Interdisciplinary Knowledge Translation: Lessons Learned from a Mental Health: Fire Service Collaboration

Collaborative approaches are being increasingly advocated for addressing a variety of health, mental health and social needs for children, youth and families. Factors important for effective knowledge translation of collaborative approaches of service delivery across disciplines, however, have not been rigorously examined. TAPP-C: The Arson Prevention Program for Children is an intervention program for child and adolescent firesetters provided collaboratively by fire service and mental health professionals. The present study examined the adopter, innovation, and dissemination characteristics associated with TAPP-C implementation, protocol adherence and extent of collaboration by 241 community-based fire service professionals from communities across Ontario. Results revealed that dissemination factors are particularly important for understanding program implementation, adherence and cross-discipline collaboration. Moreover, the findings of this study show significant benefits to both within discipline (intra-disciplinary) and across discipline (interdisciplinary) knowledge translation strategies.     

印象管理与心理健康表现之相关

本研究旨在考察中国人印象管理与心理健康表现的相关.研究采用印象管理问卷和一般健康问卷,对某石油国企员工进行调查,发现印象管理程度越高的人,其心理健康程度越差;自我推销和威胁策略与焦虑失眠呈正相关;迎合策略与躯体化症状呈正相关,但和严重抑郁呈负相关;示弱策略与社交障碍呈正相关;做秀策略与心理健康各维度均没有显著相关.结果表明不同的印象管理策略对心理健康有不同的影响.     

The Glory of God is a Human Being Fully Alive: Predictors of Positive Versus Negative Mental Health Among Clergy

Clergy fulfill vital societal functions as meaning makers and community builders. Partly because of their important roles, clergy frequently encounter stressful situations. Further, studies suggest that clergy experience high rates of depression. Despite this, few studies have examined protective factors for clergy that may increase their positive mental health. We invited all United Methodist clergy in North Carolina to participate in a survey. Of church‐serving clergy, 85 percent responded (n = 1,476). Hierarchical multiple regression was used to assess the predictors of three positive and four negative mental health outcomes. The three sets of predictors were: demographics, which explained 2–10 percent of the variances; variables typically related to mental health (social support, social isolation, and financial stress), which explained 14–41 percent of the variances; and clergy‐specific variables, which explained 14–20 percent of the variances, indicating the importance of measuring occupation‐specific variables. Some variables (e.g., congregation demands) significantly related to both positive and negative mental health, whereas others (e.g., positive congregations, congregation support) significantly related primarily to positive mental health. In addition to their intervention implications, these findings support separate consideration for negative versus positive mental health.     

Iona College Community Centered Family Health History Project: Lessons Learned from Student Focus Groups

The Community Centered Family Health History project was initiated to create accessible family health history tools produced by and for the community. The project goal was to promote increased community engagement in health education by encouraging conversations among family members that would translate knowledge of family health history into healthy lifestyle choices. As one of seven community partners, Iona College participated in customizing and beta-testing the Does It Run in the Family? toolkit. Twenty-nine college students were engaged to recruit three relatives related by blood to provide feedback on the utility of the toolkit. The toolkit consists of two booklets—“A Guide to Family Health History” and “A Guide to Understanding Genetics and Health”—explaining the importance of knowing and talking about health within the family as well as basics about how conditions are passed down through generations. Twenty-two of the twenty-nine students participated in focus groups to discuss their reactions to participation in the project. Students in the focus group reported that the study participants—students and their family members—found the toolkit to be user friendly and the experience a valuable one that prompted many to take positive steps toward good health.     

时间管理倾向与心理健康关系的相关研究

时间管理倾向是我们在有关理论基础上提出的时间维度上的一种人格特点,指个体在运用时间方式上所表现出来的心理和行为特征。我们对时间管理倾向的有关研究表明,时间管理倾向不但对个人的工作绩效具有预测作用,而且与主观幸福感、自我价值感等人格特质存在显著的正相关,并且时间管理倾向与生活质量存在一定的关系。本研究将继续探讨个体时间管理倾向与其心理健康的关系,并进一步验证我们对时间管理倾向的理论构想。     

Collaboration Between Clergy and Mental Health Professionals: A Review of Professional Health Care Journals From 1980 Through 1999

Given the frontline role of community clergy in mental health care, this study examined how collaboration with clergy was viewed by mental health and other health professionals outside of the religious community. Searches of health care journals on Medline and PsycINFO yielded 44 articles from non‐religious journals from 1980 through 1999 that specifically addressed collaboration between clergy and mental health professionals. Seven themes were identified through content analysis, including the benefits of collaboration to each profession, the need to increase the clergy's knowledge about mental heath, and the importance of referrals. Discussion about interdisciplinary referrals significantly increased over time, r_ø (1, N = 44) = .31, p < .05).     

