Evidence map›Paper›PMID 31154551›Full record

ArticleThe Psychiatric quarterly2019

Unmet Needs of People with Serious Mental Illness: Perspectives from Certified Peer Specialists.

Karen L Fortuna, Joelle Ferron, Sarah I Pratt, Anjana Muralidharan, Kelly A Aschbrenner, Ashley M Williams, Patricia E Deegan, Mark Salzer

Abstract read
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In one paragraph

Article in The Psychiatric quarterly, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

27 citing papers in PubMed, 1 synthesis or guideline pooled it.

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  14. Estimates of Gaps in Supportive Housing Among Racially and Ethnically Diverse Older Adults with Serious Mental Illness in New York City Boroughs: Manhattan, Bronx, and Brooklyn.The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry · 2023
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Karen L FortunaThe Geisel School of Medicine at Dartmouth College, 2 Pillsbury Street, Suite 401, Concord, NH, 03301, USA. Karen.L.Fortuna@Dartmouth.edu.
Joelle FerronThe Geisel School of Medicine at Dartmouth College, 2 Pillsbury Street, Suite 401, Concord, NH, 03301, USA.
Sarah I PrattThe Geisel School of Medicine at Dartmouth College, 2 Pillsbury Street, Suite 401, Concord, NH, 03301, USA.
Anjana MuralidharanVISN 5 MIRECC Baltimore VA Medical Center Annex, 10 N Greene St, Baltimore, MD, 21201, USA.
Kelly A AschbrennerThe Geisel School of Medicine at Dartmouth College, 2 Pillsbury Street, Suite 401, Concord, NH, 03301, USA.
Ashley M WilliamsUniversity of New Hampshire, 105 Main St, Durham, NH, 03824, USA.
Patricia E DeeganPat Deegan, PhD & Associates LLC, P.O. Box 208, Byfield, MA, 01922, USA.
Mark SalzerTemple University Collaborative on Community Inclusion of Individuals with Psychiatric Disabilities, 1700 N. Broad St., Suite 304, Philadelphia, PA, 19122, USA.

Funding

Training Geriatric Mental Health Services ResearchersT32MH073553 · NIMH · DARTMOUTH-HITCHCOCK CLINIC · PI BRUCE, MARTHA L · 2005 to 2019
$6.4M
Health Promotion and Disease Prevention Research CenterU48DP005018 · DP · DARTMOUTH COLLEGE · PI ADACHI-MEJIA, ANNA MARIA · 2014 to 2018
$5.6M
Peer Support for Exercise in Older Veterans with Psychotic DisordersIK2RX002339 · VA · BALTIMORE VA MEDICAL CENTER · PI MURALIDHARAN, ANJANA · 2017 to 2021
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NCCDPHP CDC HHS U48 DP005018NIMH NIH HHS NIMH T32 MH073553-11RRD VA IK2 RX002339
6 · The paper itself

Abstract

Examine the unmet needs of people with serious mental illness (SMI) from the perspective of certified peer specialists. 267 certified peer specialists from 38 states completed an online survey (female [73%], 50.9 [SD = 12] years, and non-Hispanic White [79.8%]). Many respondents reported a primary mental health diagnoses (n = 200), 22 respondents reported their diagnosis as schizophrenia spectrum disorder (11%), 46 respondents reported bipolar disorder (22.1%), 47 respondents reported major depressive disorder (22.6%), 29 respondents reported post-traumatic stress disorder (13.9%), 27 respondents reported alcohol/substance use disorder (13%), 2 respondents reported personality disorder (1%), and 12 reported "other" (5.8%). A mixed methods convergence analysis integrated quantitative with qualitative data. Social isolation (n = 160, 59.9%) and feeling lonely (n = 159, 59.6%) were the most highly endorsed unmet need, followed by the need to address chronic health conditions (n = 80, 30%), prevent mental health hospitalization (n = 71, 23.6%), and prevent drug use (n = 66, 24.7%). Four themes emerged: need to address basic necessities, loneliness and social isolation, hope, and addiction. Addressing loneliness and social isolation were identified as the primary unmet needs among people with SMI. Addressing co-morbid health conditions may simultaneously impact other unmet needs. Hope is an important intervention target. Initial insights from this study can be used to guide researchers' efforts to incorporate certified peer specialists perspectives in developing programs to meet the needs of people with SMI. Future research using participatory research methods can further examine these initial insights.

Indexed as

Peer GroupFemaleHumansMaleMental DisordersMiddle AgedNeeds AssessmentSpecializationIsolationLonelinessMental illnessPeer support

Identifiers

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.