Implementation of Integrated Behavioral Health Care in a Large Medical Center: Benefits, Challenges, and Recommendations
This study examines perspectives on IBHC implementation in a large medical center. Semi-structured interviews were conducted with 24 health providers and administrators in two primary care clinics with IBHC. Thematic analysis demonstrated that participants had an overall favorable perception of IBHC, but also perceived implementation challenges, including difficulties with access, underutilization, team dynamics, and financial and interdepartmental issues. The findings suggest that IBHC implementation barriers in existing large health systems risk diminishing potential benefits and successful adoption. These barriers can b...
Source: The Journal of Behavioral Health Services and Research - July 1, 2021 Category: Psychiatry & Psychology Source Type: research

Understanding the Effectiveness of the Cascading Model to Implement Parent-Child Interaction Therapy
This study is one of the first to describe CM training methods and to examine differences between clinicians trained by an expert, and those trained through a within-agency training (WAT) by a fellow clinician. Results indicate that 56% of the 38 eligible clinicians chose to become trainers and 50% of the 56% conducted WATs to train others. This represents a 50% increase in EBP-trained clinicians within the study timeframe. Clinicians trained by an expert reported higher knowledge and training satisfaction than those trained through a WAT. Of note, clinicians trained through a WAT reported increases in EBP knowledge and we...
Source: The Journal of Behavioral Health Services and Research - July 1, 2021 Category: Psychiatry & Psychology Source Type: research

Trauma-Informed Pediatric Primary Care: Facilitators and Challenges to the Implementation Process
This article describes the process of integrating trauma-informed behavioral health practices into a pediatric primary care clinic serving low-income and minority families while facing barriers of financial, staffing, and time limitations common to many community healthcare clinics. By using an iterative approach to evaluate each step of the implementation process, the goal was to establish a feasible system in which primary care providers take the lead in addressing traumatic stress. This article describes (1) the process of implementing trauma-informed care into a pediatric primary care clinic, (2) the facilitators and c...
Source: The Journal of Behavioral Health Services and Research - July 1, 2021 Category: Psychiatry & Psychology Source Type: research

The Promise and Pitfalls of Electronic Health Records and Person-Centered Care Planning
AbstractPerson-Centered Care Planning is a recovery-oriented practice designed to meet the increasing demand to deliver person-centered care. Despite widespread dissemination efforts to train providers in person-centered care, behavioral health agencies are still struggling to implement person-centered care approaches. One of the barriers is poorly designed electronic health records that are not aligned to reflect the goal of providing individuals with meaningful choices and self-determination. The pitfalls of EHR design include service planning templates that rely on automated formats that are problem-driven and preclude ...
Source: The Journal of Behavioral Health Services and Research - July 1, 2021 Category: Psychiatry & Psychology Source Type: research

The Rapid Risk of Violence Screen (RROVS): a Brief Violence Risk Screening Tool for People in a Community Behavioral Health Setting
This study examined the association between the RROVS total score and future criminal justice involvement including violent offenses. Results from this study suggest that the RROVS screening tool has predictive validity as it is associated with later criminal justice involvement with a violent offense. The RROVS may be a helpful tool for community-based behavioral health providers to screen incoming clients for violence risk to inform whether additional assessment for violence potential is warranted. (Source: The Journal of Behavioral Health Services and Research)
Source: The Journal of Behavioral Health Services and Research - July 1, 2021 Category: Psychiatry & Psychology Source Type: research

Stronger Together! Meeting the Challenges of a Year Defined by a Pandemic
(Source: The Journal of Behavioral Health Services and Research)
Source: The Journal of Behavioral Health Services and Research - July 1, 2021 Category: Psychiatry & Psychology Source Type: research

