Dose-Response Effects of MittEcho, a Measurement Feedback System, in an Indicated Mental Health Intervention for Children in Municipal and School Services in Norway
This study evaluates dose-response associations of client feedback using a novel Measurement Feedback System (MFS) within an indicated group intervention. The primary aim was to determine whether the rate of MFS implementation predicts symptom reduction in anxiety and depression among school-aged children. The secondary aim was to assess whether the rate of MFS implementation influences children ’s satisfaction with the group intervention or their dropout rates. Data were collected via a randomized factorial study (clinicaltrials.gov NCT04263558) across 58 primary schools in Norway. Children aged 8 to 12 years (N = 7...
Source: Administration and Policy in Mental Health and Mental Health Services Research - May 29, 2024 Category: Psychiatry Source Type: research

Correction to: Expanding Access to HomeBased Behavioral Health Services for Children in Foster Care
(Source: Administration and Policy in Mental Health and Mental Health Services Research)
Source: Administration and Policy in Mental Health and Mental Health Services Research - May 25, 2024 Category: Psychiatry Source Type: research

Engaging Law Enforcement Employees in Mental Health Help-Seeking: Examining the Utilization of Interactive Screening Program and Motivational Interviewing Techniques
ConclusionThis study demonstrates that the anonymous ISP program can successfully engage employees with high distress levels, including employees with suicidal ideation. Results highlight the importance of customizing ISP counselors ’ responses to be responsive for law enforcement employees. (Source: Administration and Policy in Mental Health and Mental Health Services Research)
Source: Administration and Policy in Mental Health and Mental Health Services Research - May 23, 2024 Category: Psychiatry Source Type: research

Correction to: Motives of Therapists for Using Routine Outcome Monitoring (ROM) and How it is Used by Them in Clinical Practice: Two Qualitative Studies
(Source: Administration and Policy in Mental Health and Mental Health Services Research)
Source: Administration and Policy in Mental Health and Mental Health Services Research - May 16, 2024 Category: Psychiatry Source Type: research

Using Progress Feedback to Enhance Treatment Outcomes: A Narrative Review
AbstractWe face increasing demand for greater access to effective routine mental health services, including telehealth. However, treatment outcomes in routine clinical practice are only about half the size of those reported in controlled trials. Progress feedback, defined as the ongoing monitoring of patients ’ treatment response with standardized measures, is an evidence-based practice that continues to be under-utilized in routine care. The aim of the current review is to provide a summary of the current evidence base for the use of progress feedback, its mechanisms of action and considerations for s uccessful implemen...
Source: Administration and Policy in Mental Health and Mental Health Services Research - May 11, 2024 Category: Psychiatry Source Type: research

Effect of Psychosocial Interventions on Children and Youth Emotion Regulation: A Meta-Analysis
AbstractTo investigate the effect of psychosocial interventions on emotion regulation outcomes in children and youth (0 –23 years). We conducted a meta-analysis using a three-level modeling approach extracting multiple effect-sizes from experimental and quasi-experimental studies. We included 40 interventions from 35 publications involving 3,891 participants and extracted 258 posttreatment effect sizes. Analyses w ere performed to assess intervention effects on emotion regulation, moderating effects of inclusion of acceptance focus and other potential moderators. Additionally, we examined intervention effects on mental ...
Source: Administration and Policy in Mental Health and Mental Health Services Research - May 8, 2024 Category: Psychiatry Source Type: research

Correction to: Heterogeneity in Unmet Treatment Need and Barriers to Accessing Mental Health Services Among U.S. Military Service Members with Serious Psychological Distress
(Source: Administration and Policy in Mental Health and Mental Health Services Research)
Source: Administration and Policy in Mental Health and Mental Health Services Research - May 4, 2024 Category: Psychiatry Source Type: research

Critical Gaps in Assisted Outpatient Treatment Research in the United States
AbstractIn 2023, the White House included the implementation and improvement of assisted outpatient treatment in a list of under-researched strategies to support recovery and long-term treatment engagement for people with serious mental illness. Assisted outpatient treatment is a community-based, court-ordered, mental health treatment program for a subset of individuals with serious mental illness who have a history of difficulty adhering to treatment and staying well while living in the community. There is research supporting the use of assisted outpatient treatment for this specific population, however, the majority focu...
Source: Administration and Policy in Mental Health and Mental Health Services Research - April 30, 2024 Category: Psychiatry Source Type: research

