Perception of Recovery Orientation as a Predictor of Clinician Turnover in Community Mental Health Clinics
This study aimed to examine the relationship between provider perceptions of recovery orientation and 12-month turnover status among community mental health providers. Secondary data analyses were conducted with data collected from 224 community mental health providers from ten organizations across 14 clinic sites participating in a larger effectiveness-implementation trial. Chi square analyses were used to examine between-site variation in 1-year turnover rates among the ten organizations. Logistic regression was used to examine effects of perceptions of recovery orientation along with known predictors of turnover among c...
Source: Administration and Policy in Mental Health and Mental Health Services Research - May 6, 2021 Category: Psychiatry Source Type: research

MFA and ASA-MF: A Psychometric Analysis of Attitudes Towards Measurement-Based Care
This study examines the psychometric properties of the MFA and ASA-MF, including the factor structure, longitudinal invariance, and indicators of validity, in a sample of community mental health clinicians (N  = 164). The measures demonstrate adequate fit to their factor structures across time and predict MBC use as captured in a client’s electronic health record. Given that clinician attitudes are associated with MBC use, using instruments with psychometric support to assess attitudes fills a rese arch to practice gap. (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 3, 2021 Category: Psychiatry Source Type: research

Illustrating the Applicability of IRT to Implementation Science: Examining an Instrument of Therapist Attitudes
AbstractPragmatic instruments with psychometric support are important to advance dissemination and implementation (D&I) research, but few well-researched D&I instruments exist. Item response theory (IRT), an approach that is underutilized in D&I, can help with the development of actionable and brief instruments. This paper provides an overview of IRT for D&I researchers and examines an instrument of therapist attitudes using IRT measurement models. Eight items of the Attitudes Towards Individualized Assessment —Monitoring and Feedback (AIA-MF) Clinical Utility scale were fit to the Graded Response Mod...
Source: Administration and Policy in Mental Health and Mental Health Services Research - April 30, 2021 Category: Psychiatry Source Type: research

A Systematic Review of Mental Health Interventions for ASD: Characterizing Interventions, Intervention Adaptations, and Implementation Outcomes
AbstractYouth with autism spectrum disorder (ASD) have high rates of co-occurring mental health needs that necessitate mental health interventions. Given the unique clinical characteristics of youth with ASD, there have been significant efforts to adapt and test mental health interventions for this population. Yet, characterization of the nature and types of interventions adaptations is limited, especially across the wide range of interventions tested for youth with ASD with a focus on implementation factors. Additionally, understanding how these interventions may be implemented in community services is limited. The aims o...
Source: Administration and Policy in Mental Health and Mental Health Services Research - April 21, 2021 Category: Psychiatry Source Type: research

Geographic Disparities in Access to Specialty Care Programs for Early Psychosis in Washington State
In conclusions, f indings provide important insight into how resource distribution contributes to geographic disparities in access to CSC. The use of spatial analytic techniques has the potential to identify specific neighborhoods and populations where there is a need to expand and increase availability of CSC to ens ure access to rural and socioeconomically deprived neighborhoods. (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 20, 2021 Category: Psychiatry Source Type: research

Perspectives of Parents and Providers on Reasons for Mental Health Readmissions: A Content Analysis Study
The objective of this study was to identify reasons for pediatric mental health readmissions from the perspectives of parents and providers. We performed a retrospective content analysis of surveys administered to parents and providers of patients with a 14-day readmission to an inpatient pediatric psychiatry unit between 5/2017 and 8/2018. Open-ended survey items assessed parent and provider perceptions of readmission reasons. We used deductive coding to categorize survey responses into an a priori coding scheme based on prior research. We used inductive coding to identify and categorize responses that did not fit into th...
Source: Administration and Policy in Mental Health and Mental Health Services Research - April 19, 2021 Category: Psychiatry Source Type: research

The Effect of Intensive Implementation Support on Fidelity for Four Evidence-Based Psychosis Treatments: A Cluster Randomized Trial
ConclusionsIntensive implementation strategies (toolkits, clinical training, implementation facilitation, data-based feedback) over 12  months can facilitate the implementation of EBPs for psychosis treatment. The approach may be more effective for some practices than for others. (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 19, 2021 Category: Psychiatry Source Type: research

