Development of a Shared Decision Making Model in a Community Mental Health Center.
Abstract Shared Decision Making (SDM) is an essential component of recovery oriented treatment for clients with severe and persistent mental illnesses. SDM has been found to be effective in improving outcome of treatment of non-psychiatric ailments, and studies of SDM in community mental health settings are limited. We designed and implemented a low tech SDM program in a non-academic community mental health center and evaluated the outcome on decisional certainty and satisfaction with services. The results suggest that SDM can be effectively integrated with evidence based psychiatric rehabilitation practices utili...
Source: Community Mental Health Journal - April 4, 2017 Category: Psychiatry Authors: Paudel S, Sharma N, Joshi A, Randall M Tags: Community Ment Health J Source Type: research

Incorporating Patients' Social Determinants of Health into Hypertension and Depression Care: A Pilot Randomized Controlled Trial.
The objective of this study was to carry out a randomized controlled pilot trial to test the effectiveness of an integrated intervention for hypertension and depression incorporating patients' social determinants of health (enhanced intervention) versus an integrated intervention alone (basic intervention). In all, 54 patients were randomized. An electronic monitor was used to measure blood pressure, and the nine-item Patient Health Questionnaire (PHQ-9) assessed depressive symptoms. Patients in the enhanced intervention had a significantly improved PHQ-9 mean change from baseline in comparison with patients in the basic i...
Source: Community Mental Health Journal - April 4, 2017 Category: Psychiatry Authors: F McClintock H, Bogner HR Tags: Community Ment Health J Source Type: research

Measuring Mental Health Provider-Based Stigma: Development and Initial Psychometric Testing of a Self-Assessment Instrument.
This article describes the development and initial psychometric testing of the Mental Health Provider Self-Assessment of Stigma Scale (MHPSASS), a 20-item instrument crafted in reflection of Charles' (Social Work in Mental Health 11:360-375, 2013) empirically derived, experience-based, five-themed model of provider stigmatization. Following model and item review by construct experts, 220 mental health service providers in Virginia's public mental health centers and in-patient facilities completed the survey package. Results indicate the refined MHPSASS is a reliable measure of provider-based stigma with promising face and ...
Source: Community Mental Health Journal - April 4, 2017 Category: Psychiatry Authors: Charles JL, Bentley KJ Tags: Community Ment Health J Source Type: research

Life Satisfaction and Psychological Status of Mothers with Disabled Children: A Descriptive Study.
l;çük Alemdar D Abstract The purpose of this study is to determine the life satisfaction, general health conditions, and depression levels of mothers with disabled children and the problems they experienced. This descriptive study was conducted between 1 and 30 December 2014 in a rehabilitation center that renders services for totally 254 physically and mentally-disabled children in Turkey. 184 mothers participated in the study. The data were collected by using an information form, the life satisfaction scale, the general health questionnaire, and the Beck depression inventory. General Health Questionn...
Source: Community Mental Health Journal - March 31, 2017 Category: Psychiatry Authors: Küçük EE, Küçük Alemdar D Tags: Community Ment Health J Source Type: research

Providers' Behaviors and Beliefs on Prescribing Antipsychotic Medication to Children: A Qualitative Study.
Abstract Fragmentation in behavioral and mental health care to children has resulted in suboptimal care and high rates of psychotropic medication use, especially antipsychotic medications (APM). A qualitative study, based on the Theory of Planned Behavior (TPB), aimed to better understand prescribing practices, barriers to optimal treatment, and potential interventions to safeguard the use of APM for children in Kentucky. The most common barrier to optimal care was access to mental health specialists. Social norms and pressure from families contribute to increased medication use. We identify promising intervention...
Source: Community Mental Health Journal - March 31, 2017 Category: Psychiatry Authors: Lohr WD, Brothers KB, Davis DW, Rich CA, Ryan L, Smith M, Stevenson M, Feygin Y, Woods C, Myers J, Liu GC Tags: Community Ment Health J Source Type: research

Homecoming of Citizen Soldiers: Postdeployment Problems and Service Use Among Army National Guard Soldiers.
Abstract The present study described the types and amount of problems and services sought among returned deployed Army National Guard soldiers (4568 soldiers in 50 units). The study responds to gaps in the research literature to better understand community intervention needs of reservists. About half (48%) of the soldiers reported one or two problems, mostly those of psychological well-being, such as feelings of anger and frustration, upsetting memories, and troubled sleep (34% of the study sample), followed by problems of social support (18%), alcohol use (17%), feelings of isolation including suicidal thoughts (...
Source: Community Mental Health Journal - March 24, 2017 Category: Psychiatry Authors: Griffith J Tags: Community Ment Health J Source Type: research

