Investigating the impact of caregiver transportation needs on Children's response to behavioral and mental health treatment: A longitudinal analysis

Homelessness may have a profound impact on a child's physical, socio-emotional, and/or cognitive development. Cultural context may further exacerbate the impact of such circumstances. Past literature confirms that the Appalachian culture is distinct from mainstream America, suggesting that various interventions, including mental health treatment, may not be received similarly or have the same impact as they would in other communities. This chapter addresses how to support children and unaccompanied youth facing homelessness or housing insecurity within rural Appalachian communities. Existing research addresses the developmental consequences of homelessness; however, there is limited literature dedicated to understanding how the unique context of the Appalachian culture may affect these conditions. The aim of this chapter is to provide educators, counselors, and similar professionals with an overview regarding how to best support homeless children and unaccompanied youth within Appalachian communities.

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Barriers to Practitioners' Endorsement of a Recovery Perspective

Research Anthology on Mental Health Stigma, Education, and Treatment ◽

10.4018/978-1-7998-8544-3.ch050 ◽

2021 ◽

pp. 861-879

Author(s):

Debra Kram-Fernandez

Keyword(s):

Mental Health ◽

Mental Illness ◽

Mental Health Treatment ◽

Behavioral Theory ◽

Meaningful Life ◽

Health Treatment ◽

Surgeon General ◽

History Of ◽

Cognitive Behavioral Theory ◽

The Impact

This chapter is concerned with the impact of practitioner biases on the experience of a meaningful life for individuals who live with serious mental illness (SMI). Professional biases, systemic biases that originate in societal fear and lack of knowledge, and internalized stigma taken on by the consumer affect life decisions. Following a history of treatment initiatives experienced by consumers as abusive, it is important to understand how a system envisioned to protect and treat was often experienced as harmful. In the 1980s a movement emerged to transform the nature of mental health treatment to a client-centered, recovery-oriented model. In 1999, the Surgeon General proclaimed that all agencies serving this population should be recovery oriented. Yet, the shift to this approach to understanding people with SMI has not been complete. While there are many explanations why practitioners may not fully embrace this perspective, this chapter introduces the concept of “schemas” from cognitive behavioral theory as a way of examining professional biases in the field of SMI.

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The impact of exposure therapy on stigma and mental health treatment attitudes among active duty U.S. soldiers with combat related PTSD

Journal of Psychiatric Research ◽

10.1016/j.jpsychires.2020.05.005 ◽

2020 ◽

Vol 126 ◽

pp. 98-104 ◽

Cited By ~ 1

Author(s):

Greg M. Reger ◽

Kyle Bourassa ◽

Aaron M. Norr ◽

Benjamin Buck

Keyword(s):

Mental Health ◽

Mental Health Treatment ◽

Exposure Therapy ◽

Active Duty ◽

Health Treatment ◽

The Impact ◽

Treatment Attitudes

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2004 Tsunami: Long-Term Psychological Consequences for Swiss Tourists in the Area at the Time of the Disaster

Australian & New Zealand Journal of Psychiatry ◽

10.1080/00048670902817653 ◽

2009 ◽

Vol 43 (5) ◽

pp. 420-425 ◽

Cited By ~ 15

Author(s):

Bernd Kraemer ◽

Lutz Wittmann ◽

Josef Jenewein ◽

Ulrich Schnyder

Keyword(s):

Mental Health ◽

Natural Disasters ◽

Mental Health Treatment ◽

Psychiatric Treatment ◽

Psychiatric Morbidity ◽

Psychological Outcome ◽

Health Treatment ◽

Post Traumatic ◽

2004 Tsunami ◽

The Impact

Objective: Most of the data on psychological outcome and the mental health treatment available following natural disasters originate from the indigenous population of the region destroyed. Examining tourists returning from the area affected by the 2004 tsunami presents an opportunity of studying the impact of natural disasters on psychological outcome and mental health treatment in their countries of origin. The aim of the present study was to extend the current knowledge on psychiatric morbidity and potential positive outcomes, as well as subsequent mental health treatment following a natural disaster, based on the results from a sample of home-coming Swiss tourists. Method: Tourists who had been potentially affected by the 2004 tsunami were assessed using the Post-traumatic Diagnostic Scale, the Hospital Anxiety and Depression Scale, and the Post-traumatic Growth Inventory. Outcome variables were related to the degree of tsunami exposure. In addition, mental health treatment before and after the tsunami was assessed. Results: Of the 342 respondents, 55 (16.8%) fulfilled the criteria of post-traumatic stress disorder (PTSD). Evidence of anxiety or depressive disorder was found in 17.8% and 8.0%, respectively. The tsunami victims who had been directly affected showed significantly more symptoms of anxiety, depression and PTSD, as well as post-traumatic personal growth, than tourists who were indirectly affected or unaffected. A total of 12.3% of untreated respondents fulfilled the criteria for PTSD and 38% of respondents who had received psychiatric treatment were still fulfilling PTSD criteria 2½ years after the tsunami. Conclusion: A marked percentage of respondents reported symptoms of PTSD but they remained untreated or were treated insufficiently. We recommend that tourists returning from regions affected by natural disasters be informed about PTSD and that careful screening be given to those found to be at risk of PTSD. An open-door policy of mental health services is particularly needed for tourists returning home who have been affected by large-scale disasters.

