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Randolph SB, Barch DM, Ben-Zeev D, Moran EK. Exploring the Experience of Community Participation Among Individuals With Serious Mental Illness. OTJR-OCCUPATION PARTICIPATION AND HEALTH 2024:15394492241262290. [PMID: 39056540 DOI: 10.1177/15394492241262290] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 07/28/2024]
Abstract
People with serious mental illness (SMI) encounter restrictions in the quantity of their community participation. Less is known about the quality of their participation. We aimed to explore the relationship between symptoms of SMI and the daily experience (i.e., loneliness and enjoyment) of community participation. We examined daily community participation among people with SMI using ecological momentary assessment surveys. We built multilevel models to examine the associations between symptoms of SMI and loneliness or enjoyment during community participation. Our analysis included 183 people among four participant groups: bipolar disorder (n = 44), major depressive disorder (n = 46), schizophrenia/schizoaffective disorder (n = 40), and control (n = 53). People with schizophrenia engaged in more unstructured activities (e.g., socializing) than people among other groups. Symptom association varied across diagnostic groups. To support tailored intervention development, researchers and practitioners should consider the context of participation and the clinical characteristics of the client.
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Luo J, Chen X, Duan Y, Su Y. RETRACTED ARTICLE: Study on the Impact of Inherent Ability on the High Quality of Life in the Elderly Based on Mediating Effect of Value Participation. J Autism Dev Disord 2024; 54:1624. [PMID: 36773101 PMCID: PMC9919750 DOI: 10.1007/s10803-023-05895-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Grants] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 01/04/2023] [Indexed: 02/12/2023]
Affiliation(s)
- Juan Luo
- School of Management, Shanghai University of Engineering Science, Shanghai, 201620, China
- School of Social Development and Public Policy, Fudan University, Shanghai, 200433, China
| | - Xiaoxiao Chen
- School of Management, Shanghai University of Engineering Science, Shanghai, 201620, China.
| | - Yajun Duan
- School of Management, Shanghai University of Engineering Science, Shanghai, 201620, China
| | - Yuliang Su
- School of Management, Shanghai University of Engineering Science, Shanghai, 201620, China
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Figueiredo PRP, Silva LP, Nóbrega RADA, Coster WJ, Sampaio RF, Brandão MDB, Mancini MC. Geographic intelligence to investigate community participation: a scoping review. Disabil Rehabil 2023; 45:4503-4516. [PMID: 36503323 DOI: 10.1080/09638288.2022.2154859] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/10/2022] [Accepted: 11/30/2022] [Indexed: 12/14/2022]
Abstract
PURPOSE To understand the applicability and unique contributions of global positioning system (GPS) and geographic information system (GIS) technologies to investigate individuals' participation in the community. METHODS A scoping review was conducted to summarize studies that employed GPS and/or GIS to assess community participation. Systematic literature searches were performed using nine electronic databases, up to April 2022. Two independent reviewers screened studies for eligibility and extracted data from the selected studies. RESULTS The searches retrieved 628 articles, of which 36 met the inclusion criteria. In 31 studies, a GPS unit or GPS-enabled device monitored the community mobility of individuals with different health conditions. Tracking periods varied from five hours to 30 consecutive days. The spatiotemporal parameters obtained from satellite-based data provided information about individuals' presence in the community. Most studies combined GPS with other measuring tools (self-report diaries/questionnaires, qualitative interviews) to capture a broader description of community participation. CONCLUSIONS GPS and GIS are viable approaches for advancing research as they provide unique information about community participation not easily captured by other methods. The combination of available methods comprehensively address the physical and social dimensions of this construct.IMPLICATIONS FOR REHABILITATIONGlobal positioning system (GPS) and geographic information system (GIS) technology allows direct and real-time quantification of patterns of individuals' community mobility.The geographic area where individuals participate in daily living activities complements information from self-report diaries/questionnaires.Combining GPS technology with self-report diaries/questionnaires allows a broader description of individuals' community participation, addressing respectively both its physical and social dimensions.Knowledge of individuals' access to and involvement in community locations/situations may help therapists design interventions to improve community participation.
