How Are You?: A Culturally Sensitive Group Therapy Program for Latinos

2016 ◽  
Vol 33 (S1) ◽  
pp. S482-S482
Author(s):  
M. Paris ◽  
M. Lopez ◽  
L. León-Quismondo ◽  
M. Silva ◽  
L. Añez
Keyword(s):  
Mental Health ◽  
Behavioral Health ◽  
Doctoral Students ◽  
Local Community ◽  
Psychiatric Symptoms ◽  
Skills Training ◽  
The United States ◽  
Group Program ◽  
Spanish Speaking ◽  
Alternative To Hospitalization

IntroductionAn ongoing challenge for the behavioral health field in the United States is ensuring access to culturally and linguistically responsive treatments for the growing number of monolingual Spanish speakers. The limited availability of services further compromises mental health outcomes given the unique psychosocial stressors often experienced in this population, such as language barriers, family separation and inadequate social support, unemployment, trauma, and poverty.ObjectiveIn response to the local demand for services, the authors describe a specialized group program for monolingual Spanish speaking adults with chronic and persistent mental illness.AimsThe program aims are two-fold:– to reduce exacerbation of psychiatric symptoms for individuals presenting in an acute state of distress through the provision of recovery-oriented mental health services in a familiar setting and preferred language;– to offer a specialized behavioral health training experience for bilingual psychology doctoral students.MethodsThe group is led by the psychology fellow and is offered twice per week for a total of six hours, and includes elements of interpersonal and cognitive behavioral therapy; motivational interviewing; spirituality; coping skills training; and art/music.ResultsThe described mental health group program is the only one available in Spanish in the local community and has reduced utilization of the hospital emergency room. Consequently, it fills an important gap in the service system and offers care that would otherwise be unavailable for individuals in need.ConclusionsThe program is a cost-effective alternative to hospitalization for Spanish speaking Latinos and a unique professional experience for psychologists in-training interested in a career in the public sector.Disclosure of interestThe authors have not supplied their declaration of competing interest.

Identifying core curricular components for behavioral health training in internal medicine residency: Qualitative interviews with residents, faculty, and behavioral health clinicians

2018 ◽  
Vol 54 (3) ◽  
pp. 188-202
Author(s):  
Patrick Hemming ◽  
Jessica A Revels ◽  
Anh N Tran ◽  
Lawrence H Greenblatt ◽  
Karen E Steinhauser
Keyword(s):  
Internal Medicine ◽  
Mental Health ◽  
Behavioral Health ◽  
Skills Training ◽  
Primary Care Providers ◽  
The United States ◽  
Care Providers ◽  
Patient Counseling ◽  
Internal Medicine Residents ◽  
Attending Physicians

Objective Behavioral health services frequently delivered by primary care providers include care for mental health and substance abuse disorders and assistance with behavioral risk factor reduction. Internal medicine residencies in the United States lack formal expectations regarding training in behavioral health for residents. This qualitative study aimed to determine learners’ and teachers’ perceptions about appropriate behavioral health curricular components for internal medicine residents. Method Focus groups and interviews were conducted with the following individuals from the Duke Outpatient Clinic: residents with continuity practice (n = 27), advanced practice providers (n = 2), internal medicine attending physicians (n = 4), internal medicine/psychiatry attending physicians (n = 2), and behavioral health clinicians (n = 4). A focus group leader asked regarding residents’ successes and challenges in managing behavioral health issues and about specific learning components considered necessary to understand and manage these behavioral health conditions. Transcripts were coded using an editing analysis style to identify central themes and concordance/discordance between groups. Results Regarding mental health management (Theme 1), residents emphasized a need for better care coordination with specialty mental health, while attendings and behavioral health clinicians gave priority to residents’ skills in primary management of mental health. Residents, attendings, and behavioral health clinicians all emphasized advanced interviewing skills (Theme 2) with subthemes: eliciting the patient’s perspective, managing time in encounters, improving patients’ understanding, and patient counseling. Conclusions Internal medicine residents, attendings, and behavioral health clinicians may differ significantly in their perceptions of primary care’s role in mental health care. Future internal medicine behavioral health curricula should specifically address these attitudinal differences. Curricula should also emphasize interview skills training as an essential component of behavioral health learning.

scholarly journals Perinatal Mood and Anxiety Disorder Management in Multicenter Community Practices: Clinicians’ Training, Current Practices and Perceived Strategies to Improve Future Implementation

