ABSTRACT
The status of mental health for adolescents and young adults has aptly been termed a "crisis" across research, clinical, and policy quarters. Arguably, the status quo provision of mental health services for adolescents and young adults is neither acceptable nor salvageable in its current form. Instead, only a wholesale policy transformation of mental health sciences can address crises of this scope. Pandemic-related impacts on mental health, particularly among young adults, have clearly exposed the need for the mental healthcare field to develop a set of transformative priorities to achieve long overdue, systemic changes: (1) frequent mental health tracking, (2) increased access to mental health care, (3) working with and within communities, (4) collaboration across disciplines and stakeholders, (5) prevention-focused emphasis, (6) use of dimensional descriptions over categorical pronouncements, and (7) addressing systemic inequities. The pandemic required changes in mental healthcare that can and should be the beginning of long-needed reform, calling upon all mental health care disciplines to embrace innovation and relinquish outdated traditions.
ABSTRACT
To evaluate the psychometric properties of the Italian translation of the Schedule for Nonadaptive and Adaptive Personality-2 (SNAP-2) diagnostic scales, 837 Italian community-dwelling adults and 429 consecutively admitted Italian psychiatric adults were administered the SNAP-2. The 12 SNAP-2 diagnostic scales yielded reliable scores in both community (median ω value = .90) and psychiatric (median ω value = .92) samples. The 6-month temporal stability was adequate for all SNAP-2 diagnostic scales (median test-retest r-value = .84) in a subsample of the community-dwelling adults (n = 97). When we examined the correlations between the SNAP-2 diagnostic scales and the Five-Factor Model Rating Form trait scales among the community-dwelling adults, the double-entry intraclass correlation values (median ICCDE = .94) indicated a marked similarity between our correlation profiles and the correlation profiles that were reported in Samuel and Widiger (2008) meta-analysis. In our psychiatric-adult sample, the SNAP-2 diagnostic scales showed adequate convergent-validity coefficients (median r-value = .61) with criterion measures of DSM-IV axis II/DSM-5 Section II personality disorders (PDs). Finally, relative-weight analysis results showed that selected Personality Inventory for DSM-5 trait-scale scores explained a substantial amount of variance in SNAP-2 antisocial, avoidant, borderline, narcissistic, obsessive-compulsive, and schizotypal PD scale scores (median R 2 value = .55). As a whole, our data suggest that the Italian SNAP-2 diagnostic scales have adequate reliability and construct validity in the Italian culture. (PsycInfo Database Record (c) 2021 APA, all rights reserved).
Subject(s)
Personality Disorders , Psychiatric Status Rating Scales , Adult , Humans , Independent Living , Italy , Personality Disorders/diagnosis , Psychometrics , Reproducibility of Results , TranslationsABSTRACT
COVID-19 presents significant social, economic, and medical challenges. Because COVID-19 has already begun to precipitate huge increases in mental health problems, clinical psychological science must assert a leadership role in guiding a national response to this secondary crisis. In this article, COVID-19 is conceptualized as a unique, compounding, multidimensional stressor that will create a vast need for intervention and necessitate new paradigms for mental health service delivery and training. Urgent challenge areas across developmental periods are discussed, followed by a review of psychological symptoms that likely will increase in prevalence and require innovative solutions in both science and practice. Implications for new research directions, clinical approaches, and policy issues are discussed to highlight the opportunities for clinical psychological science to emerge as an updated, contemporary field capable of addressing the burden of mental illness and distress in the wake of COVID-19 and beyond. (PsycInfo Database Record (c) 2021 APA, all rights reserved).