Mental Health Screening Practices Among Primary Care Providers in High HIV Burden Areas of the South: Does Having Patients with HIV Matter?
AbstractMental health (MH) disorders are associated with HIV-related risk and health outcomes. Primary care providers (PCPs) conducting MH screenings can link persons living with HIV (PWH) to appropriate services, particularly in HIV burden areas of Southeastern States (the South). Little data exist on PCPs ’ MH screening practices. Depression, MH history, and substance use screenings among PCPs were examined in the South. Rao-Scott chi-square (χ2[df]) statistics (p ≤ 0.05) analyzed MH screening between PCPs with and without PWH patients. Compared with PCPs without PWH patients, PCPs with PWH pat...
Source: The Journal of Behavioral Health Services and Research - July 3, 2020 Category: Psychiatry & Psychology Source Type: research

Telehealth Training and Provider Experience of Delivering Behavioral Health Services
AbstractThe exclusion of telehealth training and education in behavioral health degree programs contributes to the challenges in telehealth delivery. This qualitative study was designed to assess the impact of telehealth training during a behavioral health degree program on perceptions of providing telehealth services. Fifteen interviews were conducted using a semi-structured interview guide. A narrative inquiry approach was employed, allowing for the participants to use narrative story to describe and discuss experiences. Analysis revealed three themes: (1) facilitators for delivering telehealth services; (2) challenges e...
Source: The Journal of Behavioral Health Services and Research - June 28, 2020 Category: Psychiatry & Psychology Source Type: research

Our Voice and Our Vote Are More Important Than Ever Before
(Source: The Journal of Behavioral Health Services and Research)
Source: The Journal of Behavioral Health Services and Research - June 22, 2020 Category: Psychiatry & Psychology Source Type: research

Impact of Mental Health Treatment on Suicide Attempts
This study finds that mental health treatment significantly reduces suicide attempts. (Source: The Journal of Behavioral Health Services and Research)
Source: The Journal of Behavioral Health Services and Research - June 8, 2020 Category: Psychiatry & Psychology Source Type: research

After the Affordable Care Act: the Effects of the Health Safety Net and the Medicaid Expansion on Latinxs ’ Use of Behavioral Healthcare in the US
This study investigated the association between the implementation of the Affordable Care Act (ACA) and Latinxs ’ use of behavioral health services in the US. Organizational responses from the 2010, 2014, and 2016 National Mental Health Service Survey were used to examine the number and proportion of outpatient Latinx admissions over time, as well as the role of Medicaid expansion and health safety net fund ing on Latinxs’ admissions. Findings showed that there was an increase in Latinx admissions post-ACA (2014). However, 2 years post-implementation (2016), Latinx admissions were at levels lower than prio...
Source: The Journal of Behavioral Health Services and Research - June 8, 2020 Category: Psychiatry & Psychology Source Type: research

Nicotine and Opioids: a Call for Co-treatment as the Standard of Care
AbstractThe U.S. is in the midst of an opioid epidemic. At the same time, tobacco use remains the leading cause of preventable death and disability. While the shared biological underpinnings of nicotine and opioid addiction are well established, clinical implications for co-treatment of these two substance use disorders has not been emphasized in the literature, nor have researchers, clinicians, and policy makers adequately outlined pathways for incorporating co-treatment into existing clinical workflows. The current brief review characterizes the metabolic and neural mechanisms which mediate co-use of nicotine and opioids...
Source: The Journal of Behavioral Health Services and Research - June 3, 2020 Category: Psychiatry & Psychology Source Type: research

Patient Satisfaction with Substance Use Disorder Rehabilitation Services: a Qualitative Study
AbstractDespite its recognized value, there is a gap in the assessment of patient satisfaction among patients with substance use disorder (SUD) in rehabilitation. The study objective was to determine patient satisfaction dimensions relevant to individuals receiving residential rehabilitation for SUD. Semi-structured interviews were conducted with the following: (1) adult males enrolled in the program and (2) counseling staff involved in the care of these individuals. A literature review formed the basis for interviews, which were audio recorded and transcribed. Text data was analyzed using directed content analysis to iden...
Source: The Journal of Behavioral Health Services and Research - June 3, 2020 Category: Psychiatry & Psychology Source Type: research