The Quality of Six Clinical Practice Guidelines in Health and Social Sciences: Are We on the Right Track?
AbstractInterest in the development and promotion of clinical practice guidelines (CPGs) continues to grow in many professions. However, the potential benefits associated with CPGs are dependent upon their quality. A number of studies have shown that the quality of CPGs varies greatly. Furthermore, the quality of many of the CPGs used in health and social sciences has yet to be examined. In light of this, the aim of this study was to examine the quality of CPGs that focus on intervention and care management in mental health in Quebec. A search of Quebec regulatory bodies websites was conducted and six CPGs were included in...
Source: Administration and Policy in Mental Health and Mental Health Services Research - April 18, 2021 Category: Psychiatry Source Type: research

Partnering for Success: Factors Impacting Implementation of a Cross-Systems Collaborative model Between Behavioral Health and Child Welfare
AbstractCross-system implementation efforts can support needed mental health (MH) service utilization among children involved in the child welfare (CW) system. The Partnering for Success (PfS) initiative is one such effort that promotes greater collaboration between the CW and MH providers by building capacity within and across each system. Frontline CW providers learn to accurately identify child MH treatment targets, link families to locally-provided evidence-based treatments (EBTs), and monitor treatment progress. Concurrently, local MH providers are trained along with CW workers to utilize Cognitive Behavioral Therapy ...
Source: Administration and Policy in Mental Health and Mental Health Services Research - April 16, 2021 Category: Psychiatry Source Type: research

The Bidirectional Relationship Between Debts and Common Mental Disorders: Results of a longitudinal Population-Based Study
This study examines the bidirectional association between debts and common mental disorders (CMDs) in the adult population of the Netherlands. Data were obtained from the second ( ‘baseline’) and third (3-year follow-up) wave of the Netherlands Mental Health Survey and Incidence Study-2, a representative cohort of adults. Questions were asked about debts and difficulty in repaying debts in the past 12 months. The answers were combined into one variable: no debts, easy, d ifficult, and very difficult to pay back debts. Twelve-month CMDs were assessed with the Composite International Diagnostic Interview ver...
Source: Administration and Policy in Mental Health and Mental Health Services Research - April 13, 2021 Category: Psychiatry Source Type: research

A Stakeholder-Engaged Process for Adapting an Evidence-Based Intervention for Posttraumatic Stress Disorder for Peer Delivery
ConclusionOur stakeholder-engaged process may serve as a helpful exemplar to others tailoring interventions for peer delivery. Future research is needed to understand the role of stakeholder engagement and adaptation in implementation success. (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 4, 2021 Category: Psychiatry Source Type: research

COVID-19, Unemployment, and Behavioral Health Conditions: The Need for Supported Employment
AbstractThe COVID-19 pandemic has caused massive unemployment, exacerbated pre-existing behavioral health (mental health and substance use) disorders for many people, and created new disorders for others. Although policy changes have increased health care and unemployment benefits, most people want jobs and self-sufficiency rather than handouts. A robust evidence base shows that supported employment can enable unemployed people with behavioral health conditions to find competitive, integrated employment and behavioral health supports. Millions of U.S. citizens may need these services as the pandemic recedes and jobs become...
Source: Administration and Policy in Mental Health and Mental Health Services Research - March 31, 2021 Category: Psychiatry Source Type: research

Promoting Children's Mental, Emotional, and Behavioral (MEB) Health in All Public Systems, Post-COVID-19
AbstractThe COVID-19 pandemic exacerbates the mental, emotional, and behavioral (MEB) health problems of children and adolescents in the United States (U.S.). Acollective andcoordinated national economic and social reconstruction effort aimed at shoring up services to promote children's MEB, like the Marshall Plan that helped rebuild Europe post-World War II, has been proposed to buttress against the expected retrenchment. The plan prioritizes children's well-being as a social objective. We propose strategically reconstructing the public safety-net systems serving youth, including early education, maternal and child health...
Source: Administration and Policy in Mental Health and Mental Health Services Research - March 22, 2021 Category: Psychiatry Source Type: research

The Organizational Financial Context of Publicly-Funded Mental Health Clinics: Development and Preliminary Psychometric Evaluation of the Agency Financial Status Scales
AbstractFunding is a major barrier to implementation of evidence-based practices (EBPs) in publicly-funded community mental health clinics (CMHCs). Understanding how best to deploy implementation strategies that address this barrier requires greater clarity on the financial context within agencies. We developed the Agency Financial Status Scales (AFSS) to assess employee perceptions of the level of three hypothesized and theoretical funding related constructs in organizations: (a) perceptions of financial health, (b) financial attitudes toward EBPs, and (c) strategic financial climate. This investigation serves as a prelim...
Source: Administration and Policy in Mental Health and Mental Health Services Research - March 19, 2021 Category: Psychiatry Source Type: research

