Core Components and Implementation Determinants of Multilevel Service Delivery Frameworks Across Child Mental Health Service Settings
AbstractMultilevel service delivery frameworks are approaches to structuring and organizing a spectrum of evidence-based services and supports, focused on assessment, prevention, and intervention designed for the local context. Exemplar frameworks in child mental health include positive behavioral interventions and supports in education, collaborative care in primary care, and systems of care in community mental health settings. Yet, their high-quality implementation has lagged. This work proposes a conceptual foundation for multilevel service delivery frameworks spanning diverse mental health service settings that can inf...
Source: Administration and Policy in Mental Health and Mental Health Services Research - March 1, 2024 Category: Psychiatry Source Type: research

Early and Frequent Psychiatric Readmissions in a Brazilian Cohort of Hospitalized Patients Between 2001 and 2013
ConclusionEarly and frequent readmissions are linked to patients ’ demographics, clinical information and health system’s organization. Early readmission should be a priority in treatment planning to prevent frequent readmissions due to its strong association. (Source: Administration and Policy in Mental Health and Mental Health Services Research)
Source: Administration and Policy in Mental Health and Mental Health Services Research - March 1, 2024 Category: Psychiatry Source Type: research

Mental Health Literacy and Education of Complementary Medicine Practitioners: A Cross-Sectional Study
AbstractAn estimated 42% of Australians who consult complementary medicine (CM) practitioners have a mental health diagnosis. Preparedness of CM practitioners in managing such diagnoses is currently unknown. A cross-sectional survey of 257 CM practitioners who reported caring for people with a mental health diagnosis. Practitioners ’ mental health literacy, educational needs, and confidence in the assessment, management, and treatment of mental health—including suicide risk—were analysed. Most (59.1%) participants had no formal qualifications in mental health and 44.3% indicated they had not completed any training in...
Source: Administration and Policy in Mental Health and Mental Health Services Research - March 1, 2024 Category: Psychiatry Source Type: research

Supervisory Alliance as a Moderator of the Effects of Behavioral Rehearsal on TF-CBT Fidelity: Results from a Randomized Trial of Supervision Strategies
AbstractExposure is an important element of treatment for many evidence-based treatments but can be challenging to implement. Supervision strategies to support exposure delivery may be an important tool to facilitate the use of exposure techniques; however, they must be considered and used in the context of the supervisory alliance. The present study examined relations between supervisory alliance and fidelity to the trauma narrative (TN; i.e., imaginal exposure) component of Trauma-Focused Cognitive Behavioral Therapy. We also examined how supervisory alliance moderated the effect of behavioral rehearsal use in supervisio...
Source: Administration and Policy in Mental Health and Mental Health Services Research - March 1, 2024 Category: Psychiatry Source Type: research

One-Year Medication Treatment Patterns, Healthcare Resource Utilization, and Expenditures for Medicaid Patients with Schizophrenia Starting Oral Atypical Antipsychotic Medication
AbstractOral atypical antipsychotic (OAAP) medications are the most commonly prescribed treatment for the management of schizophrenia symptoms. This retrospective study, using Medicaid claims data (2016 –2020), followed patients for 12 months after initiating OAAP therapy. Study outcomes included OAAP adherence, switching, augmentation, healthcare resource utilization (HRU), and expenditures. All-cause and schizophrenia-related HRU and expenditures were compared between adherent and nonadherent cohorts. Among 13,007 included patients (39.1 ± 12.8 years of age, 57.0% male, 36.1% Black, 31.8% White, 9.7% Hispanic), ...
Source: Administration and Policy in Mental Health and Mental Health Services Research - March 1, 2024 Category: Psychiatry Source Type: research

Variability in the Integration of Peers in a Multi-site Digital Mental Health Innovation Project
This study describes the ways peers were integrated into Help@Hand, a multi-site innovation project tha t engaged peers throughout efforts to develop and offer digital mental health interventions across counties/cities (“sites”) in California. Using a mixed methods design, we collected quantitative data via quarterly online surveys, and qualitative data via semi-annual semi-structured phone interv iews with key informants from Help@Hand sites. Quantitative data were summarized as descriptive findings and qualitative data from interviews were analyzed using rapid qualitative analysis methods. In the final analytic phase...
Source: Administration and Policy in Mental Health and Mental Health Services Research - March 1, 2024 Category: Psychiatry Source Type: research