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Affiliation(s)
| | | | | | - Wendy Jane Coster
- Department of Occupational Therapy, College of Health & Rehabilitation Sciences: Sargent College, Boston University, Boston, MA, USA
| | - Rosana Ferreira Sampaio
- Graduate Program in Rehabilitation Sciences, Universidade Federal de Minas Gerais, Belo Horizonte, Brazil
| | - Marina de Brito Brandão
- Department of Occupational Therapy, Graduate Program in Rehabilitation Sciences, Universidade Federal de Minas Gerais, Belo Horizonte, Brazil
| | - Marisa Cotta Mancini
- Graduate Program in Rehabilitation Sciences, Universidade Federal de Minas Gerais, Belo Horizonte, Brazil
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4
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Hooley C, Salvo D, Brown DS, Brookman-Frazee L, Lau AS, Brownson RC, Fowler PJ, Innes-Gomberg D, Proctor EK. Scaling-up Child and Youth Mental Health Services: Assessing Coverage of a County-Wide Prevention and Early Intervention Initiative During One Fiscal Year. ADMINISTRATION AND POLICY IN MENTAL HEALTH AND MENTAL HEALTH SERVICES RESEARCH 2023; 50:17-32. [PMID: 36289142 PMCID: PMC9977707 DOI: 10.1007/s10488-022-01220-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 08/23/2022] [Indexed: 02/03/2023]
Abstract
PURPOSE In the U.S., the percentage of youth in need of evidence-based mental health practices (EBPs) who receive them (i.e., coverage rate) is low. We know little about what influences coverage rates. In 2010, the Los Angeles County Department of Mental Health (LACDMH) launched a reimbursement-driven implementation of multiple EBPs in youth mental health care. This study examines two questions: (1) What was the coverage rate of EBPs delivered three years following initial implementation? (2) What factors are associated with the coverage rates? METHODS To assess coverage rates of publicly insured youth, we used LACDMH administrative claims data from July 1, 2013 to June 30, 2014 and estimates of the size of the targeted eligible youth population from the 2014 American Community Survey (ACS). The unit of analysis was clinic service areas (n = 254). We used Geographic Information Systems and an OLS regression to assess community and clinic characteristics related to coverage. RESULTS The county coverage rate was estimated at 17%, much higher than national estimates. The proportion of ethnic minorities, individuals who are foreign-born, adults with a college degree within a geographic area were negatively associated with clinic service area coverage rates. Having more therapists who speak a language other than English, providing care outside of clinics, and higher proportion of households without a car were associated with higher coverage rates. CONCLUSION Heterogeneity in municipal mental health record type and availability makes it difficult to compare the LACDMH coverage rate with other efforts. However, the LACDMH initiative has higher coverage than published national rates. Having bilingual therapists and providing services outside the clinic was associated with higher coverage. Even with higher coverage, inequities persisted.
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Affiliation(s)
- Cole Hooley
- Brigham Young University, 84602, Provo, UT, USA.
| | - Deborah Salvo
- Department of Kinesiology and Health Education, The University of Texas at Austin, Bellmont Hall 822J, 2109 San Jacinto Blvd, Stp D3700, 78712, Austin, TX, United States
| | - Derek S Brown
- Brown School, Washington University in St. Louis, 1 Brookings Drive, 63130, St. Louis, MO, USA
| | - Lauren Brookman-Frazee
- Department of Psychiatry, University of California San Diego, 9500 Gilman Drive #0812, 92093, La Jolla, CA, USA
| | - Anna S Lau
- UCLA Department of Psychology, 502 Portola Plaza, 90095, Los Angeles, CA, USA
| | - Ross C Brownson
- Prevention Research Center, Brown School, Department of Surgery, Division of Public Health Sciences, and Alvin J. Siteman Cancer Center, Washington University in St. Louis, Washington University School of Medicine, Washington University in St. Louis CDC U48DP006395, the Foundation for Barnes-Jewish Hospital, 1 Brookings Drive, 63130, St. Louis, MO, USA
| | - Patrick J Fowler
- Brown School, Washington University in St. Louis, 1 Brookings Drive, 63130, St. Louis, MO, USA
| | - Debbie Innes-Gomberg
- Los Angeles County Department of Mental Health, 510 S. Vermont Avenue, 17th Floor, 90020, Los Angeles, CA, USA
| | - Enola K Proctor
