Abstract:
:Fragmentation in behavioral and mental health care to children has resulted in suboptimal care and high rates of psychotropic medication use, especially antipsychotic medications (APM). A qualitative study, based on the Theory of Planned Behavior (TPB), aimed to better understand prescribing practices, barriers to optimal treatment, and potential interventions to safeguard the use of APM for children in Kentucky. The most common barrier to optimal care was access to mental health specialists. Social norms and pressure from families contribute to increased medication use. We identify promising interventions to safeguard the use of APM through the lens of the TPB.
journal_name
Community Ment Health Jjournal_title
Community mental health journalauthors
Lohr WD,Brothers KB,Davis DW,Rich CA,Ryan L,Smith M,Stevenson M,Feygin Y,Woods C,Myers J,Liu GCdoi
10.1007/s10597-017-0125-8subject
Has Abstractpub_date
2018-01-01 00:00:00pages
17-26issue
1eissn
0010-3853issn
1573-2789pii
10.1007/s10597-017-0125-8journal_volume
54pub_type
杂志文章abstract::This study assessed mental disorders among 144 homeless and poor adults using four different methods: (a) history of psychiatric hospitalization, (b) structured clinical interview, (c) self-report symptom checklist, and (d) interviewer ratings. These four methods yielded divergent estimates of mental illness, ranging ...
journal_title:Community mental health journal
pub_type: 杂志文章
doi:10.1023/a:1018748009525
更新日期:1999-02-01 00:00:00
abstract::Recent legislation in California mandated the development of an outcome measure suitable for measuring changes in quality of life associated with treatment in the public mental health system. The measure, known as the California Adult Performance Outcome Survey (CAPOS), relies on clinician and client reports of object...
journal_title:Community mental health journal
pub_type: 杂志文章
doi:10.1007/BF02188613
更新日期:1995-10-01 00:00:00
abstract::In reviewing the public mental health services of 11 California counties during a period of fiscal retrenchment, we found several common trends: a greater focus on the severely mentally disabled; an increase in utilization of hospital-based care, residential treatment, day treatment, and case management services; and ...
journal_title:Community mental health journal
pub_type: 杂志文章
doi:10.1007/BF00756983
更新日期:1986-10-01 00:00:00
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journal_title:Community mental health journal
pub_type: 杂志文章,多中心研究
doi:10.1007/s10597-004-6125-5
更新日期:2004-12-01 00:00:00
abstract::This study explored perceived mental health-related needs and barriers to meeting them in primary and mental health care settings. Fifty-one participants completed the Perceived Need for Care Questionnaire and an interview to qualitatively explore the meanings behind self-identified needs for medication, information, ...
journal_title:Community mental health journal
pub_type: 杂志文章
doi:10.1007/s10597-011-9433-6
更新日期:2012-08-01 00:00:00
abstract::Relapse prevention (RP) programs mainly focus on patients and their families; however a patient's community can also play a significant role in RP. A randomized-controlled-trial was conducted among opiate-dependents discharging from residential abstinence-based treatment programs to assess the effect of a community-ba...
journal_title:Community mental health journal
pub_type: 杂志文章,随机对照试验
doi:10.1007/s10597-014-9772-1
更新日期:2015-01-01 00:00:00
abstract::There is increasing awareness of the sensitive and crucial role of the law enforcement officer as a community caretaker. Rigorous efforts to define criteria of adequate performance and to select men who can meet these criteria are called for. In this study applicants for a law enforcement agency were subjected to an e...
journal_title:Community mental health journal
pub_type: 杂志文章
doi:10.1007/BF01420462
更新日期:1975-04-01 00:00:00
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journal_title:Community mental health journal
pub_type: 杂志文章
doi:10.1007/BF01424803
更新日期:1975-10-01 00:00:00
abstract::Purpose is to present the mental health rehabilitation reform enacted in Israel in 2000, and to analyze the challenges it faces in its second decade of implementation. Lessons are drawn with regard to other jurisdictions interested in reforming mental health services. Besides reviewing the reform's accomplishments and...
