Employment Benefit Receipt Among Ontario Public Disability Benefit Recipients with a Disability Related to a Mental Disorder.
Abstract Using administrative data from the public long-term disability support program in Ontario, Canada, this paper examines the factors related to receipt of a paid employment benefit. These analyses include only ODSP beneficiaries who were primary beneficiaries, who had active files in March 2011 and who were
Source: Community Mental Health Journal - September 25, 2015 Category: Psychiatry Authors: Dewa CS Tags: Community Ment Health J Source Type: research

The Consequences of Official Labels: An Examination of the Rights Lost by the Mentally Ill and Mentally Incompetent Since 1989.
This study presents a survey of state statutes which restrict the civil rights of persons with a mental illness or who have been declared mentally incompetent. Five civil rights (voting, holding public office, jury service, parenting, and marriage) are examined. The results of this study are compared with the results of studies conducted in 1989 and 1999 to determine what changes have occurred over time in the restriction of civil rights of those suffering from mental health problems. This comparison reveals that states continue to restrict the rights of the mentally ill and incompetent, and that there is a trend towards i...
Source: Community Mental Health Journal - September 24, 2015 Category: Psychiatry Authors: Walker AM, Klein MS, Hemmens C, Stohr MK, Burton VS Tags: Community Ment Health J Source Type: research

Serious Suicide Attempts: Evidence on Variables for Manage and Prevent this Phenomenon.
Abstract The aim of this study is to investigate the variables shown to be linked to serious suicide attempts. Cases requiring emergency admission to intensive care were collected from medical records of the University Hospital in Messina (Italy) for the years 2006-2010. 107 cases of serious attempted suicide were examined, 39 of which ended in the death of the patient. The results showed the following variables to be linked highly significantly (P  0.30) with a fatal suicidal attempt: the year of the attempt, deceased father, history of physical illness prior to hospitalization and method used to carry ...
Source: Community Mental Health Journal - September 23, 2015 Category: Psychiatry Authors: Mento C, Presti EL, Mucciardi M, Sinardi A, Liotta M, Settineri S Tags: Community Ment Health J Source Type: research

Do Mental Health Outpatient Services Meet Users' Needs? Trial to Identify Factors Associated with Higher Needs for Care.
Abstract The study was conducted to investigate the extent to which services meet patients' needs and identify the factors associated with higher needs. 174 outpatients were assessed using CANSAS, BPRS and GSDS. The total number of unmet needs in persons with psychotic, eating, personality and affective disorders was higher than in patients with anxiety disorders. Being single, positive symptoms, depression/anxiety, hospitalizations and high social disability accounted for 50 % of the variance in level of unmet need. Persons with eating and personality disorders reported similar level of unmet needs to those ...
Source: Community Mental Health Journal - September 21, 2015 Category: Psychiatry Authors: Dobrzynska E, Rymaszewska J, Biecek P, Kiejna A Tags: Community Ment Health J Source Type: research

Prescription Opioid Use Among Seriously Mentally Ill Veterans Nationally in the Veterans Health Administration.
Abstract Frequent prescription opioid use has been recognized as a growing problem but there have been no studies specifically among veterans with serious mental illness (SMI). National data from the Veterans Health Administration (VHA) during Fiscal Year 2012 show that VHA patients with SMI receive more opioid prescriptions than other veterans. Additionally, high numbers of opioid prescriptions is associated with greater use of anxiolytics/sedative-hypnotics, drug dependence and COPD-all of which pose an increased risk of respiratory depression and falls and warrant substantial caution and improved coordination b...
Source: Community Mental Health Journal - September 15, 2015 Category: Psychiatry Authors: Mathew N, Rosenheck RA Tags: Community Ment Health J Source Type: research

Using Mental Health Outreach Teams in the Emergency Department to Improve Engagement in Treatment.
This study explored the benefits of establishing outreach visits from a local community mental health provider to psychiatric patients in an emergency department. Using retrospective analysis of data collected by a local mental health agency, the effect of receiving face to face contact in the emergency room with a community mental health worker (and/or telephone follow up) was compared to no outreach interaction. The effect of this intervention was a significant increase in initial appointment attendance at the local mental health clinic in the aftermath of a psychiatric crisis. Community mental health services provided i...
Source: Community Mental Health Journal - September 11, 2015 Category: Psychiatry Authors: Boudreaux JG, Crapanzano KA, Jones GN, Jeider TA, Dodge VH, Hebert MJ, Kasofsky JM Tags: Community Ment Health J Source Type: research

