Neami National

BackgroundEating disorders can place an individual at significant risk of physical harm. Despite this, there is minimal guidance on how to empower individuals to recognise and minimise potential harms to their physical safety. This paper explores the recommendation to incorporate harm reduction strategies within eating disorders care by an eating disorder consultation service to clinicians working with individuals who have eating disorders. The aim of this paper was to examine how often, and in what contexts, HR approaches were deemed applicable during eating disorder specific public mental health case consultations.MethodsAdult case consultation records from an eating disorder consultation service in Australia were retrospectively analysed to examine the frequency at which harm reduction approaches were considered applicable to the consultation question. Content analysis was performed to examine the context in which the potential utility of harm reduction was discussed.ResultsOut of 45 adult secondary case consultation records accessed, almost three-quarters reported that a harm reduction framework was discussed as part of the secondary consultation. Content analyses revealed that 33.33% of consultations recommended harm reduction in the context of treatment engagement, 21.21% in the context of treatment ambivalence, and 45.45% in the context of concerns for physical safety whilst an individual was engaged in eating disorders care.ConclusionsOur results give preliminary indication that harm reduction approaches may have utility in supporting individuals with eating disorders to reduce their risk of physical harm across the spectrum of motivation and treatment engagement. Given the high incidence of physical harms associated with eating disorders, further studies examining the application and effectiveness of harm reduction approaches for eating disorders would likely be of benefit to the field.Supplementary InformationThe online version contains supplementary material available at 10.1186/s40337-025-01426-4.

Background . The presence of volunteers is a great and essential help in pediatric oncology life. Volunteers generally receive an appropriate formation that could follow their motivations or modify finalities. Methods . We investigated, through an appropriate questionnaire, demography, motivations and satisfaction of eight association/non-profit entities. Results. Sixty-nine volunteers answered anonymously to all or part of the questions. The majority of them, with a median age of 59 years, were females, with a medium/high-level of education and were involved longer than 5 years in volunteering. Their engagement was driven by personal or close experiences with childhood cancer. They possessed a deep understanding of cancer-related issues and were motivated by the desire to enhance the quality and innovation of care. Participation through associations fostered a sense of community belonging and altruistic purpose, and their satisfaction with the experience often led them to encourage others to become involved. The majority of respondents did not consider rewards from previous experiences to be a significant motivating factor. Conclusions . Effective volunteer activities and retention rely on a clear understanding of volunteers’ expectations and the selective recruitment of individuals whose expectations align with what the organization can feasibly provide.

The purpose of this research is to evaluate self-efficacy, social support, and coping stress in relation to academic resilience of students in the Faculty of Education (FKIP) at Jambi University. This study utilizes a quantitative method and employs a questionnaire as the instrument to collect data from students in the Faculty of Education at Jambi University. The Structural Equation Modeling Partial Least Squares (SEM PLS) method is used to analyze and evaluate the causal relationships between independent and dependent variables. The research sample consists of 218 respondents who are students in the Faculty of Education at Jambi University. The four variables examined in this study are self-efficacy, social support, coping stress, and academic resilience of students. The p-values obtained are as follows: H1, the influence of self-efficacy on academic resilience of students, has a value of 0.001. Based on this value, the first hypothesis is supported or confirmed. For H2, the influence of social support on academic resilience of students has a value of 0.000. Therefore, the second hypothesis is supported or confirmed. Finally, for H3, the influence of coping stress on academic resilience has a value of 0.000. Thus, the third hypothesis is supported or confirmed. Therefore, this research concludes that all variables significantly influence the academic resilience of students in the Faculty of Education at Jambi University.

Objective Deliberate practice (DP) is recommended as a new approach to facilitate the acquisition of discrete therapeutic skills, however, its implementation and effectiveness in psychotherapy remains unclear. Method A systematic search on DP for therapeutic skills among psychotherapy trainees and psychotherapists yielded eleven studies for inclusion. Nine were randomized controlled studies (RCTs), including seven unique RCTs, and two were within-group studies. Results Risk of bias was assessed as “high” for one RCT, “some concerns” for the remaining RCTs, and “serious” for within-group studies. All RCTs found the DP group performed better than the control group. All studies involved efforts to improve performance based on learning objectives and iterative practice but varied in the source of expert guidance and feedback. The included studies provide limited insight into best practice for delivering DP. Conclusion The results highlight the paucity of research in this field; however they offer insight into current applications of DP and provide preliminary empirical support DP for as a model for promoting the development of discrete therapeutic skills. Given the rapid dissemination of DP publications and manuals in psychotherapy, future research is strongly encouraged.

ObjectiveThis study aims to assess the effectiveness of community-based models of care (MoCs) supporting the recovery of individuals who experience persistent and complex mental health needs.MethodWe conducted a systematic review and narrative synthesis of MoC studies reporting clinical, functional, or personal recovery from October 2016 to October 2021. Sources were Medline, EMBASE, PsycInfo, CINAHL, and Cochrane databases. Studies were grouped according to MoC features. The narrative synthesis was led by our researchers with lived experience.ResultsBeneficial MoCs ranged from well-established to novel and updated models and those explicitly addressing recovery goals and incorporating peer support: goal-focused; integrated community treatment; intensive case management; partners in recovery care coordination; rehabilitation and recovery-focused; social and community connection-focused; supported accommodation; and vocational support. None of our diverse group of MoCs supporting recovery warranted a rating of best practice. Established MoCs, such as intensive case management, are promising practices regarding clinical and functional recovery, with potential for enhancements to support personal recovery. Emerging practice models that support personal and functional recovery are those where consumer goals and priorities are central.ConclusionEvidence for established models of care shows that there is a need for inevitable evolution and adaptation. Considering the high importance of effective MoCs for people experiencing persistent and complex mental health needs, further attention to service innovation and research is required. Greater emphasis on the inclusion of lived and living experience in the design, delivery, implementation, and research of MoCs is needed, to enhance MOCs' relevance for achieving individual consumer recovery outcomes.

