Subjective Recovery in Patients with Schizophrenia and Related Factors.
This study aims at investigating the factors related to subjective recovery in patients with schizophrenia living in Turkey. This study assessed 120 clinically stable outpatients with schizophrenia or schizoaffective disorder using the clinical and psychosocial scales. Gender, type of the diagnosis of disease, and age of the illness onset were found to be correlated with the subjective recovery. Subjective recovery was significantly correlated with CGI-S (r = - 0.25), total PANSS score (r = - 0.29), global assessment of functioning (r = 0.27), social functioning (r&th...
Source: Community Mental Health Journal - April 10, 2020 Category: Psychiatry Authors: İpçi K, Yildiz M, İncedere A, Kiras F, Esen D, Gürcan MB Tags: Community Ment Health J Source Type: research

Promoting Resilience Among College Student Veterans Through an Acceptance-and-Commitment-Therapy App: An Intervention Refinement Study.
Abstract Military veterans' stigmatized views on mental disorders and traditional mental health care considerably reduce veterans' access to mental health services. The present study aimed to refine a previously developed non-stigmatizing smartphone-app intervention based on the principles of acceptance and commitment therapy for college student veterans with posttraumatic stress disorder (PTSD). To this end, we tested the acceptability of the developed prototype using a mixed-method study design. A total of nine student veterans participated in the study by using the app intervention and completing pre-post study...
Source: Community Mental Health Journal - April 9, 2020 Category: Psychiatry Authors: Reyes AT, Muthukumar V, Bhatta TR, Bombard JN, Gangozo WJ Tags: Community Ment Health J Source Type: research

Self-Destigmatization Process? Experiences of Persons Living with Bipolar Disorder: A Qualitative Study.
This study presents a new six-dimension process called the "self-destigmatization process" (SDP), a personal and interrelational process that deconstructs self-stigmatization. Clinicians can use the landmarks of the process for clinical assessment and therapeutic interventions to increase recovery orientation. PMID: 32266548 [PubMed - as supplied by publisher] (Source: Community Mental Health Journal)
Source: Community Mental Health Journal - April 7, 2020 Category: Psychiatry Authors: Richard-Lepouriel H, Favre S, Jermann F, Aubry JM Tags: Community Ment Health J Source Type: research

A Profile of Care Coordination, Missed School Days, and Unmet Needs Among Oregon Children with Special Health Care Needs with Behavioral and Mental Health Conditions.
Abstract To inform Oregon's Title V needs assessment activities, we aimed to (1) characterize the state's subpopulation of children with special health care needs (CSHCN) with behavioral and mental health conditions (B/MHC) and (2) determine associations of care coordination with missed school days and unmet needs for this subpopulation. We analyzed 2009-2010 National Survey of Children with Special Health Care Needs data on 736 Oregon CSHCN 
Source: Community Mental Health Journal - April 1, 2020 Category: Psychiatry Authors: Lindly OJ, Martin AJ, Lally K Tags: Community Ment Health J Source Type: research

Factors Predicting Response to the Recovery-Oriented Cognitive Behavioural Workshop for Persons Diagnosed with Schizophrenia.
In conclusion, adaptations utilising more booster sessions and accommodating older participants with longer duration of illness are required, as is further workshop evaluation in a randomised controlled study. PMID: 32239365 [PubMed - as supplied by publisher] (Source: Community Mental Health Journal)
Source: Community Mental Health Journal - April 1, 2020 Category: Psychiatry Authors: Nowak I, Świtaj P, Oberhauser C, Anczewska M Tags: Community Ment Health J Source Type: research

Do Attitudes Matter? Evaluating the Influence of Training in CBT-p-Informed Strategies on Attitudes About Working with People Who Experience Psychosis.
Abstract Attitudes of mental health providers are an important consideration in training and delivering evidence-based practices. Treatment approaches for individuals who experience schizophrenia consistently endorse the importance of a recovery perspective. At the same time, a review of the literature suggests that the attitudes of many providers and many policies of community health care settings serving individuals who experience schizophrenia, may not align with the recovery perspective. This brief report provides a summary of the program evaluation outcomes of a wide range of mental health providers who parti...
Source: Community Mental Health Journal - March 28, 2020 Category: Psychiatry Authors: Sivec HJ, Kreider VAL, Buzzelli C, Hrouda DR, Hricovec MM Tags: Community Ment Health J Source Type: research

Correlates of Physical Activity and Cardiorespiratory Fitness in Racially and Ethnically Diverse People with Serious Mental Illness in Supportive Housing.
We examined demographic, health, and mental health correlates of physical activity and cardiorespiratory fitness (CRF) in racially and ethnically diverse people with serious mental illness (SMI) living in supportive housing. We used baseline data from 314 people with SMI enrolled in a randomized effectiveness trial of a peer-led healthy lifestyle intervention. Sedentary behavior and physical activity were measured with the International Physical Activity Questionnaire. CRF was measured with the 6-min walking test (6MWT). Correlates were identified via ordinary least squares and logistic regressions. Participants ...
Source: Community Mental Health Journal - March 28, 2020 Category: Psychiatry Authors: Cabassa LJ, Stefancic A, Wang X, Guo S, Lu NY, Weatherly C Tags: Community Ment Health J Source Type: research