"Sometimes What They Think is Helpful is Not Really Helpful": Understanding Engagement in the Program of Assertive Community Treatment (PACT).
"Sometimes What They Think is Helpful is Not Really Helpful": Understanding Engagement in the Program of Assertive Community Treatment (PACT). Community Ment Health J. 2015 Sep 3; Authors: George M, Manuel JI, Gandy-Guedes ME, McCray S, Negatu D Abstract This exploratory study recruited a purposive sample of twelve clinical staff from a Program of Assertive Community Treatment (PACT) team in central Virginia to understand the perceptions and experiences related to assertive engagement. The researchers coded the transcribed data initially as twenty-three sub-themes and further refined the dat...
Source: Community Mental Health Journal - September 3, 2015 Category: Psychiatry Authors: George M, Manuel JI, Gandy-Guedes ME, McCray S, Negatu D Tags: Community Ment Health J Source Type: research

Implementing a Nation-Wide Mental Health Care Reform: An Analysis of Stakeholders' Priorities.
Abstract Belgium has recently reformed its mental health care delivery system with the goals to strengthen the community-based supply of care, care integration, and the social rehabilitation of users and to reduce the resort to hospitals. We assessed whether these different reform goals were endorsed by stakeholders. One-hundred and twenty-two stakeholders ranked, online, eighteen goals of the reform according to their priorities. Stakeholders supported the goals of social rehabilitation of users and community care but were reluctant to reduce the resort to hospitals. Stakeholders were averse to changes in treatme...
Source: Community Mental Health Journal - September 2, 2015 Category: Psychiatry Authors: Lorant V, Grard A, Nicaise P, Title 107 Study Group Tags: Community Ment Health J Source Type: research

Psychotherapy of Borderline Personality Disorder: Can the Supply Meet the Demand? A German Nationwide Survey in DBT Inpatient and Day Clinic Treatment Facilities.
Abstract The present study aimed to assess (1) the amount of inpatient and day clinic DBT treatment places for patients with borderline personality disorder and (2) the relationship between supply and demand in a given study region. Survey of inpatient and day clinic facilities in the German DBT network. 42 inpatient units and day clinics responded, representing 75 % of the DBT network members contacted. These institutions offer 527 DBT treatment places and treat about 2310 patients per year. The mean waiting period prior to treatment was 14.3 weeks. 700 DBT inpatient or day clinic places exist in German...
Source: Community Mental Health Journal - September 1, 2015 Category: Psychiatry Authors: Richter C, Steinacher B, Zum Eschenhoff A, Bermpohl F Tags: Community Ment Health J Source Type: research

After the Asylum? The New Institutional Landscape.
The objective of the study was to collected data about the changes in a welfare society about the new institutional landscape after the mental hospital area. Data about interventions from social welfare agencies, psychiatric care, and prisons were collected from local and national register as well as data about cause of death and socio-economic status for 1355 persons treated with a diagnosis of psychosis in a Stockholm area 2004-2008. Psychiatric in-patient care and prisons are marginalized. Different interventions in open care touched a very large number of persons. Social welfare agencies play an increasing role in this...
Source: Community Mental Health Journal - August 30, 2015 Category: Psychiatry Authors: Topor A, Andersson G, Bülow P, Stefansson CG, Denhov A Tags: Community Ment Health J Source Type: research

Self-Determination Theory and Outpatient Follow-Up After Psychiatric Hospitalization.
The objective of this study was to assess whether the constructs of self-determination theory-autonomy, competence, and relatedness-are associated with adherence to outpatient follow-up appointments after psychiatric hospitalization. 242 individuals discharged from inpatient psychiatric treatment within the Veterans Health Administration completed surveys assessing self-determination theory constructs as well as measures of depression and barriers to treatment. Medical records were used to count the number of mental health visits and no-shows in the 14 weeks following discharge. Logistic regression models assessed the...
Source: Community Mental Health Journal - August 29, 2015 Category: Psychiatry Authors: Sripada RK, Bowersox NW, Ganoczy D, Valenstein M, Pfeiffer PN Tags: Community Ment Health J Source Type: research

An Integrated Model of Suicidal Ideation in Transcultural Populations of Chinese Adolescents.
This study tested the model of suicidal ideation, incorporating family and personal factors to predict suicidal ideation with hopelessness as a mediating factor in the Hong Kong sample, to a sample in Shanghai. Using MGSEM, the study aims to investigate the personal correlates and the family correlates of suicidal ideation in Hong Kong and Shanghai adolescents. We integrated the family ecological and diathesis-stress-hopelessness models of suicidal ideation in connecting the correlates. A cross-sectional design was used. The full model achieved metric invariance and partial path-loading invariance. Family functioning and s...
Source: Community Mental Health Journal - August 27, 2015 Category: Psychiatry Authors: Leung CL, Kwok SY, Ling CC Tags: Community Ment Health J Source Type: research

Barriers and Facilitators in Providing Community Mental Health Care to Returning Veterans with a History of Traumatic Brain Injury and Co-occurring Mental Health Symptoms.
Abstract As Veterans from recent conflicts return from deployments, increasing numbers are seeking care for physical (e.g., history of traumatic brain injury) and mental health (e.g., depression, anxiety) symptoms. Data suggest that only about half of recent Veterans are seeking care within the Veterans Health Administration. As such, providers within the community are likely to require additional training to meet the unique needs of these Veterans and their families. Towards this end, meetings were held with administrators and clinicians at Colorado Community Mental Health Centers (CMHCs) to identify current barr...
Source: Community Mental Health Journal - August 26, 2015 Category: Psychiatry Authors: Matarazzo BB, Signoracci GM, Brenner LA, Olson-Madden JH Tags: Community Ment Health J Source Type: research

