Abstract:
:People with HIV (PWH) who have mental health disorders (MHD) and substance use disorders (SUD) have lower HIV medication adherence, higher unsuppressed viral loads, and higher mortality rates than those who do not. Individuals who have triple diagnoses (HIV, MHD and SUD) are at an exponential risk for these adverse outcomes. This study explored the barriers and facilitators to accessing and linking PWH with MHD and SUD services. Qualitative interviews with 90 participants were conducted to explore their experiences seeking treatment for MHD and SUD. Results of a thematic analysis found two important barriers to treatment access and utilization: unstable motivation to change and negative experiences with providers. Conversely, an internal drive to heal and rapport with providers facilitated positive treatment experiences. Findings of the study also indicate a need for an integrated treatment model where MHD, SUD, and HIV treatment are available at the same location.
journal_name
Community Ment Health Jjournal_title
Community mental health journalauthors
Conway FN,Rountree MA,Jones KVdoi
10.1007/s10597-020-00756-8subject
Has Abstractpub_date
2021-01-02 00:00:00eissn
0010-3853issn
1573-2789pii
10.1007/s10597-020-00756-8pub_type
杂志文章abstract::In the last forty years deinstitutionalization has transferred the care of people with a serious mental illness from the psychiatric hospitals to community based facilities. More recently it has been questioned whether these new facilities offer the anticipated benefits of quality of life. This study examines the Qual...
journal_title:Community mental health journal
pub_type: 杂志文章
doi:10.1023/a:1017500624447
更新日期:2001-08-01 00:00:00
abstract::In structured interviews with 96 women with severe mental illness, nearly two-thirds had not used condoms during sexual intercourse in the past 3 months, more than two-thirds had sex with multiple partners, and almost one-third had been treated for a sexually transmitted infection (STI) in the past year. Women who rep...
journal_title:Community mental health journal
pub_type: 杂志文章
doi:10.1007/s10597-006-9069-0
更新日期:2007-02-01 00:00:00
abstract::During yearly meetings of the recently developed network of 15 public/community psychiatry fellowships, it has been noted that programs are having varying degrees of success with regard to recruitment. To understand factors that impact recruitment, a quality improvement survey of fellows and alumni was conducted. Resp...
journal_title:Community mental health journal
pub_type: 杂志文章
doi:10.1007/s10597-014-9701-3
更新日期:2014-10-01 00:00:00
abstract::Optimizing the transition between child and adolescent mental health services (CAMHS) and adult mental health services (AMHS) is a priority for healthcare systems. The purpose of this systematic review is to: (1) identify and compare models of care that may be used to facilitate the transition from CAMHS to AMHS; and ...
journal_title:Community mental health journal
pub_type: 杂志文章,评审
doi:10.1007/s10597-017-0098-7
更新日期:2017-05-01 00:00:00
abstract::Are the addict and alcoholic mentally ill? By traditional standards, yes. The validity of the "mental illness" concept and its associated psychiatric labeling process, however, is challenged. A synthesis of the human ecological systems and third-force frames of reference is presented as a viable alternative to the med...
journal_title:Community mental health journal
pub_type: 杂志文章,评审
doi:10.1007/BF01419665
更新日期:1975-01-01 00:00:00
abstract::The research was carried out as a pre-test, post-test patterned intervention with one group in order to evaluate the psychoeducation given to older people at nursing homes for a healthy lifestyle and developing life satisfaction. The research was done with 21 female and 21 male older people staying at the state-owned ...
journal_title:Community mental health journal
pub_type: 杂志文章
doi:10.1007/s10597-013-9602-x
更新日期:2013-12-01 00:00:00
abstract::About half of the current activity in consultation and education services of community mental health centers can be classified as primary prevention. Using a framework that distinguishes between institutional-level interventions (caretaker training and program consultation) and individual-level interventions (dealing ...
journal_title:Community mental health journal
pub_type: 杂志文章
doi:10.1007/BF01422536
更新日期:1977-01-01 00:00:00
abstract::This paper examines the relationship between hopelessness on chronic disease in a national sample of African Americans (3570) and Caribbean Blacks (1438) Using the National Survey of American Life. A multivariate negative binomial regression examined whether chronic disease is associated with hopelessness, controlling...