- Brown School, Washington University in St. Louis, 1 Brookings Drive, 63130, St. Louis, MO, USA
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5
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Siegal R, Cooper H, Capers T, Kilmer RP, Cook JR, Garo L. Using geographic information systems to inform the public health response to COVID-19 and structural racism: The role of place-based initiatives. JOURNAL OF COMMUNITY PSYCHOLOGY 2022; 50:2611-2629. [PMID: 34932213 DOI: 10.1002/jcop.22771] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/30/2021] [Revised: 10/06/2021] [Accepted: 11/15/2021] [Indexed: 06/14/2023]
Abstract
Black communities have been disproportionately impacted by the syndemic of COVID-19 and structural racism. Place-based initiatives (PBIs) are well-positioned to respond to this syndemic. This study sought to highlight disparities in access to social determinants of health (SDH) between two racially segregated communities, assess residents' needs and measure resource accessibility in one predominantly Black community, and describe the PBI's response. We measured racial disparities in access to SDH before COVID-19 using an SDH Index. We assessed participants' needs using a needs assessment and documented resource availability. A Geographic Information System (GIS) was used to measure resource accessibility. Results show inequities in access to SDH between the two communities before COVID-19. Following the onset of COVID-19, unemployment and food insecurity were higher in the predominantly Black community relative to the US population. Available resources did not always align with participants' needs and were less accessible for residents without private transportation. The PBI's response to the syndemic spanned SDH sectors. Inequitable access to SDH may be produced by structural racism and exacerbated by COVID-19. PBIs are well-equipped to employ a contextually informed, data-driven, cross-sector response to the syndemic.
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Affiliation(s)
- Rachel Siegal
- Health Psychology Program, University of North Carolina at Charlotte, Charlotte, North Carolina, USA
| | - Haley Cooper
- Health Psychology Program, University of North Carolina at Charlotte, Charlotte, North Carolina, USA
| | - Tiffany Capers
- CrossRoads Corporation for Affordable Housing and Community Development, Inc., Charlotte, North Carolina, USA
| | - Ryan P Kilmer
- Department of Psychological Sciences, University of North Carolina at Charlotte, Charlotte, North Carolina, USA
| | - James R Cook
- Department of Psychological Sciences, University of North Carolina at Charlotte, Charlotte, North Carolina, USA
| | - Laurie Garo
- Department of Geography and Earth Sciences, University of North Carolina at Charlotte, Charlotte, North Carolina, USA
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Townley G, Brusilovskiy E, Klein L, McCormick B, Snethen G, Salzer MS. Community Mental Health Center Visits and Community Mobility of People with Serious Mental Illnesses: A Facilitator or Constraint? Community Ment Health J 2022; 58:420-428. [PMID: 33813724 DOI: 10.1007/s10597-021-00821-w] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/15/2021] [Accepted: 03/27/2021] [Indexed: 11/26/2022]
Abstract
Mental health services and interventions have increasingly focused on the importance of community participation and mobility for people with serious mental illnesses (SMI). This study examined the role that visits to community mental health centers (CMHCs) may play in increasing community mobility of people with SMI. Eighty-nine adults with SMI receiving services at three CMHCS were tracked with GPS-enabled phones over a 13-day period. Findings revealed that participants visited more destinations on days they went to a CMHC compared to days they did not. They also spent more time out of the home and traveled greater distances. Results suggest that the benefits of visiting a mental health center appear to go beyond treatment outcomes, but also point to the possibility that obligations, whether to a clinic appointment or possibly vocational, educational, leisure, faith, or social commitments, may be an important stepping stone to more mobility and intentional, sustained community participation.
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Affiliation(s)
- Greg Townley
- Department of Psychology, Portland State University, 317 Cramer Hall, 1721 SW Broadway, Portland, OR, 97207, USA.