A Comparison of Self-Rated and Female Partner-Rated Scales in the Assessment of Paternal Prenatal Depression.
Abstract Maternal depression has been widely studied but paternal depression is often overlooked. Depression in men is generally more difficult to detect as the symptoms are not apparent. Furthermore, Japanese couples tend to suppress their real emotions to avoid confrontation. We aimed to investigate the reliability and validity of the K6, K10 and PHQ-9 in assessing the mental health status of men when used by their pregnant partners, as well as the prevalence of paternal prenatal depression in a Japanese study sample. A total of 136 couples participated in this study. The prevalence of paternal prenatal depressi...
Source: Community Mental Health Journal - August 26, 2015 Category: Psychiatry Authors: Konishi M, Tachibana Y, Tang J, Takehara K, Kubo T, Hashimoto K, Kitazawa H, Saito H, Ohya Y Tags: Community Ment Health J Source Type: research

Linking Obesity Prevention and Mental Health Promotion to Address Health Disparities.
Abstract Considerable racial health disparities exist, especially in mental health and obesity. However, few approaches exist to address obesity and mental health simultaneously in minority groups. An intervention to address mental health in a low-income, minority group of urban mothers was designed using results from a needs assessment. Participating women were asked to rank their top health concerns and personal goals. Along with mental health concerns and basic needs, the majority of mothers desired assistance with improving their physical well-being. These results are surprising, but lend credence to creating ...
Source: Community Mental Health Journal - August 25, 2015 Category: Psychiatry Authors: Claydon E, Austin A, Smith MV Tags: Community Ment Health J Source Type: research

Risk Factors for Inpatient Psychiatric Readmission: Are There Gender Differences?
The objectives of the study were to compare characteristics of women and men discharged from an inpatient psychiatric facility and to identify gender-specific risk factors associated with 30-day and 1-year readmission using administrative data. The sample included adults discharged from an inpatient psychiatric facility in a Midwestern city (N = 1853). The analysis showed that the 30-day readmission rate was significantly lower among women, but there was no difference in the 1-year readmission rate. Risk factors for readmission differed by gender. For example, for 30-day readmission, being on Medicare versus comm...
Source: Community Mental Health Journal - August 25, 2015 Category: Psychiatry Authors: Rieke K, McGeary C, Schmid KK, Watanabe-Galloway S Tags: Community Ment Health J Source Type: research

Burnout and Psychiatric Distress in Local Caregivers Two Years After the 2011 Great East Japan Earthquake and Fukushima Nuclear Radiation Disaster.
Abstract The 2011 Great East Japan Earthquake precipitated a triple disaster of earthquake, tsunami and nuclear radiation disaster. To quantify the prevalence of burnout and psychiatric distress in local healthcare providers (caregivers) more than 2 years after the disaster, this study surveyed caregivers from affected areas through interviews about topics of concerns and two questionnaires: Maslach Burnout Inventory and General Health Questionnaire. Concerns listed by respondents were primarily radiation related: additional stress, concern for children, concern for local food, and sleep difficulties. We foun...
Source: Community Mental Health Journal - August 25, 2015 Category: Psychiatry Authors: Fujitani K, Carroll M, Yanagisawa R, Katz C Tags: Community Ment Health J Source Type: research

Mental Health Care Providers' Views of Their Work with Consumers and Their Reports of Recovery-Orientation, Job Satisfaction, and Personal Growth.
Abstract The research examined the role of mental health care providers' perceptions of their professional relationships with consumers in understanding their reports of agency recovery-oriented services and their own sense of job satisfaction and personal growth. Multidisciplinary community mental health care providers (N = 105) responded to an online self-report questionnaire. Providers' reports of higher levels of working alliance and greater provider directiveness in working with consumers was significantly related to providers' reports of higher levels of agency recovery-orientation and higher level...
Source: Community Mental Health Journal - August 25, 2015 Category: Psychiatry Authors: Osborn LA, Stein CH Tags: Community Ment Health J Source Type: research

Heavy Drinking and Social and Health Factors in University Students from 24 Low, Middle Income and Emerging Economy Countries.
Abstract The aim of this study was to investigate heavy drinking and social and health correlates in university students in low, middle income and emerging economy countries. Using anonymous questionnaires, data were collected in a cross-sectional survey of 17,590 undergraduate university students (mean age 20.8, SD 2.9) from 25 universities in 24 countries across Asia, Africa and the Americas. Overall, 71.6 % were non-drinkers, 17.1 % moderate and 11.3 % heavy alcohol drinkers (14.2 % in men and 9.2 % in women) in the past 2 weeks. In a multivariate logistic regression analysis, olde...
Source: Community Mental Health Journal - August 23, 2015 Category: Psychiatry Authors: Peltzer K, Pengpid S Tags: Community Ment Health J Source Type: research