Development and Validation of Fidelity Monitoring and Enhancement in an Evidence-Based Parenting Program
This article adds to current research by examining treatment fidelity of an evidence-based parenting program (namely Triple P) as part of a large clinical trial which included a range of procedures for promoting fidelity including both expert and peer supervision. Procedures for monitoring and promoting fidelity are described, and two major aspects of fidelity, namely content adherence and process fidelity, were evaluated. All treatment sessions for 166 families participating in the Standard Triple P-Positive Parenting Program were video-recorded and then sampled for evaluation without advanced knowledge by delivery practi...
Source: The Journal of Behavioral Health Services and Research - May 31, 2020 Category: Psychiatry & Psychology Source Type: research

Practice Facilitation in Integrated Behavioral Health and Primary Care Settings: a Scoping Review
AbstractLittle is known about the contributions of practice facilitators in settings aiming to deliver integrated behavioral health and primary care. This scoping review identifies peer-reviewed articles that describe efforts to deliver integrated behavioral health care with the support of practice facilitators. Five databases were systematically searched to identify empirical and conceptual papers. Fourteen articles met the following inclusion criteria: (1) empirical studies evaluating the effectiveness of practice facilitation (n = 4), (2) study protocols that will test the effectiveness of practice facilit...
Source: The Journal of Behavioral Health Services and Research - May 26, 2020 Category: Psychiatry & Psychology Source Type: research

Family Organizations in Children ’s Mental Health Systems of Care: the Challenge of Maintaining Financial Sustainability
AbstractFamily-run organizations are an important source of support for families of children with serious emotional disturbance, yet little work has explored how these organizations sustain their work. The National Evaluation Team (NET) for the Substance Abuse and Mental Health Services Administration ’s Children’s Mental Health Initiative grant program interviewed 20 family organizations in Grant Year 2 and 22 organizations in Year 4 to assess their main funding sources, the adequacy of this funding to support the organization, and changes in their funding and financial sustainability over t ime. Family organi...
Source: The Journal of Behavioral Health Services and Research - May 24, 2020 Category: Psychiatry & Psychology Source Type: research

Staff and Organizational Capacity in the Implementation of Coordinated Care: an Examination of 10 Behavioral Health Agencies in Rural Communities
AbstractProviding primary care services in behavioral health settings has become more common and necessary given the needs of individuals with serious mental illness (SMI). In this exploratory study, we developed a survey to assess agency and professional staff and practitioner capacity for coordinated care. The survey provides a feedback mechanism for agencies to target staff and organizational needs related to building capacity to provide coordinated care. Logistic regressions compared differences in 24 dimensions of coordinated care specifically comparing capacity based on professional role (behavioral health and medica...
Source: The Journal of Behavioral Health Services and Research - May 22, 2020 Category: Psychiatry & Psychology Source Type: research

Treating Fentanyl Withdrawal
AbstractFentanyl withdrawal is common, but pharmacological management has largely mirrored traditional approaches to opioid withdrawal. Observations in a large urban center suggest alternative approaches, including the need for dose modification, should be considered. (Source: The Journal of Behavioral Health Services and Research)
Source: The Journal of Behavioral Health Services and Research - May 20, 2020 Category: Psychiatry & Psychology Source Type: research

Meeting the Developmental Needs of Young Adults Diagnosed with Serious Mental Health Challenges: the Emerge Model
AbstractAdult providers struggle to engage 18 –25-year olds despite high rates of serious mental health challenges observed among this age group. A new model, called “Emerge,” combines the intensive outreach and multidisciplinary team-based approach used in Assertive Community Treatment with Positive Youth Development principles and pract ices used in the Transition to Independence Process Model. Emerge bridges youth and adult services, focuses on supporting transition-to-adulthood milestone achievement, and is a sister team to Coordinated Specialty Care for recent psychosis onset. This paper describes Em...
Source: The Journal of Behavioral Health Services and Research - May 11, 2020 Category: Psychiatry & Psychology Source Type: research

State-Community System of Care Development: an Exploratory Longitudinal Review
This study explored the use of the System of Care Implementation Survey (SOCIS) to monitor SOC development during one Midwestern state ’s federal planning and expansion grants. Utilizing a translational framework, results showed that despite fluctuations in SOC factor implementation over time, state and local SOCs had mid-level development. Further, inferential analysis of select factors indicated that outreach and access to serv ices and the skilled provider network were significantly worse over time. Significant improvement in the treatment quality was documented but not sustained. Changes for Family Choice and Voi...
Source: The Journal of Behavioral Health Services and Research - May 6, 2020 Category: Psychiatry & Psychology Source Type: research

