SSM. Mental health最新文献

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Exploratory analysis of risk factors for suicidal ideation among young men in urban informal settlements in durban, South Africa: A cross-sectional study
IF 4.1
SSM. Mental health Pub Date : 2025-03-28 DOI: 10.1016/j.ssmmh.2025.100417
Smanga Mkhwanazi , Yandisa Sikweyiya , Andrew Gibbs
{"title":"Exploratory analysis of risk factors for suicidal ideation among young men in urban informal settlements in durban, South Africa: A cross-sectional study","authors":"Smanga Mkhwanazi ,&nbsp;Yandisa Sikweyiya ,&nbsp;Andrew Gibbs","doi":"10.1016/j.ssmmh.2025.100417","DOIUrl":"10.1016/j.ssmmh.2025.100417","url":null,"abstract":"<div><div>Suicidal ideation – thoughts about suicide, but not necessarily planning or attempting - is common among young people in Low and Middle-Income Countries. There has been a significant focus on poor mental health as a key driver of suicidal ideation, yet structural challenges such as poverty, economic and social marginalisation and gender norms, have also been shown to be critical drivers of suicidal ideation among young men. We conducted an exploratory study to assess risk factors for suicidal ideation among young men living in urban informal settlements in eThekwini Municipality, South Africa. We conducted a cross-sectional survey, forming the baseline of a randomized controlled trial in 2015. We recruited 674 young men (aged 18–30 years) of which n = 669 (99.3 %) provided data on recent suicidal ideation. Past 4-week suicidal ideation was common (24.2 %) in this group. In multivariable logistic regression, food insecurity, violence in childhood and adulthood, and recent drug use were significantly associated with suicidal ideation. We suggest that suicide prevention programmes need to include a focus on addressing context specific challenges, as well as poor mental health, if they are to reduce the burden of suicidal ideation.</div></div>","PeriodicalId":74861,"journal":{"name":"SSM. Mental health","volume":"7 ","pages":"Article 100417"},"PeriodicalIF":4.1,"publicationDate":"2025-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143783043","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
Peer victimization, parental abuse and attempted suicide among sexual and gender minority youth: Population-level evidence
IF 4.1
SSM. Mental health Pub Date : 2025-03-26 DOI: 10.1016/j.ssmmh.2025.100432
Joel Mittleman
{"title":"Peer victimization, parental abuse and attempted suicide among sexual and gender minority youth: Population-level evidence","authors":"Joel Mittleman","doi":"10.1016/j.ssmmh.2025.100432","DOIUrl":"10.1016/j.ssmmh.2025.100432","url":null,"abstract":"<div><div>Although a large body of research has analyzed how peer victimization shapes suicide risk for sexual and gender minority (SGM) youth, few population-representative studies have examined the impact of the abuse they face from their parents. Analyzing the 2023 National Youth Risk Behavior Survey, this study provides the first nationally representative evidence on how peer victimization and parental abuse combine to shape suicide risk among contemporary American adolescents. Results show that SGM youth are almost as likely to be abused by an adult in their home as they are to be bullied by a peer at their school: 24.1 % of SGM teens reported frequent physical or emotional abuse at home compared to 28.3 % who reported recent bullying at school. Parental abuse and peer bullying commonly cooccur, such that, among SGM teens being abused by parents, the full majority (58.3 %) reported simultaneous bullying by peers. Although bullying and abuse each shaped suicide risk, these two forms of victimization mattered most when they were experienced together. Compared to SGM teens facing abuse from neither peers nor parents, those facing abuse from just one source were roughly twice as likely to report a recent suicide attempt, but those facing abuse from both sources simultaneously were over five times more likely. Taken together, these results underscore the importance of monitoring parental abuse in population health research and more fully analyzing the compounding contexts of abuse faced by SGM youth.</div></div>","PeriodicalId":74861,"journal":{"name":"SSM. Mental health","volume":"7 ","pages":"Article 100432"},"PeriodicalIF":4.1,"publicationDate":"2025-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143724892","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
Does the Black-White mental health paradox persist across U.S. geographical regions?