2021 ◽  
Vol 12 ◽  
pp. 215013272199688
Author(s):  
Ajeng J. Puspitasari ◽  
Dagoberto Heredia ◽  
Elise Weber ◽  
Hannah K Betcher ◽  
Brandon J. Coombes ◽  
...  
Keyword(s):  
Anxiety Disorder ◽  
Health Services ◽  
Behavioral Health ◽  
Psychiatric Symptoms ◽  
Medical Center ◽  
Academic Medical Center ◽  
Management Training ◽  
The United States ◽  
Behavioral Health Services ◽  
Perinatal Women

Background: This study aimed to explore clinicians’ perspectives on the current practice of perinatal mood and anxiety disorder (PMAD) management and strategies to improve future implementation. Methods: This study had a cross-sectional, descriptive design. A 35-item electronic survey was sent to clinicians (N = 118) who treated perinatal women and practiced at several community clinics at an academic medical center in the United States. Results: Among clinicians who provided care for perinatal women, 34.7% reported never receiving PMAD management training and 66.3% had less than 10 years of experience. Out of 10 patients who reported psychiatric symptoms, 47.8% of clinicians on average reported providing PMAD management to 1 to 3 patients and 40.7% noted that they conducted screening only when patient expresses PMAD symptoms. Suggested future improvements were providing training, developing a referral list, and establishing integrated behavioral health services. Conclusions: Results from this study indicated that while PMAD screening and management was implemented, improvements are warranted to meet established guidelines. Additionally, clinicians endorsed providing PMAD management to a small percentage of perinatal patients. Suggested strategies to increase adoption and implementation of PMAD management should be explored to improve access to behavioral health services for perinatal women.

scholarly journals The social support, mental health, psychiatric symptoms, and functioning of persons with schizophrenia participating in peer co-delivered vocational rehabilitation: a pilot study in Taiwan

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Kan-Yuan Cheng ◽  
Chia-Feng Yen
Keyword(s):  
Mental Health ◽  
Social Support ◽  
Vocational Rehabilitation ◽  
Psychiatric Symptoms ◽  
Skills Training ◽  
Service Users ◽  
Pilot Program ◽  
The Social ◽  
Functional Scores ◽  
Persons With Schizophrenia

Abstract Background Vocational peer support (VPS) services are recovery-oriented interventions in modern psychiatric care for persons with schizophrenia. However, few VPS services are found in Taiwan. Hence, a pilot program of peer co-delivered vocational rehabilitation to support persons with schizophrenia in Taiwan was proposed and evaluated. Methods Six peers were trained and were willing to co-lead and assist workplace problem-solving groups and care skills training in an extended vocational rehabilitation program from August 2017 to December 2018. The social support, mental health, psychiatric symptoms, and functioning of service users were assessed before and after peer co-delivered services, and the assessments were based on the following: Social Support Scale (SSS), Chinese Health Questionnaire-12 (CHQ-12), Brief Psychiatric Rating Scale (BPRS), Global Assessment of Function (GAF), and the Chinese version of the Social Functioning Scale (C-SFS). Results The recruited 46 service users were mostly middle-aged (49.1 ± 9.8), with 27 being male (58.7%). After interventions, 42 service users who completed the program had a significantly increased SSS score (149.1 ± 31.8 vs. 161.2 ± 35.0, df = 41, t = 2.70, p = 0.01) and subscale of friend-peer dimension (44.4 ± 12.0 vs. 53.2 ± 13.2, df = 41, t = 4.72, p < 0.001). The objective (GAF: 69.8 ± 9.8 vs. 72.6 ± 8.8, df = 41, t = 3.50, p = 0.001) and subjective social functional scores (C-SFS: 75.2 ± 8.8 vs. 78.1 ± 9.5, df = 41, t = 2.59, p = 0.01) both significantly increased. The weekly wage elevated significantly (37.5 ± 35.5 vs. 43.6 ± 38.0, df = 41, t = 2.57, p = 0.01) and the BPRS-18 score decreased significantly, too (31.2 ± 6.7 vs. 29.3 ± 5.0, df = 41, t = − 2.83, p = 0.007). Conclusions Peer co-delivered vocational rehabilitation services may enhance the social support received by persons with schizophrenia and improve their occupational outcomes. The pilot program proposed can thus be a model for non-Western countries with limited resources allocated by governments to support persons with schizophrenia. Trial registration: ClinicalTrials NCT04767204, retrospectively registered on Feb 23, 2021.

scholarly journals Patient Smartphone Ownership and Interest in Mobile Apps to Monitor Symptoms of Mental Health Conditions: A Survey in Four Geographically Distinct Psychiatric Clinics

