Initiating Cognitive Processing Therapy (CPT) in Community Settings: A Qualitative Investigation of Therapist Decision-Making
AbstractVarious organizations have provided treatment guidelines intended to aid therapists in deciding how to treat posttraumatic stress disorder (PTSD). Yet evidence-based psychotherapies (EBPs) for PTSD in the community may be difficult to obtain. Although strides have been made to implement EBPs for PTSD in institutional settings such as the United States Veterans Affairs, community uptake remains low. Factors surrounding clients ’ decisions to enroll in EBPs have been identified in some settings; however less is known regarding trained therapists’ decisions related to offering trauma-focused therapies or alternati...
Source: Administration and Policy in Mental Health and Mental Health Services Research - November 12, 2022 Category: Psychiatry Source Type: research

“Youth as accessories”: Stakeholder Perspectives on Youth Participation in Mental Health Policymaking [Part II]
ConclusionsThe diverse perspectives of stakeholders extended the review results. Based on our findings, we recommend that adults and institutions: (1) recognize lived experience as expertise in shaping mental health policies; (2) include diverse groups; (3) reduce tokenistic relationships through the creation of safer spaces, adult feedback, co-production, and social accountability; and (4) adopt an intersectional approach to address cultural, socio-economic, and political barriers to participation. Methodologically, our work demonstrates why stakeholder consultations are an essential component of scoping reviews. (Source:...
Source: Administration and Policy in Mental Health and Mental Health Services Research - November 10, 2022 Category: Psychiatry Source Type: research

Participation of Children and Youth in Mental Health Policymaking: A Scoping Review [Part I]
AbstractAlthough youth participation is oft-acknowledged as underpinning mental health policy and service reform, little robust evidence exists about the participation of children and youth in mental health policymaking. A scoping review based on Arksey and O ’Malley’s framework was conducted to identify and synthesize available information on children and youth’s participation in mental health policymaking. Published studies up to November 30, 2020 were searched in Medline (OVID), PsycINFO (OVID), Scopus, and Applied Social Sciences Index and Abst racts (PROQUEST). Further studies were identified through Google Scho...
Source: Administration and Policy in Mental Health and Mental Health Services Research - November 10, 2022 Category: Psychiatry Source Type: research

Training of Lived Experience Workforces: A Rapid Review of Content and Outcomes
AbstractRecently, the lived and living experience (LLE) workforce in mental health and alcohol and other drugs (AOD) sectors has expanded. Despite widespread benefit of this inclusion, some LLE practitioners have encountered personal and professional challenges in their workforce roles. An essential avenue to address these challenges is through provision of training to ensure adequate LLE role preparation, and to support integration of LLE workforces within mental health and AOD settings. We aim to understand the primary components applied in LLE training programs (i.e., content and methods), the outcomes from program part...
Source: Administration and Policy in Mental Health and Mental Health Services Research - November 10, 2022 Category: Psychiatry Source Type: research

An Analysis of Six Month Follow-Up Data from a Peer Parent Support Study
AbstractThe current study examines trajectories of treatment outcomes 6  months after completion of a peer parent program,NAMI Basics. Fifty-two caregivers who were part of a larger trial completed questionnaires prior to, immediately after, and 6  months after completingNAMI Basics. Growth curve models were used to examine trajectories of caregiver ratings of parent activation and engagement, parent help-seeking intentions, child symptoms, outpatient service use, and parent stress at 6  months after completion of the program. Prior improvements to the outcomes of parent activation and engagement (β = 2.31, p <...
Source: Administration and Policy in Mental Health and Mental Health Services Research - November 10, 2022 Category: Psychiatry Source Type: research

