Abstract:
:A conceptual model for reducing substance use within the context of outpatient psychiatric treatment is described. The proposed model incorporates four themes from the psychological treatment literature: treatment intensity, stages of change, motivational interventions, and harm reduction. The five steps of the model include (1) establishing a working alliance, (2) evaluating the cost-benefit ratio of continued substance use, (3) individualizing goals for change, (4) building an environment and lifestyle supportive of abstinence, and (5) anticipating and coping with crises. This model attempts to integrate clinical realities of mental health treatment with empirically-grounded strategies applicable to substance abuse problems.
journal_name
Community Ment Health Jjournal_title
Community mental health journalauthors
Carey KBdoi
10.1007/BF02249430subject
Has Abstractpub_date
1996-06-01 00:00:00pages
291-306; discussion 307-10issue
3eissn
0010-3853issn
1573-2789journal_volume
32pub_type
杂志文章abstract::Women who are diagnosed with a major mental illness, who have a history of drug or alcohol abuse, and who have been episodically homeless are also likely to have been the victims of sexual or physical abuse. Treatment for these women needs to incorporate an active program of trauma recovery. A program of trauma-based ...
journal_title:Community mental health journal
pub_type: 杂志文章
doi:10.1007/BF02249455
更新日期:1996-08-01 00:00:00
abstract::Pictorial mood assessments reduce the barriers of age, culture, gender and language fluency in the course of psychiatric assessments. This study sought to validate the Ottawa Mood Scales, a pictorial form of mood assessment questionnaire among non-native English speaking young adults in Malaysia. Since the Ottawa Mood...
journal_title:Community mental health journal
pub_type: 杂志文章
doi:10.1007/s10597-020-00679-4
更新日期:2020-07-13 00:00:00
abstract::To estimate the effect of social factors in the neighborhood environment on suicide risks, we studied 392 suicides and 416 controls, all aged 15-34 years, consecutively and randomly selected from 16 rural counties in three provinces of China. The social factors in the village neighborhood were measured by the WHO scal...
journal_title:Community mental health journal
pub_type: 杂志文章
doi:10.1007/s10597-011-9447-0
更新日期:2012-10-01 00:00:00
abstract::The current study screened for post-traumatic stress disorder (PTSD) and self-harming behaviours, often related to borderline personality disorder (BPD), among individuals in a job centre considered unemployable primarily for psychological reasons. Participants (N = 112) filled in questionnaires on PTSD symptoms (n = ...
journal_title:Community mental health journal
pub_type: 杂志文章
doi:10.1007/s10597-017-0180-1
更新日期:2018-08-01 00:00:00
abstract::In schizophrenia, treatments that improve outcomes have not been reliably disseminated. A major barrier to improving care has been a lack of routinely collected outcomes data that identify patients who are failing to improve or not receiving effective treatments. To support high quality care, the VA Mental Health QUER...
journal_title:Community mental health journal
pub_type: 杂志文章
doi:10.1007/s10597-010-9328-y
更新日期:2011-04-01 00:00:00
abstract::Our aim was to examine adolescent predictors (family- and school-related factors, substance use, and psychiatric disorders) for drug crime offending. The initial study population consisted of 508 former adolescent psychiatric inpatients aged between 13 and 17 years. Of them, 60 (12%) had committed a drug crime by youn...
journal_title:Community mental health journal
pub_type: 杂志文章
doi:10.1007/s10597-020-00708-2
更新日期:2020-09-10 00:00:00
abstract::A division of a decentralized state hospital has experienced a 75% drop in census since practicing community psychiatry. Soon, it is anticipated that two comprehensive mental health centers will develop in the area it serves and that the division will "go out of business." In working with the "natural community" and t...
journal_title:Community mental health journal
pub_type: 杂志文章
doi:10.1007/BF01434872
更新日期:1967-09-01 00:00:00
abstract::It is widely accepted that earthquake poses many challenges to human life. Therefore, the main objective of this study was to explore challenges and problems facing the 2017 Kermanshah earthquake survivors. The present qualitative study was conducted using conventional qualitative content analysis in Kermanshah Provin...
journal_title:Community mental health journal
pub_type: 杂志文章
doi:10.1007/s10597-020-00652-1
更新日期:2021-02-01 00:00:00
abstract::This study described the prevalence and correlates of comorbid moderate-severe depressive symptoms (comorbid depression thereafter) and their association with quality of life (QOL) in schizophrenia patients treated in primary care. 623 schizophrenia patients were enrolled. Patients' socio-demographic and clinical char...
journal_title:Community mental health journal
pub_type: 杂志文章
doi:10.1007/s10597-016-0023-5
更新日期:2016-11-01 00:00:00
abstract::This study assessed the psychosocial needs of Hurricane Katrina evacuees temporarily residing in Dallas, TX, after sheltering but prior to their permanent resettlement. Common trauma exposures were physical exposure to flood water, seeing corpses, witnessing death, and loss of family, friends, or home. Fewer than 10 %...
journal_title:Community mental health journal
pub_type: 杂志文章
doi:10.1007/s10597-015-9938-5
更新日期:2016-01-01 00:00:00
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 opt...
journal_title:Community mental health journal
pub_type: 杂志文章
doi:10.1007/s10597-017-0125-8
更新日期:2018-01-01 00:00:00
abstract::To facilitate effective transitional services and enhance continuity of care among people with mental illness, this grounded theory study explored the practice of developing community support in critical time intervention (CTI), a time-limited, shortterm psychosocial rehabilitation program designed to facilitate the c...
