Examining the Latent Structure of Acute Stress Disorder Symptoms in Filipino-Victims of a Flashflood Disaster.
Abstract Although Acute Stress Disorder (ASD) was introduced in the Diagnostic and Statistical Manual of Mental Disorders, fourth edition for a number of years already, only few studies have examined ASD in its latent level. Utilizing 998 respondents who experienced a deadly flashflood, the results revealed that of the 7 models, Dysphoric arousal model fitted best whereas the new DSM-5 single factor model received the lowest fit. The findings of the study are pertinent in the current changes of ASD in DSM-5 and would elucidate further ASD's latent structure that best represent Asian sample, particularly Filipinos....
Source: Community Mental Health Journal - January 10, 2015 Category: Psychiatry Authors: Mordeno IG, Cue MP Tags: Community Ment Health J Source Type: research

Previous Homelessness as a Risk Factor for Recovery from Serious Mental Illnesses.
This study included 424 people diagnosed with serious mental illnesses living in supported housing programs in South Carolina. Three hierarchical regression analyses measuring the impact of homelessness on three types of outcomes revealed the following: (1) ever experiencing homelessness as well as the amount of time spent homeless were related to higher levels of psychiatric distress, (2) ever experiencing homelessness was related to higher levels of reported alcohol use, and (3) total amount of time spent homeless was related to lower perceived recovery from mental illness. These findings suggest that experiencing homele...
Source: Community Mental Health Journal - January 8, 2015 Category: Psychiatry Authors: Castellow J, Kloos B, Townley G Tags: Community Ment Health J Source Type: research

The Effects of Maternal Depression on Child Mental Health Problems Based on Gender of the Child.
This study was conducted between June and August 2006 on 3,911 subjects aged 7-12 years. The data for this study was collected through a questionnaire that included the Beck Depression Inventory (BDI) and Korean Child Behavior Checklist (K-CBCL). Most of the CBCL scores were higher for children in the depressed mother group. The two way ANOVAs (depressed group by gender) found girls to have significantly higher scores than boys on somatization. Children may experience somatic complaints when they also suffer from emotional disorders, and therefore must be observed closely. PMID: 25566948 [PubMed - as supplied by ...
Source: Community Mental Health Journal - January 8, 2015 Category: Psychiatry Authors: Cho S, Kim EJ, Lim K, Lee J, Shin Y Tags: Community Ment Health J Source Type: research

Hospital Readmission Rates and Emergency Department Visits for Mental Health and Substance Abuse Conditions.
Abstract Community hospital stays in 12 states during 2008-2009 were analyzed to determine predictors of 12-month hospital readmission and emergency department (EDs) revisits among persons with a mental health or substance abuse diagnosis. Probabilities of hospital readmission and of ED revisits were modeled as functions of patient demographics, insurance type, number of prior-year hospital stays, diagnoses and other characteristics of the initial stay, and hospital characteristics. Alcohol or drug dependence, dementias, psychotic disorders, autism, impulse control disorders, and personality disorders were most st...
Source: Community Mental Health Journal - January 7, 2015 Category: Psychiatry Authors: Smith MW, Stocks C, Santora PB Tags: Community Ment Health J Source Type: research

Effects of Home Visit Intervention on Re-hospitalization Rates in Psychiatric Patients.
Abstract To examine the home visit intervention (HoVI) effects on the re-hospitalization rate and medical costs in patients with schizophrenia or other psychiatric disorders. The subjects who received more than 3 HoVIs were defined as the HoVI group, whereas the subjects who received equal to or less than 3 HoVIs were defined as the HoVI 
Source: Community Mental Health Journal - January 7, 2015 Category: Psychiatry Authors: Chang Y, Chou FH Tags: Community Ment Health J Source Type: research

The Role of Gender and Income in Predicting Barriers to Mental Health Care in Canada.
Abstract There have been traditionally low rates of health care utilization by persons with mental health issues in developed countries such as Canada due to barriers that discourage health care service use such as waitlists, long distances to health services, and stigma that can be associated with seeking help for mental health issues. This project examined barriers to mental health care using data from the Canadian Community Health Survey (N = 4,134) to understand gender and income-related disparities in access to mental health care services. Data were modeled using logistic regression to determine whe...
Source: Community Mental Health Journal - January 7, 2015 Category: Psychiatry Authors: Slaunwhite AK Tags: Community Ment Health J Source Type: research

Changing Social Networks Among Homeless Individuals: A Prospective Evaluation of a Job- and Life-Skills Training Program.
In this study of homeless adults completing a job- and life-skills program (i.e., the Moving Ahead Program at St. Francis House, Boston), we prospectively examined changes in social network quality, size, and composition. Among the sample of participants (n = 150), we observed positive changes in social network quality over time. However, social network size and composition did not change among the full sample. The subset of participants who reported abstaining from alcohol during the months before starting the program reported healthy changes in their social networks; specifically, while completing the program, ...
Source: Community Mental Health Journal - January 7, 2015 Category: Psychiatry Authors: Gray HM, Shaffer PM, Nelson SE, Shaffer HJ Tags: Community Ment Health J Source Type: research