Process Evaluation of a Randomized Controlled Trial of Group Support Psychotherapy for Depression Treatment Among People with HIV/AIDS in Northern Uganda.
We describe the process evaluation for a randomized controlled trial that compared group support psychotherapy (GSP) with group HIV education for treatment of depression among people with HIV. Process data were obtained using mixed methods. Variables evaluated were indicators of feasibility and acceptability; causal mediating processes and contextual influences. GSP was feasible and acceptable. Potential mediating variables between GSP and reduction of depression were improved emotional and social support, better coping strategies, and pursuit of livelihoods. Culturally sensitive intervention content facilitated interventi...
Source: Community Mental Health Journal - March 19, 2017 Category: Psychiatry Authors: Nakimuli-Mpungu E, Wamala K, Okello J, Ndyanabangi S, Kanters S, Mojtabai R, Nachega JB, Mills EJ, Musisi S Tags: Community Ment Health J Source Type: research

Emotional Health and Self-esteem Among Adolescents in Malaysian Orphanages.
This study aimed to assess the prevalence and risk factors of depression, anxiety, stress and low self-esteem among institutional Malaysian adolescents. This cross-sectional descriptive study included 287 adolescents aged 12-18 years living in six selected orphan homes. Study's instruments included Socio-demographic questionnaire, validated Malay version of Depression Anxiety Stress Scale-21 and Rosenberg Self-Esteem Scale. The findings revealed that 85.2, 80.1 and 84.7% of participants had depression, anxiety and stress respectively. Females were more likely to be depressed. Furthermore, anxiety was significantly associat...
Source: Community Mental Health Journal - March 18, 2017 Category: Psychiatry Authors: Mohammadzadeh M, Awang H, Kadir Shahar H, Ismail S Tags: Community Ment Health J Source Type: research

Outcomes of a Therapeutic Fly-Fishing Program for Veterans with Combat-Related Disabilities: A Community-Based Rehabilitation Initiative.
Abstract The purpose of this study was to examine the outcomes of a therapeutic fly-fishing program for veterans with combat-related disabilities. A total of 40 veterans participated in the 4-day therapeutic fly-fishing program and this study. The outcomes examined included reducing symptoms of posttraumatic stress (PTS), depression, perceived stress, functional impairment (i.e., work, relationships, physical, and everyday life), increasing self-determination, and leisure satisfaction. Each research participant completed pretest, posttest, and 3-month follow-up questionnaires. Repeated measures MANOVA and ANOVA we...
Source: Community Mental Health Journal - March 16, 2017 Category: Psychiatry Authors: Bennett JL, Piatt JA, Van Puymbroeck M Tags: Community Ment Health J Source Type: research

Interactive Effect of Parent and Adolescent Psychiatric Symptoms on Substance Use among Adolescents in Community Treatment.
This study examined the interactive effects of parent and adolescent psychiatric symptoms on adolescent frequency of alcohol and marijuana use, over and above the effects of parental SU. Seventy adolescents presenting to a community mental health center (CMHC) participated. Parent and adolescent psychiatric symptoms were measured with the brief symptom inventory (BSI) and child behavior checklist (CBCL), respectively. Hierarchical regressions revealed different patterns for adolescent alcohol and marijuana use. For alcohol, the BSI parent phobic anxiety subscale predicted increased adolescent use while the parent interpers...
Source: Community Mental Health Journal - March 16, 2017 Category: Psychiatry Authors: Kelly LM, Becker SJ, Wolff JC, Graves H, Spirito A Tags: Community Ment Health J Source Type: research

The Impact of Daily Sleep Hours on the Health of Korean Middle-Aged Women.
This study aimed to examine the association between sleep and health in order to provide useful information to manage the health of obese women in the future. One hundred fifty-five Korean women aged 40-60 years without a previous diagnosis of abnormal glucose metabolism or other health problems and with body fat percentages greater than 30 percent were classified into two groups: a non-obese group and an obese group. Sleep hours exhibited a significant positive correlation with weight, body mass index, muscle mass, and glucose levels in the obese group. Significant differences were found for the body composition exce...
Source: Community Mental Health Journal - March 14, 2017 Category: Psychiatry Authors: Ha CH, Lee M Tags: Community Ment Health J Source Type: research

The Challenges of Using Self-Report Measures with People with Severe Mental Illness: Four Participants' Experiences of the Research Process.
This study aimed to explore four mental health consumers' experiences of completing self-report outcome measures in a research project. Participants were recruited from a community mental health organisation in Melbourne and were interviewed upon completion of a mixed methods research study where they were asked to complete a series of self-report outcome measures. Descriptive phenomenological micro-analysis was used to analyse interview data and is presented along with the researchers' observations during the data collection process. Results revealed that participants found the outcome measures cognitively challenging and...
Source: Community Mental Health Journal - March 14, 2017 Category: Psychiatry Authors: Bibb J, McFerran KS Tags: Community Ment Health J Source Type: research