journal_title:Community mental health journal
pub_type: 杂志文章
doi:10.1007/s10597-019-00536-z
更新日期:2020-05-01 00:00:00
abstract::This report describes a one-year experience with a new program of group therapy for Southeast Asians who were treated in a psychiatric program for Indochinese refugees. Cultural factors involving communication styles, respect for authority, and traditional social relationships greatly influence the group process. Soci...
journal_title:Community mental health journal
pub_type: 杂志文章
doi:10.1007/BF00756658
更新日期:1988-07-01 00:00:00
abstract::Few studies have investigated the reasons why pregnant and puerperal women fail to seek or accept treatment for perinatal depression in low- and middle-income countries, where there is a high prevalence of this disorder. To help fill this gap, this study investigated the factors influencing the decision not to seek or...
journal_title:Community mental health journal
pub_type: 杂志文章
doi:10.1007/s10597-019-00450-4
更新日期:2020-01-01 00:00:00
abstract::The authors conceptualized multidisciplinary team decision making in terms of information collection, communication, and combination. The study explored the potentially biasing effects of situational variables on information collection. When compared with evening shift nurses, day shift nurses rated patients as much l...
journal_title:Community mental health journal
pub_type: 杂志文章
doi:10.1007/BF00754541
更新日期:1982-01-01 00:00:00
abstract::Our aim was to examine whether ACEs associate to regular smoking and nicotine dependence (ND) among 508 psychiatric inpatients aged 13-17 years. Adolescents were interviewed using the Schedule for Affective Disorder and Schizophrenia for School-Age Children and the European Addiction Severity Index -instruments. ND wa...
journal_title:Community mental health journal
pub_type: 杂志文章
doi:10.1007/s10597-019-00476-8
更新日期:2020-02-01 00:00:00
abstract::Severe mental illness entails multiple hospital admissions and a large use of public resources. The Reflecting Team (RT), together with other dialogue strategies, place in a single therapeutic space, the patient, his family and a team of professionals to find together a solution to a situation of stagnation. The aim o...
journal_title:Community mental health journal
pub_type: 杂志文章
doi:10.1007/s10597-020-00716-2
更新日期:2020-09-29 00:00:00
abstract::A study was conducted to ascertain the potential effect of recent federal protection and advocacy legislation (Public Law 99-319) on the lives of mentally ill children. Findings indicate a strong potential, especially regarding efforts to improve community based services. Implications for mental health professionals a...
journal_title:Community mental health journal
pub_type: 杂志文章
doi:10.1007/BF00755387
更新日期:1989-07-01 00:00:00
abstract::Recovery from substance abuse and mental health disorders (dual-diagnosis) requires time, hard work and a broad array of coping skills. Empirical evidence has demonstrated the buffering role of social support in stressful situations. This paper investigates the associations among social support (including dual-recover...
journal_title:Community mental health journal
pub_type: 杂志文章
doi:10.1023/a:1001982829359
更新日期:2000-10-01 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
abstract::Individual dietetic consultations were trialled in a community-based first-episode psychosis program. Participants received eight individualised dietetic consultations, plus weekly shopping tours and cooking groups. The outcome measure was waist circumference (WC). In total, 30 patients commenced the program. An inten...
journal_title:Community mental health journal
pub_type: 杂志文章
doi:10.1007/s10597-014-9787-7
更新日期:2015-02-01 00:00:00
abstract::People taking antipsychotic medications are at increased risk for obesity, diabetes, and early mortality. Few weight loss interventions have targeted this population. Thirty-six individuals were randomized to an evidence-based 12-week weight loss intervention (PREMIER with DASH diet, n = 18) or to usual care (n = 18) ...
journal_title:Community mental health journal
pub_type: 杂志文章,随机对照试验
doi:10.1007/s10597-014-9716-9
更新日期:2014-11-01 00:00:00
abstract::Sociodemographic differences between rural and urban clients with severe mental illness (SMI) are explored using approaches which extend research in this area beyond limitations found in the few existing studies. Sixteen hundred adult clients from 18 Wisconsin counties are classified according to the degree of ruralit...
journal_title:Community mental health journal
pub_type: 杂志文章
doi:10.1023/a:1025004804395
更新日期:1997-12-01 00:00:00
abstract::A fundamental aspect of successful illness self-management for people with serious mental illnesses is the ability to advocate for themselves in health and rehabilitation settings. This study reports findings from a randomized controlled trial comparing propensity for patient self-advocacy among those who received a p...
