Immersing Practitioners in the Recovery Model: An Educational Program Evaluation

The ascendance of the recovery movement in mental health care has led to the development and implementation of educational curricula for mental health providers to assist in mental health care system transformation efforts. The Medical College of Georgia (MCG) partnered with the Georgia State Depart...

Ausführliche Beschreibung

Gespeichert in:
Bibliographische Detailangaben
Veröffentlicht in:Community mental health journal 2009-08, Vol.45 (4), p.239-245
Hauptverfasser: Peebles, Scott A., Mabe, P. Alex, Fenley, Gareth, Buckley, Peter F., Bruce, Travis O., Narasimhan, Meera, Frinks, Leslie, Williams, Eric
Format: Artikel
Sprache:eng
Schlagworte:
Online-Zugang:Volltext
Tags: Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
container_end_page 245
container_issue 4
container_start_page 239
container_title Community mental health journal
container_volume 45
creator Peebles, Scott A.
Mabe, P. Alex
Fenley, Gareth
Buckley, Peter F.
Bruce, Travis O.
Narasimhan, Meera
Frinks, Leslie
Williams, Eric
description The ascendance of the recovery movement in mental health care has led to the development and implementation of educational curricula for mental health providers to assist in mental health care system transformation efforts. The Medical College of Georgia (MCG) partnered with the Georgia State Department of Human Resources (DHR) to develop, implement, and evaluate such an educational curriculum for providers within an academic medical institution. This effort, entitled Project GREAT, led to the creation of a curriculum based on the SAMHSA-defined ( 2006 ) critical components of recovery. As an initial evaluation of educational curriculum effectiveness, the authors examined effects of the training program on recovery-based knowledge and recovery-consistent attitudes. We also compared MCG provider knowledge and attitudes to those of a similar group of providers at a neighboring medical institution who did not receive the intervention and training. Findings generally supported the effectiveness of the intervention in increasing providers’ knowledge of recovery and a shift in recovery-supporting attitudes.
doi_str_mv 10.1007/s10597-009-9212-9
format Article
fullrecord <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_67536297</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>1810998941</sourcerecordid><originalsourceid>FETCH-LOGICAL-c496t-5c19b5983682d59716d7969df7479045ea62f282a53390911b84d640dbd6cdbf3</originalsourceid><addsrcrecordid>eNqFkV1rFTEQhoMo9lj9Ad7IItS71Zl87nhXylELFYvodcgm2eOW_ajJbqH_3hzPwYIgXgUmzzuZycPYS4S3CGDeZQRFpgagmjjymh6xDSojam4aesw2AAi1aJQ4Yc9yvgEAhWieshMkpaSUZsOuL8cxptxPu-o6Ob_0Sz9PpVD1U7X8iNXX6Oe7mO6rz3OIw_vqfKq2YfVuj7mhZOZdcmO1vXPD-rv4nD3p3JDji-N5yr5_2H67-FRfffl4eXF-VXtJeqmVR2oVNUI3PJQlUAdDmkJnpCGQKjrNO95wp4QgIMS2kUFLCG3QPrSdOGVvDn1v0_xzjXmxY599HAY3xXnNVhslNCfzX7D8Fwrie_D1X-DNvKayZbacNwKlBlkgPEA-zTmn2Nnb1I8u3VsEu5diD1JskWL3UiyVzKtj47UdY3hIHC0U4OwIuOzd0CU3-T7_4TgSSmp44fiBy-Vq2sX0MOG_X_8FV1aiNQ</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>228314604</pqid></control><display><type>article</type><title>Immersing Practitioners in the Recovery Model: An Educational Program Evaluation</title><source>Applied Social Sciences Index &amp; Abstracts (ASSIA)</source><source>MEDLINE</source><source>Sociological Abstracts</source><source>SpringerLink Journals - AutoHoldings</source><creator>Peebles, Scott A. ; Mabe, P. Alex ; Fenley, Gareth ; Buckley, Peter F. ; Bruce, Travis O. ; Narasimhan, Meera ; Frinks, Leslie ; Williams, Eric</creator><creatorcontrib>Peebles, Scott A. ; Mabe, P. Alex ; Fenley, Gareth ; Buckley, Peter F. ; Bruce, Travis O. ; Narasimhan, Meera ; Frinks, Leslie ; Williams, Eric</creatorcontrib><description>The ascendance of the recovery movement in mental health care has led to the development and implementation of educational curricula for mental health providers to assist in mental health care system transformation efforts. The Medical College of Georgia (MCG) partnered with the Georgia State Department of Human Resources (DHR) to develop, implement, and evaluate such an educational curriculum