IF 4.1
SSM. Mental health Pub Date : 2025-03-18 DOI: 10.1016/j.ssmmh.2025.100431
Christy L. Erving , Lacee A. Satcher , Shania Montúfar , Courtney S. Thomas Tobin
{"title":"Does the Black-White mental health paradox persist across U.S. geographical regions?","authors":"Christy L. Erving ,&nbsp;Lacee A. Satcher ,&nbsp;Shania Montúfar ,&nbsp;Courtney S. Thomas Tobin","doi":"10.1016/j.ssmmh.2025.100431","DOIUrl":"10.1016/j.ssmmh.2025.100431","url":null,"abstract":"<div><h3>Purpose</h3><div>The “Black-White mental health paradox” refers to the epidemiological pattern whereby Black Americans experience similar, and often lower, rates of psychiatric disorders relative to their White counterparts despite their greater exposure to stressors and societal-level racism. The aim of this study is to examine the extent to which the Black-White mental health paradox is observed within four U.S. geographical regions: Midwest, Northeast, South, and West.</div></div><div><h3>Methods</h3><div>A sample of Black and White Americans was drawn from the National Comorbidity Survey-Replication (NCS-R) and the National Survey of American Life (NSAL). Racial patterns of disorder were examined before and after adjusting for other sociodemographic characteristics (e.g., education, employment status, marital status, sex, age). Logistic regression analysis estimated relative odds of past-year mood, anxiety, substance use, and any disorder among Black and White adults within each region.</div></div><div><h3>Results</h3><div>Evidence of the paradox was most prominent in the U.S. South region. Black Southerners experienced lower odds of mood, anxiety, and any disorders relative to their White Southern counterparts. Black individuals in the Northeast and West also had lower odds of any disorder vis-a-vis their White counterparts. By contrast, Black Americans in the Midwest experienced elevated odds of mood disorders compared to White Midwesterners; this racial pattern, however, dissipated after adjusting for sociodemographic characteristics (e.g., education, employment).</div></div><div><h3>Conclusion</h3><div>Mental health intervention and prevention programs should address the elevated risk of mood disorder among Black Americans living in the Midwest, in part by ameliorating racial inequalities in access to education, employment, and other economic resources.</div></div>","PeriodicalId":74861,"journal":{"name":"SSM. Mental health","volume":"7 ","pages":"Article 100431"},"PeriodicalIF":4.1,"publicationDate":"2025-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143705793","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
Farmwork and family: How mixed-status families influence the mental health of foreign born farmworkers
IF 4.1
SSM. Mental health Pub Date : 2025-03-17 DOI: 10.1016/j.ssmmh.2025.100422
Helen Elizabeth Lindsay , Joaquin Alfredo-Angel Rubalcaba , Samuel Ian Lidsky
{"title":"Farmwork and family: How mixed-status families influence the mental health of foreign born farmworkers","authors":"Helen Elizabeth Lindsay ,&nbsp;Joaquin Alfredo-Angel Rubalcaba ,&nbsp;Samuel Ian Lidsky","doi":"10.1016/j.ssmmh.2025.100422","DOIUrl":"10.1016/j.ssmmh.2025.100422","url":null,"abstract":"<div><div>Immigrant agricultural workers, especially unauthorized workers, face a range of severe stressors, including isolation, chronic job insecurity, and marginalization, leading to higher rates of mental health issues compared to native-born populations. This paper investigates mental health outcomes, focusing on symptoms of depression among agricultural workers within the US agricultural sector, specifically among unauthorized immigrant working parents living in mixed-status families (households in which there is a discrepancy in immigration status, often with parents lacking authorization and children having citizenship by birth). Using data from the National Agricultural Workers Survey (NAWS), which includes the Center for Epidemiologic Studies Depression Scale (CES-D), we explore how the presence of US-born children influences parental mental