Suicide in Older Adults in Ohio: Characteristics, Precipitants, and Mental Health Service Utilization.
The objective of the research is to examine characteristics of Ohio suicide decedents ages 65 + (N = 1273) and factors associated with behavioral health (BH) services utilization. The Ohio Violent Death Reporting System, 2012-2015, was the data source. Logistic regression analyses were used to examine the association among characteristics, suicide means, and BH service utilization. Of the study subjects, 96.0% were non-Hispanic white; 84.6%, male; and 63.0% living in urban areas. About 75.1% used firearms; 27.6% reported recent BH treatment. Those who were never married, depressed, and had a pri...
Source: Community Mental Health Journal - March 27, 2020 Category: Psychiatry Authors: Sweeney HA, Fontanella CA, Steelesmith DL, Quinn C Tags: Community Ment Health J Source Type: research

Assessing Front Office Staff  Awareness on Mental Health Resources at Youth Friendly Clinics in Los Angeles County.
DISCUSSION: In this pilot study, about half of the front desk staff at the surveyed clinics in LA County did not know that the clinic is fully authorized and equipped to provide mental health services to the minors (patients under 18 years of age). These are missed opportunities. There is a need for better education of the front-desk personnel. PMID: 32193851 [PubMed - as supplied by publisher] (Source: Community Mental Health Journal)
Source: Community Mental Health Journal - March 19, 2020 Category: Psychiatry Authors: Seu M, Lopez D, Nave M, Rodriguez E, Ureta E, Equils O Tags: Community Ment Health J Source Type: research

Qualitative Study of NAMI Homefront Family Support Program.
This study used telephone interviews to identify program components that are helpful or need improvement, and to compare the online and in-person program formats. Seventeen participants (7 online) and 17 instructors (3 online) were interviewed and qualitative data analysis suggested that the most helpful components were group discussion, lessons on veteran-specific issues, and coping skills workshops. Some suggested expanding Homefront to 8 or 10 weeks. The online program was convenient for those unable to attend otherwise, but participants cited some dissatisfaction with the discussion format. Instructors described t...
Source: Community Mental Health Journal - March 19, 2020 Category: Psychiatry Authors: Haselden M, Bloomfield-Clagett B, Robinson S, Brister T, Jankowski SE, Rahim R, Cabassa LJ, Dixon L Tags: Community Ment Health J Source Type: research

Validity and Performance of the Patient Health Questionnaire (PHQ-2) for Screening of Depression in a Rural Chilean Cohort.
Abstract Validity of PHQ-2 to screen for depression was assessed in an agricultural population in Chile. The sample included 4767 adults enrolled from 2014 to 2017 in a population-based cohort of chronic disease in Maule, Chile. Receiver operating characteristic (ROC) curve analysis was used to find the optimal PHQ-2 cut-off for depression, defined as the highest Youden index, using PHQ-9 as a reference standard. Sensitivity, specificity, and Youden J index were calculated for every cut-off point of PHQ-2. Prevalence of depression measured by PHQ-9 and PHQ-2 was 18% and 18.4%, respectively. Corresponding rates for...
Source: Community Mental Health Journal - March 19, 2020 Category: Psychiatry Authors: Caneo C, Toro P, Ferreccio C, Mauco Research Team Tags: Community Ment Health J Source Type: research

The Behavioral Model of Health: Education, Behavioral Health Factors, and Stigma as Predictors of Help-Seeking Attitudes.
Abstract Per the behavioral model of health, help-seeking attitudes (and even behavioral health service use) are a function of predisposing and enabling individual characteristics (e.g. demographic characteristics, health beliefs), as well as contextual characteristics (resources, social structures such as education etc.). While researchers have examined how demographic (gender and ethnicity) and socioeconomic (education and income) characteristics, psychological factors, and internal barriers relate to help-seeking attitudes, the majority of these works have investigated how different variables independently act ...
Source: Community Mental Health Journal - March 13, 2020 Category: Psychiatry Authors: Benuto LT, Casas J, Gonzalez F, Newlands R Tags: Community Ment Health J Source Type: research

