Publications by authors named "Maji Hailemariam"

Article Synopsis
  • Individuals with serious mental illness (SMI) exiting the criminal justice system struggle more with accessing mental health services compared to those without such a background, prompting the exploration of peer navigation interventions.
  • A qualitative study involving interviews and focus groups with peer navigators and those with SMI revealed that participants found peer navigation services to be both feasible and acceptable for helping with community reentry.
  • Key themes included the role of peers in overcoming care barriers, the positive impact of shared identities in reducing stigma, and essential skills for peer navigators, such as empathy and active listening, along with recommendations for program implementation.
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Background: The primary purpose of this review is to synthesise the effect of strategies aiming to sustain the implementation of evidenced-based interventions (EBIs) targeting key health behaviours associated with chronic disease (i.e. physical inactivity, poor diet, harmful alcohol use, and tobacco smoking) in clinical and community settings.

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Article Synopsis
  • Individuals with serious mental illness (SMI) who encounter the criminal justice system can benefit from targeted mental health interventions, but more research is needed to determine their overall effectiveness.
  • The review identified 13 studies focusing on various intervention types, such as cognitive/behavioral and psychoeducational approaches, with some showing significant mental health improvements, particularly those using interpersonal therapy (IPT).
  • Challenges in evaluating these interventions include the need for larger, randomized studies and the inclusion of non-clinical personnel, emphasizing gaps in the current mental health treatment literature for this population.
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Background: This study describes the trauma experiences of people with severe mental illness (SMI) in Ethiopia and presents a model of how SMI and trauma exposure interact to reduce functioning and quality of life in this setting.

Methods: A total of 53 participants living and working in a rural district in southern Ethiopia were interviewed: 18 people living with SMI, 21 caregivers, and 14 primary health care providers.

Results: Many participants reported that exposure to traumatic and stressful events led to SMI, exacerbated SMI symptoms, and increased caregiver stress and distress.

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Objective: Tens of millions of individuals with mental health problems interact with the U.S. criminal legal system (including 911, police, jail detention and sentences, courts, and probation and parole) each year.

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Sustainability and health inequities are key challenges in public health and healthcare. Research suggests that only about half of evidence-based interventions (EBIs) are sustained over time, and settings and populations experiencing systemic and structural barriers to health (e.g.

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Background: The past two decades have been marked by increased efforts to advance equity in various disciplines, including social sciences, public health, environmental health, and medicine. In 2020, a national movement of municipalities declared racism a public health crisis. These efforts have coincided and likely shaped a growing sphere of federal and philanthropic funding for health equity, which frequently calls for practical interventions toward reducing and ultimately eliminating disparities.

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Background: The national Stepping Up Initiative has attracted over 500 counties interested in reducing the use of jail for individuals with mental health disorders. This paper identifies socioeconomic, criminal legal, and health care factors that predict the likelihood of counties joining Stepping Up.

Results: After performing variable selection, logistic regression models were performed on 3,141 U.

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Background: The primary purpose of this review is to synthesise the effect of strategies aiming to sustain the implementation of evidenced based interventions (EBIs) targeting key health behaviours associated with chronic disease (i.e., physical inactivity, poor diet, harmful alcohol use and tobacco smoking) in clinical and community settings.

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Purpose Of Review: To summarize recent findings in global mental health along several domains including socioeconomic determinants, inequities, funding, and inclusion in global mental health research and practice.

Recent Findings: Mental illness continues to disproportionately impact vulnerable populations and treatment coverage continues to be low globally. Advances in integrating mental health care and adopting task-shifting are accompanied by implementation challenges.

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Background: Intimate Partner Violence (IPV) is a significant public health problem often associated with serious mental health and physical health implications. Substance use disorders (SUDs) are one of the most common comorbidities among women with IPV, increasing risk of subsequent IPV.

Methods: The current study examined the feasibility, acceptability, and preliminary effectiveness of a brief computerized intervention to reduce alcohol and drug use among women with IPV.

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Background: Sustainability science is an emerging area within implementation science. There is limited evidence regarding strategies to best support the continued delivery and sustained impact of evidence-based interventions (EBIs). To build such evidence, clear definitions, and ways to operationalize strategies specific and/or relevant to sustainment are required.

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Background: Having meaning in life promotes happiness and well-being across the lifespan.

Methods: A community-based participatory qualitative study was conducted to understand meaning in life, having a voice and the different ways women give back to their community by serving others. Interviews were held with participants (n = 100) who were community residents, people serving women, or both.

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Article Synopsis
  • Pregnancy and motherhood increase the risk of long-term intimate partner violence (IPV), leading to mental health issues like depression and PTSD among affected women.
  • The study aims to develop and evaluate the MOSAIC Plus intervention, which combines mentor support with interpersonal psychotherapy to improve mental health and reduce IPV risk among pregnant women and mothers with young children.
  • By conducting a pilot trial, the research seeks to assess the feasibility and acceptability of this intervention, with goals including reducing symptoms of depression and PTSD, and ultimately improving the well-being of participants.
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Background: Depression is one of the commonest mental disorders in primary care but is poorly identified. The objective of this review was to determine the level of detection of depression by primary care clinicians and its determinants in studies from low- to middle-income countries (LMICs).

Methods: A systematic review and meta-analysis was conducted using PubMed, PsycINFO, MEDLINE, EMBASE, LILAC, and AJOL with no restriction of year of publication.

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Few studies describe how community disadvantage impacts intergenerational relationships. Using interviews with women and service providers (n = 100), we explored benefits and challenges of intergenerational relationships in Flint, Michigan, an economically vulnerable community. Women valued relationships that increased social connections and generativity; however, few community resources promoted such relationships.

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Background: The criminal justice system is the largest provider of mental health services in the USA. Many jurisdictions are interested in reducing the use of the justice system for mental health problems. The national Stepping Up Initiative helps agencies within counties work together more effectively to reduce the number of individuals with mental illness in jails and to improve access to mental health services in the community.

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Most of the global population live in low-income and middle-income countries (LMICs), which have historically received a small fraction of global resources for mental health. The COVID-19 pandemic has spread rapidly in many of these countries. This Review examines the mental health implications of the COVID-19 pandemic in LMICs in four parts.

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Background: The Flint Women's Study is a large community-based participatory qualitative study designed to create and inform community initiatives to serve Flint-area women by exploring their needs, challenges, hopes, dreams, assets, and thoughts about solutions. This article describes the study goals, processes, and lessons learned.

Methods: We conducted in-depth qualitative interviews with 100 Flint-area women or human service providers serving area women.

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Alcohol use disorder (AUD) is a highly stigmatized condition, often associated with negative stereotypes such as being morally weak, incompetent, unpredictable, and aggressive. People with AUD are at risk of experiencing self-stigma, a social-cognitive experience in which people think others hold negative stereotypes about them, expect to be treated unfairly, and/or believe that negative stereotypes are personally accurate. Women in the criminal justice system with AUD in particular are at risk of experiencing self-stigma due to intersecting sources of disadvantage.

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Background: Serious mental illness (SMI) is a prevalent public health problem affecting 25% of individuals in jail. Re-entry to the community following incarceration is a vulnerable time for justice-involved individuals with SMI. SMI requires prompt and ongoing access to mental health and other healthcare services.

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