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Correction: Addressing the Needs of Hispanic Veterans Who Live in Rural Areas to Improve Suicide Prevention Efforts. 更正:满足居住在农村地区的西班牙裔退伍军人的需求,改进自杀预防工作。
IF 1.8 4区 医学 Q3 HEALTH POLICY & SERVICES Pub Date : 2024-11-22 DOI: 10.1007/s10597-024-01392-2
I Magaly Freytes, Nathaniel Eliazar-Macke, Melanie Orejuela, Janet Lopez, Talia Spark, Bryann DeBeer, Magda Montague, Constance Uphold
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引用次数: 0
Challenges and Supports for Families of Youth with Behavioral Health Needs. 为有行为健康需求的青少年家庭提供挑战和支持。
IF 1.8 4区 医学 Q3 HEALTH POLICY & SERVICES Pub Date : 2024-11-21 DOI: 10.1007/s10597-024-01386-0
Danielle M Romain Dagenhardt, Melinda Kavanaugh, Tina Freiburger

As mental health needs increase for youth across the United States, little is known about how these youth engage with emergency psychiatric services (EPS) and how accessing of these services is experienced by the family caregivers. This study utilized interviews with 19 youth and their adult caregivers, detailing their experiences with EPS and community needs. Interviews were conducted in-person and over the phone, lasting approximately 45 min. Qualitative data were analyzed following grounded theory to elicit a potential new theoretical view of youth and family experiences and needs associated with EPS. Themes elicited included: (1) family and school challenges, (2) challenges for caregivers, (3) structural and system challenges exacerbate issues, (4) family and friend supports, (5) community supports. Families in this study struggled with numerous family, school, and community barriers, indicating a need for targeted supports that address the family and community systems.

随着全美青少年心理健康需求的增加,人们对这些青少年如何参与精神科急诊服务(EPS)以及家庭照顾者如何获得这些服务知之甚少。本研究对 19 名青少年及其成年照顾者进行了访谈,详细了解了他们使用 EPS 的经历和社区需求。访谈通过面谈和电话进行,持续约 45 分钟。我们按照基础理论对定性数据进行了分析,以便对与 EPS 相关的青少年及其家庭的经历和需求提出潜在的新理论观点。得出的主题包括(1) 家庭和学校面临的挑战,(2) 照顾者面临的挑战,(3) 结构和系统挑战加剧了问题,(4) 家人和朋友的支持,(5) 社区支持。本研究中的家庭在家庭、学校和社区的众多障碍中挣扎,这表明需要针对家庭和社区系统提供有针对性的支持。
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引用次数: 0
The Association between the Type of Mental Health Treatment Received, Metropolitan Status and Gender. 接受心理健康治疗的类型、大都市地位和性别之间的关联。
IF 1.8 4区 医学 Q3 HEALTH POLICY & SERVICES Pub Date : 2024-11-16 DOI: 10.1007/s10597-024-01367-3
Robin Danek, Eric Reyes

The purpose of this study is to examine the relationship between the type of mental health care received and metropolitan status. We combined data from the National Survey for Drug Use and Health (NSDUH) to examine mental health treatment. We grouped participants by metropolitan status and receipt of mental health treatment. We conducted a logistic regression using interaction terms to compare the likelihood of receiving inpatient and/or outpatient treatment for mental health, relative to prescription medication alone. There was an association between the type of mental health treatment received and metropolitan status. For women, living outside a large metropolitan area was associated with a higher likelihood of receiving only prescription medication (p < 0.001). Policy makers may use these results to consider ways to increase access to care, including increasing funding for behavioral health or recruitment incentives for specialists.

本研究的目的是探讨所接受的心理保健类型与大都市状况之间的关系。我们结合全国药物使用和健康调查(NSDUH)的数据,对心理健康治疗进行了研究。我们按照大都市地位和接受心理健康治疗的情况对参与者进行了分组。我们使用交互项进行了逻辑回归,比较了接受住院和/或门诊精神健康治疗的可能性,以及仅接受处方药治疗的可能性。接受心理健康治疗的类型与大都市地位之间存在关联。对于女性来说,居住在大都市以外的地区与只接受处方药治疗的可能性较高有关(p
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引用次数: 0
Exploring Reentry Concerns of Incarcerated Individuals with Severe Mental Illness. 探索患有严重精神疾病的被监禁者重返社会的问题。
IF 1.8 4区 医学 Q3 HEALTH POLICY & SERVICES Pub Date : 2024-11-13 DOI: 10.1007/s10597-024-01389-x
D Michael Applegarth, Laura S Abrams, David J Farabee

