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Background: Women with severe mental illness (SMI) are diagnosed with breast cancer at later stages, with greater mortality rates than the general population. Although breast cancer screening is an acknowledged strategy for early breast cancer detection, women with SMI are 32% to 50% less likely to have regular mammography screenings, yet the specific factors related to the disparity in this population have not been determined. Aim: The purpose of this study was to identify the barriers and facilitators toward breast cancer screening in women diagnosed with SMI. Method: In collaboration with a community-based mental health services agency, women aged 40 and older, diagnosed with SMI, and treated at that agency, were identified and asked if they were willing to participate. Fifteen women agreed to be interviewed. An interpretive descriptive approach was utilized to analyze the qualitative data. Results: The themes elicited included barriers and facilitators to screening. Barriers found were: Psychiatric Symptoms, Fear, Distrust in the Health care System, and Not my Priority. Among the facilitators were Support, Good Health care Experiences, Make it Easy, Integrated Care, and Self-Care. Conclusion: Unique to this study was the understanding by participants that physical health needed to be integrated into their mental health care services through direct support and education, primarily because the process of recovery from mental illness itself entailed the increasing ability for self-care, encompassing a focus on both mental and physical health needs and preventive care. [ABSTRACT FROM AUTHOR]

Introduction: Hallucinations are symptoms of mental disorders in which the patient experiences sensory changes in perception, feels false sensations in the form of sound, sight, taste, touching or shaming, the client feels a stimulus that does not exist. Objective: Knowing the application of individual therapy to auditory hallucination patients. Method: Quality research using the descriptive method of case study research. Results: Shows that with individual therapy, the patient can distract the patient so that he can control the hallucinations he experiences. Conclusion: That individual therapy in auditory hallucination patients can effectively control hallucinations. Recommendations should consider creating a new policy for nurses, particularly room nurses, to perform continuously to reduce the frequency of people with mental health conditions

PurposeWe examine whether the race and armed status interact to modify the risk of being fatally shot by police within categories of civilian age and mental illness status, and U.S. region.MethodsData are from The Washington Post online public-use database of all U.S. police-involved shooting deaths. The sample includes black and white males with known armed status who were killed from 1/1/2015 through 12/31/2019 (n = 3090). A case-only design is used to assess multiplicative interaction using adjusted logistic regression.ResultsThe fully adjusted interaction estimate is null (SOR = 0.75; 95% confidence interval [CI] = 0.55-1.04). However, adjusted estimates within strata show that the risk of being armed versus unarmed when fatally shot is smaller for black than white males older than 54 years (SOR = 0.18; 95% CI = 0.06-0.65), those showing mental illness signs (SOR = 0.50; 95% CI = 0.26-0.98), and those killed in the South (SOR = 0.52; 95% CI = 0.33-0.83), and that the risk is greater in the Midwest (SOR = 2.42; 95% CI = 1.11-5.26). Notably, there is no black-white difference in armed status among younger age groups (SOR≈0.89).ConclusionThe race and armed status may interact leaving black males at a higher risk of being unarmed than white males when fatally shot by police among those older than 54 years, mentally impaired, and residing in the South. Causal interaction suggests a lower risk for unarmed blacks in the Midwest. Researchers should further explore the utility of the case-only design to study social-environmental interaction.

This article examines the divisive reception history of American psychiatrist and neurologist Alexander McLane Hamilton's physiognomy publication, Types of Insanity (1883). By analyzing 23 book reviews published in late-nineteenth-century medical journals, the authors present a bibliographic case study that traces the mixed professional reactions to Hamilton's work, thus revealing the fraught nature of physiognomy in the American medical community. In effect, the authors argue that the interprofessional disagreements that emerged among journal reviewers indicate the nascent efforts of psychiatrists and neurologists to oppose physiognomy in the interest of professionalization. By extension, the authors emphasize the historical value of book reviews and reception literature. Often overlooked as ephemera, book reviews register the shifting ideologies, temperaments, and attitudes of an era's readership. [ABSTRACT FROM AUTHOR]

ObjectiveThe engagement of peers and service users is increasingly emphasized in mental health clinical, educational, and research activities. A core means of engagement is via the sharing of recovery narratives, through which service users present their personal history of moving from psychiatric disability to recovery. We critically examine the range of contexts and purposes for which recovery narratives are elicited in global mental health.MethodWe present 4 case studies that represent the variability in recovery narrative elicitation, purpose, and geography: a mental health Gap Action Programme clinician training program in Nepal, an inpatient clinical service in Indian-controlled Kashmir, a recovery-oriented care program in urban Australia, and an undergraduate education program in the rural United States. In each case study, we explore the context, purpose, process of elicitation, content, and implications of incorporating recovery narratives.ResultsWithin each context, organizations engaging service users had a specific intention of what "recovery" should constitute. This was influenced by the anticipated audience for the recovery stories. These expectations influenced the types of service users included, narrative content, and training provided for service users to prepare and share narratives. Our cases illustrate the benefit of these coconstructed narratives and potential negative impacts on service users in some contexts, especially when used as a prerequisite for accessing or being discharged from clinical care.Conclusions and implications for practiceRecovery narratives have the potential to be used productively across purposes and contexts when there is adequate identification of and responses to potential risks and challenges. (PsycInfo Database Record (c) 2020 APA, all rights reserved).

Homelessness is a major public health problem, and serious mental illness (SMI) is highly prevalent in the homeless population. Although supported housing services-which provide permanent housing in the community along with case management-improve housing outcomes, community integration typically remains poor, and little is known about the underlying determinants of poor community integration postresidential placement. The general SMI literature has indicated that motivational and cognitive ability factors are key determinants of successful community integration, which provides a foundation for examining this issue. This study evaluated whether interview- and performance-based assessments of motivation, nonsocial and social-cognitive ability, and psychiatric symptoms were associated with community integration indices in 2 samples of homeless veterans either with (N = 96) or without (N = 80) a psychotic disorder who had recently been admitted to a supported housing program but who had not yet attained housing. Motivation indices, including experiential negative symptoms and defeatist performance attitudes, stood out as the most robust correlates (rs = -.30 to -.69) of community integration across both samples, particularly for social role participation. Demographics, general psychiatric symptoms, and nonsocial cognition showed generally weak relations with community integration, though social cognition showed a few relations. The consistent findings across samples point to the importance of motivational factors for understanding the determinants of poor community integration in this complex population. Further, interventions that target motivational challenges may have widespread usefulness for enhancing community integration outcomes beyond obtaining housing. (PsycINFO Database Record (c) 2020 APA, all rights reserved).

Approximately 1,000 people in the United States were fatally shot by police officers during 2018, and people with mental illness were involved in approximately 25 percent of those fatalities. Crisis Intervention Team (CIT) training is a specialized police curriculum that aims to reduce the risk of serious injury or death during an emergency interaction between persons with mental illness and police officers. CIT has been implemented widely both nationally and internationally. Given the increasing resources devoted to CIT, efforts to analyze its effectiveness and outcomes relative to other approaches are important. Studies of CIT and similar interventions are found within both the mental health and the criminal justice arenas, which use very different terminologies, approaches, and outcome studies, rendering unified analyses challenging. This article describes the CIT model and reviews several recent systematic analyses of studies concerning the effects of CIT. Studies generally support that CIT has beneficial officer-level outcomes, such as officer satisfaction and self-perception of a reduction in use of force. CIT also likely leads to prebooking diversion from jails to psychiatric facilities. There is little evidence in the peer-reviewed literature, however, that shows CIT's benefits on objective measures of arrests, officer injury, citizen injury, or use of force.