Community Mental Health Journal[JOURNAL]
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200 papers
Health Beyond Symptoms: A Qualitative Study on Perceptions and Meanings of Health and Health Promotion among Individuals with Serious Mental Illness in Community Mental Health Settings.
Pult G, Frank F
Community Ment Health J · 2026 Apr · PMID 41148537 · Full text
Individuals with serious mental illnesses (SMI) face significant health disparities, also affecting physical health. While Community Mental Health (CMH) services primarily support mental recovery, their potential to addr...
Individuals with serious mental illnesses (SMI) face significant health disparities, also affecting physical health. While Community Mental Health (CMH) services primarily support mental recovery, their potential to address the physical health needs of this population remains insufficiently understood. In particular, little is known about how service users conceptualize health and evaluate support efforts - especially with regard to physical well-being. Gaining insight into these perspectives is essential for developing person-centered health promotion strategies that align with users' lived experiences and contribute to reducing persistent disparities. This qualitative study explored, how individuals with SMI understand health in everyday life, how they perceive the role of CMH professionals in supporting their health, and how they make sense of and respond to health promotion efforts - particularly those targeting physical well-being. Twenty-three qualitative interviews with users of CMH services in Germany were analyzed using a reconstructive, comparative approach that aimed to capture meaning-making processes embedded in everyday social practice. Participants expressed three distinct subjective health orientations: (a) agency-oriented, viewing health as the ability to shape one's life according to personal goals; (b) stability-oriented, emphasizing inner balance, emotional control, and predictability; and (c) functionality-oriented, focusing on the capacity to manage everyday tasks. These orientations were conceptually distinct and shaped participants' understanding of health, their attitudes toward CMH services, and their evaluation of health promotion. Health was understood as embedded in daily routines, relationships, and biographical experience. Psychological stability was seen as interconnected and essential for physical well-being. CMH professionals were seen as consistent and trusted partners who promote health through close, everyday relationships and hands-on support. Health promotion and support for physical health was strongly welcomed - if it was voluntary, respectful, and practically integrated into daily life. Health was defined not through symptoms, but as a lived, everyday experience shaped by stability, agency, and biographical context. Health promotion was broadly welcomed when it was voluntary, respectful, and practically embedded in daily life. Although CMH services are primarily focused on mental health, they offer a promising environment for addressing the physical health needs of individuals with SMI.
Collaborative Care for Anxiety: Differences in Patient and Clinic-Level Characteristics on Treatment Outcomes in a Safety-Net Hospital System.
Stern M, Ma T, Verkerke H … +3 more , Ngo SL, Jackson J, Taylor J
Community Ment Health J · 2026 Feb · PMID 41145851 · Publisher ↗
The collaborative care model (CoCM) is an evidence-based model shown to improve treatment of depression and anxiety in the primary care setting. However, there is limited research on CoCM outcomes in underserved populati...
The collaborative care model (CoCM) is an evidence-based model shown to improve treatment of depression and anxiety in the primary care setting. However, there is limited research on CoCM outcomes in underserved populations and which factors impact outcomes. We performed a retrospective chart review to examine GAD-7 scores for patients (N = 1,034) seen in primary care clinics within an urban, safety-net hospital system. The Wilcoxon signed-rank test and linear mixed models were used. Our population was 81% female and 89% self-identified Black or African American. There were significant reductions on GAD-7 scores from baseline to 3-, 6-, 9-, and 12-months follow-up (p < .001). The analysis suggested gender, patient age, clinic setting, and number of visits were significant. The effect sizes for these covariates were 0.94, 3.77, 1.98, and 0.74, respectively. Further research including patients' social determinants of health and comorbidities may help refine CoCM and optimize its effectiveness.
Barriers and Facilitators of Smoking Cessation Among People Receiving Treatment for Mental Health Disorders: Perspectives of Healthcare Providers.