Impact of Community-Based Programs on Incarceration Outcomes Among Gay and Bisexual Stimulant-Using Homeless Adults.
This study was part of a randomized controlled trial designed to improve hepatitis knowledge and health promoting behaviors and subsequently decrease stimulant use and incarceration with 422 (G/B) homeless men between 18 and 46 years of age. Findings revealed that no significant program differences on incarceration in the 4 months following the intervention. However, younger participants (p = .010), and those with prior incarceration (p = .001) were at greater risk for incarceration at 4 months. An additional factor associated with incarceration at 4 months included living on the str...
Source: Community Mental Health Journal - January 1, 2015 Category: Psychiatry Authors: Nyamathi AM, Reback CJ, Shoptaw S, Salem BE, Zhang S, Farabee D, Khalilifard F Tags: Community Ment Health J Source Type: research

Retaining Low-Income Minority Cancer Patients in a Depression Treatment Intervention Trial: Lessons Learned.
Abstract Previously published work finds significant benefit from medical and behavioral health team care among safety-net patients with major depression. This qualitative study assessed clinical social worker, psychiatrist and patient navigator strategies to increase depression treatment among low-income minority cancer patients participating in the ADAPt-C clinical depression trial. Patient care retention strategies were elicited through in-depth, semi-structured interviews with nine behavioral health providers. Using grounded theory, concepts from the literature and dropout barriers identified by patients, guid...
Source: Community Mental Health Journal - December 28, 2014 Category: Psychiatry Authors: Wells AA, Palinkas LA, Williams SL, Ell K Tags: Community Ment Health J Source Type: research

The Moderating Effect of Social Support on the Relationship Between Impulsivity and Suicide in Rural China.
This study was to investigate the relationship among social support, impulsivity, and suicide, so as to test the hypothesis that social support moderates the effect of impulsivity on suicide for the rural young suicides in China. Subjects were 392 consecutively recruited suicides aged 15-34 years and 416 community controls of the same age range sampled in China. The case-control data were obtained using psychological autopsy. The results showed that high social support had the protective effect among individuals with low impulsivity. It can be concluded that impulsivity is a potential area for further study of suicida...
Source: Community Mental Health Journal - December 25, 2014 Category: Psychiatry Authors: Zhang J, Lin L Tags: Community Ment Health J Source Type: research

Community Mental Health Service Utilization After the L'Aquila Earthquake.
This study investigated the use of the facilities for the mental health by the population affected by the L'Aquila (Italy) 2009 earthquake. The data about the activities of the Mental Health Centre of L'Aquila during the years from 2008 to 2010 were obtained by the service Information System. In the months following the event the percentage of referrals was reduced. Failure to use specialized facilities after disasters should not be seen as reassuring. It is conceivable that a relevant rate of frank or sub-threshold psychopathology is present that the traditional mental health facilities may not be able to intercept. ...
Source: Community Mental Health Journal - December 25, 2014 Category: Psychiatry Authors: Stratta P, de Cataldo S, Bonanni RL, Rossi A Tags: Community Ment Health J Source Type: research

Characteristics of Mothers Caring for Children During Episodes of Homelessness.
This study provides a description of the physical, psychological, and substance use problems of adult homeless women who are and are not caring for children. We also examined differences in the characteristics of these two groups of women. Interviews were conducted with 148 homeless women from three mid-sized U.S. cities, 24.3 % of whom were caring for at least one child. Our results showed that women caring for children were more likely to be sheltered and have health insurance. Homeless women caring for children and solitary homeless women were generally similar in terms of substance abuse problems. However, rates o...
Source: Community Mental Health Journal - December 24, 2014 Category: Psychiatry Authors: Welch-Lazoritz ML, Whitbeck LB, Armenta BE Tags: Community Ment Health J Source Type: research

Socio-demographic and Health Behavioral Correlates of Depressive Symptoms among Korean Americans.
This study identifies the associations between socio-demographic characteristics and help seeking behaviors for depressive symptoms among adult Korean Americans (KAs). Using survey data from 230 residents of the New York City, Teaneck, New Jersey, and Philadelphia areas, simple and multiple logistic regression analyses were performed to assess the association between depressive symptoms and the covariates. Women were at much lower risk of depressive symptoms than were men, even after adjusting other covariates (OR 0.45, 95 % CI 0.21-0.96). Having no health insurance (OR 4.02, 95 % CI 1.28-12.61) and having experi...
Source: Community Mental Health Journal - December 24, 2014 Category: Psychiatry Authors: Cho S, Park S, Bernstein KS, Roh S, Jeon G Tags: Community Ment Health J Source Type: research