Serious Mental Illness and Smoking Cessation Treatment Utilization: the Role of Healthcare Providers
AbstractHealthcare provider barriers to cessation resources may be undercutting quit rates for smokers with serious mental illness (SMI). The study aim was to examine how providers influence cessation treatment utilization among smokers with SMI. Data were taken from a trial conducted among smokers in Minnesota Health Care Programs. The sample was split into groups of participants with SMI (n = 939) and without SMI (n = 1382). Analyses assessed whether the association between SMI and treatment utilization was mediated by healthcare provider–delivered treatment advice and healthcare provider bias...
Source: The Journal of Behavioral Health Services and Research - May 6, 2020 Category: Psychiatry & Psychology Source Type: research

Factors Influencing Implementation of Evidence-Based Mental Health Interventions for Infants and Young Children
AbstractLarge-scale efforts have been made to adopt evidence-based practices (EBPs) for young children within community mental health settings. The current study investigated the implementation of Parent-Child Interaction Therapy and Child-Parent Psychotherapy using an online survey of 20 program managers representing 16 birth-to-five mental health agencies serving an ethnically diverse Medicaid population throughout a large urban county. Survey questions addressed intake and referral processes, training and supervision in EBPs, treatment fidelity, and patient outcomes/satisfaction. Results indicated that both clinical jud...
Source: The Journal of Behavioral Health Services and Research - May 4, 2020 Category: Psychiatry & Psychology Source Type: research

Creating a Practice-Based Implementation Network: Facilitating Practice Change Across Health Care Systems
AbstractA proof-of-concept practice-based implementation network was developed in the US Departments of Veteran Affairs (VA) and Defense to increase the speed of implementation of mental health practices, derive lessons learned prior to larger-scale implementation, and facilitate organizational learning. One hundred thirty-four clinicians in 18 VA clinics received brief training in the use of the PTSD checklist (PCL) in clinical care. Two implementation strategies, external facilitation and technical assistance, were used to encourage the use of outcomes data to inform treatment decisions and increase discussion of results...
Source: The Journal of Behavioral Health Services and Research - May 3, 2020 Category: Psychiatry & Psychology Source Type: research

Health Care is Not Just for the Privileged
(Source: The Journal of Behavioral Health Services and Research)
Source: The Journal of Behavioral Health Services and Research - May 3, 2020 Category: Psychiatry & Psychology Source Type: research

Incarceration as a Reason for US Alcohol and Drug Treatment Non-completion: a Multilevel Analysis of Racial/Ethnic and Sex Disparities
This study utilized multilevel logistic regression to model treatment non-completion due to incarceration using the 2015 –2016 Treatment Episode Dataset–Discharges. Among a sample restricted to treatment non-completers (n = 306,008), 5% terminated treatment because they became incarcerated (n = 13,082), which varied widely by demographics and by state. In Idaho, 46% of African Americans terminated treatment because they became incarcerated. Women had lower odds of treatment non-completion than men, and the effect of sex was strongest among African Americans (adjusted odds ratio [aOR] &th...
Source: The Journal of Behavioral Health Services and Research - April 29, 2020 Category: Psychiatry & Psychology Source Type: research

Increasing Engagement in Post-Withdrawal Management Services Through a Practice Bundle and Checklist
This study provides insights into how to improve transitions to enhance SUD care and outcomes. (Source: The Journal of Behavioral Health Services and Research)
Source: The Journal of Behavioral Health Services and Research - April 28, 2020 Category: Psychiatry & Psychology Source Type: research

Correlates of Mental Health Treatment Receipt Among Asian Americans with Perceived Mental Health Problems
This study examined which sociodemographic factors, types of mental health problems, and barriers to treatment were associated with the treatment receipt among 126 Asian Americans who reported perceived mental health problems. Among sociodemographic factors, Chinese ethnicity and advanced English proficiency were associated with increased treatment receipt. Controlling for demographic variables, mental health problems such as psychosis, depression, and a history of abuse or trauma significantly increased the likelihood of receiving treatment, whereas addiction showed a tendency of decreased treatment receipt. Among reporte...
Source: The Journal of Behavioral Health Services and Research - April 28, 2020 Category: Psychiatry & Psychology Source Type: research

