SSM. Mental health最新文献

{"title":"Mealtime practices in the treatment of restrictive eating disorders: an ethnographic study of Norwegian youth psychiatric units","authors":"Tone Jørgensen ,&nbsp;Trine Brinkmann ,&nbsp;Ann-Karina E. Henriksen ,&nbsp;Esben S.B. Olesen","doi":"10.1016/j.ssmmh.2025.100564","DOIUrl":"10.1016/j.ssmmh.2025.100564","url":null,"abstract":"<div><div>Youths with restrictive eating disorders can be admitted to voluntary and involuntary treatment in acute psychiatric units for children and adolescents when their need for help is urgent or there is an emergency situation related to their vital functions. Providing sufficient nutrition for these patients is a key focus in treatment plans, making meal planning and calorie intake an essential part of the treatment. This article examines mealtime practices in the treatment of restrictive eating disorders at child and adolescent psychiatric acute hospitals in Norway. The analysis shows a complex interplay between treatment and coercion, where coercion underpins and ultimately ensures treatment compliance. The study contributes to the limited literature on coercion in inpatient child and adolescent psychiatry, and findings call for critical reflection to advance new ways of enforcing nutritional intake for patients with eating disorders admitted to involuntary treatment.</div><div>The analysis is based on ethnographic fieldwork conducted across three acute units in Norway. Drawing on Goffman's perspectives on frame analysis and his dramaturgical approach to social interaction, we examine how the establishment of frames in eating situations produces different meanings for this treatment activity. In our analysis, we demonstrate how three different frames (a biomedical therapeutic frame, a coercion frame, and a mealtime frame) constitute and regulate interactional behaviour in eating situations, and how participants negotiate these frames. It is argued that treatment and coercion are entangled in the routine treatment activity of meals, which makes coercion omnipresent in the treatment of restrictive eating disorders.</div></div>","PeriodicalId":74861,"journal":{"name":"SSM. Mental health","volume":"8 ","pages":"Article 100564"},"PeriodicalIF":2.6,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145519436","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Parenting on the border: Study protocol for a randomized controlled trial of a trauma-informed, edutainment-enhanced intervention to improve parenting and mental health among migrant and displaced caregivers in Thailand","authors":"Amanda Sim ,&nbsp;Eve Puffer ,&nbsp;Stephanie Eagling-Peche ,&nbsp;Khaing Zar Lwin ,&nbsp;G.J. Melendez-Torres ,&nbsp;Seema Vyas ,&nbsp;Tawanchai Jirapramukpitak ,&nbsp;Jamie Lachman ,&nbsp;Sumitra Thidar Soe ,&nbsp;Th'Blay Moo ,&nbsp;Mary Soan ,&nbsp;Jem Chalk ,&nbsp;Hannah Van Vijfeijken","doi":"10.1016/j.ssmmh.2025.100516","DOIUrl":"10.1016/j.ssmmh.2025.100516","url":null,"abstract":"<div><div>There is currently a lack of evidence-based interventions with a dual focus on improving parenting and caregiver mental health in conflict and humanitarian settings. To address this gap, we co-designed a trauma-informed, edutainment-enhanced intervention to improve both parenting and mental health outcomes among migrant and displaced caregivers on the Thailand-Myanmar border. This paper outlines the study protocol for a pragmatic, community-based type I hybrid effectiveness-implementation superiority randomized controlled trial with 480 caregivers individually randomized to the intervention or treatment as usual arms in a 1:1 ratio. Caregivers assigned to the intervention arm will be invited to a 6-session group intervention delivered by non-specialist facilitators. Primary outcomes for the trial are (1) positive parenting behaviour; (2) physical and psychological violence against children; and (3) caregiver psychological distress. Secondary outcomes include parenting knowledge, beliefs, and efficacy, caregiver engagement in young children's early learning, family functioning, social support, post-traumatic stress symptoms, emotion regulation, psychological flexibility, well-being, and children's internalizing and externalizing symptoms. Outcomes will be assessed at 3 time points: baseline, 1-month post-intervention, and 6-month follow up. A mixed methods process evaluation and cost effectiveness analysis are embedded within the trial to assess intervention delivery, acceptability, potential mechanisms of change, and cost effectiveness. The study was prospectively registered with the Thai Clinical Trials Registry on July 25, 2024 (<span><span>TCTR20240725001</span><svg><path></path></svg></span>).