Managers ’ Micro-Communities Matter: The Impact of Clinical Supervision Team on Therapist Perception of the Organization
AbstractPositive organizational climate — employee perceptions of their work environment and the impact of this environment on well-being and functioning — is associated with desirable organizational and client-level outcomes in mental health organizations. Clinical supervisors are well-positioned to impact organizational climate, as they serve as intermediaries between higher-level administrators who drive the policies and procedures and the therapists impacted by such decisions. This cross-sectional study examined the role of clinical supervisors as drivers of therapist perceptions of organizational climate within su...
Source: Administration and Policy in Mental Health and Mental Health Services Research - April 27, 2024 Category: Psychiatry Source Type: research

Implementing a Treatment for People with Serious Mental Illness in Jail: A Mixed-Methods Study of Stakeholder Perspectives on Feasibility and Acceptability
AbstractPeople with mental illness are over-represented in the U.S. criminal legal system. Jail presents an optimal opportunity to provide needed mental health care as the entry point to corrections. However, there is a lack of programming available in jails, which may be partly due to limited understanding of how to successfully implement interventions in this complex setting. We implemented a nine-session psychotherapeutic intervention for people with serious mental illness in a county jail. As part of a larger implementation-effectiveness hybrid study, we gathered mixed-methods data from stakeholders (treatment recipien...
Source: Administration and Policy in Mental Health and Mental Health Services Research - April 25, 2024 Category: Psychiatry Source Type: research

Data-Informed Communication: How Measurement-Based Care Can Optimize Child Psychotherapy
AbstractMeasurement-based care (MBC) research and practice, including clinical workflows and systems to support MBC, are grounded in adult-serving mental health systems. MBC research evidence is building in child and adolescent services, but MBC practice is inherently more complex due to identified client age, the family system and the need to involve multiple reporters. This paper seeks to address a gap in the literature by providing practical guidance for youth-serving clinicians implementing MBC with children and their families. We focus on MBC as a data-informed, client-centered communication process, and present three...
Source: Administration and Policy in Mental Health and Mental Health Services Research - April 25, 2024 Category: Psychiatry Source Type: research

The Content of Usual Clinical Care for Youth with Primary Anxiety Problems
In conclusion, clinicians in both usual care samples used a wide range of techniques from several theory-based domains at a low to medium dose. However, the type and dosage of the techniques used did va ry across the two samples. (Source: Administration and Policy in Mental Health and Mental Health Services Research)
Source: Administration and Policy in Mental Health and Mental Health Services Research - April 18, 2024 Category: Psychiatry Source Type: research

Impact of the Pandemic was Minor Compared to Systemic Decrease in Fidelity of Assertive Community Treatment Services- A Provincial Study in Ontario, Canada
AbstractAssertive Community Treatment (ACT) model is the gold standard in community psychiatry serving people with severe mental illness. With its outreach-based design, the pandemic has profoundly affected the operations and functioning of ACT. The Dartmouth ACT Scale (DACTS) provides a standardized comprehensive and quantitative way to evaluate ACT quality. Results could inform nature of impact and identify areas for improvement. Current online survey used DACTS during the pandemic in April-May 2021. Clinical and administrative leadership of the 80 ACT teams in Ontario, Canada cross-sectionally rated ACT quality one-year...
Source: Administration and Policy in Mental Health and Mental Health Services Research - April 16, 2024 Category: Psychiatry Source Type: research

The Promise and Challenges of Practice-Oriented Research: A Commentary on the Special Issue
AbstractAt the centre of POR is the concept of collaboration between patients, therapists, agencies, and third-party payers. For this commentary, I review the articles of the special issue with attention to both the opportunities and challenges offered by practice-oriented research (POR).  I also reviewed some previous research on practice-research networks and how that research might inform POR. The use of routine outcome monitoring (ROM), artificial intelligence (AI), and program evaluation (PE) models show promise for advancing POR. However, each comes with its challenges. The us e of ROM to improve patient outcomes ha...
Source: Administration and Policy in Mental Health and Mental Health Services Research - April 10, 2024 Category: Psychiatry Source Type: research

Motives of Therapists for Using Routine Outcome Monitoring (ROM) and How it is Used by Them in Clinical Practice: Two Qualitative Studies
In conclusion, it is crucial that training and education be provided to therapists on how to use progress feedback effectively. Having regular discussions about progress feedback during peer consultations could also facilitate its integration into clinical practice. (Source: Administration and Policy in Mental Health and Mental Health Services Research)
Source: Administration and Policy in Mental Health and Mental Health Services Research - April 8, 2024 Category: Psychiatry Source Type: research