Does the Psychiatrist ’s Use of Subjective Well-Being Measurement in People with Schizophrenia Provide a Better Alignment with the Patient’s Well-Being Perception than Clinical Judgement Alone?
AbstractTo examine the agreement between patient and psychiatrist ratings of subjective well-being in people with schizophrenia using three well-being measurements: Satisfaction with Life, Subjective Happiness, and Subjective Well-being under Neuroleptic Treatment (SWN), including the SWN-subscale, and to investigate whether the psychiatrist ’s judgement or the psychiatrist-rated SWN is better at defining patient well-being. Patients with schizophrenia (n = 150) completed the three well-being measurements, then met psychiatrists, and their well-being was judged as either ‘poor’ or ‘ade...
Source: Administration and Policy in Mental Health and Mental Health Services Research - March 17, 2021 Category: Psychiatry Source Type: research

Making Implementation Last: The Impact of Training Design on the Sustainability of an Evidence-Based Treatment in a Randomized Controlled Trial
AbstractAlthough advances have been made in facilitating the implementation of evidence-based treatments, little is known about the most effective way to sustain their use over time. The current study examined the sustainability of one evidence-based treatment, Parent –Child Interaction Therapy (PCIT), following a statewide implementation trial testing three training methods: Cascading Model, Learning Collaborative, and Distance Education. Participants included 100 clinicians and 50 administrators from 50 organizations across Pennsylvania. Clinicians and admini strators reported on sustainability at 24-months, as mea...
Source: Administration and Policy in Mental Health and Mental Health Services Research - March 17, 2021 Category: Psychiatry Source Type: research

Engaging Parents in Mental Health Services: A Qualitative Study of Community Health Workers ’ Strategies in High Poverty Urban Communities
AbstractEmpirical engagement-promoting strategies in child and family mental health services have been identified largely within the context of clinic-based services delivered by mental health professionals. However, the magnitude of unmet youth mental health need necessitates expanding the scope of mental health services, and the associated engagement strategies, beyond traditional models and service providers. The present study aimed to extend our understanding of engagement strategies to a school-based mental health service model, using a community health worker (CHW) workforce implementing an early intervention program...
Source: Administration and Policy in Mental Health and Mental Health Services Research - March 8, 2021 Category: Psychiatry Source Type: research

Strategies Used to Support Peer Provision in Mental Health: A Scoping Review
AbstractThe employment of peer providers (people who draw on their lived experience of mental health challenges) has grown in conjunction with the increased acceptance of recovery as a key principle in mental health policy and practice. Barriers to the integration of peer providers in mental health services have been well documented. This review addresses an under-explored area by consolidating strategies undertaken by mental health organizations for the successful implementation of peer provision. A scoping review was chosen to facilitate the rapid summary and dissemination of research findings that are relevant to policy...
Source: Administration and Policy in Mental Health and Mental Health Services Research - March 2, 2021 Category: Psychiatry Source Type: research

Computerized Adaptive Testing (CAT) and the Future of Measurement-Based Mental Health 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 - March 2, 2021 Category: Psychiatry Source Type: research

A Portrait of Mental Health Services Utilization and Perceived Barriers to Care in Men and Women Evacuated During the 2016 Fort McMurray Wildfires
This study examines the influence of gender on mental health services utilization and on perceived barriers to treatment one year after the 2016 Fort McMurray wildfires. Data was collected through a phone survey from May to July 2017 (N = 1510). Participants were English-speaking evacuees aged 18 and older. Mental health services utilization and barriers to mental health care were assessed with thePerceived Need for Care questionnaire. Probable diagnoses of posttraumatic stress disorder, depression and insomnia were assessed with validated self-report questionnaires. Multiple logistic regressions confirmed th...
Source: Administration and Policy in Mental Health and Mental Health Services Research - February 28, 2021 Category: Psychiatry Source Type: research

