Lost in Transition: The Behavioral Health Needs of Veterans in Eight County Jails
AbstractThe behavioral health needs, service utilization, and discharge planning provision of veterans in jails have been understudied, yet practitioners must understand each component to ensure veterans ’ behavioral health needs are met through linkage to culturally-appropriate services. Thus, this study asked: How do veterans differ from non-veterans regarding behavioral health needs, jail-based service engagement, and discharge planning within jails? How do jails identify veterans and are they referred to culturally-appropriate services? In a booking sample across eight jails, this evaluative, cross-sectional study co...
Source: Administration and Policy in Mental Health and Mental Health Services Research - July 17, 2021 Category: Psychiatry Source Type: research

Manuscript: Defining Quality Standards for Intensive Home Based Treatment Programs for Youth with Serious Emotional Disorders
AbstractIntensive Home Based Treatment (IHBT) is a critical component of the continuum of community-based behavioral healthcare for youth with serious emotional disorder (SED) and their families. Yet despite being used nationwide at costs of over $100 million annually in some states, a well-vetted, research-based set of quality standards for IHBT has yet to be developed. The current project aimed to define program and practice standards for IHBT, drawing upon literature review, expert interviews, and a systematicDelphi process engaging over 80 participants, including IHBT developers, experts in evidence-based youth mental ...
Source: Administration and Policy in Mental Health and Mental Health Services Research - July 9, 2021 Category: Psychiatry Source Type: research

Predicting Mental Health Treatment Access Among Adolescents With Elevated Depressive Symptoms: Machine Learning Approaches
This study used individual depression symptoms and sociodemographic variables to predictwhether andwhere adolescents with depression accessed mental health treatments. We performed a pre-registered, secondary analysis of data from the 2017 National Survey of Drug Use and Health (NSDUH), a nationally representative sample of non-institutionalized civilians in the United States. Using four cross-validated random forest models, we predicted whether adolescents with elevated past-year depressive symptoms (N  = 1,671; ages 12–17 years) accessed specific mental health treatments in the previous 12 months (“yes/no” fo...
Source: Administration and Policy in Mental Health and Mental Health Services Research - July 2, 2021 Category: Psychiatry Source Type: research

Measuring Community Integration: Development and Psychometrics of the Community Connections and Engagement Scale
The objective of this community-based participatory research project was to develop a clinically useful, psychometrically-sound scale to measure community integration for adults with severe mental illness. Two researchers and an administrator of a behavioral health agency (BHA) recruited a group of providers, half with lived-experience of severe mental illness. Through a series of five focus groups, provider participants guided identification of four major domains of community integration and the development of 95 scale items; items and domains were reviewed by three external researchers with subject matter expertise. Init...
Source: Administration and Policy in Mental Health and Mental Health Services Research - July 1, 2021 Category: Psychiatry Source Type: research

The Impact of Demographic, Clinical, and Institutional Factors on Psychiatric Inpatient Length-of-Stay
AbstractThe average length of inpatient stay (LOS) for psychiatric care has declined substantially across Canada and the United States during the past two decades. Although LOS is based presumably on patient, hospital, and community factors, there is little understanding of how such factors are linked with LOS. The purpose of this study was to explore potential individual and systemic factors associated with LOS in a large-scale, longitudinal dataset. Study participants consisted of individuals 11  years of age and older admitted for psychiatric conditions to a New Brunswick hospital between April 1, 2003 and March 31, 20...
Source: Administration and Policy in Mental Health and Mental Health Services Research - July 1, 2021 Category: Psychiatry Source Type: research

Help-Seeking Patterns Among the General Population in Singapore: Results from the Singapore Mental Health Study 2016
This study aimed to establish lifetime mental health service utilisation among the general population of Singapore. The sociodemographic correlates of those seeking help from different service provider groups and changes in lifetime mental health service utilisation between 2010 and 2016 among those with mental disorders were also explored. A population-based cross-sectional epidemiological household survey of the Singapore resident population aged 18  years and above was conducted from 2016 to 2018, using the World Mental Health Composite International Diagnostic Interview (CIDI) version 3.0. Data from two cross-sectiona...
Source: Administration and Policy in Mental Health and Mental Health Services Research - July 1, 2021 Category: Psychiatry Source Type: research