Examining Undetermined and Accidental Deaths as Source of 'Under-Reported-Suicide' by Age and Sex in Twenty Western Countries.
CONCLUSION: Strong indication of URS in the UK, Portugal, Switzerland, Sweden, Denmark and Germany with likely URS in AccD in Greece, Portugal, Switzerland and USA. These findings have important implications, indicating that, with the exception of France and Japan, official reported suicide rates contain a degree of under-reporting, and especially for women yet it is essential to have accurate suicide data to ensure adequate service provision. PMID: 25536938 [PubMed - as supplied by publisher] (Source: Community Mental Health Journal)
Source: Community Mental Health Journal - December 24, 2014 Category: Psychiatry Authors: Pritchard C, Hansen L Tags: Community Ment Health J Source Type: research

Comparing Kept Appointment Rates When Calls are Made by Physicians Versus Behavior Health Technicians in Inner City Hospital: Literature Review and Cost Considerations.
Abstract Dropping out of scheduled care leads to medication non adherence, increased morbidity, relapse and readmission rates. As part of a performance improvement project to increase attendance rates at our outpatient clinic, psychiatric residents and Behavioral Health Technicians made reminder telephone calls under similar circumstances. We compared follow up appointment rates in the two groups. Our analysis showed that there was no significant difference in the rates of kept appointment overall between the two groups. The important finding is physician time could be better spent in other patient care duties and...
Source: Community Mental Health Journal - December 24, 2014 Category: Psychiatry Authors: Agarin T, Okorafor E, Kailasam V, Agarin A, Philias W, Garcia D, Osuchukwu U, Fluyah D, Iheagwara C, Donovan D, Roberts C, Singh D, Nnadi C, Sharif Z Tags: Community Ment Health J Source Type: research

Crystalizing the Role of Traditional Healing in an Urban Native American Health Center.
Abstract A needs assessment surveying American Indians and Alaska Natives (AIs/ANs) at an AI/AN health center in the Midwestern United States was conducted, with an emphasis on traditional Native healing. Data from this study included qualitative material from interviews of community members (N = 27; age 12-82) and service providers (N = 11; age 26-70). Respondents emphasized the path to wellness includes physical, spiritual and mental health and that traditional healing can restore various imbalances. Furthermore, traditional healing was considered a complement to Western medicine. Third, trad...
Source: Community Mental Health Journal - December 24, 2014 Category: Psychiatry Authors: Moghaddam JF, Momper SL, W Fong T Tags: Community Ment Health J Source Type: research

Don't Step on the Tiger's Tail: A Mixed Methods Study of the Relationship Between Adult Impact of Childhood Adversity and Use of Coping Strategies.
Abstract A mixed methods study examined the relationship between childhood adversity (ACE) and coping among individuals grouped by perceived impact of ACE in adulthood. Groups did not differ on mean total ACE scores and total ACE score was not associated with any coping strategy. Differences between groups were found in 6 of 14 coping strategies. Planning and active coping were endorsed the most by both groups, despite their being used in significantly different amounts and in different ways. How individuals with ACE rate its impact in their current lives is a significant factor in the use and meaning of coping st...
Source: Community Mental Health Journal - December 24, 2014 Category: Psychiatry Authors: Helitzer D, Graeber D, LaNoue M, Newbill S Tags: Community Ment Health J Source Type: research

Predictors of Burnout Among Nurses in Taiwan.
Abstract Nurse burnout is a crucial issue for health care professionals and impacts nurse turnover and nursing shortages. Individual and situational factors are related to nurse burnout with predictors of burnout differing among cultures and health care systems. The predictors of nurse burnout in Asia, particularly Taiwan, are unknown. The purpose of this study was to investigate the predictors of burnout among a national sample of nurses in Taiwan. A secondary data analysis of a nationwide database investigated the predictors of burnout among 1,846 nurses in Taiwan. Hierarchical regression analysis determined the...
Source: Community Mental Health Journal - December 24, 2014 Category: Psychiatry Authors: Lee H, Yen M, Fetzer S, Chien TW Tags: Community Ment Health J Source Type: research

Attributions of Mental Illness: An Ethnically Diverse Community Perspective.
Abstract Although the prevalence of mental illness is similar across ethnic groups, a large disparity exists in the utilization of services. Mental health attributions, causal beliefs regarding the etiology of mental illness, may contribute to this disparity. To understand mental health attributions across diverse ethnic backgrounds, we conducted focus groups with African American (n = 8; 24 %), Asian American (n = 6; 18 %), Latino/Hispanic (n = 9; 26 %), and White (n = 11; 32 %) participants. We solicited attributions about 19 mental health disorders, ea...
Source: Community Mental Health Journal - December 24, 2014 Category: Psychiatry Authors: Bignall WJ, Jacquez F, Vaughn LM Tags: Community Ment Health J Source Type: research

