The Use of the Burden Assessment Scale with Families of a Pediatric Population.
This study sought to begin to remedy this by determining the utility of the Burden Assessment Scale (BAS) with this population. 300 parents seeking services within a major Canadian city were interviewed using the BAS and a follow up questionnaire on the clarity, comprehensiveness and acceptability of the BAS. The BAS was clear, acceptable and comprehensive for>80 % of participants. Factor analysis revealed four factors compared to the original five factors found with adults. The BAS had a utility with this population and would be a valuable addition to standard information gathered but use of the total score only i...
Source: Community Mental Health Journal - March 30, 2014 Category: Psychiatry Authors: Murdoch DD, Rahman A, Barsky V, Maunula S, Cawthorpe D Tags: Community Ment Health J Source Type: research

General Self-efficacy and Its Relationship to Self-reported Mental Illness and Barriers to Care: A General Population Study.
This study utilized a mailed questionnaire completed by 3,981 persons aged 19-64 years who resided in Western Sweden. GSE was measured and logistic regression models calculated, controlling for various sociodemographic variables. Results showed that 25 % of men and 43 % of women reported a lifetime prevalence of mental illness that they felt could have benefitted from treatment. Of those, 37 % of the men and 27 % of the women reported barriers to care. Men and women with low GSE were more likely to suffer from mental illness compared with persons high in GSE, but GSE did not enhance help-seeking be...
Source: Community Mental Health Journal - March 28, 2014 Category: Psychiatry Authors: Andersson LM, Moore CD, Hensing G, Krantz G, Staland-Nyman C Tags: Community Ment Health J Source Type: research

Trust, Deals and Authority: Community Mental Health Professionals' Experiences of Influencing Reluctant Patients.
ns T Abstract The emphasis on care in the community in current mental health policy poses challenges for community mental health professionals with responsibility for patients who do not wish to receive services. Previous studies report that professionals employ a range of behaviors to influence reluctant patients. We investigated professionals' own conceptualizations of such influencing behaviors through focus groups with community teams in England. Participants perceived that good, trusting relationships are a prerequisite to the negotiation of reciprocal agreements that, in turn, lead to patient-centred care. T...
Source: Community Mental Health Journal - March 25, 2014 Category: Psychiatry Authors: Rugkåsa J, Canvin K, Sinclair J, Sulman A, Burns T Tags: Community Ment Health J Source Type: research

Social Inequalities in Psychological Well-Being: A European Comparison.
The objective was to explore the educational differences in psychological well-being, measured using the WHO-5 Index, among 15,362 men and 20,272 women in 31 European countries. Relative Index of Inequality, multilevel logistic regression analyses and interaction tests were performed. Within Europe, large cross-national differences in the prevalence of poor well-being were observed. In almost all countries, the prevalence of poor well-being was higher in low educational groups, but the magnitude of these inequalities was much larger in some countries than in others. The highest social differences in well-being were observe...
Source: Community Mental Health Journal - March 25, 2014 Category: Psychiatry Authors: Schütte S, Chastang JF, Parent-Thirion A, Vermeylen G, Niedhammer I Tags: Community Ment Health J Source Type: research

Factors Associated with Mental Health Service Use Among Latino and Asian Americans.
This study adapted the behavioral model of health service use to examine factors associated with MHS use among Latino and Asian Americans. The model consists of predisposing, enabling, and need factors. This study used the National Latino and Asian American Study data, including six ethnic groups. The outcome measure for this study was the use of MHS in the past 12 months. Age, sex, and education predicted higher odds of MHS use among Latinos, none of which were significant among Asians. Needs factors were strongly associated with higher odds of MHS use among Latinos and Asians. PMID: 24659219 [PubMed - as suppli...
Source: Community Mental Health Journal - March 23, 2014 Category: Psychiatry Authors: Cho H, Kim I, Velez-Ortiz D Tags: Community Ment Health J Source Type: research

Mental Health Correlates of Past Homelessness in Latinos and Asians.
This study draws from the National Latino and Asian American Survey to examine mental health and substance abuse correlates of homelessness amongst Latinos and Asians living in the United States. Clinical and institutional factors associated with homelessness varied by ethnicity. Among Latinos, alcohol abuse or dependence, conduct disorder and intermittent explosive disorder were risk factors for homelessness, while attending a religious service more than once a week was a protective factor. Among Asians, mood disorder was a risk factor as were health problems and receiving welfare in the past. Understanding ethnicity-spec...
Source: Community Mental Health Journal - March 22, 2014 Category: Psychiatry Authors: Oh HY, Devylder JE Tags: Community Ment Health J Source Type: research