health. Findings reveal that unauthorized parents in mixed-status families report significantly lower depressive symptoms than their nonmixed-status counterparts, suggesting that citizen children may act as protective factors. This difference was further stratified along particular domains within the CES-D scale. However, these children may also introduce new stressors, such as heightened fears of family separation. The study underscores the importance of nuanced investigations into how family dynamics intersect with immigration status to shape mental health outcomes. These findings highlight the need for further investigation of the mental health of workers in this vital economic sector, especially in light of the changing demographics of agricultural work since the last large mental health survey of agricultural workers in 2010.</div></div>","PeriodicalId":74861,"journal":{"name":"SSM. Mental health","volume":"7 ","pages":"Article 100422"},"PeriodicalIF":4.1,"publicationDate":"2025-03-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143714350","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
The nexus of the risk of depression and residential mobility for urban poor mothers: New longitudinal evidence from Nairobi
IF 4.1
SSM. Mental health Pub Date : 2025-03-13 DOI: 10.1016/j.ssmmh.2025.100430
Tyler W. Myroniuk , Estelle M. Sidze , Michael J. White , Blessing Mberu , Sangeetha Madhavan
{"title":"The nexus of the risk of depression and residential mobility for urban poor mothers: New longitudinal evidence from Nairobi","authors":"Tyler W. Myroniuk ,&nbsp;Estelle M. Sidze ,&nbsp;Michael J. White ,&nbsp;Blessing Mberu ,&nbsp;Sangeetha Madhavan","doi":"10.1016/j.ssmmh.2025.100430","DOIUrl":"10.1016/j.ssmmh.2025.100430","url":null,"abstract":"<div><h3>Introduction</h3><div>In Africa, the nexus between mental well-being and residential mobility is understudied, especially in urban settings. World Health Organization estimates show that the African continent, as a whole, has some of the world's highest rates of postpartum depressive disorders. Understanding how residential mobility shapes the risk of depression among urban poor mothers in African contexts is of high importance to public health, given the competing, gendered, domestic demands that mothers face and the need to secure their families' livelihoods via job opportunities that cities offer.</div></div><div><h3>Methods</h3><div>We utilize observational survey data from the first four waves of the Jamaa na Afya ya Mtoto (JAMO) study (March 2022–October 2023). The study enrolled 1203 mothers aged 18–29 with at least one child 0–24 months, via simple random sampling, at Wave 1 to understand the relationships between marriage, kinship, and children's health and development outcomes in two urban informal settlements: Korogocho and Viwandani. Mental health data were collected among mothers using the CES-D-10 scale. In this study, we utilize longitudinal regressions to test whether changes in mothers' risk of depression are associated with changes in residential mobility, and vice versa.</div></div><div><h3>Results</h3><div>One in four women has experienced at least one residential movement over the study period in both informal settlements. There is an elevated risk of depression among women who move to Viwandani in particular, an informal settlement which borders Nairobi's industrial area and inhabited in majority by individuals operating in the neighboring industries. This risk appears to be driven mostly by mothers not born in Nairobi.</div></div><div><h3>Conclusion</h3><div>While residential mobility can operate as the path to personal, familial, and societal betterment in urban poor settings, the movement inevitably involves changes in neighborhood contexts and is associated with dislocation and stress.</div></div>","PeriodicalId":74861,"journal":{"name":"SSM. Mental health","volume":"7 ","pages":"Article 100430"},"PeriodicalIF":4.1,"publicationDate":"2025-03-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143643370","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