Puljević C, Holland A, Gartner C … +4 more , Roennfeldt H, Elvidge N, Siskind D, Wyder M
Community Ment Health J · 2026 Feb · PMID 41139166 · Publisher ↗
People experiencing mental illness smoke tobacco at disproportionately higher rates than the general population. Staff at mental health services are well placed to assist clients with smoking cessation, yet such support...
People experiencing mental illness smoke tobacco at disproportionately higher rates than the general population. Staff at mental health services are well placed to assist clients with smoking cessation, yet such support is often limited by time or knowledge constraints. Guided by the COM-B model, this study explored barriers and facilitators of smoking cessation among people receiving treatment for mental health disorders as perceived by staff members of community mental health services in Brisbane, Australia. Three focus groups were conducted in August-October 2021 with 29 healthcare professionals and peer support workers employed at three community mental health services. Data were analysed qualitatively using a combined deductive and inductive approach to identify themes grouped by the COM-B domains of capability, opportunity, and motivation. Capability barriers included clients' reliance on smoking to manage anxiety or other mental illness symptoms and difficulties engaging with cessation support, while staff knowledge was a facilitator. Opportunity barriers included smoking being perceived as social currency and clients' limited support networks, whereas facilitators included cessation assistance from peer workers and smokefree environments. Motivation barriers were entrenched behaviours and using smoking as a coping mechanism, with facilitators including staff prioritising cessation and peer-led programs. These findings highlight the need for staff training to address misperceptions about smoking, improve confidence in offering cessation support, and foster trust with clients. Expanding the range of available smoking cessation support options, including peer support programs, and creating supportive service environments may enhance smoking cessation success for individuals experiencing mental illness.
How Do Engagement Strategies of Peer Support Workers Differ from Traditional Providers? Comparing Across the Dimensions of Function and Form.
G Wu E, Chu W, J Miller S … +4 more , Moskal M, A Bodalski E, Frary SG, E Harrison S
Community Ment Health J · 2026 Apr · PMID 41138031 · Publisher ↗
Peer support workers (PSWs) are instrumental to engaging individuals with substance use disorder (SUD) in recovery and recovery-based services, yet their unique contributions to engagement are not well documented in the...
Peer support workers (PSWs) are instrumental to engaging individuals with substance use disorder (SUD) in recovery and recovery-based services, yet their unique contributions to engagement are not well documented in the broader literature. This study examined how the engagement strategies of PSWs differ from those in the general mental health services literature across the dimensions of function (i.e., the purpose of the strategy) and form (i.e., the behaviors used to deliver the strategy). Twenty-five PSWs working in South Carolina were interviewed about engagement strategies they employ in their work. Interviews were audio-recorded and transcribed; engagement strategies were identified by the coding team using rapid qualitative analysis. Identified strategies were then compared with strategies from a published literature review on engagement interventions delivered in general mental health services across the dimensions of function and form. PSWs reported two engagement strategies that were different in function and form (Disclosing Lived Experiences, Humanizing the Individual), three strategies that were similar in function but different in form (Expectation Setting, Recovery Capital Building, Rapport Building/Relational Soft Skills), and one strategy that was similar in function and form (Motivational Interviewing/Enhancement) when compared to engagement strategies used in general mental health services. These findings suggest that even when PSWs employ engagement strategies with functions comparable to those used by other professionals, their distinct skillsets, flexibility and lived experience allow them to deliver these strategies in uniquely impactful ways. Implications for workforce development for PSWs and allied professionals serving individuals with SUD are discussed.
How Often, where and by whom are Adverse Experiences Recorded in Clinical Records of Service-Users Under the Care of an Early Intervention in Psychosis (EIP) Service?
Davison H, Sopp M, Bennetts A
Community Ment Health J · 2026 Feb · PMID 41138030 · Full text
Research indicates high prevalence rates of adverse experiences in people experiencing first-episode psychosis. Despite recommendations that mental health staff should routinely ask about adverse experiences, documentati...
