Focus (American Psychiatric Publishing)最新文献_第5页

Focus (American Psychiatric Publishing) Pub Date : 2025-01-01 Epub Date: 2025-01-15 DOI: 10.1176/appi.focus.20240031

Jennifer L Derenne

引用次数: 0

Why Teens Don't Talk: Understanding the Role of Stigma Within Barriers to Help Seeking. 为什么青少年不说话：理解耻辱在寻求帮助障碍中的作用。

Focus (American Psychiatric Publishing) Pub Date : 2025-01-01 Epub Date: 2025-01-15 DOI: 10.1176/appi.focus.20240029

Kamla Modi, Michelle G Mullen, Kristia Tolode, Laura Erickson-Schroth, Katie Hurley, John MacPhee

引用次数: 0

Microaggressions and Cultural Ruptures in Psychiatry: Extending Multicultural Counseling Orientation to Psychiatric Services. 精神病学中的微侵犯与文化断裂：将多元文化咨询导向扩展到精神病学服务。

Focus (American Psychiatric Publishing) Pub Date : 2025-01-01 Epub Date: 2025-01-15 DOI: 10.1176/appi.focus.20240034

Brendalisse Rudecindo, Patty Kuo, William A Smith, Karen W Tao, Zachary E Imel

{"title":"Microaggressions and Cultural Ruptures in Psychiatry: Extending Multicultural Counseling Orientation to Psychiatric Services.","authors":"Brendalisse Rudecindo, Patty Kuo, William A Smith, Karen W Tao, Zachary E Imel","doi":"10.1176/appi.focus.20240034","DOIUrl":"10.1176/appi.focus.20240034","url":null,"abstract":"Racial microaggressions and cultural ruptures have a significant impact on mental health care for Black, Indigenous, and people of color (BIPOC) communities. This article reviews the application of the multicultural counseling orientation framework in psychiatry to address these challenges and improve therapeutic outcomes. The authors outline strategies to integrate cultural humility into psychiatric practice, with an emphasis on self-reflection, feedback, and the recognition of microaggressions. By fostering cultural humility, providers can create therapeutic spaces where patients feel safe and validated. The article also discusses cultural opportunities for exploring patients' identities and advocates for open dialogue that addresses these aspects early in treatment. Structural recommendations include enhancing training programs to incorporate equity-focused coursework, promoting recruitment and retention of BIPOC clinicians, and developing institutional policies to address systemic inequities. Adopting these approaches can reduce the adverse effects of microaggressions, build trust, and improve mental health outcomes for BIPOC patients. The authors suggest that future efforts should emphasize systemic changes in training, recruitment, and community engagement to create a more inclusive mental health care system.","PeriodicalId":73036,"journal":{"name":"Focus (American Psychiatric Publishing)","volume":"23 1","pages":"9-18"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11701827/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142959293","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Safeguarding Futures: Innovations in Substance Use Prevention. 保护未来：药物使用预防的创新。

Focus (American Psychiatric Publishing) Pub Date : 2024-10-01 Epub Date: 2024-10-15 DOI: 10.1176/appi.focus.20240037

Katia Delrahim Howlett

引用次数: 0

Preventing Substance Use and Overdose Among Young Adults: The Role of Social Determinants of Health. 预防青少年使用药物和用药过量：健康的社会决定因素的作用》。

Focus (American Psychiatric Publishing) Pub Date : 2024-10-01 Epub Date: 2024-10-15 DOI: 10.1176/appi.focus.20240022

Christopher M Jones

引用次数: 0

Family-Focused Prevention and Early Intervention of Substance Use in Pediatric Primary Care Settings. 以家庭为重点的儿科初级保健中药物使用的预防和早期干预。

Focus (American Psychiatric Publishing) Pub Date : 2024-10-01 Epub Date: 2024-10-15 DOI: 10.1176/appi.focus.20240026