Mental Health Outcomes Associated with COVID-19 Pandemic in a Group of Health Care Professionals
AbstractAnalysis of health care workers ’ stress levels during the COVID-19 virus pandemic, and whether there is a relationship between health care workers’ stress levels and mental health in the context of coping with stress. One hundred and seventy professionally active health care workers took part in the study: doctors (n=41), nur ses (n=114) and paramedics (n = 15). On average, study subjects were 37 years old and had 14 years of work experience. The following were used in this questionnaire-based study: General Health Questionnaire (GHQ–28), Perceived Stress Scale (PSS-10), Mini-COPE – Coping Inventory. The r...
Source: The Journal of Behavioral Health Services and Research - June 7, 2021 Category: Psychiatry & Psychology Source Type: research

Family Factors Related to Three Major Mental Health Issues Among Asian-Americans Nationwide
AbstractAsian-Americans (AAs) constitute the fastest growing minority group in the USA. AAs share a common emphasis on collective cultural strengths, especially family values. Using the National Latino and Asian American Study (NLAAS) data, this study investigated the roles of family cohesiveness, along with other cultural strength factors and negative family interactions in three psychiatric disorders. Supporting the study ’s hypotheses, multivariate analyses showed that family cohesiveness was associated with a lower incidence of general anxiety disorder (GAD), while regular religious attendance was linked with a lower...
Source: The Journal of Behavioral Health Services and Research - June 7, 2021 Category: Psychiatry & Psychology Source Type: research

Mental Health Outcomes Associated with COVID-19 Pandemic in a Group of Health Care Professionals
AbstractAnalysis of health care workers ’ stress levels during the COVID-19 virus pandemic, and whether there is a relationship between health care workers’ stress levels and mental health in the context of coping with stress. One hundred and seventy professionally active health care workers took part in the study: doctors (n=41), nur ses (n=114) and paramedics (n = 15). On average, study subjects were 37 years old and had 14 years of work experience. The following were used in this questionnaire-based study: General Health Questionnaire (GHQ–28), Perceived Stress Scale (PSS-10), Mini-COPE – Coping Inventory. The r...
Source: The Journal of Behavioral Health Services and Research - June 7, 2021 Category: Psychiatry & Psychology Source Type: research

Family Factors Related to Three Major Mental Health Issues Among Asian-Americans Nationwide
AbstractAsian-Americans (AAs) constitute the fastest growing minority group in the USA. AAs share a common emphasis on collective cultural strengths, especially family values. Using the National Latino and Asian American Study (NLAAS) data, this study investigated the roles of family cohesiveness, along with other cultural strength factors and negative family interactions in three psychiatric disorders. Supporting the study ’s hypotheses, multivariate analyses showed that family cohesiveness was associated with a lower incidence of general anxiety disorder (GAD), while regular religious attendance was linked with a lower...
Source: The Journal of Behavioral Health Services and Research - June 7, 2021 Category: Psychiatry & Psychology Source Type: research

Behavioral Health Screening and Care Coordination for Rural Veterans in a Federally Qualified Health Center
This article details the Collaborative Systems of Care (CSC) program, a novel, nurse-led care coordination program identifying and connecting veterans presenting for care in a Federally Qualified Health Center to VA behavioral health and other services based upon the veteran ’s preferences and eligibility. The CSC program systematically identifies veteran patients, screens for common behavioral health issues, explores VA eligibility for interested veterans, and facilitates coordination with VA to improve healthcare access. While the present program focuses on behavior al health, there is a unique emphasis on assisting ve...
Source: The Journal of Behavioral Health Services and Research - May 25, 2021 Category: Psychiatry & Psychology Source Type: research

Mental Health and Service Impacts During COVID-19 for Individuals with Serious Mental Illnesses Recently Released from Prison and Jail
This study aims to understand how they experienced the pandemic during initial stay-at-home orders in New York City. Structured surveys and in-depth semi-structured interviews examined the impact of the pandemic on participants. Survey responses are presented as percentages. Thematic analysis was used to code and analyze in-depth interviews. All participants (N = 5) knew about the coronavirus pandemic, and most took steps to minimize risk. Participants experienced changes to their services, including suspensions of some supportive services. They also reported an increase in psychiatric symptoms but utilized a variety of co...
Source: The Journal of Behavioral Health Services and Research - May 13, 2021 Category: Psychiatry & Psychology Source Type: research