Child Psychiatry Access Programs (CPAPs) were developed to address the increasing prevalence of pediatric mental and behavioral health issues and the growing workforce shortage of pediatric mental health specialists. This article will discuss the origin of CPAPs, data to support their importance and impact, and the development of Rhode Island's CPAP, The Pediatric Psychiatry Resource Network, or PediPRN. Data is collected for the purposes of evaluation and quality improvement. Seventy-four percent of the pediatric-serving primary care practices in Rhode Island have utilized PediPRN. PediPRN has provided 3,173 consultations to 465 professionals and has trained over 80 PPCPs with overall high satisfaction. Program sustainability and expansion are important future considerations.

In 2021, the U.S. Surgeon General issued an advisory on youth mental health, stating that the challenges that youth are facing are unprecedented, hard to navigate, and significantly impacting their mental health.1 Through statewide quality improvement and collaborative learning models, the Care Transformation Collaborative of Rhode Island (CTC-RI) and PCMH-Kids have implemented innovative, pediatric integrated behavioral health (IBH) models to support pediatric medical homes in addressing youth mental health needs, reduce stigma, increase access, and improve care coordination. Early efforts focused on a traditional IBH model and practices were financially responsible for the IBH clinician; despite clinical successes, smaller practices could not sustain the model financially, so CTC-RI shifted its focus to an innovative model that removed financial risk from the practice. More recently, CTC-RI has launched initiatives to expand the pediatric team's capacity to manage the behavioral health needs of its patients and families by providing specialty skill building (e.g., sleep, anxiety, autism), and by adding community health workers to IBH teams. Results from these initiatives indicate that pediatric IBH models are an effective and essential element of advanced primary care.

Dementia is a leading health policy challenge, with cases expected to triple by 2050, particularly in low- and middle-income countries. Epidemiological evidence demonstrates falling age-specific incidence rates in high-income countries, suggesting risk can be lowered at the population level.The Population-Level Approaches to Dementia Risk Reduction (PLADRR) Research Group is a diverse, international network of researchers committed to investigating how structural, social, and environmental conditions can promote life course brain health and reduce dementia risk across the population.This Policy Forum article sets out the guiding principles of our approach, the building blocks required, our research priorities, and how PLADRR research can inform and translate into policy changes.

Mental health disorders are on the rise globally, with policies promoting programmes that aim to enhance mental wellbeing across various population domains. This scoping review aims to examine the literature to identify and map the mental health programmes in Singapore, while identifying critical knowledge gaps and scope for future systematic reviews. A systematic search was conducted across multiple databases including Medline, PsycINFO, CINAHL, OpenGrey and ProQuest, complemented by hand and bibliography searches. Articles published from 2000 onwards in English language were included. Independent parallel reviews were conducted by multiple reviewer pairs. Data was extracted into standardised, pre-piloted templates that incorporated the Template for Intervention Description and Replication (TIDieR) checklist. One hundred and six studies were included in the review, demonstrating diverse programmes targeting different age groups, with particular focus on older adults in hospital and community settings. The programmes addressed mental health outcomes in individuals with mental disorders, physical conditions, neurodevelopmental and learning disabilities, and among healthy individuals. Implemented by trained care teams or multidisciplinary professionals, these programmes generally showed positive outcomes. However, significant gaps were identified in the literature regarding user experiences, with minimal focus on implementation barriers and enablers. Notably, there was limited evidence of successful community-level implementation beyond the experimental phase, raising questions about programme sustainability and real-world effectiveness. Critical gaps were also identified in youth-specific suicide prevention programmes, despite suicide being a leading cause of death among youths, and programmes targeting the impact of built environment on mental health outcomes and workplace wellbeing. These areas represent important opportunities for future research and intervention development in Singapore's mental health landscape. Singapore has developed an active research network over the past decade to design and implement programmes aimed at improving mental health across different populations and settings. However, stronger collaborative approaches between academics and policymakers are needed to better utilise research findings and understand which programmes add value to the public health domain. Future research should focus on implementation science, long-term sustainability, and cost-effectiveness of these programmes in real-world settings.