Factors in Maintaining a Stable Patient-Physician Relationship among Individuals with Schizophrenia.
This study aimed to determine whether adequate continuity of care (COC) existed among individuals with schizophrenia, and what the associated determinants were. The National Health Insurance Research Database of Taiwan was used to identify individuals with newly diagnosed schizophrenia from 2000 to 2009. Two outcome indicators were first derived to conduct the continuity assessment based on the usual provider continuity (UPC) index and the continuity of care index (COCI). The average scores of the UPC and COCI were 0.78 and 0.67, respectively. Patients who have been hospitalized, with lower income, and unemployed had signi...
Source: Community Mental Health Journal - March 9, 2017 Category: Psychiatry Authors: Huang HH, Chen CY, Tsay JH, Chou YJ, Huang N Tags: Community Ment Health J Source Type: research

The Effects of Direct-To-Consumer-Advertising on Mental Illness Beliefs and Stigma.
Abstract Despite widespread use, little is known about how video direct-to-consumer-advertising (DTCA) influences beliefs about or stigma towards mental illness. The purpose of this study was to examine the effects of a medication advertisement on beliefs and stigma towards one mental disorder-bipolar disorder. A total of 424 participants were randomly assigned to view a medication or automobile advertisement and completed measures of beliefs and stigma towards bipolar disorder before and immediately after the advertisement. The medication advertisement did not lead to changes in perception of biological etiology,...
Source: Community Mental Health Journal - March 3, 2017 Category: Psychiatry Authors: Brown SA Tags: Community Ment Health J Source Type: research

Involuntary Processes: Knowledge Base of Health Care Professionals in a Tertiary Medical Center in Upstate South Carolina.
This study has implications for ongoing education for ED healthcare workers which will be of significant importance to promote beneficence and to uphold the standards of patientcentered practice and compassionate medicine. PMID: 28255637 [PubMed - as supplied by publisher] (Source: Community Mental Health Journal)
Source: Community Mental Health Journal - March 2, 2017 Category: Psychiatry Authors: Holder SM, Warren C, Rogers K, Griffeth B, Peterson E, Blackhurst D, Ochonma C Tags: Community Ment Health J Source Type: research

Translating Interventions that Target Criminogenic Risk Factors for use in Community Based Mental Health Settings.
This study explored facilitators and barriers associated with engaging criminogenic interventions in community mental health service settings. Focus groups and guided large group discussions were conducted with 46 consumers, providers and administrators. Results suggest that participants were generally supportive of offering criminogenic interventions to justice involved persons with serious mental illness in community based mental health service settings. Key issues to consider when engaging criminogenic interventions in community mental health service settings include identifying sustainable funding sources, providing ad...
Source: Community Mental Health Journal - February 24, 2017 Category: Psychiatry Authors: Wilson AB, Bonfine N, Farkas KJ, Duda-Banwar J Tags: Community Ment Health J Source Type: research

Reducing Length of Acute Inpatient Hospitalization Using a Residential Step Down Model for Patients with Serious Mental Illness.
Abstract Psychiatric inpatient bed numbers have been markedly reduced in recent decades often resulting in long emergency department wait times for acutely ill psychiatric patients. The authors describe a model utilizing short-term residential treatment to substitute for acute inpatient care when the barrier to discharge for patients with serious mental illness (SMI) is finding appropriate community placement. Thirty-eight patients (community hospital (n = 30) and a state hospital (n = 8)) were included. Clinical variables, pre-/post-step down length of stay, and adverse outcomes are re...
Source: Community Mental Health Journal - February 23, 2017 Category: Psychiatry Authors: Zarzar T, Sheitman B, Cook A, Robbins B Tags: Community Ment Health J Source Type: research

Understanding Etiology of Hearing Loss as a Contributor to Language Dysfluency and its Impact on Assessment and Treatment of People who are Deaf in Mental Health Settings.
This article will discuss how various causes of deafness create the potential for specific language dysfluencies with individuals who are deaf in mental health settings. The article will also discuss the use of communication assessments to examine specific language dysfluency patterns and attempt to offer possible corresponding interventions. PMID: 28229314 [PubMed - as supplied by publisher] (Source: Community Mental Health Journal)
Source: Community Mental Health Journal - February 22, 2017 Category: Psychiatry Authors: Crump CJ, Hamerdinger SH Tags: Community Ment Health J Source Type: research

Preventing Youth from Falling Through the Cracks Between Child/Adolescent and Adult Mental Health Services: A Systematic Review of Models of Care.
Abstract Optimizing the transition between child and adolescent mental health services (CAMHS) and adult mental health services (AMHS) is a priority for healthcare systems. The purpose of this systematic review is to: (1) identify and compare models of care that may be used to facilitate the transition from CAMHS to AMHS; and (2) discuss trends and implications to inform future research and practice. Results identified three models of care which move beyond healthcare services and incorporate a broader range of services that better meet the dynamic needs of transition-aged youth. Joint working among providers, cou...
Source: Community Mental Health Journal - February 20, 2017 Category: Psychiatry Authors: Nguyen T, Embrett MG, Barr NG, Mulvale GM, Vania DK, Randall GE, DiRezze B Tags: Community Ment Health J Source Type: research

