Effectiveness of an Intensive Outpatient Program for Disruptive Children: Initial Findings.
Abstract There are currently no manualized, intensive outpatient programs (IOP), for diagnostically heterogeneous pediatric samples that simultaneously intervene with youth and parents. Such a program was developed and has been operating at Children's Hospital Colorado since January 2006. The current study was conducted to characterize the patient sample and evaluate clinical outcomes for this novel program. The study used a method of retrospective chart review to examine demographic and diagnostic information of youth and their families, who participated in IOP. Clinical outcomes were similarly assessed, using pa...
Source: Community Mental Health Journal - January 9, 2013 Category: Psychiatry Authors: Cook MN, Crisostomo PS, Simpson TS, Williams JD, Wamboldt MZ Tags: Community Ment Health J Source Type: research
Consistency with Evidence-Based Treatments and Perceived Effectiveness of Children's Community-Based Care.
This study examined whether delivery of psychotherapeutic strategies consistent with common elements of evidence-based (EB) treatments for child disruptive behavior problems was associated with parents' report of treatment effectiveness. The intensity of delivery of practice elements consistent with EB treatments was coded from a random sample of 538 videotaped psychotherapy sessions with 157 children/families and 75 therapists from six community-based clinics. Multilevel regression analyses tested whether intensity of EB practice elements was associated with parents' report of treatment effectiveness after 4 months, ...
Source: Community Mental Health Journal - January 8, 2013 Category: Psychiatry Authors: Haine-Schlagel R, Fettes DL, Garcia AR, Brookman-Frazee L, Garland AF Tags: Community Ment Health J Source Type: research
Assessing Mental Disorder Causal Beliefs: A Latent Dimension Identification.
Abstract A Many-Facet Rasch analysis was carried out with the intent of identifying a latent trait dimension characterized by mental disorders causal beliefs variables. The present research consists of two studies. In Study 1, the responses of 443 Italian university students to a 40-item scale were analyzed by means of Rasch models. In Study 2, the responses of two new groups of subjects, of 300 and 135 people respectively, were examined to further validate the mental disorders causal beliefs dimension obtained in Study 1. Specific bias/interactions between the MDCB dimension and other variables, such as gender an...
Source: Community Mental Health Journal - January 6, 2013 Category: Psychiatry Authors: Mannarini S, Boffo M Tags: Community Ment Health J Source Type: research
What Influences Perceptions of Procedural Justice Among People with Mental Illness Regarding their Interactions with the Police?
Abstract According to procedural justice theory, a central factor shaping perceptions about authority figures and dispute resolution processes is whether an individual believes they were treated justly and fairly during personal encounters with agents of authority. This paper describes findings from a community-based participatory research study examining perceptions of procedural justice among sixty people with mental illness regarding their interactions with police. The degree to which these perceptions were associated with selected individual (e.g., socio-demographic characteristics), contextual (e.g., neighbor...
Source: Community Mental Health Journal - January 5, 2013 Category: Psychiatry Authors: Livingston JD, Desmarais SL, Greaves C, Parent R, Verdun-Jones S, Brink J Tags: Community Ment Health J Source Type: research
Service User and Family Carer Involvement in Mental Health Care: Divergent Views.
This study assessed differences between service users', family carers' and mental healthcare providers' perceptions on service user and family carer involvement in mental healthcare. We conducted questionnaires in care networks for persons with serious and persistent mental illness, among 111 service users, 73 family carers and 216 mental healthcare providers. Many aspects of service user and family carer involvement are achieved to satisfactory levels while other aspects are scarcely realized. Service users and mental healthcare providers perceive family carer involvement as less important and realized than service user i...
Source: Community Mental Health Journal - January 5, 2013 Category: Psychiatry Authors: Tambuyzer E, Van Audenhove C Tags: Community Ment Health J Source Type: research
VA-Academic Partnerships: Challenges and Rewards for New VA Mental Health Investigators.
This study presents the perspectives of academic-VA partners who have recently completed a randomized clinical trial within a VA outpatient clinic. The authors reflect on the challenges and rewards of implementing academic-VA community clinical research partnerships with the aim of assisting new VA investigators and VA collaborators. Staff resistance, time demands, processing delays, and unforeseen barriers represent challenges. However, they are balanced by numerous rewards, including establishment of a research clinic, innovative staff training, and advancement of effectiveness knowledge in community settings. Implicatio...
Source: Community Mental Health Journal - January 5, 2013 Category: Psychiatry Authors: Ayers C, Arch J Tags: Community Ment Health J Source Type: research
Working With the 'Difficult' Patient: The Use of a Contextual Cognitive-Analytic Therapy Based Training in Improving Team Function in a Routine Psychiatry Service Setting.
Abstract The clinical management of 'difficult' patients is a major challenge which exposes mental health teams to an increased risk of frustration and stress and may lead to professional burnout. The aim of the present study was to investigate whether a cognitive-analytic therapy (CAT) based training undertaken by a mental health team working with 'difficult' patients reduced professional burnout symptoms, improved patients' service engagement and increased the levels of team-cohesion. Twelve mental health staff members from different professional and educational backgrounds took part in five 2-hour sessions prov...
