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Prolonged grief, post-traumatic stress, and functional impairment in parents and siblings 8 years after the 2011 Utøya terror attack. 2011 年于特岛恐怖袭击事件发生 8 年后,父母和兄弟姐妹的长期悲痛、创伤后应激和功能障碍。
IF 5 Q3 SOCIAL WORK Pub Date : 2022-12-01 Epub Date: 2022-12-13 DOI: 10.1080/20008066.2022.2152930
Erik-Edwin Leonard Nordström, Jens C Thimm, Riittakerttu Kaltiala, Pål Kristensen

Background: Research on bereavement after terrorism is limited and primarily aiming on short-term consequences.Objective: To better understand the long-term health consequences of terrorism, we studied bereaved parents and siblings eight years after the Utøya terrorist attack in Norway. We examined the participants' symptom levels of prolonged grief (PG) and post-traumatic stress (PTS), as well as their psychosocial functioning and employment status.Method: Bereaved parents (n = 88) and siblings (n = 34) aged 19 and above (mean age  = 49.7 years, SD = 13.8 years, 59.8% female) completed the Inventory of Complicated Grief (ICG), the Impact of Event Scale-Revised (IES-R), and the Work and Social Adjustment Scale (WSAS) to assess PG, PTS, and functional impairment, respectively. In addition, information about employment status was obtained. The proportion of participants scoring above recommended thresholds on the ICG, IES-R, and WSAS was calculated. Differences between parents and siblings and gender differences on these measures were examined.Results: In total, 62.3% of the participants had scores on the ICG indicating a risk for prolonged grief, while 45.9% scored over cutoff on the IES. There was a high overlap between symptoms of PG and PTS. Females had significantly higher scores on both the ICG and the IES compared to males. There were no differences between parents and siblings regarding PG and PTS symptoms. One out of three showed severe functional impairment on the WSAS. Approximately 30% of all the bereaved were outside the labour force, and one third of the parents had become unable to work after the terrorist attack.Conclusion: Many bereaved parents and siblings, following the Utøya terror attack, report long-lasting health consequences with symptoms of PG and PTS and functional impairment. The results suggest a need for follow up of bereaved after a terror attack and identify family members in need of health services.

背景:关于恐怖主义后丧亲之痛的研究十分有限,而且主要针对短期后果:有关恐怖主义后丧亲之痛的研究十分有限,而且主要针对短期后果:为了更好地了解恐怖主义对健康造成的长期影响,我们在挪威于特岛恐怖袭击事件发生八年后,对失去亲人的父母和兄弟姐妹进行了研究。我们研究了参与者的长期悲伤(PG)和创伤后应激(PTS)症状水平,以及他们的社会心理功能和就业状况:年龄在 19 岁及以上的丧亲父母(88 人)和兄弟姐妹(34 人)(平均年龄 49.7 岁,SD=13.8 岁,59.8% 为女性)填写了《复杂悲伤量表》(ICG)、《事件影响量表-修订版》(IES-R)和《工作与社会适应量表》(WSAS),以分别评估 PG、PTS 和功能障碍。此外,还获得了有关就业状况的信息。我们计算了在 ICG、IES-R 和 WSAS 中得分超过建议阈值的参与者比例。研究还考察了父母和兄弟姐妹之间的差异以及这些测量指标的性别差异:总共有 62.3% 的参与者在 ICG 中的得分表明他们有长期悲伤的风险,而 45.9% 的参与者在 IES 中的得分超过了临界值。PG 症状和 PTS 症状之间存在高度重叠。女性在 ICG 和 IES 上的得分明显高于男性。在 PG 和 PTS 症状方面,父母和兄弟姐妹之间没有差异。三人中有一人在 WSAS 中表现出严重的功能障碍。在所有丧亲者中,约有 30% 的人没有工作,三分之一的父母在恐怖袭击后无法工作:结论:在发生于特岛恐怖袭击事件后,许多失去亲人的父母和兄弟姐妹都报告了长期的健康后果,出现了 PG 和 PTS 症状以及功能障碍。研究结果表明,有必要对恐怖袭击后的丧亲者进行跟踪调查,并确定需要保健服务的家庭成员。
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引用次数: 0
