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Full-Text Articles in Medicine and Health Sciences

As A Pediatrician, I Don’T Know The Second, Third, Or Fourth Thing To Do: A Qualitative Study Of Pediatric Residents’ Training And Experiences In Behavioral Health, Rachel Petts Phd, Jeffrey D. Shahidullah Phd, Paul W. Kettlewell Phd, Kathryn A. Dehart Md, Kris Rooney Md, Ilene G. Ladd Ms, Tyler Bogaczyk Bs, Sharon L. Larson Phd Dec 2018

As A Pediatrician, I Don’T Know The Second, Third, Or Fourth Thing To Do: A Qualitative Study Of Pediatric Residents’ Training And Experiences In Behavioral Health, Rachel Petts Phd, Jeffrey D. Shahidullah Phd, Paul W. Kettlewell Phd, Kathryn A. Dehart Md, Kris Rooney Md, Ilene G. Ladd Ms, Tyler Bogaczyk Bs, Sharon L. Larson Phd

International Journal of Health Sciences Education

Despite a mandated 1-month rotation in developmental-behavioral pediatrics (DBP), pediatric residents report inadequate training in behavioral health care. As a first step in much needed curriculum development in this area, this study sought to assess learner experiences regarding the management of behavioral health problems during residency. Four focus groups were conducted for residents in years 1-3 of training in 2 residency programs in a northeastern state. Transcripts were analyzed and coded by researchers through qualitative classical content analysis. The exploratory analysis revealed 9 key themes: time requirements, rapport building, resources and referrals for behavioral health, psychiatric medications, diagnosis vs. treatment, …

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Prison Rehabilitation: The Sociological, Physiological, And Psychological Effects Of Animal-Assisted Interventions, Daisy Corleto May 2018

Prison Rehabilitation: The Sociological, Physiological, And Psychological Effects Of Animal-Assisted Interventions, Daisy Corleto

Themis: Research Journal of Justice Studies and Forensic Science

This paper examines animal-assisted interventions as a new form of rehabilitation in the prison setting. It focuses specifically on the multiple benefits that this form of therapy/intervention can bring to inmates, such as the reduction in recidivism and the acquirement of new skills. Additionally, this paper considers the reasons for which rehabilitation in general is necessary in order to truly transform an individual. The first section provides a brief history of AAI in the prison environment and its effects on the prisoners. The paper then transitions to an account of analyzing the sociological, physiological, and psychological effects of AAI on …

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What Are The Most Important Dimensions Of Quality For Addiction And Mental Health Services From The Perspective Of Its Users?, Priscilla Liu, Shawn Currie, Jassandre Adamyk-Simpson Apr 2018

What Are The Most Important Dimensions Of Quality For Addiction And Mental Health Services From The Perspective Of Its Users?, Priscilla Liu, Shawn Currie, Jassandre Adamyk-Simpson

Patient Experience Journal

There is a need to better engage service users in improving their experience with the care received in Addiction and Mental Health (A&MH). Dimensions of patient experience that are most salient to A&MH service users still remain to be properly defined from the patient perspective. This research focuses on identifying key domains of service experience important to patients of Addiction and Mental Health using patient focus groups. In addition, through a patient and family advisory committee, patients were also engaged as co-partners of the research team. The patient advisors had a major role in overseeing the research project, assisting with …

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Transgender Resiliency: A Comparison Of Transgender And Cisgender Therapy Clients’ Family Functioning And Psychological Symptomology, Deborah Coolhart , Ph.D., Lmft, Anibal Torres Bernal , Ph.D., Kimdy Le , Ph.D. Feb 2018

Transgender Resiliency: A Comparison Of Transgender And Cisgender Therapy Clients’ Family Functioning And Psychological Symptomology, Deborah Coolhart , Ph.D., Lmft, Anibal Torres Bernal , Ph.D., Kimdy Le , Ph.D.