Research indicates high prevalence rates of adverse experiences in people experiencing first-episode psychosis. Despite recommendations that mental health staff should routinely ask about adverse experiences, documentation indicates these are not being recorded in service-users' clinical records across different mental health settings. This study audited 48 service-user records in a UK early intervention in psychosis (EIP) community mental health service to examine how often, where, and by whom adverse experiences were recorded. Searching for 22 adverse experience terms, 64.6% of clinical records documented at least one adverse experience, with 80.6% reporting more than one. The profession that most often recorded adverse experiences in service-users' clinical records was psychiatrists. While EIP services may document adverse experiences more frequently than other community mental health settings, recorded rates remain lower than expected based on previous research prevalence rates. Further studies should consider adverse experiences recording across UK EIP services to ensure service-users with adverse experiences receive appropriate support.
You Can Build It, but What if some Still Won't Come? Developing and Evaluating a Prevention-Focused Pilot Program Fostering Engagement in Mental Health Care.
Portner J, Hunt MG
Community Ment Health J · 2026 Feb · PMID 41138029 · Publisher ↗
U.S. healthcare systems struggle to provide needed services for those with mental health needs, particularly those with serious mental illness who may have difficulty connecting and/or continuing in traditional outpatien...
U.S. healthcare systems struggle to provide needed services for those with mental health needs, particularly those with serious mental illness who may have difficulty connecting and/or continuing in traditional outpatient care. The lack of adequate mental health care is related to numerous negative outcomes. Often people who have difficulty connecting to adequate care are caught in a ‘revolving door’ of emergency or crisis care even when adequate outpatient care is available. In this work we describe the development and clinical monitoring of a unique, prevention-focused, low-resource pilot intervention designed to foster a longer-term outpatient treatment connection for people who were not connecting with outpatient care despite demonstrated need. Results indicate positive impact on symptoms as well as successful connection to and utilization of longer-term outpatient care post-discharge. Key strategies that promote successful assessment/monitoring that can increase sustainability for clinically-focused interventions are provided.
Exploring the Mediating Role of Decisional Conflict in the Relationship Between Shared Decision Making, the Use of Routine Outcome Monitoring, Treatment Outcomes and Patient Satisfaction: An Observational Longitudinal Study in Dutch Mental Health Care.
Stuit F, Engelsbel F, Boenink A … +3 more , Barneveld-Oudt L, Beekman A, Metz M
Community Ment Health J · 2026 Apr · PMID 41136685 · Full text
In Shared Decision Making (SDM) patients and clinicians make joint decisions about treatment. The use of Routine Outcome Monitoring (ROM) as a personalized source of information can be helpful when making decisions toget...
In Shared Decision Making (SDM) patients and clinicians make joint decisions about treatment. The use of Routine Outcome Monitoring (ROM) as a personalized source of information can be helpful when making decisions together. Research suggests this approach has beneficial effects on treatment outcomes and satisfaction. The study aims to investigate if the factors associated with the SDM process contribute to treatment outcomes and satisfaction and whether these outcomes are mediated by Decisional Conflict. An observational longitudinal study was performed using data from a heterogeneous group of patients treated by three Dutch mental health care organizations; 58 patients completed the first and second measurement. First, regression analyses were conducted to examine the relationship between the application of SDM and use of ROM feedback at the start of treatment and outcome factors Symptom Change, Symptom Severity (measured by Symptom Questionaire-48, Brief Symptom Inventory, 36-Item Short Form Health) and Patient Satisfaction (rating on a scale from 0 to 10) 3 to 6 months later. Second, we conducted mediation analyses to investigate whether Decisional Conflict serves as a possible mediating factor through which the SDM process and the use of ROM feedback influences the outcome variables. Results showed that the use of ROM feedback had a significant effect on Symptom Change, however was not mediated by Decisional Conflict. SDM process variables (Feeling Informed, Clarity and Support) were significantly associated with Symptom Severity. Only the effect of Feeling Informed on Symptom Severity was mediated by Decisional Conflict. Support also accounted for a significant part of the variance in Patient Satisfaction, but there was no mediation effect of Decisional Conflict. The SDM process and the use of ROM feedback appears to play a more important role in improving outcomes than Decisional Conflict. These findings also seem to indicate the importance of the patient-clinician working alliance, because this working alliance influences the SDM process and conversely a good SDM process improves the working alliance. This aligns with the evidence from earlier research. We recommend to continue this research on the impact of decisional conflict using a larger sample over a longer period of time.