</div></div>","PeriodicalId":74861,"journal":{"name":"SSM. Mental health","volume":"8 ","pages":"Article 100516"},"PeriodicalIF":2.6,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144907418","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Co-designing “Familia Bora”: a father-inclusive parenting intervention for couples with young children in Mwanza, Tanzania","authors":"Joshua Jeong ,&nbsp;Juliet McCann ,&nbsp;Alina Bhojani ,&nbsp;Julieth Joseph ,&nbsp;Gabriel Sangarara ,&nbsp;Damas Joachim","doi":"10.1016/j.ssmmh.2025.100499","DOIUrl":"10.1016/j.ssmmh.2025.100499","url":null,"abstract":"<div><div>This paper describes the development of <em>Familia Bora</em> (“Good Family”), a multicomponent, father-inclusive parenting intervention aimed at enhancing caregiving practices of both fathers and mothers, strengthening couples' relationships dynamics, improving parental mental health and gender equity, and ultimately promoting early childhood development. From 2022 to 2024, we co-designed this intervention in Mwanza, Tanzania through a multi-phase, community-based, and iterative process grounded in a collaborative and equitable research-practice partnership. We began with a systematic review of father-inclusive interventions followed by a qualitative formative research study to identify priority fatherhood behaviors and contextual determinants of fathering in the local Tanzanian context. We then co-designed intervention content to address the multifaceted dimensions of fatherhood by integrating family systems, gender-transformative, and developmental perspectives and aiming to ensure cultural and contextual relevance. We piloted and iteratively refined individual sessions through 54 rapid pretesting cycles with 381 parents (53% mothers, 47% fathers) across 13 communities and incorporated participant feedback to continuously improve content and delivery and ensure cultural relevance and acceptability. This process resulted in a structured, manualized curriculum for a community-based group parenting program for fathers and their partners with young children aged 0–2 years. The curriculum holistically promotes nurturing care, couples’ relationships, caregiver mental health, and gender equality by applying a gender-transformative lens, centering child development throughout, and framing parenthood as a multidimensional role. Overall, this study showcases a systematic, evidence-based, and community-engaged approach to co-designing a father-inclusive parenting program. The resulting intervention demonstrates strong potential to engage fathers and improve family-wide outcomes for fathers, mothers, and young children. Building on our rigorous design process and promising initial results, further implementation and evaluation research is needed to assess program feasibility, acceptability, and effectiveness.</div></div>","PeriodicalId":74861,"journal":{"name":"SSM. Mental health","volume":"8 ","pages":"Article 100499"},"PeriodicalIF":2.6,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145010385","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Training antenatal care providers to deliver brief problem-solving therapy in rural Ethiopia: a developmental evaluation","authors":"Roxanne C Keynejad ,&nbsp;Adiyam Mulushoa ,&nbsp;Tesera Bitew ,&nbsp;Louise M. Howard ,&nbsp;Charlotte Hanlon ,&nbsp;Sharon Markless","doi":"10.1016/j.ssmmh.2025.100492","DOIUrl":"10.1016/j.ssmmh.2025.100492","url":null,"abstract":"<div><h3>Background</h3><div>Task-sharing is the redistribution of tasks usually performed by specialists, to staff with less training and fewer qualifications. Despite the established clinical efficacy of task-shared brief psychological interventions in low and middle-income countries, training and supervision models are infrequently reported and rarely evaluated.</div></div><div><h3>Methods</h3><div>From the interpretive paradigm, we conducted a developmental evaluation of training, supervision, and task-sharing of antenatal care providers (ANCPs) to deliver problem-solving therapy for antenatal depression in rural Ethiopia. We triangulated 18 qualitative interviews with women intervention recipients, ANCPs, mental health specialist trainer/supervisors and research staff, with documentary data. We employed reflexive thematic analysis before ‘peer review’ of our interpretations by a female Ethiopian research assistant.</div></div><div><h3>Findings</h3><div>Four over-arching themes encompassed the developmental journey, impacts, factors influencing success, and improvements. The complex adaptive healthcare system exerted unforeseen effects on the iterative development of training, supervisory and task-sharing plans. High quality communication skills (‘common elements’) training was most valued by ANCPs, while women especially appreciated psychological intervention ‘specific elements.’ An apprenticeship cascade model could balance the need for frequent, in-person specialist supervision against logistical barriers to travel from the capital. Fostering peer ‘communities of practice’ could support ANCPs' well-being and enhance their continued professional development.