Being heard, restoring a social connection and decreasing anger: Adult patients’ perceptions of clinical services addressing violent extremism in Montreal, Canada
IF 4.1
SSM. Mental health Pub Date : 2025-03-12 DOI: 10.1016/j.ssmmh.2025.100427
Cécile Rousseau , Cindy Ngov , Samuel Veissière , Christian Desmarais , Tara Santavicca , Janique Johnson-Lafleur
{"title":"Being heard, restoring a social connection and decreasing anger: Adult patients’ perceptions of clinical services addressing violent extremism in Montreal, Canada","authors":"Cécile Rousseau ,&nbsp;Cindy Ngov ,&nbsp;Samuel Veissière ,&nbsp;Christian Desmarais ,&nbsp;Tara Santavicca ,&nbsp;Janique Johnson-Lafleur","doi":"10.1016/j.ssmmh.2025.100427","DOIUrl":"10.1016/j.ssmmh.2025.100427","url":null,"abstract":"<div><h3>Background</h3><div>Growing social polarization and ideological radicalization contribute to an increased risk of violence, particularly among vulnerable individuals experiencing despair and marginalization. Understanding the subjective experiences of individuals involved in violent extremism (VE) can inform the development of effective clinical and social interventions that promote disengagement and reintegration. Despite increasing efforts to address VE through tertiary prevention programs, little research has examined how individuals perceive these interventions and their impact on well-being and social reintegration.</div></div><div><h3>Methods</h3><div>This qualitative study explores the perspectives of individuals receiving VE prevention services in Montreal, Canada. Using a phenomenological framework, we conducted semi-structured interviews with 18 participants (17 men and 1 woman; ages 17–72, mean = 32) referred by a specialized clinical team. Participation was voluntary, with confidentiality safeguards. Interviews were conducted in English or French, transcribed verbatim, and analyzed thematically using an inductive coding approach.</div></div><div><h3>Findings</h3><div>Three key themes emerged. (1) Being Heard – Participants highlighted the therapeutic alliance, emphasizing the importance of being listened to without judgment and feeling respected by clinicians. (2) Restoring Social Connection – Engagement in services helped individuals re-establish social ties, navigate interpersonal conflicts, and reduce isolation. (3) Emotional Regulation and Decreased Anger – Participants reported improved emotional control, reduced distress, and a shift away from violent impulses. While some retained ideological beliefs, they no longer viewed violence as a viable option.</div></div><div><h3>Conclusions</h3><div>The findings highlight the role of clinical interventions in addressing social marginalization and distress among individuals at risk of VE. A trauma-informed, non-judgmental, and relationship-based approach appears central to fostering trust, reducing distress, and supporting disengagement. These results highlight the need for interdisciplinary models that integrate mental health, social services, and policy interventions to prevent violence and reintegrate individuals into society.</div></div>","PeriodicalId":74861,"journal":{"name":"SSM. Mental health","volume":"7 ","pages":"Article 100427"},"PeriodicalIF":4.1,"publicationDate":"2025-03-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143620276","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
The adaptation and evaluation of a culturally grounded lifestyle intervention to mitigate the risk of Alzheimer's disease and related dementias in Native Hawaiians and Pacific Islanders: A study protocol
IF 4.1
SSM. Mental health Pub Date : 2025-03-12 DOI: 10.1016/j.ssmmh.2025.100429
Joseph Keaweʻaimoku Kaholokula , Dedra Buchwald , Richard MacLehose , Mele Look , Mapuana de Silva , J. Keʻalohilani Worthington Antonio , Kulani Desimone , Sheryl Yoshimura , Adrienne Dillard , Meghan Kenney , Chantelle Kealiʻihoʻomalu , Malia Purdy