Developing Visually Based, Low-Literacy Health Education Tools for African Americans with Psychotic Disorders and Their Families.
Abstract Schizophrenia presents particular challenges to health literacy, partly due to associated neurocognitive deficits. In order to develop engaging, recovery-oriented, visually based psychoeducational tools pertaining to psychotic disorders, thirty-nine individuals, consisting of mental health service users with serious mental illnesses, family members, and mental health professionals, participated in informal discussions. Using suggestions from these groups, the first two psychoeducational booklets of a planned series were developed in collaboration with a graphic designer and visual artist. Content of the b...
Source: Community Mental Health Journal - March 16, 2014 Category: Psychiatry Authors: Broussard B, Radkins JB, Compton MT Tags: Community Ment Health J Source Type: research

Predisposing, Enabling and Need Correlates of Mental Health Treatment Utilization Among Homeless Men.
Abstract There is significant unmet need for mental health treatment among homeless men, but little is known about the correlates of treatment utilization in this population. Within the framework of the Behavioral Model for Vulnerable Populations, this study examines predisposing, enabling and need factors that may be associated with mental health care utilization. Participants were a representative sample of 305 heterosexually active homeless men utilizing meal programs in the Skid Row region of LA. Logistic regression examined the association between predisposing, enabling and need factors and past 30 day m...
Source: Community Mental Health Journal - March 5, 2014 Category: Psychiatry Authors: Rhoades H, Wenzel SL, Golinelli D, Tucker JS, Kennedy DP, Ewing B Tags: Community Ment Health J Source Type: research

Homelessness, Behavioral Health Disorders and Intimate Partner Violence: Barriers to Services for Women.
Abstract Homeless women comprise a significant portion of the homeless population and may encounter multiple life stressors including mental illness, substance abuse, and trauma. Women who are homeless may experience difficulty gaining access to resources such as shelter and health care. In addition, the interaction of behavioral health problems with intimate partner violence (IPV) may create extraordinary barriers to their engagement in services. This paper explores the co-occurrence of homelessness, behavioral health problems, and IPV and lessons learned through a gender-specific homeless services program design...
Source: Community Mental Health Journal - February 25, 2014 Category: Psychiatry Authors: Ponce AN, Lawless MS, Rowe M Tags: Community Ment Health J Source Type: research

A 12-Week Weight Reduction Intervention for Overweight Individuals Taking Antipsychotic Medications.
Abstract People taking antipsychotic medications are at increased risk for obesity, diabetes, and early mortality. Few weight loss interventions have targeted this population. Thirty-six individuals were randomized to an evidence-based 12-week weight loss intervention (PREMIER with DASH diet, n = 18) or to usual care (n = 18) in this feasibility trial. Average attendance was 8.6 of 12 sessions. Intent-to-treat analyses of covariance, adjusted for baseline weight, showed significant changes in weight: Mean weight in intervention participants declined from 213.3 to 206.6 pounds, while control par...
Source: Community Mental Health Journal - February 25, 2014 Category: Psychiatry Authors: Green CA, Janoff SL, Yarborough BJ, Yarborough MT Tags: Community Ment Health J Source Type: research

Life Span History of Non-fatal Suicidal Behaviours in a Large Sample of General Practitioners' Patients: Data from Rovigo, Northern Italy.
Abstract A survey about history of non-fatal suicidal behaviour was performed on 1,171 subjects in the waiting room of general practitioners' practices in the territory of Rovigo (Northern Italy). The mean age of interviewed subjects was 52.9 ± 17.0, with a majority of female individuals. Two and two percent admitted previous experience of non-suicidal self-injury, 4.7 % admitted having had serious suicidal thoughts/plans, and 1.8 % reported at least one suicide attempt. Compared to the rest of the sample, people with history of suicidal behaviours resulted to be of younger age (p 
Source: Community Mental Health Journal - February 22, 2014 Category: Psychiatry Authors: Zanone Poma S, Vicentini S, Siviero F, Grossi A, Toniolo E, Cocchio S, Baldo V, De Leo D Tags: Community Ment Health J Source Type: research

The Client-Caseworker Relationship and Its Association with Outcomes Among Mental Health Court Participants.
This study investigated the association between the relationship with caseworkers and outcomes. MHC participants were recruited to participate in structured interviews on their perceptions of the bond and conflict with their MHC caseworkers. Regression models tested associations between relationships with caseworkers and program retention, service use, and number of days spent in jail. Perceived conflict with caseworkers was higher among participants who were terminated or missing from the MHC. Participants who perceived less conflict with caseworkers utilized more services and spent fewer days in jail. The perceived bond ...
Source: Community Mental Health Journal - February 21, 2014 Category: Psychiatry Authors: Canada KE, Epperson MW Tags: Community Ment Health J Source Type: research