Pamela A Matson, Jessica B Calihan, Sarah M Bagley, Hoover Adger

{"title":"Family-Focused Prevention and Early Intervention of Substance Use in Pediatric Primary Care Settings.","authors":"Pamela A Matson, Jessica B Calihan, Sarah M Bagley, Hoover Adger","doi":"10.1176/appi.focus.20240026","DOIUrl":"10.1176/appi.focus.20240026","url":null,"abstract":"Prevention of substance misuse and substance use disorders is a national public health priority. The home environment can represent risk or protective factors for development of substance misuse. Children in homes with caregiver substance use are biologically, developmentally, interpersonally, and environmentally vulnerable to substance misuse and associated consequences, making it necessary for substance use prevention to focus on families early. Children and families who are minoritized, marginalized, and disenfranchised experience disproportionate consequences of substance use, through experiences of poverty, racism, trauma, and the built environment. Strengthening protective factors in early childhood by improving the health of caregivers and supporting the caregiver-child relationship can have enduring benefits over the life course. Pediatric primary care practices are an important setting for adopting a family-focused approach to prevention and early intervention of substance use. By engaging families early, identifying substance use in the family and household, recognizing the intersection of social needs and substance use, providing culturally tailored, trauma-informed, evidence-based care, and advising and supporting families on ways to minimize substance-related harm, pediatric care providers can play an important role in preventing substance use and substance-related consequences to children and families. Pediatric care providers are ideally suited to deliver prevention messages in a nonstigmatizing manner and serve as a conduit to evidence-based, family-focused intervention programs.","PeriodicalId":73036,"journal":{"name":"Focus (American Psychiatric Publishing)","volume":"22 4","pages":"464-473"},"PeriodicalIF":0.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11571187/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142677171","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Renal Impairment and Dose Adjustment of Long-Acting Injectable Antipsychotics: Are We Getting It Right? A Case Report. 肾功能损害与长效注射用抗精神病药物的剂量调整：我们做对了吗？病例报告。

Focus (American Psychiatric Publishing) Pub Date : 2024-10-01 Epub Date: 2024-10-15 DOI: 10.1176/appi.focus.20240007

Colette Raphaël, Gary Remington, Ofer Agid

引用次数: 0

Addressing Stigmas That Hinder Addiction Treatment and Recovery. 消除妨碍戒毒和康复的污名。

Focus (American Psychiatric Publishing) Pub Date : 2024-10-01 Epub Date: 2024-10-15 DOI: 10.1176/appi.focus.20240023

Dorothy E Stubbe

引用次数: 0

A National Strategy for Preventing Substance and Opioid Use Disorders Through Evidence-Based Prevention Programming That Fosters Healthy Outcomes in Our Youth. 通过以证据为基础的预防计划来预防药物和阿片类药物使用失调，从而促进青少年健康成长的国家战略》（A National Strategy for Preventing Substance and Opioid Use Disorders Through Evidence-Based Prevention Programming that Fosters Healthy Outcomes in Our Youth.

Focus (American Psychiatric Publishing) Pub Date : 2024-10-01 Epub Date: 2024-10-15 DOI: 10.1176/appi.focus.24022020

Diana H Fishbein, Zili Sloboda

{"title":"A National Strategy for Preventing Substance and Opioid Use Disorders Through Evidence-Based Prevention Programming That Fosters Healthy Outcomes in Our Youth.","authors":"Diana H Fishbein, Zili Sloboda","doi":"10.1176/appi.focus.24022020","DOIUrl":"10.1176/appi.focus.24022020","url":null,"abstract":"The recently released National Drug Control Strategy (2022) from the White House Office of National Drug Control Policy (ONDCP) lays out a comprehensive plan to, not only enhance access to treatment and increase harm reduction strategies, but also increase implementation of evidence-based prevention programming at the community level. Furthermore, the Strategy provides a framework for enhancing our national data systems to inform policy and to evaluate all components of the plan. However, not only are there several missing components to the Strategy that would assure its success, but there is a lack of structure to support a national comprehensive service delivery system that is informed by epidemiological data, and trains and credentials those delivering evidence-based prevention, treatment, and harm reduction/public health interventions within community settings. This paper provides recommendations for the establishment of such a structure with an emphasis on prevention. Systematically addressing conditions known to increase liability for behavioral problems among vulnerable populations and building supportive environments are strategies consistently found to avert trajectories away from substance use in general and substance use disorders (SUD) in particular. Investments in this approach are expected to result in significantly lower rates of SUD in current and subsequent generations of youth and, therefore, will reduce the burden on our communities in terms of lowered social and health systems involvement, treatment needs, and productivity. A national strategy, based on strong scientific evidence, is presented to implement public health policies and prevention services. These strategies work by improving child development, supporting families, enhancing school experiences, and cultivating positive environmental conditions. Appeared originally in Clin Child Fam Psychol Rev 2023; 26:1-16.","PeriodicalId":73036,"journal":{"name":"Focus (American Psychiatric Publishing)","volume":"22 4","pages":"527-542"},"PeriodicalIF":0.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11571196/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142677957","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Engaging Patients in Substance Use Disorder Treatment by Offering Support They Are Willing to Accept. 通过提供患者愿意接受的支持，让患者参与药物使用障碍治疗。

Focus (American Psychiatric Publishing) Pub Date : 2024-10-01 Epub Date: 2024-10-15 DOI: 10.1176/appi.focus.20240032

Sharon Levy

引用次数: 0