Childhood Adversity, Proximal Stressors and PTSD Among People with Severe Mental Illness: An Exploratory Study.
Abstract The purpose of this exploratory study is to: (1) assess prevalence of childhood adversities and posttraumatic stress disorder (PTSD); (2) assess their association, and; (3) explore whether proximal sources of stress affect this relationship and/or have an association with PTSD among people with severe and persistent psychological disorders. Using data from 141 respondents, we assess the extent to which individuals in this population experienced 17 PTSD symptoms, various correlates to probable PTSD, and the most relevant of these factors in a multivariate logistic regression. Overall, 27% of the participan...
Source: Community Mental Health Journal - March 13, 2020 Category: Psychiatry Authors: Adams RE, Bonfine N, Ritter C Tags: Community Ment Health J Source Type: research

Age-Period-Cohort Analysis of Trends in Mental Health Mortality in India from 2001 to 2015.
Abstract The current study was done to examine the trend of mental health mortality in India using age-period-cohort (APC) analysis. We have conducted a secondary data analysis by using the data on mental health mortality from WHO Global Health Estimates. We performed APC analysis by weighted least squares regression with assumption that data follows Poisson distribution.Annual increase in the age adjusted mortality rate due to mental health problems was 1.52%. Rate ratio (RR) increased consistently across all the age groups from 15-19 to 80-84 years. RR of period effects also showed increase from 2001-2005 t...
Source: Community Mental Health Journal - March 12, 2020 Category: Psychiatry Authors: Krishnamoorthy Y, Rehman T, Eliyas SK Tags: Community Ment Health J Source Type: research

Assessing Nomophobia: Validation Study of the European Portuguese Version of the Nomophobia Questionnaire.
Abstract Nomophobia (no mobile phone phobia) can be defined as a situational phobia described by the fear of not having a smartphone available or being incapable of accessing the Internet. Based on these characteristics, the Nomophobia Questionnaire (NMP-Q) was designed, showing a four-factor structure and good psychometric characteristics. The current study intended to adapt the NMP-Q to European Portuguese (NMP-Q-PT) and test its factor structure and psychometric properties. Five hundred participants from the general population (convenience sampling) filled in the NMP-Q-PT, the Smartphone Addiction Scale-Sh...
Source: Community Mental Health Journal - March 11, 2020 Category: Psychiatry Authors: Galhardo A, Loureiro D, Raimundo E, Massano-Cardoso I, Cunha M Tags: Community Ment Health J Source Type: research

Understanding Individual and Family Experiences Associated with DUP: Lessons from the Early Assessment and Support Alliance (EASA) Program in Oregon, USA.
Abstract Research shows that a longer duration of untreated psychosis (DUP) is associated with worse psychiatric outcomes, with average length of DUP of 73 weeks in the U.S. The aim was to examine the DUP period for first episode psychosis in Oregon, with a focus on the processes between the first positive symptoms and first treatment. To investigate DUP, researchers used methods consistent with grounded theory to collect data from 9 participants and their families about the process between onset of psychotic symptoms and entrance into treatment. Results suggest that recognition of symptoms was the primary dr...
Source: Community Mental Health Journal - March 10, 2020 Category: Psychiatry Authors: Melton R, Blajeski S, Glasser D Tags: Community Ment Health J Source Type: research

Implementation of Individual Placement and Support in Italy: The Reggio Emilia Experience.
This study documents the feasibility of an implementation strategy for introducing the IPS model in the public mental health care system in Italy. PMID: 32157515 [PubMed - as supplied by publisher] (Source: Community Mental Health Journal)
Source: Community Mental Health Journal - March 10, 2020 Category: Psychiatry Authors: Pelizza L, Ficarelli ML, Vignali E, Artoni S, Franzini MC, Montanaro S, Andreoli MV, Marangoni S, Ciampà E, Erlicher D, Troisi E, Pupo S, Fioritti A Tags: Community Ment Health J Source Type: research

Establishing Context to Build Capacity: A Qualitative Study to Determine the Feasibility, Utility, and Acceptability of a Complex Trauma Training for Psychologists Working in Urban Migrant Communities in Northern Peru.
This study sought to determine the utility of such a training and identify areas for cultural adaptation. Six focus groups were conducted with CMHC psychologists. Findings revealed that, while a culturally-adapted training in trauma-focused treatment is desired, sociocultural barriers to ensuring the physical and psychological safety of the service user must be considered, as well as provider barriers including short treatment packages, insufficient physical infrastructure, and unstable work conditions. PMID: 32157516 [PubMed - as supplied by publisher] (Source: Community Mental Health Journal)
Source: Community Mental Health Journal - March 10, 2020 Category: Psychiatry Authors: Kohrt BK, Murray MP, Cabel Salinas L Tags: Community Ment Health J Source Type: research

Assessing Provider Bias in General Practitioners' Assessment and Referral of Depressive Patients with Different Migration Backgrounds: Methodological Insights on the Use of a Video-Vignette Study.
Abstract Although the prevalence of common mental health conditions such as depression and anxiety, is higher among people with a migration background, these groups are generally underrepresented in all forms of institutionalized mental health care. At the root of this striking discrepancy might be unequal referral by health care practitioners. In this article we describe the development of a quasi-experimental video vignette methodology to assess potential forms of unequal diagnosing, treatment and referral patterns, based on clients' migration background and asylum status. The presented methodology also allows t...
Source: Community Mental Health Journal - March 4, 2020 Category: Psychiatry Authors: Ceuterick M, Bracke P, Van Canegem T, Buffel V Tags: Community Ment Health J Source Type: research