A Culturally Tailored Psychoeducation Group for Reducing Mental Health Stigma of African American Women and their Social Support.
Williams C, Washington L, McCabe B … +1 more , Ware K
Community Ment Health J · 2026 Apr · PMID 41134492 · Full text
This engagement award project evaluated the preliminary effectiveness of a culturally tailored psychoeducation session aimed at reducing mental health stigma among African American women and their social support networks...
This engagement award project evaluated the preliminary effectiveness of a culturally tailored psychoeducation session aimed at reducing mental health stigma among African American women and their social support networks. Participants included 25 community members, including African American women of reproductive age and members of their social support networks, engaged in a two-hour psychoeducation group session. This session addressed perinatal mood disorders, cultural and historical factors contributing to mental health stigma, impacts of untreated conditions, and culturally appropriate resources. Participants completed the Stigmatized Attitudes Toward Mental Illness Scale (SATMIS) before and after the psychoeducation session, along with a satisfaction questionnaire. Analysis revealed a large (Cohen's d = 0.98), significant reduction in stigmatized attitudes toward mental illness from pre-session (M = 62.4, SD = 10.2) to post-session (M = 48.9, SD = 9.7; p < .001). Most (92%) participants reported high satisfaction with the psychoeducation session. This engagement project provides preliminary evidence that a brief, culturally tailored psychoeducation group session can effectively reduce mental health stigma among African American women and their support networks. Given the disproportionate burden of perinatal mood and anxiety disorder (PMADs) and maternal mortality among African American women, this approach shows potential for addressing a significant barrier to mental health care utilization in this population.
The Emerging Benefits of the Commencement of a Recovery College in the Northern Territory on Recovery from Mental Health and Alcohol and Drug Use Issues.
Tari-Keresztes N, Armstrong N, Gupta H … +2 more , Goding S, Smith JA
Community Ment Health J · 2026 Feb · PMID 41131144 · Publisher ↗
These evaluation studies explored the impact of the 'Recovery Together' program on participants' mental health and alcohol and other drug recovery and experiences with related services. They also aimed to inform the deve...
These evaluation studies explored the impact of the 'Recovery Together' program on participants' mental health and alcohol and other drug recovery and experiences with related services. They also aimed to inform the development of a Recovery College in the Northern Territory (NT). These studies used participatory action research and qualitative methods. Ethics approvals were obtained. Eighteen participants participated in semi-structured interviews across Darwin, Alice Springs and Katherine. Data were analysed using inductive and deductive approaches. Many participants expressed dissatisfaction with these local services, referring to inadequate support, disempowering approaches, and complicated referral pathways. However, they valued the 'Recovery Together' program for building foundational recovery skills - stress, illness and relapse management, coping strategies, communication and advocacy. Participants also reported increased empowerment, hope, and peer connection. These findings underpin the need in the NT for a Recovery College that builds on peer education and recovery-oriented approaches to improve recovery outcomes.
Service User Experiences and Perspectives of Social Prescribing Services for Mental Health.
Cooper M, Flynn D, Scott J … +2 more , Ashley K, Avery L
Community Ment Health J · 2026 Apr · PMID 41120651 · Full text
To explore service user experiences and perspectives of social prescribing for mental health and to develop theoretically informed strategies to optimise their experience. This qualitative study utilises semi-structured...