Measuring Wraparound Fidelity to Make Quality Improvements.
This article reports on findings from WFI data collected over three summers and reported back to the management team and family organization. Improvements were decided through consensus and included recommendations of parents and care coordinators. The goal of our study was to identify which activities and supports of wraparound were in need of improvement, enact quality improvements to address these areas and determine whether we were doing a better job over time. PMID: 24557530 [PubMed - as supplied by publisher] (Source: Community Mental Health Journal)
Source: Community Mental Health Journal - February 21, 2014 Category: Psychiatry Authors: Kernan JB Tags: Community Ment Health J Source Type: research

Erratum to: Identification and Treatment of TBI and Co-occurring Psychiatric Symptoms Among OEF/OIF/OND Veterans Seeking Mental Health Services Within the State of Colorado: Establishing Consensus for Best Practices.
PMID: 24553778 [PubMed - as supplied by publisher] (Source: Community Mental Health Journal)
Source: Community Mental Health Journal - February 20, 2014 Category: Psychiatry Authors: Olson-Madden JH, Brenner LA, Matarazzo BB, Signoracci GM, Expert Consensus Collaborators Tags: Community Ment Health J Source Type: research

Use of Structured Clinical Documentation to Identify Patients' Parental Concerns and Their Childrens' Wellbeing.
Abstract Children of parents with mental illness are at high risk of adverse health and functional outcomes, but little is known about how the community mental health staff identify and document these. This file audit examines parents' case managers' recording of children's needs and safety, on relevant components of New South Wales' Mental Health Structured Clinical Documentation. The audit identified 280 parental files. Study findings indicate that parenting issues form an important load of work on community mental health teams, highlighting the need for systematic identification of parental status in mental hea...
Source: Community Mental Health Journal - February 16, 2014 Category: Psychiatry Authors: Liangas G, Falkov A Tags: Community Ment Health J Source Type: research

People Living in Community with a Severe Mental Illness: Utilization and Satisfaction with Care and Support.
n T Abstract The object of this paper was to investigate the experiences of patients with severe mental illness (SMI) living in a community, including their utilization of care and treatment services. Psychiatric care and social services staff members were asked to make an inventory of those they served in two districts of Malmö, Sweden. Participants had to be over 18 years of age and unable to manage their daily lives without help from others. Almost all of the 80 participants (95 %) were under psychiatric care. A majority (86 %) was receiving dental treatment, and 61 % were supported by ...
Source: Community Mental Health Journal - February 16, 2014 Category: Psychiatry Authors: Ostman M, Björkman T Tags: Community Ment Health J Source Type: research

Clinicians' Perceptions of Challenges and Strategies of Transition from Assertive Community Treatment to Less Intensive Services.
Abstract The study aimed to identify clinical strategies and challenges around transition from Assertive Community Treatment (ACT) to less intensive services. Six focus groups were conducted with ACT team leaders (n = 49). Themes were grouped under four intervention-focused domains: (1) client/clinical, (2) family and natural supports, (3) ACT staff and team, and (4) public mental health system. Barriers to transition included beliefs that clients and families would not want to terminate services (due to loss of relationships, fear of failure, preference for ACT model), clinical concerns that transition ...
Source: Community Mental Health Journal - February 14, 2014 Category: Psychiatry Authors: Finnerty MT, Manuel JI, Tochterman AZ, Stellato C, Fraser LH, Reber CA, Reddy HB, Miracle AD Tags: Community Ment Health J Source Type: research

Youth and Caregiver Access to Peer Advocates and Satisfaction with Mental Health Services.
This study examines associations between reported access to a youth or family advocate and perceptions of satisfaction with mental health services. A cross-sectional survey of youth (N = 768) and caregivers (N = 1,231) who utilized public mental health services in New York State in 2012 was conducted. The survey includes items on access to youth or family advocates and degree of satisfaction with mental health services. A greater proportion of youth or caregivers with access to peer advocates compared to those without access responded positively on the satisfaction domains of access to services, appropr...
Source: Community Mental Health Journal - February 13, 2014 Category: Psychiatry Authors: Radigan M, Wang R, Chen Y, Xiang J Tags: Community Ment Health J Source Type: research

The Use of the Dutch Self-Sufficiency Matrix (SSM-D) to Inform Allocation Decisions to Public Mental Health Care for Homeless People.
Abstract The current study set out to develop a decision support tool based on the Self-Sufficiency Matrix (Dutch version; SSM-D) for the clinical decision to allocate homeless people to the public mental health care system at the central access point of public mental health care in Amsterdam, The Netherlands. Logistic regression and receiver operating characteristic-curve analyses were used to model professional decisions and establish four decision categories based on SSM-D scores from half of the research population (Total n = 612). The model and decision categories were found to be accurate and relia...
Source: Community Mental Health Journal - February 11, 2014 Category: Psychiatry Authors: Lauriks S, de Wit MA, Buster MC, Fassaert TJ, van Wifferen R, Klazinga NS Tags: Community Ment Health J Source Type: research