Counseling and Family Therapy Scholarship Review

Existing literature often suggests transgender people face increased vulnerabilities in comparison to cisgender people and poorer mental and physical health outcomes. However, studies are increasingly exploring resilience of transgender people and factors contributing to positive coping. The current study compared transgender to cisgender clients at a University-based couple and family therapy center on self-reported psychological symptomology and family functioning. Transgender individuals did not differ significantly from cisgender individuals on family functioning, however transgender individuals reported significantly fewer symptoms on all twelve subscales of psychological symptomology, despite lower income and lower levels of education. Results suggest transgender individuals may develop unique …

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Does How We Feel About Financial Strain Matter For Mental Health?, Sarah D. Asebedo, Melissa J. Wilmarth Jul 2017

Does How We Feel About Financial Strain Matter For Mental Health?, Sarah D. Asebedo, Melissa J. Wilmarth

Journal of Financial Therapy

This study investigated how stress responses to financial strain are related to mental health (i.e., depression) to answer the question: Does how we feel about financial strain matter? Informed by the ABC-X model of family stress and analyzed with data from the Health and Retirement Study (HRS), results reveal that financial strain is significantly related to increased depression; however, financial stress was found to moderate this relationship. Financially strained respondents without a stress response did not have significantly different depression scores than those who were not experiencing financial strain; however, depression scores increased as the stress response to financial strain …

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Solitary Confinement: Social Death And Its Afterlives, Jen Rushforth May 2017

Solitary Confinement: Social Death And Its Afterlives, Jen Rushforth

Themis: Research Journal of Justice Studies and Forensic Science

No abstract provided.

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Mindfulness-Based Intervention For Perinatal Grief Education And Reduction Among Poor Women In Chhattisgarh, India: A Pilot Study, Lisa R. Roberts, Susanne B. Montgomery May 2016

Mindfulness-Based Intervention For Perinatal Grief Education And Reduction Among Poor Women In Chhattisgarh, India: A Pilot Study, Lisa R. Roberts, Susanne B. Montgomery

Interdisciplinary Journal of Best Practices in Global Development

INTRODUCTION: Stillbirth is a significant public health problem in low to middle income countries and results in perinatal grief, often with negative psychosocial impact. In low-resource settings, such as Chhattisgarh, India, where needs are high, it is imperative to utilize low-cost, effective interventions. Mindfulness-based stress reduction (MBSR) is an empirically sound intervention that has been utilized for a broad range of physical and mental health problems, and is adaptable to specific populations. The main objective of this pilot study was to explore the feasibility and effectiveness of a shortened, culturally adapted mindfulness-based intervention to address the complex grief after stillbirth. …

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Applying Experience-Based Co-Design With Vulnerable Populations: Lessons From A Systematic Review Of Methods To Involve Patients, Families And Service Providers In Child And Youth Mental Health Service Improvement, Alison Mulvale, Ashleigh Miatello, Christina Hackett, Gillian Mulvale Apr 2016

Applying Experience-Based Co-Design With Vulnerable Populations: Lessons From A Systematic Review Of Methods To Involve Patients, Families And Service Providers In Child And Youth Mental Health Service Improvement, Alison Mulvale, Ashleigh Miatello, Christina Hackett, Gillian Mulvale

Patient Experience Journal

The objective was to identify methods used to involve patients, family and service providers in child and youth mental health service improvement research. We analyzed the alignment of methods used with Experience-Based Co-Design (EBCD) methodology, and how power imbalances among participants were addressed. A systematic review of the English-language peer review literature since 2004 was carried out. The EMBASE, Scholar’s Portal, PubMed, Web of Science databases and the Ontario College of Art and Design University libraries were searched electronically for variations of ‘child’, ‘mental health’, ‘experience-based co-design’, ‘participatory research’ and ‘health care services’. Textual data was systematically extracted and analyzed. …

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An Identification Of The Social And Emotional Needs Of People Living With Post-Lingual Hearing Loss, Dianne Briffa, Fiona Davidson, Danielle Ferndale Ms Mar 2016

An Identification Of The Social And Emotional Needs Of People Living With Post-Lingual Hearing Loss, Dianne Briffa, Fiona Davidson, Danielle Ferndale Ms

JADARA

Hearing loss is associated with challenges in achieving effective communication which can constrain an individual’s ability to participate in social and work environments, affecting their social and emotional well-being. Through a thematic analysis of focus groups, interview and survey responses from 41 people experiencing post-lingual hearing loss, we identified an overarching theme of adjusting to impaired communication and three sub-themes in which we were able to identify the unmet social and emotional needs of people who are hard of hearing. In light of our analysis we discuss and offer recommendations specific to meeting the needs of this population.