“Youth as accessories”: Stakeholder Perspectives on Youth Participation in Mental Health Policymaking [Part II]
ConclusionsThe diverse perspectives of stakeholders extended the review results. Based on our findings, we recommend that adults and institutions: (1) recognize lived experience as expertise in shaping mental health policies; (2) include diverse groups; (3) reduce tokenistic relationships through the creation of safer spaces, adult feedback, co-production, and social accountability; and (4) adopt an intersectional approach to address cultural, socio-economic, and political barriers to participation. Methodologically, our work demonstrates why stakeholder consultations are an essential component of scoping reviews. (Source:...
Source: Administration and Policy in Mental Health and Mental Health Services Research - November 10, 2022 Category: Psychiatry Source Type: research

Participation of Children and Youth in Mental Health Policymaking: A Scoping Review [Part I]
AbstractAlthough youth participation is oft-acknowledged as underpinning mental health policy and service reform, little robust evidence exists about the participation of children and youth in mental health policymaking. A scoping review based on Arksey and O ’Malley’s framework was conducted to identify and synthesize available information on children and youth’s participation in mental health policymaking. Published studies up to November 30, 2020 were searched in Medline (OVID), PsycINFO (OVID), Scopus, and Applied Social Sciences Index and Abst racts (PROQUEST). Further studies were identified through Google Scho...
Source: Administration and Policy in Mental Health and Mental Health Services Research - November 10, 2022 Category: Psychiatry Source Type: research

Training of Lived Experience Workforces: A Rapid Review of Content and Outcomes
AbstractRecently, the lived and living experience (LLE) workforce in mental health and alcohol and other drugs (AOD) sectors has expanded. Despite widespread benefit of this inclusion, some LLE practitioners have encountered personal and professional challenges in their workforce roles. An essential avenue to address these challenges is through provision of training to ensure adequate LLE role preparation, and to support integration of LLE workforces within mental health and AOD settings. We aim to understand the primary components applied in LLE training programs (i.e., content and methods), the outcomes from program part...
Source: Administration and Policy in Mental Health and Mental Health Services Research - November 10, 2022 Category: Psychiatry Source Type: research

An Analysis of Six Month Follow-Up Data from a Peer Parent Support Study
AbstractThe current study examines trajectories of treatment outcomes 6  months after completion of a peer parent program,NAMI Basics. Fifty-two caregivers who were part of a larger trial completed questionnaires prior to, immediately after, and 6  months after completingNAMI Basics. Growth curve models were used to examine trajectories of caregiver ratings of parent activation and engagement, parent help-seeking intentions, child symptoms, outpatient service use, and parent stress at 6  months after completion of the program. Prior improvements to the outcomes of parent activation and engagement (β = 2.31, p <...
Source: Administration and Policy in Mental Health and Mental Health Services Research - November 10, 2022 Category: Psychiatry Source Type: research

Predicting the Sustained Implementation of an Evidence-Based Parenting Program: A Structural Equation Modelling Approach
ConclusionThe findings provided insight into factors influencing the sustainability of evidence-based parenting programs which could be used to inform future implementation 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 - November 5, 2022 Category: Psychiatry Source Type: research

Sustainability of the Collaborative Chronic Care Model in Outpatient Mental Health Teams Three Years Post-Implementation: A Qualitative Analysis
AbstractOur goal was to investigate the sustainability of care practices that are consistent with the collaborative chronic care model (CCM) in nine outpatient mental health teams located within US Department of Veterans Affairs (VA) medical centers, three to four years after the completion of CCM implementation. We conducted qualitative interviews (N  = 30) with outpatient mental health staff from each of the nine teams. We based our directed content analysis on the six elements of the CCM. We found variable sustainability of CCM-based care processes across sites. Some care processes, such as delivery of evidence-base...
Source: Administration and Policy in Mental Health and Mental Health Services Research - November 3, 2022 Category: Psychiatry Source Type: research

Enrollment in the Supported Employment Demonstration: An Employment Intervention for Denied Disability Benefits Applicants with a Mental Impairment
This study is registered with ClinicalTrials.gov: registration number NCT03682263. This study follows the Mixed Methods guidelines. (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 1, 2022 Category: Psychiatry Source Type: research