2014 ◽  
Vol 1 (1) ◽  
pp. e5 ◽  
Author(s):  
John Torous ◽  
Steven Richard Chan ◽  
Shih Yee-Marie Tan ◽  
Jacob Behrens ◽  
Ian Mathew ◽  
...  
Keyword(s):  
Mental Health ◽  
United States ◽  
Psychiatric Symptoms ◽  
Mobile Apps ◽  
Mental Healthcare ◽  
The United States ◽  
Psychiatric Outpatients ◽  
Public And Private ◽  
Diverse Patient Population ◽  
Mobile Mental Health

Background Despite growing interest in mobile mental health and utilization of smartphone technology to monitor psychiatric symptoms, there remains a lack of knowledge both regarding patient ownership of smartphones and their interest in using such to monitor their mental health. Objective To provide data on psychiatric outpatients’ prevalence of smartphone ownership and interest in using their smartphones to run applications to monitor their mental health. Methods We surveyed 320 psychiatric outpatients from four clinics around the United States in order to capture a geographically and socioeconomically diverse patient population. These comprised a state clinic in Massachusetts (n=108), a county clinic in California (n=56), a hybrid public and private clinic in Louisiana (n=50), and a private/university clinic in Wisconsin (n=106). Results Smartphone ownership and interest in utilizing such to monitor mental health varied by both clinic type and age with overall ownership of 62.5% (200/320), which is slightly higher than the average United States’ rate of ownership of 58% in January 2014. Overall patient interest in utilizing smartphones to monitor symptoms was 70.6% (226/320). Conclusions These results suggest that psychiatric outpatients are interested in using their smartphones to monitor their mental health and own the smartphones capable of running mental healthcare related mobile applications.

Researcher Development and Skills Training within the Context of Postgraduate Programs

Education ◽  
2016 ◽  
Author(s):  
Pam Denicolo ◽  
Dawn C. Duke ◽  
Julie Reeves
Keyword(s):  
Doctoral Students ◽  
21St Century ◽  
Doctoral Education ◽  
Skills Training ◽  
The United States ◽  
Historical Background ◽  
Research Report ◽  
Current Debate ◽  
Late 20Th Century ◽  
Researcher Development

Rapid, unprecedented transformation in the policy and procedures of doctoral education since the turn of the millennium has resulted in considerable global debate in the higher-education sector about the nature and purpose of researcher development. Previously, despite differences among national groups (e.g., European, the UK and North American models of preparation for research and the examination procedures), general researcher development was firmly under the guidance of the research supervisor/advisor (“supervisor” used henceforth). Although opportunities for methods training or thesis compilation advice, for example, might be available within the department or institution, the basic apprenticeship model was pervasive with acknowledgement, particularly in the United States, of doctoral students being the future stewards of the discipline. Literature providing this historical background (Historical Context) and delineating policy initiatives (Policy) that emerged since the start of the 21st century provides the context for the debate. These developments are portrayed variously to postgraduate researchers through handbooks and reviews (Guidance Handbooks for Postgraduate Researchers). The current debate about the purpose of the doctorate and the nature of “doctorateness” has been fueled by how that policy has been interpreted into practice within the section Debate. The challenge to traditional pedagogical protocols resulted in the incorporation into research education of models of learning/teaching from other education spheres (Pedagogical Models), while the expansion both of the number and diversity of doctoral candidates resulted in the emergence of different forms of doctorate, each with its own procedural variances: see Professional Doctorates (also known as industrial doctorates) and Interdisciplinary Doctorates. One significant modification has been the emphasis shift from the production of a scholarly research report (thesis or dissertation as a monograph or coherent collection of publications with an overview)—a defense of process and results—to one giving equal prominence to the development of the researcher’s attributes and skills for the completion of the doctorate and for future employment (Skills Development). The concept of employability, both within and outside the sector, has in the early 21st century become increasingly prominent in debate and praxis (Employability Skills). The effect on researchers’ program experience and their identity and cultural perceptions (Postgraduate Researcher Experience, Identity and Culture) has evolved as a major source of interest for policymakers and education researchers, while both groups are required to evaluate the structure, functions, outputs, and outcomes of doctoral education (Evaluation). Researcher development as a relatively new phenomenon in the history of the doctorate continues to generate pertinent issues (Emergent Topics). Publications have been selected, as much as possible, from a variety of sources and include a range of disciplinary perspectives and international standpoints as well as leading research and key contributions. Where authors have more than one relevant publication in a section, only a representative one is provided while acknowledging that other work is available. Generally, the review spans the period since the late 20th century, with the subsections emerging from the literature. Each selected reference provides a conduit to further salient literature.