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Disparities In Hospital Services Utilization Among Patients With Mental Health Issues: A Statewide Example Examining Insurance Status And Race Factors From 1999-2010, Viann N. Nguyen-Feng, Hind A. Beydoun, Michael K. Mcshane, James D. Blando Jun 2015

Disparities In Hospital Services Utilization Among Patients With Mental Health Issues: A Statewide Example Examining Insurance Status And Race Factors From 1999-2010, Viann N. Nguyen-Feng, Hind A. Beydoun, Michael K. Mcshane, James D. Blando

Journal of Health Disparities Research and Practice

There exist many disconnects between the mental and general health care sectors. However, a goal of the Affordable Care Act (ACA) of 2010 is to change this by improving insurance access and the intersection of mental and general health care. As insurance status intersects with race, the present study examines how race, insurance status, and hospital mental health services utilization differ across groups within the state of New Jersey. The present study aims to determine trends in hospital mental health care utilization by insurance status and race from 1999 to 2010. The rate of self-pay for mental health disorders in …

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Guilty By Reason Of Insanity: Unforeseen Consequences Of California's Deinstitutionalization Policy, Jen Rushforth May 2015

Guilty By Reason Of Insanity: Unforeseen Consequences Of California's Deinstitutionalization Policy, Jen Rushforth

Themis: Research Journal of Justice Studies and Forensic Science

Beginning with the passage of the Lanterman-Petris- Short Act in 1969, deinstitutionalization in California has had a devastating effect on the mentally ill. Instead of affording the mentally ill with more rights and protections, the process of shutting down state psychiatric hospitals and impeding psychiatric care for those in need caused a cascade effect leading to an increase of homelessness and incarceration. Over the past four decades, prisons and jails in California have become the de facto state mental hospitals, with severely mentally ill individuals having nearly a four-to-one chance of ending up in jail or prison over a psychiatric …

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Practice Recommendations For Mental Health Professionals: Perspectives From Grandparents And Their Adolescent Grandchildren, Kendra A. O'Hora, Megan L. Dolbin-Macnab Mar 2015

Practice Recommendations For Mental Health Professionals: Perspectives From Grandparents And Their Adolescent Grandchildren, Kendra A. O'Hora, Megan L. Dolbin-Macnab

GrandFamilies: The Contemporary Journal of Research, Practice and Policy

Although grandfamilies are consumers of a variety of mental health services, less is known about what these families, particularly the grandchildren, want from practitioners. To gain insight into how practitioners can best meet the needs of grandfamilies, 40 custodial grandmothers and their adolescent grandchildren were interviewed. Results of a qualitative analysis indicated that grandmothers and grandchildren did not make clear distinctions between various types of services and service providers. Grandchildren, in particular, emphasized the need for mental health professionals to facilitate mentoring and to provide opportunities for grandchildren to socialize with other grandchildren who have been through similar circumstances. Grandmothers …

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Disparities In Mental Health Utilization Among Persons With Chronic Diseases, Saundra Glover, Keith Elder, Sudha Xirasagar, Jong-Deuk Baek, Crystal Piper, Dayna Campbell Jun 2012

Disparities In Mental Health Utilization Among Persons With Chronic Diseases, Saundra Glover, Keith Elder, Sudha Xirasagar, Jong-Deuk Baek, Crystal Piper, Dayna Campbell

Journal of Health Disparities Research and Practice

This study used Aday and Andersen’s Behavioral Model of Health Services Use to examine the role of chronic disease and the joint impact of race and chronic disease type on mental health utilization. Using data from Community Tracking Survey Household Survey, we tested the assumption that chronic disease, chronic disease type, and race are related to lower rates of mental health visits when adjusted for predisposing, enabling, and need factors. After adjusting for population characteristics, we found that race significantly moderated the impact of chronic disease type on mental health utilization, showing that African Americans with cardiovascular disease were half …

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Clinical Social Work And The Biomedical Industrial Complex, Tomi Gomory, Stephen E. Wong, David Cohen, Jeffrey R. Lacasse Jan 2011

Clinical Social Work And The Biomedical Industrial Complex, Tomi Gomory, Stephen E. Wong, David Cohen, Jeffrey R. Lacasse

The Journal of Sociology & Social Welfare

This article examines how the biomedical industrial complex has ensnared social work within a foreign conceptual and practice model that distracts clinical social workers from the special assistance that they can provide for people with mental distress and misbehavior. We discuss: (1) social work's assimilation of psychiatric perspectives and practices during its pursuit of professional status; (2) the persistence of psychiatric hospitalization despite its coercive methods, high cost, and doubtful efficacy; (3) the increasing reliance on the Diagnostic and Statistical Manual of Mental Disorders, despite its widely acknowledged scientific frailty; and (4) the questionable contributions of psychoactive drugs to clinical …