Closeness and Control: Exploring the Relationship Between Prayer and Mental Health

This study explored closeness to God and God‐mediated control as mediators in the relationship between prayer and mental health. The authors tested 3 models for mediation using structural equation modeling to assess the separate and combined effects in an online sample of 330 praying adults from predominantly Christian backgrounds. Although both mediators were relevant when entered separately, closeness to God proved to be a superior mediator when both variables were entered in 1 model. Counselors should consider prayer behaviors when culturally relevant and encourage meditative and colloquial prayer for clients where increased sources of perceived social support would be beneficial.     

Lessons Learned from the Intensive Mental Health Program: A School-based,Community Oriented Program for Children with Serious Emotional Disturbances

The Intensive Mental Health Program meets the needs for services in school systems for children with serious emotional disturbances and for training graduate students in clinical applications with a difficult-to-serve population. We address the range of challenges and rewards experienced in the development of the comprehensive intervention program, the continued maintenance of program elements, and the program evaluation.     

Attracting Immigrants to Smaller Urban and Rural Communities: Lessons Learned from the Manitoba Provincial Nominee Program

Low birth rates and population ageing have slowed population growth rates in Canada, and immigration has become the primary driver of population and labour force growth in the nation. The distribution of new arrivals to Canada, however, has been concentrated in a few major cities. Until recently, Montreal, Toronto and Vancouver have been the destination of approximately 75% of all immigrants. All orders of government have introduced policies and programs to influence the regional distribution of immigrants across the country, ostensibly so that the benefits of immigration will be more evenly shared on a national basis. An assessment of the Manitoba Provincial Nominee Program helps identify policy and program initiatives and best practices effective in changing the regional distribution of immigrants and attracting more new arrivals to smaller urban and rural communities.     

Behavioral Health Integration in Health Care Settings: Lessons Learned from a Pediatric Hospital Primary Care System

Behavioral health integration within primary care has been evolving, but literature traditionally focuses on smaller scale efforts. We detail how behavioral health has been integrated across a large, urban pediatric hospital system’s six primary care clinics (serving over 35,000 children annually and insured predominately through Medicaid) and discuss strategies for success in sustaining and expanding efforts to achieve effective integration of behavioral health into primary care. In a time span of 3 years, the clinics have implemented routine, universal behavioral health screening at well child visits, participated in a 15-month behavioral health screening quality improvement learning collaborative, and integrated the work of psychologists and psychiatrists. Additional work remains to be done in improving family engagement, further expanding services, and ensuring sustainability.     

Behavioral Therapy Teams for Obsessive-Compulsive Disorder: Lessons Learned From a Pilot Randomized Trial in a Community Mental Health Center

Community mental health centers (CMHCs) provide the majority of mental health services for low-income individuals in the United States. Exposure and response prevention (ERP), the psychotherapy of choice for obsessive-compulsive disorder (OCD), is rarely delivered in CMHCs. This study aimed to establish the acceptability and feasibility of testing a behavioral therapy team (BTT) intervention to deliver ERP in CMHCs. BTT consisted of individual information-gathering sessions followed by 12 weeks of group ERP and concurrent home-based coaching sessions. The sample consisted of 47 low-income individuals with OCD who were randomized to receive BTT or treatment as usual (TAU). Symptom severity and quality-of-life measures were assessed at pretreatment, posttreatment, and 3- and 6-month posttreatment. Feasibility of training CMHC staff was partially successful. CMHC therapists successfully completed rigorous training and delivered ERP with high fidelity. However, training paraprofessionals as ERP coaches was more challenging. ERP was feasible and acceptable to patients. BTT participants were more likely than TAU participants to attend their first therapy session and attended significantly more treatment sessions. A large between-group effect size was observed for reduction in OCD symptoms at posttreatment but differences were not maintained across 3- and 6-month follow-ups. For BTT participants, within-group effect sizes reflecting change from baseline to posttreatment were large. For TAU participants, depression scores did not change during the active treatment phase but gradually improved during follow-up. Results support feasibility and acceptability of ERP for this patient population. Findings also underscore the importance of implementation frameworks to help understand factors that impact training professionals.     

Lessons Learned from the National Arts and Youth Demonstration Project: Longitudinal Study of a Canadian After-School Program

We discuss some of the lessons the investigators learned during the development, implementation, and dissemination phases of the National Arts and Youth Demonstration Project (NAYDP). The lessons learned are relevant to various groups involved in large-scale, multi-site, community-based intervention studies: parents, youth, researchers, project staff, policy makers, and funders. Specific lessons learned include: (1) how to engage the community; (2) methodological lessons, including cross-site training and monitoring adherence to research protocol; (3) recruiting and sustaining involvement of parents and youth; (4) program development; and (5) dissemination strategies.     