Health Service Utilization in Adolescents Following a First Arrest: The Role of Antisocial Behavior, Callous-Unemotional Traits, and Juvenile Justice System Processing
AbstractPrevious research indicates that youth exhibiting antisocial behavior are at risk for utilizing a disproportionate amount of health services compared to youth without these problems. The present study investigates whether being processed by the juvenile justice system and showing callous-unemotional (CU) traits independently predict health service utilization (medical and mental health service use and out-of-home placement) over and above the severity of antisocial behavior across adolescence. A total of 766 participants who had been arrested for the first time in adolescence provided data at ten appointments over ...
Source: Administration and Policy in Mental Health and Mental Health Services Research - March 1, 2024 Category: Psychiatry Source Type: research

Getting More Out of Clinical Documentation: Can Clinical Dashboards Yield Clinically Useful Information?
This study investigated coded data retrieved from clinical dashboards, which are decision-support tools that include a graphical display of clinical progress and clinical activities. Data were extracted from clinical dashboards representing 256 youth (M age  = 11.9) from 128 practitioners who were trained in the Managing and Adapting Practice (MAP) system (Chorpita& Daleiden in BF Chorpita EL Daleiden 2014 Structuring the collaboration of science and service in pursuit of a shared vision. 43(2):323 338. 2014, Chorpita& Daleiden in BF Chorpita EL Daleiden 2018 Coordinated strategic action: Aspiring to wisdom in ...
Source: Administration and Policy in Mental Health and Mental Health Services Research - March 1, 2024 Category: Psychiatry Source Type: research

Analysis of Learning Agendas Highlights Need for More Specific Discussions of Collaboration in Federal Agency Behavioral Health Plans
AbstractIn his analysis of federal agency learning agendas, Tsai notes that these plans may address some key issues such as trauma and Veteran needs but place limited emphasis on other key emerging topics. Some topics may be covered in other agency documents such as strategic plans. However, his analysis highlights the need for further collaboration in developing learning agendas and strategic plans and other planning documents. As well, it is important to obtain stakeholder and public input in developing these plans and to identify with specificity implementation details and roles and responsibilities of key federal and o...
Source: Administration and Policy in Mental Health and Mental Health Services Research - March 1, 2024 Category: Psychiatry Source Type: research

Health Service Utilization in Adolescents Following a First Arrest: The Role of Antisocial Behavior, Callous-Unemotional Traits, and Juvenile Justice System Processing
AbstractPrevious research indicates that youth exhibiting antisocial behavior are at risk for utilizing a disproportionate amount of health services compared to youth without these problems. The present study investigates whether being processed by the juvenile justice system and showing callous-unemotional (CU) traits independently predict health service utilization (medical and mental health service use and out-of-home placement) over and above the severity of antisocial behavior across adolescence. A total of 766 participants who had been arrested for the first time in adolescence provided data at ten appointments over ...
Source: Administration and Policy in Mental Health and Mental Health Services Research - March 1, 2024 Category: Psychiatry Source Type: research

Can Measurement-Based Care Reduce Burnout in Mental Health Clinicians?
AbstractBurnout is a syndrome characterized by mental and emotional fatigue or exhaustion, depersonalization, and a lessened sense of personal accomplishment and efficacy. Burnout leads to negative consequences for mental health clinicians and for mental health care organizations. Measurement-based care (MBC) is a clinical process in which clinicians and clients use patient-generated data, also called treatment feedback, to collaboratively monitor mental health care and to inform goal-setting and treatment planning. We propose that MBC may improve the experience of care for both clients and clinicians, and ultimately prote...
Source: Administration and Policy in Mental Health and Mental Health Services Research - February 20, 2024 Category: Psychiatry Source Type: research

State Level Policies on First Responder Mental Health in the U.S.: A Scoping Review
This study aims to identify and synthesize relevant state-level policies and related research on first responder mental health in the United States. Using a scoping review framework, authors searched the empirical and policy literature. State level policies were identified and grouped into two categories: (1) Workers ’ Compensation-related policies and (2) non-Workers’ Compensation (WC) related policies. While benefits levels and other specifics vary greatly by state, 28 states cover certain first responder mental health claims under WC statutes. In addition, at the time of this study, 28 states have policie s governin...
Source: Administration and Policy in Mental Health and Mental Health Services Research - February 18, 2024 Category: Psychiatry Source Type: research

Routine Outcome Monitoring from Psychotherapists ’ Perspectives: A Framework Analysis Study of Expected Benefits and Difficulties
We present recommendations that can support and optimize the current local implementation efforts of routine outcome monitoring, both within this service and in other settings. These recommendations consider ways to meet positive expectations and address or mitigate negative ones. (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 14, 2024 Category: Psychiatry Source Type: research