Organizational Facilitators and Barriers to Medication for Opioid Use Disorder Capacity Expansion and Use
AbstractMedication for opioid use disorder (MOUD) is a key strategy for addressing the opioid use disorder crisis, yet gaps in MOUD provision impede this strategy ’s benefits. The research reported here sought to understand what distinguishes low- and high-performing organizations in building and using capacity to provide MOUD. As part of a mixed methods MOUD implementation trial, semi-structured telephone interviews were conducted with personnel from low- and high-performing MOUD-providing organizations. Seventeen individuals from 17 organizations were interviewed. Findings demonstrate the importance of individual, ...
Source: The Journal of Behavioral Health Services and Research - April 28, 2020 Category: Psychiatry & Psychology Source Type: research

Desire to Quit Smoking in an Outpatient Population of Persons with Serious Mental Illness
AbstractNational survey data indicates that about 32% of adults with any mental illness smoke, compared with 23% of adults without a psychiatric disorder. Smoking rates are higher in clinical populations, where up to 53% of persons with serious mental illnesses (schizophrenia and bipolar disorder) are estimated to smoke. Despite higher rates of smoking among persons with mental illnesses, motivation to quit in this population is similar to that of the general population of smokers. Nevertheless, smoking cessation rates in the USA have been significantly lower among persons with mental illnesses than among persons without a...
Source: The Journal of Behavioral Health Services and Research - April 27, 2020 Category: Psychiatry & Psychology Source Type: research

Variation of Behavioral Health Care by Behavioral Health Symptom Profile Among a Diverse Group of Pregnant and Parenting Mothers
This study examines the association between behavioral health symptoms and use of behavioral health care (BHC; i.e., past year counseling and/or regular use of psychiatric medication) among a diverse group of mothers of toddlers. Data were from the Fragile Families and Child Wellbeing study (N = 4205 mothers). The association between symptom profiles (i.e., depressive, anxiety, and alcohol and drug dependence) and use of BHC was estimated with logistic regression models. Potential moderation by race/ethnicity was examined. Complex symptom profiles, older age, functional limitations, p rior behavioral health sym...
Source: The Journal of Behavioral Health Services and Research - April 24, 2020 Category: Psychiatry & Psychology Source Type: research

Burnout and Leadership Style in Behavioral Health Care: a Literature Review
AbstractBurnout among behavioral health care providers and employees is associated with poor patient and provider outcomes. Leadership style has generally been identified as a means of reducing burnout, yet it is unclear whether some leadership styles are more effective than others at mitigating burnout. Additionally, behavioral health care is provided in a variety of contexts and a leadership style employed in one context may not be effective in another. The purpose of this paper was to review the literature on leadership style and burnout in behavioral health care contexts to identify the different leadership styles and ...
Source: The Journal of Behavioral Health Services and Research - March 18, 2020 Category: Psychiatry & Psychology Source Type: research

Predictors of Frequent Emergency Department Utilization for Mental Health Reasons
This study determined predictors of frequent ED utilization among 320 patients recruited from six hospital ED in Quebec (Canada). Data collection included patient interviews and administrative databanks. A hierarchical linear regression analysis was performed using the Andersen Behavioral Model as a framework, with variables organized into predisposing, enabling, and needs factors. Results showed that needs factors were most strongly associated with ED utilization, particularly schizophrenia and personality disorders. Predisposing and enabling factors each contributed one variable to the model: past hospitalization for Men...
Source: The Journal of Behavioral Health Services and Research - March 17, 2020 Category: Psychiatry & Psychology Source Type: research

Prenatal Depression: Assessment and Outcomes among Medicaid Participants
This study used bivariate and regression-adjusted analyses of participant-level survey and medical data to investigate prevalence of depression among pregnant Medicaid participants, correlates of depression, and the relationship between depression and pregnancy outcomes. The sample included Medicaid participants with a single gestation and valid depression data who were enrolled in Strong Start for Mothers and Newborns 2, a national preterm birth prevention program, from 2013 to 2017 (N = 37,287; 85% of total enrollment). Depression rates in Strong Start were high (27.5%). Depression was associated with being b...
Source: The Journal of Behavioral Health Services and Research - February 25, 2020 Category: Psychiatry & Psychology Source Type: research

