Use and Results of MOHO Global Assessments in Community Mental Health: A Practice Analysis

This practice analysis reports an evaluation of occupational therapists' utilization of assessments derived from the Model of Human Occupation (MOHO) within adult community mental health settings. An audit of all documented assessments recorded details of (1) the number of assessments completed by each of the occupational therapists, and (2) the specific occupational difficulties identified across all assessments. Thirty-eight assessments had been completed, with a total of 35 service users. Results show variation in practice among occupational therapists in their application of MOHO assessments and, further, that the range of occupational difficulties identified for the client cohort is diverse.     

Innovating With the Model of Human Occupation in Mental Health

This article describes a new approach in a group of National Health Service trusts in the United Kingdom. The assessment and intervention were focused on using the Model of Human Occupation in Mental Health services. An occupation focused assessment and intervention protocol were developed based on the Model of Human Occupation Screening Tool Single-Observation Form (MOHOST-SOF). The aim was to develop a guide to treatment and monitoring to support efficient practice while maintaining an occupation and client-centered focus. Implementation has been successful to date.     

Understanding Islamic Perspective of Mental Health and Psychotherapy

This paper is an attempt to provide foundational information about Islamic perspective of mental health and psychotherapy. It further highlights the historical contribution of Muslim philosophers and physicians to the field of psychotherapy. In the aftermath of the 9/11 and 7/7 tragedies, there has been a growing need to understand the Islamic perspective of mental health and gain insight into the followers of this faith otherwise perceived as ‘mysterious and Far Eastern’. A case example illustrates how counselors/therapists can effectively incorporate religious-cultural aspects of Islam in their work with Muslim clients so that they could work more effectively with their Muslim clients in the post 9/11 climate. Health care professionals must be sensitive to and fully aware of the unique religious traditions, cultural norms and gender sensitive values of their Islamic psychiatric patients so that they could introduce modern therapeutic interventions with less resistance from their clients.     

A Sensory Integrative Approach to the Psychotic Child

Current knowledge provides ample evidence of widespread neurological and developmental impairments underlying the behavior of psychotic youngsters. Occupational Therapy can now assess, treat, and make "sense" of the psychotic child's disturbed systems. A case study of a severely disturbed, self-abusing, childhood schizophrenic patient is presented. The treatment process and behavioral changes are discussed and augmented with statistical analysis.     

新冠肺炎疫情期间心理热线服务的相关问题思考

通过系统分析心理咨询和心理热线服务的相关研究,探讨新冠肺炎疫情期间开展心理热线服务的优势与伦理问题。心理热线服务与传统的面对面咨询方式相比,具有受众范围广、保密性强、容易获得、来访者在咨询过程中注意力和控制感更强以及安全性更高等优势。疫情期间开展的心理热线服务的相关问题,主要包括四个方面:心理热线咨询师的资质认证;心理热线中的知情同意;心理热线的保密问题;心理热线的适用性。只有遵守伦理守则,才能更好地通过心理热线服务帮助他人。     

Development of the Multicultural Mental Health Awareness Scale

The present study describes the development of an instrument to assess the multicultural competencies of mental health professionals in Australia. The scale was developed to assess the effectiveness of a multicultural mental health training program. Mental health professionals from Queensland, Australia (N = 268) participated in the study by completing a questionnaire battery. Items on the new scale were generated to parallel the Queensland Transcultural Mental Health Centre (QTMHC) training program's objectives. The results describe a 35‐item Multicultural Mental Health Awareness Scale. Factor analysis of the scale indicated three factors of multicultural counselling competencies: Awareness, Knowledge, and Skills. These factors were in line with the Sue et al. (1982) multicultural counselling competencies. The scale has satisfactory internal consistency, test–retest reliability, concurrent validity, and discriminant validity and can be used to evaluate the effectiveness of the multicultural competency training programs in mental health.     

女大学生心理健康的测试与培养

本研究抽选198名在校女大学生,采用SCL-90临床症状精神量表测试。结果表明女大学生在人际关系、情绪等方面比正常成人分值略高;课题组通过设计多种心理训练活动,力图培养女大学生的良好心理健康,并为此已有初步成绩。     

试论现代社会变化对人们心理健康的影响

分析现代社会变化的特点与心理问题的内在关系,现实的社会变化对人们心理健康既有积极影响,也有很大危害.焦虑等心理障碍的发生与社会变化的非理性因素有密切关系.在促进社会发展中要考虑社会变化对心理健康的影响后果,根据心理卫生的要求扬优抑劣,尽量避免或减少其对心理的劣性刺激.     