journal_title:Community mental health journal
pub_type: 杂志文章
doi:10.1007/s10597-013-9641-3
更新日期:2014-07-01 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::Microaggressions perpetuate inequalities and stereotypes against people from marginalized communities. Research demonstrates that ongoing experiences of identity-related microaggressions can negatively impact mental health outcomes, increase somatic symptoms, and increase negative affect. This study explores the relat...
journal_title:Community mental health journal
pub_type: 杂志文章
doi:10.1007/s10597-020-00615-6
更新日期:2020-08-01 00:00:00
abstract:BACKGROUND:As part of an effort to improve police interactions with mentally ill citizens, and improve mental health care delivery to subjects in acute distress, the University of Louisville, in conjunction with the Louisville Metro Police, established the crisis intervention team (CIT). CIT is composed of uniformed of...
journal_title:Community mental health journal
pub_type: 杂志文章
doi:10.1007/s10597-005-2658-5
更新日期:2005-04-01 00:00:00
abstract::This contribution summarizes the background leading up to the goals of and the experience gained from a major national initiative to expand and improve collaborative activities between state departments of mental health and university departments of psychiatry through regional conferences, national workshops, ongoing ...
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
abstract::Positive Behavior Support (PBS) was introduced to community-based providers in Kansas in 2012 in response to a federally funded initiative to reduce the placement of youth in psychiatric facilities. As core project activities concluded in 2016, researchers investigated the impact of this comprehensive PBS initiative o...
journal_title:Community mental health journal
pub_type: 杂志文章
doi:10.1007/s10597-019-00379-8
更新日期:2019-08-01 00:00:00
abstract::This study retrospectively reviews de-identified records from school-based mental health screening in a predominantly African American community. We compare participation rates, screening results, referrals to services and access to care of white and African American adolescents. Among those offered screening, 20.1% o...
journal_title:Community mental health journal
pub_type: 杂志文章
doi:10.1007/s10597-011-9413-x
更新日期:2012-02-01 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
abstract::The service systems which assist the long-term mentally ill to function in the community have been routinely described as fragmented and uncoordinated. The development and implementation of case management has been seen as one response to this dysfunctional system. This article examines case management from the perspe...
journal_title:Community mental health journal
pub_type: 杂志文章,评审
doi:10.1007/BF00757139
更新日期:1988-10-01 00:00:00
abstract::There is a burgeoning literature on first-episode psychosis, the focus of which is early intervention. Little emphasis has been placed on the responses of young people to their experiences of psychosis. This study, therefore, aimed to describe and explain the responses of young people to their first episode of psychos...
journal_title:Community mental health journal
pub_type: 杂志文章
doi:10.1007/s10597-014-9769-9
更新日期:2015-04-01 00:00:00
abstract::Citizen involvement in CMHC service delivery has two bases: (a) volunteerism and (b) identification with clients and citizens who may need services. This identification is expressed two ways, as cultural similarity to clients or social activism in their behalf. Paraprofessionals have been portrayed as a major mechanis...
journal_title:Community mental health journal
pub_type: 杂志文章
doi:10.1007/BF00754207
更新日期:1981-04-01 00:00:00
abstract::Although gender differences in schizophrenic symptom expression have been widely established, no systematic studies have documented if these differences extend to the perception of quality of life. This survey gathered international data on the perception of quality of life among 102 outpatient men and women with schi...
journal_title:Community mental health journal
pub_type: 杂志文章
doi:10.1023/a:1018742513643
更新日期:1998-10-01 00:00:00
abstract::Goal attainment scaling is a program evaluation technique that measures program success using individualized client goals rather than the same measuring instrument for all clients. Although the reliability of the goal attainment scales is generally acceptable, such scales have not exhibited satisfactory validity. Also...
journal_title:Community mental health journal
pub_type: 杂志文章
doi:10.1007/BF00778605
更新日期:1978-01-01 00:00:00
abstract::We examined whether county-level increases in continuity of mental health care (i.e., mental health visits per mental health patient) at Community Health Centers (CHCs) correspond with a decline in Emergency Department (ED) visits for suicidal ideation and self-harm (1) overall, and (2) among specific race/ethnicities...
journal_title:Community mental health journal
pub_type: 杂志文章
doi:10.1007/s10597-020-00745-x
更新日期:2020-11-09 00:00:00
abstract::The focus of the present study was to examine the extent of noncompliance in psychiatric aftercare in an integrated hospital and community mental health service. Characteristics of those patients who were noncompliant were explored in order to facilitate the prediction of treatment noncompliance at the point of discha...
journal_title:Community mental health journal
pub_type: 杂志文章
doi:10.1023/a:1022461026275
更新日期:1997-02-01 00:00:00
abstract::The purpose of the study was to determine the acute and long term services and supports (LTSS) utilization, cost of health care and disparities in access of care for individuals with Intellectual and Developmental Disabilities (IDD). Individuals with IDD on a waiver (receiving Medicaid-funded LTSS in community setting...
journal_title:Community mental health journal
pub_type: 杂志文章
doi:10.1007/s10597-020-00669-6
更新日期:2020-06-26 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::A description and analysis of the Range Mental Health Center's professional activities are presented. The results of this program analysis suggest that a public health, consultation-oriented mental health center can provide equitable and effective services to a large geographic area. Maintenance of ongoing consultativ...
journal_title:Community mental health journal
pub_type: 杂志文章
doi:10.1007/BF01879126
更新日期:1968-06-01 00:00:00
abstract::This study examines early adjustment to marital separation as a function of sex and parent status in a sample of 153 persons separated an average of eight weeks from their spouses because of marital discord. Men were much more satisfied with the quality of their marriages prior to separation and much more opposed to i...
journal_title:Community mental health journal
pub_type: 杂志文章
doi:10.1007/BF00779384
更新日期:1981-01-01 00:00:00