Former Foster System Youth: Perspectives on Transitional Supports and Programs
AbstractYouth aging out of the foster care system have well-documented challenges when transitioning to adulthood. Multiple transition services provide support in the transition process; however, limited research is available regarding youth ’s perceptions of programming. In this pilot study, sixteen youth between ages 18 and 20 participated in semi-structured interviews, support mapping, and resiliency measurements to gather the experiences of the transition from foster care. Comparisons between those who chose initial transition sup ports and those who did not receive or delayed receiving transition supports were i...
Source: The Journal of Behavioral Health Services and Research - February 24, 2020 Category: Psychiatry & Psychology Source Type: research

Stakeholder Perspectives on Implementation Challenges and Strategies for Moving On Initiatives in Permanent Supportive Housing
AbstractMoving On Initiatives (MOIs) assist individuals with the transition from permanent supportive housing to mainstream housing without the embedded supports. This emerging innovation has the potential to increase behavioral health system capacity and provide recipients with the opportunity to live in the least restrictive setting. However, few empirical studies have examined MOIs, and little is known about the implementation challenges providers face and strategies they use to realize these initiatives in practice. To identify these challenges and strategies, this study utilized over 2 years of observations at MOI &ld...
Source: The Journal of Behavioral Health Services and Research - February 24, 2020 Category: Psychiatry & Psychology Source Type: research

Correction to: Transitioning to Person-Centered Care: a Qualitative Study of Provider Perspectives
The original article misspelled the name of Lauren Jessell. The original article has been corrected. (Source: The Journal of Behavioral Health Services and Research)
Source: The Journal of Behavioral Health Services and Research - February 24, 2020 Category: Psychiatry & Psychology Source Type: research

Predicting Child-to-Adult Community Mental Health Service Continuation
This study uses state administrative data to examine service continuation among those aging out of child system services in Texas (N = 3135). Most (63.5%) did not enroll in adult services following their 18th birthday. Binary logistic regression analyses found that significant predictors of child-to-adult service continuation included (1) a serious primary mental health diagnosis (i.e., schizophrenia, bipolar disorder, major depressive disorder), (2) risks to self and others, and (3) number of prior-year mental health services received. These findings suggest that historical mental health policies and practices...
Source: The Journal of Behavioral Health Services and Research - February 19, 2020 Category: Psychiatry & Psychology Source Type: research

Behavioral Health Integration and Outcomes that Matter to Patients: a Longitudinal Mixed-Methods Observational Study
AbstractResearch on behavioral health integration (BHI) often explores outcomes for quality and cost, but less is known about impacts of integration work on key patient experience outcomes. A mixed-methods longitudinal study of BHI was conducted in 12 primary care clinics in Oregon to assess how adoption of key integration practices including integrated staffing models, integrated care trainings for providers, and integrated data sharing impacted a set of patient experience outcomes selected and prioritized by an advisory panel of active patients. Results showed that adopting key aspects of integration was not associated w...
Source: The Journal of Behavioral Health Services and Research - February 19, 2020 Category: Psychiatry & Psychology Source Type: research

Behavioral Health Emergencies Encountered by Community Paramedics: Lessons from the Field and Opportunities for Skills Advancement
AbstractNote: This statement is mandatory. Please provide. (Source: The Journal of Behavioral Health Services and Research)
Source: The Journal of Behavioral Health Services and Research - February 3, 2020 Category: Psychiatry & Psychology Source Type: research

Mental Health Needs of an Emerging Latino Community
This study explored the nature and frequency of healthcare utilization for mental health problems among uninsured/uninsurable Latinos who received outpatient care between 2012 and 2015 through an academic hospital-affili ated program that covers primary and specialty services to uninsured patients without regard to documentation status. Encounters for mental health disorders were the most common category, accounting for 14.88% of all visits. Mood (78%) and anxiety disorders (16%) were the most prevalent mental healt h diagnoses. The most frequent reason to seek care was symptom, signs, and ill-defined conditions (37.47%), ...
Source: The Journal of Behavioral Health Services and Research - January 30, 2020 Category: Psychiatry & Psychology Source Type: research

Developing an Evidence-Based Technical Assistance Model: a Process Evaluation of the National Training and Technical Assistance Center for Child, Youth, and Family Mental Health
This article presents results from a process evaluation of NTTAC, conducted to support the Center ’s quality improvement and contribute to the knowledge base around provision of technical assistance (TA). The evaluation used a mixed methods approach with data collection focused on a defined subset of NTTAC TA recipients—recipients of federal Comprehensive Community Mental Health Services for Children SOC grants. Data sources included coded administrative records from SOC grant sites, administrative data from NTTAC, standardized measures of SOC development, and stakeholder survey data. Results indicate that TA d...
Source: The Journal of Behavioral Health Services and Research - January 23, 2020 Category: Psychiatry & Psychology Source Type: research