Mountaintop Removal Coal Mining and Emergent Cases of Psychological Disorder in Kentucky.
Abstract Although mountaintop removal (MTR) coal extraction techniques have been employed in Appalachia for decades, relatively little research has examined its potential psychological impact on people living in close proximity to MTR activity. The current study taps the State Emergency Department Database (Healthcare Cost and Utilization Project, Kentucky State Emergency Department Database, 2008) to examine the relative risk for diagnoses of depressive, substance use, and anxiety disorders originating in areas with and without MTR activity. Logistical regression analyses, controlling for ethnicity, rurality, mea...
Source: Community Mental Health Journal - February 17, 2017 Category: Psychiatry Authors: Canu WH, Jameson JP, Steele EH, Denslow M Tags: Community Ment Health J Source Type: research

Reincarceration Risk Among Men with Mental Illnesses Leaving Prison: A Risk Environment Analysis.
Abstract Reentry interventions for persons with mental illness leaving prison have consisted primarily of linkage to mental health services and have produced mixed results on psychiatric and criminal recidivism. These interventions primarily focus on intra-individual risk factors. However, social and environmental factors may also increase risk of reincarceration by constraining choices and pro-social opportunities for community reintegration upon release from prison. In order to add to the knowledge base on understanding reincarceration risk for men with mental illnesses leaving prison, we examined interpersonal ...
Source: Community Mental Health Journal - February 15, 2017 Category: Psychiatry Authors: Barrenger SL, Draine J, Angell B, Herman D Tags: Community Ment Health J Source Type: research

The Effect of Life Style Based Education on the Fathers' Anxiety and Depression During Pregnancy and Postpartum Periods: A Randomized Controlled Trial.
Abstract Due to the harmful effects of prenatal and postnatal anxiety and depression on fathers, the aim of this study was to determine the impact of lifestyle-based training on paternal depression and anxiety (primary outcomes) during the prenatal and postnatal periods. This single-blind randomized controlled clinical trial was conducted on 126 spouses of pregnant women with gestational ages of 24-28 weeks. They were followed up until 6 weeks after childbirth. Using the block randomization method and stratified based on the number of children, the eligible samples were divided into two groups (one recei...
Source: Community Mental Health Journal - February 14, 2017 Category: Psychiatry Authors: Charandabi SM, Mirghafourvand M, Sanaati F Tags: Community Ment Health J Source Type: research

Vocational Counselors in France: Comparison to Competencies of Employment Specialists Working in Canadian IPS Programs.
The objective of this quantitative study was to evaluate the Messidor vocational counselors' competencies using the Behaviors, Attitudes and Knowledge in Employment Specialists' scale by comparing their results to those of employment specialists working in IPS programs in Canada. Descriptive analyses and a MANOVA highlighted similarities between French and Canadian counselors such as the same importance given to the working alliance with clients and the development of relationships with different stakeholders (e.g., employers). Skills that should be developed in vocational counselors in France include those related to rapi...
Source: Community Mental Health Journal - February 14, 2017 Category: Psychiatry Authors: de Pierrefeu I, Corbière M, Pachoud B Tags: Community Ment Health J Source Type: research

Student-Run Clinics: A Novel Approach to Integrated Care, Teaching and Recruitment.
Abstract The purpose of this study is to assess the educational impact of incorporating a psychiatry consult service into a medical student-run clinic. In November 2014, a psychiatry consult service was introduced at the Columbia-Harlem Homeless Medical Partnership (CHHMP), a student-run clinic located in Harlem, New York. From September 2015 to January 2016, surveys (Qualtrics) were then distributed to student members of the clinic. Surveys assessed how the psychiatric consult service impacted students' knowledge, skills and attitudes about psychiatry. According to survey results (83.8% response rate, n =&...
Source: Community Mental Health Journal - February 13, 2017 Category: Psychiatry Authors: Mishan LI, Dragatsi D Tags: Community Ment Health J Source Type: research

Common Factors in Community Mental Health Intervention: A Scoping Review.
Abstract While there is considerable research and commentary devoted to common factors in psychotherapy, their implications for community mental health interventions are much less clear. In response, a scoping review was conducted to answer the question, 'What is the evidence base for common factors in community mental health intervention?' A comprehensive search of MEDLINE, PsycINFO, and Google Scholar was completed. A total of 60 publications were identified in this review with a focus primarily upon therapeutic alliance. Though methodologically diverse, this review supports the likely importance of alliance in ...
Source: Community Mental Health Journal - February 13, 2017 Category: Psychiatry Authors: Kidd SA, Davidson L, McKenzie K Tags: Community Ment Health J Source Type: research