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The Use Of Critical Ethnography In Managed Mental Health Care Settings, Cassandra L. Bransford Dec 2006

The Use Of Critical Ethnography In Managed Mental Health Care Settings, Cassandra L. Bransford

The Journal of Sociology & Social Welfare

How social workers in managed mental health care settings exercise their professional authority may have profound consequences for the provision of ethical and value-based services to vulnerable populations. Building upon Gidden's theory of structuration, this article describes the use of critical ethnography as a specific research methodology that may support social workers in the exercise of their authority. This article examines the historical roots of critical ethnography and provides a detailed examination of its underlying assumptions and research procedures. The article concludes with a case example of a critical ethnography conducted within a managed mental health care setting.

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Nineteenth Century Review Of Mental Health Care For African Americans: A Legacy Of Service And Policy Barriers, Tony B. Lowe Dec 2006

Nineteenth Century Review Of Mental Health Care For African Americans: A Legacy Of Service And Policy Barriers, Tony B. Lowe

The Journal of Sociology & Social Welfare

The need to focus on service and policy barriers to mental health service delivery for African Americans remains critical. The purpose of this article is to review nineteenth century care as a method for understanding contemporary service and policy barriers. A case study strategy is used to compare the efforts of Pennsylvania and South Carolina using primary and secondary sources to document these developments through a political economy perspective. These findings suggest that the prevailing social, political and economic realities have created mental health disparities along racial lines. Existing barriers are likely rooted in this same reality.

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Health Care And Professionals, Monica Fish Jan 2004

Health Care And Professionals, Monica Fish

Human Rights & Human Welfare

One of the unfortunate truths of the current human rights regime is that it has given rise to an entirely new aid industry. Fortunate as it is that there are willing individuals eager to share their knowledge and expertise with those in need, the group of professional men and women making up the army of humanitarian workers is, perhaps, overextended and under appreciated. One way of helping the next generation of humanitarians to train and prepare for working within a context of human rights is to provide them with the sound analytical research based on research of current human rights …

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Book Review Of David Lester, Making Sense Of Suicide: An In-Depth Look At Why People Kill Themselves (The Charles Press 1997), Paula J. Reinhard Jun 1997

Book Review Of David Lester, Making Sense Of Suicide: An In-Depth Look At Why People Kill Themselves (The Charles Press 1997), Paula J. Reinhard

RISK: Health, Safety & Environment (1990-2002)

Review of the book David Lester, Making Sense of Suicide: An In-depth Look at Why People Kill Themselves (The Charles Press 1997). Preface, bibliographical references, index. ISBN 0-914783-82-3. [208 pp. Paper $22.95. P.O. Box 15715, Philadelphia, PA 19103.]

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Ethnic Minorities And Mental Health: Ethical Concerns In Counseling Immigrants And Culturally-Diverse Groups, Gemima M. Remy Jun 1995

Ethnic Minorities And Mental Health: Ethical Concerns In Counseling Immigrants And Culturally-Diverse Groups, Gemima M. Remy

Trotter Review

Between 1980 and 1990 nearly 9 million foreign-born individuals migrated to the United States. In 1993, the Immigration and Naturalization Service recorded the entry of over 900,000 immigrants and refugees. This figure is believed to be higher given the estimated 1.5 to 2.5 million people who enter this country illegally each year. Currently, ethnic minority groups make up one-fourth of the United States population. It is estimated that by the year 2000, one-third of the U.S. population will be comprised of ethnic minorities. As the population of the United States becomes increasingly diverse, considerable attention is being directed to a …

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Victimization And Homelessness: Cause And Effect, Pamela J. Fischer Mar 1992

Victimization And Homelessness: Cause And Effect, Pamela J. Fischer

New England Journal of Public Policy

The literature on the contemporary homeless population is reviewed to examine the association of victimization with homelessness. Although few studies have specifically focused on victimization, findings derived from studies investigating pathways to homelessness, prevalence of health, mental health, and substance-use disorders, and demographic profiles and life histories suggest that victimization both causes homelessness and is an outcome of losing housing. Causal sequences ending in homelessness most frequently involve domestic violence, which mainly affects women, although other types of abuse may extrude individuals from their established housing. Once they become homeless, the risk of violence escalates for people living on the …

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