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Barriers to Practitioners' Endorsement of a Recovery Perspective

Deconstructing Stigma in Mental Health - Advances in Psychology, Mental Health, and Behavioral Studies ◽

10.4018/978-1-5225-3808-0.ch005 ◽

2018 ◽

pp. 108-132 ◽

Cited By ~ 1

Author(s):

Debra Kram-Fernandez

Keyword(s):

Mental Health ◽

Mental Illness ◽

Mental Health Treatment ◽

Behavioral Theory ◽

Meaningful Life ◽

Health Treatment ◽

Surgeon General ◽

History Of ◽

Cognitive Behavioral Theory ◽

The Impact

This chapter is concerned with the impact of practitioner biases on the experience of a meaningful life for individuals who live with serious mental illness (SMI). Professional biases, systemic biases that originate in societal fear and lack of knowledge, and internalized stigma taken on by the consumer affect life decisions. Following a history of treatment initiatives experienced by consumers as abusive, it is important to understand how a system envisioned to protect and treat was often experienced as harmful. In the 1980s a movement emerged to transform the nature of mental health treatment to a client-centered, recovery-oriented model. In 1999, the Surgeon General proclaimed that all agencies serving this population should be recovery oriented. Yet, the shift to this approach to understanding people with SMI has not been complete. While there are many explanations why practitioners may not fully embrace this perspective, this chapter introduces the concept of “schemas” from cognitive behavioral theory as a way of examining professional biases in the field of SMI.

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Mental Health Treatment Seeking Among Older Adults With Depression: The Impact of Stigma and Race

American Journal of Geriatric Psychiatry ◽

10.1097/jgp.0b013e3181cc0366 ◽

2010 ◽

Vol 18 (6) ◽

pp. 531-543 ◽

Cited By ~ 223

Author(s):

Kyaien O. Conner ◽

Valire Carr Copeland ◽

Nancy K. Grote ◽

Gary Koeske ◽

Daniel Rosen ◽

...

Keyword(s):

Mental Health ◽

Older Adults ◽

Mental Health Treatment ◽

Treatment Seeking ◽

Health Treatment ◽

The Impact

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The Impact of Patient Preference on Mental Health Treatment: A Methodological Critique and Suggestions for Future Research

European Journal for Person Centered Healthcare ◽

10.5750/ejpch.v3i1.861 ◽

2015 ◽

Vol 3 (1) ◽

pp. 26 ◽

Cited By ~ 3

Author(s):

Juliette Mott ◽

Ellen Koucky ◽

Ellen Teng

Keyword(s):

Mental Health ◽

Patient Preference ◽

Mental Health Treatment ◽

Preference Assessment ◽

Treatment Preference ◽

Patient Treatment ◽

Future Research ◽

Health Treatment ◽

Treatment Information ◽

The Impact

Objectives: Although mental health guidelines increasingly cite the importance of considering patient treatment preference, the substantial variability in study methodology complicates synthesis of empirical research in this area. The objective of this study was to critically review the methodological designs commonly used to assess the relationship between patient preference and mental health treatment outcome and to provide suggestions for future research.Methods: This study reviewed and critically evaluated the methods of studies published between 1993 and 2013 in PsychInfo and PubMed that assessed the effect of patient preference on mental health treatment outcome.Results: A total of 23 studies met inclusion criteria. Most studies (45%) evaluated preference as an added dimension of a randomized clinical trial or used a comprehensive cohort design (35%) wherein patients who refuse randomization can select a preferred treatment. Approximately half of the studies (45%) provided no detail about whether patients received any treatment information prior to preference assessment, and 36% of studies included no detail about how preference was assessed. Most studies focused on depression, indicating that the impact of patient preference remains underexamined in many mental health populations Conclusions: To date, preference effects have most often been evaluated with designs that are better suited to evaluate treatment effects than preference effects (i.e., randomized controlled trials, comprehensive cohort designs). The methodological limitations identified in the extant literature underscore the need for increased attention to key methodological issues, which can enhance the ability of future studies to meaningfully evaluate the impact of patient preference.

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