Peer Support in Full-Service Partnerships: A Multiple Case Study Analysis.
Abstract Peer providers are integral to Full Service Partnerships (FSPs), which are team-based mental health service models. Peer providers use principles of recovery to engage clients, but FSPs can vary in their recovery orientation. Whether and how peer recovery orientation reflects the organizational environments of FSPs is unclear. This qualitative study explored peer provider attitudes towards recovery within the organizational contexts of FSPs where they are employed. Case study analysis was conducted on eight purposively sampled FSPs using qualitative interviews with peer providers and program directors. In...
Source: Community Mental Health Journal - February 11, 2017 Category: Psychiatry Authors: Siantz E, Henwood B, Gilmer T Tags: Community Ment Health J Source Type: research

Dimension and Socio-demographic Correlates of Domestic Violence: A study from Northeast India.
Abstract Present study was aimed to find out dimension and socio-demographic correlates of domestic violence in Assam, Sikkim and Meghalaya, Northeast India. Two districts from each state were selected at random and women aged 18-35 years from rural and urban localities were interviewed to obtain relevant information. The study included a total of 2249 participants (Rural = 1577 and Urban = 672) from Assam (650), Sikkim (1148) and Meghalaya (451). Domestic violence was recorded in 26.4% of study participants and highest in Meghalaya. Of all types, psychological violence was predominant....
Source: Community Mental Health Journal - February 11, 2017 Category: Psychiatry Authors: Borah PK, Kundu AS, Mahanta J Tags: Community Ment Health J Source Type: research

The Role of Partner Support Among Women with Depressive Symptoms.
Abstract Scarce research has explored how sex partners and their provision of social support impact depression among women. The purpose of this study is to examine the role of social support (overall and specific types of support) provided by a sex partner on depressive symptoms among a sample of women (n = 295). We assessed depression using the Centers for Epidemiological Studies Depression Scale and used a social network inventory to evaluate partner characteristics and types of support provided. Overall 76% (n = 225) of the sample experienced depressive symptoms in the past 90 days. ...
Source: Community Mental Health Journal - February 10, 2017 Category: Psychiatry Authors: Davey-Rothwell MA, Stewart J, Vadnais A, Braxton SA, Latkin CA Tags: Community Ment Health J Source Type: research

Reducing Non-Attendance Rates for Assessment at an Eating Disorders Service: A Quality Improvement Initiative.
Abstract Rates of non-attendance at initial appointments within community eating disorder (ED) services are frequently high, although this has received relatively little research attention and no reports of interventions designed to address this. The current report describes outcomes following a change of procedure introducing a 'partial booking' system. Attendance rates at first appointments (N = 1260) were audited following introduction of a system designed to reduce non-attendance in January 2013 within a UK ED service. Rates were compared following implementation of the new system, using a histor...
Source: Community Mental Health Journal - February 10, 2017 Category: Psychiatry Authors: Jenkins PE Tags: Community Ment Health J Source Type: research

Longer Duration of Untreated Psychosis Hinders Improvement in Treatment of Chronic Schizophrenia: Community Based Early Intervention is an Evidence Based Option.
lu O Abstract To determine the effects of community-based mental health services on the quality of life and disease symptoms of chronic schizophrenia patients and to determine the effects of duration of untreated psychosis on outcome. The first year records of schizophrenia patients who had been followed up at Zeytinburnu CMHC for at least 12 months, have been used to asses outcome using initial and 12th month quality of life (QoL), positive and negative symptom scale (PANSS) scores. Highly significant improvements were shown in the QoL and PANSS scores. There were significant differences between the two stu...
Source: Community Mental Health Journal - February 10, 2017 Category: Psychiatry Authors: Tabo A, Aydın E, Yumrukçal H, Yiğit S, Uzun UE, Karamustafalıoğlu O Tags: Community Ment Health J Source Type: research

Beliefs and Prejudices Versus Knowledge and Awareness: How to Cope Stigma Against Mental Illness. A College Staff E-survey.
Abstract The aims of this study were to collect information about attitudes toward mental illness from the staff of Brescia University, and to detect predictors of issues regarding mental disorders and evaluate their relationship with public stigma. The study involved 1079 people and each participant received a letter explaining the purpose of the e-research. Four hundred and eighty-six people completed the questionnaires. The results showed that those who had a higher level of education, a personal life experience with mental disorders and a higher professional role were more likely to develop behaviours of accep...
Source: Community Mental Health Journal - February 10, 2017 Category: Psychiatry Authors: Buizza C, Ghilardi A, Ferrari C Tags: Community Ment Health J Source Type: research

