Acquisition of Information About Innovative Practices in Outpatient Mental Health Clinics
This study uses qualitative interviews with leaders of 34 mental health clinics in the context of a statewide rollout of clinical and business innovations to explore how clinics first learn about innovations and which external sources of information they access. Clinic leaders reported accessing information about innovations mainly from government agencies, professional associations, peer organizations, and research literature. Leaders mentioned an average of two external sources of information. There was evidence of variation in how leaders accessed information and how information about innovations was communicated within...
Source: Administration and Policy in Mental Health and Mental Health Services Research - March 9, 2020 Category: Psychiatry Source Type: research

Psychometric Properties of the General Organizational Index (GOI): A Measure of Individualization and Quality Improvement to Complement Program Fidelity
AbstractTo assess the implementation of effective practices, mental health programs need standardized measures. The General Organizational Index (GOI), although widely used for this purpose, has received minimal psychometric research. For this study, we assessed psychometric properties of the GOI scale administered four times over 18  months during the implementation of a new program in 11 sites. The GOI scale demonstrated high levels of interrater reliability (.97), agreement between assessors on item ratings (86% overall), internal consistency (.77–.80 at three time points), sensitivity to change, and feasibility. We ...
Source: Administration and Policy in Mental Health and Mental Health Services Research - February 26, 2020 Category: Psychiatry Source Type: research

Sustainment of Trauma-Focused and Evidence-Based Practices Following Learning Collaborative Implementation
AbstractGiven the need to develop and validate effective implementation models that lead to sustainable improvements, we prospectively examined changes in attitudes, behaviors, and perceived organizational support during and after statewide Community-Based Learning Collaboratives (CBLCs) promoting trauma-focused evidence-based practices (EBPs). Participants (N = 857; i.e., 492 clinicians, 218 brokers, and 139 senior leaders) from 10 CBLCs completed surveys pre- and post-CBLC; a subsample (n = 146) completed a follow-up survey approximately two years post-CBLC. Results indicated (a) medium, sustained increases in cl...
Source: Administration and Policy in Mental Health and Mental Health Services Research - February 23, 2020 Category: Psychiatry Source Type: research

What ’s the Function of Outpatient Commitment?
(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 21, 2020 Category: Psychiatry Source Type: research

“Fighting Tooth and Nail”: Barriers to Accessing Adolescent Mental Health Treatment from Mothers Perspectives
AbstractResidential treatment (RT) serves 311,000 children and adolescents per year and has been described as a “last resort” by families, healthcare providers, and insurance payors as it is highly disruptive and costly. The purpose of this study was to explore mothers' accounts of the strategies and services they used before admitting their adolescent to RT as well as to understand the barriers they enco untered in their adolescent's treatment trajectory. This was a cross-sectional study in which 15 mothers of adolescents currently or previously in RT completed 1-h phone interviews. Data were analyzed using content an...
Source: Administration and Policy in Mental Health and Mental Health Services Research - February 20, 2020 Category: Psychiatry Source Type: research

Comparing Fidelity Outcomes of Paraprofessional and Professional Delivery of a Perinatal Depression Preventive Intervention
AbstractMothers and Babies (MB), a perinatal depression preventive intervention, has proven effective in decreasing depressive symptoms and preventing onset of major depression. An ongoing cluster-randomized trial is comparing the effectiveness of the six-session MB group intervention led by paraprofessionals versus mental health professionals. Twenty percent of all audio-recorded intervention sessions were randomly selected for fidelity checks. Analyses assessed mean facilitator adherence and competency overall, by study arm, and by session; and, examined site, facilitator, and client-specific effects. There were no signi...
Source: Administration and Policy in Mental Health and Mental Health Services Research - February 20, 2020 Category: Psychiatry Source Type: research

Common Elements of Childhood Universal Mental Health Programming
AbstractDespite the availability of multiple mental health prevention and promotion programs for children, challenges related to their dissemination limit their reach and impact. This review identifies the most common practice elements of effective childhood universal mental health programming for children ages 3 –11, based on a structured interpretation and coding of program manuals and descriptions in peer-reviewed articles. Across a range of program goals and targeted outcomes, psychoeducation and problem solving emerged as the most common practice elements, followed by social skills training, insight b uilding, and c...
Source: Administration and Policy in Mental Health and Mental Health Services Research - February 19, 2020 Category: Psychiatry Source Type: research

Knowledge of Evidence-Based Services Questionnaire: Development and Validation of a Short Form
This study developed and validated a Short Form of the KEBSQ using Item Response Theory measurement models. The Short Form consists of 17 items and generates two separate scores: Correct Endorsements and Correct Rejections. The Short Form was found to correlate highly with and perform similarly to the Full Form, providing preliminary validity evidence. (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 18, 2020 Category: Psychiatry Source Type: research

