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

Integrated Behavioral Health Implementation Patterns in Primary Care Using the Cross-Model Framework: A Latent Class Analysis
This study aimed to describe clusters of clinics using the IBH Cross-Model Framework for a large sample of primary care clinics, as well as contextual variables associated with differences in implementation. Primary care clinics (N = 102) in Minnesota reported their level of implementation across 18 different components of IBH via the site self-assessment (SSA). The components were mapped to all five principles and four of the nine structures of the IBH Cross-Model Framework. latent class analysis was used to identify uni que clusters of IBH components from the SSA across the IBH Cross-Model Framework’s processes and...
Source: Administration and Policy in Mental Health and Mental Health Services Research - February 17, 2022 Category: Psychiatry Source Type: research

Self-Coding of Fidelity as a Potential Active Ingredient of Consultation to Improve Clinicians ’ Fidelity
AbstractA key goal for implementation science is the identification of evidence-based consultation protocols and the active ingredients within these protocols that drive clinician behavior change. The current study examined clinicians ’ self-coding of fidelity as a potential active ingredient of consultation for the Attachment and Biobehavioral Catch-up (ABC) intervention. It also examined two other potential predictors of clinician fidelity in response to consultation: dosage of consultation and working alliance. Twenty-nine c linicians (97% female, 62% White,M age  = 34 years) participated in a year of weekly fide...
Source: Administration and Policy in Mental Health and Mental Health Services Research - February 17, 2022 Category: Psychiatry Source Type: research

The Forensic High and Intensive Care Monitor: Measurement Properties of a Model Fidelity Scale for Contact-Based Care in Forensic Psychiatry
AbstractForensic High and Intensive Care (FHIC) has recently been developed as a new care model in Dutch forensic psychiatry. FHIC aims to provide contact-based care. To support Dutch forensic care institutions in the implementation of the model, a model fidelity scale was developed called the FHIC monitor. The aim of this study was to assess the inter-rater reliability, content validity, and construct validity of the FHIC monitor. A multi-methods design was used, combining qualitative and quantitative research. To collect data, audits and focus group meetings were organized to score care at individual wards with the monit...
Source: Administration and Policy in Mental Health and Mental Health Services Research - February 16, 2022 Category: Psychiatry Source Type: research

Cost and Utilization Impacts of a Medicaid Managed Care Organization ’s Behavioral Health Wraparound Program
This study examined the impact of a wraparound program for adult Medicaid managed care organization members with serious mental health or substance use disorders on health care costs and utilization. This retrospective observational study used 2013 –2018 claims data collected from a large Medicaid managed care organization operating in multiple states. We used an intention-to-treat difference-in-difference study design to examine the association of the wraparound with costs and utilization. Adult Medicaid members with an emergency department (ED) or inpatient visit for a behavioral health condition (index visit) were eli...
Source: Administration and Policy in Mental Health and Mental Health Services Research - February 7, 2022 Category: Psychiatry Source Type: research

In Search of the Common Elements of Clinical Supervision: A Systematic Review
AbstractThe importance of clinical supervision for supporting effective implementation of evidence-based treatments (EBTs) is widely accepted; however, very little is known about which supervision practice elements contribute to implementation effectiveness. This systematic review aimed to generate a taxonomy of empirically-supported supervision practice elements that have been used in treatment trials and shown to independently predict improved EBT implementation. Supervision practice elements were identified using a two-phase, empirically-validated distillation process. In Phase I, a systematic review identified supervis...
Source: Administration and Policy in Mental Health and Mental Health Services Research - February 7, 2022 Category: Psychiatry Source Type: research

Cost and Utilization Impacts of a Medicaid Managed Care Organization ’s Behavioral Health Wraparound Program
This study examined the impact of a wraparound program for adult Medicaid managed care organization members with serious mental health or substance use disorders on health care costs and utilization. This retrospective observational study used 2013 –2018 claims data collected from a large Medicaid managed care organization operating in multiple states. We used an intention-to-treat difference-in-difference study design to examine the association of the wraparound with costs and utilization. Adult Medicaid members with an emergency department (ED) or inpatient visit for a behavioral health condition (index visit) were eli...
Source: Administration and Policy in Mental Health and Mental Health Services Research - February 7, 2022 Category: Psychiatry Source Type: research

In Search of the Common Elements of Clinical Supervision: A Systematic Review
AbstractThe importance of clinical supervision for supporting effective implementation of evidence-based treatments (EBTs) is widely accepted; however, very little is known about which supervision practice elements contribute to implementation effectiveness. This systematic review aimed to generate a taxonomy of empirically-supported supervision practice elements that have been used in treatment trials and shown to independently predict improved EBT implementation. Supervision practice elements were identified using a two-phase, empirically-validated distillation process. In Phase I, a systematic review identified supervis...
Source: Administration and Policy in Mental Health and Mental Health Services Research - February 7, 2022 Category: Psychiatry Source Type: research

Improving Healthy Living in Residential Care Facilities: Feasibility, Acceptability, and Appropriateness of Implementing a Multicomponent Intervention for Diabetes Risk Reduction in Adults with Serious Mental Illnesses
This study examined initial implementation feasibility, acceptability, and appropriateness of a new 6-month Multicomponent Intervention for Diabetes risk reduction in Adults with Serious mental illnesses (MIDAS) among persons in residential care facilities (RCFs). We conducted a mixed-methods study using four types of quantitative and qualitative data sources (administrative data; structured facility-level observations; resident assessments including blood-based biomarkers, 24-h dietary recalls, and self-report physical activity; and focus groups/interviews with staff and participants), to assess evidence of and factors af...
Source: Administration and Policy in Mental Health and Mental Health Services Research - February 3, 2022 Category: Psychiatry Source Type: research

Systemic and Individual Factors That Shape Mental Health Service Usage Among Visible Minority Immigrants and Refugees in Canada: A Scoping Review
AbstractThere exists considerable research which reports that mental health disparities persist among visible minority immigrants and refugees within Canada. Accessing mental health care services becomes a concern which contributes to this, as visible minority migrants are regarded as an at-risk group that are clinically underserved. Thus, the purpose of this review is to explore the following research question: “what are the barriers and facilitators for accessing mental health care services among visible immigrants and refugees in Canada?". A scoping review following guidelines proposed by Arksey and O'Malley (Int...
Source: Administration and Policy in Mental Health and Mental Health Services Research - January 23, 2022 Category: Psychiatry Source Type: research

Trial-Based Economic Evaluations of Supported Employment for Adults with Severe Mental Illness: A Systematic Review
AbstractTo identify, appraise, and summarize outcomes reported in trial-based economic evaluations of Individual Placement and Support programs for adults with severe mental illness. Six databases were searched, including Medline, PsycINFO, CINAHL, Cochrane, Scopus, and EconLit. Inclusion criteria were trial-based, full economic evaluations comparing Individual Placement and Support programs to traditional vocational rehabilitation programs for adults 18  years and older with severe mental illness. Study quality was appraised using the Consolidated Health Economic Evaluation Reporting Standards statement. Of the 476 artic...
Source: Administration and Policy in Mental Health and Mental Health Services Research - January 17, 2022 Category: Psychiatry Source Type: research