Integrating the Integrated: Merging Integrated Dual Diagnosis Treatment (IDDT) with Housing First.
This study reports on a housing program that merged two evidence-based practices frequently applied in tandem: Integrated Dual Diagnosis Treatment and Housing First. Quantitative measures show that consumers in the program were receptive to supportive housing and core services. These quantitative measures, when considered alongside qualitative interviews, suggest that in order for more consumers to move through the IDDT stages of educational and vocational advancement, the staff will need to emphasize the permanence of supportive housing. Thus, the study also demonstrates the importance of integrating results of qualitativ...
Source: Community Mental Health Journal - February 9, 2017 Category: Psychiatry Authors: Pringle J, Grasso K, Lederer L Tags: Community Ment Health J Source Type: research

Validation of the Implementation Leadership Scale (ILS) with Supervisors' Self-Ratings.
Abstract Although often discussed, there is a lack of empirical research on the role of leadership in the management and delivery of health services. The implementation leadership scale (ILS) assesses the degree to which leaders are knowledgeable, proactive, perseverant, and supportive during evidence-based practice (EBP) implementation. The purpose of this study was to examine the psychometric properties of the ILS for leaders' self-ratings using a sample of mental health clinic supervisors (N = 119). Supervisors (i.e., leaders) completed surveys including self-ratings of their implementation leader...
Source: Community Mental Health Journal - February 8, 2017 Category: Psychiatry Authors: Torres EM, Ehrhart MG, Beidas RS, Farahnak LR, Finn NK, Aarons GA Tags: Community Ment Health J Source Type: research

Common Barriers to the Dissemination of Exposure Therapy for Youth with Anxiety Disorders.
This study investigated the prevalence of common barriers to the use of exposure therapy (ET) in the treatment of youth with anxiety disorders, specifically examining both logistical limitations and negative beliefs about ET. Results from 230 practicing clinicians who treat youth with anxiety disorders found that the top three barriers were session length (56%), lack of training (48%), and concern about parent reaction (47%). Endorsement of barriers to ET was associated with less ET utilization and less optimal implementation of ET. Results suggest that several barriers, especially logistical limitations, must be addressed...
Source: Community Mental Health Journal - February 8, 2017 Category: Psychiatry Authors: Reid AM, Bolshakova MI, Guzick AG, Fernandez AG, Striley CW, Geffken GR, McNamara JP Tags: Community Ment Health J Source Type: research

Factors Predicting Patient's Allocation to Short- and Long-Term Therapeutic Community Treatments in the Italian VOECT Cohort Study.
Abstract The Evaluation of Therapeutic Community Treatments and Outcomes (VOECT) study was conducted in 131 Italian Therapeutic Communities (TCs) in 2008/2009. All of the patients entering residential treatment for drug or alcohol dependence were invited to participate. Data regarding patient socio-demographic characteristics, drug and alcohol consumption, health and psychopathological status, prior treatments and outcomes, and their motivation score were collected upon enrolment onto the study. The aim of this work was to identify the factors associated with allocation to short- versus long-term programmes in dru...
Source: Community Mental Health Journal - February 8, 2017 Category: Psychiatry Authors: Vigna-Taglianti F, Mathis F, Diecidue R, Trogu E, Kirchmayer U, Ghibaudi J, Piras G, Camposeragna A, Saponaro A, Amato L, Davoli M, Faggiano F, Pani PP, VOECT Study Group Tags: Community Ment Health J Source Type: research

Association Between Parenting Stress and Functional Impairment Among Children Diagnosed with Neurodevelopmental Disorders.
The objective of this study was to examine the association between parenting stress and functional impairment among children with Neurodevelopmental Disorder (NDD). A sample of 150 parents of children diagnosed with NDD were recruited from schools that offer special education services. Parents completed a self-administered survey containing the parenting stress index-short form (PSI-SF) scale and the Columbia Impairment Scale. The multiple logistic regression conducted to compare those with clinically significant PSI-SF scores indicated that the risk of parents with clinically significant scores of parenting stress increas...
Source: Community Mental Health Journal - February 8, 2017 Category: Psychiatry Authors: Almogbel YS, Goyal R, Sansgiry SS Tags: Community Ment Health J Source Type: research

Facilitating Partner Support for Lifestyle Change Among Adults with Serious Mental Illness: A Feasibility Pilot Study.
Abstract The purpose of this pilot study was to explore the feasibility of an intervention designed to facilitate partner support for lifestyle change among overweight and obese adults with serious mental illness (SMI). Fifteen adults with SMI enrolled in a lifestyle intervention at community mental health centers participated with a self-selected partner in an additional 12-week intervention component designed to facilitate social support for health behavior change. Participants reported that the program was useful, convenient, and helped them reach their goals. Approximately two-thirds (66%) of participants were...
Source: Community Mental Health Journal - February 7, 2017 Category: Psychiatry Authors: Aschbrenner KA, Mueser KT, Naslund JA, Gorin AA, Zawacki SA, Pratt SI, Kinney A, Bartels S Tags: Community Ment Health J Source Type: research