To explore service user experiences and perspectives of social prescribing for mental health and to develop theoretically informed strategies to optimise their experience. This qualitative study utilises semi-structured interviews with participants recruited via gatekeepers across social prescribing services in England and Wales. A topic guide, informed by the Theoretical Domains Framework (TDF) and the COM-B model of behaviour change, was used to structure interviews. Data were analysed using Thematic Framework Analysis guided by the TDF. A total of eighteen service users participated in this research. Ten were aware of social prescribing and could provide an accurate explanation of what it is; three recognised the term but could not explain the concept; and five had no prior knowledge, despite accessing social prescribing services. Overall, awareness of social prescribing, its benefits for mental health, and service accessibility were limited and identified as key areas for improvement. Eleven theoretical domains identified related to engagement with social prescribing services for mental health. Twenty-one analytical themes were generated across the eleven domains. Of these themes, seven suggested changes to the current provision, with the remaining fourteen providing recommendations for future services. Findings advance the field of social prescribing for mental health by providing insight into the experiences and perceptions of service users, underpinned by a robust behavioural framework analysis to identify behavioural determinants.
The Homeless Outreach Behavioral Screen (HOBS): A Brief Scale for Identifying Need for Mental Health Evaluation Among Unsheltered Populations.
Lee BD, Davis L, Bailliard A … +13 more , Gori Y, Gertsch W, Comulada WS, Cuddeback G, Resnick J, Bennett J, Jackson T, Sherin J, Lovelace A, Mansfield D, Cope E, Henwood BF, Bromley E
Community Ment Health J · 2026 Feb · PMID 41114782 · Publisher ↗
Outreach to individuals experiencing unsheltered homelessness is often conducted by specialists lacking mental health training despite the high prevalence of severe mental illness among individuals experiencing homelessn...
Outreach to individuals experiencing unsheltered homelessness is often conducted by specialists lacking mental health training despite the high prevalence of severe mental illness among individuals experiencing homelessness. We developed a novel screener, the Homeless Outreach Behavioral Screen (HOBS), a 4-item scale for use by outreach specialists to identify unsheltered persons who may benefit from referral to specialized mental health services. We describe the participatory development of the HOBS and report on preliminary data from a sample of unsheltered individuals in Los Angeles (n = 649). HOBS items show good internal consistency and reliability (alpha = 0.80). Each additional domain of difficulty scored as present is associated with an 8.7 fold (95% CI: 6.1-13.0) increased odds the individual is appropriate for specialty mental health services. Though further validations studies are needed, the HOBS shows potential to reduce barriers to accessing services for vulnerable individuals.
Exploring Treatment Completion and Participant Feedback in an Adapted Intervention among Incarcerated Men with Mental Illness.
Villodas ML, Phillips J, Dohler E … +4 more , Parisi A, Scanlon F, Pilkerton C, Wilson AB
Community Ment Health J · 2026 Apr · PMID 41107680 · Full text
Treatment completion in interventions within correctional settings is challenging both generally and for people with mental illness (MI). Few studies have explored treatment completion alongside feedback from this popula...
Treatment completion in interventions within correctional settings is challenging both generally and for people with mental illness (MI). Few studies have explored treatment completion alongside feedback from this population. We examined the rates of treatment completion alongside participant feedback to explore how participant feedback can improve treatment completion. Mixed-methods were used to examine treatment completion rates and clinical characteristics of participants (n = 24), and to explore participant feedback. We used thematic, qualitative analysis of participant feedback (n = 17) obtained from interviews, alongside univariate statistics to describe the sample of treatment completers and non-completers. Three-quarters of participants completed the treatment. Non-completers had a higher proportion of one or more infractions than completers. Four themes from participant feedback emerged in the qualitative analysis: Practice, Applicable Takeaways, Intervention Pace, and Group Dynamics. Participants' feedback highlights important considerations for responsive practices to improve treatment completion among incarcerated men with MI.
Effects of Mindfulness-Based Stress Reduction Program on the Mental Health and Care Burden in Family Caregivers of Individuals with Psychosis.