Racial/Ethnic, Sex, Sexual Orientation, and Socioeconomic Disparities in Suicidal Trajectories and Mental Health Treatment Among Adolescents Transitioning to Young Adulthood in the USA: A Population-Based Cohort Study
This study aims to: (1) identify racial/ethnic, sex, sexual orientation, socioeconomic status, and intersectional differences in suicidal trajectories among adolescents transitioning to adulthood; and (2) examine influences of mental health service utilization on disparities in suicidal trajectories. The study included 94 21 respondents (Mage = 14.99 [SD = 1.61]) from Waves I–IV National Longitudinal Study of Adolescent to Adult Health (1994–2008). Latent class growth analyses were used to identify trajectories of suicidal ideation and suicide attempts. Multivariate multinomial logis...
Source: Administration and Policy in Mental Health and Mental Health Services Research - February 24, 2021 Category: Psychiatry Source Type: research

Challenges and Facilitators During Transitions from Adolescent Medium Secure Units to Adult Services in England: Interviews with Mental Healthcare Professionals
This study aims to bridge the gap in the existing literature by exploring the views and experiences of key professionals involved in the transition process from six adolescent medium secure units to nine adult secure and community services in England. Thirty-four key workers from 15 child and adolescent (N = 21) and adult (N = 13) forensic hospitals were interviewed to provide information about potential barriers and facilitators to transitions. Face-to-face semi-structured interviews were conducted between January 2016 and December 2017. Thematic analysis was used to identify challenges and fac...
Source: Administration and Policy in Mental Health and Mental Health Services Research - February 24, 2021 Category: Psychiatry Source Type: research

Provider Perspectives on Implementing Shared Decision Making for PTSD Treatment in VA Primary Care
AbstractShared decision making is an important implementation “pull” strategy for increasing uptake of evidence-based mental health practices. In this qualitative study, we explored provider perspectives on implementing shared decision making at the point of mental health treatment initiation using a publicly available, patient-facing decision support tool for post-traumatic stress disorder (PTSD). We conducted semi-structured interviews with 22 mental health providers (psychiatrists, nurses, psychologists, and social workers) working in one of five VA primary care clinics. Interviewed were analyzed using thema...
Source: Administration and Policy in Mental Health and Mental Health Services Research - February 24, 2021 Category: Psychiatry Source Type: research

Greater Focus on Strengths is Associated with Successful Discharge in Youth Public Mental Health Treatment
AbstractThe positive psychology literature suggests focusing on strengths in mental health treatment improves well-being, reduces symptomology, and is linked to positive outcomes.  However, there is little research on the use of strengths in treatment and their association with outcomes in youth clinical populations. The present study used multi-level modeling to examine the association between the proportional targeting of strengths and treatment outcomes for 1,841 youth ag es 3–19 receiving intensive in-home services through a public mental health system. A greater percentage of targets endorsed during treatme...
Source: Administration and Policy in Mental Health and Mental Health Services Research - February 23, 2021 Category: Psychiatry Source Type: research

Impact of County Sociodemographic Factors and State Policy on Geographic Access to Behavior Analysts Among Children with Autism Spectrum Disorder
AbstractTo examine the relationship between geographic access to Board Certified Behavior Analysts (BCBAs) among children with autism spectrum disorder (ASD) and county sociodemographic factors and state policy, we integrated publicly available data from the U.S. Department of Education ’s Civil Rights Data Collection, Behavior Analyst Certification Board’s certificant registry, and U.S. Census. The study sample included U.S. counties and county equivalents (e.g., parishes, independent cities) in 49 states and D.C. (N = 3040). Using GIS software, we assigned BCBAs to counti es based on their resid...
Source: Administration and Policy in Mental Health and Mental Health Services Research - February 23, 2021 Category: Psychiatry Source Type: research

Psychiatric Emergencies in the Community: Characteristics and Outcome in Switzerland
This study describes psychiatric emergencies in the canton of Zurich, Switzerland, and examines determinants of their outcome. We retrospectively analyzed 620 medical records of consultations class ified as psychiatric emergencies of a 24/7 service of community-based emergency physicians. Information on sociodemographic, clinical and situational factors was extracted. The observation period was 6 months in 2017. Binary logistic regression was used to examine predictors for involuntary admissio ns. Most emergency consultations (64.5%) took place at the patient’s home, followed by police stations (31.0%), public places...
Source: Administration and Policy in Mental Health and Mental Health Services Research - February 20, 2021 Category: Psychiatry Source Type: research

