Predicting Future Service Use in Dutch Mental Healthcare: A Machine Learning Approach
This study used administrative data from a large mental healthcare organization in the Netherlands. A training set was selected using records from 2017 (N  = 10,911), and a test set was selected using records from 2018 (N = 10,201). A baseline model and three random forest models were created from different types of input data to predict (the remainder of) numeric individual treatment hours. A visual analysis was performed on the individual pr edictions. Patients consumed 62 h of mental healthcare on average in 2018. The model that best predicted service use had a mean error of 21 min at the insurance group level...
Source: Administration and Policy in Mental Health and Mental Health Services Research - August 31, 2021 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 - August 17, 2021 Category: Psychiatry Source Type: research

A Longitudinal Qualitative Analysis of the Way Peer Support Specialist Roles Change Over Time in a Psychiatric Hospital Setting in Asia
AbstractThe current study seeks to determine how peer support roles change as peer support specialists ’ positions within organizations and departments mature. We followed ten peer support specialists over the course of a year, interviewing them at three points, starting approximately three months after they began working as peer support specialists. We used an inductive process to analyze our data and followed guidelines on the structuring of longitudinal qualitative trajectories to divide the data into watershed moments. Our participants worked in a variety of departments in the hospital, and their service use experien...
Source: Administration and Policy in Mental Health and Mental Health Services Research - August 14, 2021 Category: Psychiatry Source Type: research

Improving the Quality of Children ’s Mental Health Care with Progress Measures: A Mixed-Methods Study of PCIT Therapist Attitudes
This study investigated PCIT therapist attitudes towards progress measures used within PCIT and children’s mental health treatment generally. A mixed-method (QUAN + QUAL) study design examined PCIT therapist attitudes towards two types of pr ogress measures and measures used in two contexts (PCIT and general practice). Multi-level modeling of a survey distributed to 324 PCIT therapists identified predictors of therapist attitudes towards measures, while qualitative interviews with 23 therapists expanded and clarified the rationale for d iffering perceptions. PCIT therapists reported more positive attitudes towards a ...
Source: Administration and Policy in Mental Health and Mental Health Services Research - August 7, 2021 Category: Psychiatry Source Type: research

Moving Towards Racial Equity in the Child and Youth Mental Health Sector in Ontario, Canada
AbstractIn the aftermath of high-profile incidents involving Black, Indigenous and People of Color (BIPOC) in North America, there is a growing awareness of the pervasiveness of systemic racism and the role that agencies play in perpetuating racism and racial inequities. In the child and youth mental health sector, the journey to improving racial equity is impeded by a lack of consistent frameworks or guidelines. In this commentary, we explore five domains of organizational practices that are prominent in the literature and support diverse clients, communities and staff, including: (1) organizational leadership and commitm...
Source: Administration and Policy in Mental Health and Mental Health Services Research - July 30, 2021 Category: Psychiatry Source Type: research

Clinician-Identified Factors in Success of Parent-Directed Behavioral Therapy for Children ’s Tantrums
AbstractDisruptive behavior disorders (DBD) are the most common behavioral health problems in young American children. When not well-managed in early childhood, DBD can progress to lifetime mental health problems with personal, economic, as well as societal impacts. The evidence-based intervention of choice for DBD is outpatient parent-directed behavioral therapy (PDT). However, little is known about clinicians ’ perspectives on the factors influencing PDT’s effectiveness in routine care. The current study directly assesses clinicians’ perspectives on factors they believe impact PDT’s success for disruptive behavio...
Source: Administration and Policy in Mental Health and Mental Health Services Research - July 28, 2021 Category: Psychiatry Source Type: research

A Rapid Ethnographic Assessment of the Impact of the COVID-19 Pandemic on Mental Health Services Delivery in an Acute Care Medical Emergency Department and Trauma Center
AbstractA rapid ethnographic assessment of delivery of mental health services to patients at a Level I trauma center in a major metropolitan hospital undergoing a COVID-19 surge was conducted to assess the challenges involved in services delivery and to compare the experience of delivering services across time. Study participants were patients and providers who interacted with or otherwise were observed by three clinicians engaged in the delivery of care within the Emergency Department (ED) and Trauma Center at Harborview Medical Center from the COVID-19-related “surge” in April to the end of July 2020. Data were colle...
Source: Administration and Policy in Mental Health and Mental Health Services Research - July 28, 2021 Category: Psychiatry Source Type: research

Clinician-Identified Factors in Success of Parent-Directed Behavioral Therapy for Children ’s Tantrums
AbstractDisruptive behavior disorders (DBD) are the most common behavioral health problems in young American children. When not well-managed in early childhood, DBD can progress to lifetime mental health problems with personal, economic, as well as societal impacts. The evidence-based intervention of choice for DBD is outpatient parent-directed behavioral therapy (PDT). However, little is known about clinicians ’ perspectives on the factors influencing PDT’s effectiveness in routine care. The current study directly assesses clinicians’ perspectives on factors they believe impact PDT’s success for disruptive behavio...
Source: Administration and Policy in Mental Health and Mental Health Services Research - July 28, 2021 Category: Psychiatry Source Type: research

A Rapid Ethnographic Assessment of the Impact of the COVID-19 Pandemic on Mental Health Services Delivery in an Acute Care Medical Emergency Department and Trauma Center
AbstractA rapid ethnographic assessment of delivery of mental health services to patients at a Level I trauma center in a major metropolitan hospital undergoing a COVID-19 surge was conducted to assess the challenges involved in services delivery and to compare the experience of delivering services across time. Study participants were patients and providers who interacted with or otherwise were observed by three clinicians engaged in the delivery of care within the Emergency Department (ED) and Trauma Center at Harborview Medical Center from the COVID-19-related “surge” in April to the end of July 2020. Data were colle...
Source: Administration and Policy in Mental Health and Mental Health Services Research - July 28, 2021 Category: Psychiatry Source Type: research

Correction to: Working Towards the Development and Implementation of Precision Mental Healthcare: An Example
The article “Working Towards the Development and Implementation of Precision Mental Healthcare: An Example” written by “Wolfgang Lutz, Brian Schwartz, Juan Martin Gomez Penedo, Kaitlyn Boyle, Anne‑Katharina Deisenhofer”, was originally published Online First without Open Access. After publication in v olume 47, issue 5, pages 856–861 the author decided to opt for Open Choice and to make the article an Open Access publication. Therefore, the copyright of the article has been changed to © The Authors 2021 and the article is forthwith distributed under the terms of the Creative Commons Attributio n 4.0 Internatio...
Source: Administration and Policy in Mental Health and Mental Health Services Research - July 27, 2021 Category: Psychiatry Source Type: research

Online Training of Community Therapists in Observational Coding of Family Therapy Techniques: Reliability and Accuracy
This study tested an online training system in which therapists practiced observational coding of mock video vignettes demonstrating family therapy techniques for adolescent behavior problems. The study compared therapists ratings to gold-standard scores to measure therapistreliability (consistency across vignettes) andaccuracy (approximation to gold scores); tested whether reliability and accuracy improved during training; and tested therapist-level predictors of overall accuracy and change in accuracy over time. Participants were 48 therapists working in nine community behavioral health clinics. The 32-exercise training ...
Source: Administration and Policy in Mental Health and Mental Health Services Research - July 23, 2021 Category: Psychiatry Source Type: research