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Canadian Journal of Community Mental Health最新文献

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Learning Through Focus Groups with Parents, Educators, and Healthcare Providers About the Child’s Journey from Diagnosis to Treatment Adherence for ADHD 通过与家长、教育工作者和医疗保健提供者进行焦点小组讨论,了解儿童多动症从诊断到坚持治疗的过程
Pub Date : 2024-07-25 DOI: 10.7870/cjcmh-2024-010
Penny Corkum, Gabrielle Rigney, M. McGonnell, Carolin Van Voorst
The journey of obtaining a diagnosis and treatment for children and youth with ADHD can be challenging for all those involved. Focus groups were conducted with parents (n = 21), educators (n = 76), and healthcare providers (n = 39) to gather information regarding perceptions of this journey, especially as it relates to treatment utilization and adherence. Three cross-cutting categories emerged: the impact of socio-economic variables, the lack of integrated and continuity of care for ADHD, and the stigma surrounding ADHD and treatments. The results help to determine what is needed to support families to facilitate successful treatment for their child with ADHD.
多动症儿童和青少年获得诊断和治疗的过程对所有相关人员来说都是充满挑战的。我们与家长(21 人)、教育工作者(76 人)和医疗服务提供者(39 人)进行了焦点小组讨论,以收集他们对这一历程的看法,特别是与治疗利用和坚持治疗有关的看法。结果发现了三个交叉类别:社会经济变量的影响、缺乏对多动症的综合和连续性治疗,以及围绕多动症和治疗的耻辱感。研究结果有助于确定需要为家庭提供哪些支持,以帮助患有多动症的儿童成功接受治疗。
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引用次数: 0
Self-Reported Mental Health and Addiction Outcomes of a Novel Community-Based Case Management Program for Frequent Emergency Department Users 针对急诊科常客的新型社区个案管理项目的自我心理健康和成瘾结果报告
Pub Date : 2024-07-08 DOI: 10.7870/cjcmh-2024-009
Jonathan Samosh, Donna Pettey, J. Sylvestre, Tim Aubry
Frequent emergency department users with mental illness or addiction often struggle to find the services they need. A pre-test/post-test design assessed outcomes for these individuals after participating in a novel community-based stepped-care program delivering individualized intensive case management services. Results indicated improvement in overall functioning and severity of anxious and depressive symptoms.
经常在急诊室就诊的精神病患者或吸毒成瘾者往往很难找到他们需要的服务。我们采用前测/后测的设计方法,评估了这些人在参加一项提供个性化强化个案管理服务的新型社区阶梯式护理计划后的效果。结果显示,这些人的整体功能以及焦虑和抑郁症状的严重程度都有所改善。
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引用次数: 0
The Dilemma of People Experiencing Borderline Personality Disorder (BPD) on Assertive Community Treatment (ACT) Teams—A Scoping Literature Review: Can ACT help people with BPD? 边缘型人格障碍(BPD)患者在自主社区治疗(ACT)团队中的困境--范围界定文献综述:ACT 能帮助 BPD 患者吗?
Pub Date : 2024-05-03 DOI: 10.7870/cjcmh-2024-003
Josiah Osagie, Yvonne Bergmans, Aly Kassam, Michaela Beder, Madeleine Ritts, J. Zaheer, Kate Wren, Melissa Button, Nicole Kirwan, Matthew Levy, Samuel Law
People with borderline personality disorder (BPD) are typically excluded from assertive community treatment (ACT) teams, the intensive model that typically serves people with serious psychotic and mood disorders. Nevertheless, many people with BPD are on ACT teams for clinical comorbidity or other reasons. Suitability and ability of ACT to provide their care is understudied. Our scoping literature review shows a limited body of research, with strong but mixed opinions on this dilemma, but notable incorporation of training and skills (e.g., dialectical behavioral therapy) into ACT may improve care for this population whose presence on ACT teams is a clinical reality.