for providers within an academic medical institution. This effort, entitled Project GREAT, led to the creation of a curriculum based on the SAMHSA-defined ( 2006 ) critical components of recovery. As an initial evaluation of educational curriculum effectiveness, the authors examined effects of the training program on recovery-based knowledge and recovery-consistent attitudes. We also compared MCG provider knowledge and attitudes to those of a similar group of providers at a neighboring medical institution who did not receive the intervention and training. Findings generally supported the effectiveness of the intervention in increasing providers’ knowledge of recovery and a shift in recovery-supporting attitudes.</description><identifier>ISSN: 0010-3853</identifier><identifier>EISSN: 1573-2789</identifier><identifier>DOI: 10.1007/s10597-009-9212-9</identifier><identifier>PMID: 19554447</identifier><identifier>CODEN: CMHJAY</identifier><language>eng</language><publisher>Boston: Springer US</publisher><subject>Attitudes ; Audiences ; Biological and medical sciences ; Collaboration ; Community and Environmental Psychology ; Consumers ; Core curriculum ; Curricula ; Curriculum ; Educational evaluation ; Educational programmes ; Female ; Georgia ; Health education ; Health Knowledge, Attitudes, Practice ; Health services ; Health staff related problems. Vocational training ; Humans ; Intervention ; Male ; Medical personnel ; Medical sciences ; Medicine ; Medicine &amp; Public Health ; Mental disorders ; Mental Disorders - rehabilitation ; Mental health care ; Models, Theoretical ; Original Paper ; Program Evaluation ; Psychiatrists ; Psychiatry ; Psychiatry - education ; Psychologists ; Psychology. Psychoanalysis. Psychiatry ; Psychopathology. Psychiatry ; Recovery ; Skills ; Social psychiatry. Ethnopsychiatry ; Surveys and Questionnaires</subject><ispartof>Community mental health journal, 2009-08, Vol.45 (4), p.239-245</ispartof><rights>Springer Science+Business Media, LLC 2009</rights><rights>2009 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c496t-5c19b5983682d59716d7969df7479045ea62f282a53390911b84d640dbd6cdbf3</citedby><cites>FETCH-LOGICAL-c496t-5c19b5983682d59716d7969df7479045ea62f282a53390911b84d640dbd6cdbf3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s10597-009-9212-9$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s10597-009-9212-9$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,12825,27321,27901,27902,30976,30977,33751,41464,42533,51294</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&amp;idt=21914982$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/19554447$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Peebles, Scott A.</creatorcontrib><creatorcontrib>Mabe, P. Alex</creatorcontrib><creatorcontrib>Fenley, Gareth</creatorcontrib><creatorcontrib>Buckley, Peter F.</creatorcontrib><creatorcontrib>Bruce, Travis O.</creatorcontrib><creatorcontrib>Narasimhan, Meera</creatorcontrib><creatorcontrib>Frinks, Leslie</creatorcontrib><creatorcontrib>Williams, Eric</creatorcontrib><title>Immersing Practitioners in the Recovery Model: An Educational Program Evaluation</title><title>Community mental health journal</title><addtitle>Community Ment Health J</addtitle><addtitle>Community Ment Health J</addtitle><description>The ascendance of the recovery movement in mental health care has led to the development and implementation of educational curricula for mental health providers to assist in mental health care system transformation efforts. The Medical College of Georgia (MCG) partnered with the Georgia State Department of Human Resources (DHR) to develop, implement, and evaluate such an educational curriculum for providers within an academic medical institution. This effort, entitled Project GREAT, led to the creation of a curriculum based on the SAMHSA-defined ( 2006 ) critical components of recovery. As an initial evaluation of educational curriculum effectiveness, the authors examined effects of the training program on recovery-based knowledge and recovery-consistent attitudes. We also compared MCG provider knowledge and attitudes to those of a similar group of providers at a neighboring medical institution who did not receive the intervention and training. Findings generally supported the effectiveness of the intervention in increasing providers’ knowledge of recovery and a shift in recovery-supporting attitudes.