People seeking asylum (PSA) often experience complex health needs and barriers to healthcare access, yet no "gold-standard" framework for healthcare delivery exists. From July 2021 to March 2023, the 'Respond' service provided community-based holistic health assessments for PSA in temporary accommodation in North-Central London. This paper aims to describe the experience of the Respond pilot by analysing routinely collected retrospective clinical data and semi-structured interviews with service-users and key stakeholders. 86.2% of those eligible (1497/1736) attended the appointment. The majority of service-users were adults travelling alone (75.1%; 1125/1497) and male (75.9%; 1136/1497), with median age 28 years (IQR 23-36). Thirteen percent were children within 116 family units. Most common countries of origin were Iran (24%, 344/1497), Iraq (11.7%, 168/1497), and Afghanistan (9.5%, 136/1497). At least one health need was identified in 83.2% (1246/1497), of which 19.7% (201/1020) were acute health concerns. Half of all adults (52.6%, 634/1206) and 24.0% of children (29/121) had at least one asymptomatic infection. Mental health concerns were reported by 55.9% (669/1197) of adults. Developmental, behavioural or emotional concerns were raised by parents for 17.2% (26/151) of children. Safety concerns were reported by 14.6% (17/116) of families and 7.9% (94/1184) of adults. Service-users and stakeholders reported a positive experience of the holistic approach. Safety and rapport with staff were identified as key to disclosure of sensitive topics. Challenges were highlighted in provision of care for this population and the importance of cross-sectoral collaboration. We demonstrate high rates of engagement and acceptability of a bespoke, holistic healthcare service for PSA. We identified significant physical and mental health needs, and frequent asymptomatic infection in our population. Proactive assessment, by appropriately trained staff within dedicated, funded services is vital to address health needs and inequalities for this vulnerable population.

Parent training interventions effectively reduce disruptive behavior in children. However, research on how participant characteristics and program factors influence the outcomes in real-world settings remains scarce.

This study aimed to identify factors predicting outcomes of the internet-based, telephone-assisted Strongest Families Parent training program.

A prospective cohort implementation study conducted within population-based screening embedded in routine health checkups targeting all children aged 4 years in Finland, to identify children with high levels of conduct problems and functional impairment. From a study population of 49,504, altogether 3911 participants completed baseline measures, 707 participants did not do so at 6 months follow-up, resulting in a sample of 3204 (1158/3186, 36.3% girl, 2028/3186, 63.7% boys). Reported duration of difficulties was 6 months in 29.57% (934/3159) of participants, 6-12 months in 27% (853/3159) of participants, and >12 months in 43.43% (1372/3159) of participants. Most children lived with 2 biological parents (2721/3194, 85.19%). A total of 35.24% (1121/3181) of mothers and 26.18% (797/3044) of fathers had a university degree. Data was collected via parent report. Multinomial logistic regression analyses were conducted to identify which child-, family-, and program-related factors predicted changes in the Child Behavior Checklist 1.5-5 (CBCL) externalizing subscale from baseline to 6-month follow-up. The standardized change in CBCL externalizing score was created by subtracting the mean at baseline from the individual 6-month measurement, divided by the SD at baseline. The standardized change was categorized to ±0.5 SD (no change); +0.5 to +1.5 SD (moderate improvement), >+1.5 SD (large improvement), and more than -0.5 SD (deterioration). A P value of <.05 was considered significant.

In 77% (2468/3204) of participants, symptoms improved at 6-month follow-up. Multinomial logistic regression analyses with α-level of <0.05 showed that >12 months duration of initial problems, callous-unemotional traits, and CBCL internalizing symptoms were linked to lower likelihood of large improvement (odds ratio [OR] 0.43, 95% CI 0.33-0.56; P<.001; OR 0.64, 95% CI 0.57-0.73; P<.001; OR 0.54, 95% CI 0.47-0.63; P<.001, respectively). Definite and severe problems at baseline were linked to deterioration (OR 2.29, 95% CI 1.62-3.24; P<.001; OR 4.38, 95% CI 2.80-6.85; P<.001, respectively). Parental stress was linked to a lower likelihood of large improvement (OR 0.78, 95% CI 0.67-0.91; P=.002), and anxiety to a higher likelihood of deterioration (OR 1.20, 95% CI 1.04-1.39; P=.02).

Children with longer-term and more severe behavioral symptoms may require tailored intervention. Support for parents with stress may be recommended. Much of the current literature on parent training is based on randomized controlled trials, while the literature on the implementation of parenting programs and studies examining change is limited. Our study informs about predictors of treatment outcomes when interventions are implemented. These results are important clinically as they allow personalization of interventions.

Psychological intimate partner violence (IPV) affects individuals across diverse sexual identities and is often reinforced by romantic myths. Despite its substantial mental health consequences, psychological IPV remains under-recognized and insufficiently researched. One barrier is the scarcity of brief, inclusive, and psychometrically sound tools for assessing psychological IPV across varied populations. To address this gap, the present study aimed to validate the short form of the Turkish version of the Multidimensional Measure of Emotional Abuse (MMEA-TR). This 16-item scale evaluates four subdimensions of psychological IPV (Restrictive Engulfment, Denigration, Hostile Withdrawal, and Dominance/Intimidation) while preserving the original multidimensional framework. Data were collected from four independent samples in Türkiye: Bisexual individuals (n = 230, M = 22.88, SD = 4.49), predominantly heterosexual women (n = 237, M = 24.30, SD = 2.51), lesbian and bisexual women (n = 178, M = 29.06, SD = 7.81), and predominantly heterosexual men (n = 160, M = 24.49, SD = 2.54). Confirmatory factor analyses across samples supported the hypothesized four-factor model and demonstrated acceptable fit indices. Subscales showed significant intercorrelations and concurrent validity was supported by theoretically consistent associations with jealousy (Study 1), anxious attachment (Study 2), internalized heterosexism (Study 3), and fragile masculinity (Study 4). Internal consistency reliability ranged from acceptable to high across groups. Overall, findings provide initial evidence for the construct validity, concurrent validity, and reliability of the MMEA-TR short form. This study contributes a brief, inclusive, and psychometrically robust instrument for assessing psychological IPV in both heterosexual and sexual minority populations.