Neighborhood Social Conditions Mediate the Association Between Physical Deterioration and Mental Health

This study investigates how neighborhood deterioration is associated with stress and depressive symptoms and the mediating effects of perceived neighborhood social conditions. Data come from a community survey of 801 respondents geocoded and linked to a systematic on-site assessment of the physical characteristics of nearly all residential and commercial structures around respondents’ homes. Structural equation models controlling for demographic effects indicate that the association between neighborhood deterioration and well-being appear to be mediated through social contact, social capital, and perceptions of crime, but not through neighborhood satisfaction. Specifically, residential deterioration was mediated by social contact, then, social capital and fear of crime. Commercial deterioration, on the other hand, was mediated only through fear of crime. Additionally, data indicate that the functional definition of a “neighborhood” depends on the characteristics measured. These findings suggest that upstream interventions designed to improve neighborhood conditions as well as proximal interventions focused on social relationships, may promote well-being. At the time of this study, Dr. Gee was at the University of Michigan.     

An exploration of the interplay between psychological sense of community,social identification and salience

Past research indicates that there is a strong relationship between the constructs of psychological sense of community (PSOC) and social identification. The current study draws on data (N = 219) examining participants' membership in a number of different communities to present an examination of the relationship between these constructs. In particular, the study examines the relative strength of the separate aspects of social identification (based on Cameron's 2004, Three Factor Model of Social Identification) as predictors of overall PSOC, accounting for situational salience. Results indicate that Ingroup Ties is consistently the strongest predictor of PSOC and that the strength of Ingroup Affect and Centrality alter according to the group or community context. The theoretical implications of these results are discussed in terms of the interplay and overlap of these important community processes. Copyright © 2005 John Wiley & Sons, Ltd.     

大学生心理健康普查和建档工作的理性思考

本文针对目前高校心理普查和建档中存在的问题,深入探讨了心理普查和建档的目的、资料内容的构成、科学性与有效性的影响因素、能否筛查出心理障碍和心理危机者、结果的保密性和使用,以及投入与产出的问题等等,以期引起各方对此的深入思考,并科学地对待心理普查和建档工作。     

Integrating Mental Health and Primary Care Services in the Department of Veterans Affairs Health Care System

Integrating mental health care in the primary care setting has been identified in the literature as a model for increasing access to mental health services and has been associated with enhanced clinical and functional patient outcomes and higher patient satisfaction. The Department of Veterans Affairs (VA), which operates the nation’s largest integrated health care system, has taken a leadership role in creating a health care system in which mental health care is provided in the primary care setting. This article examines VA’s efforts and progress to date in implementing evidence-based models of integrated mental health services nationally in community based outpatient clinics, home based primary care, and outpatient primary clinics at medical facilities. Psychology plays an important role in this progress, as part of an overall interdisciplinary effort, in which all professions are crucially important and work together to promote the overall well-being of patients. This article is based in part on a presentation by the first author at the 3rd National Conference of the Association of Psychologists in Academic Health Centers (APAHC) in May of 2007 in Minneapolis, Minnesota.     

新冠肺炎疫情下积极社会心理的建设与培育

以新型冠状病毒肺炎（coronavirus disease 2019,COVID-19）为背景,总结归纳出此次疫情下各类人群个体心理反应的特点。COVID-19疫情事件对个体的心理影响因素较多,为深入了解,应从个体心理应激的角度、群体心理对个体的影响以及个体心理与群体心理交互作用等多个层次进行分析。针对疫情下个体和社会心理的特点,积极社会心理培育应从重视全民心理健康教育、注重舆论引导、发挥文化的软实力作用及构建社会心理的舆情数据库等方面开展工作。     

The impact of organisational change on professionals working within a Community Mental Health Team (CMHT): a psychodynamic perspective