Implementing the Regional Epidemiological Outcomes Workgroup (REOW) in the State of Oklahoma for Substance Abuse Prevention: An ODMHSAS Project.
Abstract With substance abuse being a significant problem in Oklahoma, the Oklahoma Department of Mental Health and Substance Abuse Services aimed to address these problems using the Strategic Prevention Framework to empower local communities and to assist in implementing prevention strategies based on epidemiological data by establishing the Regional Epidemiological Outcomes Workgroup (REOW) network. Seventeen REOWs across the state helped identify and use community resources to collect, analyze, and interpret epidemiological data to measure the burden of substance abuse problems and the associated intermediate v...
Source: Community Mental Health Journal - December 24, 2014 Category: Psychiatry Authors: Gurganus KM, Butt AL, Kirchenbauer CM, Melkvik C, Piatt J, Hawkins J, U'Ren S, Onuorah Y Tags: Community Ment Health J Source Type: research

Patient Management and Psychopharmacological Treatment Associated to Smoking Ban in an Acute Psychiatric Unit.
This study investigates differences in terms of clinical and treatment management in psychiatric hospitalization associated to smoking ban. We collected data regarding medication, socio-demographic and admission characteristics from all patients admitted to an acute psychiatric hospital before and after a smoking ban was in force. We also assessed a limited sample of patients before and after the ban regarding nicotine dependence, motivation to quit smoking and attitudes towards the ban. More number of leaves of absence and movement restrictions during the ban period occurred in comparison to the pre-ban period. On the con...
Source: Community Mental Health Journal - December 24, 2014 Category: Psychiatry Authors: Bergé D, Mané A, Fonseca F, Toll A, Merino A, Pérez V, Bulbena A Tags: Community Ment Health J Source Type: research

Determining the Cost-Savings Threshold for HIV Adherence Intervention Studies for Persons with Serious Mental Illness and HIV.
Abstract Persons with serious mental illnesses are at increased risk for contracting and transmitting HIV and often have poor adherence to medication regimens. Determining the economic feasibility of different HIV adherence interventions among individuals with HIV and serious mental illness is important for program planners who must make resource allocation decisions. The goal of this study was to provide a methodology to estimate potential cost savings from an HIV medication adherence intervention program for a new study population, using data from prior published studies. The novelty of this approach is the way ...
Source: Community Mental Health Journal - December 23, 2014 Category: Psychiatry Authors: Wu ES, Rothbard A, Holtgrave DR, Blank MB Tags: Community Ment Health J Source Type: research

Predictors of Serious Psychological Distress in an Urban Population.
Abstract While there are state and national estimates of serious psychological distress (SPD), these are not useful for targeting local mental health interventions or for addressing the needs of sub-populations at increased risk for SPD. This cross-sectional study uses data from the population-based 2010 Health of Houston Survey (n = 5,116) to examine (1) the prevalence of SPD and its determinants in Houston area and (2) predictors of the utilization of mental health services among people with SPD. The prevalence of SPD among the Houston area adult population was 7 %, more than twice the national av...
Source: Community Mental Health Journal - December 23, 2014 Category: Psychiatry Authors: Marko D, Linder SH, Tullar JM, Reynolds TF, Estes LJ Tags: Community Ment Health J Source Type: research

The Discriminative Ability of the Azeri Version of the Strengths and Difficulties Questionnaire in Outpatient Practice.
In this study we examined the validity of the Azeri version of the Strengths and Difficulties Questionnaire (SDQ). The SDQ was administered to the parents of two samples of 4-16-year-old children: the case group was drawn from children presenting to the psychiatric outpatient service (n = 347) and the comparison group from the pediatric outpatient service (n = 267). The total difficulties score and the scores for each subscale were compared between two groups. The proportion of children with the total difficulties score in the abnormal range was higher in the case group than in the comparison group (74 ...
Source: Community Mental Health Journal - December 23, 2014 Category: Psychiatry Authors: Salayev K, Rustamov I, Gadjiyeva N, Salayev R, Sanne B Tags: Community Ment Health J Source Type: research

Risk Factors of High Burden Caregivers of Dementia Patients Institutionalized at Day-Care Centres.
We examined which variables are associated with day care centres utilization among caregivers of dementia patients. A cross-sectional analysis of socio-demographic variables, relationship with caring and psychological aspects was conducted in 58 informal caregivers with intense burden. 58.6 % used day care assistance and 41.4 % did not. The results showed the importance of the commitment between the caregiver and their family and friends. The use of day care services is independent of the age, gender, educational level, marital status, occupation and relationship with the patient. However, in the multivariate ana...
Source: Community Mental Health Journal - December 23, 2014 Category: Psychiatry Authors: Maseda A, González-Abraldes I, de Labra C, Marey-López J, Sánchez A, Millán-Calenti JC Tags: Community Ment Health J Source Type: research