| | - Eugene Brusilovskiy
- Department of Social and Behavioral Sciences, Temple University, Philadelphia, USA
| | - Louis Klein
- Department of Social and Behavioral Sciences, Temple University, Philadelphia, USA
| | - Bryan McCormick
- Department of Health and Rehabilitation Sciences, Temple University, Philadelphia, USA
| | - Gretchen Snethen
- Department of Health and Rehabilitation Sciences, Temple University, Philadelphia, USA
| | - Mark S Salzer
- Department of Social and Behavioral Sciences, Temple University, Philadelphia, USA
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Leickly E, Townley G. Exploring factors related to supportive housing tenure and stability for people with serious mental illness. JOURNAL OF COMMUNITY PSYCHOLOGY 2021; 49:1787-1805. [PMID: 33855725 DOI: 10.1002/jcop.22573] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/10/2020] [Revised: 03/24/2021] [Accepted: 03/25/2021] [Indexed: 06/12/2023]
Abstract
Overall, the retention of people with serious mental illness (SMI) in supportive housing is high. However, some supportive housing settings report average stays of only 15 months, and others report declines in housing retention over time. Many studies report variables associated with supportive housing stability and tenure, but there are few extensive, focused investigations on the subject. Hence, a literature review was conducted to investigate factors associated with supportive housing stability and tenure among people with SMI. The review of the included 28 papers reveals that the factors associated with supportive housing stability and tenure fell into two general categories of individual factors (including psychiatric factors and prior homelessness), and contextual factors (including program characteristics and sense of community and social support). In conclusion, further focus on contextual factors, as well as a potential reframing of individual factors as contextual, may be helpful in addressing issues related to supportive housing stability and tenure for people with SMI.
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Affiliation(s)
- Emily Leickly
- Psychology Department, Portland State University, Portland, Oregon, USA
| | - Greg Townley
- Psychology Department, Portland State University, Portland, Oregon, USA
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8
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Snethen G, Brusilovskiy E, McCormick BP, Hiremath SV, Salzer MS. The Relationship between Community Participation and Physical Activity among Individuals with Serious Mental Illnesses. Ment Health Phys Act 2021; 20:10.1016/j.mhpa.2021.100381. [PMID: 34745346 PMCID: PMC8564502 DOI: 10.1016/j.mhpa.2021.100381] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
Abstract
INTRODUCTION The importance of physical activity (PA) and health outcomes for individuals with serious mental illnesses (SMI) has been well documented. It is also established that individuals with SMI engage in high amounts of sedentary behavior and low amounts of physical activity, which contributes to poor health outcomes. This study explores the relationship between community participation, physical activity, and sedentary behavior among individuals with SMI. METHODS This study used a sample of individuals with SMI who were receiving community mental health services in a large urban area of the United States. Of the 526 individuals approached, 308 were interested in the study; 173 consented and completed data collection. This study reports on 152 participants who had complete data. Using the Temple University Community Participation Scale, participants reported on community-based activities completed independently in the previous 30 days. Additionally, participants were asked to wear a tri-axial accelerometer (ActiGraph GT3X) on the non-dominant wrist for seven days. The total number of community participation days was correlated with PA variables including steps, sedentary, light, and moderate-vigorous PA. Two groups of step data were analyzed using t-tests: ≥7500 steps, and ≥ 10,000 steps. Logistic regressions were run to examine the relationship between amount, breadth and sufficiency of community participation and having +/- 7,500 steps and +/- 10,000 daily steps, controlling for age, gender, and income. RESULTS Amount of community participation was inversely associated with the % of time in sedentary activity and positively associated with the % of time in moderate to vigorous PA. Those with at or more than 7500 steps and 10,000 steps reported significantly more days of community participation. CONCLUSION This study highlights the contribution of everyday activities for increased physical activity and reduced time spent in sedentary activity. Practitioners should consider recommendations for engagement in the community to increase opportunities for walking.
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Affiliation(s)
| | | | | | | | - Mark S Salzer
- Temple University Collaborative on Community Inclusion
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9
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Examining the relationship between community mobility and participation using GPS and self-report data. Soc Sci Med 2020; 265:113539. [PMID: 33234453 DOI: 10.1016/j.socscimed.2020.113539] [Citation(s) in RCA: 9] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Revised: 08/20/2020] [Accepted: 11/16/2020] [Indexed: 01/17/2023]
Abstract
Higher levels of community mobility have been shown to be associated with better physical health, mental health, and quality of life. The ability to move about one's community is also expected to facilitate community participation, which is an aspect of health functioning. This study uses Global Positioning Systems (GPS) technology to track various dimensions of community mobility, such as destinations, time outside the home, and distance traveled, and examine the relationship between these variables and community participation in a sample of individuals with serious mental illnesses (SMI). This population was selected because they are known to have diminished health functioning in terms of their community participation, and the goal is to explore the extent to which mobility limitations may account for this. A total of 103 individuals with serious mental illnesses were recruited from mental health agencies and consented to having their mobility tracked using GPS for 13 days and answering questions about their community-based activities. Greater amount of participation was associated with having more destinations and spending more time out of the house, but not with traveling larger distances and having a greater activity space. None of the mobility variables were related to the number of important participation areas or sufficiency of participation. The findings support the hypothesis that greater mobility is related to more participation, although satisfaction with the degree to which one participates does not appear to be impacted, suggesting that other factors need to be accounted for. Health policymakers and providers should pay attention to community mobility as a factor that affects health outcomes such as participation, in individuals with serious mental illnesses, and other populations. In particular, attending to access to personal transport, public transportation, and other mobility options appears to be important, as well as interventions aimed at encouraging greater community mobility.