Client characteristics and service utilization with emergency department peer recovery specialists in a statewide opioid overdose prevention intervention 全州阿片类药物过量预防干预中急诊部门同伴康复专家的客户特征和服务利用
IF 1.1 Q3 SOCIAL WORK Pub Date : 2022-11-02 DOI: 10.1080/15332985.2022.2138735
D. Lardier, K. Powell, N. Peterson, Suzanne Borys, Donald K. Hallcom
ABSTRACT Opioid peer recovery service programs are important interventions to increase treatment engagement, adherence, and completion among clients. Little research has examined emergency department (ED) peer recovery programs, the utilization of these services, and patient characteristics. This study examined client data (N = 1690; Mean age = 36.05 ± 12.04) from New Jersey’s Opioid Overdose Recovery Program (OORP). Between group analyses examined differences between repeated OORP service utilization and those new to OORP services on patient characteristics, primary substance of use, and mental health diagnosis. Exploratory logistic regression analyses were conducted to examine clinically relevant variables as predictors of repeated OORP service utilization. Sociodemographic differences were observed among those with repeated OORP service utilization, including a higher number of prior overdoses (3.87 ± 4.78) and a greater proportion to use heroin (93.34%). Multivariate logistic regression analyses showed several clinically important indicators associated with repeated OORP service utilization. Findings showed that several notable sociodemographic and clinical indicators associated with multiple OORP service utilization that can help support future prevention and clinic-intervention programs. These findings provide important information on participants at high risk for fatal overdose, and considerations for measured intervention services.
阿片类药物同伴康复服务项目是提高客户治疗参与度、依从性和完成度的重要干预措施。很少有研究检查急诊科(ED)同伴康复计划,这些服务的利用,和病人的特点。本研究检查了客户资料(N = 1690;平均年龄= 36.05±12.04),来自新泽西州阿片类药物过量恢复计划(OORP)。组间分析检查了重复使用OORP服务和新使用OORP服务的患者在患者特征、主要使用物质和心理健康诊断方面的差异。进行探索性逻辑回归分析,以检验临床相关变量作为重复使用OORP服务的预测因素。在重复使用OORP服务的人群中,观察到社会人口学差异,包括先前过量使用的人数(3.87±4.78)和使用海洛因的比例(93.34%)更高。多因素logistic回归分析显示,多个临床重要指标与重复使用OORP服务相关。研究结果显示,与多个OORP服务利用率相关的几个显著的社会人口统计学和临床指标可以帮助支持未来的预防和临床干预计划。这些发现提供了致命过量高风险参与者的重要信息,以及衡量干预服务的考虑因素。
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引用次数: 0
Mental health engagement among foster and adopted youth: the transition from in-person to telemental health services 被寄养和被收养青年的心理健康参与:从面对面到远程心理健康服务的过渡
IF 1.1 Q3 SOCIAL WORK Pub Date : 2022-09-27 DOI: 10.1080/15332985.2022.2123728
Vanessa Perez, Matthew A. Ruderman, Meghan Kussman, J. Waterman, Audra K. Langley
ABSTRACT Using the electronic health records of 55 foster and adopted youth, this study compared in-person mental health service utilization to telemental health (TMH) service utilization during COVID-19. Clients attended a greater number of therapy sessions, had more accumulated session time, and had shorter sessions via TMH compared to in-person. Similar results were found for school-aged children, females, and caregivers who engaged in their children’s treatment. Notably, for non-significant differences in engagement, engagement numbers during TMH were always higher than in-person services.