Evaluating Explicit and Implicit Stigma of Mental Illness in Mental Health Professionals and Medical Students.
Abstract The study investigated explicit and implicit attitudes towards people with mental illness among medical students (non-professionals) with no previous contact with mentally ill patients and psychiatrists and psychotherapists (professionals) who had at least 2 years of professional contact with mentally ill patients. Explicit attitudes where assessed by self-report. Implicit attitudes were measured with the Go/No-Go Association Task, a variant of the Implicit Association Test that does not require the use of a comparison category. Compared to non-professionals, mental health professionals reported sign...
Source: Community Mental Health Journal - December 23, 2014 Category: Psychiatry Authors: Kopera M, Suszek H, Bonar E, Myszka M, Gmaj B, Ilgen M, Wojnar M Tags: Community Ment Health J Source Type: research

Workforce Development Innovations with Direct Care Workers: Better Jobs, Better Services, Better Business.
This study describes findings from a national search to identify innovative workforce practices designed to improve the lives of direct care workers serving individuals with mental health and substance use conditions, while simultaneously improving client care, and the business vitality of the employer. The search process, conducted by The Annapolis Coalition on the Behavioral Health Workforce, resulted in the selection of five programs to receive the Pacesetter Award from among 51 nominations received. Awardees understood the value of investing in direct care workers, who constitute an essential, but often overlooked, gro...
Source: Community Mental Health Journal - December 23, 2014 Category: Psychiatry Authors: Dailey WF, Morris JA, Hoge MA Tags: Community Ment Health J Source Type: research

The Relationship Between the Perceived Risk of Harm by a Family Member with Mental Illness and the Family Experience.
This study examines the relationship between the perception of risk of harm and family distress, burden, empowerment, coping, physical and mental health, appraisal of the caregiving experience, family communication, and family functioning. The study is a secondary analysis of baseline data collected for a randomized study of the family-to-family peer driven education program (FTF). Four hundred thirty-four enrolled individuals who were seeking to participate in FTF completed survey items that asked if they had tried to stop or prevent their ill family member from harming themselves or others in the last 30 days. Parti...
Source: Community Mental Health Journal - December 23, 2014 Category: Psychiatry Authors: Katz J, Medoff D, Fang LJ, Dixon LB Tags: Community Ment Health J Source Type: research

Exploring Factors Associated with the Psychosocial Impact of Stigma Among People with Schizophrenia or Affective Disorders.
ska M Abstract Stigmatization can exert a variety of pernicious effects on the lives of persons with mental illnesses. The purpose of this study was to explore factors related to the psychosocial impact of stigma among 229 people receiving psychiatric treatment: 123 with schizophrenia [International Classification of Diseases, 10th Revision (ICD-10): F20] and 106 with affective disorders (ICD-10: F31-F33). In the whole sample, the factors most prominently associated with a greater impact of stigma on personal and family life were schizophrenia diagnosis, current inpatient treatment, actually experienced stigma and...
Source: Community Mental Health Journal - December 23, 2014 Category: Psychiatry Authors: Świtaj P, Chrostek A, Grygiel P, Wciórka J, Anczewska M Tags: Community Ment Health J Source Type: research

Individual Peer Support: A Qualitative Study of Mechanisms of Its Effectiveness.
Abstract Peer-delivered services for individuals with psychiatric conditions have proliferated over the past three decades. The values and principles underlying peer support have been explored, but we lack an understanding of its mechanisms of action. To shed light on the processes of peer support, we conducted a study with individuals who had received substantial individual peer support. We completed individual interviews, audiotaped, transcribed, and examined them using a thematic analysis approach. Our analyses suggest that individual peer support provided various practical, emotional, and social supports which...
Source: Community Mental Health Journal - December 23, 2014 Category: Psychiatry Authors: Gidugu V, Rogers ES, Harrington S, Maru M, Johnson G, Cohee J, Hinkel J Tags: Community Ment Health J Source Type: research

Factors Influencing Time Lag Between Initial Parental Concern and First Visit to Child Psychiatric Services Among ADHD Children in Japan.
Abstract The aim of this study was to examine the factors associated with a time lag between initial parental concern about ADHD symptoms and the first visit to a hospital in Japan that offers child psychiatric services. We investigated the demographic characteristic, symptoms, diagnosis, and healthcare system factors including duration between initial parental concern about symptoms and the first visit to a hospital (N = 387). The mean time lag between initial parental concern and the first visit to a hospital was 2.6 years. Risk factors for a longer time lag include the young age of a child, behav...
Source: Community Mental Health Journal - December 23, 2014 Category: Psychiatry Authors: Yamauchi Y, Fujiwara T, Okuyama M Tags: Community Ment Health J Source Type: research

