Development of a Spirituality-Infused Cognitive Behavioral Intervention for Individuals With Serious Mental Illnesses | Educational Publishing Foundation
Andrew M Subica, Ann-Marie Yamada
2018 Spirituality offers a vital coping resource that can bolster mental health and psychosocial well-being for individuals with serious mental illnesses (SMI). However, limited research on spirituality-infused evidence-based interventions exists to assist providers in mobilizing spirituality as a mental health resource.
Remission of symptoms in community-based psychosocial rehabilitation services for individuals with schizophrenia | Psychiatric Rehabilitation Journal
Caroline Lim, Concepción Barrio, Mercedes Hernandez, Armando Barragán, Ann-Marie Yamada, John S Brekke
2016 Objective: The aims of this study were to determine the prevalence of remission in individuals with schizophrenia at baseline and 6 months after admission to community-based psychosocial rehabilitation and whether baseline intrapersonal and environmental resources predicted remission at 6 months, controlling for relevant demographic and clinical variables. Method: The sample featured 187 individuals with schizophrenia spectrum disorder. To determine remission status, consensus-based criteria proposed by the Remission in Schizophrenia Working Group were adapted to identify predictors of remission outcomes, direct binary logistic regression analysis was performed. Results: Findings indicated that 34.57% and 55.61% of the sample was in remission at baseline and 6 months, respectively. Remission at 6 months was predicted by shorter length of illness and being in remission at admission. Conclusions: Remission of schizophrenia is an achievable outcome in community psychosocial rehabilitation settings. Clinical characteristics exerted a significantly stronger influence on remission outcomes compared with psychosocial factors.
Correlates in the endorsement of psychotic symptoms and services use: findings from the Collaborative Psychiatric Epidemiology Surveys | Community Mental Health Journal
Armando Barragán, Ann-Marie Yamada, Karen Kyeunghae Lee, Concepción Barrio
2019 Endorsement of psychotic symptoms serves as an indicator of significant health issues and interpersonal distress. Seeking services is the ultimate recourse for many individuals, yet few studies have assessed the help-seeking process in a nationally representative sample. This study, guided by Lewis-Fernández et al.’s (J Nerv Ment Dis 197(5):337–347, 2009) analyses, examined the association of lifetime endorsement of psychotic symptoms with demographic, clinical and support system variables and types of services received. Based on nationally weighted epidemiological data, 11.6 % of adults reported one or more psychotic symptoms. Psychotic symptoms were associated with poor physical and mental health, specifically depressive, anxiety, and substance use disorders. Respondents were more likely to receive services from both informal and mental health providers and were more likely to be hospitalized than those not endorsing psychotic symptoms. Study findings inform community efforts to develop comprehensive services for individuals experiencing psychotic symptoms.
Applications of The Cultural Awareness, Skill, & Knowledge (C-ASK) Interview Tool: Cultivating Cultural Competence | Hawai'i Journal of Medicine & Public Health
Ann-Marie Yamada
2015 Culturally competent practice requires an examination of one's own attitude and values, and the acquisition of the values, knowledge, skills, and attributes that allow an individual to work appropriately in cross cultural situations (MCHB, 1999). The Cultural Awareness, Skill, & Knowledge (C-ASK) Interview Tool was developed in a diverse urban community mental health setting to help practitioners gain awareness of the cultural background and social issues of their patients (Yamada & Brekke, 2008). While administering the tool is straightforward, training providers to use the information generated from this interview tool is a challenge that has received little attention. Determining how to best train providers to cultivate the cultural data in a way to promote competent practice is imperative and was the focus of our current phase of research. In-depth follow-up qualitative interviews were conducted with ten mental health care providers trained to administer the C-ASK. Providers were asked to identify key sociocultural issues identified through the C-ASK administration. Results indicated that providers struggled to identify such content. Challenges impeding their use of this tool included limited time for assessment, lack of integration of the tool into routine practice, and common cognitive errors such as selective or inaccurate observation of the obtained information. To address these barriers we developed an additional 90 minute training session to demonstrate effective ways to: (1) link cultural assessment with meaningful outcomes, (2) adapt the tool to agency/client needs, and (3) share findings with patients to prioritize treatment goals and shared decision making. Through additional training and resources (eg, a patient interview video, sample billing, ease notes) it is hoped that providers will be able to cultivate sufficient skills to do more than elicit sociocultural issues; providers must extract the relevant data and apply it to meaningful patient goals and treatment plans. Pilot testing of these applied training materials will be conducted to further determine the most efficacious means of capturing and applying the information gleaned from the C-ASK interview.
Interdependent recovery of adults with schizophrenia: Asian American consumer perspectives of family involvement and influence | Psychiatric Rehabilitation Journal
Lee, K. K., Yamada, A.-M., Kim, M. A., & Dinh, T. Q.
2015 Objective: Family involvement is important in the recovery experience of culturally diverse adults with schizophrenia. However, little is known about the influence of family among consumers purported to have close family ties without regular contact. This study explored Asian American consumers’ views about family relationships and participation in their recovery. Method: Secondary analysis of qualitative data from a larger project was conducted to explore family related themes of 8 Asian Americans receiving services from recovery-focused programs in urban Southern California. Results: Most consumers described their family support as adequate while simultaneously reporting limited family involvement. Asia-born and U.S.-born Asian consumers varied in describing family support, suggesting providers consider nativity in culturally responsive service delivery. Conclusions and Practice Implications: Families need not be present to affect the perspectives of Asian Americans receiving recovery-oriented services. The extent of family influences on recovery, beyond the initial determination of current family contact, requires further exploration.