Can We Develop Evidence-Based Guidelines Without Research Expertise?
AbstractThe development and implementation of clinical practice guidelines has flourished over the past two decades. Unfortunately, many studies have found that the quality of such guidelines is highly variable (Alonso-Coello et al. in Qual Safe Health Care 19:e58, 2010; MacQueen et al. in Can J Psychiatry 62:11 –23, 2016); research suggests that some of the guidelines used in psychology have been developed using poor methods for guideline development (Bennett et al. in Depress Anxiety 35:330–340, 2018; Trepanier et al. in: Can Psychol 58: 211–217, 2017). While there remains a dearth of research in th is ...
Source: Administration and Policy in Mental Health and Mental Health Services Research - February 12, 2021 Category: Psychiatry Source Type: research

The Effect of Solution-Oriented Counseling on Coping Strategies in Mental Health Issues in Women with Gestational Diabetes
This study aimed to investigate the effectiveness of solution-oriented intervention in patients with gestational diabetes, stress and anxiety on using coping strategies. This study was a randomized clinical trial with a control group. The population consisted of 56 diabetic women under treatment with insulin, who obtained higher score in one of the psychological disorders using DASS-21 (Depression, anxiety, stress scale). The participants were randomly assigned in two interventional (n  = 28) and control (n = 28) groups after signing the written informed consent forms. The solution-oriented inte...
Source: Administration and Policy in Mental Health and Mental Health Services Research - February 9, 2021 Category: Psychiatry Source Type: research

A Preliminary Investigation of Provider Attitudes Toward a Transdiagnostic Treatment: Outcomes from Training Workshops with the Unified Protocol
AbstractEvidence-based psychological treatments (EBPTs) for common mental health conditions are efficacious but remain underutilized in clinical service settings. Novel  transdiagnostic and modular approaches that treat several disorders simultaneously promise to address common barriers to the dissemination and implementation of traditional EBPTs. Despite the promise that transdiagnostic treatments hold, the claims that these interventions can be more easily disse minated and implemented have not been widely tested. The present study examined whether a transdiagnostic treatment, the Unified Protocol (UP), addresses so...
Source: Administration and Policy in Mental Health and Mental Health Services Research - February 4, 2021 Category: Psychiatry Source Type: research

Hospital Utilization Outcomes Following Assignment to Outpatient Commitment
AbstractOutpatient civil commitment (OCC) requires people with severe mental illness (SMI) to receive needed-treatment addressing imminent-threats to health and safety. When available, such treatment is required to be provided in the community as a less restrictive alternative (LRA) to psychiatric-hospitalization. Variance in hospital-utilization outcomes following OCC-assignment has been interpreted as OCC-failure. This review seeks to specify factors accounting for this outcome-variation and to determine whether OCC is used effectively. Twenty-five studies, sited in seven meta-analyses and subsequently published investig...
Source: Administration and Policy in Mental Health and Mental Health Services Research - February 3, 2021 Category: Psychiatry Source Type: research

Evaluating the Cost of Prevention Programming and Universal Screening with Discrete Event Simulation
AbstractDiscrete Event Simulation (DES) is a novel system modeling technique that allows for the evaluation of the potential costs and personnel needed for mental health services in school. A case study is presented to illustrate how DES could be used by a school ’s decision makers to help plan for implementation of an integrated mental health service model. Discrete Event Simulation was used to model the personnel, time, and costs of an integrated mental health service model within a school setting. In addition, costs are calculated and then compared to a business as usual model. Data from the present investigation ...
Source: Administration and Policy in Mental Health and Mental Health Services Research - February 1, 2021 Category: Psychiatry Source Type: research

Feasibility and Acceptability of the HOME Program for Veterans Recently Discharged from a Psychiatric Hospitalization
AbstractEnrollment in the Home-Based Mental Health Evaluation (HOME) Program is associated with higher rates of treatment engagement following psychiatric hospitalization discharge, as compared to enhanced care as usual. We aim to describe feasibility and acceptability data related to implementation of the HOME Program at two Department of Veterans Affairs Medical Centers (VAMCs) to inform future program refinement and implementation. Process evaluation data regarding feasibility and acceptability were collected in the context of an interventional multi-site trial. Data regarding enrollment in the study and the interventio...
Source: Administration and Policy in Mental Health and Mental Health Services Research - February 1, 2021 Category: Psychiatry Source Type: research