Needs, Perceived Support, and Hospital Readmissions in Patients with Severe Mental Illness.
s F Abstract People with severe mental illness have multiple and complex needs that often are not addressed. The purpose of this study was to analyse needs and support perceived and the relationship with hospital readmission. We assessed 100 patients with severe mental illness at discharge from an acute inpatient unit in terms of needs (Camberwell Assessment of Needs), clinical status (The Brief Psychiatric Rating Scale), and social functioning (Personal and Social Performance); we also followed up these patients for 1 year. The group of patients who were readmitted had more total needs than did the non-readm...
Source: Community Mental Health Journal - February 7, 2017 Category: Psychiatry Authors: Guzman-Parra J, Moreno-Küstner B, Rivas F, Alba-Vallejo M, Hernandez-Pedrosa J, Mayoral-Cleries F Tags: Community Ment Health J Source Type: research

PTSD and Depression Among Museum Workers After the March 18 Bardo Museum Terrorist Attack.
Abstract On March 18, 2015, two gunmen attacked the Bardo museum in Tunis, Tunisia, killing 23 foreign tourists. We assessed PTSD and depression symptoms 4-6 weeks after the event among museum workers, in relation to sociodemographic factors and social support, and we analysed the determinants and predictor factors of PTSD and depression symptoms among the participants. Our findings indicated that 68.6% of the respondents had posttraumatic stress symptoms above the cutoff point (IER-S scores>33), and 40.6% reported severe levels of depressive symptoms (DASS-depression scores>20). Male and female participants...
Source: Community Mental Health Journal - February 7, 2017 Category: Psychiatry Authors: Fekih-Romdhane F, Chennoufi L, Cheour M Tags: Community Ment Health J Source Type: research

Experts by Experience: Peer Support and its Use with the Homeless.
Abstract The homeless population has complex needs. Peers with experience of homelessness offer unique perspectives in supporting those experiencing homelessness. Peer support fostered and developed by professional organisations, termed intentional peer support (IPS), formalises this process. This review aims to assess the effectiveness of IPS as an intervention with young adults and adult homeless persons (including streetdwelling and those within services). PyscINFO, Web of Science, MEDLINE, and CINAHL were searched, resulting in ten studies, involving 1,829 participants. Peer support has significant impacts on ...
Source: Community Mental Health Journal - February 7, 2017 Category: Psychiatry Authors: Barker SL, Maguire N Tags: Community Ment Health J Source Type: research

A Mixed Methods Investigation of the Experience of Poverty Among a Population of Low-Income Parenting Women.
This study sought to operationalize poverty in the context of parenting specific to a sample of low-income mothers; to examine how mothers describe sources of stress related to poverty; and to explore how these experiences affect mothers' parenting practices. Mothers trained in research methods administered surveys to other mothers in community settings assessing parenting stressors, mental wellbeing, basic needs, and goals. Women reported difficulty obtaining basic needs. Qualitatively, women described financial hardship, housing, employment status, and transportation as sources of stress, which influenced their parenting...
Source: Community Mental Health Journal - February 6, 2017 Category: Psychiatry Authors: Lange BC, Dáu AL, Goldblum J, Alfano J, Smith MV Tags: Community Ment Health J Source Type: research

Association Between Resilience and Quality of life in Wenchuan Earthquake Shidu parents: The Mediating Role of Social Support.
Abstract Of the Wenchuan earthquake victims, there was a special group who lost their only child, known as the Shidu parents. The purpose of this paper is to examine social support as a moderator between resilience and quality of life (QOL) in Shidu parents. A cross-sectional sample survey was conducted to collect data from 22 earthquake-stricken counties in Sichuan province. Of the Shidu parents from the Wenchuan earthquake, being of Han ethnicity, receiving a high monthly income, having a high education, having lost a younger child (18-27), and having lost a male child were all risk factors for a lower QOL (p 
Source: Community Mental Health Journal - February 6, 2017 Category: Psychiatry Authors: Wang Z, Xu J Tags: Community Ment Health J Source Type: research

Post-traumatic Stress and Trauma-Related Subjective Distress: Comparisons Among Hispanics, African-Americans, and Whites with Severe Mental Illness.
Abstract We tested the hypothesis with a sample of community mental health clients (N = 132) that Hispanic clients would report significantly greater post-traumatic stress symptoms than African-American or white clients when controlling for gender, psychiatric symptoms of SMI, and subjective distress from six of the most commonly reported trauma in the SMI literature. Results supported our main hypothesis: being self-identified as Hispanic was significantly associated with greater post-traumatic stress symptoms. Subjective distress from having been sexually abused along with being "Hispanic"...
Source: Community Mental Health Journal - February 6, 2017 Category: Psychiatry Authors: O'Hare T, Shen C, Sherrer MV Tags: Community Ment Health J Source Type: research