Predictors of Recovery-Oriented Competencies Among Mental Health Professionals in One Community Mental Health System.
Abstract A survey of 813 mental health professionals serving adults with severe mental illness clustered in 25 community mental health centers assessed the extent to which mental health professionals possess clinical competencies that support recovery and the predictors of these competencies. The results suggest there is room for improvement in recovery-oriented competencies. In-depth professional training in recovery, greater job variety, more years practicing in mental health, participation on an intensive case management team, and perceptions of workplace recovery culture were predictors of recovery-oriented co...
Source: Community Mental Health Journal - February 9, 2014 Category: Psychiatry Authors: Stuber J, Rocha A, Christian A, Johnson D Tags: Community Ment Health J Source Type: research

Religious Participation and Substance Use Behaviors in a Canadian Sample of Homeless People.
This study examined religious behaviors in 380 homeless individuals. We hypothesized that higher frequency of religious attendance is associated with lower rates of use of all substances, lower rates of drug and alcohol dependence, and lower psychological distress. Individuals attending religious ceremonies at least weekly ("frequent attendees") were compared to infrequent attendees. Participants also provided qualitative information about their faith. In univariate analyses, frequent attendees had significantly lower rates of alcohol, cocaine, and opioid use than infrequent attendees. They also had lower rates o...
Source: Community Mental Health Journal - February 7, 2014 Category: Psychiatry Authors: Torchalla I, Li K, Strehlau V, Linden IA, Krausz M Tags: Community Ment Health J Source Type: research

How Does Direct to Consumer Advertising Affect the Stigma of Mental Illness?
Abstract Stigma interferes with life goals of people with mental illness. Direct-to-consumer advertising (DTCA) may impact stigmatizing attitudes. The purpose of this study is to examine the effects of psychiatric medication DTCA on the stigmatizing and affirming attitudes of the general population versus individuals self-identified with mental illness. Participants (n = 272) were randomly assigned to watch a DTCA about Cymbalta, an antidepressant, embedded in two other advertisements for non-pharmaceutical products. Participants completed measures of stigmatizing and affirming attitudes before and after...
Source: Community Mental Health Journal - February 1, 2014 Category: Psychiatry Authors: Corrigan PW, Kosyluk KA, Konadu Fokuo J, Park JH Tags: Community Ment Health J Source Type: research

Six-Month Utilization of Psychotherapy by Older Adults with Depressive Symptoms.
This study documents low rates of psychotherapy use and few visits. Current efforts to increase psychotherapy access are discussed. PMID: 24481984 [PubMed - as supplied by publisher] (Source: Community Mental Health Journal)
Source: Community Mental Health Journal - January 31, 2014 Category: Psychiatry Authors: Gum AM, Hirsch A, Dautovich ND, Ferrante S, Schonfeld L Tags: Community Ment Health J Source Type: research

Factors Impacting the Decision to Participate in and Satisfaction with Public/Community Psychiatry Fellowship Training.
Abstract During yearly meetings of the recently developed network of 15 public/community psychiatry fellowships, it has been noted that programs are having varying degrees of success with regard to recruitment. To understand factors that impact recruitment, a quality improvement survey of fellows and alumni was conducted. Respondents were asked to rate overall satisfaction with their fellowship training as well as perceived benefits and obstacles to participating in a fellowship program, and impact on their careers. A total of 155 (57 %) fellows and alumni responded. Factor analysis was used to condense the v...
Source: Community Mental Health Journal - January 30, 2014 Category: Psychiatry Authors: Weinberg M, Lemelle S, Ranz J Tags: Community Ment Health J Source Type: research

Predictors of Consumer Satisfaction in Community Mental Health Center Services.
Abstract Kentucky Department for Behavioral Health Developmental and Intellectual Disabilities conducted a survey to evaluate consumers' satisfaction with services delivered at the Community Mental Health Centers (CMHCs) in Kentucky. The survey was administered at outpatient clinics operated by fourteen CMHCs in 2010. The purpose of this study was to identify factors that predict whether clients will respond that they were "generally satisfied" with services received from CMHCs. A logistic regression model was developed using respondents' characteristics and their responses to survey questions. Survey qu...
Source: Community Mental Health Journal - January 30, 2014 Category: Psychiatry Authors: Sohn M, Barrett H, Talbert J Tags: Community Ment Health J Source Type: research

