Patterns of Service Use in Intensive Case Management: A Six Year Longitudinal Study
AbstractAn Intensive Case Management (ICM) intervention has been developed in Lausanne, Switzerland. It aims to promote access to care for people with severe mental disorders who have difficulties to engage with mental health services because of the severity of their disorders and/or their marginality. ICM embrace components of assertive community treatment and critical time intervention. It is time limited and focused on critical phases of recovery. The goal of this study was to examine the heterogeneity of service use patterns of people who required ICM interventions and identify differences in patterns of duration and t...
Source: Administration and Policy in Mental Health and Mental Health Services Research - May 16, 2022 Category: Psychiatry Source Type: research

Implementation of Evidence-Based Practices within Treatment-As-Usual and Evidence-Based Practice Initiatives
We examined EBP implementation in a treatment as usual (TAU) state and in six states with publicly funded EBP initiatives (EBPIs). In Study 1, we examined providers ’ use of practices derived from the evidence base (PDEB) and their predictors among 780 providers in a TAU state. In Study 2, we conducted a systematic review of implementation strategies, outcomes, and predictors of EBP use in six state funded EBPIs. Study 1 suggests TAU providers use PDEB alongs ide practices without consistent research support; provider racial/ethnic minority status, learning theory orientation, and manual use predict greater PDEB use. Stu...
Source: Administration and Policy in Mental Health and Mental Health Services Research - May 2, 2022 Category: Psychiatry Source Type: research

Outcomes Accountability Systems for Early Childhood Disruptive Behaviors: A Scoping Review of Availability
AbstractEarly childhood disruptive behaviors are common mental health problems among American youth, and if poorly-managed, pose costly psychological and societal burdens. Outcomes accountability systems in clinical practice are vital opportunities to optimize early intervention for common mental health problems; however, such systems seem rare. A scoping review was conducted to summarize the current availability of outcomes accountability systems in clinical programs addressing early childhood disruptive behaviors, particularly in the US. We used PsycINFO to identify peer-reviewed literature published in English from 2005...
Source: Administration and Policy in Mental Health and Mental Health Services Research - April 25, 2022 Category: Psychiatry Source Type: research

Feasibility and Acceptability of Prolonged Exposure in Primary Care (PE-PC) for Posttraumatic Stress Disorder in Federally Qualified Health Centers: A Pilot Study
AbstractPosttraumatic stress disorder (PTSD) is a debilitating psychiatric disorder that affects 6% of U.S. adults, yet is treated in only 30% of affected individuals and even fewer low-income individuals. One third of the nation ’s low-income individuals are treated in Federally Qualified Health Centers (FQHCs). Most of these facilities lack capacity to provide their patients with first-line, evidence-based treatments for PTSD such as Prolonged Exposure (PE). To address this problem, PE has been adapted for use in a prima ry care setting and demonstrated efficacy in a brief model for military service members (PE in Prim...
Source: Administration and Policy in Mental Health and Mental Health Services Research - April 20, 2022 Category: Psychiatry Source Type: research

Patients ’ and Psychologists’ Preferences for Feedback Reports on Expected Mental Health Treatment Outcomes: A Discrete-Choice Experiment
AbstractIn recent years, there has been an increasing focus on routine outcome monitoring (ROM) to provide feedback on patient progress during mental health treatment, with some systems also predicting the expected treatment outcome. The aim of this study was to elicit patients ’ and psychologists’ preferences regarding how ROM system-generated feedback reports should display predicted treatment outcomes. In a discrete-choice experiment, participants were asked 12–13 times to choose between two ways of displaying an expected treatment outcome. The choices varied in f our different attributes: representation, outcome,...
Source: Administration and Policy in Mental Health and Mental Health Services Research - April 15, 2022 Category: Psychiatry Source Type: research

Lifespan service receipt and unmet needs among individuals on the autism spectrum
This study uses data from one of the largest statewide surveys conducted between 2017 and 2018 to compare service use and unmet needs among individuals on the autism spectrum across the lifespan. A statewide sample of 5792 caregivers of autistic children and adults were included in the study. Logistic regressions were conducted to compare service use and need among six age groups ranging from early childhood (0 –5 years) to later adulthood (31+) while adjusting for sociodemographic characteristics. We found that the transition-age adult group (18–21 years) was less likely to receive services, including speech/language ...
Source: Administration and Policy in Mental Health and Mental Health Services Research - March 23, 2022 Category: Psychiatry Source Type: research

Correction to: In Search of the Common Elements of Clinical Supervision: A Systematic Review
(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 21, 2022 Category: Psychiatry Source Type: research

Performance of a Supervisor Observational Coding System and an Audit and Feedback Intervention
AbstractWorkplace-based clinical supervision is common in community based mental health care for youth and families and could be a leveraged to scale and improve the implementation of evidence-based treatment (EBTs). Accurate methods are needed to measure, monitor, and support supervisor performance with limited disruption to workflow. Audit and Feedback (A&F) interventions may offer some promise in this regard. The study —a randomized controlled trial with 60 clinical supervisors measured longitudinally for 7 months—had two parts: (1) psychometric evaluation of an observational coding system for measuring adherenc...
Source: Administration and Policy in Mental Health and Mental Health Services Research - March 1, 2022 Category: Psychiatry Source Type: research

