Journal of Psychosocial Nursing and Mental Health Services最新文献

In 2021, the U.S. Food and Drug Administration approved Loreev XR^®, a long-acting formulation of lorazepam, raising important clinical considerations for nurse practitioners (NPs) who routinely manage anxiety, insomnia, and stress-related conditions. Despite well-established risks, including dependence, withdrawal, cognitive impairment, and heightened danger when combined with central nervous system depressants, benzodiazepines (BZDs) remain widely prescribed in the United States. The current article examines the rationale for introducing a new extended-release BZD, the pharmacokinetic and pharmacodynamic properties distinguishing it from immediate-release formulations, and implications for safe prescribing. The critical roles of primary care NPs and psychiatric-mental health NPs in patient assessment, risk evaluation, systems-based safety, transitions of care, and evidence-based tapering will be emphasized.

Falls are a preventable health event that often signals deeper physical, psychological, and socioenvironmental vulnerabilities. Yet, ageism and negative self-perception of aging, rooted in psychological mechanisms, such as stereotype embodiment, continue to obscure this reality. The pervasive belief that "older people just fall" is not only inaccurate but also harmful, leading to under-recognition, under-treatment, and under-engagement in fall prevention efforts. These ageist assumptions delay critical interventions, discourage older individuals from seeking help, and perpetuate a cycle of decline. Psychiatric-mental health nursing plays a vital role in addressing these psychological barriers, promoting awareness, and fostering resilience. By adopting a holistic, respectful, and empowering approach, fall prevention can be framed as a pathway to independence and vitality. This shift transforms fall prevention from a reactive safety measure into a proactive strategy, rooted in equity, dignity, and thriving in later life. Older adults deserve autonomy and the opportunity to thrive.

Purpose: There has been increased concern about the effects of social media (SM) use on youth mental health. The current pilot study explored differences in SM use in youth with prior suicide attempts compared to youth with no prior suicide attempts.

Method: This was a cross-sectional, case-control study comparing youth with and without suicide attempt history on patterns of SM use and perceived effects of SM on mental health.

Results: Groups did not differ significantly on social support derived from online interactions or in their SM use (e.g., passively or actively), except those with suicide attempt history used SM to communicate about mental health. Youth with suicide attempt history reported significantly higher problematic SM use, more interference with sleep, and increased negative social comparison compared to their peers without suicide attempts.

Conclusion: SM use policies must address positive and negative effects derived from SM, including exposure to online content about self-harm.

Substance misuse continues to devastate American communities despite available evidence-based interventions. Although nurse-led harm reduction initiatives demonstrate significant clinical outcomes and cost savings, policy barriers limit their implementation and effectiveness. The current article synthesizes evidence supporting nursing leadership in substance misuse policy reform, examining quantitative outcomes from nurse-led interventions that show 35% mortality reduction and $2.36 million in documented health care savings. Current implementation barriers include restrictive scope-of-practice laws, organizational readiness challenges, and fragmented payment systems that prevent nurses from fully using their clinical expertise. Actionable policy recommendations for expanding nursing prescriptive authority, reforming reimbursement structures, implementing systematic workforce development, and investing in implementation infrastructure to transform substance misuse policy through coordinated nursing leadership and evidence-based practice integration are presented.

Purpose: To conduct a pilot trial of the Shared Decision Making-Needs Management Program (SDM-NeedMan) for individuals with severe mental illness (SMI) attending community mental health centers (CMHCs), focusing on unmet and total needs and recovery outcomes.

Method: This feasibility and pilot study had a pre-/posttest quasi-experimental design with no control group. Twenty-nine individuals with SMI who attended a CMHC from May 2023 to March 2024 completed the study. The intervention, selected from five independent modules of the SDM-NeedMan, was administered over three sessions. Outcomes were measured using the Camberwell Assessment of Need Short Appraisal Schedule (CANSAS) and Recovery Assessment Scale (RAS).

Results: One module was applied to 23 participants, whereas an additional two modules were applied to six participants. Prior to the SDM-NeedMan intervention, mean unmet needs score on the CANSAS was 6.17 (SD = 3.18), which significantly decreased to 2.44 (SD = 1.95) after the intervention (t = -4.638, p < 0.05). Mean total needs score before the intervention was 8.89 (SD = 3.05), which significantly decreased to 5.62 (SD = 2.82) after the intervention (t = -4.556, p < 0.05). Mean total score on the RAS before the intervention was 63.57 (SD = 23.65), which significantly increased to 91.62 (SD = 18.1) after the intervention (t = -4.294, p < 0.05).

Conclusion: Results provide initial evidence of the feasibility of the SDMNeedMan by psychiatric-mental health nurses in CMHCs.

Purpose: To evaluate different models of response to community-based mental health emergencies.

Method: An integrative review was conducted with literature retrieved from PubMed. A total of 1,646 articles were found through the literature search, of which 192 were determined to be relevant and were reviewed.

Results: We reviewed the three most utilized models of emergency response: Crisis Intervention Teams (CITs) of police only response, mobile crisis teams (MCTs) of civilian only response, and co-response teams (CRTs) of combined police and civilian response. All models are effective. CITs are associated with reductions in officer and citizen injuries and reductions in citizen arrests. MCTs are more acceptable by the general population and may be more effective at managing mental health emergencies and ensuring outpatient follow up but are limited in the scope of emergencies they can handle, particularly when there are associated dangers. CRTs combine the benefits of the two other models but are not synergistic.

Conclusion: Nursing involvement can improve the efficacy and outcomes of MCTs and CRTs.

Purpose: Vulnerable populations face barriers to accessing resources, such as health care, food, and housing, leading to health disparities. Smartphone use is widespread, and mobile health applications (apps) may help bridge these gaps. The current review synthesizes literature on factors affecting access to care for vulnerable populations and evaluates the feasibility of a smartphone health app for connecting these individuals to local resources.

Method: Literature from CINAHL, PubMed, and Web of Science (2014 to 2024) was reviewed, focusing on vulnerable populations, access to resources, mobile apps, and teamwork.

Results: Thirty-one articles were included. Findings show widespread smart-phone access among vulnerable populations, suggesting that mobile health apps may improve access to resources.

Conclusion: Despite widespread smartphone access, limited data exist on vulnerable populations' willingness to use mobile health apps to connect to local services. Further research is needed to assess their effectiveness in improving outcomes.