Boğahan M, Yılmaz S, Yılmaz M
Community Ment Health J · 2026 Feb · PMID 41105316 · Publisher ↗
This study was conducted as a randomized controlled experimental trial with the aim of determining the effect of MBSR program on the mental health and care burden in family caregivers of individuals with psychosis. This...
This study was conducted as a randomized controlled experimental trial with the aim of determining the effect of MBSR program on the mental health and care burden in family caregivers of individuals with psychosis. This study was designed prospective, two-armed (1:1), randomized clinical trial with assessments on primary and secondary outcomes at baseline, post-intervention, at the 1-month follow-up, and 3-month follow-up. The primary outcome of the study was the change in care burden. Secondary outcomes included changes in anxiety, hopelessness, and self-compassion levels. The study sample consisted of 50 family caregivers (intervention group = 25, control group = 25). In the intervention group, there was a statistically significantly decrease in state anxiety, trait anxiety, hopelessness and caregiver burden, as well as a significant increase in self-compassion compared to the control group at post-intervention, at the 1-month follow-up and 3-month follow-up. These results show promise that MBSR may be an effective intervention for family caregivers of individuals with psychosis. CLINICAL TRIAL REGISTRY: This study was registered in the Clinical Trials under the code NCT05245305 (2022-02-17).
Understanding Factors Associated with 911 and 988 Use in Mental Health Crises.
Ueda M, Heflin CM, Liu Y … +2 more , Yu Q, Ramanathan S
Community Ment Health J · 2026 Apr · PMID 41087640 · Full text
The 988 Suicide and Crisis Lifeline was launched in July 2022 as an alternative to 911 for mental health crises. However, little is known about the factors influencing decisions to use 911 or 988 among individuals most l...
The 988 Suicide and Crisis Lifeline was launched in July 2022 as an alternative to 911 for mental health crises. However, little is known about the factors influencing decisions to use 911 or 988 among individuals most likely to benefit from 988, including those with suicidal ideation. This study analyzes individual characteristics associated with the likelihood of calling 911 during a mental health crisis and examines awareness of, willingness to use, and concerns about 988. An anonymous online survey was conducted in early 2024 with 1,894 U.S. adults aged 18-50, oversampling racial minorities. Logistic regression models were estimated for four dichotomized outcomes: likelihood of calling 911 in a mental health crisis, awareness of 988, willingness to use 988, and concerns about 988. Independent variables included demographic characteristics, mental health indicators, perceived stigma, and financial stress. Overall, 53.9% of respondents reported they would call 911 in a mental health crisis, and 22.2% of respondents had heard of 988. After receiving basic information, 71.5% expressed willingness to use 988. However, 87.1% reported at least one concern, and individuals with suicidal ideation were much less likely to express willingness to use 988. Commonly endorsed concerns included law enforcement involvement, forced hospitalization, and service fees. Perceived stigma and financial stress were strongly associated with a higher likelihood of expressing concern. Although many individuals expressed willingness to use 988 when informed, widespread concerns may limit uptake. Our findings suggest that targeted outreach and accurate information could promote greater utilization.
Treatment Response in a Co-Occurring Disorders Intervention for Adult Drug Treatment Court: The Role of Adverse Childhood Experiences.
Fatehi M, Shaffer PM, Andre MA … +4 more , Helm AF, Kaufman M, Casey SC, Smelson DA
Community Ment Health J · 2026 Jan · PMID 41082054 · Publisher ↗
Drug Treatment Courts (DTCs) serve as alternative to incarceration, addressing substance use and legal challenges of offenders. Many individuals enrolled in DTCs have co-occurring mental health and substance use disorder...