</div></div><div><h3>Conclusions</h3><div>This study contributes to sparse literature evaluating task-sharing training and supervisory approaches in resource-restricted settings, from an interpretive paradigm. Developmental evaluation proved a flexible methodological approach for exploring perspectives of stakeholders occupying diverse roles. We demonstrate the importance of embedding in-depth pedagogical consideration and qualitative evaluation into trials which depend on high quality clinical education.</div></div>","PeriodicalId":74861,"journal":{"name":"SSM. Mental health","volume":"8 ","pages":"Article 100492"},"PeriodicalIF":4.1,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144631201","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Developing a regional mental health plan for Dar es Salaam, Tanzania: Results from a situational analysis, qualitative inquiry, and stakeholder engagement process","authors":"Francis Benedict ,&nbsp;Christina V. Mramba ,&nbsp;Sylvia Kaaya ,&nbsp;Joseph Kimaro ,&nbsp;Joy Noel Baumgartner ,&nbsp;Max Bachmann","doi":"10.1016/j.ssmmh.2025.100532","DOIUrl":"10.1016/j.ssmmh.2025.100532","url":null,"abstract":"<div><h3>Background</h3><div>Mental health services in sub-Saharan Africa, including Tanzania, are little studied and hence challenges and opportunities are not well known, leading to difficulties in improving access to, and quality of, services to those in need.</div></div><div><h3>Objectives</h3><div><ul><li><span>1.</span><span><div>To conduct a situational analysis of mental health services in Dar es Salaam region,</div></span></li><li><span>2.</span><span><div>To consult with key stakeholders on mental health services delivery and planning, and</div></span></li><li><span>3.</span><span><div>To develop a regional mental health services plan.</div></span></li></ul></div></div><div><h3>Methods</h3><div>This was a mixed-methods study, using the PRIME situational analysis tool, which provided a quantitative overview of mental health service needs, resources and activities. We conducted individual in-depth interviews (IDI, n = 5) with regional mental health service managers, and focus group discussions (FGD, n = 7) with 29 mental healthcare workers at primary healthcare facilities. We led a workshop with regional mental health service managers to discuss findings and to develop a regional mental healthcare services plan.</div></div><div><h3>Results</h3><div>The situational analysis identified a large burden of mental health care needs, but also a variety of health care services and providers in the region. The IDIs and FGDs found inadequate health facilities and staff providing mental health services, ineffective implementation of mental health policy regarding user fee exemptions and cost sharing, stigma in the community, and low community awareness. The financial burdens on patients were lower if patients were covered by health insurance, but health insurance has limitations regarding medication provision. The regional mental health plan proposes strengthening mental health services by integrating them into primary health care facilities, training health providers and other workers on mental health issues, strengthening referral systems, and increasing government and social insurance funding.</div></div><div><h3>Conclusion</h3><div>Despite barriers hindering mental health service provision in Dar es Salaam, there are positive factors that could potentially make mental health delivery more effective and sustainable. Financial and human resource constraints will limit such developments. Implementation of the regional plan will require ongoing engagement with stakeholders, but has the potential to enhance access to and improve quality of mental health care in the region.</div></div>","PeriodicalId":74861,"journal":{"name":"SSM. Mental health","volume":"8 ","pages":"Article 100532"},"PeriodicalIF":2.6,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145219490","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Support systems impacting the mental health of diverse women in biomedical science programs: An ecological approach","authors":"Ida Salusky ,&nbsp;Robin Remich ,&nbsp;Lidia Monjaras-Gaytan ,&nbsp;Cilka Mayumi Hijara ,&nbsp;Richard McGee","doi":"10.1016/j.ssmmh.2025.100545","DOIUrl":"10.1016/j.ssmmh.2025.100545","url":null,"abstract":"<div><div>Biomedical doctoral trainees experience high rates of mental health distress compared to the general population. Minoritized students are particularly vulnerable to psychological stress during training due to systemic factors including discrimination, bullying, financial constraints, high workloads and constant critical feedback. As such, the mental health of minoritized biomedical trainees is both a social justice and health equity issue. We examined longitudinal narratives of 33 Asian, Black and Latiné women in biomedical doctoral programs to understand how they constructed support systems to manage psychological distress induced by training environments and how institutional agents can effectively support student psychological wellness. By examining the experiences of graduate students over time, we found that students expend time and energy to create support systems using a variety of resources. Using Bronfenbrenner's Ecological Model, the findings show that constructing support can present challenges, particularly when norms and structures of biomedical training conflict with practices to foster good health. We present three themes: 1) students find authentic support through family, friends, and pre-PhD mentors; 2) students seek support from health professionals, though not all services were readily available or perceived as a good fit; and 3) fewer than half of participants experienced support for their mental health from PhD mentors (PIs of their lab).