Cognitive Behavioral Therapy for Psychosis (CBT-p) Delivered in a Community Mental Health Setting: A Case Comparison of Clients Receiving CBT Informed Strategies by Case Managers Prior to Therapy.
Abstract This exploratory case comparison examines the influence of case management activities on engagement and progress in psychotherapy for clients with schizophrenia. Six clients were recruited to participate in ten sessions of Cognitive Behavioral Therapy for psychosis (CBT-p). Three clients who had received Cognitive Behavioral techniques for psychosis (CBt-p, a low-intensity case management intervention) prior to receiving therapy were selected from referrals. A comparison group of three clients who had received standard case management services was selected from referrals. Cases within and across groups we...
Source: Community Mental Health Journal - August 23, 2015 Category: Psychiatry Authors: Sivec HJ, Montesano VL, Skubby D, Knepp KA, Munetz MR Tags: Community Ment Health J Source Type: research

Gender Differences Related to Attitudes Toward Suicide and Suicidal Behavior.
Abstract This descriptive study examined gender differences related to attitudes toward suicide among randomly selected urban residents. Data was collected using a standardized questionnaire through face-to-face interview. Our findings revealed that men hold more pro preventive attitudes to help persons with suicidal thoughts (80.3 %, p = 0.05) and agreed that suicidal attempts are impulsive (78.6 %, p = 0.01). However, they hold permissive attitude to help persons with incurable diseases and expressing death wishes to die (66 %, p = 0.05). A majority of men (78.6 ...
Source: Community Mental Health Journal - August 21, 2015 Category: Psychiatry Authors: Poreddi V, Thimmaiah R, Ramu R, Selvi S, Gandhi S, Ramachandra, Math SB Tags: Community Ment Health J Source Type: research

Predictors of Outreach Meetings Among Substance Using Homeless Youth.
This study examined predictors of meetings with outreach workers among 79 non-service connected, substance using homeless youth between 14 and 24 years of age. Results provide direction to service providers in that older age, higher levels of depressive symptoms, fewer drug-related problems, and no use of hard drugs within the prior 30 days predicted higher meeting attendance. Future research is needed testing strategies that overcome barriers to outreach engagement. PMID: 26293750 [PubMed - as supplied by publisher] (Source: Community Mental Health Journal)
Source: Community Mental Health Journal - August 21, 2015 Category: Psychiatry Authors: Carmona J, Slesnick N, Guo X, Murnan A, Brakenhoff B Tags: Community Ment Health J Source Type: research

Unsheltered Homelessness Among Veterans: Correlates and Profiles.
Abstract We identified correlates of unsheltered status among Veterans experiencing homelessness and described distinct subgroups within the unsheltered homeless Veteran population using data from a screening instrument for homelessness that is administered to all Veterans accessing outpatient care at a Veterans Health Administration (VHA) facility. Correlates of unsheltered homelessness included male gender, white race, older age, lower levels of VHA eligibility, substance use disorders, frequent use of VHA inpatient and infrequent use of VHA outpatient services, and residing in the West. We identified six distin...
Source: Community Mental Health Journal - August 20, 2015 Category: Psychiatry Authors: Byrne T, Montgomery AE, Fargo JD Tags: Community Ment Health J Source Type: research

Family Functioning in First-Episode and Chronic Psychosis: The Role of Patient's Symptom Severity and Psychosocial Functioning.
Abstract The aim of the present study was to assess the relationship between illness-related characteristics, such as symptom severity and psychosocial functioning, and specific aspects of family functioning both in patients experiencing their first episode of psychosis (FEP) and chronically ill patients. A total of 50 FEP and 50 chronic patients diagnosed with schizophrenia or bipolar disorder (most recent episode manic severe with psychotic features) and their family caregivers participated in the study. Family functioning was evaluated in terms of cohesion and flexibility (FACES IV Package), expressed emotion (...
Source: Community Mental Health Journal - August 19, 2015 Category: Psychiatry Authors: Koutra K, Triliva S, Roumeliotaki T, Basta M, Lionis C, Vgontzas AN Tags: Community Ment Health J Source Type: research

Eating Disorders in Lebanon: Directions for Public Health Action.
Abstract Research in the field of eating disorders (ED) is limited in the Middle East. The aim of the present study was to profile Lebanese ED outpatients. A mixed-method design was used. Clinicians across Lebanon filled individual questionnaires about their 2013 ED outpatients (n = 104) and participated in focus groups. Results showed that bulimia nervosa was the most prevalent ED (46.1 %) followed by anorexia nervosa (39.4 %) and binge eating (14.4 %). The emerging socio-demographic profile of the Lebanese ED patient was that of a single female young adult of middle to high socio-economi...
Source: Community Mental Health Journal - August 19, 2015 Category: Psychiatry Authors: Zeeni N, Safieddine H, Doumit R Tags: Community Ment Health J Source Type: research