Heaven and Health: How Black,Latino, and Korean Christians View the Relationship Between Faith and Health

Religious congregations have increasingly been viewed as potential access points to health care in underserved communities. Such a perspective stems from a robust literature identifying the unique civic role that churches potentially play in African American and Latino communities. Yet, research on congregational health promotion has often not considered how congregants view the connections between religious faith, physical health, and the church community. In order to further interrogate how congregants view the church’s role in health promotion, we compare views on the relationship between faith and health for two groups that are overrepresented in American Christianity and underrepresented in medical careers (African Americans and Latinos) with a group that is similarly religious but comparatively well-represented in medical professions (Korean Americans). Drawing on data from focus groups with 19 pastors representing 18 different congregations and 28 interviews with church members, we find that churches across all three groups promote initiatives to care for the physical health of their members. Nonetheless, notable differences exist in how each group frames the interface between religious faith and physical health. African Americans and Latinos highlighted the role of faith in providing physical healing while Korean Americans saw the support of the religious community as the main benefit of their faith. Distrust of medicine was primarily articulated by members of African American churches. The results offer important implications for the future potential and nature of health initiatives in racial minority communities.     

心理健康服务人员胜任特征与服务满意度的关系*

为考察心理健康服务人员胜任特征与服务双方满意度的关系,对分布于不同机构的心理健康服务人员及其来访者进行问卷调查。结果表明:心理健康服务人员胜任特征总分与自身服务满意度、来访者满意度均呈正相关,与自身服务满意度相关达到显著水平。胜任特征高分组心理健康服务人员自身服务满意度显著高于低分组自身服务满意度。与心理健康服务人员自身服务满意度显著相关的胜任特征条目,多数与知识、技能有关;与来访者满意度显著相关的胜任特征条目,均为来访者能感受到的与咨询关系建立有关的条目。     

The Relationship Between School-Leisure Conflict and Educational and Mental Health Indexes: A Motivational Analysis

The purpose of the present study was to test a motivational model that explains the relationship between school-leisure conflict and indicators of educational functioning and mental health using structural equation modeling with a sample of college students. Results provided support for the proposed model. Experiencing a conflict between education and leisure contexts was negatively predicted by having a self-determined motivation for school, while self-determined motivation for leisure activities was unrelated to the experience of such a conflict. A school-leisure conflict, in turn, was associated with poorer academic consequences (poor concentration at school, academic hopelessness, few intentions of pursuing in school), which were associated with higher levels of depression and low life satisfaction. Importantly, the proposed theoretical model was supported for both men and women. Results are discussed in terms of self-determination theory (Deci & Ryan, 1985, 1991, 2000) and the hierarchical model of intrinsic and extrinsic motivation (Vallerand, 1997).     

The Relationship Between Personality,Burnout, and Engagement Among the Indian Clergy

This study examined the relationship between the Big Five personality dimensions, burnout, and engagement among 511 Indian Catholic diocesan priests. We expected that Neuroticism would be positively associated with burnout and negatively associated with engagement. Moreover, we expected Extraversion, Openness, Agreeableness, and Conscientiousness to be negatively associated with burnout and positively associated with engagement. Hierarchical regression analyses largely confirmed these expectations. Results are discussed in the context of the broader literature on burnout and engagement, as well as the literature on priesthood.     

初中生的心理健康与父母依恋、同伴依恋的关系

目的:探讨初中生的心理健康与父母依恋、同伴依恋的关系。方法:以心理健康诊断测验(MHT)、父母和同伴依恋问卷(IPPA)对598名初中生进行测试。结果:MHT总分与父亲疏远、母亲疏远、同伴疏远呈正相关,与父亲信任、母亲信任、同伴信任、父亲交流、母亲交流、同伴交流呈负相关;同伴疏远、父亲疏远对MHT总分有正向预测作用,母亲信任、父亲信任对MHT总分有负向预测作用。结论:初中生的心理健康与父母依恋、同伴依恋有一定的关系。     

The Honeymoon is Over: Occupational Relocation and Changes in Mental Health Among United Methodist Clergy

In this study we examine how the process of relocation affects the mental health of United Methodist clergy and the extent to which relocation is associated with changes in clergy perception of the workplace environment and feelings of self-efficacy. We analyzed data from a longitudinal survey of 1375 clergy, one quarter of whom experienced a move between the baseline survey in 2008 and the follow-up survey 2 years later. Contrary to expectations, we find that mental distress decreased for those who recently moved compared to those who had moved 2 years prior. We also find strong evidence of a “honeymoon effect.” Recently relocated clergy report higher levels of self-efficacy and higher workplace morale compared to those who do not relocate. This study underscores the importance of examining the short and longer-term impact of moving on mental distress and presses scholars to consider the ways in which, under certain circumstances, relocation may improve mental health.