Although increasing evidence links internet addiction (IA) with depressive symptoms in adolescents, the temporal dynamics between specific symptoms, especially across developmental stages and genders, remains insufficiently understood. This study aimed to examine the dynamic longitudinal relations between IA and depression at the symptom level and to characterize how these relations evolve from mid- to late-adolescence. A total of 2,864 Chinese adolescents (49.2% males; aged 12-18 years) participated in this study. Depressive symptoms and IA were assessed using the Center for Epidemiologic Studies-Depression (CES-D) scale and the 8-item Internet Addiction Diagnostic Questionnaire (IAD-DQ-8) scale at two time points. Cross-lagged panel network (CLPN) analysis was conducted to examine longitudinal symptom-to-symptom relations between IA and depression. Across the overall network, escape use (I8), negative affect (D2), and loss of interest (D3) emerged as key bridge nodes. In mid-adolescence, risking friends or opportunities (I6) negatively predicted depressive symptoms, with unsigned In-BEI concentrated on negative affect (D2) and loss of interest (D3). In late-adolescence, concealment of use (I7) and escape use (I8) formed the most prominent pathways, with In-BEI centered on somatic (D1) and interpersonal difficulties (D4). Males showed greater sensitivity to somatic (D1), preoccupation (I1), and escape use (I8), whereas females were more sensitive to interpersonal difficulties (D4), irritability (I4), and concealment of use (I7). Symptom-level links between IA and depression differed by developmental stage and gender. Mid-adolescents showed approach-oriented use driven by reward and mood regulation, suggesting structured management of internet use with diversified offline activities. Late adolescents exhibited escape-driven, distress-regulating use, calling for interventions that address stress sources rather than impose blanket restrictions. For males, enhancing self-control and preventing overuse are key, whereas for females, strengthening real-life interpersonal ties is crucial.

U.S. Veterans are at elevated risk for suicide, and suicide prevention is a top clinical priority of the Department of Veterans Affairs (VA). Problem-Solving Therapy for Suicide Prevention (PST-SP) is an evidence-based practice offered in the VA's national Suicide Prevention (SP 2.0) Clinical Telehealth Program, through a fully virtual model. This paper presents clinical outcomes from this program. PST-SP was delivered to 3754 VA-enrolled Veterans with suicidal self-directed violent behaviors in the past year, and 2269 completed a full course of PST-SP. Veterans completed a median of 7 and mode of 6 sessions of PST-SP. Suicide-related coping, suicide-relevant cognitions, negative problem-solving beliefs, and depressive symptoms significantly improved throughout treatment. Results indicated that providing PST-SP treatment via telehealth is feasible and acceptable to Veterans enrolled in VA with a recent history of suicidal self-directed violence behaviors. Veterans demonstrated clinical improvement in suicide and mental health-related outcomes with PST-SP treatment.

Alzheimer's disease (AD) and mild cognitive impairment (MCI) are major public health concerns, requiring accurate and scalable diagnostic tools. The digital clock drawing test (dCDT) captures drawing data and enables extraction of process-related features that may improve diagnostic performance. However, existing evidence remains inconsistent, highlighting the need for a systematic synthesis to support its clinical translation. We searched Web of Science, Embase, PubMed, PsycINFO, IEEE Xplore, CNKI, and Wanfang from inception to January 8, 2026. A bivariate mixed-effects model was used to pool sensitivity and specificity. A total of 13 studies comprising 17 diagnostic tests were included, and risk of bias was notable across studies. For MCI, the standalone dCDT showed pooled sensitivity of 0.765 (95% CI: 0.683-0.832), specificity of 0.752 (95% CI: 0.673-0.817), and pooled area under the summary receiver operating characteristic curve (AUC) of 0.825 (95% CI: 0.790-0.856). When both standalone and augmented dCDT tests were considered for MCI, the pooled sensitivity and specificity were 0.760 and 0.800, respectively, and the pooled AUC increased to 0.845. For AD, the pooled sensitivity, specificity, and AUC of dCDT were 0.820 (95% CI: 0.721-0.889), 0.897 (95% CI: 0.860-0.923), and 0.928 (95% CI: 0.902-0.948), respectively. Exploratory subgroup analyses of standalone dCDT for MCI suggested diagnostic performance appeared higher in studies employing algorithm-based approaches than in those using traditional-scoring approaches. Overall, the available evidence supports dCDT as a promising digital screening tool for cognitive impairment. Further multicenter studies and standardized protocols are needed to enhance its role in early diagnostic and clinical practice.