</description><subject>Attitudes</subject><subject>Audiences</subject><subject>Biological and medical sciences</subject><subject>Collaboration</subject><subject>Community and Environmental Psychology</subject><subject>Consumers</subject><subject>Core curriculum</subject><subject>Curricula</subject><subject>Curriculum</subject><subject>Educational evaluation</subject><subject>Educational programmes</subject><subject>Female</subject><subject>Georgia</subject><subject>Health education</subject><subject>Health Knowledge, Attitudes, Practice</subject><subject>Health services</subject><subject>Health staff related problems. Vocational training</subject><subject>Humans</subject><subject>Intervention</subject><subject>Male</subject><subject>Medical personnel</subject><subject>Medical sciences</subject><subject>Medicine</subject><subject>Medicine &amp; Public Health</subject><subject>Mental disorders</subject><subject>Mental Disorders - rehabilitation</subject><subject>Mental health care</subject><subject>Models, Theoretical</subject><subject>Original Paper</subject><subject>Program Evaluation</subject><subject>Psychiatrists</subject><subject>Psychiatry</subject><subject>Psychiatry - education</subject><subject>Psychologists</subject><subject>Psychology. Psychoanalysis. Psychiatry</subject><subject>Psychopathology. Psychiatry</subject><subject>Recovery</subject><subject>Skills</subject><subject>Social psychiatry. Ethnopsychiatry</subject><subject>Surveys and Questionnaires</subject><issn>0010-3853</issn><issn>1573-2789</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2009</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>7QJ</sourceid><sourceid>8G5</sourceid><sourceid>BENPR</sourceid><sourceid>BHHNA</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNqFkV1rFTEQhoMo9lj9Ad7IItS71Zl87nhXylELFYvodcgm2eOW_ajJbqH_3hzPwYIgXgUmzzuZycPYS4S3CGDeZQRFpgagmjjymh6xDSojam4aesw2AAi1aJQ4Yc9yvgEAhWieshMkpaSUZsOuL8cxptxPu-o6Ob_0Sz9PpVD1U7X8iNXX6Oe7mO6rz3OIw_vqfKq2YfVuj7mhZOZdcmO1vXPD-rv4nD3p3JDji-N5yr5_2H67-FRfffl4eXF-VXtJeqmVR2oVNUI3PJQlUAdDmkJnpCGQKjrNO95wp4QgIMS2kUFLCG3QPrSdOGVvDn1v0_xzjXmxY599HAY3xXnNVhslNCfzX7D8Fwrie_D1X-DNvKayZbacNwKlBlkgPEA-zTmn2Nnb1I8u3VsEu5diD1JskWL3UiyVzKtj47UdY3hIHC0U4OwIuOzd0CU3-T7_4TgSSmp44fiBy-Vq2sX0MOG_X_8FV1aiNQ</recordid><startdate>20090801</startdate><enddate>20090801</enddate><creator>Peebles, Scott A.</creator><creator>Mabe, P. Alex</creator><creator>Fenley, Gareth</creator><creator>Buckley, Peter F.</creator><creator>Bruce, Travis O.</creator><creator>Narasimhan, Meera</creator><creator>Frinks, Leslie</creator><creator>Williams, Eric</creator><general>Springer US</general><general>Springer</general><general>Springer Nature B.V</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>0-V</scope><scope>3V.</scope><scope>7QJ</scope><scope>7RV</scope><scope>7U3</scope><scope>7WY</scope><scope>7WZ</scope><scope>7X7</scope><scope>7XB</scope><scope>87Z</scope><scope>88E</scope><scope>88G</scope><scope>88J</scope><scope>8AO</scope><scope>8C1</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8FL</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>ALSLI</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>BEZIV</scope><scope>BHHNA</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FRNLG</scope><scope>FYUFA</scope><scope>F~G</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>HEHIP</scope><scope>K60</scope><scope>K6~</scope><scope>K9-</scope><scope>K9.</scope><scope>KB0</scope><scope>L.