Prevalence and Characteristics of Intimate Partner Violence Against Women with Severe Mental Illness: A Prevalence Study in Spain.
This study examined the prevalence and characteristics of intimate partner violence (IPV) towards women with a severe mental illness (SMI). The sample consisted of 142 adult women with SMI treated in public mental health services in three districts of Madrid (Spain). The prevalence of IPV in the 12 months preceding the interview was 30.3 % and over the lifespan was 79.6 %. 32.7 % of women victims of violence do not qualify themselves as battered women. 48.5 % of battered women do not talk about their abusive situation with anyone or come to any resource or service. Women victims of abuse have low s...
Source: Community Mental Health Journal - January 29, 2014 Category: Psychiatry Authors: González Cases J, Polo Usaola C, González Aguado F, López Gironés M, Rullas Trincado M, Fernández Liria A Tags: Community Ment Health J Source Type: research

Education and Employment Needs and Receipt of Services in Community and Inpatient Mental Health Settings.
Abstract The interRAI Education and Employment Clinical Assessment Protocol (EdEmp CAP) identifies three groups of individuals in community and inpatient mental health settings: those who are at risk of losing their employment or disrupting their education; those who require support in employment or educational participation; or those for whom interventions related to education and employment are not triggered. The EdEmp CAP was effective in identifying subpopulations who were at risk, but who did not receive any vocational rehabilitation or counseling. The EdEmp CAP can be used in clinical practice to identify in...
Source: Community Mental Health Journal - January 28, 2014 Category: Psychiatry Authors: Kehyayan V, Hirdes JP, Perlman CM Tags: Community Ment Health J Source Type: research

"I Just Have to Stick with It and It'll Work": Experiences of Adolescents and Young Adults with Mental Health Concerns.
This study aimed to better understand the experiences of older adolescents and young adults who were experiencing symptoms of depression or anxiety, including the factors that affected their decision to seek treatment and their feelings about their experience of mental health issues. We conducted semi-structured interviews with 37 older adolescents and young adults. Participants tended to have a sophisticated understanding of the causes of mental disorders, but to have been unsure about whether their own experiences of depression or anxiety were the result of a mental disorder, or just "normal" experiences. They ...
Source: Community Mental Health Journal - January 24, 2014 Category: Psychiatry Authors: Bluhm RL, Covin R, Chow M, Wrath A, Osuch EA Tags: Community Ment Health J Source Type: research

Embodying Recovery: A Qualitative Study of Peer Work in a Consumer-Run Service Setting.
Abstract The use of peer support for persons with mental illness has been gaining force. While research has demonstrated the benefits of peer support, few studies have investigated the qualitative characteristics of how peer support aids persons recovering from mental illness. Therefore, this study sought to clarify the characteristics that constitute peer support and its contribution to recovery. We conducted ethnographic fieldwork and semi-structured interviews with nine peer advocates at a consumer-run organization in New York City, and identified three themes that describe how peer support influences recovery:...
Source: Community Mental Health Journal - January 24, 2014 Category: Psychiatry Authors: Austin E, Ramakrishnan A, Hopper K Tags: Community Ment Health J Source Type: research

Predictors of Medication Non-adherence in Bulgarian Outpatients with Schizophrenia.
Abstract The purpose of this study is to assess the adherence status and to identify the risk factors for medication non-adherence in Bulgarian outpatients with schizophrenia. Variables with possible impact on adherence behaviour were assessed via a set of pre-determined clinical interviews and self-rating scales in a total of 226 patients with schizophrenia. As non-adherent were classified 55.8 % of the participants. Differences between adherent and non-adherent patients were identified. A multiple regression analysis revealed three variables predictive for the medication adherence-attitudes toward medicatio...
Source: Community Mental Health Journal - January 23, 2014 Category: Psychiatry Authors: Vassileva I, Milanova V, Asan T Tags: Community Ment Health J Source Type: research

Informal Home Care for Elderly in Belgium: A Study on the Features and Challenges of Informal Care at Local Level.
Abstract In Belgium, and in other OECD countries, there is a growing awareness about the importance of informal home care for the elderly's well-being. Informal care is considered as an intrinsically valuable social phenomenon. Public authorities in Belgium have been advocating an active policy of support for informal carers. In 2007, an extensive survey was carried out in the Belgian municipality of Kruibeke in order to establish a better picture of the various needs of the elderly in their home situation, but also to better understand the way in which informal care is provided and perceived by care receivers and...
Source: Community Mental Health Journal - January 22, 2014 Category: Psychiatry Authors: Criel B, Vanlerberghe V, De Koker B, Decraene B, Engels E, Waltens R Tags: Community Ment Health J Source Type: research

Screening for Depression and High Utilization of Health Care Resources Among Patients in Primary Care.
g A Abstract The study aims to evaluate the prevalence of depression and the severity of depressive symptoms among primary care patients, who are high utilizers (HU) of health care resources. A cross-sectional, two-stage design was applied to screen for depression using the Brief Psychiatric Health Questionnaire and the Diagnostic Expert System for Psychiatric Disorders. A total of 38 primary care physicians accredited to practice in Berlin and Potsdam in Germany participated in the study. A total of 1,775 patients participated, 507 were identified as HU, 182 (36 %) of these were depressed compared to 81 (11&...
Source: Community Mental Health Journal - January 22, 2014 Category: Psychiatry Authors: Berghöfer A, Roll S, Bauer M, Willich SN, Pfennig A Tags: Community Ment Health J Source Type: research