Perceptions and Dietary Intake of Self-Described Healthy and Unhealthy Eaters with Severe Mental Illness.
Abstract The aim of this exploratory study was to examine how community-dwelling adults with severe mental illness describe themselves as eaters and how these eating identities relate to dietary intake. Twenty participants completed one in-depth qualitative interview and three 24-h dietary recalls. Two distinct groups were identified; self-described healthy eaters (n = 10) and self-described unhealthy eaters (n = 10). Healthy eaters emphasized fruits and vegetables, limiting sweets, three meals a day, overcoming cost concerns, and benefits of healthy eating. Unhealthy eaters emphasized junk foo...
Source: Community Mental Health Journal - December 23, 2014 Category: Psychiatry Authors: Carson NE, Blake CE, Saunders R Tags: Community Ment Health J Source Type: research

Utilization of Psychiatric Services by Postpartum Women in a Predominantly Minority, Low-Socioeconomic-Status, Urban Population.
This study describes the utilization of health care services related to psychiatric diagnoses in an inner city community health organization with a largely Hispanic population of low socioeconomic status. We reviewed the frequency and timing of postpartum mental health diagnoses among 5,731 patients who delivered babies and were followed-up for postpartum care. 286 women (5 %) had at least one mental health diagnosis. The rates in white, black, and Hispanic women were 12, 8, and 5 % respectively (p 
Source: Community Mental Health Journal - December 23, 2014 Category: Psychiatry Authors: Seplowitz R, Miller H, Ostermeyer B, Sangi-Haghpeykar H, Silver E, Kunik ME Tags: Community Ment Health J Source Type: research

The Effect of Parent and Peer Attachment on Suicidality: The Mediation Effect of Self-Control and Anomie.
Abstract We explore the influence of psycho-social factors including the attachment to parent and peer, self-control, and anomie on suicidality. Research questionnaires were distributed among 336 students of Shahid Chamran University of Ahvaz in Iran. The results demonstrated that mother and peer attachments had an indirect effect on suicidality via self-control and anomie, and self-control had a direct effect on suicidality and an indirect effect via anomie. Self-control and anomie had the most efficient role in the model with a large effect size. Findings are discussed theoretically and with regards to the socio...
Source: Community Mental Health Journal - December 23, 2014 Category: Psychiatry Authors: Heydari A, Teymoori A, Nasiri H Tags: Community Ment Health J Source Type: research

Implementation of an Evidence Based Guideline for Assessment and Documentation of the Civil Commitment Process.
Abstract The purpose of this quality improvement project was to implement an evidence-based practice guideline for assessment and documentation of the civil commitment process. Participants included six civil commitment examiners who conduct court ordered psychiatric evaluations at two crisis intervention centers in rural area of southeaster state. Data collection was conducted utilizing a chart audit tool both pre and post intervention of 100 civil commitment evaluations. The intervention included the development of an evidenced based form for documentation of civil commitment evaluations and a one on one educati...
Source: Community Mental Health Journal - December 23, 2014 Category: Psychiatry Authors: Perrigo TL, Williams KA Tags: Community Ment Health J Source Type: research

Risk Factors for Psychiatric Hospital Admission for Participants in California's Full-Service Partnership Program.
This study investigated the demographic and clinical predictors of psychiatric hospitalization during the first 2 years of treatment for adults participating in the full-service partnership (FSP) program, based on Assertive Community Treatment, in a large county in northern California. Clinical and demographic characteristics, data on prior hospitalizations, length of enrollment, and living situation for 328 FSP participants were collected from the county's internal billing system and the California Department of Health Care Services. In univariate models, the probability of hospitalization varied by diagnosis, age, a...
Source: Community Mental Health Journal - December 20, 2014 Category: Psychiatry Authors: Penkunas MJ, Hahn-Smith S Tags: Community Ment Health J Source Type: research

Rate and Predictors of Persistent Major Depressive Disorder in a Nationally Representative Sample.
This study examined predictors of persistent major depressive disorder over 10 years, focusing on the effects of clinical variables, physical health, and social support. Data from the National Survey of Midlife Development in the United States in 1995-1996 and 2004-2006 were analyzed. Logistic regression was used to predict non-recovery from major depression among individuals who met clinical-based criteria for major depressive disorder at baseline. Fifteen percent of the total sample was classified as having major depression in 1995-1996; of these individuals, 37 % had major depression in 2004-2006. Baseline var...
Source: Community Mental Health Journal - December 20, 2014 Category: Psychiatry Authors: Walker ER, Druss BG Tags: Community Ment Health J Source Type: research

The California Assessment of Stigma Change: A Short Battery to Measure Improvements in the Public Stigma of Mental Illness.
This study examined psychometrics and sensitivity of the California Assessment of Stigma Change (CASC). CASC assesses prejudicial beliefs, affirming attitudes, and willingness to seek mental healthcare. Four samples, two high school groups, college students, and hotel desk clerks, completed CASC immediately before and after a contact-based program. Two samples completed follow-up: one of the high school groups and the college students. CASC assesses stigma with a 9-item Attribution Questionnaire (AQ9), personal empowerment with a 3-item scale (ES), recovery orientation with a 3-item scale (RS), and psychological help seeki...
Source: Community Mental Health Journal - December 20, 2014 Category: Psychiatry Authors: Corrigan PW, Gause M, Michaels PJ, Buchholz BA, Larson JE Tags: Community Ment Health J Source Type: research

