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Strategic Priorities for Implementation of Father-Inclusive Practice in Mental Health Services for Children and Families: A Delphi Expert Consensus Study
AbstractThe aim of this study was to investigate expert consensus on barriers and facilitators to the organizational implementation of Father-Inclusive Practice (FIP) in child and family services to establish strategic priorities for implementation. An international panel of 56 experts in child and family service provision and father inclusion were surveyed using the Delphi technique. Three online questionnaires were used to gather opinions and measure experts ’ levels of agreement in regard to factors that enable or hinder the organizational implementation of FIP. Survey design, analysis and interpretation was guided by...
Source: Administration and Policy in Mental Health and Mental Health Services Research - December 19, 2022 Category: Psychiatry Source Type: research

Clinician Intentions to use the Components of Parent Coaching Within Community Early Intervention Systems
ConclusionThese results suggest that implementation strategies should be tailored to the specific intervention component to be most efficient and effective. The results also provide examples of potentially malleable factors that implementation strategies can strategically target. (Source: Administration and Policy in Mental Health and Mental Health Services Research)
Source: Administration and Policy in Mental Health and Mental Health Services Research - December 16, 2022 Category: Psychiatry Source Type: research

The Interaction Between Leadership, the Patient-to-Nurse Ratio and Nurses ’ Work-Life Balance in the Psychiatric Inpatient Setting in Switzerland: A Secondary Data Analysis of Cross-Sectional Data
AbstractPsychiatric nurses ’ work environment factors, including long hours, heavy workloads and leadership issues, can serve as barriers to achieving a healthy work-life balance. However, for both individuals and organizations, that balance is crucial as it is a key determinant of job satisfaction and leaving intentions. T o address the limiting evidence to that topic, this study had two objectives: (1) to describe the work-life balance of nurses working in psychiatric inpatient settings; and (2) to examine those nurses’ work-life balance and its associations with individual (i.e., age, gender), psychosocial (i.e., l...
Source: Administration and Policy in Mental Health and Mental Health Services Research - December 15, 2022 Category: Psychiatry Source Type: research

Using the Theoretical Domains Framework to Inform the Implementation of Therapeutic Virtual Reality into Mental Healthcare
This study aimed to (1) synthesis perspectives of staff working in private mental healthcare and (2) use the Theoretical Domains Framework (TDF) and Behaviour Change Wheel (BCW) to identify mechanisms of change targets and intervention functions to facilitate its clinical implementation. Semi-structured interviews were conducted with clinicians (n = 14) and service managers (n = 5) working in a major private mental health hospital in Victoria, Australia. Transcripts were coded using framework analysis to identify relevant TDF domains. Specific belief statements were generated and coded as a barrier and/or facilitat...
Source: Administration and Policy in Mental Health and Mental Health Services Research - December 13, 2022 Category: Psychiatry Source Type: research

Exploring Factors Impacting the Implementation of Recovery-Oriented Treatment Planning on Acute Inpatient Mental Health Units
Conclusion: Findings provide insight into contextual factors and processes that impacted the implementation of recovery-oriented treatment planning at these VHA inpatient mental health units. To further facilitate the implementation of recovery-oriented inpatient treatment planning elements, future research should examine staff ’s collective understanding of recovery-oriented inpatient 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 - December 10, 2022 Category: Psychiatry Source Type: research

Eating Disorder Screening and Treatment in a Medically Underserved Southern State: Data Collected by a Legislative Eating Disorder Council and Implications for Statewide Assessment
AbstractHealthcare providers play a key role in early identification of eating disorders (EDs), especially in underserved states where ED treatment resources are lacking. Currently, there is little known about ED screening and treatment practices in underserved states. The current study assessed current ED screening and treatment practices among healthcare providers in an underserved state using data collected by a government-formed state ED council. Healthcare providers (N = 242;n = 209 behavioral health providers;n = 33 medical providers) practicing in Kentucky completed a brief, anonymous survey on ED screen...
Source: Administration and Policy in Mental Health and Mental Health Services Research - December 6, 2022 Category: Psychiatry Source Type: research

Implementation and Mental Health Outcomes of a Service Cascade Linking Child Welfare and Children ’s Mental Health Systems: A Case Study of the Gateway CALL Demonstration
AbstractThe mental health needs of children and youth involved in the child welfare system remain largely unmet. Service cascades are an emerging approach to systematizing mental health screening, assessment, and treatment referral processes. However, evidence is minimal and inconsistent regarding the effectiveness of such approaches for improving mental health service access and outcomes. In an effort to address this gap, this study presents a case-study of the implementation fidelity and treatment outcomes of the Gateway CALL service cascade. Study analyses involved longitudinal data collected as part of a larger evaluat...
Source: Administration and Policy in Mental Health and Mental Health Services Research - November 30, 2022 Category: Psychiatry Source Type: research

A Systematic Review and Meta-Analysis of Measurement Feedback Systems in Treatment for Common Mental Health Disorders
AbstractTo investigate the effects of measurement feedback systems (MFSs) in therapy on mental health outcomes through a literature review and meta-analysis. Using a three-level modeling approach, we conducted a meta-analysis of all effect sizes from randomized controlled studies of MFSs used in the treatment of common mental health disorders. Eighty-two effect sizes were extracted from the thirty-one included studies. Analyses were performed to consider the post-treatment effects of the MFS-assisted treatment compared to treatment as usual. A separate analysis was done for the subgroup “not-on-track” patients as it is...
Source: Administration and Policy in Mental Health and Mental Health Services Research - November 25, 2022 Category: Psychiatry Source Type: research

Addressing Barriers in Access to Mental Health Care Within the Veterans Health Administration: Evidence-Based Psychotherapies for Anxiety and Related Disorders
(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 23, 2022 Category: Psychiatry Source Type: research

Patient and Physician Factors Associated with First Diagnosis of Non-affective Psychotic Disorder in Primary Care
AbstractPrimary care physicians play a central role in pathways to care for first-episode psychosis, and their increased involvement in early detection could improve service-related outcomes. The aim of this study was to estimate the proportion of psychosis first diagnosed in primary care, and identify associated patient and physician factors. We used linked health administrative data to construct a retrospective cohort of people aged 14 –35 years with a first diagnosis of non-affective psychosis in Ontario, Canada between 2005–2015. We restricted the sample to patients with help-seeking contacts for mental health rea...
Source: Administration and Policy in Mental Health and Mental Health Services Research - November 20, 2022 Category: Psychiatry Source Type: research

Peer Workers in Co-production and Co-creation in Mental Health and Substance Use Services: A Scoping Review
AbstractPeople with lived experience of mental health challenges are extensively employed as peer workers within mental health and substance use services worldwide. Research shows that peer workers benefit individuals using such services and can have essential roles in developing recovery-oriented services. However, understanding how peer workers ’ contributions, by their role, functions, and input can be better used remains a critical challenge. Research on public sector innovation has focused on relevant actors collaborating to tackle complex demands. Co-production and co-creation are concepts used to describe this col...
Source: Administration and Policy in Mental Health and Mental Health Services Research - November 17, 2022 Category: Psychiatry Source Type: research