Psychiatric Morbidity, Phenomenology and Management in Hospitalized Female Foreign Domestic Workers in Lebanon.
Abstract 40 million female domestic workers worldwide experience the inhumane conditions associated with this unregulated occupation, a situation that induces psychiatric morbidities in many. The case in Lebanon is not any better where it is estimated that one foreign domestic worker (FDW) commits suicide weekly. 33 female FDW and 14 female Lebanese (control group, CG) were enrolled. Brief Psychotic Rating Scale (BPRS) and Clinical Global Impression (CGI) scales were administered on admission and discharge and socio-demographic, living conditions, mental health care data and phenomenological observations were coll...
Source: Community Mental Health Journal - December 27, 2013 Category: Psychiatry Authors: Zahreddine N, Hady RT, Chammai R, Kazour F, Hachem D, Richa S Tags: Community Ment Health J Source Type: research

Communication About ADHD and Its Treatment During Pediatric Asthma Visits.
The objectives of the study were to examine provider-family communication about attention deficit disorder during pediatric asthma visits. Children with asthma, aged 8 through 16 and their parents were recruited at five pediatric practices. All medical visits were audio-taped. There were 296 asthmatic children enrolled into the study and 67 of them also had attention deficit hyperactivity disorder (ADHD). ADHD communication elements suggested by national guidelines were discussed infrequently. Providers were more likely to discuss, educate, and ask one or more questions about ADHD medications if the visit was non-asthma re...
Source: Community Mental Health Journal - December 24, 2013 Category: Psychiatry Authors: Sleath B, Sulzer SH, Carpenter DM, Slota C, Gillette C, Sayner R, Davis S, Sandler A Tags: Community Ment Health J Source Type: research

Factors Influencing Report of Common Mental Health Problems Among Psychologically Distressed Adults.
This study investigates the sociodemographic factors associated with self-report of common mental problems by the psychologically distressed in order to gain insight into the profile of the population subgroups least likely to receive mental health support whenever needed. Data from the 2006-2008 french National Survey on Health, Health Care and Insurance, were used, measuring psychological distress based on the Mental Health Inventory MHI-5. The patterns associated with education, employment situation and living arrangement were investigated in a sample of 11,543 subjects aged 30-54 years. Men with lower educational ...
Source: Community Mental Health Journal - December 20, 2013 Category: Psychiatry Authors: Khlat M, Legleye S, Sermet C Tags: Community Ment Health J Source Type: research

Is High Fidelity to Supported Employment Equally Attainable in Small and Large Communities?
This study examined variation in model adherence in small and large communities. We compared program-level ratings on a standardized 25-item IPS fidelity scale (range = 25-125) for 79 sites in eight states categorized by local community size. Programs in large and small communities achieved comparable fidelity scores (mean = 100 and 104, respectively). Fidelity-outcome correlations within the two groups were both of moderate size. As a practical guide, the IPS fidelity scale is suitable for use in both small and large communities. PMID: 24352684 [PubMed - as supplied by publisher] (Source: Communit...
Source: Community Mental Health Journal - December 19, 2013 Category: Psychiatry Authors: Luciano A, Bond GR, Drake RE, Becker DR Tags: Community Ment Health J Source Type: research

Financial Coping Strategies of Mental Health Consumers: Managing Social Benefits.
Abstract Mental health consumers depend on social benefits in the forms of supplemental security income and social security disability insurance for their livelihood. Although these programs pay meager benefits, little research has been undertaken into how this population makes ends meet. Using a qualitative approach, this study asks what are the financial coping strategies of mental health consumers? Seven approaches were identified: subsidies, cost-effective shopping, budgeting, prioritizing, technology, debt management, and saving money. Results illustrate the resourcefulness of mental health consumers in manag...
Source: Community Mental Health Journal - December 18, 2013 Category: Psychiatry Authors: Caplan MA Tags: Community Ment Health J Source Type: research

Dialectical Behavior Therapy Training to Reduce Clinical Burnout in a Public Behavioral Health System.
Abstract There is a risk of experiencing clinical burnout among therapists providing treatment to clients with borderline personality disorder (BPD), a complex, costly and difficult-to-treat psychiatric disorder. Dialectical behavior therapy (DBT) is an evidence-based treatment of BPD that has been widely disseminated. There is only one published study that has examined pre and post scores of burnout among clinicians who receive training in DBT, and none that have taken place within a public behavioral health system in the United States where resources for community-based agencies are limited and demands are high....
Source: Community Mental Health Journal - December 18, 2013 Category: Psychiatry Authors: Carmel A, Fruzzetti AE, Rose ML Tags: Community Ment Health J Source Type: research

