Community interventions are complex social processes that need to move beyond single and outcomes at individual levels of short-term change. A scientific paradigm is emerging supports collaborative, multilevel, culturally situated community aimed creating sustainable community-level impact. This rooted in a deep history ecological collaborative thinking across public health, psychology, anthropology, other fields science. The new makes number primary assertions affect conceptualization...

Health inequities persist and, in some cases, are increasing. Multilevel interventions involve efforts to change aspects of social contexts related the creation and maintenance health among varied groups. Momentum for conducting multilevel achieve equity is found across professional fields as well scientific funding organizations. This article discusses rationale interventions, briefly reviews their evolution over time with respect inequities, provides an ecological “way thinking” about...

Abstract A collaborative study of Cultural Adjustment and Trauma Services (CATS), a comprehensive, school‐based mental health program for traumatized immigrant children adolescents, was conducted to generate practice‐based evidence on the service delivery model across two school districts. Program effectiveness assessed by testing whether client functioning PTSD symptoms improved as result 7 separate elements. An array clinical services including CBT, supportive therapy, coordinating were...

The development of evidence-based mental health interventions for refugees is complicated by the cultural and linguistic diversity participants, need to balance treatment past traumatic experiences with ongoing support during process acculturation. In an effort gather "practice-based evidence" from existing services refugees, a collaborative study International Family, Adult, Child Enhancement Services (FACES), comprehensive, community-based program working refugee children, was conducted...

Youth inpatient and residential treatment psychiatric services are essential components of the continuum care. Concern has grown about diminished availability these increasing need for them. This study aimed to examine number youths treated at facilities over a 12-year period assess perceptions state mental health authorities (SMHAs) reasons changes in availability. In this multimodal study, authors conducted secondary analysis national survey (including all 50 states, Washington, D.C.,...

Objective . There is limited theory regarding the real-world implementation of mental health care in primary setting: a type organizational coordination intervention. The purpose this study was to develop conceptualize potential causes barriers and facilitators how local sites responded mandated intervention achieve coordinated care. Methods Data from 65 staff interviews across 16 were analyzed identify perceived one year after an mandate provide integrated setting. Results Standardized...

Multisite qualitative studies are challenging in part because decisions regarding within-site and between-site sampling must be made to reduce the complexity of data collection, but these may have serious implications for analyses. There is not yet consensus on how account variations perceptions organizational context interventions. The purpose this study was analyze variation among key informants order demonstrate importance broad identifying both implementation themes. Case four sites were...

Assessment of the impact varied forms participatory research is enhanced by specific attention to ripples, such work initiates in social context. Ripples are defined as consequences either unintended or unanticipated those carrying out research. Following a brief documentation range reported ripples reports describing research, an ecological perspective drawing on interdependence principle systems theory presented framework for assessing attending local Community asset mapping and network...

Purpose: This study explores the experiences and adjustment process among older Bhutanese refugees resettled in United States identifies their unmet health social service needs. Design: phenomenological design included conduction of nine in-depth semistructured interviews respondents’ native language. The researchers adhered to steps outlined by Moustakas for data analysis. Results: five identified themes following: a better life but with little sorrows, cultural tensions related adaptation,...

The purpose of the study was to characterize and compare participants' experiences peer-facilitated versus clinician-facilitated recovery groups for veterans with mental illness.We analyzed qualitative data from 24 interviews who participated in health led by peer or clinician facilitators.Subtle differences group structure, participation/communication utility/relevance between peer- were identified. Participants experienced both facilitators as helpful promoting recovery, though they...

Abstract Objective The purpose of this study was to develop a conceptual model community‐based veteran peer suicide prevention. Method We conducted qualitative in which semi‐structured interviews were followed by three focus groups. Participants ( n = 17) chosen from organizations who had peers working on prevention; the sample included peers, non‐peers, program managers, and community stakeholders. Interview data analyzed thematically inductively identify key components subcomponents A...

Concerns over the quality of mental health services in United States have led to creation, dissemination, and implementation evidence‐based interventions (EBMHIs). Though it is widely acknowledged that ripple effects, effects these on systems which they are implemented (i.e., practice settings) unclear. The purpose this qualitative pilot study was explore both practitioner‐ organization‐level EBMHIs a community‐based agency. We identified 4 categories practitioners (work roles...

This pilot study evaluated the validity and reliability of an Experience Neighborhood (EON) measure developed to assess neighborhood characteristics that shape reintegration opportunities for returning service members their families. A total 91 post-9/11 veterans spouses completed a survey administered at Minnesota State Fair. Participants self-reported on status (veterans), social functioning (spouses), support, mental health. EON factor structure, internal consistency reliability,...

Veterans often experience challenges related to processing traumatic experiences and community reintegration, yet there is a dearth of research on promising community-driven approaches. This paper describes core processes outcomes Vets & Friends (V&F), community-based support program that promotes veteran reintegration by healing trauma moral injury using communalization (CoT) approach. We conducted focus groups with 23 V&F group members. A mix inductive deductive codes were generated during...

Veterans Mental Health Councils (VMHCs) have been established at many Affairs (VA) medical centers to promote recovery and improve mental health services. Though research shows that consumer-led advisory councils may produce a number of positive outcomes, the aspects implementation critical for VMHC effectiveness not identified. The purpose this study was identify factors influencing effective functioning VMHC, including contextual affecting council success. A key goal understand how...