A Longitudinal Qualitative Analysis of the Way Peer Support Specialist Roles Change Over Time in a Psychiatric Hospital Setting in Asia
AbstractThe current study seeks to determine how peer support roles change as peer support specialists ’ positions within organizations and departments mature. We followed ten peer support specialists over the course of a year, interviewing them at three points, starting approximately three months after they began working as peer support specialists. We used an inductive process to analyze our data and followed guidelines on the structuring of longitudinal qualitative trajectories to divide the data into watershed moments. Our participants worked in a variety of departments in the hospital, and their service use experien...
Source: Administration and Policy in Mental Health and Mental Health Services Research - February 17, 2022 Category: Psychiatry Source Type: research

Effective Peer Employment Within Multidisciplinary Organizations: Model for Best Practice
This study sought a clearer understanding of organizational mechanisms reinforcing effective peer employment and organizational change from the perspectives of peer workers, non-peer staff and management in multidisciplinary mental health and substance use recovery services. Findings were used to develop a model for organizational best practice for peer employment and associated organizational change to promote recovery-oriented and person-directed services. Qualitative research was undertaken, involving 132 people participating in 14 focus groups and eight individual interviews. These people were employed across five U.S....
Source: Administration and Policy in Mental Health and Mental Health Services Research - February 17, 2022 Category: Psychiatry Source Type: research

Overview of Ten Child Mental Health Clinical Outcome Measures: Testing of Psychometric Properties with Diverse Client Populations in the U.S.
AbstractWhile many standardized assessment measures exist to track child mental health treatment outcomes, the degree to which such tools have been adequately tested for reliability and validity across race, ethnicity, and class is uneven. This paper examines the corpus of published tests of psychometric properties for the ten standardized measures used in U.S. child outpatient care, with focus on breadth of testing across these domains. Our goal is to assist care providers, researchers, and legislators in understanding how cultural mismatch impacts measurement accuracy and how to select tools appropriate to the characteri...
Source: Administration and Policy in Mental Health and Mental Health Services Research - February 17, 2022 Category: Psychiatry Source Type: research

Therapist Self-Report of Fidelity to Core Elements of Family Therapy for Adolescent Behavior Problems: Psychometrics of a Pragmatic Quality Indicator Tool
This study describes reliability and validity characteristics of a therapist-report measure of family therapy techniques for treating adolescent conduct and substance use problems: Inventory of Therapy Techniques for Core Elements of Family Therapy (ITT-CEFT). Study participants included 31 staff therapists treating 68 adolescent clients in eight community-based mental health and substance use clinics. Therapists submitted ITT-CEFT checklists and companion audio recordings for 189 sessions. The ITT-CEFT contains 13 techniques identified as core elements of three manualized family therapy models that are empirically support...
Source: Administration and Policy in Mental Health and Mental Health Services Research - February 17, 2022 Category: Psychiatry Source Type: research

Use of Psychics for Stress and Emotional Problems: A Descriptive Survey Comparison with Conventional Providers and Informal Helpers
AbstractConventional mental health treatments do not meet the needs of all who seek help: some consult informal and alternative providers. Researching the use and perceived benefits of these non-conventional sources of help may contribute to understanding help-seeking behavior and inform mental health policy. We explored the experiences of people consulting psychics (a type of alternative provider) for mental health needs, through comparisons with experiences of people consulting conventional and informal providers. An online survey sought feedback on help seeking for stress or emotional problems from 734 adults who had co...
Source: Administration and Policy in Mental Health and Mental Health Services Research - February 17, 2022 Category: Psychiatry Source Type: research

Predictive Association of Low- and High-Fidelity Supported Employment Programs with Multiple Outcomes in a Real-World Setting: A Prospective Longitudinal Multi-site Study
ConclusionHigh-fidelity individualized supported employment programs resulted in good vocational outcomes in a real-world setting. However, enhancing service quality to increase desired job acquisition and improve PROMs will be important in the future.Clinical Trial RegistrationUMIN000025648 (Source: Administration and Policy in Mental Health and Mental Health Services Research)
Source: Administration and Policy in Mental Health and Mental Health Services Research - February 17, 2022 Category: Psychiatry Source Type: research

Enhancing Racial/Ethnic Equity in College Student Mental Health Through Innovative Screening and Treatment
AbstractAlthough college campuses are diversifying rapidly, students of color remain an underserved and understudied group. Online screening and subsequent allocation to treatment represents a pathway to enhancing equity in college student mental health. The purpose of the current study was to evaluate racial/ethnic differences in mental health problems and treatment enrollment within the context of a largescale screening and treatment research initiative on a diverse college campus. The sample was comprised of n  = 2090 college students who completed an online mental health screening survey and were offered either fre...
Source: Administration and Policy in Mental Health and Mental Health Services Research - February 17, 2022 Category: Psychiatry Source Type: research