Adolescent Latino Males with Schizophrenia: Mobile Crisis Response

Singer, Jonathan B.

doi:10.1093/brief-treatment/mhi002

Cited by 2 publications

(2 citation statements)

References 44 publications

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“…Although expert consensus guidelines for working with suicidal youth include involving parents in the assessment and crisis plan (Rudd et al 2001), this nascent field in suicide studies has produced little empirical support for either the established engagement strategies reviewed above, or the theoretical constructs described by Staudt (2007). Specifically, there has been almost no research on the process that clinicians in outpatient settings use to engage parents when youth exhibit risk of suicide (Singer 2005).…”

Section: Treatment Engagement For Suicidal Youth and Their Familiesmentioning

confidence: 99%

Engaging parents of suicidal youth in a rural environment

Slovak

Singer

2012

Child & Family Social Work

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Engaging caregivers is an essential component of service for at‐risk youth. Engagement has been described as specific behaviours (e.g. treatment participation) and attitudes (e.g. therapeutic alliance). Although best practices for working with suicidal youth includes involving parents in the assessment and crisis plan, there has been almost no research on the process that clinicians in outpatient settings use to engage parents of youth who exhibit risk for suicide. The purpose of this study was to document how clinicians in outpatient mental‐health settings engaged parents following a youth suicide assessment. Twenty‐four clinicians from the rural Midwestern USA took part in two focus groups to discuss typical interactions with parents following a suicide assessment. Analyses suggested that clinicians' engagement with parents included five major elements: (i) presenting difficult information; (ii) responding to parents' reactions; (iii) joining with parents; (iv) moving the parents towards concrete actions; and (v) addressing rural gun culture. The results are discussed within the context of Staudt's conceptual framework of engagement with caregivers of at‐risk children. Implications for practice and research are discussed.

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Section: Treatment Engagement For Suicidal Youth and Their Familiesmentioning

confidence: 99%

Engaging parents of suicidal youth in a rural environment

Slovak

Singer

2012

Child & Family Social Work

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“… 19. Even those trained in crisis responses specific to mental health are often taught to assess lethality before building trust or establishing rapport with a person in crisis. On the Roberts Seven-Stage Crisis Intervention Model, for example, before asking “How can I help?” or “What are you experiencing?,” responders are required to first ask “Have you had thoughts of hurting yourself/ dying/ killing yourself?” (Singer, 2005). Of course, this is not to underestimate the very real risks of harm to patients or staff that can present at times of mental distress, but merely to acknowledge the order of importance given to the two important tasks of establishing a connection and ensuring safety (Erdos & Hughes, 2001; Fernandes et al, 1999; Nijman et al, 2005).…”

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confidence: 99%

Psychosis and psychedelics: Historical entanglements and contemporary contrasts

Friesen

2022

Transcult Psychiatry

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Experiences of psychedelics and psychosis were deeply entangled in scientific practices in the mid-20th century, from uses of psychedelic drugs that could model psychosis, to detailed phenomenological comparisons of endogenous and drug-induced madness. After the moral panic of the 1960s shut down psychedelic research, however, these two phenomena became disentangled. In the decades following, the science of psychosis transformed, shedding the language of psychoanalysis, and adopting the new scientific veneer of psychiatry. Today, as psychedelic science re-emerges, the research programs surrounding psychosis and psychedelics now stand in stark contrast. Here, I look closely at how these research programs respond to questions related to what is worth measuring, what is worth investigating, and how we ought to respond to these experiences. This comparison reveals radically different assumptions and values that guide each research paradigm and shape clinical practice. While psychedelic research often includes scales that seek to capture experiences of mysticism, meaningfulness, and ego dissolution, research related to psychosis focuses on the measurement of pathological symptoms and functioning. Research into psychosis primarily seeks universal and reductionist causal explanations and interventions, while psychedelic research embraces the importance of set and setting in shaping unique experiences. Responses to psychedelic crisis involve warmth, compassion, and support, while responses to psychotic experiences often involve restraint, seclusion, and weapons. I argue that these differences contain important lessons for psychiatry. However, as psychedelic research struggles to meet regulatory requirements and fit within the paradigm of evidence-based medicine, these differences may quickly dissolve.

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Adolescent Latino Males with Schizophrenia: Mobile Crisis Response

Cited by 2 publications

References 44 publications

Engaging parents of suicidal youth in a rural environment

Engaging parents of suicidal youth in a rural environment

Psychosis and psychedelics: Historical entanglements and contemporary contrasts

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