Recidivism Treatment for Justice-Involved Veterans: Evaluating Adoption and Sustainment of Moral Reconation Therapy in the US Veterans Health Administration
AbstractMoral Reconation Therapy (MRT), an evidence-based intervention to reduce risk for criminal recidivism among justice-involved adults, was developed and primarily tested in correctional settings. Therefore, a better understanding of the implementation potential of MRT within non-correctional settings is needed. To address this gap in the literature, we evaluated the adoption and sustainment of MRT in the US Veterans Health Administration (VHA) following a national training initiative in fiscal years 2016 and 2017. In February 2019, surveys with 66 of the 78 VHA facilities that participated in the training were used t...
Source: Administration and Policy in Mental Health and Mental Health Services Research - January 30, 2021 Category: Psychiatry Source Type: research

“Being There” vs “Being Direct:” Perspectives of Persons with Serious Mental Illness on Receiving Support with Physical Health from Peer and Non-Peer Providers
This study explored how people with SMI living in supportive housing perceived receiving support from peer and non-peer providers for their physical health. Qualitative interviews were conducted with 28 participants receiving a peer-led healthy lifestyle intervention in the context of a randomized trial in supportive housing agencies. Interviews explored participants ’ experiences working with the healthy lifestyle peer specialist and a non-peer provider who assisted them with health. Interviews were audio recorded, transcribed, and analyzed using strategies rooted in grounded theory. Participants viewed their relati...
Source: Administration and Policy in Mental Health and Mental Health Services Research - January 21, 2021 Category: Psychiatry Source Type: research

“I will not step back”: A Qualitative Study of Lay Mental Health Workers’ Experiences in India
AbstractA significant treatment gap exists for mental illnesses across the world, particularly in low- and middle-income countries (LMICs). Task-sharing, a potentially scalable strategy to bridge the treatment gap, has been shown to be feasible and effective for the treatment of a range of mental illnesses. However, there is a lack of research examining lay mental health workers ’ experiences in such task-sharing roles. The aim of our study was to understand the barriers and facilitators that lay health workers (LHWs) face in delivering mental healthcare. We conducted in-depth interviews with 32 lay mental health wor...
Source: Administration and Policy in Mental Health and Mental Health Services Research - January 16, 2021 Category: Psychiatry Source Type: research

Association of Follow-Up After an Emergency Department Visit for Mental Illness with Utilization Based Outcomes
AbstractFollow-up within 30  days of an emergency department (ED) visit for mental illness is a new and widely-used quality measure. However, no empirical evidence validates associations between follow-up and subsequent utilization based outcomes. Using Massachusetts all payer claims data, we identified insured individuals wi th an ED visit for mental illness. Multivariate regression analysis estimated associations between follow-up within 30 days after an ED visit for mental illness with costs, hospitalizations, and additional ED visits in 180 days following the index visit. 63,814 index ED visits were incl...
Source: Administration and Policy in Mental Health and Mental Health Services Research - January 12, 2021 Category: Psychiatry Source Type: research

Reform 2.0: Augmenting Innovative Mental Health Interventions
(Source: Administration and Policy in Mental Health and Mental Health Services Research)
Source: Administration and Policy in Mental Health and Mental Health Services Research - January 12, 2021 Category: Psychiatry Source Type: research

Correction to: Participatory System Dynamics Modeling: Increasing Stakeholder Engagement and Precision to Improve Implementation Planning in Systems
The article “Participatory System Dynamics Modeling: Increasing Stakeholder Engagement and Precision to Improve Implementation Planning in Systems”, written by “Lindsey Zimmerman, David W. Lounsbury, Craig S. Rosen, Rachel Kimerling, Jodie A. Trafton, Steven E. Lindley”, was originally published Online First without Open Access. After publication in volume 43, issue 6, pages 834–849 the author decided to opt for Open Choice and to make the article an Open Access publication. Therefore, the copyright of the article has been changed to © The Authors 2020 and the article is forthwith distrib...
Source: Administration and Policy in Mental Health and Mental Health Services Research - January 12, 2021 Category: Psychiatry Source Type: research