Mental Health Beliefs Amongst Emirati Female College Students.
Abstract Recent epidemiological data from Arabian Gulf nations suggest that mental health problems such as depression and anxiety have a relatively high prevalence, particularly amongst women. However, despite the widespread morbidity, treatment seeking for mental health problems is low. Mental health beliefs amongst female Emirati college students were explored. A questionnaire exploring perceptions about the causes, consequences and best forms of intervention for mental health problems was administered to 70 participants. Data revealed that social and environmental factors were given the most weight in terms of ...
Source: Community Mental Health Journal - August 19, 2015 Category: Psychiatry Authors: Al-Darmaki F, Thomas J, Yaaqeib S Tags: Community Ment Health J Source Type: research

Psychopharmacologic Services for Homeless Veterans: Comparing Psychotropic Prescription Fills Among Homeless and Non-Homeless Veterans with Serious Mental Illness.
Abstract Using national Veterans Health Administration (VHA) administrative data, this study evaluated differences in psychotropic medication use between homeless and non-homeless adults with serious mental illness (SMI) who used VHA services in 2010. The adjusted mean number of psychotropic prescription fills associated with homeless individuals were identified using regression models adjusted for socio-demographics, diagnoses, and use of health services. Of the 876,989 individuals with SMI using VHA services, 7.2 % were homeless at some time during 2010. In bivariate analysis, homeless individuals filled mo...
Source: Community Mental Health Journal - July 23, 2015 Category: Psychiatry Authors: Hermes E, Rosenheck R Tags: Community Ment Health J Source Type: research

Why do mental health consumers who receive rehabilitation services, are not using them? A Qualitative Investigation of Users' Perspectives in Israel.
Abstract A recovery-oriented approach to mental health involves creating person centered services and enhancing engagement in psychiatric rehabilitation. Israel's Rehabilitation in the Community of Persons with Mental Disabilities Law is a progressive initiative that shifted the locus of psychiatric care to community care supporting individualized rehabilitation and recovery-oriented processes. Yet over a quarter of applicants do not implement their assigned rehabilitation plans and services. This qualitative study investigated reasons and experiences related to lack of utilization from applicants' perspectiv...
Source: Community Mental Health Journal - July 23, 2015 Category: Psychiatry Authors: Moran GS, Baruch Y, Azaiza F, Lachman M Tags: Community Ment Health J Source Type: research

Suicidal Ideation Among Adults with Disability in Western Canada: A Brief Report.
This study investigated prevalence and risk factors for suicidal ideation among adults with self-reported disability in Western Canada. The method was secondary data analysis utilising the Canadian Community Health Survey. The odds of 12-month suicidal ideation are 3.5 times greater for adults with self-reported disability compared with non-disabled adults, controlling for age, sex, ethnicity, and psychiatric morbidity. The heightened risk of ideation among adults with self-reported disability is partially explained by social adversity, including food insecurity and low sense of community belonging. Reducing suicide risk a...
Source: Community Mental Health Journal - July 23, 2015 Category: Psychiatry Authors: McConnell D, Hahn L, Savage A, Dubé C, Park E Tags: Community Ment Health J Source Type: research

The Experience of KAI MAHI, an Employment Initiative for People with an Experience of Mental Illness, as Told by Zarna, Zeus, Lulu, Mary, Paul, and Hemi.
This study has captured the stories of employment of people with experience of mental illness who participated in KAI MAHI, a group based employment program. Findings identified key components of KAI MAHI, consistent with their overall experiences of employment, which were influential in assisting them to find and sustain employment. These included the opportunity for self-determination, a sense of self-efficacy, and respectful relationships. PMID: 26173402 [PubMed - as supplied by publisher] (Source: Community Mental Health Journal)
Source: Community Mental Health Journal - July 15, 2015 Category: Psychiatry Authors: de Malmanche J, Robertson L Tags: Community Ment Health J Source Type: research

Theoretical and Practical Considerations for Combating Mental Illness Stigma in Health Care.
Abstract Reducing the stigma and discrimination associated with mental illness is becoming an increasingly important focus for research, policy, programming and intervention work. While it has been well established that the healthcare system is one of the key environments in which persons with mental illnesses experience stigma and discrimination there is little published literature on how to build and deliver successful anti-stigma programs in healthcare settings, towards healthcare providers in general, or towards specific types of practitioners. Our paper intends to address this gap by providing a set of theore...
Source: Community Mental Health Journal - July 15, 2015 Category: Psychiatry Authors: Ungar T, Knaak S, Szeto AC Tags: Community Ment Health J Source Type: research