Evaluating a Train-the-Trainer Approach for Increasing EBP Training Capacity in Community Mental Health
This study compared pre- and post-training consultation outcomes as well as standardized measures of trainer attributes and behaviors between university-based master trainers and experienced community-based supervisors, trained under the TtT approach. Findings suggest local and master trainers are equivalent in terms of clinical teaching effectiveness and trainee-perceived charisma. Master trainers may have higher trainee-perceived credibility, but training and consultation outcomes are equivalent across the types of trainers, with the exception of behavioral problems where clinicians trained by local trainers and master t...
Source: The Journal of Behavioral Health Services and Research - January 2, 2020 Category: Psychiatry & Psychology Source Type: research

An Examination of the Community Participation Interests of Young Adults with Serious Mental Illnesses
AbstractParticipation in various aspects of community life (e.g., education, employment) plays a critical role in fostering young adult development and health. To support behavioral health services in addressing a broader array of meaningful community participation areas, the current study examined the participation interests of young adults with serious mental illnesses via a literature review and focus groups interviews. Literature review results revealed a range of community participation areas of interest to these individuals, including employment, education, religion and spirituality, social networking (e.g., using so...
Source: The Journal of Behavioral Health Services and Research - December 24, 2019 Category: Psychiatry & Psychology Source Type: research

The Relationship Between Linkages to Behavioral Health Services in Pediatric Primary Care and Reductions in Non-urgent Emergency Department Visits Among Vulnerable Children
This study aimed to examine whether linking at-risk young children to BH services is associated with a reduction in “non-urgent” emergency department (ED) visits. BH teams integrated in a pediatric clinic conducted socio-emotional screening in children 6–65 months of age and tracked ED utilization for children with positive screening. The results indicated that children with positive screening are less likely to have a non-urgent ED visit than children with negative screening with concerns (NWC) and are more likely to be connected to services. Among children in the NWC group, those connected to services w...
Source: The Journal of Behavioral Health Services and Research - December 24, 2019 Category: Psychiatry & Psychology Source Type: research

Reducing the Treatment Gap for LGBT Mental Health Needs: the Potential of Telepsychiatry
AbstractThe high prevalence of psychiatric conditions and the concomitant increase in need for mental illness have posed a challenge across the USA. Patients continue to encounter many barriers to accessing care with only 43% receiving treatment. This situation is even more challenging for LGBT individuals, who experience higher rates of some mental health conditions, with an increased risk of suicidality, due to stressors such as discrimination and trauma. Simultaneously, LGBT individuals face specific barriers at the individual level, clinician level, and systemic level. Telepsychiatry has emerged as an approach that can...
Source: The Journal of Behavioral Health Services and Research - December 16, 2019 Category: Psychiatry & Psychology Source Type: research

When Enough is Still Not Enough
(Source: The Journal of Behavioral Health Services and Research)
Source: The Journal of Behavioral Health Services and Research - December 16, 2019 Category: Psychiatry & Psychology Source Type: research

Transitioning to Person-Centered Care: a Qualitative Study of Provider Perspectives
(Source: The Journal of Behavioral Health Services and Research)
Source: The Journal of Behavioral Health Services and Research - December 9, 2019 Category: Psychiatry & Psychology Source Type: research

Frequent Attendance to the Emergency Department after Release from Prison: a Prospective Data Linkage Study
AbstractThe aim of this paper was to identify characteristics and predictors of frequent emergency department (ED) use among people released from prisons in Queensland, Australia. Baseline interview data from a sample of sentenced adults were linked to ED and hospital records. The association between baseline characteristics and frequent ED attendance was modelled by fitting multivariate logistic regression models. Participants who had ≥ 4 visits to the ED in any 365-day period of community follow-up were defined as frequent attenders (FA). The analyses included 1307 people and mean follow-up time in the communit...
Source: The Journal of Behavioral Health Services and Research - December 9, 2019 Category: Psychiatry & Psychology Source Type: research