-</scope><scope>M0C</scope><scope>M0R</scope><scope>M0S</scope><scope>M1P</scope><scope>M2M</scope><scope>M2O</scope><scope>M2R</scope><scope>M2S</scope><scope>MBDVC</scope><scope>NAPCQ</scope><scope>PQBIZ</scope><scope>PQBZA</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PSYQQ</scope><scope>Q9U</scope><scope>7X8</scope></search><sort><creationdate>20090801</creationdate><title>Immersing Practitioners in the Recovery Model: An Educational Program Evaluation</title><author>Peebles, Scott A. ; Mabe, P. Alex ; Fenley, Gareth ; Buckley, Peter F. ; Bruce, Travis O. ; Narasimhan, Meera ; Frinks, Leslie ; Williams, Eric</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c496t-5c19b5983682d59716d7969df7479045ea62f282a53390911b84d640dbd6cdbf3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2009</creationdate><topic>Attitudes</topic><topic>Audiences</topic><topic>Biological and medical sciences</topic><topic>Collaboration</topic><topic>Community and Environmental Psychology</topic><topic>Consumers</topic><topic>Core curriculum</topic><topic>Curricula</topic><topic>Curriculum</topic><topic>Educational evaluation</topic><topic>Educational programmes</topic><topic>Female</topic><topic>Georgia</topic><topic>Health education</topic><topic>Health Knowledge, Attitudes, Practice</topic><topic>Health services</topic><topic>Health staff related problems. Vocational training</topic><topic>Humans</topic><topic>Intervention</topic><topic>Male</topic><topic>Medical personnel</topic><topic>Medical sciences</topic><topic>Medicine</topic><topic>Medicine &amp; Public Health</topic><topic>Mental disorders</topic><topic>Mental Disorders - rehabilitation</topic><topic>Mental health care</topic><topic>Models, Theoretical</topic><topic>Original Paper</topic><topic>Program Evaluation</topic><topic>Psychiatrists</topic><topic>Psychiatry</topic><topic>Psychiatry - education</topic><topic>Psychologists</topic><topic>Psychology. Psychoanalysis. Psychiatry</topic><topic>Psychopathology. Psychiatry</topic><topic>Recovery</topic><topic>Skills</topic><topic>Social psychiatry. Ethnopsychiatry</topic><topic>Surveys and Questionnaires</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Peebles, Scott A.</creatorcontrib><creatorcontrib>Mabe, P. Alex</creatorcontrib><creatorcontrib>Fenley, Gareth</creatorcontrib><creatorcontrib>Buckley, Peter F.</creatorcontrib><creatorcontrib>Bruce, Travis O.</creatorcontrib><creatorcontrib>Narasimhan, Meera</creatorcontrib><creatorcontrib>Frinks, Leslie</creatorcontrib><creatorcontrib>Williams, Eric</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Social Sciences Premium Collection</collection><collection>ProQuest Central (Corporate)</collection><collection>Applied Social Sciences Index &amp; Abstracts (ASSIA)</collection><collection>Nursing &amp; Allied Health Database</collection><collection>Social Services Abstracts</collection><collection>ABI/INFORM Collection</collection><collection>ABI/INFORM Global (PDF only)</collection><collection>Health &amp; Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>ABI/INFORM Global (Alumni Edition)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Psychology Database (Alumni)</collection><collection>Social Science Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Public Health Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ABI/INFORM Collection (Alumni Edition)</collection><collection>Research Library (Alumni Edition)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>Social Science Premium Collection</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>Business Premium Collection</collection><collection>Sociological Abstracts</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Business Premium Collection (Alumni)</collection><collection>Health Research Premium Collection</collection><collection>ABI/INFORM Global (Corporate)</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>Sociology Collection</collection><collection>ProQuest Business Collection (Alumni Edition)</collection><collection>ProQuest Business Collection</collection><collection>Consumer Health Database (Alumni Edition)</collection><collection>ProQuest Health &amp; Medical Complete (Alumni)</collection><collection>Nursing &amp; Allied Health Database (Alumni Edition)</collection><collection>ABI/INFORM Professional Advanced</collection><collection>ABI/INFORM Global</collection><collection>Consumer Health Database</collection><collection>Health &amp; Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>ProQuest Psychology</collection><collection>Research Library</collection><collection>Social Science Database</collection><collection>Sociology Database</collection><collection>Research Library (Corporate)</collection><collection>Nursing &amp; Allied Health Premium</collection><collection>ProQuest One Business</collection><collection>ProQuest One Business (Alumni)</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest One Psychology</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><jtitle>Community mental health journal</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Peebles, Scott A.