journal_title:Community mental health journal
pub_type: 杂志文章
doi:10.1007/s10597-016-0058-7
更新日期:2017-07-01 00:00:00
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journal_title:Community mental health journal
pub_type: 杂志文章
doi:10.1007/BF01411075
更新日期:1976-01-01 00:00:00
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journal_title:Community mental health journal
pub_type: 杂志文章
doi:10.1007/s10597-014-9700-4
更新日期:2014-10-01 00:00:00
abstract::A review of literature on suicide shows a focus on early detection of those at risk of suicide and on the traits of those who actually commit suicide, but little attention to the therapeutic decisions of those who treat suicidal patients. Through in-depth interviews, 27 therapists from an interdisciplinary mental heal...
journal_title:Community mental health journal
pub_type: 杂志文章
doi:10.1007/BF00781306
更新日期:1978-04-01 00:00:00
abstract::Consumer satisfaction with treatment is important information for providers of mental health services. The goal of the current study was to examine the relationship between youth and parent satisfaction ratings and the following youth variables: gender, age, primary diagnosis, and changes in functioning and symptomato...
journal_title:Community mental health journal
pub_type: 杂志文章
doi:10.1007/s10597-010-9293-5
更新日期:2010-06-01 00:00:00
abstract::This study employed a citizenship measure to explore mental health providers' views of citizenship to support the societal participation of people with mental illnesses, with citizenship defined as a person's (or people's) strong connection to the 5Rs of rights, responsibilities, roles, resources and relationships and...
journal_title:Community mental health journal
pub_type: 杂志文章
doi:10.1007/s10597-019-00490-w
更新日期:2020-01-01 00:00:00
abstract::During the last decades of the 20th century, many psychiatric hospitals changed the living environments of their clients with long-term psychiatric disabilities. We investigated the effect of this environmental psychiatric rehabilitation and normalization process on the activity and participation level of such clients...
journal_title:Community mental health journal
pub_type: 杂志文章
doi:10.1023/b:comh.0000003014.01612.70
更新日期:2003-12-01 00:00:00
abstract::The purpose of the present study was to investigate the association of opinions towards seeking psychiatric help with the duration of untreated mental disorders in a sectorized Athens area, served by a Community Mental Health Centre. The sample consisted of 134 individuals who had sought help from health or mental hea...
journal_title:Community mental health journal
pub_type: 杂志文章
doi:10.1007/s10597-011-9404-y
更新日期:2011-10-01 00:00:00
abstract::The purpose of this study is to evaluate the effectiveness of the Kaohsiung Suicide Prevention Center (KSPC) of Kaohsiung City, Taiwan, during the period from June 2005 to June 2008. We used a modified CIPP evaluation model to evaluate the suicide prevention program in Kaohsiung. Four evaluation models were applied to...
journal_title:Community mental health journal
pub_type: 杂志文章
doi:10.1007/s10597-010-9364-7
更新日期:2011-10-01 00:00:00
abstract::In this research, we examine the relationships between the housing characteristics and dimensions of community adaptation for 107 psychiatric consumer/survivors. Hypotheses about which housing characteristics best predict which dimensions of adaptation were made based on previous research and theory. Using a longitudi...
journal_title:Community mental health journal
pub_type: 杂志文章
doi:10.1023/a:1018764229147
更新日期:1998-02-01 00:00:00
abstract::To study the effectiveness of group discussion in mitigating the rising hostility between police and residents of the urban ghetto, two 15-member groups of police and ghetto residents held weekly discussions, led and observed by university researchers, for 12 weeks. Attitude scales administered at the beginning and en...
