A Tale of Four States: Factors Influencing the Statewide Adoption of IPS
This study examined four states that have not joined the learning community, comparing two that have implemented with success (adopting states) and two that have faced challenges (non-adopting states). This comparative case study approach compared barriers, facilitators, and strategies in two states adopting IPS to two states that did not. The authors examined quantitative data from public records and conducted content analysis of qualitative and quantitative data from key informant interviews. The two non-adopting states lacked model clarity, funding, focus on people with serious mental illness, and collaboration between ...
Source: Administration and Policy in Mental Health and Mental Health Services Research - September 24, 2020 Category: Psychiatry Source Type: research

Understanding Health Talk in Behavioral Health Encounters: A Qualitative Analysis
This study describes the frequency and type of health talk occurring within integrated behavioral health sessions, and explores how this talk function s within ongoing therapeutic work. Participants in this study included 51 dyads of clinical social workers (n = 13) and clients (n = 51) receiving therapy within an integrated community health and behavioral health center. Therapy sessions were recorded and transcribed verbatim. Content anal ysis determined the frequency and content of health talk in sessions. Thematic analysis was used to understand the function of health talk within these visits. Health talk occurr...
Source: Administration and Policy in Mental Health and Mental Health Services Research - September 21, 2020 Category: Psychiatry Source Type: research

Implementation-as-Usual in Community-Based Organizations Providing Specialized Services to Individuals with Autism Spectrum Disorder: A Mixed Methods Study
AbstractAutism spectrum disorder (ASD) is a highly prevalent neurodevelopmental disorder. ASD community-based organizations (ASD-CBOs) underutilize or inconsistently utilize evidence-based practices (ASD-EBPs) despite numerous available EBPs to treat ASD. Nonetheless, ASD-CBOs implement changes to practices regularly. Understanding ASD-CBO ’s implementation-as-usual (IAU) processes may assist to develop strategies to facilitate ASD-EBP adoption, implementation and sustainment. A convergent mixed methods (quan + QUAL) design was utilized. Twenty ASD-CBO agency leaders (ALs) and 26 direct providers (DPs), from 21 ASD-C...
Source: Administration and Policy in Mental Health and Mental Health Services Research - September 17, 2020 Category: Psychiatry Source Type: research

Evaluation of an Implementation Intervention to Increase Reach of Evidence-Based Psychotherapies for PTSD in US Veterans Health Administration PTSD Clinics
AbstractTo evaluate an implementation intervention to increase the uptake, referred to as reach, of two evidence-based psychotherapies (EBP) for posttraumatic stress disorder (PTSD) in Veterans Health Administration (VHA) PTSD specialty clinics. The implementation intervention was external facilitation guided by a toolkit that bundled strategies associated with high EBP reach in prior research. We used a prospective quasi-experimental design. The facilitator worked with local champions at two low-reach PTSD clinics. Each intervention PTSD clinic was matched to three control clinics. We compared the change in EBP reach from...
Source: Administration and Policy in Mental Health and Mental Health Services Research - September 16, 2020 Category: Psychiatry Source Type: research

Exploration, Preparation, and Implementation of Standardized Assessment in a Multi-agency School Behavioral Health Network
AbstractSchool mental health treatment services offer broad public health impact and could benefit from more widespread implementation and sustainment of standardized assessments (SA). This demonstration study describes one approach to increase SA use in a large school behavioral health network using the Exploration, Preparation, Implementation and Sustainment (EPIS) framework. Mental health administrator interviews with four participating agencies and a multidisciplinary planning team informed SA measure selection and implementation supports. The SA initiative was implemented during one school year, including system-wide ...
Source: Administration and Policy in Mental Health and Mental Health Services Research - September 16, 2020 Category: Psychiatry Source Type: research

Rates of Mental Health Service Utilization by Children and Adolescents in Schools and Other Common Service Settings: A Systematic Review and Meta-Analysis
AbstractA meta-analysis was conducted to examine the relative rates of youth mental health service utilization across settings among the general population and among those with elevated mental health symptoms or clinical diagnoses. Rates of school-based mental health were compared to outpatient, primary care, child welfare, juvenile justice, and inpatient. Nine studies presented rates of mental health service use for general-population youth in the U.S., and 14 studies presented rates for youth with elevated symptoms or clinical diagnoses. Random effects meta-analysis was used to calculate mean proportions of youth receivi...
Source: Administration and Policy in Mental Health and Mental Health Services Research - September 16, 2020 Category: Psychiatry Source Type: research

The Cost-Effectiveness of Parent –Child Interaction Therapy: Examining Standard, Intensive, and Group Adaptations
This study examined the cost-effectiveness of standard parent –child interaction therapy (PCIT) and three adaptations: intensive-PCIT (I-PCIT), small group PCIT, and large group PCIT. This study used cost-effectiveness analyses to calculate average cost-effectiveness ratios, which represents the average cost for one family to change one standard deviation on each outcome measure: externalizing behavior problems, positive parenting skills, negative parenting skills, child compliance, and parenting stress. While it had the lowest initial set up cost, results indicated that standard PCIT was the least cost-effective option ...
Source: Administration and Policy in Mental Health and Mental Health Services Research - September 15, 2020 Category: Psychiatry Source Type: research