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10
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Gurdak K, Tiderington E, Stefancic A. Community integration when moving on from permanent supportive housing. JOURNAL OF COMMUNITY PSYCHOLOGY 2020; 48:1913-1928. [PMID: 32516837 DOI: 10.1002/jcop.22389] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/25/2019] [Revised: 04/28/2020] [Accepted: 05/18/2020] [Indexed: 06/11/2023]
Abstract
AIMS This study explored community integration within a Moving On initiative that assisted individuals with the transition from permanent supportive housing (PSH) to more independent housing without service requirements. METHODS Participants completed baseline interviews while in PSH (n = 90) and, for those who moved on, a follow-up 1-year post-move (n = 45). Bivariate analyses and OLS regression were used to examine community integration outcomes and potential correlates. RESULTS For participants who moved on, subjective social quality of life and sense of community were higher post-move, while physical integration decreased, and time spent at home increased. Gender, mastery, and housing quality were associated with community integration post-move. CONCLUSION Moving On did not adversely impact most aspects of community integration, though PSH residents may need more support to facilitate participation in routine activities outside their home post-move. Findings also highlight the importance of supporting mastery given its potential role in community integration.
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Affiliation(s)
- Kristen Gurdak
- Silver School of Social Work, New York University, New York, New York
| | - Emmy Tiderington
- School of Social Work, Rutgers, The State University of New Jersey, New Brunswick, New Jersey
| | - Ana Stefancic
- Department of Psychiatry, Columbia University, New York, New York
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11
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Smith-East M, Neff DF. Mental Health Care Access Using Geographic Information Systems: An Integrative Review. Issues Ment Health Nurs 2020; 41:113-121. [PMID: 31661647 DOI: 10.1080/01612840.2019.1646363] [Citation(s) in RCA: 14] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
Abstract
A decade after the Mental Health Parity and Addiction Equity Act was implemented to ensure access to mental health and substance abuse services for U.S. citizens, accessing mental health care still is problematic for many needing services. More than 123 million Americans reside in federally-designated Mental Health Professional Shortage Areas (MHPSA) compared to 84 million living in similarly-designated primary care shortage areas and 62 million in dental health shortage areas. Health professional shortage areas are geographic areas that have a shortage of primary medical, dental, or mental health providers. Geographic Information Systems (GIS) with spatial analysis approaches provide tools to understand the ever-changing distribution of health care, outcomes, and delivery to improve care. The aim of this integrative review is to describe and synthesize the literature on GIS approaches to improve access to mental health care services. GIS Bibliography, PubMed, CINAHL, PsycINFO, Academic Search Premier, Social Sciences Citation Index, and Oalster were searched for articles between January 1, 1998 and January 1, 2018 that met established inclusion/exclusion criteria. Among the 138 articles reviewed, 18 met criteria and were included in the review. GIS approaches to improve access to mental health care can be categorized as (1) type of care (integrated, community), (2) contributions to access (distance, time, cost, perception of traveling, inequalities), and (3) the utilization of services. Results from the literature suggest closer examination of measures used to assess geographic variations in accessibility is needed for ultimately improving quality of care for people in MHPSA.