Self-direction and the Social Determinants of Health.
Abstract Social determinants of health-defined by the World Health Organization as "the social factors and physical conditions of the environment in which people are born, live, learn, play, work, and age"-are increasingly discussed as having relevance in community mental health service systems. This brief report describes how self-direction-an approach in which people with serious mental health conditions choose the services and supports that work best for them to support their recovery-is a tool that may directly and uniquely promote the social determinants of health by expanding the bounds of traditio...
Source: Community Mental Health Journal - March 3, 2020 Category: Psychiatry Authors: Croft B Tags: Community Ment Health J Source Type: research

Quality of Life and Mental Well-Being: A Gendered Analysis of Persons Experiencing Homelessness in Canada.
Abstract Homelessness has negative implications for mental well-being and quality of life. This paper identifies the quality of life variables that contribute to positive or negative wellbeing, reporting on a regression analysis from 343 individuals experiencing homelessness in Canada. Results indicate that a lack of sleep duration and quality reduced mental well-being for both genders, not having access to food and/or hygiene facilities decreased men's well-being, and engaging in illegal subsistence strategies, such as selling drugs, negatively impacted women's mental well-being. For persons experiencing homeless...
Source: Community Mental Health Journal - March 2, 2020 Category: Psychiatry Authors: Buccieri K, Oudshoorn A, Waegemakers Schiff J, Pauly B, Schiff R, Gaetz S Tags: Community Ment Health J Source Type: research

Psychological Well-Being Among Internally Displaced Adolescents and the Effect of Psychopathology on PTSD Scores Depends on Gender.
nüllü E Abstract The purpose of this cross-sectional study was to investigate the post-traumatic symptoms and psychological well-being among internally displaced (ID) adolescents in the early phase of the conflict in the southeast part of Turkey and clarify the effect of psychopathology on PTSD scores depends on gender. With the help of the results of our study, we aimed to enhance our understanding of adolescent mental health. Our study was completed with 102 ID adolescents (42 boys, 60 girls). Our results showed that ID adolescents flee from conflict had significantly higher levels of mental disorders ...
Source: Community Mental Health Journal - March 2, 2020 Category: Psychiatry Authors: Eray Ş, Murat D, Uçar HN, Gönüllü E Tags: Community Ment Health J Source Type: research

Assessing Food Insecurity in Individuals with Serious Mental Illness: A Pilot Training for Community Mental Health Providers.
Abstract Food insecurity (FI), or limited or uncertain access to food, is a significant public health issue, especially for individuals with serious mental illness. As such, mental health providers should regularly assess FI and link individuals to resources. The purpose of this project was to create and pilot test a provider training on FI assessment at a community mental health center. Fifteen providers participated in the training and completed surveys at post-training and one-month follow-up. Results suggested success in delivering an acceptable training that conveyed the importance of FI and inspired confiden...
Source: Community Mental Health Journal - February 27, 2020 Category: Psychiatry Authors: Browne J, Ponce A Tags: Community Ment Health J Source Type: research

An Arts on Prescription Programme: Perspectives of the Cultural Institutions.
Abstract Research on Arts on Prescription (AoP) programmes are on the increase and the participants' positive mental health outcomes are well-documented. However, there is insufficient research that considers the participating cultural institutions' perspectives. A qualitative focus group interview was conducted with the participating culture institutions in an AoP project in Denmark. Representatives from seven cultural institutions participated in the interview. The data was transcribed and analysed using Braun and Clark's (Qual Res Psychol 3(77):77-101. https://doi.org/10.1191/1478088706qp063oa, 2006) thematic a...
Source: Community Mental Health Journal - February 25, 2020 Category: Psychiatry Authors: Jensen A, Bonde LO Tags: Community Ment Health J Source Type: research

Predictors of National and Community Resilience of Israeli Border Inhabitants Threatened by War and Terror.
Abstract The present study investigates predictors of the national resilience (NR) and community resilience (CR) of civilians who live on Israel's northern border, and are facing for years acts of terror and threats of war. A sample of 1515 kibbutz (communal settlement) members who live next to this northern Israeli border has responded to questionnaires pertaining to the investigated resiliencies. Results indicate that under these conditions psychological reactions (trust in community institutes and individual resilience), rather than demographic characteristics, are the best predictors of NR and CR; although NR ...
Source: Community Mental Health Journal - February 25, 2020 Category: Psychiatry Authors: Eshel Y, Kimhi S, Marciano H Tags: Community Ment Health J Source Type: research