A Preliminary Investigation of Provider Attitudes Toward a Transdiagnostic Treatment: Outcomes from Training Workshops with the Unified Protocol
AbstractEvidence-based psychological treatments (EBPTs) for common mental health conditions are efficacious but remain underutilized in clinical service settings. Novel  transdiagnostic and modular approaches that treat several disorders simultaneously promise to address common barriers to the dissemination and implementation of traditional EBPTs. Despite the promise that transdiagnostic treatments hold, the claims that these interventions can be more easily disse minated and implemented have not been widely tested. The present study examined whether a transdiagnostic treatment, the Unified Protocol (UP), addresses some b...
Source: Administration and Policy in Mental Health and Mental Health Services Research - July 1, 2021 Category: Psychiatry Source Type: research

Areas of Improvement in Suicide Risk Identification, Assessment, and Risk Mitigation Documentation by Mental Health Prescribers at a Veterans Affairs Health Care System
ConclusionMH CPS play an important role in suicide risk screening for veterans. There is a need for improvement regarding the offering and documentation of firearm risk mitigation strategies. (Source: Administration and Policy in Mental Health and Mental Health Services Research)
Source: Administration and Policy in Mental Health and Mental Health Services Research - July 1, 2021 Category: Psychiatry Source Type: research

Association of Follow-Up After an Emergency Department Visit for Mental Illness with Utilization Based Outcomes
AbstractFollow-up within 30  days of an emergency department (ED) visit for mental illness is a new and widely-used quality measure. However, no empirical evidence validates associations between follow-up and subsequent utilization based outcomes. Using Massachusetts all payer claims data, we identified insured individuals wi th an ED visit for mental illness. Multivariate regression analysis estimated associations between follow-up within 30 days after an ED visit for mental illness with costs, hospitalizations, and additional ED visits in 180 days following the index visit. 63,814 index ED visits were included (56.5% ...
Source: Administration and Policy in Mental Health and Mental Health Services Research - July 1, 2021 Category: Psychiatry Source Type: research

Mental Health Services Provision in Primary Care and Emergency Department Settings: Analysis of Blended Fee-for-Service and Blended Capitation Models in Ontario, Canada
We examined the quantity of mental health services provided in Ontario ’s blended fee-for-service and blended capitation models. We evaluated the impact of FPs switching from blended fee-for-service to blended capitation on the provision of mental health services in primary care and emergency department using longitudinal health administrative data from 2007 to 2016. We accounted for the differences between those who switched to blended capitation and non-switchers in the baseline using propensity score weighted fixed-effects regressions to compare remuneration models. We found that switching from blended fee-for-service...
Source: Administration and Policy in Mental Health and Mental Health Services Research - July 1, 2021 Category: Psychiatry Source Type: research

Correction to: A Systematic Review of Mental Health Interventions for ASD: Characterizing Interventions, Intervention Adaptations, and Implementation Outcomes
Due to the errors occurred in the originally published version, this article is being reprinted in its entirety as Correction. All errors have been corrected. It is the correct version. (Source: Administration and Policy in Mental Health and Mental Health Services Research)
Source: Administration and Policy in Mental Health and Mental Health Services Research - July 1, 2021 Category: Psychiatry Source Type: research

Exploring the Extent of Perinatal Depression Screening in the Health Records of Veterans
AbstractTo investigate adherence by Veterans Affairs (VA) providers to perinatal depression screening clinical practice guidelines (two prenatal and one postpartum screen). Women Veterans who enrolled in a multisite cohort study during pregnancy and delivered newborns between January 1, 2016 and December 31, 2019 were included. VA electronic health record (EHR) and claims data identified the start of pregnancy care, depression screens, and medical history. Prenatal and postpartum telephone surveys collected demographics, pregnancy characteristics, and Edinburgh Postnatal Depression Scale (EPDS) scores. Data from EHRs was c...
Source: Administration and Policy in Mental Health and Mental Health Services Research - July 1, 2021 Category: Psychiatry Source Type: research