</div></div>","PeriodicalId":74861,"journal":{"name":"SSM. Mental health","volume":"8 ","pages":"Article 100545"},"PeriodicalIF":2.6,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145320191","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Psychometric properties of the English-language difficulties in Emotion Regulation Scale-16 for 15-18-year-old adolescents in the Western Cape of South Africa","authors":"C. Ward Smith ,&nbsp;K. Sorsdahl ,&nbsp;J.R. Pozuelo ,&nbsp;C. van der Westhuizen","doi":"10.1016/j.ssmmh.2025.100522","DOIUrl":"10.1016/j.ssmmh.2025.100522","url":null,"abstract":"<div><h3>Introduction</h3><div>Given that emotion regulation (ER) is associated with mental health conditions, including depression and anxiety, among adolescents, it is vital to have psychometrically sound ER measures. However, validated ER measures for South African adolescents are scarce. This study addresses this gap by evaluating the psychometric properties of the English-language Difficulties in Emotion Regulation Scale–16 (DERS-16) among South African adolescents in the Western Cape.</div></div><div><h3>Methods</h3><div>A cross-sectional survey was conducted with 474 students aged 15–18 years from 12 high schools in the Western Cape. The survey assessed sociodemographic characteristics, ER, depression and anxiety. Psychometric properties of the DERS-16 were assessed, including internal consistency, test-retest reliability, convergent validity, and exploratory and confirmatory factor analyses.</div></div><div><h3>Results</h3><div>The DERS-16 displayed excellent internal consistency (α = 0.93), average test-retest reliability (r = 0.64), and strong convergent validity with both the Center for Epidemiologic Studies Depression Scale (CES-D-10; r = 0.72) and the Generalized Anxiety Disorder Scale (GAD-7; r = 0.69). A weaker but significant negative correlation was found with the ER Skills Questionnaire (ERSQ; r = −0.26). Exploratory factor analysis proposed a novel two-factor model with loadings ranging from 0.39 to 0.86. Confirmatory factor analysis provided additional support for the two-factor structure, with acceptable fit indices (CFI = 0.91, TLI = 0.89, RMSEA = 0.089).</div></div><div><h3>Conclusion</h3><div>The DERS-16 is a sound tool for measuring ER difficulties among older South African adolescents, thus addressing the gap in such measures for this setting. Given that ER is crucial for adolescent mental health, this research underscores the need for ongoing development and validation of ER tools tailored to South African adolescents.</div></div>","PeriodicalId":74861,"journal":{"name":"SSM. Mental health","volume":"8 ","pages":"Article 100522"},"PeriodicalIF":2.6,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145026476","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Measuring flourishing for transitional youth aging out of foster care in the United States: Factor structure and invariance of the flourishing index","authors":"Deborah J. Moon ,&nbsp;Jeesoo Jeon ,&nbsp;Amanda Cruce ,&nbsp;Hyunjin Lee ,&nbsp;Ruijie Ma ,&nbsp;Brendan W. Case","doi":"10.1016/j.ssmmh.2025.100518","DOIUrl":"10.1016/j.ssmmh.2025.100518","url":null,"abstract":"<div><div>Mental health field is shifting toward a greater focus on the presence of mental health beyond the assessment and treatment of mental illness. <em>Flourishing</em> is an emerging concept that captures the ultimate health and well-being in multiple dimensions. The knowledge of youth flourishing is crucial to promoting the mental health of all youths beyond those with mental illness. Despite the increased interest in youth flourishing, limited studies examined flourishing among disadvantaged youth. Moreover, a limited number of validated measures exist that can accurately measure flourishing for marginalized youth of different demographics. This paper presents the results from the Exploratory and Confirmatory Factor Analyses (FA) of the adolescent version of the Flourishing Index using the data collected from youth aging out of foster care (18–24 years old) who participated in the Flourishing After Foster Care study, a national survey of 379 transitional youth aging out of foster care. Additionally, we examined measurement invariance between the transitional youth of different sexes [male (n = 256) vs female (n = 89)], race [White (n = 272) vs youth of color (n = 83)], and sexual orientation [heterosexual (n = 282) vs sexual minority (n = 92)]. The results from the FAs supported a one-dimensional model with 10 items, which showed excellent fit (CFI = 0.985, TLI = 0.980, RMSEA = 0.054, SRMR = 0.021). Measurement invariance was supported based on sex and sexual orientation but not on race. Partial invariance was supported based on race with the exclusion of one item related to delayed gratification. Future research should build on these findings to further explore flourishing indicators for youths across different identities.