边缘型人格障碍(BPD)患者通常被排除在自信社区治疗(ACT)团队之外,这种强化治疗模式通常服务于患有严重精神病和情绪障碍的患者。然而,由于临床合并症或其他原因,许多 BPD 患者被纳入了 ACT 团队。对 ACT 是否适合并有能力为他们提供护理的研究还不充分。我们的范围性文献综述显示,研究数量有限,对这一难题的看法强烈但不一致,但值得注意的是,将培训和技能(如辩证行为疗法)纳入 ACT 可能会改善对这一人群的护理,因为他们在 ACT 团队中是一个临床现实。
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引用次数: 0
Framing Service User Involvement in Mental Health: A Qualitative Review 心理健康服务用户参与的框架:定性审查
Pub Date : 2024-04-12 DOI: 10.7870/cjcmh-2024-001
Cara Evans, Janelle Panday, Heather Bullock, M. Levasseur, Christopher Canning, Laura Tripp, Julia Abelson, Meredith Vanstone
Partnering with patients and family caregivers (commonly referred to as patient partnership) is increasingly common in health services, research, education, and policy. In the field of mental health, service user involvement intersects with distinct historical trajectories and as such, may take on unique forms. This review draws on a broader systematic review of literature on patient partnership. We ask: How does literature on patient partnership in mental health and addictions describe the history of service user involvement and the roles of service users? Two broad frames for service user involvement are identified, which offer contrasting perspectives about the history, value, and power relations involved in service user involvement. Future research can consider implications of these perspectives, and opportunities for synthesis.
在医疗服务、研究、教育和政策中,与患者和家庭照顾者建立伙伴关系(通常称为患者伙伴关系)越来越普遍。在心理健康领域,服务使用者的参与与不同的历史轨迹交织在一起,因此可能会采取独特的形式。本综述借鉴了有关患者伙伴关系的更广泛的系统性文献综述。我们要问:有关精神健康和成瘾领域患者合作关系的文献是如何描述服务使用者参与的历史和服务使用者的角色的?我们确定了服务使用者参与的两种广泛框架,它们为服务使用者参与的历史、价值和权力关系提供了截然不同的视角。未来的研究可以考虑这些观点的影响以及综合的机会。
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引用次数: 0
Developing a Faith-Based Virtual Psychoeducation Program to Enhance Addiction Services for Canadian Muslims: C-MAP 开发基于信仰的虚拟心理教育计划,加强为加拿大穆斯林提供的戒毒服务:C-MAP
Pub Date : 2024-03-08 DOI: 10.7870/cjcmh-2024-007
Fardowsa Ahmed, Heba Ragheb, Nazila Isgandarova, Jibran Khokhar, Marwa Azab, Allie Ali, Abd Alfatah Twakkal, Ahmed N. Hassan
Canadian Muslims are a growing population at an increased risk of addiction who have been found to underutilize health services. The Canadian-Muslim Addiction Program (C-MAP) offers an innovative intervention serving as a practice for public-health education to transform addiction care in this population by reducing stigma and increasing help-seeking.
加拿大穆斯林是一个日益增长的人群,他们的成瘾风险越来越高,但他们对医疗服务的利用率却很低。加拿大穆斯林成瘾计划(Canadian-Muslim Addiction Program,C-MAP)提供了一种创新的干预措施,作为公共健康教育的一种实践,通过减少耻辱感和增加求助,改变对这一人群的成瘾护理。
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引用次数: 0
The Mental Hygiene Challenge – A Novel Public Mental Health Intervention 心理卫生挑战--一种新颖的公共心理卫生干预措施
Pub Date : 2024-03-04 DOI: 10.7870/cjcmh-2024-008
Guillaume Tremblay, Nicole C. Rodrigues
To support population mental health, mental hygiene propounds a universal public recommendation. March 2022 was the inaugural mental hygiene challenge where community members were invited to spend 10 minutes a day throughout the month engaged in mental hygiene activities. The outcomes suggest daily mental hygiene supports mental well-being.
为了支持全民心理健康,心理卫生提出了一项普遍的公共建议。2022 年 3 月是首届心理卫生挑战赛,社区成员受邀在整个月内每天花 10 分钟参与心理卫生活动。结果表明,日常心理卫生有助于心理健康。
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引用次数: 0
Le modèle Men’s Shed comme pratique innovante en intervention communautaire auprès des hommes 作为男性社区干预创新实践的 "男士小屋 "模式
Pub Date : 2024-02-23 DOI: 10.7870/cjcmh-2024-005
P. Roy, Dominic Bizot, C. Lévesque, S. Parent
Cet article présente le modèle des Men’s Shed, ou ateliers pour hommes, comme pratique innovante en santé mentale communautaire. Il détaille les problématiques auxquelles ils répondent, leur fonctionnement et les défis. Nous soulignons le besoin de littérature scientifique en français sur la question.