The aim of this study was to explore the effects of organisational change upon staff working in a Community Mental Health Team (CMHT). A grounded theory methodology was employed to analyse data from eight interviews with a range of staff. Analysis identified one core category and five key categories. ‘Corrosion of good work: an ethos in decline’ represents the core category and refers to the staff members’ sense of demoralisation of their professional values and integrity. The first key category, ‘Cultural change’, refers to staff members’ perception of change within the CMHT, with an increased emphasis on regulation, performance management and proceduralisation. Three further key categories were identified: ‘Caring clinicians and uncaring managers’, ‘Confusion regarding professional roles’ and ‘Disconnecting and isolating’. The fifth key ‘Staff departing and increasing risk for clients’, describes the impact of the working culture. These categories and emerging theory were interpreted through a psychodynamic lens, and identified the need for better management practice, support, training and supervision of staff as the foundations of safe practice.     

Assessing the Readability of Mental Health Internet Brochures for Children and Adolescents

We investigated the readability of seven mental health brochures on mental, emotional, and behavioral disorders in children that were selected from a website developed by the Center for Mental Health Services at http://www.mentalhealth.org. The reading grade levels of the brochures ranged from 11.1 to 14.8 (mean 13.23), considerably higher than the 8th grade level recommended for educational material by the U. S. Department of Education (1986). On other readability variables, assessed using the Readability Assessment Instrument (RAIN; Singh, 1994), all brochures met criterion on most variables but failed on those for new words (audience appropriateness) and print size. This is a favorable result in comparison with other studies that have assessed readability of mental health information on the Internet using the RAIN, although less so with reading grade levels.     

中学生适应取向的心理健康结构初探

在文献综述的基础上,建构了适应取向的中学生心理健康的理论模型,并对中学生和中学教师进行开放式问卷调查,再参考同类量表,拟定了中学生心理健康量表的题项。经对1,567名中学生进行测试,结果表明:适应取向的中学生心理健康包含生活幸福、乐于学习、人际和谐、考试镇静、情绪稳定等五个维度,本研究所编制的中学生心理健康量表具有良好的信效度。     

藏族学生控制源、社会支持与心理健康的研究

目的探讨玉树民族中学藏族学生控制源、社会支持与心理健康的关系。方法采用心理健康、内外控制源和领悟社会支持量表。结果①不同性别学生心理健康总分差异显著,社会支持和控制源得分差异不显著。②不同年级学生在控制源差异显著,其余变量差异不显著。③除家庭支持外,心理控制源、社会支持及其各维度与心理健康显著相关。④控制源和朋友支持对心理健康有很好的预测作用。结论控制源和社会支持在一定程度上对心理健康有预测作用。     

Putting Values into Practice: Public Policy and the Future of Mental Health Consumer-run Organizations

The purpose of the paper is to reflect on value dilemmas in mental health consumer-run organizations and to discuss implications for research, policy, and practice. We review the roots of consumer-run organizations in the self-help movement and the psychiatric survivor liberation movement, focusing on the distinctive values espoused by consumer-run organizations. We also discuss evidence-based and value-based approaches to mental health policy formulation and mental health reform, noting the particular importance of value-based approaches and the role that consumer-run organizations can play in mental health reform. Based on our experiences conducting a participatory action research study of four mental health consumer-run organizations, we identify and examine several value dilemmas, discuss the lessons that we learned about these value dilemmas, and note their implications for future directions in research, policy, and practice.     

五省部分地区农民工子女心理健康调查

目的：了解农民工子女的心理现状,以提高其心理健康水平。方法：本研究的被试采用《症状自评量表-SCL90》进行测试。结果：（1）农民工子女心理问题的发生率为18．73％,排在前四位的影响因子是：人际敏感、抑郁、焦虑和偏执。（2）农民工子女的人际敏感、抑郁、焦虑、偏执、强迫和精神病性6因子均分显著高于常模;女生的人际敏感、偏执、敌对、强迫和精神病性5因子均分显著高于男生;非独生子女的强迫、人际敏感、忧郁和精神病性4因子均分显著高于独生子女。（3）“留守子女”的抑郁、焦虑、偏执、强迫和精神病性5因子均分显著高于随父母进城的农民工子女。结论：农民工子女的心理健康总体水平不高,社会应给予高度关注。