</au><au>Mabe, P. Alex</au><au>Fenley, Gareth</au><au>Buckley, Peter F.</au><au>Bruce, Travis O.</au><au>Narasimhan, Meera</au><au>Frinks, Leslie</au><au>Williams, Eric</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Immersing Practitioners in the Recovery Model: An Educational Program Evaluation</atitle><jtitle>Community mental health journal</jtitle><stitle>Community Ment Health J</stitle><addtitle>Community Ment Health J</addtitle><date>2009-08-01</date><risdate>2009</risdate><volume>45</volume><issue>4</issue><spage>239</spage><epage>245</epage><pages>239-245</pages><issn>0010-3853</issn><eissn>1573-2789</eissn><coden>CMHJAY</coden><abstract>The ascendance of the recovery movement in mental health care has led to the development and implementation of educational curricula for mental health providers to assist in mental health care system transformation efforts. The Medical College of Georgia (MCG) partnered with the Georgia State Department of Human Resources (DHR) to develop, implement, and evaluate such an educational curriculum for providers within an academic medical institution. This effort, entitled Project GREAT, led to the creation of a curriculum based on the SAMHSA-defined ( 2006 ) critical components of recovery. As an initial evaluation of educational curriculum effectiveness, the authors examined effects of the training program on recovery-based knowledge and recovery-consistent attitudes. We also compared MCG provider knowledge and attitudes to those of a similar group of providers at a neighboring medical institution who did not receive the intervention and training. Findings generally supported the effectiveness of the intervention in increasing providers’ knowledge of recovery and a shift in recovery-supporting attitudes.</abstract><cop>Boston</cop><pub>Springer US</pub><pmid>19554447</pmid><doi>10.1007/s10597-009-9212-9</doi><tpages>7</tpages></addata></record>
fulltext fulltext
identifier ISSN: 0010-3853
ispartof Community mental health journal, 2009-08, Vol.45 (4), p.239-245
issn 0010-3853
1573-2789
language eng
recordid cdi_proquest_miscellaneous_67536297
source Applied Social Sciences Index & Abstracts (ASSIA); MEDLINE; Sociological Abstracts; SpringerLink Journals - AutoHoldings
subjects Attitudes
Audiences
Biological and medical sciences
Collaboration
Community and Environmental Psychology
Consumers
Core curriculum
Curricula
Curriculum
Educational evaluation
Educational programmes
Female
Georgia
Health education
Health Knowledge, Attitudes, Practice
Health services
Health staff related problems. Vocational training
Humans
Intervention
Male
Medical personnel
Medical sciences
Medicine
Medicine & Public Health
Mental disorders
Mental Disorders - rehabilitation
Mental health care
Models, Theoretical
Original Paper
Program Evaluation
Psychiatrists
Psychiatry
Psychiatry - education
Psychologists
Psychology. Psychoanalysis. Psychiatry
Psychopathology. Psychiatry
Recovery
Skills
Social psychiatry. Ethnopsychiatry
Surveys and Questionnaires
title Immersing Practitioners in the Recovery Model: An Educational Program Evaluation
url https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-02-03T21%3A57%3A03IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Immersing%20Practitioners%20in%20the%20Recovery%20Model:%20An%20Educational%20Program%20Evaluation&rft.jtitle=Community%20mental%20health%20journal&rft.au=Peebles,%20Scott%20A.&rft.date=2009-08-01&rft.volume=45&rft.issue=4&rft.spage=239&rft.epage=245&rft.pages=239-245&rft.issn=0010-3853&rft.eissn=1573-2789&rft.coden=CMHJAY&rft_id=info:doi/10.1007/s10597-009-9212-9&rft_dat=%3Cproquest_cross%3E1810998941%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=228314604&rft_id=info:pmid/19554447&rfr_iscdi=true