摘要:本研究利用55名寄养和被收养青少年的电子健康记录,比较了2019冠状病毒病疫情期间面对面心理健康服务和远程心理健康服务的利用情况。与面对面的治疗相比,客户通过TMH参加了更多的治疗会议,积累了更多的会议时间,并且缩短了会议时间。在学龄儿童、女性和参与儿童治疗的护理人员中也发现了类似的结果。值得注意的是,对于非显著差异,TMH期间的参与人数始终高于现场服务。
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引用次数: 2
Integrating positive youth development into coordinated specialty care for a recent onset of psychosis 将积极的青年发展纳入近期精神病发作的协调专业护理
IF 1.1 Q3 SOCIAL WORK Pub Date : 2022-09-04 DOI: 10.1080/15332985.2022.2118007
Vanessa V. Klodnick, Rebecca P. Johnson, D. Cohen, Marc A. Fagan, Patrice Patti Fetzer, H. B. Clark
ABSTRACT Coordinated Specialty Care (CSC) for a recent onset of psychosis is widely implemented in the U.S., yet high disengagement rates persist. Integrating a Positive Youth Development approach (e.g., Transition to Independence Process (TIP) Model) may boost CSC engagement. TIP and CSC experts (n = 14) compared the TIP fidelity scale to an international CSC fidelity scale. Notes were thematically coded. To become more PYD-informed, CSC providers might: (1) re-conceptualize recovery, engagement, and goals; (2) adopt developmentally attuned language uniting multidisciplinary staff; and (3) strategically involve and expand participant social networks. Findings lay groundwork for CSC providers to integrate strategies to prevent premature disengagement. Takeaways Positive Youth Development practices likely can be integrated into Coordinated Specialty Care for first-episode psychosis. The TIP Model’s multi-phase developmentally focused futures planning process and strategic social support involvement may boost CSC engagement. The TIP Model holds merit for uniting multidisciplinary perspectives on CSC teams, promoting team collaboration and young person (and family & other relevant supportive people) engagement.
协调专科护理(CSC)在美国广泛实施,但高脱离率仍然存在。整合积极的青年发展方法(例如,过渡到独立过程(TIP)模型)可能会促进CSC的参与。TIP和CSC专家(n = 14)将TIP保真度量表与国际CSC保真度量表进行了比较。笔记是按主题编码的。为了更加了解pyd, CSC提供商可以:(1)重新定义恢复、参与和目标;(2)联合多学科工作人员采用与发展相适应的语言;(3)战略性地参与和扩大参与者的社会网络。研究结果为CSC供应商整合防止过早脱离的策略奠定了基础。积极的青少年发展实践可能可以整合到首发精神病的协调专业护理中。TIP模型的多阶段发展导向的未来规划过程和战略性社会支持参与可能促进CSC参与。TIP模型的优点在于将CSC团队中的多学科观点结合起来,促进团队协作和年轻人(以及家庭和其他相关支持人员)的参与。
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引用次数: 1
A conceptual framework for recovery from eating disorders: an adoptive approach to the recovery capital model 饮食失调康复的概念框架:康复资本模型的采用方法
IF 1.1 Q3 SOCIAL WORK Pub Date : 2022-08-22 DOI: 10.1080/15332985.2022.2114817
Kiki M. Kline
ABSTRACT Eating disorder recovery varies throughout the literature in conceptualization and approach with a variety of mechanisms employed to facilitate recovery in both professional treatment and in natural/spontaneous recovery. A framework is introduced called Eating Disorder Recovery Capital (ED RC) to encompass all mechanisms through the sum total assets and resources used in the process of recovery, organized by domains. The ED RC model is a strengths-based, inclusive, individualized, and integrative perspective of ED recovery that widens the scope of resources that may be employed in one’s recovery journey.
