) 6 months later (<i>n</i> = 1,045), (c) after another 6 months (<i>n</i> = 811). Our key findings showed that parental loss was not directly associated with changes in PG, but changes in PD mediated the associations between both loss and parental bonding on the one hand and the changes in PG on the other. Increase in PG levels over time was associated with being a woman, lower level of education and economic status, higher perceived paternal care, and higher maternal overprotection in childhood and decrease in PD. The present study extends knowledge of PG during the transition to parenthood, indicating that it may be shaped by changes in PD levels and the relationships with one's own parents. On the practical level, understanding the consequences for the trajectory of PG of having lost a parent and the nature of their bonding with their parents in childhood can help professionals design appropriate interventions for new parents. (PsycInfo Database Record (c) 2024 APA, all rights reserved).</p>","PeriodicalId":55531,"journal":{"name":"American Journal of Orthopsychiatry","volume":" ","pages":"77-88"},"PeriodicalIF":2.3,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41220972","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}
Christine James, Hope Corman, Kelly Noonan, Nancy E Reichman, Manuel E Jimenez
{"title":"Chronic health conditions and adolescents' social connectedness.","authors":"Christine James, Hope Corman, Kelly Noonan, Nancy E Reichman, Manuel E Jimenez","doi":"10.1037/ort0000712","DOIUrl":"10.1037/ort0000712","url":null,"abstract":"<p><p>This study investigated associations between chronic developmental/behavioral and physical health conditions and social connectedness of adolescents using rich population-based data from a national U.S. birth cohort study. Potentially disabling health conditions were reported by caregivers and categorized by our team as developmental/behavioral or physical. Social connectedness was assessed using a validated scale that measured adolescents' reports of positive social connectedness across relevant contexts (family, friends, school). Of the 3,207 adolescents included, over one third had at least one chronic health condition. Unadjusted and adjusted linear and logistic regression models of associations between the presence of chronic health conditions (any developmental/behavioral health condition and any physical health condition, compared to no conditions) and adolescents' social connectedness outcomes were estimated. Compared to those with no chronic health conditions, adolescents with developmental/behavioral health conditions had lower odds of high positive social connectedness scores (adjusted odds ratio [AOR]: 0.80; CI [0.67, 0.94]), having friends they really care about (AOR: 0.76; CI [0.61, 0.94]), having people who care (AOR: 0.65; CI [0.50, 0.84]), and having people with whom to share good news (AOR: 0.77; CI [0.63, 0.94]). Adolescents with chronic physical health conditions had lower odds of reporting having people who care about them (AOR: 0.72; CI [0.55, 0.94]). The findings point to the need for interventions designed to foster the development of positive interpersonal relationships, reduce loneliness, and increase positive social identity among adolescents with chronic health conditions, particularly those with developmental/behavioral health conditions. (PsycInfo Database Record (c) 2024 APA, all rights reserved).</p>","PeriodicalId":55531,"journal":{"name":"American Journal of Orthopsychiatry","volume":" ","pages":"235-245"},"PeriodicalIF":3.3,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11098705/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139652268","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":"Toward transgender health: Analysis of current barriers and theorizing interventions.","authors":"Sinead Murano-Kinney, Rodrigo Heng-Lehtinen","doi":"10.1037/ort0000756","DOIUrl":"10.1037/ort0000756","url":null,"abstract":"<p><p>In the fields of medical and behavioral health care, there is a demonstrable scarcity of providers who possess the necessary levels of clinical and cultural competency required to serve transgender patients. As a result of this deficiency, many members of the transgender community engage in an avoidance of care. Among providers, there are observed deficiencies in awareness regarding specific acute and chronic health disparities experienced by members of the transgender population. We aim to demonstrate the unique and intersectional health disparities experienced by this community, to empower providers serving this community. Additionally, we endeavor to propose a range of potential clinical and political interventions and options for mobilization that providers can engage in. (PsycInfo Database Record (c) 2024 APA, all rights reserved).</p>","PeriodicalId":55531,"journal":{"name":"American Journal of Orthopsychiatry","volume":" ","pages":"705-713"},"PeriodicalIF":2.3,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141263653","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}