Factor Structure of the Internet Addiction Scale and Its Associations with Psychiatric Symptoms for Korean Adolescents.
Abstract In this paper, we explore underlying factors of Internet Addiction Scale (IAS) and examine how the dimensions of the IAS relate to psychiatric symptoms in Korean adolescents. Exploratory factor analysis with a sample of N = 1,722 consisted of 13-15 year old Korean adolescents identified three distinctive factors of IAS and they were labeled 'time management', 'withdrawal behaviors' and 'neglect work'. Then, multiple regression models were applied to assess the association between each factor and eight psychological problems, which were evaluated by Youth Self Report. The overall IAS was signific...
Source: Community Mental Health Journal - December 18, 2013 Category: Psychiatry Authors: Sung M, Shin YM, Cho SM Tags: Community Ment Health J Source Type: research

Six-Month Outcomes of an Integrated Assertive Community Treatment Team Serving Adults with Complex Behavioral Health and Housing Needs.
This study evaluated the effectiveness of an ACT team that delivered integrated care consistent with IDDT principles. Participants included 60 adults with a history of chronic homelessness and co-occurring mental health and substance use disorders. Measures assessing mental health, substance use, and residential stability were completed at intake to the program and then 6 months later. Participants reported statistically significant improvements in mental health symptomatology and residential stability over time, although there were no changes in substance use. Findings support the effectiveness of the intervention fo...
Source: Community Mental Health Journal - December 18, 2013 Category: Psychiatry Authors: Young MS, Barrett B, Engelhardt MA, Moore KA Tags: Community Ment Health J Source Type: research

Exploring the Effect of Organizational Culture on Consumer Perceptions of Agency Support for Mental Health Recovery.
This study hypothesized that a constructive organizational culture must be present for consumers to perceive agency support for recovery. A sample of 12 mental health agencies in rural Pennsylvania participated in the research. Agency administrators completed an instrument called the recovery oriented service environment, which measured the number of recovery model program components offered by the agency. Consumers completed the recovery oriented services indicators, which taps into their perception of agency support for recovery. Direct service staff completed the organizational social context, which measured their agenc...
Source: Community Mental Health Journal - December 17, 2013 Category: Psychiatry Authors: Clossey L, Rheinheimer D Tags: Community Ment Health J Source Type: research

Correlates of Secondhand Tobacco Smoke Exposure Among Individuals with a History of Substance Use and/or Psychiatric Disorders Participating in a Tobacco Treatment Program in Vancouver, Canada.
Abstract Individuals with substance use (SUD) and/or psychiatric disorders (PD) are disproportionately affected by tobacco use; yet, little is known about secondhand tobacco smoke (SHS) exposure in these populations. An analysis of existing data examined SHS exposure among 497 smokers in community clinics in Vancouver, Canada. Seventy-percent of the participants reported SHS exposure. In sex-stratified multivariate logistic regression analyses correlates of SHS exposure among women were not having a history of using evidence-based smoking cessation treatment and using a single substance (as compared to a polysubst...
Source: Community Mental Health Journal - December 15, 2013 Category: Psychiatry Authors: Okoli CT, Khara M Tags: Community Ment Health J Source Type: research

Anxiety, Depression and Suicidal Ideation in Lebanese Patients Undergoing Hemodialysis.
Abstract Anxiety, depression and suicidal thoughts are highly prevalent comorbidities of end-stage-renal-disease (ESRD). There are no studies in Lebanon on the prevalence of these symptoms in Lebanese end-stage-renal-disease patients. Moreover, the association between ESRD on one hand, and anxiety, depression and suicidal ideation on the other has never been established in Lebanon. Groups of patients at a high-risk of development of these symptoms are not determined. The Hospital Anxiety and Depression Score and M.I.N.I (module C) were used to measure the prevalence of anxiety, depression and suicidal ideation in ...
Source: Community Mental Health Journal - December 13, 2013 Category: Psychiatry Authors: Macaron G, Fahed M, Matar D, Bou-Khalil R, Kazour F, Nehme-Chlela D, Richa S Tags: Community Ment Health J Source Type: research

Persistent Disparity in Prevalence of Current Cigarette Smoking Between US Adolescents With vs. Without a Past-Year Major Depressive Episode.
Abstract Using data from annual (2004-2010) cross-sectional surveys of nationally representative samples, the prevalence rate of current (i.e., past 30 days) cigarette smoking among US adolescents age 12-17 years was twice as high for those with vs. without a past-year major depressive episode (PYMDE) (22 vs. 11 % in the 2004 survey and 16 vs. 8 % in the 2010 survey). The proportion of all US adolescent current smokers who had a PYMDE was about 24 % for females; 70-80 % of all smokers with PYMDE were females. The persistently higher smoking rates in US adolescents with vs. without PYM...
Source: Community Mental Health Journal - December 13, 2013 Category: Psychiatry Authors: Polednak AP Tags: Community Ment Health J Source Type: research