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Affiliation(s)
- Marie Smith-East
- College of Nursing, University of Central Florida, Orlando, Florida, USA
| | - Donna Felber Neff
- College of Nursing, University of Central Florida, Orlando, Florida, USA
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Amiri AM, Hiremath SV, Salzer MS, Snethen G. Predicting physical activity levels in individuals with schizophrenia through integrated global positioning system and accelerometer data. Schizophr Res 2019; 212:246-248. [PMID: 31405621 DOI: 10.1016/j.schres.2019.07.027] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/14/2019] [Revised: 07/14/2019] [Accepted: 07/21/2019] [Indexed: 11/20/2022]
Affiliation(s)
- Amir Mohammad Amiri
- Department of Health and Rehabilitation Sciences, College of Public Health, Temple University, 1101 W. Montgomery Ave. 3rd Floor, Philadelphia, PA 19122, USA.
| | - Shivayogi V Hiremath
- Department of Health and Rehabilitation Sciences, College of Public Health, Temple University, 1101 W. Montgomery Ave. 3rd Floor, Philadelphia, PA 19122, USA; Department of Electrical and Computer Engineering, College of Engineering, Temple University, 1947 North 12th Street, Philadelphia, PA 19122, USA.
| | - Mark S Salzer
- Department of Social and Behavioral Sciences, College of Public Health, Temple University, 1301 Cecil B. Moore Avenue, Philadelphia, PA 19122, USA; Temple University Collaborative on Community Inclusion of Individuals with Psychiatric Disabilities, Temple University, 1700 N. Broad Street, Philadelphia, PA 19122, USA.
| | - Gretchen Snethen
- Department of Health and Rehabilitation Sciences, College of Public Health, Temple University, 1101 W. Montgomery Ave. 3rd Floor, Philadelphia, PA 19122, USA; Temple University Collaborative on Community Inclusion of Individuals with Psychiatric Disabilities, Temple University, 1700 N. Broad Street, Philadelphia, PA 19122, USA.
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13
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Townley G, Terry R, Brusilovskiy E, Snethen G, Salzer MS. Associations Between Physical Health Limitations and Community Participation Among People With and Without Serious Mental Illnesses. Psychiatr Serv 2019; 70:689-695. [PMID: 31010410 DOI: 10.1176/appi.ps.201800407] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Abstract
OBJECTIVE Research has suggested that individuals with serious mental illnesses are not as physically healthy as the general population and are more likely to experience physical illnesses such as diabetes, obesity, and cardiovascular and respiratory diseases. Less is known about how physical health may be related to community participation among individuals with serious mental illnesses, although research with adults in the general population has suggested strong negative associations between health impairments and engagement in a variety of activity domains. METHODS In this study, the authors drew from two national data sets to examine the relationship between physical health impairments and community participation among 300 participants with serious mental illnesses and 300 participants without serious mental illnesses. RESULTS For participants in both groups, physical health concerns and use of mobility aids were associated with lower reported rates of community participation. CONCLUSIONS Findings shed light on the complex association between physical health impairments and community participation while also suggesting the need to focus on other potential barriers to participation among individuals with serious mental illnesses.
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Affiliation(s)
- Greg Townley
- Department of Psychology, Portland State University, Portland, Oregon (Townley, Terry); Department of Rehabilitation Sciences (Brusilovskiy, Snethen) and Department of Social and Behavioral Sciences (Salzer), Temple University, Philadelphia
| | - Rachel Terry
- Department of Psychology, Portland State University, Portland, Oregon (Townley, Terry); Department of Rehabilitation Sciences (Brusilovskiy, Snethen) and Department of Social and Behavioral Sciences (Salzer), Temple University, Philadelphia
| | - Eugene Brusilovskiy
- Department of Psychology, Portland State University, Portland, Oregon (Townley, Terry); Department of Rehabilitation Sciences (Brusilovskiy, Snethen) and Department of Social and Behavioral Sciences (Salzer), Temple University, Philadelphia
| | - Gretchen Snethen
- Department of Psychology, Portland State University, Portland, Oregon (Townley, Terry); Department of Rehabilitation Sciences (Brusilovskiy, Snethen) and Department of Social and Behavioral Sciences (Salzer), Temple University, Philadelphia
| | - Mark S Salzer
- Department of Psychology, Portland State University, Portland, Oregon (Townley, Terry); Department of Rehabilitation Sciences (Brusilovskiy, Snethen) and Department of Social and Behavioral Sciences (Salzer), Temple University, Philadelphia
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14
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Chan DV, Thorpe DE, Trost SG, Boyd RN, Faldowski RA, Barber L, Levin I, Carroll A, Bagatell N. Novel approaches to measuring community integration in adults with cerebral palsy. Disabil Rehabil 2019; 42:2653-2664. [PMID: 30994013 DOI: 10.1080/09638288.2019.1577500] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