Individual Dietetic Consultations in First Episode Psychosis: A Novel Intervention to Reduce Cardiometabolic Risk.
Abstract Individual dietetic consultations were trialled in a community-based first-episode psychosis program. Participants received eight individualised dietetic consultations, plus weekly shopping tours and cooking groups. The outcome measure was waist circumference (WC). In total, 30 patients commenced the program. An intention-to-treat analysis revealed, a statistically significant reduction in WC (mean = 2.1 ± 5.4 cm, t = 2.1, df = 29, p = 0.04). Similar results were found for the 14 participants who attended all eight sessions (mean WC reduction&n...
Source: Community Mental Health Journal - December 19, 2014 Category: Psychiatry Authors: Teasdale S, Harris S, Rosenbaum S, Watkins A, Samaras K, Curtis J, Ward PB Tags: Community Ment Health J Source Type: research

A Community Long-Term Hotline Therapeutic Intervention Model for Coping with the Threat and Trauma of War and Terror.
Abstract Long-term tele-counseling can potentially be a potent intervention mode in war- and terror-related community crisis situations. We aimed to examine a unique long-term telephone-administered intervention, targeting community trauma-related crisis situations by use of various techniques and approaches. 142 participants were evaluated using a non-intrusive by-proxy methodology appraising counselors' standard verbatim reports. Various background measures and elements in the intervention were quantitatively assessed, along with symptomatology and functioning at the onset and end of intervention. About 1/4 of t...
Source: Community Mental Health Journal - December 12, 2014 Category: Psychiatry Authors: Gelkopf M, Haimov S, Lapid L Tags: Community Ment Health J Source Type: research

Family Influence in Recovery from Severe Mental Illness.
Abstract The aim of this study was to investigate the perceived influence of family on recovery from severe mental illness. 54 semi-structured interviews were conducted with a diverse sample of people with severe mental illness living in Montreal. Results indicated that family both facilitated and impeded recovery processes. Specifically, family facilitated recovery through providing (a) moral support, (b) practical support and (c) motivation to recover. However family impeded recovery through (a) acting as a stressor, (b) displaying stigma and lack of understanding, and (c) forcing hospitalization. The study indi...
Source: Community Mental Health Journal - December 10, 2014 Category: Psychiatry Authors: Aldersey HM, Whitley R Tags: Community Ment Health J Source Type: research

Collectivistic Orientation, Acculturative Stress, Cultural Self-Efficacy, and Depression: A Longitudinal Study Among Chinese Internal Migrants.
Abstract The current study examined the longitudinal relationship of collectivistic orientation and depression and the mediating effects of acculturative stress and cultural self-efficacy between collectivistic orientation and depression. We expect that collectivistic orientation would decrease acculturative stress and increase cultural self-efficacy, and in turn, improve depression. Using data from 641 Chinese internal migrants during a 1-year period, the results supported the hypothesis that collectivistic orientation predicted decreased depression. Moreover, collectivistic orientation alleviated depression thro...
Source: Community Mental Health Journal - December 6, 2014 Category: Psychiatry Authors: Du H, Li X, Lin D, Tam CC Tags: Community Ment Health J Source Type: research

Rapid Follow-Up for Patients After Psychiatric Crisis.
Abstract Patients in psychiatric crisis often lack connection to community resources and present to emergency departments (EDs) for care. A transitional psychiatry clinic (TPC) bridged patients after ED visit. These retrospective chart review data of 390 patients were analyzed by ANOVA, logistic regression and survival analysis. Predictors of ED return included psychosis, personality disorder and increased number of prior ED visits. Longer wait for the TPC was associated strongly with non-attendance. TPC appointment within 3 days was associated with significantly longer time in the community without ED presen...
Source: Community Mental Health Journal - November 15, 2014 Category: Psychiatry Authors: McCullumsmith C, Clark B, Blair C, Cropsey K, Shelton R Tags: Community Ment Health J Source Type: research

Recovery from Mental Illness: A Service User Perspective on Facilitators and Barriers.
Abstract Mental health services strive to implement a recovery-oriented approach to rehabilitation. Little is known about service users' perception of the recovery approach. The aim is to explore the service user's perspectives on facilitators and barriers associated with recovery. Twelve residents living in supported housing services are interviewed. The analysis is guided by a phenomenological-hermeneutic approach and the interpretation involves theories from critical theory, sociology, and learning. Learning, social relations, and willpower are identified as having an impact on recovery. Stigmatization and soci...
Source: Community Mental Health Journal - October 25, 2014 Category: Psychiatry Authors: Petersen KS, Friis VS, Haxholm BL, Nielsen CV, Wind G Tags: Community Ment Health J Source Type: research