The Digital Revolution in Behavioral Health

2019 ◽  
Vol 26 (1) ◽  
pp. 102-111 ◽  
Author(s):  
Michael J Hasselberg
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Health Care ◽  
Behavioral Health ◽  
Digital Health ◽  
Behavioral Health Care ◽  
The United States ◽  
Care Providers ◽  
Digital Revolution ◽  
The University

BACKGROUND: Technology is disrupting every modern industry, from supermarkets to car manufacturing, and is now entering the health care space. Technological innovations in psychiatry include the opportunity for conducting therapy via two-way video conferencing, providing electronic consultations, and telementoring and education of community health care providers. Use of mobile health applications is also an expanding area of interest and promise. OBJECTIVE: The purpose of this article is to review the evolution and pros and cons of technology-enabled health care since the digital movement in psychiatry began more than 50 years ago as well as describe the University of Rochester’s innovative digital behavioral health care model. METHODS: A review of the literature and recent reports on innovations in digital behavioral health care was conducted, along with a review of the University of Rochester’s model to describe the current state of digital behavioral health care. RESULTS: Given the lack of access to care and mental health professional shortages in many parts of the United States, particularly rural areas, digital behavioral health care will be an increasingly important strategy for managing mental health care needs. However, there are numerous hurdles to be overcome in adopting digital health care, including provider resistance and knowledge gaps, lack of reimbursement parity, restrictive credentialing and privileging, and overregulation at both the state and federal levels. CONCLUSIONS: Digital health innovations are transforming the delivery of mental health care services and psychiatric mental health nurses can be on the forefront of this important digital revolution.

scholarly journals The Current Psychiatric Mental Health Registered Nurse Workforce

2019 ◽  
Vol 25 (1) ◽  
pp. 38-48 ◽  
Author(s):  
Bethany J. Phoenix
Keyword(s):  
Mental Health ◽  
Behavioral Health ◽  
Health Workforce ◽  
Health Professionals ◽  
Rural Areas ◽  
The United States ◽  
Institutional Settings ◽  
Registered Nursing ◽  
Data Limitations ◽  
Behavioral Health Workforce

OBJECTIVE: To define and describe the current psychiatric mental health registered nursing (PMHN) workforce providing care for persons with mental health and substance use conditions, evaluate sources of data relevant to this workforce, identify additional data needs, and discuss areas for action and further investigation. METHOD: This article uses currently available data, much of it unpublished, to describe the current PMHN workforce. RESULTS: The available data indicate that PMHNs represent the second largest group of behavioral health professionals in the United States. As is true of the overall nursing workforce, PMHNs are aging, overwhelming female, and largely Caucasian, although the PMHN workforce is becoming more diverse as younger nurses enter the field. PMHNs are largely employed in the mental health specialty sector, and specifically in institutional settings. Similar to other behavioral health professionals, a significant shortage of PMHNs exists in rural areas. Because of data limitations and difficulty accessing the best available data on the PMHN workforce, it is often overlooked or mischaracterized in published research and government reports on the behavioral health workforce. CONCLUSIONS: Although PMHNs are one of the largest groups in the behavioral health workforce, they are largely invisible in the psychiatric literature. Psychiatric nursing must correct misperceptions about the significance of the PMHN workforce and increase awareness of its importance among government agencies, large health care organizations, and within the broader nursing profession.

Work and Work Programmes for Clients with Mental Health Problems

1995 ◽  
Vol 58 (11) ◽  
pp. 465-468 ◽  
Author(s):  
Celia Oxley
Keyword(s):  
Mental Health ◽  
Supported Employment ◽  
Mental Health Problems ◽  
Psychiatric Symptoms ◽  
Meaningful Work ◽  
Skills Training ◽  
Paid Work ◽  
Work Skills ◽  
Voluntary Work ◽  
Do It Yourself

Work may be defined in a number of ways and cover a variety of activities. As well as paid work, it can cover such activities as hobbies, housework, voluntary work and do-it-yourself. It is an important factor in promoting mental health. Meaningful work may actually reduce a client's psychiatric symptoms. A work rehabilitation programme needs to cater not only for those able to progress to open employment but also for those needing supported or sheltered employment. Consequently, the programme should Include a thorough work skills assessment, work adjustment and work skills training, sheltered employment and transitional/supported employment leading, finally, for those who are able, to open employment.

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