A Psychometric Evaluation of the Intention Scale for Providers-Direct Items
This study examined the psychometric properties of the Intention Scale for Providers-Direct Items (ISP-D; 16 items), a questionnaire for assessing therapists ’ evidence-based practice attitudes, subjective norms, perceived behavioral control, and behavioral intentions. Participants were community mental health providers from the State of Hawaii. A confirmatory factor analysis provided support for a revised 14-item ISP-D measure that fits the data reaso nably well. Subscales of this revised ISP-D demonstrated acceptable to good internal consistency, with the exception of the Perceived Behavioral Control subscale. The ...
Source: The Journal of Behavioral Health Services and Research - November 25, 2019 Category: Psychiatry & Psychology Source Type: research

It ’s Time to Stop Failing Our Young People and Start Empowering Them
(Source: The Journal of Behavioral Health Services and Research)
Source: The Journal of Behavioral Health Services and Research - October 2, 2019 Category: Psychiatry & Psychology Source Type: research

A Case Study of Implementing Grant-Funded Integrated Care in a Community Mental Health Center
AbstractThe US government funds integrated care demonstration projects to decrease health disparities for individuals with serious mental illness. Drawing on the Exploration Preparation Implementation Sustainability (EPIS) implementation framework, this case study of a community mental health clinic describes implementation barriers and sustainability challenges with grant-funded integrated care. Findings demonstrate that integrated care practices evolve during implementation and the following factors influenced sustainability: workforce rigidity, intervention clarity, policy and funding congruence between the agency and s...
Source: The Journal of Behavioral Health Services and Research - September 3, 2019 Category: Psychiatry & Psychology Source Type: research

Race/Ethnicity, Community of Residence, and DUI Arrest After Beginning Treatment for an Alcohol Use Disorder
AbstractThe purpose of this study was to examine whether racial/ethnic disparities in post-treatment arrests for driving under the influence (DUI) exist among clients receiving outpatient treatment for an alcohol use disorder (AUD) and to assess whether community characteristics were associated with this outcome. The sample included adults with an AUD entering publicly funded outpatient treatment in Washington State in 2012. Treatment data were linked with criminal justice and US Census data. Multilevel time-to-event analysis was employed to answer the research questions. Key independent variables included client race/ethn...
Source: The Journal of Behavioral Health Services and Research - August 26, 2019 Category: Psychiatry & Psychology Source Type: research

Appreciation to Reviewers
(Source: The Journal of Behavioral Health Services and Research)
Source: The Journal of Behavioral Health Services and Research - August 26, 2019 Category: Psychiatry & Psychology Source Type: research

Transition Cliffs for Young Adults with Anxiety and Depression: Is Integrated Mental Health Care a Solution?
AbstractYoung adulthood is a major transition period, particularly challenging for those with mental disorders. Though the prevalence of depressive and anxiety disorders is especially high, young adults are less likely to receive mental health treatment than younger and older individuals. Reasons for this mental health treatment gap are multifold and range from individual- to system-level factors that must be taken into consideration when addressing young adult mental health needs. Studies in adults and adolescents have shown that integrated care in primary care settings is an effective model of treatment of mental disorde...
Source: The Journal of Behavioral Health Services and Research - August 19, 2019 Category: Psychiatry & Psychology Source Type: research

Association of Medicaid Expansion and Health Insurance with Receipt of Smoking Cessation Services and Smoking Behaviors in Substance Use Disorder Treatment
This study examined whether living in a Medicaid-expanded state or having health insurance was associated with receipt of smoking cessation services or smoking behaviors among substance use disorder (SUD) treatment clients. In 2015 and 2016, 1702 SUD clients in 14 states were surveyed for health insurance status, smoking cessation services received in their treatment program, and smoking behaviors. Services and behaviors were then compared by state Medicaid expansion and health insurance status independently. Clients in Medicaid-expanded states were more likely to be insured (89.9% vs. 54.4%,p 
Source: The Journal of Behavioral Health Services and Research - July 29, 2019 Category: Psychiatry & Psychology Source Type: research

From Planning to Implementation of the YouthCan IMPACT Project: a Formative Evaluation
AbstractIn order to improve the youth mental health system, there is an international movement toward developing community-based service hubs that provide integrated, collaborative care to youth. However, the implementation of multisystem collaboration is complex and can be hampered by barriers. This paper presents a formative evaluation of the YouthCan IMPACT integrated youth services project based on the Consolidated Framework for Implementation Research (CFIR), to identify facilitators and barriers to successful implementation. Results highlight that previous positive working relationships along with collaborative inves...
Source: The Journal of Behavioral Health Services and Research - July 24, 2019 Category: Psychiatry & Psychology Source Type: research