Performance of Mental Health Counselors in Integrated Primary and Behavioral Health Care

Integrated primary and behavioral health care (IPBH) is becoming a preferred mode of service delivery in the United States. Integrated care includes the participation of medical and mental health professionals, such as mental health counselors. The clinical outcomes of these professionals need to be studied to determine their effectiveness in such settings. We examined the performance of 10 mental health counselors on the clinical outcome of 1,747 clients treated in an IPBH center. Analyses using growth curve modeling and pre‐post test design revealed that mental health counselors were effective overall, but they differed in client dropout rates and efficiency in reducing clients' initial symptoms. We used the analyses to rank order counselors based on their effectiveness. Counselors who were the most effective varied in their efficiency but demonstrated the lowest client dropout rates. Implications for future research and counseling practice were discussed.     

Collaborative competence,social capital,and mental health: A cross‐sectional analysis of a community‐based intervention for older adults

Social capital interventions for the mental health of older adults have been inconclusive to date, and have rarely investigated the psychological resources that are important to having social capital. This study focused on the “Neighborhoods in Solidarity” (NS), which are a series of Swiss community‐based interventions that aim to empower older adults to participate in their communities. Our goal was to understand whether the NS were associated with collaborative competence, social capital, and subsequently, symptoms of depression. Cross‐sectional data were collected from 947 individuals aged 55 and over (M_age = 68.66, SD = 9.04) in 10 Swiss neighbourhoods (five with the NS [n = 479] and five control neighbourhoods [n = 468]). Structural equation modelling was used to model the relationship between the NS intervention, collaborative competence, cognitive and structural dimensions of social capital, and symptoms of depression (measured by the CESD‐R‐10). Individual participation in the NS had total and indirect effects on symptoms of depression via collaborative competence and both social capitals. These findings suggest that existing community‐based interventions can be indirectly associated with better mental health outcomes in the ageing population.     

Research in counselling and psychotherapy Post‐COVID‐19

The COVID‐19 pandemic brings to light many areas the field of counselling and psychotherapy may need to address in future research. We outline several issues stemming from or exacerbated by the pandemic and offer suggestions for future research to address the mental health needs of those impacted. Our suggestions focus on five domains: (a) the health and well‐being of helping professionals, (b) the infodemic, (c) discrimination and minority stress, (d) spiritual and existential dynamics in mental health and (e) couple and family stress and resilience. We aim to provide a multi‐systemic perspective of mental health and well‐being in the time of COVID‐19, as well as encourage current and future studies to incorporate these suggestions to advance the health and well‐being of our communities through evidence‐based treatment approaches.     

混合情绪能促进心理健康吗？

摘 要 积极和消极情绪的同时体验,即混合情绪,是生活中常见的情绪状态。健康应对的共激活模型、情绪动态模型和积极比模型一致认为混合情绪与心理健康之间呈现非线性的关系,适当的混合情绪有利于个体在困境中全面加工和整合信息,寻求意义,获得控制感,进而实现健康应对和心理症状改善,获得幸福感。未来研究应关注对非线性关系的精确描述;低压力或非压力情境下混合情绪的意义;进一步研究混合情绪促进心理健康的内部机制和影响因素。     

越近越诱惑？感知食物空间距离对消费欲望的影响

探讨消费欲望的影响因素及影响机制对解决个体非健康饮食问题具有重要意义。采用2个实验考察感知食物空间距离是否及如何影响消费欲望,以及感知资源口腔占用是否会降低感知空间距离对消费欲望的影响。结果发现：（1）感知空间距离越近,消费欲望越强;（2）感知空间距离通过心理模拟影响消费欲望;（3）占用感知资源口腔会阻碍心理模拟从而降低感知食物空间距离对消费欲望的影响。因此,操纵食物的感知空间距离会通过心理模拟影响个体的消费欲望。     

Active school travel is associated with fewer suicide attempts among adolescents from low-and middle-income countries

Background/Objective: This study explored the association between active school travel (AST) and suicide attempts among adolescents in low- and middle-income countries (LMICs). Method: We used the data from the Global School-based Health Survey, including 127,097 adolescents aged 13-17 years from 34 LMICs. A self-reported survey was used to collect data on AST and suicide attempts as well as some variables. Multivariable logistic regression was performed to assess the association between AST and suicide attempts. A meta-analysis with random effects was undertaken to identify the difference in the association between AST and suicide attempts. Results: Across all the adolescents, the prevalence of AST was 37% and the prevalence of suicide attempts was 11.60%. Adolescents who engaged in AST were less likely to have suicide attempts irrespective of gender. The country-wise analysis indicated a large inconsistency in the association between AST and suicide attempt across the countries. Conclusions: AST would appear to be a protective factor for reducing suicide attempts among adolescents. However, the association between AST and suicide attempts varied greatly across the countries. Future studies should confirm the association between AST and suicide attempts.     

Engagement and Interaction: A Comparison Between Supported Employment and ATCs

The interaction and engagement patterns of 13 supported employees and 38 regular Adult Training Centre (ATC) attenders were compared. Data were obtained through direct observation within 13 employment sites and a representative sample of ATC organised activities. Results indicated that individual involvement was significantly higher in employment, compared to ATCs, but that the ATC group experienced significantly more social interaction, mainly due to higher levels of task specific dialogue between individuals and the service staff within ATCs. A breakdown of with whom interactions occurred revealed that individuals in ATCs tended to interact more often with care staff than anyone else. Individuals tended to interact more often during work with their non-disabled co-workers and a substantial proportion of time was spent interacting with the public. These findings suggest that the supported employment option yields advantages for individuals in some key aspects of community integration, compared to ATCs.     

Citizen Advocacy Observed: Tool or Tokenism?

Citizen advocacy, where a volunteer works in partnership with a vulnerable person, compliments self- and legal advocacy. In the context of mental health services, citizen advocacy is a tool for enabling and empowering people who use these services, and is founded on the recognition that mental health service users are frequently socially oppressed and disadvantaged. This article describes the development of a Citizen Advocacy service for people with mental health difficulties, and also the problems they brought to this service. The problems encountered in sustaining the service are noted and lessons are drawn for the future.