Little is known about the factors and circumstances that relate to how incarcerated individuals with serious mental illness (SMI) view their own needs upon reentry and their ability to meet them. In this study, 101 imprisoned adults with SMI rated their level of concern over meeting their basic needs and obtaining services following incarceration. Greater reentry concern was predicted by anticipated barriers to psychological care and increased psychological distress. When participants were asked what factors concerned them most, 51% identified housing, 41% financial concerns, and 39% obtaining services. The extent level of concern related to recidivism (rearrest during the 6-month follow-up post-release) was also examined; no significant relationship was observed. Findings align with prior research, suggesting that there should be less emphasis on convincing individuals of the value of mental health care and a greater focus on how to help them meet other demands that may prevent them from seeking such services.

对于患有严重精神疾病(SMI)的被监禁者如何看待自己重返社会后的需求以及满足这些需求的能力,人们对相关因素和情况知之甚少。在这项研究中,101 名患有严重精神疾病的成年囚犯对他们在入狱后满足基本需求和获得服务的担忧程度进行了评分。预期的心理治疗障碍和心理困扰的增加预示着他们会更加关注重返社会的问题。当参与者被问及他们最关心的因素是什么时,51% 的人认为是住房问题,41% 的人认为是经济问题,39% 的人认为是获得服务的问题。此外,还研究了与再犯(释放后 6 个月的跟踪调查中再次被捕)相关的担忧程度,结果显示两者之间没有显著关系。研究结果与之前的研究结果一致,表明不应过于强调说服个人相信心理健康护理的价值,而应更加关注如何帮助他们满足其他可能阻碍他们寻求此类服务的需求。
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引用次数: 0
Reviewer Acknowledgment 2024. 审稿人致谢 2024.
IF 1.8 4区 医学 Q3 HEALTH POLICY & SERVICES Pub Date : 2024-11-08 DOI: 10.1007/s10597-024-01374-4
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引用次数: 0
Factors Associated with Suicidal Behavior in Adolescents: An Umbrella Review Using the Socio-Ecological Model. 青少年自杀行为的相关因素:使用社会生态模型的综合评述。
IF 1.8 4区 医学 Q3 HEALTH POLICY & SERVICES Pub Date : 2024-11-02 DOI: 10.1007/s10597-024-01368-2
Virginia Prades-Caballero, José-Javier Navarro-Pérez, Ángela Carbonell

Adolescent suicide is a critical social issue with profound and lasting individual and collective consequences. This umbrella review examines factors associated with adolescent suicidal behavior through the socioecological framework of prevention and seeks to identify gaps in the existing literature. The review followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines and included a comprehensive search of the of the Web of Science, Scopus, and Cochrane databases in both English and Spanish, covering the period from 2018 to 2024, using terms related to adolescence and suicidal behavior. Out of 6,138 articles identified, 37 met the quality criteria and were selected for analysis. The studies highlighted individual risk factors such as age, gender, belonging to ethnic or gender minorities, emotional disorders, self-destructive behavior, emotional regulation, and experience of physical or emotional pain. Interpersonal factors such as parental relationships, sexual abuse, social isolation, peer pressure, and loneliness were also found. However, the review revealed a worrying lack of studies on societal and community factors and a paucity of research focusing on protective factors. The study highlights the need to include factors related to the physical and social environments that influence health and behavior in future research, as well as to enhance the resources and strengths of adolescents.

青少年自杀是一个重要的社会问题,会对个人和集体造成深远而持久的影响。本综述通过预防青少年自杀的社会生态框架研究了与青少年自杀行为相关的因素,并试图找出现有文献中的不足之处。该综述遵循系统综述和荟萃分析首选报告项目(PRISMA)指南,使用与青春期和自杀行为相关的术语,全面检索了英文和西班牙文的 Web of Science、Scopus 和 Cochrane 数据库,时间跨度为 2018 年至 2024 年。在确定的 6138 篇文章中,有 37 篇符合质量标准,并被选中进行分析。这些研究强调了个体风险因素,如年龄、性别、是否属于少数族裔或性别、情绪障碍、自毁行为、情绪调节以及身体或情感痛苦经历。研究还发现了一些人际因素,如父母关系、性虐待、社会隔离、同伴压力和孤独感。然而,综述显示,令人担忧的是,缺乏对社会和社区因素的研究,对保护性因素的研究也很少。这项研究强调,有必要在今后的研究中纳入与影响健康和行为的物理和社会环境有关的因素,并加强青少年的资源和力量。
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引用次数: 0
The UT Health Living Room: Expanding the Psychiatric Crisis Continuum of Care. UT健康起居室:扩大精神危机连续护理。
IF 1.8 4区 医学 Q3 HEALTH POLICY & SERVICES Pub Date : 2024-11-01 Epub Date: 2024-08-06 DOI: 10.1007/s10597-024-01313-3
Pisinee Dangwung, Katherine Golden, Ashley Webb, Megan Fredrick, David L Roberts

