Community Mental Health Journal最新文献

Psychiatry currently lacks clinically relevant biomarkers, though recent developments in this field have shown promise. Nevertheless, a noticeable gap exists in understanding parental perspectives regarding such technologies. Thus, this study aimed to investigate parental perceptions about mental health biomarker (MHB) testing for adolescents, as they play a pivotal role in guiding decisions about their children's healthcare. An online survey was conducted in Finland, targeting 1500 parents of adolescents aged 10-17. A 20-item questionnaire was used to assess parental perceptions of the benefits and risks associated with MHB testing. Psychometric measures were applied to validate the questionnaire, and a Multivariate Analysis of Variance (MANOVA) was performed to examine parental perspectives across various demographic factors. Based on 174 questionnaire responses, parents were modestly supportive of the perceived benefits and expressed marginally lower concern about the possible risks associated with MHB testing. MANOVA indicated that some demographic variables were significantly associated with perceived benefits and risks. Notably, higher perceived benefits of adolescent MHB testing were reported by relatively younger parents and those with an undergraduate degree. Additionally, parents with a family history of mental health problems reported greater perceived benefits and lower perceived risks. The findings suggest that perceptions of the benefits and risks of MHB testing differ, with demographics influencing these perceptions. However, further research is warranted to explore the impact of these perceptions on the utility and acceptance of MHB testing among parents and adolescents.

Smart Cities, urban environments that integrate digital technologies to enhance sustainability, accessibility, and quality of life, are expanding globally. While these initiatives may support population health, their mental health impacts remain understudied and inconsistently reported. This thematic synthesis review integrates diverse forms of evidence to examine how Smart City features influence mental health outcomes and explores contextual factors and underlying mechanisms shaping these effects. Following PRISMA guidelines for qualitative evidence syntheses, a systematic search of Web of Science identified 36 peer-reviewed studies published between 2009 and 2024 that addressed Smart City components in relation to mental health outcomes in urban populations. Studies were thematically synthesized. Three key domains emerged: (1) Smart City features relate to mental health through access to green infrastructure, digital technologies, and transportation systems; (2) contextual vulnerabilities including digital exclusion, gender, age, and socioeconomic status moderate these relationships; and (3) mechanisms include environmental exposure, surveillance anxiety, sensory design, and cultural or relational dynamics embedded in Smart City systems. Findings suggest that Smart Cities can either promote or undermine mental health depending on how technologies are implemented, accessed, and experienced. To ensure Smart City development supports psychological wellbeing, future research should prioritize interdisciplinary collaboration, equity-informed planning, and integration of mental health expertise from the outset.

Latino populations in the United States have high levels of unmet mental health (MH) needs and MH-related stigma. Collaborative, community-based programming with predominately Latino churches is a promising approach for reducing MH stigma and unmet MH need in Latino communities. Project AMEN implemented MH workshops, homilies and text messages with Latino Catholic parishes to test this approach. We examined reach, satisfaction, effectiveness and fidelity for the overall intervention and individual activities. We collected baseline and one-year post-intervention data from n = 579 people at seven parishes in southern California. Variables included participation in and satisfaction with activities, MH stigma, sociodemographic characteristics, faith-related characteristics, MH needs, and fidelity measures for workshops. We used bivariate and multivariate modeling to describe intervention reach, satisfaction and effectiveness and to identify differences across subgroups. We describe fidelity for the MH workshop. Overall, 71% of the sample participated in at least one intervention activity. Participants were on average 48 years old, female, married, had less than high school education, and attended the parish for more than five years; 24% reported MH needs. Reach and satisfaction were greater for married individuals and those with strong connections to the parish. Individuals with MH problems had more barriers to participation. Activities most often participated in were text messages (42%), the introductory MH workshop (20%) and MH homily (20%). We observed high workshop fidelity. The number of AMEN activities predicted reduction in four types of MH stigma. AMEN showed promising results with respect to reach, satisfaction and effectiveness at reducing MH stigmaf.

There is a significant unmet need for mental health services in the United States. Many communities have responded to the unmet need by creating mobile crisis response programs. Enhanced understanding of the differences and common themes in mobile crisis response programs will guide efforts to construct frameworks for successful future program development. This review aims to characterize the current state of the industry among mobile crisis response teams.

Methods: We employed a scoping review methodology to explore the state of the work in mobile crisis response.