Do Negative Changes in Worldview Mediate Links Between Mass Trauma and Reckless Behavior? A Longitudinal Exploratory Study.
Abstract Trauma exposure heightens the risk of reckless behavior and is now included in DSM-5 posttraumatic stress disorder symptomatology. Individuals exposed to trauma may be likely to engage in reckless behavior because of negative changes in their worldview (referred to as disrupted worldview). The current study investigates the relationship between DSM-IV posttraumatic stress symptoms, disrupted worldview, and increased reckless behavior among 1145 students exposed to mass violence. Total posttraumatic stress symptomatology was associated with increased and persistent reckless behavior, supporting DSM-5 diagn...
Source: Community Mental Health Journal - July 7, 2015 Category: Psychiatry Authors: Blevins CE, Wusik MF, Sullivan CP, Jones RT, Hughes M Tags: Community Ment Health J Source Type: research

Predictors of Clinical Outcome of Assertive Community Treatment (ACT) in a Rural Area in Denmark: An Observational Study with a Two-Year Follow-Up.
æk P Abstract Assertive Community Treatment (ACT) is a multidisciplinary team approach to community care treatment, mainly characterised by small caseload and individualised care. The aim of the present study was to identify predictors of clinical outcome in ACT using an observational design. Three ACT Teams were established in The North Denmark Region to treat patients with severe mental illness. The patients were identified and followed in regional and national psychiatric registers, and in social and somatic case registers, 2 years before and 2 years after inclusion. The results showed that the ...
Source: Community Mental Health Journal - July 5, 2015 Category: Psychiatry Authors: Aagaard J, Kølbæk P Tags: Community Ment Health J Source Type: research

How People with Depression Receive and Perceive Mental Illness Information: Findings from the Australian National Survey of Mental Health and Wellbeing.
Abstract Despite the recognised importance of accurate mental illness information in help-seeking and improving recovery, little is known about the dissemination of such information to people with depression. With a view to informing effective communication to those most in need, we explored the extent to which mental illness information is received by people with depression, its perceived helpfulness and we characterise those who do not receive such information. Using data from the Australian National Survey of Mental Health and Wellbeing we observed that mental illness information was received by 54.7 % of ...
Source: Community Mental Health Journal - July 3, 2015 Category: Psychiatry Authors: Graham AL, Hasking P, Clarke D, Meadows G Tags: Community Ment Health J Source Type: research

Application of SCOPE-C to Measure Social Inclusion Among Mental Health Services Users in Hong Kong.
This study describes the construction of the Chinese version of the Social and Communities Opportunities Profile (SCOPE), henceforth, the SCOPE-C, to measure social inclusion among mental health services users in Hong Kong. The SCOPE-C was developed based on concept-mapping and benchmarking of census questions. The questionnaire consisted of 56 items, went through a standardized linguistic validation process and was pilot tested with qualitative feedback from five users of mental health services. Altogether 168 Chinese service users were recruited through various NGO mental health services to have three times face-to-face ...
Source: Community Mental Health Journal - July 1, 2015 Category: Psychiatry Authors: Chan K, Chiu MY, Evans S, Huxley PJ, Ng YL Tags: Community Ment Health J Source Type: research

Delivering CBT to Rural Latino Children with Anxiety Disorders: A Qualitative Study.
Abstract Qualitative methods were used to understand community perspectives about ways to deliver cognitive behavior therapy (CBT) to rural Latino youth with anxiety. First, four focus groups were conducted with 28 bilingual Latino mental health providers to examine perceptions of CBT using telephone based, therapist supported bibliotherapy, and bibliotherapy without therapist support. Second, qualitative interviews were conducted with 15 Latino parents from a rural community to better understand attitudes toward CBT, and modes of service delivery. Qualitative findings revealed that parents were mostly positive ab...
Source: Community Mental Health Journal - June 29, 2015 Category: Psychiatry Authors: Chavira DA, Bustos CE, Garcia MS, Ng B, Camacho A Tags: Community Ment Health J Source Type: research

How Long Do Adolescents Wait for Psychiatry Appointments?
Abstract Appointment wait times are a neglected dimension of children's access to psychiatry. We systematically examined how long an adolescent waits for a new patient appointment with a psychiatrist for routine medication management. From state directories, we identified 578 providers of adolescent psychiatric care in Ohio. Researchers posing as parents telephoned randomly selected offices, seeking care for a hypothetical 14-year-old patient under different scenarios. Overall, we measured 498 wait times at 140 unique offices. The median wait time was 50 days (interquartile range = 29-81 days)....
Source: Community Mental Health Journal - June 25, 2015 Category: Psychiatry Authors: Steinman KJ, Shoben AB, Dembe AE, Kelleher KJ Tags: Community Ment Health J Source Type: research