Source: Community Mental Health Journal - January 5, 2013 Category: Psychiatry Authors: Caruso R, Biancosino B, Borghi C, Marmai L, Kerr IB, Grassi L Tags: Community Ment Health J Source Type: research
Impact of Socio-Economic Status in Meeting the Needs of People with Mental Illness; Human Rights Perspective.
Abstract The present descriptive study investigated the impact of socio-economic status in meeting the human rights needs among randomly selected recovered psychiatric patients (n = 100) at a tertiary care center. Data was collected through face to face interview, using structured Needs Assessment Questionnaire. The findings revealed that the participants from below poverty line were deprived of physical needs such as 'electricity facilities' (χ (2) = 6.821, p
Source: Community Mental Health Journal - January 4, 2013 Category: Psychiatry Authors: Vijayalakshmi P, Ramachandra, Reddemma K, Math SB Tags: Community Ment Health J Source Type: research
Changes in Motivation for Treatment in Precontemplating Dually Diagnosed Patients Receiving Assertive Community Treatment.
Abstract In a population of dually diagnosed patients receiving assertive community treatment we used the theoretical framework of the transtheoretical model to establish (a) the proportions and characteristics of patients who were not motivated for treatment for psychiatric symptoms and substance use, (b) the proportion of patients who moved towards behavioral change after about 1 year, and examine how this change was related with clinical outcome; and (c) the sequence of change processes. Chi square tests and T tests were used to compare the patient characteristics and outcomes of patients who remained in p...
Source: Community Mental Health Journal - January 4, 2013 Category: Psychiatry Authors: Kortrijk HE, Mulder CL, van Vliet D, van Leeuwen C, Jochems E, Staring AB Tags: Community Ment Health J Source Type: research
Online Screening and Referral for Postpartum Depression: An Exploratory Study.
This study explores the efficacy of the Internet in reaching out to postpartum women in the convenience and privacy of their own homes, particularly those in rural and underserved areas. An exploratory study design was used to explore the feasibility and acceptability of online screening for PPD with postpartum women in the first 2-3 months after delivery (N = 18). In the first phase, a focus group was conducted with a small group of postpartum women; the second phase consisted of individual interviews of postpartum women in their homes; and in phase three, 10 women participated in the on-line screening inte...
Source: Community Mental Health Journal - January 3, 2013 Category: Psychiatry Authors: Drake E, Howard E, Kinsey E Tags: Community Ment Health J Source Type: research
A Cross-Sectional Study on Risk Factors of Depression Severity Among Survivors of the 2008 Sichuan Earthquake.
Abstract To examine depression severity and associated risk factors 1 year later among survivors of the May 12, 2008 Wenchuan earthquake in China, a cross-sectional study was conducted. Subjects included 704 survivors, ages 18-64, 367 (52.1 %) of whom were from heavily damaged counties and the rest from moderately damaged ones. Subjects were interviewed for socio-demographic variables, exposure level, and administered standardized scales for depression, anxiety, resilience, and social support. 23.0 % (N = 162) and 13.8 % (N = 97) of all subjects had moderate and severe depre...
Source: Community Mental Health Journal - January 3, 2013 Category: Psychiatry Authors: Xu J, Mo L, Wu Z Tags: Community Ment Health J Source Type: research
The Effect of Waiting Time on Youth Engagement to Evidence Based Treatments.
This study examines the relationship between waiting time and treatment engagement among 2,054 youth referred to an evidence based treatment (EBT). Findings indicate that families are more likely to refuse services if they face longer waiting times. Families exposed to a prolonged waiting time were also more likely to drop out prematurely from Functional Family Therapy, but this relationship was not significant among youth receiving Multisystemic Therapy. Implications for EBT implementation and strategies for engaging families are discussed. PMID: 23283487 [PubMed - as supplied by publisher] (Source: Community Mental Health Journal)
Source: Community Mental Health Journal - January 3, 2013 Category: Psychiatry Authors: Westin AM, Barksdale CL, Stephan SH Tags: Community Ment Health J Source Type: research
Erratum to: Comparison of Immigrant and Native-Born Population Adherence to Antipsychotic Treatment in a Spanish Health Region.
, Galván L PMID: 23225101 [PubMed - as supplied by publisher] (Source: Community Mental Health Journal)
Source: Community Mental Health Journal - December 9, 2012 Category: Psychiatry Authors: Forcada I, Pera V, Cruz I, Pifarré J, Serna C, Rué M, Galván L Tags: Community Ment Health J Source Type: research
Application of Level of Care Utilization System for Psychiatric and Addiction Services (LOCUS) to Psychiatric Practice in Japan: A Preliminary Assessment of Validity and Sensitivity to Change.
We examined the relationships between levels of care of LOCUS and clinical variables, contribution of care levels on admission decision, and changes in care levels over time. Inpatients showed significantly higher levels of care than outpatients. Levels of care showed significant strong inverse correlations to Global Assessment Scale (GAS) scores, and significant moderate correlations to admission types, care environment, and diagnostic subgroups in almost all groups. Levels of care contributed as much to the admission decision as GAS scores. Levels of care significantly decreased from the time of admission to discharge. O...