Optimizing Scripted Dialogues for an e-Health Intervention for Suicidal Veterans with Major Depression.
Abstract Suicide is a health concern among Veterans with depression. We had previously reported on scripted dialogues adapted for an e-health system that engages at-risk veterans with schizophrenia. Here we report a further adaptation of the dialogues for Veterans with depression. Usability was assessed with nine outpatients with a history of major depression and suicidality. We noted that participants preferred greater specificity in the wording of questions. Topics that elicited an emotional response dealt with questions on suicide, social isolation and family relationships. Based on feedback, dialogues were rev...
Source: Community Mental Health Journal - October 24, 2014 Category: Psychiatry Authors: Kasckow J, Zickmund S, Rotondi A, Welch A, Gurklis J, Chinman M, Fox L, Haas GL Tags: Community Ment Health J Source Type: research

The Dynamics of Migration-Related Stress and Coping of Female Domestic Workers from the Philippines: An Exploratory Study.
Abstract Female domestic workers face many migration-related stressors that affect their mental health, but we know little about the dynamics of stress and coping in different migration phases. This exploratory study aims to assess stress and coping of female migrant domestic workers from the Philippines in different phases of the migration process; prior to migration, in the country of destination and upon return to the Philippines. Data were collected in 2010 using questionnaires (N = 500). Validation of findings took place in a work shop (23 participants) and two focus groups (13 and 8 participants). ...
Source: Community Mental Health Journal - October 24, 2014 Category: Psychiatry Authors: van der Ham AJ, Ujano-Batangan MT, Ignacio R, Wolffers I Tags: Community Ment Health J Source Type: research

Rebuilding Sustainable Communities for Children and Families After Disaster: Recommendations from Symposium Participants in Response to the April 27th, 2011 Tornadoes.
Abstract Tuscaloosa, Alabama experienced a significant disaster, an EF4 tornado with 190 mile an hour winds on April 27, 2011. Fifty-two people were killed and more than 5,000 homes were severely damaged. Twelve percent of the city was destroyed and 7,000 people were immediately unemployed. This was a disaster of significant proportion and impacted everyone in the community of over 80,000. In an effort to address the needs of the community after this disaster a symposium was organized with a focus on helping children and families. More than 40 professionals and community members attended the symposium which was le...
Source: Community Mental Health Journal - October 24, 2014 Category: Psychiatry Authors: Rush SC, Houser R, Partridge A Tags: Community Ment Health J Source Type: research

Self-reported Barriers to Treatment Engagement: Adolescent Perspectives from the National Comorbidity Survey-Adolescent Supplement (NCS-A).
The objective of this study was to assess youth self-reported treatment barriers in the past 12 months to obtain youth's perspective on reasons they seek treatment, do not engage in treatment, or terminate treatment. The present study uses data from the National Comorbidity Survey-Adolescent Supplement (NCS-A), a nationally representative survey administered to youth ages 13-18 that was conducted between February 1, 2001 and January 30, 2004. A total of 10,123 youth participated in the NCS-A study and provided the information on which the current paper draws its data. Within the past 12 months over 63 % of y...
Source: Community Mental Health Journal - October 19, 2014 Category: Psychiatry Authors: Sylwestrzak A, Overholt CE, Ristau KI, Coker KL Tags: Community Ment Health J Source Type: research

Youth with Mental Illness: Attitudes Towards and Therapeutic Benefits of Residential Stepped Care.
Abstract There is little research reporting the "lived experience" of young people undertaking treatment for mental health conditions. This pilot study explores the phenomenological experiences of a small group of six young people aged 14-18 years who were resident of a youth stepped-care mental health program in the Australian Capital Territory. Using semi-structured interviews, data were collected and two main themes emerged: (a) "Life engagement" and (b) "Relationships." Participants also provided responses on self-report measures at baseline and follow-up and feedback on aspe...
Source: Community Mental Health Journal - October 16, 2014 Category: Psychiatry Authors: Magor-Blatch LE, Ingham L Tags: Community Ment Health J Source Type: research

Rural Latinos' Mental Wellbeing: A Mixed-Methods Pilot Study of Family, Environment and Social Isolation Factors.
Abstract Upon immigration to the rural areas in the US, Latino families may experience cultural, geographic, linguistic and social isolation, which can detrimentally affect their wellbeing by acting as chronic stressors. Using a community engagement approach, this is a pilot mixed-method study with an embedded design using concurrent qualitative and quantitative data. The purpose of this study is to evaluate family and social environments in terms of protective factors and modifiable risks associated with mental well-being in Latino immigrants living in rural areas of Florida. Latino immigrant mother and adolescen...
Source: Community Mental Health Journal - September 4, 2014 Category: Psychiatry Authors: Stacciarini JM, Smith R, Garvan CW, Wiens B, Cottler LB Tags: Community Ment Health J Source Type: research