Exploring Psychological Distress in Burundi During and After the Armed Conflict.
Abstract We assessed symptoms of psychological distress among a population-based sample of 9000-plus adults in Burundi during (1998) and after (2007) armed conflict. After exploratory and confirmatory factor analysis to an 8-item, self-report measure, we identified two domains of psychological distress "Depression/Anxiety" and "Functioning" with good fit to data. The questionnaire was invariant in males and females. Depression and Anxiety symptoms during conflict were more frequently reported than Functioning symptoms; all symptoms were more frequently reported by women. Psychological distress ...
Source: Community Mental Health Journal - June 23, 2015 Category: Psychiatry Authors: Familiar I, Hall B, Bundervoet T, Verwimp P, Bass J Tags: Community Ment Health J Source Type: research

Racial-Ethnic Variation in Mental Health Service Utilization Among People with a Major Affective Disorder and a Criminal History.
Abstract Using a nationally representative sample, this study examined the extent to which the utilization of various mental health services was associated with racial-ethnic identity among people with major affective disorders who have a criminal history. Approximately 33.7 % of the sample received any type of mental health services in a given year. Multivariate models indicated that married Blacks and Latinos were less likely to use specialty mental health care than their white counterparts. To provide equitable mental health treatment for vulnerable subgroups of this population, mental health professionals...
Source: Community Mental Health Journal - June 18, 2015 Category: Psychiatry Authors: Lee S, Matejkowski J, Han W Tags: Community Ment Health J Source Type: research

The Influence of Causal Explanations and Diagnostic Labeling on Psychology Students' Beliefs About Treatments, Prognosis, Dangerousness and Unpredictability in Schizophrenia.
This study explored views of 566 Italian psychology students about schizophrenia. The most frequently cited causes were psychological traumas (68 %) and heredity (54 %). Thirty-three percent of students firmly believed that people with the condition could recover. Reporting heredity among the causes, and identifying schizophrenia were both associated with prognostic pessimism, greater confidence in pharmacological treatments and lower confidence in psychological treatments. Schizophrenia labeling was also associated with higher perception of unpredictability and dangerousness. Compared to first year students, fou...
Source: Community Mental Health Journal - June 17, 2015 Category: Psychiatry Authors: Magliano L, Read J, Rinaldi A, Costanzo R, De Leo R, Schioppa G, Petrillo M Tags: Community Ment Health J Source Type: research

Challenges for Transformation: A Situational Analysis of Mental Health Care Services in Sehore District, Madhya Pradesh.
Abstract The proportion of individuals with mental disorders receiving evidence based treatments in India is very small. In order to address this huge treatment gap, programme for improving mental health care is being implemented in Sehore district of Madhya Pradesh, India. The aim of this study was to complete the situational analysis consisting of two parts; document review of Sehore district mental health programme followed by a qualitative study. The findings suggest that there are major health system challenges in developing and implementing the mental health care plan to be delivered through primary health c...
Source: Community Mental Health Journal - June 10, 2015 Category: Psychiatry Authors: Shidhaye R, Raja A, Shrivastava S, Murhar V, Ramaswamy R, Patel V Tags: Community Ment Health J Source Type: research

Coping Styles Among Individuals with Severe Mental Illness and Comorbid PTSD.
Abstract There is little known about coping styles used by individuals with severe mental illness (SMI) and even less known about the influence of a comorbid posttraumatic stress disorder (SMI-PTSD) diagnosis on coping. The current study examines differences in utilization of coping strategies, overall psychological distress, and exposure to traumatic events between SMI only and SMI-PTSD individuals seeking community mental health clinic services (N = 90). Results demonstrate that overall psychological distress and use of avoidance coping were significantly higher among the SMI-PTSD sample. Avoidance cop...
Source: Community Mental Health Journal - June 5, 2015 Category: Psychiatry Authors: McNeill SA, Galovski TE Tags: Community Ment Health J Source Type: research

Interactive Effect of Child Maltreatment and Substance Use on Depressed Mood Among Adolescents Presenting to Community-Based Substance Use Treatment.
This study examined the interactive effects of SU (alcohol and marijuana) and exposure to different types of trauma on depressed mood among 74 adolescents referred to a CBHC for SU. Hierarchical regressions controlling for sex and common adolescent comorbidities showed that sexual abuse had a stronger relationship with depressed mood than other types of maltreatment. Although SU was not independently related to depressed mood, consistent with the self-medication hypothesis, increased SU was associated with lower levels of depressed mood among adolescents with greater exposure to sexual abuse. Results suggest that teens pre...
Source: Community Mental Health Journal - May 29, 2015 Category: Psychiatry Authors: Gomez J, Becker S, O'Brien K, Spirito A Tags: Community Ment Health J Source Type: research

Indo-Canadian Collaboration for Suicide Prevention: Training Needs Assessment for Healthcare Professionals in India.
Abstract The main purpose of the study was to conduct a comprehensive needs assessment of primary healthcare professionals in order to develop a training program aimed at enhancing competencies in suicide risk assessment and management. A total of 144 primary healthcare professionals (physicians = 46; primary care workers = 98) completed the needs assessment questionnaire. The majority of healthcare professionals rated their level of comfort and competence in assessing, treating, and referring suicidal patients as medium or high. However, their knowledge about suicide, risk factors for suicide,...
Source: Community Mental Health Journal - May 26, 2015 Category: Psychiatry Authors: Shah R, Eynan R, Srivastava A, Reiss L, Sathyanarayana Rao TS, Parkar S, Dutt L, Kadam K, Links PS Tags: Community Ment Health J Source Type: research