Traditional forms of psychiatric crisis treatment increasingly are being buttressed by services along the Psychiatric Crisis Continuum of Care, such as short-term crisis stabilization services and peer crisis services. The UT Health Living Room (LR) is an outpatient crisis counseling service that adds three promising elements to the Continuum: (1) it integrates outpatient treatment plans into crisis counseling, (2) provides care in a space and with staff who are familiar to patients, and (3) provides training in evidence-based crisis intervention. We examined two-year LR feasibility and outcome data. Mixed-method analyses used longitudinal clinic data and patient self-report measures. Results provide initial support for the feasibility, cost effectiveness and clinical effectiveness of the LR. Limitations include non-blinded ratings, limited experimental control, and simple cost-effectiveness methodology. The UT Living Room is feasible and offers novel elements to help patients in community clinics address emotional crises.

传统形式的精神危机治疗越来越多地得到精神危机持续护理服务的支持,如短期危机稳定服务和同伴危机服务。UT健康起居室(LR)是一种门诊危机咨询服务,它为危机持续护理增添了三个有前景的元素:(1)它将门诊治疗计划整合到危机咨询中;(2)在患者熟悉的空间和工作人员提供护理;(3)提供循证危机干预培训。我们研究了为期两年的 LR 可行性和结果数据。混合方法分析使用了纵向诊所数据和患者自我报告测量。结果初步证明了 LR 的可行性、成本效益和临床效果。不足之处包括非盲法评级、有限的实验控制和简单的成本效益方法。UT起居室是可行的,并为帮助社区诊所的患者解决情感危机提供了新的元素。
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引用次数: 0
Building on Recovery: Embracing Community Inclusion in Mental Health Policies and Services. 以康复为基础:在心理健康政策和服务中融入社区。
IF 1.8 4区 医学 Q3 HEALTH POLICY & SERVICES Pub Date : 2024-11-01 Epub Date: 2024-07-05 DOI: 10.1007/s10597-024-01309-z
Mark S Salzer

Recovery is real and has had a transformative impact on mental health policies and services, including shifting the focus from chronicity and symptom management to the realization that individuals with mental health issues can lead meaningful lives. However, recovery has been defined, described, understood, and measured in a wide variety of ways that may account for misuses and abuses in its application and possible stagnation in its impact. It is argued that the mental health field must now build upon the strong foundations of recovery by integrating a well-established rights-oriented framework. While recovery emphasizes personal growth and hope, a rights-based perspective underscores inherent dignity, autonomy, and opportunities for acceptance and embrace in engaging in valued social roles. The addition of a rights-based framework - community inclusion, to conversations involving recovery, is aligned with the origins of recovery and how it is commonly understood, and also connects the mental health field to the dramatic positive impacts that have emerged from the longstanding centrality of this concept in the broader disability community.

康复是真实存在的,它对心理健康政策和服务产生了变革性的影响,包括将重点从 慢性病和症状管理转移到认识到有心理健康问题的个人可以过上有意义的生活。然而,人们对康复的定义、描述、理解和衡量的方式多种多样,这可能是造成康复在应用过程中被误用和滥用,以及其影响可能停滞不前的原因。有观点认为,心理健康领域现在必须在康复的坚实基础上再接再厉,融入一个完善的、以权利为导向的框架。康复强调的是个人成长和希望,而以权利为本的观点则强调固有的尊严、自主性,以及在参与有价值的社会角色时被接纳和拥抱的机会。在涉及康复的对话中加入以权利为导向的框架--社区包容,符合康复的起源和人们对康复的普遍理解,同时也将心理健康领域与这一概念在更广泛的残疾人群体中长期的核心地位所产生的巨大积极影响联系起来。
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引用次数: 0
Online Group Psychotherapy: A Systematic Review. 在线团体心理治疗:系统回顾
IF 1.8 4区 医学 Q3 HEALTH POLICY & SERVICES Pub Date : 2024-11-01 Epub Date: 2024-07-06 DOI: 10.1007/s10597-024-01304-4
Katrina Andrews, Dyann Ross, Tenelle L Maroney