Source: Community Mental Health Journal - November 29, 2012 Category: Psychiatry Authors: Kimura T, Yagi F, Yoshizumi A Tags: Community Ment Health J Source Type: research
Towards a Cultural Adaptation of Family Psychoeducation: Findings from Three Latino Focus Groups.
This study was undertaken among Latinos receiving treatment from a community mental health center in New York City. The primary mental health concern was schizophrenia. We conducted three focus groups and present the viewpoints of consumers, family members, and providers. Using qualitative content analysis we identified four predominant categories: (1) the importance of family ties; (2) stigma about mental illness; (3) respect and trust in interpersonal relationships; and (4) facilitators and barriers to implementing Family Psychoeducation. Analysis of transcripts revealed specific subthemes for each category. Implications...
Source: Community Mental Health Journal - November 21, 2012 Category: Psychiatry Authors: Hackethal V, Spiegel S, Lewis-Fernández R, Kealey E, Salerno A, Finnerty M Tags: Community Ment Health J Source Type: research
Carers' Hope, Wellbeing and Attitudes Regarding Recovery.
This study compared carers' and mental health workers' recovery attitudes, and undertook multivariate predictions of carers' wellbeing, hopefulness and recovery attitudes. Participants were 82 Australian family members caring for a relative with psychosis. Carers' average recovery attitudes were less optimistic than for previously surveyed staff. Carers' recovery attitudes were predicted by perceptions that their relative's negative symptoms were more severe. Hopefulness and wellbeing was predicted by more positive and less negative caregiving experiences. Hopefulness was also predicted by less frequent contacts with their...
Source: Community Mental Health Journal - November 21, 2012 Category: Psychiatry Authors: Marshall S, Deane F, Crowe T, White A, Kavanagh D Tags: Community Ment Health J Source Type: research
Attitudes Toward Community Mental Health Care: The Contact Paradox Revisited.
This study examines the underlying mechanisms of the association between contact and attitudes toward community mental health care. Data are derived from the 2009 survey "Stigma in a Global Context-Belgian Mental Health Study", using the Community Mental Health Ideology-scale. Results show that people who received mental health treatment themselves or have a family member who has been treated for mental health problems report more tolerant attitudes toward community mental health care than people with public contact with people with mental illness. Besides, the perception of the effectiveness of the treatment see...
Source: Community Mental Health Journal - November 20, 2012 Category: Psychiatry Authors: Pattyn E, Verhaeghe M, Bracke P Tags: Community Ment Health J Source Type: research
Economic Burden Associated with Extrapyramidal Symptoms in a Medicaid Population with Schizophrenia.
Abstract No studies have assessed the economic impact of extrapyramidal symptoms due to atypical antipsychotics in schizophrenia. To assess healthcare resource use and medical costs associated with extrapyramidal symptoms in patients with schizophrenia. A retrospective analysis of Marketscan(®) Medicaid Multi-State Database (2004-2009) was conducted. Patients with schizophrenia and newly initiated on an AAP were included. Patients with and without extrapyramidal symptoms were matched using propensity-score matching. Healthcare utilization and costs were assessed in the 12-month follow-up period using logistic ...
Source: Community Mental Health Journal - November 16, 2012 Category: Psychiatry Authors: Abouzaid S, Tian H, Zhou H, Kahler KH, Harris M, Kim E Tags: Community Ment Health J Source Type: research
Effectiveness of A-CRA/ACC in Treating Adolescents with Cannabis-Use Disorders.
Abstract An evidence-based treatment for adolescent cannabis users, Adolescent Community Reinforcement Approach with Assertive Continuing Care, was implemented in a rural county and small city in the USA. A total of 147 adolescents, ages 12-18, were enrolled and assessed at baseline and three time points: 3, 6, and 12 months using the Global Appraisal of Individual Needs and related measures. Program effectiveness was confirmed. The treatment was equally effective for youth from the city versus the county. More than two-thirds (68.7 %) of the adolescents reported quitting use of cannabis by 12 month...
Source: Community Mental Health Journal - November 16, 2012 Category: Psychiatry Authors: McGarvey EL, Leon-Verdin M, Bloomfield K, Wood S, Winters E, Smith J Tags: Community Ment Health J Source Type: research
Social Support Resources and Post-Acute Recovery for Older Adults with Major Depression.
This study assessed the relationships between older patients' social support resources and depressive symptoms and psychosocial functioning at 6 months following a psychiatric hospital discharge. The data used in this study were extracted from a prospective study titled "Service Use of Depressed Elders after Acute Care" (National Institute of Mental Health-56208). This sample included 148 older patients who participated in the initial and the 6-month follow-up assessment. Ordinary Least Squares regression (OLS) was used to examine important social support resources in relation to older patients' depressive s...
Source: Community Mental Health Journal - November 16, 2012 Category: Psychiatry Authors: Li H, Morrow-Howell N, Proctor E, Rubin E Tags: Community Ment Health J Source Type: research