饮食失调的康复在整个文献中在概念和方法上各不相同,在专业治疗和自然/自发康复中采用了各种机制来促进康复。引入了一个名为饮食失调恢复资本(ED RC)的框架,通过按领域组织的恢复过程中使用的总资产和资源来涵盖所有机制。ED RC模型是一种基于优势的、包容的、个性化的和综合的ED康复视角,它扩大了在一个人的康复过程中可能使用的资源范围。
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引用次数: 0
Gender differences in public attitudes toward bipolar disorder in the workplace 职场中公众对双相情感障碍态度的性别差异
IF 1.1 Q3 SOCIAL WORK Pub Date : 2022-08-18 DOI: 10.1080/15332985.2022.2106808
L. O’Donnell, M. Helmuth, Farah Elsiss, K. Szechy, Pranav Kancherla, Amy M. Loree
ABSTRACT This study examines gender differences in attitudes toward individuals with Bipolar Disorder (BD) at work. Participants (N = 628) randomized to a vignette completed the Attitudes toward Individuals with Bipolar Disorder in the Workplace Scale (social acceptability, competency, reliability, advancement, job demotion/loss). Multivariable regressions found men rated co-workers with BD as more socially acceptable, while women rated co-workers as more competent and less likely to lose their job/be demoted. Mediational analyses assessing whether a personal diagnosis of a mood disorder mediates attitudes toward co-workers with BD and gender found 8–17% of a relationship between gender and attitudes is attributed to a participant diagnosis of depression or BD. These results inform educational/intervention strategies targeting gender-specific attitudes toward individuals with BD.
摘要:本研究探讨了工作中对双相情感障碍(BD)个体态度的性别差异。参与者(N = 628)随机分配到一个小短文中,完成了工作场所对双相情感障碍个体的态度量表(社会可接受性、能力、可靠性、晋升、降级/失业)。多变量回归发现,男性认为患有双相障碍的同事更容易被社会接受,而女性则认为同事更有能力,更不容易失业/被降职。评估个人情绪障碍诊断是否介导对双相障碍同事和性别的态度的中介分析发现,性别和态度之间的关系有8-17%归因于参与者的抑郁症或双相障碍诊断。这些结果为针对双相障碍患者的性别特异性态度的教育/干预策略提供了信息。
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引用次数: 0
Getting under the skin of society: embodiment, belonging, and the power of counter-listening 深入社会皮下:体现,归属,以及反倾听的力量
IF 1.1 Q3 SOCIAL WORK Pub Date : 2022-07-01 DOI: 10.1080/15332985.2022.2094746
Moyo Mutamba, Veen Wong, Trish Van Katwyk
ABSTRACT This paper describes our critical analysis of interviews with youth about self harm (heretofore, referred to as embodied expression). We noted participants’ relationships with people and systems, and the power that characterized the relationships. Grief and rage were expressed about the exclusions and expulsions that had occurred, the “unbelongings” imposed within the systems being described. We heard the expressions of resistance and place-claiming that wounding and scars served for the participant/storyteller. Finally, we consider “counter-listening,” when embodied expressions are heard for their grief and rage about unbelonging, as well as for their agency and reclaiming of place and belonging.
本文描述了我们对青少年自我伤害(在此之前,被称为具体化表达)访谈的批判性分析。我们注意到参与者与人员和系统的关系,以及这种关系所具有的力量。对于所发生的排斥和驱逐,以及所描述的系统内强加的“无财产”,人们表达了悲伤和愤怒。我们听到了抵抗和地方的表达,声称伤害和伤疤是为参与者/讲故事的人服务的。最后,我们考虑“反倾听”,当具体化的表达被听到时,他们的悲伤和愤怒,以及他们的代理和重新获得位置和归属感。
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引用次数: 0
Utilizing cross-sector collaboration to improve access to behavioral health services in schools 利用跨部门合作改善学校获得行为健康服务的机会
IF 1.1 Q3 SOCIAL WORK Pub Date : 2022-05-17 DOI: 10.1080/15332985.2022.2076576
Jennifer Smith Ramey, Mac Duis
ABSTRACT The benefits and challenges of cross-sector collaboration are well outlined in the literature on community network development. Two sectors, schools and community behavioral health agencies, often work with the same youth inasmuch as students with behavioral difficulties in schools may also receive services from behavioral health providers. The purpose of this article is to present a case study on the implementation of a screening, triage, and referral process developed by a Central Virginia school system and community service board as part of a collaborative network which may provide generalized lessons that other organizations consider when addressing behavioral problems in schools.
