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Integrating smoking cessation into mental health care for post-traumatic stress disorder.

BACKGROUND: Post-traumatic stress disorder (PTSD) is associated with a high prevalence of smoking, heavy cigarette consumption and low cessation rates. PURPOSE: This manuscript describes the design of a randomized, multisite effectiveness trial to test whether integrating smoking cessation treatment into mental health care (integrated care) improves prolonged abstinence rates among veterans with PTSD, compared with […]

The environment in pediatric practice: a study of New York pediatricians’ attitudes, beliefs, and practices towards children’s environmental health.

Chronic diseases of environmental origin are a significant and increasing public health problem among the children of New York State, yet few resources exist to address this growing burden. To assess New York State pediatricians self-perceived competency in dealing with common environmental exposures and diseases of environmental origin in children, we assessed their attitudes and […]

Pediatrician attitudes, clinical activities, and knowledge of environmental health in Wisconsin.

Pediatricians can reduce exposures to environmental hazards but most have little training in environmental health. To assess whether Wisconsin pediatricians perceive a relative lack of self-efficacy for common environmental exposures and diseases of environmental origin, we assessed their attitudes and beliefs about the role of the environment in children’s health. A 4-page survey was sent […]

War-related mental health problems of today’s veterans: new clinical awareness.

Veterans of the military conflicts in Iraq and Afghanistan may have been exposed to significant psychological stressors, resulting in mental and emotional disorders. Posttraumatic stress disorder (PTSD) is characterized by symptoms in three domains: reexperiencing the trauma, avoiding stimuli associated with the trauma, and symptoms of increased autonomic arousal. Treatment of PTSD often requires both […]

Performance assessment in community mental health care and at-risk populations.

We examine whether community mental health care centers (CMHCs) differ in their ability to serve at-risk populations, including clients with dual diagnoses for substance abuse, comorbid disabilities, and particularly severe functional impairment. Our analysis uses data from Indiana ’s public mental health system. Although at-risk clients experience, on average, worse outcomes than other clients, we […]

Combat duty in Iraq and Afghanistan, mental health problems, and barriers to care.

BACKGROUND: The current combat operations in Iraq and Afghanistan have involved U.S. military personnel in major ground combat and hazardous security duty. Studies are needed to systematically assess the mental health of members of the armed services who have participated in these operations and to inform policy with regard to the optimal delivery of mental […]

Mental health and disabilities: what we know about racial and ethnic minority children.

The recognition that children and adolescents suffer from mental health problems and disabilities is a recent phenomenon, not arising until the late 19th century. Because of the increasing numbers and importance of ethnic minority children and youth to the vitality of the United States, their mental health and disabilities can no longer be overlooked. Mental […]

Child behaviour problems and partner mental health as correlates of stress in mothers and fathers of children with autism.

BACKGROUND: Previous research has suggested that the mothers and fathers of children with disabilities experience stress differently. Although there has been a great deal of research exploring how children affect parents, there have been many fewer studies of the interrelationships between mothers’ and fathers’ psychological well-being. METHODS: Eighteen married couples who were the parents of […]

Child behaviour problems and partner mental health as correlates of stress in mothers and fathers of children with autism.

Use of substance abuse treatment services by persons with mental health and substance use problems.

Objective: This study provided population estimates of mental syndromes and substance use problems and examined whether the co-occurrence of mental health and substance use problems was associated with the use of substance abuse treatment services. Methods: Study data were drawn from the 1997 National Household Survey on Drug Abuse. Results: Of the total sample of […]