Results: Overall, the results of the review illustrate that mobile crisis response programs are a promising development in mental health care, but they are still largely in the early stages of implementation. While many programs show potential in reducing the burden on local agencies and providing more appropriate care for individuals in crisis, there are sill many significant challenges to address.

Conclusion: As mobile crisis response continues to expand nationwide, future work should focus on developing long-term outcome measures and creating frameworks for integration with broader social services.

Suicide is the second leading cause of death among adolescents and young people ages 10 to 24, claiming more than 6,000 young lives in the United States in 2019. Black youth in the United States are overrepresented in the overall makeup of suicides: 37% of all youth suicides in the United States involve Black children, while Black children comprise roughly 15% of the total youth population in the United States. At the same time, suicide among Hispanic youth, specifically Hispanic young females, is increasing. The purpose of this study was twofold. First, we aimed to determine relevant and appropriate school-based suicide risk screening practices and interventions for Black and Hispanic students in an urban school district setting. As part of this aim, we gathered information from youth and their caregivers on perceptions of school-based and community-based resources and supports to inform our efforts. We also used the information to develop a small messaging campaign within target schools to promote help-seeking and reduce stigma among students. Second, we implemented and evaluated a universal suicide screening pilot, using the Ask Suicide Screening Questionnaire (ASQ), within two diverse schools in a large urban school district. We found that culturally informed universal screening for suicide risk in the school setting, as compared with need-based screening, identified students who were not already known by school staff to be experiencing mental health challenges or at risk for suicide, and particularly students of color. This study highlights the importance of culturally informed universal suicide risk screening in schools, particularly for minoritized students such as Black and Hispanic youth. Introduction: KEY PRACTITIONER MESSAGE: •Suicide is increasing among minoritized youth while rates among White youth are steady or decreasing. • Mental health is stigmatized within racialized communities, which can inhibit disclosure of mental health challenges and help-seeking. • Our study found that culturally informed universal screening for suicide risk in the school setting, as compared with need-based screening, identified students who were not already known by school staff to be experiencing mental health challenges or at risk for suicide, and particularly students of color. • Our findings demonstrate that universal suicide screening may be an important step to identify at-risk students who might not be detected through existing need-based processes, thus potentially enabling timely intervention and support.

Personal recovery is increasingly important in service delivery. While personal recovery has been examined in relation to several mental health issues, it has yet to be reviewed in recovery from substance use disorders. This review of qualitative studies, which followed PRISMA guidelines, used a 'Best Fit' framework synthesis. To organise studies, the a-priori, transdiagnostic CHIME framework was employed. 2885 papers were initially identified, with 3 added in updated searches; 13 papers were included for analysis. Findings show that CHIME captures many elements related to recovery from substance use. However, the original framework does not consider challenges associated with trauma, loss, and stigmatisation. Including a 'Difficulties' domain supports the use of the CHIME-D framework. Personal recovery from substance use is a complex and individual process. The CHIME-D framework emphasises the importance of professionals adopting a balanced approach to recovery, recognising both benefits and challenges.

There is today a broad consensus about the conceptualisation of recovery in adults facing mental health challenges: a personal journey grounded in societal connectedness, hope, constructing a life with meaning and purpose, empowerment, and autonomous management of symptoms based on their acceptance. However, recent findings show that this conception cannot be automatically transposed to adolescents. Based on a scoping review methodology, this paper examines the application of the recovery model to adolescents mental health through the identification of strengths, weaknesses and knowledge gaps. Studies that investigated the adaptation of the recovery model to adolescents (age-range: 12-18) were selected and mapped, using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews (PRISMA-ScR). A deductive thematic analysis was conducted to see which components apply to adolescents (strengths) and which do not or hardly apply (weaknesses). An inductive thematic analysis was conducted to identify knowledge gaps. 13 studies identified as relevant were mapped and analysed. Main strengths identified were importance given to connections, to hope and to empowerment. Main weaknesses were the idea of a personal journey, importance given to autonomous management of symptoms, to identity and to building a life project with meaning and purpose. Knowledge gaps were how to adapt to developmental challenges, how to integrate multiple actors in the decision-making process, how to increase adolescents' participation and how to foster resilience. When applying the recovery model to adolescents, it is essential to account for their specific needs. Recovery should be re-conceptualized rather than grounded in adult-centric theoretical frameworks. Integrating resilience as a core component can further support adolescents in the process of recovery from mental illness, while navigating through developmental challenges.