Barriers to Mental Health Service Use and Predictors of Treatment Drop Out: Racial/Ethnic Variation in a Population-Based Study
This study examines racial/ethnic differences in perceived need for mental health treatment, barriers to treatment receipt, and reasons for dropout. Data are from the Collaborative Psychiatric Epidemiology Studies, a pooled dataset from three U.S. nationally-representative adult samples. Among respondents with a 12-month psychiatric disorder who received no treatment (N = 1417), Asians and Latinos reported lower perceived need than Blacks and Whites, and Latinos reported the fewest attitudinal barriers. Among those with a 12-month disorder who dropped out of treatment, Asians and Latinos gave more reasons for dropping ...
Source: Administration and Policy in Mental Health and Mental Health Services Research - February 18, 2020 Category: Psychiatry Source Type: research

The Physical Health Care Fidelity Scale: Psychometric Properties
AbstractMental health programs need an instrument to monitor adherence to evidence-based physical health care for people with serious mental illness. The paper describes the Physical Health Care Fidelity Scale and study interrater reliability, frequency distribution, sensitivity to change and feasibility. Four fidelity assessments were conducted over 18  months at 13 sites randomized to implementation support for evidence-based physical health care. We found good to excellent interrater reliability, adequate sensitivity for change, good feasibility and wide variability in fidelity across sites after 18 months of implemen...
Source: Administration and Policy in Mental Health and Mental Health Services Research - February 7, 2020 Category: Psychiatry Source Type: research

The Antipsychotic Medication Management Fidelity Scale: Psychometric properties
AbstractThe paper describes the Antipsychotic Medication Management Fidelity Scale and its psychometric properties, including interrater reliability, frequency distribution, sensitivity to change and feasibility. Fidelity assessors conducted fidelity reviews four times over 18  months at eight sites receiving implementation support for evidence-based antipsychotic medication management. Data analyses shows good to fair interrater reliability, adequate sensitivity to change over time and good feasibility. At 18 months, item ratings varied from poor to full fidelity on mo st items. Use of the scale can assess fidelity to e...
Source: Administration and Policy in Mental Health and Mental Health Services Research - February 5, 2020 Category: Psychiatry Source Type: research

Commentary: Establishing Scientific Rigor and Excellence in Implementation Science Training to Improve the Deployment of Evidence-Based Mental Health Services
AbstractReal-world challenges continue to impede the dissemination, implementation and sustainment of high-quality, evidence-based practices, resulting in too many individuals not receiving the effective mental health care that they urgently need. The field of implementation science is poised to generate new solutions to address this important public health problem. Training a new generation of researchers in implementation science is one solution. The Implementation Research Institute (IRI) offers one approach to such training. The papers in this series, authored by some of the IRI graduates, illustrate the depth and brea...
Source: Administration and Policy in Mental Health and Mental Health Services Research - February 4, 2020 Category: Psychiatry Source Type: research

Military Service and Military Health Care Coverage are Associated with Reduced Racial Disparities in Time to Mental Health Treatment Initiation
AbstractWe aimed to evaluate whether military service and access to veteran heath care coverage attenuates racial/ethnic disparities in time to mental health treatment initiation for posttraumatic stress disorder (PTSD), major depressive disorder, and/or alcohol-use disorder. Results are based on 13,528 civilians and 1392 veterans from NESARC-III. Among civilians, racial/ethnic minorities reported longer time to PTSD and depression treatment initiation than non-Hispanic whites. Among veterans, racial/ethnic minorities did not differ from whites in time to PTSD and depression treatment initiation, and showed shorter time to...
Source: Administration and Policy in Mental Health and Mental Health Services Research - January 26, 2020 Category: Psychiatry Source Type: research

Area-Level Variation in Children ’s Unmet Need for Community-Based Mental Health Services: Findings from the 2014 Ontario Child Health Study
AbstractThere is limited empirical evidence documenting the magnitude and correlates of area-level variability in unmet need for children ’s mental health services. Research is needed that identifies area-level characteristics that can inform strategies for reducing unmet need in the population. The study purpose is to: (1) estimate area-level variation in children’s unmet need for mental health services (using Service Areas as de fined by the Ontario Ministry of Children and Youth Services), and (2) identify area-level service arrangements, and geographic and population characteristics associated with unmet need. Usin...
Source: Administration and Policy in Mental Health and Mental Health Services Research - January 22, 2020 Category: Psychiatry Source Type: research

From Research Training to Scientific Advancement-Contributions from the Implementation Research Institute: An Introduction to the Special Issue
AbstractThe special series is designed to provide examples of funded implementation research conducted by alumni of the first four cohorts of the Implementation Research Institute (IRI). The introduction links the six substantive papers to the conceptual and methodological challenges laid out in a 2009 publication in this journal which led to the IRI training program in the emerging science of implementation with a special focus on behavior health settings. The 7th paper in the series illustrates an innovative evaluative approach to design and measurement of IRI fellow publications and grants informed by the training progr...
Source: Administration and Policy in Mental Health and Mental Health Services Research - January 21, 2020 Category: Psychiatry Source Type: research