Evaluation on Efficacy of Psychological and Behavioral Intercession and Its Implications on People with Schizophrenia: A Novel Approach.
CONCLUSION: Conducting intervention on psychological and behavioral approach has explored novel treatment outcomes, targeted schizophrenia patients effectively. PMID: 32086674 [PubMed - as supplied by publisher] (Source: Community Mental Health Journal)
Source: Community Mental Health Journal - February 21, 2020 Category: Psychiatry Authors: Ahmad M, Alrashed MM, Al-Shehri AR, BangShang Y Tags: Community Ment Health J Source Type: research

Clinical and Socio-demographic Variables Associated with the Outcome of Vocational Rehabilitation Programs: A Community-Based Italian Study.
This study aims to identify clinical and socio-demographic variables associated with the outcome of vocational rehabilitation programs (VRPs). All users of an Italian Community Mental Health Centre (CMHC) included in VRPs delivered according to the model of Supported Employment in years 2011-2016 were retrospectively enrolled. Fifty users who ended the program with employment were compared with fifty users who dropped out, with respect to clinical and socio-demographic variables. VRPs lasting less than 6 months and oriented toward the competitive labor market had a higher probability of employment. Among users who suc...
Source: Community Mental Health Journal - February 21, 2020 Category: Psychiatry Authors: Mattei G, Venturi G, Alfieri S, Colombini N, Ferrari S, Rigatelli M, Starace F, Galeazzi GM Tags: Community Ment Health J Source Type: research

Basic Family Relations, Parental Bonding, and  Dyadic Adjustment in Families with a Member with Psychosis.
This study deepens our understanding of how family assessment and relational diagnoses can serve as prevention and intervention tools for families affected by a psychotic disorder. PMID: 32080779 [PubMed - as supplied by publisher] (Source: Community Mental Health Journal)
Source: Community Mental Health Journal - February 21, 2020 Category: Psychiatry Authors: Roca M, Vilaregut A, Palma C, Barón FJ, Campreciós M, Mercadal L Tags: Community Ment Health J Source Type: research

Examining Psychological Distress Across Intersections of Immigrant Generational Status, Race, Poverty, and Gender.
Abstract While many studies have documented the health outcomes of immigrants, little is known about the direct and intersectional influences of generational status on mental health. We conducted a population-based cross-sectional study using data from the California Health Interview Survey from 2015 to 2016 (N = 41,754) to compare the prevalence of psychological distress among first-generation immigrants and non-immigrants relative to second-generation immigrants, overall and across intersections of race, poverty status, and gender. Second-generation and non-immigrant respondents had a significantly...
Source: Community Mental Health Journal - February 19, 2020 Category: Psychiatry Authors: Mancenido A, Williams EC, Hajat A Tags: Community Ment Health J Source Type: research

Italian Validation of the Screen for Cognitive Impairment in Psychiatry.
Abstract Cognitive impairments have profound implications for the management of severe mental disorders; however, they are rarely assessed in everyday clinical practice due to constraints in time, resource and expertise. Novel and short instruments, such as the Screen for Cognitive Impairment in Psychiatry (SCIP), which overcome such limitations are greatly needed. The study aims to assess the validity and reliability, among healthy subjects, of the Italian translation of the SCIP, a brief, accessible tool to detect cognitive impairments among individuals suffering from mental disorders, as the first step to valid...
Source: Community Mental Health Journal - February 19, 2020 Category: Psychiatry Authors: Belvederi Murri M, Folesani F, Costa S, Morelli AC, Scillitani V, Guaiana G, Biancosino B, Caruso R, Nanni MG, Zerbinati L, Purdon SE, Grassi L Tags: Community Ment Health J Source Type: research

Follow-Up Care After Behavioral Health-Related Hospitalization for Children and Adolescents.
Abstract Although the coordination of follow-up behavioral health-related care between hospitals and outpatient behavioral health care settings is important, studies on this topic are few. Claims were selected from Truven Health Analytics' Marketscan databases during 2014 for youth aged 2-18 years who had an inpatient stay with a behavioral health diagnosis. Analyses identified whether youth received a behavioral health follow-up visit within 30 days following a hospitalization. The percentage of children who received post-hospitalization follow-up care was 59.1% (Medicaid) and 59.4% (private insurance)....
Source: Community Mental Health Journal - February 18, 2020 Category: Psychiatry Authors: Lynch S, Witt W, Ali MM, Teich J, Mutter R, Gibbons B, Walsh C Tags: Community Ment Health J Source Type: research