Areas of Improvement in Suicide Risk Identification, Assessment, and Risk Mitigation Documentation by Mental Health Prescribers at a Veterans Affairs Health Care System
AbstractPurposeVeterans have a suicide rate 1.5 times higher than the non-veteran population. The Department of Veterans Affairs (VA) implemented suicide risk screening recommendations in 2018. This project assessed the impact of mental health (MH) prescribers on these recommendations and identified areas of improvement.MethodsSeventy MH Clinical Pharmacy Specialists (CPS) and 52 other MH prescribers were included. Patients with a positive question nine (from the Patient Health Questionnaire-9) and a same-day Columbia Suicide Severity Rating Scale (C-SSRS) between 11/01/18 and 11/01/19 at a VA system were reviewed. Complet...
Source: Administration and Policy in Mental Health and Mental Health Services Research - January 5, 2021 Category: Psychiatry Source Type: research

Mental Health Services Provision in Primary Care and Emergency Department Settings: Analysis of Blended Fee-for-Service and Blended Capitation Models in Ontario, Canada
We examined the quantity of mental health services provided in Ontario ’s blended fee-for-service and blended capitation models. We evaluated the impact of FPs switching from blended fee-for-service to blended capitation on the provision of mental health services in primary care and emergency department using longitudinal health administrative data from 2007 to 2016. We accounted for the differences between those who switched to blended capitation and non-switchers in the baseline using propensity score weighted fixed-effects regressions to compare remuneration models. We found that switching from blended fee-for-ser...
Source: Administration and Policy in Mental Health and Mental Health Services Research - January 5, 2021 Category: Psychiatry Source Type: research

Organizational Capacity and Readiness to Provide Medication for Individuals with Co-Occurring Alcohol Use Disorders in Public Mental Health Settings
Abstract Alcohol use disorders (AUD) in individuals with mental illness are largely untreated. The purpose of this study was to identify gaps in organizational capacity and readiness to provide medications for AUD in outpatient public mental health clinics. We selected a purposive sample of eight publicly funded outpatient mental health clinics operated by the Los Angeles County Department of Mental Health; clinics were chosen to maximize heterogeneity. Guided by theories of organizational capacity and readiness and research on the adoption of pharmacotherapy for AUD in primary and specialty care treatment settings, we...
Source: Administration and Policy in Mental Health and Mental Health Services Research - January 2, 2021 Category: Psychiatry Source Type: research

Stakeholder Coalitions and Priorities Around the Policy Goals of a Nation-Wide Mental Health Care Reform
This study describes stakeholder coalitions formed around common mental health policy goals and highlights their central goals and oppositions. Data were collected on the policy priorities of 469 stakeholders (policymakers, service managers, clinicians, and user representatives) involved in the Belgian mental healthcare reform. Four coalitions of stakeholders endorsing different mental health policy goals were identified using a hierarchical cluster analysis on stakeholders ’ policy priorities. A belief network analysis was performed to identify the central and peripheral policy goals within coalitions. Coalitions br...
Source: Administration and Policy in Mental Health and Mental Health Services Research - January 1, 2021 Category: Psychiatry Source Type: research

The Impact of Demographic, Clinical, and Institutional Factors on Psychiatric Inpatient Length-of-Stay
AbstractThe average length of inpatient stay (LOS) for psychiatric care has declined substantially across Canada and the United States during the past two decades. Although LOS is based presumably on patient, hospital, and community factors, there is little understanding of how such factors are linked with LOS. The purpose of this study was to explore potential individual and systemic factors associated with LOS in a large-scale, longitudinal dataset. Study participants consisted of individuals 11  years of age and older admitted for psychiatric conditions to a New Brunswick hospital between April 1, 2003 and March 31...
Source: Administration and Policy in Mental Health and Mental Health Services Research - January 1, 2021 Category: Psychiatry Source Type: research

How Do Peers Shape Mental Health Clinicians ’ Attitudes Toward New Treatments?
This study examines how exposure to peers’ attitudes in the workplace through three common workplace interactions (advice sharing, discussion, and friendship) shapes clinicians’ (n = 163) own attitudes toward measurement-based care (MBC). Clinicians tended to have more positive attitudes toward MBC with greater exposure to peers with positive attitudes through advice-sharing and informal workplace discussions, but not through friendships. Results h ighlight the importance of strong workplace relationships for implementation. (Source: Administration and Policy in Mental Health and Mental Health Services Research)
Source: Administration and Policy in Mental Health and Mental Health Services Research - November 17, 2020 Category: Psychiatry Source Type: research