Activating People to Address Their Health Care Needs: Learning from People with Lived Experience of Chronic Illnesses.
Abstract One of the primary goals of health care reform is improving the quality and reducing the costs of care for people with co-morbid mental health and physical health conditions. One strategy is to integrate primary and behavioral health care through care coordination and patient activation. This qualitative study using community based participatory research methods informs the development of integrated care by presenting the perspectives of those with lived experience of chronic illnesses and homelessness. Themes presented include the internal and external barriers to addressing health needs and the key role...
Source: Community Mental Health Journal - December 13, 2013 Category: Psychiatry Authors: Stanhope V, Henwood BF Tags: Community Ment Health J Source Type: research

Prevalence and Correlates of Criminal Victimization Among New Admissions to Outpatient Mental Health Services in Hawaii.
This study examines the past-six month prevalence and correlates of criminal victimization among a large community sample (N = 2,209) of consumers with SMI newly admitted to outpatient mental health services during 2005 through 2008. A cross-sectional design was used with self-report and clinical data collected from administrative records. Victimization was determined by responses to direct questions about experiences in the previous 6 months with respect to victimization of a non-violent and/or violent crime. Socio-demographic, clinical and criminal correlates of victimization were abstracted from a quality...
Source: Community Mental Health Journal - December 13, 2013 Category: Psychiatry Authors: Crisanti AS, Frueh BC, Archambeau O, Steffen JJ, Wolff N Tags: Community Ment Health J Source Type: research

Explaining Homeless Youths' Criminal Justice Interactions: Childhood Trauma or Surviving Life on the Streets?
This study investigated childhood trauma as a risk factor for arrest or jail among a sample of youth seeking services at drop in, shelter, and transitional housing settings, while controlling for more established risk factors including: substance use, peer deviance, and engagement in survival behaviors. Standardized and researcher developed measures collected quantitative data through face-to-face interviews with youth (N = 202). Two sequential logic regression models identified significant predictors of arrest and jail, with a particular interest in the effects of childhood maltreatment. Youth with a history of ...
Source: Community Mental Health Journal - December 13, 2013 Category: Psychiatry Authors: Yoder JR, Bender K, Thompson SJ, Ferguson KM, Haffejee B Tags: Community Ment Health J Source Type: research

Indications of Reduced Prefrontal Cortical Function in Chronically Homeless Adults.
This study investigated why some homeless individuals seem unable to transition towards self-reliance, following traditional supportive services. It was hypothesized that this may be due to some cognitive dysfunction. Chronically homeless adults were compared to controls on three tests of prefrontal competency: the Iowa Gambling Task, Word Fluency (FAS), and the Burglar's Story; they performed significantly worse than controls on all three tests. These results indicate a relationship between chronic homelessness and possible pre-frontal deficits. This may explain why some long-term homeless fail to learn from the consequen...
Source: Community Mental Health Journal - December 12, 2013 Category: Psychiatry Authors: Davidson D, Chrosniak LD, Wanschura P, Flinn JM Tags: Community Ment Health J Source Type: research

School-Related and Social-Emotional Outcomes of Providing Mental Health Services in Schools.
This study evaluated student outcomes of an expanded school mental health (ESMH) model that placed community mental health clinicians on-site in schools to identify and treat children with mental health needs. The first aim of this study was to consider school-related outcomes (suspension rates and attendance rates) for those students who received ESMH treatment (n = 159) were compared to a matched high-risk sample that did not receive such services (n = 148). Results demonstrated differences between groups over time on measures of suspensions and attendance but not academic achievement. The second aim ...
Source: Community Mental Health Journal - December 12, 2013 Category: Psychiatry Authors: Ballard KL, Sander MA, Klimes-Dougan B Tags: Community Ment Health J Source Type: research

Exploring Primary Care Activities in ACT Teams.
Abstract People with serious mental illness often receive inadequate primary and preventive care services. Federal healthcare reform endorses team-based care that provides high quality primary and preventive care to at risk populations. Assertive community treatment (ACT) teams offer a proven, standardized treatment approach effective in improving mental health outcomes for the seriously mentally ill. Much is known about the effectiveness of ACT teams in improving mental health outcomes, but the degree to which medical care needs are addressed is not established. The purpose of this study was to explore the extent...
Source: Community Mental Health Journal - December 12, 2013 Category: Psychiatry Authors: Vanderlip ER, Williams NA, Fiedorowicz JG, Katon W Tags: Community Ment Health J Source Type: research