journal_title:Community mental health journal
pub_type: 杂志文章,随机对照试验
doi:10.1007/s10597-011-9475-9
更新日期:2013-06-01 00:00:00
abstract::Rural mental health care reform has failed to recognize that service utilization and access is guided by the meanings and explanations that rural dwellers ascribe to symptoms and treatments for mental illness. These meanings and explanations are described here as local knowledge. It is argued that planning for reform ...
journal_title:Community mental health journal
pub_type: 杂志文章,评审
doi:10.1007/BF02189439
更新日期:1995-12-01 00:00:00
abstract::To describe 5-year changes in the provision of Residential Facilities (RFs) in a large Italian Region and in the characteristics of their staffing and patients. 2000 census data of all RFs with >4 residential beds in the Emilia-Romagna Region were compared with 2005 census data. The number of residential beds increase...
journal_title:Community mental health journal
pub_type: 杂志文章
doi:10.1007/s10597-010-9355-8
更新日期:2011-04-01 00:00:00
abstract::Two aspects of social support, availability and adequacy, were assessed for 729 severely mentally ill adults enrolled in seven state-supported Community Support Services (CSS) programs as part of repeated questionnaire surveys nine months apart. Perceived quality of life interviews with the clients were also conducted...
journal_title:Community mental health journal
pub_type: 杂志文章
doi:10.1007/BF00761058
更新日期:1992-10-01 00:00:00
abstract::Violence against women is a priority public health issue. Women with mental illness are at a double disadvantage. While social norms and beliefs either support or confront violence against women, research is limited on this issue. A randomized controlled design was adopted for the present study. This study was aimed t...
journal_title:Community mental health journal
pub_type: 杂志文章
doi:10.1007/s10597-020-00628-1
更新日期:2021-01-01 00:00:00
abstract::This study identified the health resources that rural consumers in DHHS Region V indicated they would use for mental health problems. Data were collected by survey research methods from a probability sample of 3057 rural residents. The study found that rural residents prefer to use primary care givers for mental healt...
journal_title:Community mental health journal
pub_type: 杂志文章
doi:10.1007/BF00754455
更新日期:1982-07-01 00:00:00
abstract::A context-specific quantity-frequency (CSQF) questionnaire has been developed to accurately measure alcohol consumption using probing questions on drinking context. The study aimed to describe the drinking context associated with different drinking intensities in a community of southern Thailand using the CSQF. A cros...
journal_title:Community mental health journal
pub_type: 杂志文章
doi:10.1007/s10597-020-00629-0
更新日期:2021-01-01 00:00:00
abstract::The present study tested the mediating role of affiliate stigma on the relationships between face concern with psychological distress and subjective burden among caregivers of people with severe mental illnesses. One hundred and eight Chinese caregivers in Hong Kong were surveyed. Based on Baron and Kenny's (J Pers So...
journal_title:Community mental health journal
pub_type: 杂志文章
doi:10.1007/s10597-011-9422-9
更新日期:2012-06-01 00:00:00
abstract::Research on the recovery domains beside clinical recovery of people with severe mental illness in need of supported accommodations is limited. The aim of this study was (1) to investigate which recovery interventions exist for this group of people and (2) to explore the scientific evidence. We conducted a scoping revi...
journal_title:Community mental health journal
pub_type: 杂志文章
doi:10.1007/s10597-020-00561-3
更新日期:2020-08-01 00:00:00
abstract::Why do some implementations in human service settings of goal attainment scaling (GAS), an innovative program evaluation technique, last over time, whereas others die out despite an initially successful period of operation? To provide some tentative answers to this question and to help shed more light generally on dif...
journal_title:Community mental health journal
pub_type: 杂志文章
doi:10.1007/BF00778585
更新日期:1980-07-01 00:00:00
abstract::The Graduated Recovery Intervention Program (GRIP) is a novel cognitive-behavioral therapy program designed to facilitate functional recovery in people who have experienced an initial episode of psychosis. In this paper, the treatment development process of GRIP is described and data from an open feasibility trial are...
journal_title:Community mental health journal
pub_type: 杂志文章
doi:10.1007/s10597-008-9147-6
更新日期:2008-12-01 00:00:00