{"title":"The adaptation and evaluation of a culturally grounded lifestyle intervention to mitigate the risk of Alzheimer's disease and related dementias in Native Hawaiians and Pacific Islanders: A study protocol","authors":"Joseph Keaweʻaimoku Kaholokula ,&nbsp;Dedra Buchwald ,&nbsp;Richard MacLehose ,&nbsp;Mele Look ,&nbsp;Mapuana de Silva ,&nbsp;J. Keʻalohilani Worthington Antonio ,&nbsp;Kulani Desimone ,&nbsp;Sheryl Yoshimura ,&nbsp;Adrienne Dillard ,&nbsp;Meghan Kenney ,&nbsp;Chantelle Kealiʻihoʻomalu ,&nbsp;Malia Purdy","doi":"10.1016/j.ssmmh.2025.100429","DOIUrl":"10.1016/j.ssmmh.2025.100429","url":null,"abstract":"","PeriodicalId":74861,"journal":{"name":"SSM. Mental health","volume":"7 ","pages":"Article 100429"},"PeriodicalIF":4.1,"publicationDate":"2025-03-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143636747","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
A taxonomy of social support interventions for People experiencing a syndemic of substance use disorder, criminal legal involvement, and downstream Health sequelae
IF 4.1
SSM. Mental health Pub Date : 2025-03-12 DOI: 10.1016/j.ssmmh.2025.100428
John A. Schneider , Lindsay R. Smith , Alida M. Bouris , Carrie Oser , Mai Tuyet Pho , Basmattee Boodram , Silvia Minardi , Esbeidy Torres Hondal , Jonathan Ozik , Bruce G. Taylor , Nina T. Harawa , Elizabeth Salisbury-Afshar , Danielle S. Rudes , Russell A. Brewer , Anna L. Hotton , Carrie Pettus , Harold A. Pollack , Faye S. Taxman , Jessica Hulsey
{"title":"A taxonomy of social support interventions for People experiencing a syndemic of substance use disorder, criminal legal involvement, and downstream Health sequelae","authors":"John A. Schneider ,&nbsp;Lindsay R. Smith ,&nbsp;Alida M. Bouris ,&nbsp;Carrie Oser ,&nbsp;Mai Tuyet Pho ,&nbsp;Basmattee Boodram ,&nbsp;Silvia Minardi ,&nbsp;Esbeidy Torres Hondal ,&nbsp;Jonathan Ozik ,&nbsp;Bruce G. Taylor ,&nbsp;Nina T. Harawa ,&nbsp;Elizabeth Salisbury-Afshar ,&nbsp;Danielle S. Rudes ,&nbsp;Russell A. Brewer ,&nbsp;Anna L. Hotton ,&nbsp;Carrie Pettus ,&nbsp;Harold A. Pollack ,&nbsp;Faye S. Taxman ,&nbsp;Jessica Hulsey","doi":"10.1016/j.ssmmh.2025.100428","DOIUrl":"10.1016/j.ssmmh.2025.100428","url":null,"abstract":"","PeriodicalId":74861,"journal":{"name":"SSM. Mental health","volume":"7 ","pages":"Article 100428"},"PeriodicalIF":4.1,"publicationDate":"2025-03-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143714482","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
Treatment of depression by traditional faith healers in Nepal: A qualitative study
IF 4.1
SSM. Mental health Pub Date : 2025-03-11 DOI: 10.1016/j.ssmmh.2025.100425
Nagendra P. Luitel , Bishnu Lamichhane , Prakriti Koirala , Poonam Sainju , Amshu Ghimire , Kamal Gautam , Mark JD. Jordans , Brandon A. Kohrt
{"title":"Treatment of depression by traditional faith healers in Nepal: A qualitative study","authors":"Nagendra P. Luitel ,&nbsp;Bishnu Lamichhane ,&nbsp;Prakriti Koirala ,&nbsp;Poonam Sainju ,&nbsp;Amshu Ghimire ,&nbsp;Kamal Gautam ,&nbsp;Mark JD. Jordans ,&nbsp;Brandon A. Kohrt","doi":"10.1016/j.ssmmh.2025.100425","DOIUrl":"10.1016/j.ssmmh.2025.100425","url":null,"abstract":"<div><div>This study explored the assessment and treatment practices of traditional faith healers for patients with depression, as well as their beliefs about the causes of depression, in Nepal. In-depth interviews were conducted using a narrative approach to allow participants to share their experiences and perspectives through storytelling. A vignette depicting a woman with depression symptoms was used to investigate traditional faith healers' beliefs about the character's health issues. The interview guide included questions about the assessment and treatment procedures of traditional faith healers for the character in the vignette. The interviews were conducted between January and July 2023 with 12 traditional faith healers. Traditional faith healers hold diverse beliefs about the causes of depression. Some attribute it to supernatural forces or curses, such as the spirit of a husband or ancestor, while others link it to mental stress, personal and social factors, and lack of support. They employ various methods