Focus on Exercise: Client and Clinician Perspectives on Exercise in Individuals with Serious Mental Illness.
Abstract The health benefits of exercise are well established, yet individuals with serious mental illness (SMI) have a shorter life expectancy due in large part to physical health complications associated with poor diet and lack of exercise. There is a paucity of research examining exercise in this population with the majority of studies having examined interventions with limited feasibility and sustainability. Before developing an intervention, a thorough exploration of client and clinician perspectives on exercise and its associated barriers is warranted. Twelve clients and fourteen clinicians participated in f...
Source: Community Mental Health Journal - May 26, 2015 Category: Psychiatry Authors: Browne J, Mihas P, Penn DL Tags: Community Ment Health J Source Type: research

Disclosure of HIV Serostatus and Sexual Orientation Among HIV-Positive Men Who Have Sex with Men in China.
In conclusion, partners, siblings and friends were main disclosure targets, and HIV positive MSM preferred to disclose their HIV serostatus than their sexual orientation. Voluntarily disclosing one's HIV status to significant others resulted in more positive consequences than negative consequences. Theses results were informative for developing mental health and coping interventions. PMID: 26002087 [PubMed - as supplied by publisher] (Source: Community Mental Health Journal)
Source: Community Mental Health Journal - May 23, 2015 Category: Psychiatry Authors: Lin X, Chi P, Zhang L, Zhang Y, Fang X, Qiao S, Li X Tags: Community Ment Health J Source Type: research

Hope and Abstinence Self-Efficacy: Positive Predictors of Negative Affect in Substance Abuse Recovery.
Abstract Goal-oriented thinking, including hope and self-efficacy, might play a constructive and integral role in the substance abuse recovery process, although such an effect may differ by race. The current study investigated hope and self-efficacy, specifically abstinence self-efficacy, as predictors of negative affect (i.e. depression and anxiety) in a longitudinal sample of men and women in substance abuse recovery who lived in sober living homes. We found hope agency and self-efficacy were related but not identical constructs; hope agency and self-efficacy predicted depressive and anxiety symptoms for individ...
Source: Community Mental Health Journal - May 20, 2015 Category: Psychiatry Authors: May EM, Hunter BA, Ferrari J, Noel N, Jason LA Tags: Community Ment Health J Source Type: research

First-Time Mothers Psychiatric Health Status During the Transition to Motherhood.
Abstract The study was conducted to examine the changes of first-time mothers' psychiatric health status, social support, marital intimacy, postpartum stress, and maternal attachment during the transition to motherhood. A repeated measures study was conducted at the 36th week pregnancy, the first week postpartum, and the fourth week postpartum with 217 primiparous women. The results showed that the proportion of women with minor psychiatric morbidity declined over time from late pregnancy to early postpartum. The levels of marital intimacy and social support was the highest at the fourth week and the first week po...
Source: Community Mental Health Journal - May 19, 2015 Category: Psychiatry Authors: Wu WR, Hung CH Tags: Community Ment Health J Source Type: research

Leadership and Licensure for Drug Treatment and the Implementation of Co-Occurring Disorder Treatment in Community Mental Health Centers.
Abstract Using a random sample of 48 outpatient mental health programs in low-income and racial and ethnic minority communities, this study examined directorial leadership, drug treatment licensure, and implementation of evidence-based protocols and practices to address co-occurring mental health and substance abuse disorders (COD). Understanding of findings was enhanced with focus groups at six clinics. Most programs (81 %) offered COD treatment. Directorial leadership was positively associated with COD treatment (β = 0.253, p = 0.047, 95 % CI 0.003, 0.502) and COD supervision a...
Source: Community Mental Health Journal - May 17, 2015 Category: Psychiatry Authors: Guerrero EG, Padwa H, Lengnick-Hall R, Kong Y, Perrigo JL Tags: Community Ment Health J Source Type: research

Does Gender Explain the Relationship Between Occupation and Suicide? Findings from a Meta-Analytic Study.
This report investigated whether suicide risk by occupational groups differed for males and females. We examined this using a sub-set of articles examined in a recent meta-analysis and stratified by gender. For certain occupational groups, males and females had a similar risk of suicide (the military, community service occupations, managers, and clerical workers). There was some indication of gender differences for other occupations (technicians, plant and machine operators and ship's deck crew, craft and related trades workers, and professionals), although these did not reach statistical significance. These findings highl...
Source: Community Mental Health Journal - May 17, 2015 Category: Psychiatry Authors: Milner AJ, Spittal MS, Pirkis J, LaMontagne AD Tags: Community Ment Health J Source Type: research