Postpartum Depression in the Portuguese Population: The Role of Knowledge, Attitudes and Help-Seeking Propensity in Intention to Recommend Professional Help-Seeking.
This study aimed to characterize the intentions to recommend professional help-seeking for postpartum depression in the Portuguese population, as well as to analyse its determinants. A cross-sectional internet survey including 621 people of general population was conducted. Participants reported a high intention to recommend professional help-seeking for postpartum depression. Greater knowledge about postpartum depression, lower stigma and high perceived utility of mental health help-seeking were associated with high intention to recommend professional help-seeking for PPD, both directly and indirectly, through less n...
Source: Community Mental Health Journal - February 18, 2020 Category: Psychiatry Authors: Branquinho M, Canavarro MC, Fonseca A Tags: Community Ment Health J Source Type: research

The Relationship Between Maternal Self-confidence and Postpartum Depression in Primipara Mothers: A Follow-Up Study.
Abstract This follow-up study was performed in order to determine the relationship between maternal self-confidence and postpartum depression in primipara mothers over time. It was conducted between February and December 2017 with 82 primipara mothers. Data was collected using Participant information forms, The Pharis Self-confidence Scale (PSCS), and The Edinburgh Postpartum Depression Scale (EPPDS) in three phases in the 6th postpartum week (1st follow up), 10th week (2nd follow up), and 14th week (3rd follow up) and was evaluated using independent t test, Pearson correlation analysis, the Cochran's Q test, and ...
Source: Community Mental Health Journal - February 18, 2020 Category: Psychiatry Authors: Aydemir S, Onan N Tags: Community Ment Health J Source Type: research

Symptom Severity, Self-efficacy and Treatment-Seeking for Mental Health Among US Iraq/Afghanistan Military Veterans.
This study investigated if symptom severity and self-efficacy are associated with treatment-seeking among US Iraq/Afghanistan veterans. Survey data from 525 veterans meeting clinical criteria for PTSD and depression were included of which, 54.4% had sought treatment in the past 12 months. Multivariate logistic regression analysis indicated that high symptom severity was associated with treatment seeking, whereas high self-efficacy was associated with a decreased likelihood to seek treatment. Self-efficacy could be an underlying mechanism of treatment seeking decisions. PMID: 32064566 [PubMed - as supplied by publ...
Source: Community Mental Health Journal - February 17, 2020 Category: Psychiatry Authors: Keeling M, Barr N, Atuel H, Castro CA Tags: Community Ment Health J Source Type: research

What Do Adults Think About Their Adverse Childhood Experiences (ACEs), and Does It Matter?
We examined the self-reported adulthood impact of adverse childhood experiences (ACE's), including both the amount (magnitude) and type (valence positive or negative) of impact reported, in order to characterize variability in impact ratings, as well as to quantify their predictive ability with respect to health outcomes. We descriptively characterized impact by type of event and analyzed associations between impact ratings and demographic characteristics of respondents to explore resilience. We also analyzed the relationships between impact ratings and health outcomes. We found that, while there was wide variability in im...
Source: Community Mental Health Journal - February 17, 2020 Category: Psychiatry Authors: LaNoue MD, Cunningham AT, Kenny LC, Abatemarco D, Helitzer D Tags: Community Ment Health J Source Type: research

Counseling on Access to Lethal Means in the Emergency Department: A Script for Improved Comfort.
Abstract Individuals with suicidal ideation (SI) frequently present to the emergency department (ED). We hypothesized that CALM: Counseling on Access to Lethal Means training improves non-physician provider comfort with delivering an ED-based counseling intervention on lethal means restriction. Ten non-physician intervention counselors who currently provide CALM to ED patients presenting with SI were surveyed for demographics, prior experience caring for patients with SI, prior CALM experience, comfort providing CALM, and which method of training most improved comfort with CALM. Survey response rate was 100%. Foll...
Source: Community Mental Health Journal - February 17, 2020 Category: Psychiatry Authors: Mueller KL, Chirumbole D, Naganathan S Tags: Community Ment Health J Source Type: research

Development and Evaluation of a Mental Health Training Program for Community Health Workers in Indonesia.
Abstract The treatment gap in mental health care in Indonesia is a critical issue due in large measure to the dearth of professional mental health staff. In response to this need, our team designed a mental health training program for existing community health workers. The training program was offered to 65 participants at 2 (two) community primary care center (Puskesmas); we evaluated the training program with quantitative and qualitative methods. We assessed the gains in knowledge using a 20-question knowledge assessment test. In addition, in Puskesmas 1, the test was repeated as a follow-up test 4 months a...
Source: Community Mental Health Journal - February 15, 2020 Category: Psychiatry Authors: Marastuti A, Subandi MA, Retnowati S, Marchira CR, Yuen CM, Good BJ, Good MD Tags: Community Ment Health J Source Type: research