to assess and treat depression, including examining the patient's face, using rice grains, invoking spirits, creating statues from clay or wheat flour, employing blowing techniques, listening to their suffering, performing death rituals to remove ancestral spirits, shouting, and referring them to hospitals. Collaborating with traditional healers, who act as gateways to mental health care, could improve early detection and treatment of depression. Some traditional healing practices may be helpful for depression, so involving them in identifying and supporting individuals with depression could be beneficial. Future research should evaluate the effectiveness of traditional healing treatments and explore patients' views on these treatments.</div></div>","PeriodicalId":74861,"journal":{"name":"SSM. Mental health","volume":"7 ","pages":"Article 100425"},"PeriodicalIF":4.1,"publicationDate":"2025-03-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143629507","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
From institutions to homes: Evaluation of a housing with supportive services intervention for people with psychosocial disabilities with histories of homelessness
IF 4.1
SSM. Mental health Pub Date : 2025-03-08 DOI: 10.1016/j.ssmmh.2025.100424
Vandana Gopikumar , Lakshmi Narasimhan , Deepika Easwaran , Apurva Srinivas , Keerthana R , Parsana Moideen , Sambasivamoorthy Sivayokan , Pallavi Rohatgi , Archana Padmakar , Vanitha Rajesh , Mrinalini Ravi , Preetha Krishnadas , Amali Margaret , Milesh Hamlai , Chandana Sharma , Santosh Joseph , Chitra Venkateswaran , Kantharaju Ck , Saravanan Sn , Gowri K , Lakshmi Ravikanth
{"title":"From institutions to homes: Evaluation of a housing with supportive services intervention for people with psychosocial disabilities with histories of homelessness","authors":"Vandana Gopikumar ,&nbsp;Lakshmi Narasimhan ,&nbsp;Deepika Easwaran ,&nbsp;Apurva Srinivas ,&nbsp;Keerthana R ,&nbsp;Parsana Moideen ,&nbsp;Sambasivamoorthy Sivayokan ,&nbsp;Pallavi Rohatgi ,&nbsp;Archana Padmakar ,&nbsp;Vanitha Rajesh ,&nbsp;Mrinalini Ravi ,&nbsp;Preetha Krishnadas ,&nbsp;Amali Margaret ,&nbsp;Milesh Hamlai ,&nbsp;Chandana Sharma ,&nbsp;Santosh Joseph ,&nbsp;Chitra Venkateswaran ,&nbsp;Kantharaju Ck ,&nbsp;Saravanan Sn ,&nbsp;Gowri K ,&nbsp;Lakshmi Ravikanth","doi":"10.1016/j.ssmmh.2025.100424","DOIUrl":"10.1016/j.ssmmh.2025.100424","url":null,"abstract":"<div><div>Long-term institutionalisation of people with mental health conditions persists globally despite emerging rights-based reforms and a shift towards community-based care. In India, efforts to facilitate community-based alternatives are emerging. This paper evaluates the outcomes of a multi-site implementation of Home Again, a housing with supportive services intervention developed in India, for people with mental health issues who are long-term residents of state psychiatric facilities. Using a single group repeated measures design, changes in key outcomes were assessed for 214 participants enrolled across nine sites in India and one in Sri Lanka over a 12-month period. Statistically significant improvements were observed in disability, quality of life, community integration, clinical symptoms and hope. Qualitative findings underscore participants' complex experiences navigating the transition, marked by a delicate balance between freedoms and constraints. The study highlights the feasibility of implementing the intervention in diverse settings, its impact on participant outcomes, and the need for comprehensive strategies to address systemic barriers to full inclusion. The experience offers insights for scaling up complex, multi-faceted interventions for marginalised populations in resource-limited settings.</div></div>","PeriodicalId":74861,"journal":{"name":"SSM. Mental health","volume":"7 ","pages":"Article 100424"},"PeriodicalIF":4.1,"publicationDate":"2025-03-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143643456","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
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