“Don’t … Break Down on Tuesday Because the Mental Health Services are Only in Town on Thursday”: A Qualitative Study of Service Provision Related Barriers to, and Facilitators of Farmers’ Mental Health Help-Seeking
AbstractThe suicide rate of farmers is approximately double that of the general Australian population, yet farmers employ fewer help-seeking behaviours (Arnautovska et al. in Soc Psychiatry Psychiatr Epidemiol 49:593 –599, 2014; Brew et al. in BMC Public Health 16:1–11, 2016). Therefore, it is crucial to understand if, and how health services and system might influence farmer help-seeking. To shed light on this, the current study employed qualitative semi-structured interviews with 10 farmers, 10 farmers’ partners and 8 medical practitioners. Thematic analysis, guided by Braun and Clarke’s (Qual Res Psychol 3:77–...
Source: Administration and Policy in Mental Health and Mental Health Services Research - September 14, 2020 Category: Psychiatry Source Type: research

Probation Officers ’ and Supervisors’ Perspectives on Critical Resources for Implementing Specialty Mental Health Probation
AbstractThis paper presents the results of a qualitative study designed to explore and identify the resources that probation officers need to implement specialized mental health probation caseloads, a promising practice that enhances mental health treatment engagement and reduces recidivism among people with mental illnesses. Our research team conducted a directed content analysis guided by the Practical, Robust Implementation and Sustainability Model (PRISM) to analyze qualitative interviews with 16 specialty mental health probation officers and their supervising chiefs. Results indicated five components and resources rel...
Source: Administration and Policy in Mental Health and Mental Health Services Research - September 13, 2020 Category: Psychiatry Source Type: research

Competition Among Mental Health Organizations: Environmental Drivers and Strategic Responses
AbstractWhile mental health system reforms have sought to leverage competition in the private sector to improve service quality and costs, competition among mental health organizations is poorly understood. To inform future studies about the impact of policy and system reforms on mental health organizations and service delivery, this qualitative study explores (1) resources for which organizations compete most intensively, (2) drivers of competition, and (3) leaders ’ strategic organizational responses. Semi-structured phone interviews were conducted with 15 organizational leaders (CEO’s, executive directors) represent...
Source: Administration and Policy in Mental Health and Mental Health Services Research - September 11, 2020 Category: Psychiatry Source Type: research

Don ’t Invite Everyone! Training Variables Impacting the Effectiveness of QPR Trainings
AbstractGatekeeper trainings have been increasingly utilized in response to rising suicide rates in youths. However, the extent to which common factors inherent to gatekeeper trainings impact training outcomes is largely understudied. As such, the present study explored how factors such as training size and trainer engagement abilities influenced trainee participation and outcomes (i.e. changes in attitudes, perceived behavioral control (PBC), and knowledge regarding suicide prevention). All trainees participated in a gatekeeper training; trainers were not randomly assigned. Mediation and moderation analyses were completed...
Source: Administration and Policy in Mental Health and Mental Health Services Research - August 23, 2020 Category: Psychiatry Source Type: research

Introducing a Measurement Feedback System for Youth Mental Health: Predictors and Impact of Implementation in a Community Agency
AbstractMeasurement feedback systems (MFSs) that routinely collect and report client progress to mental health therapists have demonstrated beneficial impact on outcomes in numerous studies, with evidence that there is a dose –response relationship related to the implementation of the MFS. The current study examined the impact of MFS implementation (Implementation Index) on youth symptom outcomes separately by caregiver and youth self-report. Additionally, we tested the extent to which Implementation Index rates varied by individual therapists and clients, and whether therapist and client characteristics predicted MFS im...
Source: Administration and Policy in Mental Health and Mental Health Services Research - August 17, 2020 Category: Psychiatry Source Type: research

Differential Effect of Community Rehabilitation Reform on Hospitalizations of Patients with Chronic Psychotic Disorders With and Without Substance Use Disorder, Israel, 1991 –2016
This study compares trends in hospitalization characteristics of chronic psychotic patients with and without SUD in Israel, before and after introduction of the Community Rehabilitation of Persons with Mental Disability Law in 2000. The National Psychiatric Case Registry provided data on 18,684 adults with schizophrenia/schizoaffective disorders, hospitalized in 1991 –2016 (at least once in 2010–2015). Repeated-measures ANOVA was used to measure the effect (and interactions) of group (patients with and without co-occurring disorders (COD)), time-period (Period1: 1991 –2000, Period2: 2001 –2009, Period3: 2010 –201...
Source: Administration and Policy in Mental Health and Mental Health Services Research - August 10, 2020 Category: Psychiatry Source Type: research

The Association Between the Special Subsidy for Families Practicing Family Planning and the Mental Health of Loss/Disability-of-Single-Child Parents: Evidence from China
This study evaluated the association between the special subsidy policy and the mental health of loss/disability-of-single-child parents (LCPs/DCPs) in China and found that accepting the special subsidy is inversely related to the mental health of LCPs and DCPs. In addition, accepting the subsidy is more inversely related to the mental health of LCPs than DCPs, of rural parents than urban parents, of male parents than female parents, and of loss/disability-of-single-son parents than loss/disability-of-single-daughter parents. According to taboo trade-off theory, we proposed several explanations for the finding and put forw...
Source: Administration and Policy in Mental Health and Mental Health Services Research - July 31, 2020 Category: Psychiatry Source Type: research

Measuring Fidelity to Evidence-Based Practices: Psychometrics
AbstractThis special section presents the psychometric properties of fidelity scales used in a national mental health services project in Norway to improve the quality of care of people with psychoses. Across Norway, 39 clinical units in six health trusts participated. The project provided education, implementation support and fidelity assessments. The papers in the section address the psychometrics of fidelity measurement for the specific evidence-based practices: illness management and recovery, family psychoeducation, physical healthcare and antipsychotic medication management. Another paper analyzes the psychometrics o...
Source: Administration and Policy in Mental Health and Mental Health Services Research - July 30, 2020 Category: Psychiatry Source Type: research