Brief Training on Medication-Assisted Treatment Improves Community Mental Health Clinicians' Confidence and Readiness to Address Substance Use Disorders.
This study evaluates the impact of a 1-day MAT training for community mental health clinicians using a 30-item pre- and post-training questionnaire. Of the 109 clinicians who attended the training, 107 completed the pre- and post-training questionnaires. Factor analysis of the questionnaire identified two domains: readiness to address SUDs among patients (factor 1) and understanding SUDs as diseases (factor 2). Post training, there was a significant change in both factor 1 (p = .00001) and factor 2 (p = .00003), indicating that a brief MAT training can increase clinicians' confidence and readine...
Source: Community Mental Health Journal - February 15, 2020 Category: Psychiatry Authors: Iheanacho T, Bommersbach T, Fuehrlein B, Arnaout B, Dike C Tags: Community Ment Health J Source Type: research

Comparing Suicide Attempters With and Without Mental Disorders: A Study of Young Adults in Rural China.
Abstract Over 90% of suicides in the West could be diagnosed with mental disorders, while only 50-70% of Chinese suicides had mental disorders. Using data from a case-control study on suicide attempt, we aimed to compare characteristics and risk factors between suicide attempters with and without mental disorders. Demographic and social psychological characteristics were compared between attempters with and without mental disorders. 19.1% of the suicide attempters were diagnosed with mental disorders. Suicide attempters with mental disorders endured more strain than those without. Strain was an independent risk fa...
Source: Community Mental Health Journal - February 14, 2020 Category: Psychiatry Authors: Li N, Zhang J, Wang H, Yang F Tags: Community Ment Health J Source Type: research

The Effect of Emotion Regulation Training on Stress, Anxiety, and Depression in Family Caregivers of Patients with Schizophrenia: A Randomized Controlled Trial.
This study aimed to investigate the effect of emotional regulation training on stress, anxiety, and depression in caregivers of patients with schizophrenia. The study was a randomized controlled trial. Seventy caregivers of patients with schizophrenia randomly assigned to a group that received emotion regulation training and a control group. The intervention group was trained about emotion regulation during eight 90-min sessions. The participants completed the Depression, Anxiety and Stress Scales-21 questionnaire before and one month after the intervention. The results showed that stress, anxiety and depression scores sig...
Source: Community Mental Health Journal - February 13, 2020 Category: Psychiatry Authors: Behrouian M, Ramezani T, Dehghan M, Sabahi A, Ebrahimnejad Zarandi B Tags: Community Ment Health J Source Type: research

Novel Insights into Autism Knowledge and Stigmatizing Attitudes Toward Mental Illness in Dutch Youth and Family Center Physicians.
In conclusion, ASD knowledge and stigmatizing attitudes toward mental illness in Dutch YFC physicians require attention. PMID: 32048132 [PubMed - as supplied by publisher] (Source: Community Mental Health Journal)
Source: Community Mental Health Journal - February 11, 2020 Category: Psychiatry Authors: van 't Hof M, van Berckelaer-Onnes I, Deen M, Neukerk MC, Bannink R, Daniels AM, Hoek HW, Ester WA Tags: Community Ment Health J Source Type: research

Feasibility of a Consumer Centred Tobacco Management intervention in Community Mental Health Services in Australia.
This study tested a new program for helping smokers with severe mental illness to reduce their tobacco use, together with determining the feasibility of such research in community mental health settings in Australia. Five Neami National sites trialled a Consumer Centred Tobacco Management program called Kick the Habit (n = 34). The intervention included two weeks of free Nicotine Replacement Therapy (patches only) but participants also used a variety of self-funded delivery types in addition or as an alternative to the subsidised nicotine patch. At the 3-month follow-up, Kick the Habit participants had reduce...
Source: Community Mental Health Journal - February 8, 2020 Category: Psychiatry Authors: Johnson SE, Mitrou F, Lawrence D, Zubrick SR, Wolstencroft K, Ennals P, Hall C, McNaught E Tags: Community Ment Health J Source Type: research

Experiences of Parachute NYC: An Integration of Open Dialogue and Intentional Peer Support.
Abstract Guided by the principles of Open Dialogue and Intentional Peer Support (IPS), Parachute NYC was designed to provide a "soft landing" for people experiencing psychiatric crisis. From 2012 to 2018, Parachute's teams of clinicians and peer specialists provided home-based mental health care to enrollees and their networks (family, friends), seeking to engage and improve their natural support networks. This qualitative study examined the experiences of enrollees and network members who participated in Parachute. Participants reported that they valued the accessibility and flexibility of Parachute as ...
Source: Community Mental Health Journal - February 8, 2020 Category: Psychiatry Authors: Wusinich C, Lindy DC, Russell D, Pessin N, Friesen P Tags: Community Ment Health J Source Type: research

Health and Social Care Diversity Among Individuals with Longstanding Physical and Psychological Health Problems: Pooled Repeated Cross Sectional Analyses.
Abstract This paper examines differences in health-and-social care utilisation for individuals with physical and/or mental health problems. Logistic regression models are used to determine disparity in the percentage of General Household/Lifestyle Survey participants with physical compared to mental health problems receiving disability benefits or health care services between 2000 and 2011. Our findings of a relative underutilisation of secondary health care combined with a relative overutilization of out-of-work benefits by individuals with mental health problems is novel to the field of rehabilitative health car...
Source: Community Mental Health Journal - February 8, 2020 Category: Psychiatry Authors: Driessens C, Kingdon D, Pilgrim D, Smith PWF Tags: Community Ment Health J Source Type: research