本文介绍了 "男士小屋 "这一创新的社区心理健康实践模式。文章详细介绍了该模式所解决的问题、工作方式以及面临的挑战。我们强调需要有关这一主题的法语科学文献。
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引用次数: 0
The Promise of One-At-A-Time Therapy for Enhancing the Relevance and Accessibility of Psychological Interventions for Youth Experiencing Homelessness 一次性疗法有望增强对无家可归青少年进行心理干预的针对性和可及性
Pub Date : 2024-02-23 DOI: 10.7870/cjcmh-2024-006
Kayla Hamel, Kyla McDonald, Sean Kidd, Alexia Jaouich, Kaitlin G. Saxton, AnnMarie Churchill
This article describes a novel framework for the provision of individual psychotherapy for youth with histories of homelessness. We discuss the value of a one-at-a-time therapy approach in stepped care contexts through the Housing Outreach Project—Collaborative (HOPC), a comprehensive program for young people transitioning out of homelessness in Toronto, Canada.
本文介绍了一种为有无家可归史的青少年提供个人心理治疗的新型框架。我们通过 "住房外展项目合作组织"(HOPC)(加拿大多伦多市为摆脱无家可归状态的青少年提供的一项综合计划),讨论了在阶梯式关怀背景下一次治疗方法的价值。
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引用次数: 0
Predictors of Burden in Families of Youth Experiencing Mental Health and/or Addiction Concerns in Ontario, Canada 加拿大安大略省精神健康和/或吸毒问题青少年家庭负担的预测因素
Pub Date : 2024-01-29 DOI: 10.7870/cjcmh-2023-028
Emily E. Levitta, R. Markoulakis, S. Weingust, K. Dobbin, A. Levitt
This study explored factors impacting caregiver burden (CB) in families of youth with mental health and/or addiction (MHA) issues through a cross-sectional survey of Ontario caregivers (n = 259). Zero-order correlations explored caregiver, youth, and service factors and CB. Regressions explored contributions of significant factors to the variance in CB. Barriers to services, number of youth symptoms, and waitlist status significantly predicted CB. The specific barriers that were significantly associated with CB were service costs, service availability, and youth motivation to participate in services. Tailoring interventions and policies to reduce service waitlists and barriers may alleviate CB and improve youth and family outcomes.
本研究通过对安大略省照顾者(n = 259)的横断面调查,探讨了影响有心理健康和/或成瘾(MHA)问题的青少年家庭照顾者负担(CB)的因素。零阶相关性探讨了照顾者、青少年和服务因素与 CB 的关系。回归探讨了重要因素对 CB 变异的贡献。服务障碍、青少年症状数量和候选名单状况对 CB 有显著的预测作用。与 CB 显著相关的具体障碍是服务成本、服务可用性和青少年参与服务的积极性。调整干预措施和政策以减少服务候补名单和障碍,可能会缓解CB问题并改善青少年和家庭的结果。
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引用次数: 0
The Mental Well-Being of Canadian Young Adults Versus Older Adults Before, During, and After Covid-19’s First Wave: Do Sociodemographic Characteristics Matter? 在 Covid-19 第一波之前、期间和之后,加拿大年轻人与老年人的精神健康状况:社会人口特征是否重要?
Pub Date : 2024-01-23 DOI: 10.7870/cjcmh-2023-029
Guillaume Descary, Elizabeth Olivier, Éliane Thouin, Rubab G. Arim, V. Dupéré, I. Archambault, K. Tardif-Grenier
Using a series of nationally representative cross-sectional surveys, this study shows that younger Canadian adults (aged 18–34) rated their own mental health positively (as “very good” or “excellent”) less often than older adults (i.e., 35+), both before and during the pandemic. Also, younger adults’ positive mental health ratings declined particularly sharply following the onset of the pandemic, with declines of more than 25 percent between the pre-pandemic (60.9% [95% CI 59.3-62.4]), and the pandemic (e.g., 43.8% [95% CI 38.7-49.0]) periods. Young adult women appeared particularly vulnerable, but immigrant youth showed signs of resilience.
本研究通过一系列具有全国代表性的横断面调查显示,无论是在大流行之前还是期间,加拿大年轻成年人(18-34 岁)对自己心理健康的正面评价("非常好 "或 "优秀")都少于年龄较大的成年人(即 35 岁以上)。此外,在大流行开始后,年轻成年人对自己心理健康的积极评价急剧下降,在大流行前(60.9% [95% CI 59.3-62.4])和大流行期间(例如,43.8% [95% CI 38.7-49.0])之间的降幅超过 25%。青壮年妇女似乎特别容易受到感染,但移民青年则表现出了抗病能力。
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Canadian Journal of Community Mental Health
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