Abstract
Purpose: Rehabilitation goals often focus on increasing community integration for adults with disabilities and are measured by objective assessments. Research methods have lagged behind in capturing current conceptualizations of community integration as a multidimensional construct that incorporates participation, social supports, and feelings of belonging in the community. This paper addresses this challenge by describing a multi-method approach to assessing community integration for adults with cerebral palsy.Methods: Measures include standardized questionnaires, qualitative methods, measures of function and physical activity, and geospatial measures using Geographic Information System mapping and Global Positioning System tracking. These objective and subjective data are used to determine where adults spend time and are most active, and which activities and social connections are associated with feeling integrated into the community.Results: Two case examples highlight the importance of using a multi-method approach to assess community integration for adults with cerebral palsy. Results of objective clinical measures were comparable among case examples; however, actual experiences of feeling connected to the community were vastly different.Conclusions: Multiple measures are required to capture the complexity of community integration. Relying solely on objective measures may not provide a complete picture of community integration.IMPLICATIONS FOR REHABILITATIONCommunity integration is a complex construct that incorporates participation, socialization, and feelings of belonging in the community.New methods and measures are needed to assess the many aspects of community integration in adults with disabilities.A multi-method approach is recommended to provide a richer characterization of community integration in individuals with disabilities.A combination of quantitative and qualitative measures addressing the physical, social and psychological aspects of community integration should be used.
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Affiliation(s)
- Dara V Chan
- Department of Allied Health Sciences, The University of North Carolina at Chapel Hill, Chapel Hill, NC, USA
| | - Deborah E Thorpe
- Department of Allied Health Sciences, The University of North Carolina at Chapel Hill, Chapel Hill, NC, USA
| | - Stewart G Trost
- Institute of Health and Biomedical Innovation, Centre for Children's Health Research, Queensland University of Technology, South Brisbane, Australia
| | - Roslyn N Boyd
- Queensland Cerebral Palsy and Rehabilitation Research Centre, The University of Queensland, South Brisbane, Australia
| | - Richard A Faldowski
- Department of Allied Health Sciences, The University of North Carolina at Chapel Hill, Chapel Hill, NC, USA
| | - Lee Barber
- Queensland Cerebral Palsy and Rehabilitation Research Centre, The University of Queensland, South Brisbane, Australia
| | - Ilana Levin
- Department of Allied Health Sciences, The University of North Carolina at Chapel Hill, Chapel Hill, NC, USA
| | - Amanda Carroll
- Department of Allied Health Sciences, The University of North Carolina at Chapel Hill, Chapel Hill, NC, USA
| | - Nancy Bagatell
- Department of Allied Health Sciences, The University of North Carolina at Chapel Hill, Chapel Hill, NC, USA
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Townley G, Brown M, Sylvestre J. Community Psychology and Community Mental Health: A Call for Reengagement. AMERICAN JOURNAL OF COMMUNITY PSYCHOLOGY 2018; 61:3-9. [PMID: 29315707 DOI: 10.1002/ajcp.12225] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/07/2023]
Abstract
Community psychology is rooted in community mental health research and practice and has made important contributions to this field. Yet, in the decades since its inception, community psychology has reduced its focus on promoting mental health, well-being, and liberation of individuals with serious mental illnesses. This special issue endeavors to highlight current efforts in community mental health from our field and related disciplines and point to future directions for reengagement in this area. The issue includes 12 articles authored by diverse stakeholder groups. Following a review of the state of community mental health scholarship in the field's two primary journals since 1973, the remaining articles center on four thematic areas: (a) the community experience of individuals with serious mental illness; (b) the utility of a participatory and cross-cultural lens in our engagement with community mental health; (c) Housing First implementation, evaluation, and dissemination; and (d) emerging or under-examined topics. In reflection, we conclude with a series of challenges for community psychologists involved in future, transformative, movements in community mental health.
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Affiliation(s)
- Greg Townley
- Department of Psychology, Portland State University, Portland, OR, USA
| | - Molly Brown
- Department of Psychology, DePaul University, Chicago, IL, USA
| | - John Sylvestre
- Center for Research on Educational and Community Services, University of Ottawa, Ottawa, ON, Canada
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