Critical Issues in Leadership Development for Peer Support Specialists.
Abstract This paper is a qualitative analysis of perspectives on leadership development among working peer support specialists and highlights the challenges, needs and efficacy these individuals experience in their work settings. Six participants engaged in a 2 h semi-structured focus group. Participants were guided through a series of nine questions regarding their transition to leadership, professional communication and relationships. Seven themes emerged: managing dual relationships; having difficult conversations; push and pull of leadership; taking responsibility for others; taking responsibility for sel...
Source: Community Mental Health Journal - February 7, 2020 Category: Psychiatry Authors: Jenkins GT, Shafer MS, Janich N Tags: Community Ment Health J Source Type: research

Utilization of Mental Health Services Among Older Chinese Immigrants in New York City.
This study aims to examine mental health service utilization among older Chinese immigrants, using a mixed-method design. Andersen's Behavioral Model of Health Services Use informed an examination of predictors of mental health services utilization, and semi-structured individual interviews were conducted to illuminate these findings. Participants who were younger, had less than a high school education, and had a higher level of depressive symptoms were more likely to use mental health services. Stressors of psychological distress included breakdown of support system, language barriers, and financial hardships. Factors inf...
Source: Community Mental Health Journal - February 5, 2020 Category: Psychiatry Authors: Chao YY, Seo JY, Katigbak C, Chang YP Tags: Community Ment Health J Source Type: research

The Effects of Clinical Experience on Early Career Psychiatrists' Beliefs and Attitudes Towards Older Psychiatric Patients.
Abstract Although literature has documented widespread negative and stereotypical attitudes held by healthcare professionals towards the older adults, there is a current paucity of research about the perspective of psychiatrists. We aimed to identify the attitudes of Tunisian early career psychiatrists towards the older adults. This was a cross-sectional study conducted among 71 early career psychiatrists. Data were collected through anonymous online surveys. A series of 4 point Likert-type questions ("strongly agree", "somewhat agree", "somewhat disagree", "strongly disagree&quo...
Source: Community Mental Health Journal - February 5, 2020 Category: Psychiatry Authors: Fekih-Romdhane F, Tira S, Ghazouani N, Ben Ali S, Cheour M Tags: Community Ment Health J Source Type: research

Factors Affecting Happiness Among Rural Residents: A Cross Sectional Survey.
Abstract This cross-sectional and descriptive study aimed to investigate factors that affected the happiness of rural residents. The study used a convenience sample consisting of 1029 Korean rural residents from the Gyeong-gi Province collected between November and December 2014. The results found that people aged 60 and over were happier than those between 15 and 19 years old. Happiness was correlated with age, income, violence, social support, subjective health, depression, and suicidal ideation. Factors affecting the happiness of rural residents were depression, social support, suicidal ideation, and age, ...
Source: Community Mental Health Journal - February 4, 2020 Category: Psychiatry Authors: Jo HK, Kim HK, Jeong JN Tags: Community Ment Health J Source Type: research

The Views of Non-psychiatric Medical Specialists About People with Schizophrenia and Depression.
This study explored the views of non-psychiatric medical specialists about people with schizophrenia and depression and examined whether specialists' approach to these clients, and their perception of dangerousness and social distance, differed by disorder. Non-psychiatric medical specialists working in community centers in Italy read either a schizophrenia or depression description and then completed a questionnaire on their views about people with that disorder. The schizophrenia-group (N = 114) was more sure than the depression-group (N = 97) that the patients should be approached differently...
Source: Community Mental Health Journal - February 4, 2020 Category: Psychiatry Authors: Magliano L, Ruggiero G, Read J, Mancuso A, Schiavone A, Sepe A Tags: Community Ment Health J Source Type: research

Intimate Partnerships, Suicidal Ideation and Suicide-Related Hospitalization Among Young Kenyan Men.
Abstract The first study focused on a three-month chart review containing information on suicide attempts (n = 34) admitted to a local mission hospital in Meru County, Kenya. The second study utilized a cross-sectional survey administered to men 18-34 years old (n = 532) residing in rural Kenya. Data posit intimate partnership discord as salient to suicide ideation and behavior. Men who reported their partner status was "divorced" had four-times the odds of reporting suicide ideation than other partnership states, an association significantly mediated by loneliness. Viole...
Source: Community Mental Health Journal - February 4, 2020 Category: Psychiatry Authors: Goodman ML, Seidel SE, Gibson D, Lin G, Patel J, Keiser P, Gitari S Tags: Community Ment Health J Source Type: research