Disparities in Opioid Prescribing for Long-Term Chronic and Short-Term Acute Pain: Findings from the 2019 National Health Interview Survey
AbstractThe CDC cautioned against prescribing opioids for long-term chronic pain because opioid use disorder (OUD) risk was greater compared to short-term use for acute pain. The study objective was to describe rates and characteristics of respondents prescribed opioids for long-term chronic and short-term acute pain. National Health Interview Survey respondents for 2019 aged 18  years and over were examined (n = 31,997). Bivariate and multivariable models demonstrated opioid use for long-term and acute pain relative to sociodemographic characteristics. About 12.3% of US adults took opioids in the last 12 months, and...
Source: The Journal of Behavioral Health Services and Research - March 2, 2022 Category: Psychiatry & Psychology Source Type: research

Clients ’ Perspectives Regarding Peer Support Providers’ Roles and Support for Client Access to and Use of Publicly Funded Mental Health Programs Serving Transition-Age Youth in Two Southern California Counties
This study elicited TAY clients ’ perspectives on peer providers’ roles, responsibilities, and contribution to TAYs’ use of mental health services. In 2019, six focus groups were conducted with TAY clients (n=24) receiving publicly funded mental health services in Southern California. Results from this analysis included four themes that illustrated the role of peers as perceived by TAY clients, including: 1) building client–peer provider relationships, 2) engaging with mental health services, 3) role-modelling recovery and supporting skill acquisition to instill hope and empowerment, and 4) peer roles and experienc...
Source: The Journal of Behavioral Health Services and Research - March 2, 2022 Category: Psychiatry & Psychology Source Type: research

Disparities in Opioid Prescribing for Long-Term Chronic and Short-Term Acute Pain: Findings from the 2019 National Health Interview Survey
AbstractThe CDC cautioned against prescribing opioids for long-term chronic pain because opioid use disorder (OUD) risk was greater compared to short-term use for acute pain. The study objective was to describe rates and characteristics of respondents prescribed opioids for long-term chronic and short-term acute pain. National Health Interview Survey respondents for 2019 aged 18  years and over were examined (n = 31,997). Bivariate and multivariable models demonstrated opioid use for long-term and acute pain relative to sociodemographic characteristics. About 12.3% of US adults took opioids in the last 12 months, and...
Source: The Journal of Behavioral Health Services and Research - March 2, 2022 Category: Psychiatry & Psychology Source Type: research

Clients ’ Perspectives Regarding Peer Support Providers’ Roles and Support for Client Access to and Use of Publicly Funded Mental Health Programs Serving Transition-Age Youth in Two Southern California Counties
This study elicited TAY clients ’ perspectives on peer providers’ roles, responsibilities, and contribution to TAYs’ use of mental health services. In 2019, six focus groups were conducted with TAY clients (n=24) receiving publicly funded mental health services in Southern California. Results from this analysis included four themes that illustrated the role of peers as perceived by TAY clients, including: 1) building client–peer provider relationships, 2) engaging with mental health services, 3) role-modelling recovery and supporting skill acquisition to instill hope and empowerment, and 4) peer roles and experienc...
Source: The Journal of Behavioral Health Services and Research - March 2, 2022 Category: Psychiatry & Psychology Source Type: research

Development and Measurement of the Treatment Perceptions Survey (TPS) for Clients with Substance Use Disorders
AbstractStatistical reliability of the Treatment Perceptions Survey (TPS) questionnaire was examined using data from 19 California counties. The 14-item TPS was designed for clients receiving substance use disorder services at publicly funded community-based programs. The TPS is being used for evaluation of the State ’s 1115 Medicaid Waiver, external quality review of county-based systems of care, and quality improvement efforts. The survey addresses four domains of access to care, quality of care, care coordination, and general satisfaction that each include multiple items, plus a single item focused on self- reported o...
Source: The Journal of Behavioral Health Services and Research - February 25, 2022 Category: Psychiatry & Psychology Source Type: research

Correction to: Support for COVID-19-Related Substance Use Services Policy Changes: a New York State-Wide Survey
(Source: The Journal of Behavioral Health Services and Research)
Source: The Journal of Behavioral Health Services and Research - February 23, 2022 Category: Psychiatry & Psychology Source Type: research

Payer-Level Care Coordination and Re-admission to Acute Mental Health Care for Uninsured Individuals
This study determined the short- and long-term outcomes associated with payer-level care coordination, compared with care-as-usual in “high-utilizers” of acute care services in a large, publicly funded safety net system. Administrative claims data (2016–2020) were analyzed. All patients were “high-utilizers,” defined by the State of Florida as either (a) 3 + more acute care episodes in a 6-month period or (b) 1 +  acute care episodes in the past 6 months lasting 16 + days. Patients enrolled in care coordination (n = 178) were compared to usual care (n = 1,127) on rates of re-admission and pos...
Source: The Journal of Behavioral Health Services and Research - February 22, 2022 Category: Psychiatry & Psychology Source Type: research

Support for COVID-19-Related Substance Use Services Policy Changes: a New York State-Wide Survey
This study aims to describe which substance use service (SUS) organizations and who within these organizations support the maintenance of policies targeted at improving substance use treatment services. An online survey assessing respondent, organizational and program demographics, and knowledge and support regarding policy changes was distributed to all certified SUS and harm reduction programs in NYS. Bivariate and latent class analyses were used to identify patterns and associations to policy choices. Across the 227 respondents, there was a support for maintaining expansion of insurance coverage, virtual behavioral heal...
Source: The Journal of Behavioral Health Services and Research - February 2, 2022 Category: Psychiatry & Psychology Source Type: research

Transition from Military Service: Mental Health and Well-being Among Service Members and Veterans with Service-connected Disabilities
AbstractTransitioning from military service is stressful for veterans with service-connected disabilities seeking civilian employment. This descriptive study examined self-assessed mental health, well-being, and substance use of men and women shortly before or after transition from US military service, compared to norms from community and military samples. As part of a prospective study evaluating an innovative employment program, researchers interviewed 229 current and former service members with service-connected disabilities transitioning from U.S. military service. Compared to published norms, respondents reported sign...
Source: The Journal of Behavioral Health Services and Research - January 26, 2022 Category: Psychiatry & Psychology Source Type: research

To Prescribe or Not to Prescribe?: Barriers and Motivators for Progressing Along Each Stage of the Buprenorphine Training and Prescribing Path
This study aimed to identify the strongest barriers and motivators associated with each step toward buprenorphine prescribing (1. obtaining a waiver, 2. beginning to prescribe, and 3. prescribing to more people) among a sample of Missouri-based medical professionals (N = 130). Item weights (number of endorsements times mean rank of the item ’s importance) were calculated based on their responses. Across groups, lack of access to psychosocial support services, need for higher levels of care, and clinical complexity were strong barriers. Amongnon-prescribers (n = 57, 46.3%), administrative burden, potential of becoming an ...
Source: The Journal of Behavioral Health Services and Research - January 21, 2022 Category: Psychiatry & Psychology Source Type: research