The study examined whether the prescription practices of clinicians in psychiatric emergency services differed for African-American patients. Prescription antipsychotic medications and its relation to quality care was a particular focus.Data from 442 independently observed evaluations patients were using multivariate analyses. observations made during five-year period at four urban general hospitals California.Clinicians services, most whom Caucasian, prescribed more African Americans than...

This study assessed involvement with the criminal justice system among new clients of community mental health centers and self-help agencies in order to determine characteristics service needs this population. Such information has implications for improving care available persons illness who have been involved system.Interview assessments records were obtained 673 21 outpatient agencies. Descriptive statistics, chi square tests, multivariate analysis variance used describe these help-seekers...

Abstract The Syrian War has created a mass exodus of citizens to neighboring countries and exposed them many atrocities. We explored factors affecting well‐being posttraumatic growth (PTG) refugees residing in Jordan. Participants ( N = 250) were surveyed via nongovernmental organizations (NGOs). Outcome criteria included global rating the Posttraumatic Growth Inventory. Trauma exposure assessment Harvard Questionnaire (HTQ) Events Questionnaire. Ordinary least squares regression examined...

During the past 15 years, there has been tremendous growth in number of self-help groups and agencies for mental health clients. This article examines perspective relation to problems with traditional services need client-run services. Self-help see their goal as empowerment on an individual, organizational, societal level. They strive accomplish this by helping members obtain needed resources develop coping skills; providing means enhancing members' self-concept lessening stigma perceived...

Twenty-two percent of a young vagrant population reported on in this study, and believed to be representative similar groups many American cities, have been hospitalized for psychological disorder. These mentally disordered vagrants are the most marginal members subculture, lacking social margin (i.e. resources, relationships, credible identity) with their families, community services peers. Their critical lack is due an incongruence expectations between potential benefactors. This generates...

Urban areas have become host to young chronic ex-mental patients who often live on the street or in single-room occupancy hotels. The authors analyze obstacles humane community care and suggest future policies programs.

Objective: Hierarchically organized board-and-staff-run consumer-operated service programs (COSPs) are viewed as organizations that promote recovery while working in concert with community mental health agencies (CMHAs). This study's objective was to determine the effectiveness of such combined services for people serious illness. Methods: A drop-in center and colocated CMHA provided context randomized clinical trial. In a weighted sample, 139 new clients seeking help from were randomly...

Abstract Background Existing evidence indicates that Muslim minorities underutilize mental health services despite a pressing need. Employing the Theory of Planned Behavior (TPB), this study seeks to explore considerations influence help-seeking by Muslims residing in California and Israel. Methods A qualitative approach involving semi-structured interviews guided TPB principles was implemented with 78 participants. Thematic analysis conducted identify key themes. Results both deductive...

This study explored the use of mental health services by Asian Americans and other ethnic populations (N=104,773) in California. The authors used linear regression analyses to assess role ethnicity diagnosis predicting six-month services. East Asians more than Southeast Asians, Filipinos, Caucasians, African Americans, Latinos, Native even when severity illness was taken into account. findings suggest that aggregating subpopulations a single group research is no longer appropriate. Attention...

This study examined whether psychiatric patients assigned to community treatment orders (CTOs), outpatient commitment in Victoria, Australia, have a greater need for protect their health and safety than not CTOs. It also considered such is provided least restrictive manner-that is, way that contributes reduced use of hospitalization.The sample included 11,424 first placed on CTO between 2000 2010, 16,161 CTO. Need was independently assessed with the Health Nation Outcome Scales (HoNOS) at...

This research examines Syrian refugee mothers' accounts of the physical and mental health their children being affected by war traumas displacement challenges. Open-ended audio-recorded interviews were conducted in Arabic with 23 mothers residing Jordan. Using a narrative approach data collection analysis, five major themes identified: (1) exposed to diverse traumatic experiences Syria; (2) escape journey camps threatened children's lives; (3) family stressors poverty, hostility from local...

OBJECTIVE: This study assessed the relationship between outcomes of clients client-run self-help agencies and attendance at agency, satisfaction with psychological disability, organizationally mediated empowerment, that is, provision opportunities for to meaningfully participate in decisions about their care others agency. The were independent social functioning, assisted personal empowerment. METHODS: A total 255 long-term users four interviewed baseline six months later. Univariate...

• Critics of the dangerousness standard for civil commitment contend that there is no professional evaluation dangerousness. We used Three Ratings Involuntary Admissibility, a reliable index behavioral indicators danger to self, others, and grave disability, found when combined into weighted patterns these predicted disposition decisions 70 clinicians in five psychiatric emergency rooms over 251 cases. A concurrent measure perceived dangerousness, Clinician's Global patients on criteria,...

This study examined conditional release--that is, involuntary outpatient commitment orders upon release from hospitalization--as a least restrictive alternative to psychiatric hospitalization in Victoria, Australia.Records were obtained the Victorian Psychiatric Case Register for patients who experienced hospitalization: between 1990 and 2000 total of 8,879 given 16,094 not.Compared with group that was hospitalized but did not receive release, received more likely have prior hospitalizations...

• Proponents of return to a "need for treatment" standard civil commitment contend that the current dangerousness forces psychiatrists neglect severely ill patients in favor those who are less but dangerous others. Among 198 psychiatric emergency five facilities, rated as most on Three Ratings Involuntary Admissibility, reliable index indicators employed by clinicians evaluating danger self, others, and grave disability, were also diagnostic symptomatic assessments mental disorder....