Drug Treatment Courts (DTCs) serve as alternative to incarceration, addressing substance use and legal challenges of offenders. Many individuals enrolled in DTCs have co-occurring mental health and substance use disorders (CODs). Although multicomponent treatment like MISSION-CJ can improve outcomes for DTC clients with CODs, the impact of Adverse Childhood Experiences (ACEs) on outcomes remains unclear. This pilot study examined how criminal legal involvement, substance use and mental health functioning outcomes changed over time and differed based on ACEs levels. Sixty-two DTC clients with CODs received one-year of MISSION-CJ services. Generalized linear mixed models (GLMMs) assessed 6-month and 12-month outcomes, comparing low and high ACEs groups. Results showed significant overall improvement in outcomes, with greater mental health functioning improvements among clients with high ACEs. Although MISSION-CJ was not designed to address the needs of individuals with ACEs, these data suggest it might improve clinical outcomes for this vulnerable group.
A 10-year Multisite Evaluation of an Individual Placement and Support (IPS) Employment Program Based in an Australian Community Mental Health Service.
Robson E, Sly K, Lewin T … +2 more , Turrell M, Swamy A
Community Ment Health J · 2026 Apr · PMID 41075054 · Publisher ↗
Individual Placement and Support (IPS) is a well-established evidence-based model of supported employment (Drake & Bond, 2023). This study aimed to examine program engagement and employment outcomes achieved in an IPS pr...
Individual Placement and Support (IPS) is a well-established evidence-based model of supported employment (Drake & Bond, 2023). This study aimed to examine program engagement and employment outcomes achieved in an IPS program based in an Australian community mental health service and identify differential employment patterns and opportunities for service development. IPS programs were in place at 9 community mental health service locations (4 rural/5 urban), with a governance model supporting program actualisation and monitoring. A multi-component evaluation comprising service-level data included: (i) routine monitoring of client-level characteristics, referral processes, caseload, and employment outcomes; (ii) quarterly reporting of referral patterns and targets. There were 1167 referrals during the 10-year evaluation period; the majority, 58% were male, the mean age was 33.9 years, and psychotic disorders were frequently reported (45.7%). Program engagement was substantial (mean = 1.5 years). Over a third, 36.3% obtained employment; retained for lengthy periods (mean = 45.5 weeks), 70.4% for 13 weeks or more (31.4% exiting as independent workers). Similar outcomes were attained regardless of age, gender, or diagnosis. Logistic regression analyses revealed the strongest predictor of employment (AOR = 3.20; p < 0.001) or vocational outcome (AOR = 2.20; p < 0.001) was associated with rural MHS-locations with fewer (1-3) employment consultants. Positive employment outcomes were demonstrated irrespective of diagnosis. Longitudinal outcomes suggest an increased likelihood of obtaining employment in rural locations and in programs with fewer employment consultants, providing insight into factors that may support IPS implementation in real-world settings.
Correction to: Quality of Life of People with Mental Health Challenges and Problematic Substance Use while Engaged with an Exercise Physiology Service.
Kugelman J, Doohan M, Dyer B … +3 more , O'Brien J, Kayal M, Chapman J
Community Ment Health J · 2026 Feb · PMID 41071521 · Full text
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Supporting Community Engagement for Veterans After Psychiatric Hospitalization: Perspectives From Clinical, Personal, and Community Supporters.
Chen JI, Laliberte AZ, Roth B … +2 more , Dobscha SK, Tuepker A
Community Ment Health J · 2026 Feb · PMID 41066069 · Full text
Recently psychiatrically hospitalized Veterans are at elevated risk for suicide soon after discharge. Social connectedness is a robust protective factor against suicide; however, many Veterans have limited sources of soc...
Recently psychiatrically hospitalized Veterans are at elevated risk for suicide soon after discharge. Social connectedness is a robust protective factor against suicide; however, many Veterans have limited sources of social support and well-being. Promoting engagement in community activities may help increase social connectedness, but there is limited research on the barriers and facilitators experienced by mental health providers, community organizations, and Veterans' loved ones to support such efforts. The current study collected qualitative data via interviews with 29 participants from these three groups in different regions of the United States. Interviews focused on participants' experiences with organizational- and systems-level factors impacting current implementation of strategies for supporting Veteran engagement in community activities. Data were analyzed using templated summarization and matrix analysis. Participants generally valued community engagement for this high-risk population and identified barriers related to mental health challenges and lack of central coordination of activities. Mental health administrators and policy makers invested in increasing social connectedness among high-risk Veteran groups should consider leveraging existing community networks to address identified barriers to community engagement.