摘要跨部门合作的好处和挑战在社区网络发展的文献中有很好的概述。学校和社区行为健康机构这两个部门通常与同一个年轻人合作,因为学校中有行为困难的学生也可以从行为健康提供者那里获得服务。本文的目的是介绍一个由弗吉尼亚州中部学校系统和社区服务委员会开发的筛查、分诊和转诊流程的实施案例研究,该流程是合作网络的一部分,可以提供其他组织在解决学校行为问题时考虑的通用课程。
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引用次数: 0
Prevalence and correlates of depressive symptoms among university students: A cross-sectional study 大学生抑郁症状的患病率及其相关因素:一项横断面研究
IF 1.1 Q3 SOCIAL WORK Pub Date : 2022-05-13 DOI: 10.1080/15332985.2022.2076577
Kareen N. Tonsing, Jenny Tonsing
ABSTRACT The prevalence of mental health problems in university students is increasing and attributable to various factors. We examine the protective and risk factors of depressive symptoms among a cross-section of 251 university students. Results showed 40.2% of students reported moderate to severe depressive symptoms. Multiple regression analysis confirmed that perceived stress and maladaptive coping were positively associated with depressive symptoms, whereas adaptive coping and perceived support was inversely related to depressive symptoms. Findings highlight the need for psychological empowerment strategies in students to manage various stressors more effectively and the importance of enhancing social support as a valuable resource for university students.
大学生心理健康问题的患病率呈上升趋势,其原因是多方面的。我们在251名大学生的横断面中检查抑郁症状的保护因素和危险因素。结果显示,40.2%的学生有中度至重度抑郁症状。多元回归分析证实,感知压力和适应不良应对与抑郁症状呈正相关,而适应性应对和感知支持与抑郁症状呈负相关。研究结果强调了大学生心理赋权策略的必要性,以更有效地管理各种压力源,以及加强社会支持作为大学生宝贵资源的重要性。
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引用次数: 0
Effectiveness of Canadian police and mental health co-response crisis teams: A scoping review 加拿大警察和心理健康共同应对危机小组的有效性:范围审查
IF 1.1 Q3 SOCIAL WORK Pub Date : 2022-05-11 DOI: 10.1080/15332985.2022.2074283
A. Ghelani, Margaret Douglin, Alishau Diebold
ABSTRACT People with mental health concerns are over-represented in police-involved deaths in Canada. Calls for alternative responses to people in crisis have generated interest in programs that partner police with mental health professionals. This review summarizes what is known about the effectiveness of co-response programs in meeting client and community needs. Methods followed PRISMA-ScR standards. Eight studies evaluating Canadian co-response programs were included. Co-response programs can reduce involuntary hospital transport, improve referrals, and decrease emergency department wait times. Research is needed to determine whether they reduce the use of force and meet client’s needs in the community.
摘要在加拿大,有心理健康问题的人在警察参与的死亡事件中所占比例过高。呼吁对处于危机中的人采取替代措施,这引起了人们对警察与心理健康专业人员合作的项目的兴趣。这篇综述总结了共同应对计划在满足客户和社区需求方面的有效性。方法遵循PRISMA ScR标准。包括八项评估加拿大共同应对方案的研究。联合应对计划可以减少非自愿的医院交通,改善转诊,减少急诊室的等待时间。需要进行研究,以确定它们是否减少了武力的使用,并满足客户在社区中的需求。
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引用次数: 2
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Social Work in Mental Health
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