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Browsing by Subject "community mental health"
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Item Chronic Care, Integrated Care & Mental Health: Moving the Needle Now(Taylor & Francis, 2017) Sullivan, W. Patrick; Wahler, Elizabeth A.; School of Social WorkHealthcare reform is currently a hot topic in the United States, and the Chronic Care Model has frequently been cited as the foundation of recent attempts to integrate mental health and physical health care. However, challenges exist to fully integrated care that have delayed adequately meeting the multiple needs of mental health service recipients. This article highlights multiple changes that can be incorporated into mental health care now, derived from the Chronic Care Model, to better meet clients’ physical and mental health needs. These changes include focusing on population-level data and incorporating technology and multidisciplinary teams in treatment and prevention efforts.Item Eating Disorders in Community Mental Health(2021-05) Misluk-Gervase, EileenOne population that can benefit significantly from therapies is that of individuals with eating disorders. Based on research in the field of eating disorders, traditional talk therapy may not effectively address the complexity and needs for recovery. Using the creative process and experiential approaches the therapist can better meet the needs of the eating disorder and co-morbid diagnoses such as mood and anxiety disorders, personality disorders, and obsessive-compulsive behaviors. With the rates of eating disorder diagnoses increasing, especially among males, those from lower-socioeconomic backgrounds, and older adults, it is imperative that clinicians receive training in the treatment of eating disorders and eating related issues to meet the clinical demand. However, most graduate art therapy and counseling programs do not include treatment protocols for eating disorders as part of the required curriculum. As a result, clinicians are under-prepared to work with this vulnerable population.Item Experiences of Mental Health Professionals in the Rapid Pivot to Telehealth: Implications for Social Work Practice(IU School of Social Work, 2023-08-16) Sullivan, W. Patrick; Hostetter, Carol; Commodore-Mensah, Miriam; School of Social WorkDuring the COVID-19 pandemic, the adoption of telehealth in behavioral healthcare was rapidly accepted. This article reflects one component of a larger qualitative study that sought to understand the personal and professional experiences of front-line workers and their supervisors during the pivot to virtual services during the COVID-19 pandemic. The current article is focused on the question, what were mental health workers’ reactions, both personal and professional, to the rapid adoption of technology in their community mental health center practice? Thirty-six mental health professionals, ranging from front line workers to supervisors, participated in telephone and Zoom interviews between late August and mid-November 2020. Respondents spoke of their organization’s rapid response, the switch to telehealth for many services, the impact of this switch on professional practice, and their perceptions of the effectiveness of virtual services. They also shared their thoughts about the future of telehealth. The rapid changes, necessary for clients and the organization alike, brought an opportunity to reimagine service delivery. As social work is a profession that heavily emphasizes ethics and advocacy, and is the predominant professional group in community mental health, the final section examines implications for social work practice including practice ethics, consideration of factors on a micro, macro, and environmental level, the need to balance protection of the individual with the rights of many, and the necessity to take care of those doing the work as well.Item Job Satisfaction and Burnout Among VA and Community Mental Health Workers(2013-03) Salyers, Michelle P.; Rollins, Angela L.; Kelly, Yu-Fan; Lysaker, Paul H.; Williams, Jane R.Building on two independent studies, we compared burnout and job satisfaction of 66 VA staff and 86 community mental health center staff in the same city. VA staff reported significantly greater job satisfaction and accomplishment, less emotional exhaustion and lower likelihood of leaving their job. Sources of work satisfaction were similar (primarily working with clients, helping/witnessing change). VA staff reported fewer challenges with job-related aspects (e.g. flexibility, pay) but more challenges with administration. Community mental health administrators and policymakers may need to address job-related concerns (e.g. pay) whereas VA administrators may focus on reducing, and helping workers navigate, administrative policies.Item Why do Stayers Stay? Perceptions of White and Black Long-Term Employees in a Community Mental Health Center(Springer, 2024-06) Bass, Emily; Salyers, Michelle P.; Hall, Ashton; Garabrant, Jennifer; Morse, Gary; Kyere, Eric; Dell, Nathaniel; Greenfield, Jaime; Fukui, Sadaaki; School of Social WorkPrevious research has focused on factors influencing turnover of employees in the mental health workforce, yet little research has explored reasons why employees stay. To facilitate retaining a diverse mental health workforce, the current study aimed to elucidate factors that contributed to employees’ tenure at a community mental health center (CHMC) as well as compare these perceptions between Black and White employees. Long-term employees (7 years or more) from one urban CMHC (n = 22) completed semi-structured stayer interviews. Using emergent thematic analysis, stayer interviews revealed four major themes for why they have stayed at the organization for 7 years or more: (1) work as a calling, (2) supportive relationships, (3) opportunities for growth or meaningful contribution, and (4) organization mission’s alignment with personal attributes or values. Comparison between Black and White stayer narratives revealed differences in their perceptions with work as a calling and opportunities for growth and meaningful contribution. Guided by themes derived from stayer interviews, the current study discusses theoretical (e.g., job embeddedness theory, theory of racialized organizations, self-determination theory) and practical implications (e.g., supporting job autonomy, Black voices in leadership) in an effort to improve employee retention and address structural racism within a mental health organization.