Exploring the Extent of Perinatal Depression Screening in the Health Records of Veterans
AbstractTo investigate adherence by Veterans Affairs (VA) providers to perinatal depression screening clinical practice guidelines (two prenatal and one postpartum screen). Women Veterans who enrolled in a multisite cohort study during pregnancy and delivered newborns between January 1, 2016 and December 31, 2019 were included. VA electronic health record (EHR) and claims data identified the start of pregnancy care, depression screens, and medical history. Prenatal and postpartum telephone surveys collected demographics, pregnancy characteristics, and Edinburgh Postnatal Depression Scale (EPDS) scores. Data from EHRs was c...
Source: Administration and Policy in Mental Health and Mental Health Services Research - November 2, 2020 Category: Psychiatry Source Type: research

Measuring Community Integration: Development and Psychometrics of the Community Connections and Engagement Scale
The objective of this community-based participatory research project was to develop a clinically useful, psychometrically-sound scale to measure community integration for adults with severe mental illness. Two researchers and an administrator of a behavioral health agency (BHA) recruited a group of providers, half with lived-experience of severe mental illness. Through a series of five focus groups, provider participants guided identification of four major domains of community integration and the development of 95 scale items; items and domains were reviewed by three external researchers with subject matter expertise. Init...
Source: Administration and Policy in Mental Health and Mental Health Services Research - October 30, 2020 Category: Psychiatry Source Type: research

Hotline Use in the United States: Results from the Collaborative Psychiatric Epidemiology Surveys
This study provides the first national estimates of crisis hotline usage in the U.S. Hotlines are more likely to be used by certain sociodemographic subgroups, but these differences may be due to differing psychiatric history and service use patterns. Efforts should be made to ensure that crisis hotlines are being utilized by other marginalized populations at high risk of suicide or overdose amidst the current public health crises in the U.S., such as racial/ethnic minorities or youth. To evaluate the role that crisis hotlines play in t he mental health service system, national surveys should aim to monitor trends and corr...
Source: Administration and Policy in Mental Health and Mental Health Services Research - October 15, 2020 Category: Psychiatry Source Type: research

Help-Seeking Patterns Among the General Population in Singapore: Results from the Singapore Mental Health Study 2016
This study aimed to establish lifetime mental health service utilisation among the general population of Singapore. The sociodemographic correlates of those seeking help from different service provider groups and changes in lifetime mental health service utilisation between 2010 and 2016 among those with mental disorders were also explored. A population-based cross-sectional epidemiological household survey of the Singapore resident population aged 18  years and above was conducted from 2016 to 2018, using the World Mental Health Composite International Diagnostic Interview (CIDI) version 3.0. Data from two cross-sect...
Source: Administration and Policy in Mental Health and Mental Health Services Research - October 15, 2020 Category: Psychiatry Source Type: research

An Initial Study of Practicing Psychologists ’ Views of the Utility of Ecological Momentary Assessment for Difficult Psychotherapy Cases
AbstractEcological momentary assessment (EMA) is a burgeoning area of research, and several clinical applications of the resulting data have been identified by researchers, suggesting potential benefit to psychotherapy practice. However, practitioners often do not use traditional empirically-supported tools for diagnosis and outcome monitoring (e.g., validated interview measures and questionnaires). Thus, it is not clear how readily practitioners will take up newer technology-enhanced assessment methods, despite current enthusiasm among researchers. The current study aimed to explore the perceived usefulness of EMA-based t...
Source: Administration and Policy in Mental Health and Mental Health Services Research - October 12, 2020 Category: Psychiatry Source Type: research

The Emerging Role of Police in Facilitating Psychiatric Evaluation Since the 2013 Implementation of the First Chinese Mental Health Law
We examined the proportion and distinctive characteristics of persons brought to psychiatric emergency services (PES) by the police since the implementation of MHL. We used medical records to document demographic and clinica l characteristics of all persons evaluated at the PES of the Guangzhou Psychiatric Hospital, the largest psychiatric hospital in China’s fourth largest city, from April 2017 to August 2017. Bivariate and multivariate statistical analyses were performed to identify characteristics of patients broug ht to the PES by the police. Among 1515 PES visits, 166 (11.0%) were brought by the police as compar...
Source: Administration and Policy in Mental Health and Mental Health Services Research - October 12, 2020 Category: Psychiatry Source Type: research