Introduction: There is a need within counselling and psychotherapy to ensure their ability to respond to endemic presences such as the COVID-19 pandemic, by utilising rapid technological advances without compromising effectiveness. To do so, existing research about online group therapy must be built upon to provide a comprehensive understanding of the efficacious delivery of this therapy modality. Thus, a systematic review was conducted to collate what is currently known in the published and grey literature on online group therapy, using the PRISMA framework. Thirty-three articles were identified as including information regarding facilitating group therapy online. After appraising each article using appropriate quality appraisal tools, a thematic analysis was conducted on the papers, arriving at seven main themes summarising the main findings regarding online versus in-person groups, group planning, counselling micro skills, group processes, ethics, technology, and unique online therapy issues. There is a growing but incomplete body of knowledge that informs the group therapist regarding the ethical delivery of groups online. A more comprehensive review can enable group therapists to feel confident they are across best practice guidelines. Limitations and research implications are considered.

导言:咨询和心理治疗需要在不影响疗效的前提下,利用快速发展的技术,确保有能力应对 COVID-19 等流行病。为此,必须以现有的在线团体治疗研究为基础,全面了解这种治疗方式的有效性。因此,我们采用 PRISMA 框架进行了一次系统性回顾,以整理目前已发表和灰色文献中有关在线团体治疗的内容。结果发现有 33 篇文章包含了有关促进在线团体治疗的信息。在使用适当的质量评估工具对每篇文章进行评估后,我们对论文进行了主题分析,总结出七大主题,分别涉及在线团体与面对面团体、团体计划、微观辅导技能、团体过程、伦理、技术以及独特的在线治疗问题。有越来越多的知识可以为团体治疗师提供有关在线团体伦理的信息,但这些知识并不完整。通过更全面的审查,可以让团体治疗师确信他们遵循了最佳实践指南。我们还考虑了局限性和研究意义。
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引用次数: 0
Certified Peer Support in the Field of Homelessness: Stories Behind the Work. 无家可归领域的认证同伴支持:工作背后的故事。
IF 1.8 4区 医学 Q3 HEALTH POLICY & SERVICES Pub Date : 2024-11-01 Epub Date: 2024-07-02 DOI: 10.1007/s10597-024-01315-1
Margriet de Zeeuw Wright, Candice Morgan

Certified peer support specialists (CPSS) are used as a paraprofessional workforce to engage hard-to-reach populations, including people experiencing homelessness. Thematic analysis was used to explore with CPSS (N = 7) what contributed to their effectiveness when working with this population. Participants were recruited at a HUD lead organization in the southeastern United States. Open-ended semi-structured questions were used in online, synchronous interviews. Themes related to three areas, experience, competence, and the organization, contributed to participants being effective. Specifically, interviewees observed that their lived experiences and abilities to speak a common language with clients contributed to their effectiveness. They identified how personal qualities and unique skillsets suited them for the work. Participants also valued the training they received; certification helped them to develop competencies and to balance vulnerability, empathy, and connection. Finally, participants attributed their effectiveness to clarity about their roles within the organization, supervision, attention to self-care, and co-worker support. Findings from this study may have implications for the value of lived and learned knowledge coexisting in organizations serving those who experience homelessness.

经认证的同伴支持专家(CPSS)是一支辅助专业队伍,用于帮助包括无家可归者在内的难以接触人群。我们采用主题分析法,与 CPSS(7 人)一起探讨在与这一人群合作时,是什么促成了他们的工作成效。参与者是在美国东南部的一家住房和城市发展部牵头机构招募的。在线同步访谈中使用了开放式半结构化问题。访谈主题涉及三个方面,即经验、能力和组织,这三个方面有助于参与者提高工作效率。具体来说,受访者认为,他们的生活经验和与客户使用共同语言的能力有助于提高他们的工作效率。他们指出了个人素质和独特技能如何使他们胜任这项工作。参与者还重视他们所接受的培训;认证有助于他们发展能力,平衡脆弱性、同理心和联系。最后,参与者认为他们的工作效率归功于他们在组织中角色的明确性、监督、对自我保健的关注以及同事的支持。这项研究的结果可能会对服务于无家可归者的组织中生活知识和学习知识并存的价值产生影响。
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引用次数: 0
期刊
Community Mental Health Journal
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