Abstract:Helping professionals' religious and spiritual beliefs and practices have been reported as important components in the consideration of clients' religion/spirituality (RS) in mental and behavioral health treatment. However, no study to date has simultaneously examined and compared five helping professions' RS beliefs and practices, including psychologists, social workers, counselors, nurses, and marriage and family therapists. The current study is a secondary analysis of 536 licensed helping professionals in Texas to answer the following questions: (1) What levels of intrinsic religiosity and frequency of religious activities exist across these five professions, and how do they compare?; (2) To what extent do these five professions consider themselves religious or spiritual, and how do they compare?; and (3) What are the religious beliefs and practices across these five professions, and how do they compare? Results indicated significant differences across the five professions with regards to their religious affiliation, frequently used RS practices and activities, degree to which each profession self-identifies as spiritual, as well as intrinsic religiosity. A general comparison between helping professionals' responses with the general population's RS is also discussed. Implications based on these findings, as well as recommendations for future studies are included, particularly given the recent movement toward transdisciplinary clinical practice.

Young adulthood (18 -25 years old) is a period in which the onset of mental illnesses peaks. For young adults with serious mental illness and histories of adversity, access to appropriate, culturally sensitive care is critical. Religion and spirituality (RS) are interwoven into many individuals' culture and are increasingly recognized as important constructs worth considering in the assessment and treatment of mental illness. This study examined data from a qualitative study of 55 young adults with serious mental illness who had used crisis emergency services to explore (a) how vulnerable young adults in psychiatric crisis talk about RS and (b) how religion/spirituality emerge in the narratives of their experiences, understanding and management of their mental health problems. Thirty-four of the 55 youth described RS organically within their interview. Across these interviews, four themes emerged: positive RS coping, negative RS coping, relationship with God, and implications for RS and mental health. Further, RS was described as a very complex topic for this sample, suggesting training is necessary for mental health care providers to appropriately assess and integrate this area of young adults' lives. Implications and considerations for future studies are discussed.

Over the last several years, there has been a growing interest in clients’ views toward integrating their religion and spirituality (RS) into mental health treatment. However, most of these studies have been limited to small samples and specific populations, regions, and/or clinical issues. This article describes the first national survey of current mental health clients across the US regarding their attitudes towards integrating their RS in treatment using a revised version of the Religious/Spiritually Integrated Practice Assessment Scale-Client Attitudes, version 2 (RSIPAS-CAv2) with a sample of 989 clients. Our findings indicate mental health clients have overwhelmingly positive attitudes regarding integrating their RS into mental health treatment. Additionally, we explored what background characteristics predict clients’ attitudes toward this area of practice and found the top predictor was their intrinsic religiosity, followed by whether they had previously discussed RS with their current provider, age, gender, organized and non-organized religious activities, belief in God/Higher Power, and frequency of seeing their mental health provider. The reliability and validity of the RSIPAS-CAv2 was also explored and this scale is recommended for future use. Implications and recommendations for practice, research, and future training efforts are discussed.

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Despite a growing interest in the relationship between religion and spirituality (RS) and mental health across helping professions, less is known about clients’ perceived relevance of these areas. This article describes the development and validation of the Relevance of Religion and Spirituality to Mental Health (RRSMH) scale, and responses to the first national survey of clients’ perceived relevance of RS to mental health. Specifically, a sample of 989 U.S. adults who saw a mental health care provider in the last month responded to an online survey that included 27 new items to measure clients’ perceptions of the relevance of RS to mental health, both positive and negative. A confirmatory factor analysis revealed that the sample’s data had an adequate fit to the final 12-item model, and the instrument’s overall reliability was very good (α = .96). Descriptive analyses indicated that clients view RS as both supportive and relevant to their mental health. The RRSMH scale may be used in mental health research and practice settings. Authors recommend that RS be assessed and included in treatment planning, where appropriate, and addressed in training for mental health professionals.