</div></div>","PeriodicalId":74861,"journal":{"name":"SSM. Mental health","volume":"8 ","pages":"Article 100518"},"PeriodicalIF":2.6,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145265664","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Pathways of service user participation in mental health decision-making in Lebanon","authors":"Thurayya Zreik ,&nbsp;Sandy Chaar ,&nbsp;Michelle Lokot ,&nbsp;Rozane El Masri ,&nbsp;Rayane Ali ,&nbsp;Bassel Mekssasi ,&nbsp;Joseph Elias ,&nbsp;Michele Asmar ,&nbsp;Martin McKee ,&nbsp;Felicity L. Brown ,&nbsp;Rabih El Chammay ,&nbsp;Bayard Roberts","doi":"10.1016/j.ssmmh.2025.100486","DOIUrl":"10.1016/j.ssmmh.2025.100486","url":null,"abstract":"<div><div>Inclusive participation of mental health service users is critical for effective decision-making and governance, yet remains underexplored in humanitarian settings. Lebanon, facing protracted crises and hosting over 1.5 million Syrian refugees, provides a unique case to examine pathways of service user participation in mental health decision-making. This qualitative study investigates barriers, facilitators, and power dynamics influencing service user participation at the micro-, meso- (service), and macro- (policy) levels. Semi-structured interviews and focus group discussions were conducted with 33 purposively selected participants, including Syrian and Lebanese service users, NGO staff, and UN representatives. Data were collaboratively analysed using Dedoose software based on codes developed deductively and inductively. Our findings reveal that participation is limited and predominantly consultative, with power imbalances including gender, socioeconomic status, stigma, and displacement status creating significant barriers. Users reported decision-making power at the individual level, particularly in seeking services and treatment planning, but meaningful participation at service or governance levels was rare. Providers highlighted efforts to gather user input but often framed participation as part of routine monitoring and evaluation. Reluctance to engage formal governance structures, due to mistrust and structural and attitudinal barriers, further inhibited participation. Strategies to enhance meaningful participation include increasing awareness, capacity-building, promoting flexibility in service design, and strengthening user-led advocacy. Addressing power imbalances and promoting inclusive, user-centered approaches are essential to advancing inclusion in mental health systems, with valuable implications for humanitarian and crisis-affected settings globally.</div></div>","PeriodicalId":74861,"journal":{"name":"SSM. Mental health","volume":"8 ","pages":"Article 100486"},"PeriodicalIF":4.1,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144511031","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Negotiating boundaries: (A qualitative study of) mental health professionals’ demarcation of psychiatric diagnosis in everyday practice","authors":"Jonathan Munch Bach ,&nbsp;Klaus Nielsen ,&nbsp;Henriette Bruun","doi":"10.1016/j.ssmmh.2025.100488","DOIUrl":"10.1016/j.ssmmh.2025.100488","url":null,"abstract":"<div><div>The purpose of this article is to explore how mental health professionals make use of and negotiate the boundaries of psychiatric diagnosis in their everyday practice. The study is based on empirical material from four months of participant observation and interviews conducted in both inpatient and outpatient psychiatric clinics in Denmark.</div><div>In this article, we demonstrate how diagnoses are not only used to describe the condition of a patient, but also to decide questions of agency, to render certain problems practicable, and to demarcate the boundaries of their practice.</div><div>Finally, we show how these negotiations hold consequences for the <em>trajectories of care</em> offered to patients and propose the notions of <em>situated rationality</em> and <em>psychiatry as a multiple institution</em> as important terms to understand the everyday practice and negotiations of mental health professionals.</div></div>","PeriodicalId":74861,"journal":{"name":"SSM. Mental health","volume":"8 ","pages":"Article 100488"},"PeriodicalIF":4.1,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144502461","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}