journal_title:Community mental health journal
pub_type: 杂志文章
doi:10.1007/BF01420022
更新日期:1969-04-01 00:00:00
abstract::A necessary first step in the psychosocial treatment of persons with severe mental illness is helping them identify their goals. Unfortunately, goal assessment is often viewed as a categorical process in which individuals list needs for which they require services. Motivational interviews provide a more sophisticated ...
journal_title:Community mental health journal
pub_type: 杂志文章
doi:10.1023/a:1002757631131
更新日期:2001-04-01 00:00:00
abstract::The U.S. President's Commission on Mental Health (1978) has called for a broader conception of mental health and the factors that influence it. The "macro"-social environment is emerging as one area of concern. The influence of two macroenvironmental domains, the physical and economic, on several areas of human functi...
journal_title:Community mental health journal
pub_type: 杂志文章
doi:10.1007/BF00780664
更新日期:1980-04-01 00:00:00
abstract::In the U.S. serious mental illness (SMI) is common in jails, which are often primary healthcare providers. Incarceration and healthcare are intertwined-lack of care access increases the risk of imprisonment which decreases care access. This case study explores a jail program which assists people with SMI with the disa...
journal_title:Community mental health journal
pub_type: 杂志文章
doi:10.1007/s10597-017-0140-9
更新日期:2017-11-01 00:00:00
abstract:INTRODUCTION:While several major studies have examined services integration at the system or interagency level, there has been far less effort to measure the integration of services at the client-level and its correlates. METHODS:This study presents three client-level measures of services integration, two objective me...
journal_title:Community mental health journal
pub_type: 杂志文章
doi:10.1007/s10597-008-9138-7
更新日期:2008-10-01 00:00:00
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journal_title:Community mental health journal
pub_type: 杂志文章
doi:10.1007/BF00752666
更新日期:1991-12-01 00:00:00
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journal_title:Community mental health journal
pub_type: 杂志文章
doi:10.1023/a:1001983527309
更新日期:2000-08-01 00:00:00
abstract::With cultural issues prominent in the United States today and with ongoing rapid changes in health care management and delivery, this paper discusses the shift from a genetic-type psychiatry (i.e., assuming that humans the world over are no different, and will react to given stressors in life in the same manner) to on...
journal_title:Community mental health journal
pub_type: 历史文章,杂志文章,评审
doi:10.1007/BF02251069
更新日期:1996-12-01 00:00:00
abstract::This study sought to examine whether neighborhood social environment was related to patterns of depressive symptoms among primary care patients with type 2 diabetes mellitus (DM). Neighborhood social environment was assessed in 179 patients with type 2 DM. Individual patient residential data at baseline was geo-coded ...
journal_title:Community mental health journal
pub_type: 杂志文章
doi:10.1007/s10597-015-9855-7
更新日期:2015-11-01 00:00:00
abstract::Little is known about the medical conditions and medication use of individuals who are homeless and have mental health problems. This study used secondary data (N = 933) from a mental health clinic serving homeless adults. Primary outcomes were the number and types of self-reported medical conditions and medications. ...
journal_title:Community mental health journal
pub_type: 杂志文章
doi:10.1007/s10597-020-00552-4
更新日期:2020-07-01 00:00:00
abstract::Italy's mental health law of 1978 provided for the gradual phasing out of psychiatric hospitals (PH) and the creation of comprehensive community-based systems. However, these changes have taken place at different times and in different forms. There are now three different organizational and care models operating in It...
journal_title:Community mental health journal
pub_type: 杂志文章
doi:10.1007/BF00752444
更新日期:1989-04-01 00:00:00
abstract::Low-income women experience disproportionately high rates of adverse maternal mental health outcomes, such as pregnancy-related depression, and have less access to behavioral health support. Adverse maternal mental health affects children through compromising bonding, impeding early childhood development, and increasi...
journal_title:Community mental health journal
pub_type: 杂志文章
doi:10.1007/s10597-020-00744-y
更新日期:2020-11-07 00:00:00