To examine the incidence of, barriers to, and institutional responses to formal reporting of experiences of identity-based harassment at an academic medical center. The authors invited 4,545 faculty and medical trainees at the University of Michigan Medical School to participate in a 2018 survey about civility and respect. This analysis focused on respondents who indicated experiencing at least 1 form of identity-based harassment (sexual harassment, gender policing harassment, heterosexist harassment, racialized sexual harassment) within the past year, perpetrated by staff, students, and faculty or by patients and patients' families. The authors assessed the incidence of formally reporting harassment to someone in authority, barriers to reporting, and institutional responses following reporting. Among the 1,288 (28.3%) respondents with usable data, 83.9% (n = 1,080) indicated experiencing harassment. Of the harassed individuals, 10.7% (114/1,067), including 13.1% (79/603) of cisgender women and 7.5% (35/464) of cisgender men, indicated they formally reported their harassment experiences. Among these reporters, 84.6% (66/78) of cisgender women and 71.9% (23/32) of cisgender men indicated experiencing positive institutional remedies. Many reporters indicated experiencing institutional minimization (42.9% [33/77] of cisgender women; 53.1% [17/32] of cisgender men) or retaliation (21.8% [17/78] of cisgender women; 43.8% [14/32] of cisgender men). Cisgender men were significantly more likely to indicate experiencing specific negative institutional responses, such as being considered a troublemaker (OR 3.56, 95% CI: 1.33-9.55). Among respondents who did not formally report harassment experiences, cisgender women were significantly more likely to cite concerns about institutional retaliation, such as being given an unfair performance evaluation or grade (OR 1.90, 95% CI: 1.33-2.70). Most respondents who experienced harassment did not formally report it to anyone in authority. Many reporters faced institutional minimization and retaliation. These findings suggest a need to reshape institutional harassment prevention and response systems in academic medicine.

ABSTRACT Background This study explored care co-ordinator reports about provision of six evidence-based psychosocial interventions (PSIs) for people living with psychosis, to better understand decision-making about provision. Methods Conducted as an adjunct to the Second Australian National Survey of Psychosis in one catchment area, care co-ordinators completed a structured interview about evidence-based PSIs provided to 33 consumers as part of their community mental health care. Descriptive analyses were conducted. Results Care co-ordinators reported most consumers were provided at least one of the PSIs during the previous year; all were provided at least one non-evidence-based, typically briefer or simpler, alternative. Relapse Prevention Planning using early warning signs was reported as most provided; Family Psychoeducation was the least provided but rated as most helpful. The primary reason for non-provision of PSIs was that they had not been offered, with lack of relevance the most cited explanation. Conclusions PSIs may be more commonly provided than previously reported, if non-evidence-based alternatives are also considered: reasons for not offering evidence-based PSIs require further study. Meaningful guidelines are needed about when and how to offer PSIs in collaborative practice, including briefer or simpler interventions when preferred over more complex interventions.

The Rifa`iyah Jama'ah is one of the Islamic mass organizations in Indonesia founded by Kiai Ahmad Rifa` I who seems to have disappeared from circulation because of the views handed down from the days of the Dutch colonial administration, that this group or teachings were heretical and opposed to more ulama moderate against the Netherlands. The purpose of this article is to find out the movements and teachings of the Raifa`iyah Jama'ah which are considered by some to be radical, and exclusivist organizations, but over time the Rifa`iyah congregation becomes a more lenient fundamentalist organization towards the government as an effort of existence organization to be accepted by the Indonesian people in general and not be considered a radical and heretical organization by the wider community. This research is library research. This study found three main findings that the teachings and political thought of KiaiRifa'i focused on three things: first, the Dutch colonial government was Kafir, and it was haram to be followed because it was oppressing the people. Secondly, the traditional bureaucrats, including the princes and ulemas who collaborated with the Dutch, were Dutch accomplices and they were wicked. Third, the practice of religion must not be mixed with the beliefs of the ancestors, which are considered heretical and polytheistic. Of course, such teachings were considered very dangerous by the Dutch. So on May 15, 1859, he was arrested and then exiled to Ambon, Maluku. Ten years in Ambon, he was moved to Sulawesi until he died in 1869. He was buried in the Kyai Mojo tomb complex, on a hill about one km from Kampung Jawa Tondano, Minahasa, Manado, North Sulawesi.

This study tested a new program for helping smokers with severe mental illness to reduce their tobacco use, together with determining the feasibility of such research in community mental health settings in Australia. Five Neami National sites trialled a Consumer Centred Tobacco Management program called Kick the Habit (n = 34). The intervention included two weeks of free Nicotine Replacement Therapy (patches only) but participants also used a variety of self-funded delivery types in addition or as an alternative to the subsidised nicotine patch. At the 3-month follow-up, Kick the Habit participants had reduced their number of daily cigarettes, dependency levels and average weekly expenditure on tobacco. Although a larger study is required, Kick the Habit represents a promising intervention for tobacco management in community mental health services. The challenges and lessons learnt for scaling up to a larger trial and integration into business-as-usual practice across multiple sites are discussed.