Fetal Alcohol Spectrum Disorders: Characteristics, Complications, and Treatment.
Abstract Fetal Alcohol Spectrum Disorders (FASD) includes a continuum of disorders that occur in children as a result of their mothers' consumption of alcohol during pregnancy. The most severe of these disorders is Fetal Alcohol Syndrome (FAS). FASD presents differently in every child, but all children with FASD have intellectual and/or behavioral impairments. There is no cure for FASD, but research shows that early intervention and life-long support help those born with FASD to manage the difficulties that come with it. This paper examines the characteristics, complications, and treatment for FASD. PMID: 281...
Source: Community Mental Health Journal - February 6, 2017 Category: Psychiatry Authors: Wilhoit LF, Scott DA, Simecka BA Tags: Community Ment Health J Source Type: research

Correlates and Predictors of Well-being in Montreal.
This study underscores the importance of testing a multidimensional model accounting for a spectrum of relevant variables relating to WB. PMID: 28160126 [PubMed - as supplied by publisher] (Source: Community Mental Health Journal)
Source: Community Mental Health Journal - February 3, 2017 Category: Psychiatry Authors: Moulin F, Keyes C, Liu A, Caron J Tags: Community Ment Health J Source Type: research

'I Got it off my Chest': An Examination of how Research Participation Improved the Mental Health of Women Engaging in Transactional Sex.
This study demonstrates there are direct benefits associated with participation in an EMA and interview study. PMID: 28155031 [PubMed - as supplied by publisher] (Source: Community Mental Health Journal)
Source: Community Mental Health Journal - February 2, 2017 Category: Psychiatry Authors: Felsher M, Wiehe SE, Gunn JK, Roth AM Tags: Community Ment Health J Source Type: research

The Relationship Between Perceived Family Support and Depressive Symptoms in Adolescence: What is the Moderating Role of Coping Strategies and Gender?
This study examined the moderating role of gender and coping strategies in the relationship between perceived family support, self-esteem and depressive symptoms. Data were used from the My World Survey Second Level (MWS-SL), a national survey of mental health among 6062 young people aged 12-19 years. Conditional process analyses indicated that planned coping moderated the relationship between perceived family support and depressive symptoms for those engaging in low-moderate levels but not high levels of planned coping, and this moderating role was stronger for females than males. Avoidance coping was a moderator for thos...
Source: Community Mental Health Journal - February 2, 2017 Category: Psychiatry Authors: Hickey E, Fitzgerald A, Dooley B Tags: Community Ment Health J Source Type: research

The Impact of Criminal Justice Involvement and Housing Outcomes Among Homeless Persons with Co-occurring Disorders.
Abstract The relationship between criminal justice involvement and housing among homeless persons with co-occurring disorders was examined. Program participants assisted in moving to stable housing were interviewed at baseline, six months, and discharge. Those who remained homeless at follow-up and discharge had significantly more time in jail in the past month than those who were housed. However, criminal justice involvement was not significantly related to housing status at the six month follow-up or discharge. Findings suggest that housing people with complex behavioral health issues reduces the likelihood of f...
Source: Community Mental Health Journal - February 2, 2017 Category: Psychiatry Authors: Mitchell JN, Clark C, Guenther CC Tags: Community Ment Health J Source Type: research

Adapting and Validating the Family Resilience Assessment Scale in an Afrikaans Rural Community in South Africa.
Abstract A family resilience framework understands families as having the potential to not only face adversities but to overcome them; although its measurement is not always agreed upon. The aim of this study is to explain the processes involved in the adaptation of the 54-item family resilience assessment scale into Afrikaans, and to further examine its psychometric properties. Data were collected via the door-to-door method with the assistance of fieldworkers in two rounds. The pilot sample included 82 participants whilst the larger study included 656 participants. The internal consistency and construct validity...
Source: Community Mental Health Journal - February 1, 2017 Category: Psychiatry Authors: Isaacs SA, Roman NV, Savahl S, Sui XC Tags: Community Ment Health J Source Type: research

What is the Lived Experience of Being Discharged From a Psychiatric Inpatient Stay?
This article aimed to understand the lived experience of being discharged from a psychiatric unit. Eight participants were interviewed to explore their experiences of discharge. Interpretative phenomenological analysis was used to analyse data. Four superordinate themes emerged: leaving hospital; the outside world; the journey to health; and self-identity/beliefs. Clinical implications and suggestions for further research are discussed. PMID: 28150079 [PubMed - as supplied by publisher] (Source: Community Mental Health Journal)
Source: Community Mental Health Journal - February 1, 2017 Category: Psychiatry Authors: Redding A, Maguire N, Johnson G, Maguire T Tags: Community Ment Health J Source Type: research