Strengths, Weaknesses and Knowledge-Gaps in the Application of the Recovery Model to Adolescent Mental Health: A Scoping Review.
Di Schiena R, Joiret E, Marneffe J … +1 more , Piccinin B
Community Ment Health J · 2026 Feb · PMID 41066068 · Publisher ↗
There is today a broad consensus about the conceptualisation of recovery in adults facing mental health challenges: a personal journey grounded in societal connectedness, hope, constructing a life with meaning and purpos...
There is today a broad consensus about the conceptualisation of recovery in adults facing mental health challenges: a personal journey grounded in societal connectedness, hope, constructing a life with meaning and purpose, empowerment, and autonomous management of symptoms based on their acceptance. However, recent findings show that this conception cannot be automatically transposed to adolescents. Based on a scoping review methodology, this paper examines the application of the recovery model to adolescents mental health through the identification of strengths, weaknesses and knowledge gaps. Studies that investigated the adaptation of the recovery model to adolescents (age-range: 12-18) were selected and mapped, using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews (PRISMA-ScR). A deductive thematic analysis was conducted to see which components apply to adolescents (strengths) and which do not or hardly apply (weaknesses). An inductive thematic analysis was conducted to identify knowledge gaps. 13 studies identified as relevant were mapped and analysed. Main strengths identified were importance given to connections, to hope and to empowerment. Main weaknesses were the idea of a personal journey, importance given to autonomous management of symptoms, to identity and to building a life project with meaning and purpose. Knowledge gaps were how to adapt to developmental challenges, how to integrate multiple actors in the decision-making process, how to increase adolescents' participation and how to foster resilience. When applying the recovery model to adolescents, it is essential to account for their specific needs. Recovery should be re-conceptualized rather than grounded in adult-centric theoretical frameworks. Integrating resilience as a core component can further support adolescents in the process of recovery from mental illness, while navigating through developmental challenges.
Socially Oriented Approaches To Working with Children of Parents with Severe and Enduring Mental Illness: Expert Perspectives.
Nevard I, Brooks H, Gellatly J … +2 more , Handerer F, Bee P
Community Ment Health J · 2025 Nov · PMID 41051461 · Full text
Children Of Parents with severe and enduring Mental Illness (COPMI) face an elevated risk for inherited mental health issues and diminished quality of life across various domains. While social factors such as social netw...
Children Of Parents with severe and enduring Mental Illness (COPMI) face an elevated risk for inherited mental health issues and diminished quality of life across various domains. While social factors such as social networks (the set of active, valued social ties surrounding an individual) are recognised as protective, they are often inadequately conceptualised, preventing effective leverage to promote positive outcomes. This brief report provides information regarding common network related issues faced by families, opportunities for supportive intervention, barriers and facilitators to social network conscious work with COPMI according to professionals. Professionals who work with individuals or families affected by parental mental illness provided insights as to how social network considerations can or do feature in their work via focus group discussions. Focus group transcripts were analysed through an a priori framework developed through framework analysis in order to identify common issues, potential interventions, and barriers and facilitators in their work. Commonly observed issues within family networks included the impact of caring roles, structural limitations to networks, and experiences related to stigma and trust. Network related intervention opportunities included early identification, support for community integration efforts, and child skills building. Barriers included lack of needs identification, communication gaps, and staff workload pressures. Potential facilitators include ongoing training, interdisciplinary collaboration, and consistency in staff/family relationships. This brief report offers valuable insights for practitioners, policymakers, and researchers emphasising the utility of relational approaches when working with families affected by parental mental illness.
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